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Named by Financial Times as "the most influential commentator in America," Charles Krauthammer brings us Things That Matter, the long-awaited collection of his essential, timeless writings. Things That Matter presents his penetrating and surprising reflections on everything from embryo research to entitlement reform, from Halley's Comet to border collies, from Christopher Columbus to Martin Luther King, from drone warfare to American decline.
Charles Krauthammer, winner of the 1987 Pulitzer Prize for distinguished commentary, writes an internationally syndicated column for The Washington Post Writers Group. Krauthammer, named by the Financial Times as America's most influential commentator, began writing the weekly column for The Washington Post in January 1985. It now appears in more than 180 newspapers. He writes a monthly essay for Time magazine and contributes to several other publications, including The Weekly Standard and The New Republic.
Lecture with Pulitzer Prize and National Book Award winner A. Scott Berg on his latest book, Wilson.
A. Scott Berg is the author of four previous biographies, each one a critically acclaimed New York Times bestseller. Each of his subjects has been an iconic American figure: legendary editor Maxwell Perkins, filmmaker Samuel Goldwyn, aviator Charles Lindbergh and actress Katharine Hepburn. And each portrait has been characterized by three essential qualities: the sweeping away of myth and legend to unveil a living, breathing human being behind the image; meticulous scholarship, aided by a remarkable ability to gain access to previously unavailable sources; and an elegant, fluent prose that propels the reader onward. Every one of these attributes is amply present in Berg's new book, his first in more than ten years, a biography of the enormously important and influential but enigmatic and often mischaracterized twenty-eighth President of the United States, Wilson. (Publish Date: September 10, 2013).
In addition to the hundreds of thousands of documents in the Wilson Archives, Berg was the first biographer to gain access to two recently-discovered caches of papers belonging to those close to Wilson. From this material, Berg was able to add countless details--even several unknown events--that fill in missing pieces of Wilson's character and cast new light on his entire life.
New York Times Best Selling Author and Conservative Talk Radio Host Mark Levin was at the Ronald Reagan Presidential Library on September 7, 2013 to discuss and sign copies of his latest book, The Liberty Amendments: Restoring the American Republic.
The Liberty Amendments is the long-awaited new book by Mark Levin on how to fix our broken government.
About Mark Levin: Mark Levin has become one of the hottest properties in Talk radio - his top-rated show on WABC New York is now syndicated nationally by Cumulus Media. He is also one of the top new authors in the conservative political arena.
Mark has been a frequent guest and substitute host on The Sean Hannity Show, and has also been an advisor to Limbaugh, who frequently refers to him on the air with the nickname "F. Lee Levin." He is perhaps more well-known for his nickname, "The Great One," coined by his friend Hannity.
Mark Levin is one of America's preeminent conservative commentators and constitutional lawyers. Levin is also a contributing editor for National Review Online, and writes frequently for other publications. Levin has served as a top advisor to several members of President Ronald Reagan's Cabinet - including as Chief of Staff to the Attorney General of the United States. In 2001, the American Conservative Union named Levin the recipient of the prestigious Ronald Reagan Award. He currently practices law in the private sector, heading up the prestigious Landmark Legal Foundation in Washington DC.
William Hague, Britain's current Foreign Secretary and First Secretary of State, has chosen the Ronald Reagan Presidential Library to deliver a major speech on international foreign policy. The speech was be held on Tuesday, June 25, 2013.
The Right Honourable William Hague MP was appointed Secretary of State for Foreign and Commonwealth Affairs on 12 May 2010. He was elected to Parliament in 1989 and is the Conservative MP for Richmond (Yorks). Prior to this position, William Hague served as Joint Parliamentary Under Secretary of State (1993 – 1994), Minister of State for Social Security and Disabled People (1994 – 1995), Secretary of State for Wales (1995 – 1997), Leader of the Conservative Party (1997 – 2001) and Shadow Foreign Secretary (2005 – 2010).
During the Ronald Reagan Centennial Celebration in 2011, the Rt Hon Hague was the keynote speaker at the Reagan Foundation's two events in London which honored President Reagan and his legacy.
Just a few weeks after the Reagan Library's extraordinary exhibit opens on Abraham Lincoln, the Reagan Foundation was pleased to offer a Reagan Forum and book signing with National Review editor and New York Times bestselling author Rich Lowry on his new book, Lincoln Unbound: How an Ambitious Young Railsplitter Saved the American Dream – and How We Can Do it Again (publish date: June 11, 2013).
Lincoln Unbound is a thoughtful mix of history and politics which traces Abraham Lincoln's ambitious climb from provincial upstart to political powerhouse.
Revered across the political spectrum, President Lincoln believed in a small but active government in a nation defined by aspiration. He embraced the market and the amazing transportation and communications revolutions beginning to take hold. He helped give birth to the modern industrial economy. Abraham Lincoln's vision of an upwardly mobile society that rewards and supports individual striving was wondrously realized. Now, it is under threat. To meet these challenges, conservative columnist Rich Lowry draws us back to the lessons of Lincoln. It is imperative, he argues, to preserve a fluid economy that makes it possible for individuals to thrive and live the American dream.
Click here to purchase your copy of Lincoln Unbound to be shipped to you.


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- Musician's Friend Best Selection, Price & Service. Guaranteed.
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USB 2.0 audio interface with 8 Focusrite mic preamps.
The Focusrite 18i20 brings the recording performance of 8 award-winning Focusrite mic preamps and combines them with a high-quality 24-bit/96kHz USB 2.0 interface that's compatible with Mac, Windows, and iOS platforms, which means legendary recording performance on the iPad (Apple Camera Connection Kit required). Focusrite's mic preamps are found in the world's top studios and give the 18i20 an unequalled level of performance, with low noise, minimal distortion and enormous dynamic range. The Scarlett preamps offer exceptional headroom, and two front-panel inputs also offer 10dB pad buttons to handle the highest-level inputs without distortion.
Comprehensive inputs/outputs
With 18 inputs and 20 outputs, Scarlett 18i20 includes enough I/O to handle the vast majority of day-to-day studio tasks at maximum quality, with maximum flexibility. Scarlett 18i20 features six combo XLR/jack mic/line inputs plus two front-panel XLR/jack mic/line/instrument inputs with 10dB pad buttons, 10 analogue line outputs, two independent headphone outputs on the front panel, and ADAT and S/PDIF digital I/O, plus MIDI I/O and Word Clock out for digital synchronization when required.
The ADAT interface can be used to bring in digital sources or to add extra preamps such as Focusrite's OctoPre Mk II, bringing the mic pre complement to 16 channels, ideal for recording a complete band and minimizing overdubs.
High channel count and Focusrite quality – now on USB 2.0 and iOS
Scarlett 18i20 is the USB complement of the tried and tested Saffire PRO 40 Firewire interface. Suitable for Windows, Mac and even iOS (with the Camera Connection Kit*) platforms, Scarlett 18i20's USB 2.0 connection suits almost any computer, helping you build a setup in which external storage and audio interfaces do not have to share the same computer bus (recommended for the best performance) – if you have Firewire drives, for example, a USB audio interface is the best choice.
Comprehensive bundle of included software
Comes with Ableton Live Lite – ground-breaking production and performance software, Scarlett Plug-in Suite – EQ, compression, gating and reverb, Novation Bass Station - software model of the classic Novation analogue mono-synth, and 1GB of Loopmasters samples.
Put the power of 8 Focusrite preamps to work on your Mac, PC, or iOS device.
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subset: commoncrawl


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Introducing the easy to assemble, easy to store Calego 3D Imagination - Modern Dollhouse! Featuring the no tools required colormatch Assembly system, this soft and safe Dollhouse is built in under 3 minutes and can be taken down and stored away even faster! Child Safe and Parent Friendly, imagination takes shape with Calego 3D! Folds flat for easy storage or transport! 30.5W X 12D X 42H inches once assembled.
"R"Web#: 353431
Manufacturer #: PD001MD
Product Weight:10.8 pounds
Product Dimensions (in inches):31.2 x 14.7 x 1.6
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Average Customer Rating:
(based on 12 reviews)
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Most Helpful Positive Review
Worlds Greatest Toy Ever ;)
This is the best purchase I could have possibly made for my 5 year old this Christmas. Hands down. The price is incredible, the ''box'' wasn't heavy, I literally put it ...Read complete review
This is the best purchase I could have possibly made for my 5 year old this Christmas. Hands down. The price is incredible, the ''box'' wasn't heavy, I literally put it together in less than a minute, and it's HUGE! This dollhouse is the greatest invention ever. If I need space, bam, I just un-velcro it and take it down. Seriously, if you don't buy this you're bananas. Have fun!
Most Helpful Critical Review
New Model Mismade
Tested the model on the floor, and it was great, BUT when I went to put together the newer batch is mismade. The velcro for one wall was half sewn over with edging and...Read complete review
Tested the model on the floor, and it was great, BUT when I went to put together the newer batch is mismade. The velcro for one wall was half sewn over with edging and didn't hold at all. We opened three more at the store, and they were all sewn the same way. I have a very sad 5-year-old now without a dollhouse.
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By Busy mom
from Kansas
Comments about Calego 1026840 Calego 3D Imagination - Modern Dollhouse:
So easy to put together! Great space saver and my girls absolutely love it! Way better than spending a small fortune on a Barbie house that you won't have room for!!
Comment on this review
5year olds gift
By Lilah's mom
from Chicago,il
About Me Parent Of Two Or More Children
Love that it folds up! We have a small apartment so this was perfect
By Kattie
from Kansas City, MO
very Nice Doll House For the price
By Grandma
from Burlington Iowa
About Me Grandparent
Bought for a Christmas gift for my granddaughter very quick delivery very well made and looks to be very sturdy cannot wait for Christmas it also is made of beautiful girly colors Im sure she will be pleased I love the product so far and its not even out of the package I was actually thinking it was going to be very flimsy but doesn't appear that at all
(0 of 1 customers found this review helpful)
By mommycakes
from New York, NY
About Me First Time Parent, Stay At Home Parent
It is a simple product. The dollhouse has the pictures of the rooms painted on the fabric. You have to build it yourself. It is the height of three year old.The pieces attach through Velcro. I think this house is practical for a toddler. It doesn't come with dollhouse furniture which is great for moms who don't want to clean up pieces all over the place. The child uses.the own imagination to play. You can.break it down an store it. Space saver!
wonderful purchase!
By lilmexmom
from Houston, TX
About Me First Time Parent, Parent Of Two Or More Children
My 5 yr old daughter was so happy to receive this as a birthday present! It's as tall as she is, keeps her busy for hrs., and looks lovely in her room. What a great product at such a great price.
4 year old loves it
By Too much to do, not enough time
from Colorado
About Me Parent Of Two Or More Children, Stay At Home Parent
See all my reviews
Great thought, only problem I had was assembly. The Velcro attached to the carpet and when I went to pull it up I broke the flimsy board that makes the rooms and roof. But what you see is what you get I wanted the doll house without all the pieces and stuff to get lost, but still have the imagination.
(2 of 2 customers found this review helpful)
Daughter loves it!
By Elf
from Fl
About Me Education Oriented, Parent Of Two Or More Children
This dollhouse is fantastic. My 6year old needed a new dollhouse and always wanted one that was as tall as she is. We have tried to stick to smaller dollhouses because of storage space constraints. This dollhouse makes everyone happy- it is huge, which she loves, yet easily collapses flat for storage. It is great quality, a low price, very sturdy and cute. Fits our needs perfectly.
(3 of 3 customers found this review helpful)
By mommybear5000
from Granite City, Il
About Me Education Oriented, Parent Of Two Or More Children, Working Parent
(1 of 1 customers found this review helpful)
great house for girls with alot of dolls
By barbie nut
from philly
Brought this as extra home for dolls . We. Have the original dream house but my daughter has a lot of dolls so they need some place to live. This is great, it is close in size to dream house and pretty sturdy good for when child has a friend over and when not in use it folds flat, easy put away.
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Posted by Brian on Apr 13, 2010 in Brian Jones
"More powerful than all the armies of the world is an idea whose time has come." —— Victor Hugo * I bring together the various disciplines of business, psychology, holistic health, sustainability, sales and marketing, athletics, and yoga. I am relentless in my search of wisdom, love and grace. I work with heart, brains,...
Read More


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- Musician's Friend Best Selection, Price & Service. Guaranteed.
Need Help? Ask our Experts or call 800-449-9128
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Find a similar product below or contact our experts for a recommendation of great alternatives. Call us at 800-449-9128.
Similar Items:A comfortable thin body and a trio of mini dual-coil pups set the stage for endless riffage.
The Electromatic® CVT III electric guitar sports three sonically stellar Gretsch Mini Dual-Coil pickups that are voiced to be hi-fi rich and hi-gain friendly. The three position pickup selector switch is configured to keep things simple (Position 1: Bridge PU, Position 2: Middle PU, Position 3: Neck PU), so you can keep your mind mentally orbiting while making split second decisions when performing. Extended jams are a breeze with this original Gretsch "CVT" thin profile mahogany body design (1.5625"/40mm) and bolt-on maple neck that joins at the 18th fret. "G" Arrow Knobs, Medium Jumbo Frets, Adjustomatic™ bridge and stop tailpiece are the ingredients you need to cook up atasty rock-and-roll stew with the CVT.
The CVT-III is waiting for your call to action...order it now.
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McCormick & Schmick's Seafood - Philadelphia
Online Reservations
This was a first date for my old highschool sweetheart and I .I REALLY ENJOYED the private booth with the privacy curtain.
The night was amazing the food was excellent the service was fabulous the drinks was grade A and the scenery and music was exceptional......
This was my first time participating with resturant week! My experience was very pleasant to dine here. From the lovely host, quick seating, great view, AWESOME food, to the waiter who was s big help! I would come again in a heartbeat! The staff even showed us around even though he was busy. This is my new favorite place to eat! Good job...
We went for Restaurant Week. It was crowded and the area was noisy. I had difficulty hearing my son speak as well as the waiter. I did enjoy the food, presentation and ambience. I would definitely go again.
Great place, delicious food, portions on restaurant week menu were way too small and had to order sides (veggies) to go with meals. The drinks were also very very weak.
We went there for a friend's birthday and I must say the food was amazing. We had the calamari fritto misto, lump crab tower and shrimp kisses for appetizer and all 3 dishes were amazing. My dinner plate was the stuffed atlantic salmon, mashed potato and string beans. The string beans were a little too hard for my taste but the salmon was delicious. It was made to perfection. My friend had the blackened chicken fettuccini and the sauce on the pasta was great too. The only bad thing was the crème brulee. The hard top was soft and therefore took away from the enjoyment of the crème brulee. But overall everything was great. I will definitely be going back.
Myself and three others went to this restaurant during restaurant week and were very pleased with all of our selections.
This was the first time that I ate at McCormick and Schmick's and everything was absolutely amazing! It was all that everyone said it would be and more.
Everything was awesome! The staff was kind and helpful.
The food was awesome. The price was affordable. We all ordered a too go.
My boyfriend and I had a date night and it was so perfect. Your staff is amazing thank you for such an amazing night...
Perhaps the best dining experience I have had in Philadelphia. The ambience was amazing and of course most importantly the food was delicious. I would recommend you get the shrimp bisque and for dessert get the upside down walnut apple pie with cinnamon ice cream, As far as Entrees try anything you will love it.
Out waiter was great - very responsive and kept our drinks filled and when immediately let us know if they were out of something, which they were.
I had my birthday party dinner at McCormick's and Schmicks, and everyone had a wonderful time! Food was great, service was excellent, and the ambiance was beautifull. A big thank you from the bottom of my heart to all of their staff, especially, to Jennifer, banquet manager, for all of their help in making my and 30 of my friends' night so wonderful.
I chose this place because my father use to have date nights here with my mother, so it was a must for my honey's birthday dinner. It was an awesome experience. The food enlighten my tastebuds. For a starter we had shrimp kisses and clam chowder soup, followed by our entrees which were Filet Migon with white chedder mash and I had the McCormick Seafood Trio, followed by and upside down candied walnut apple pie. We definitely enjoyed our experience and will be returning.
Went here to celebrate a birthday. The food was excellent and my guest and I had a wonderful dining experience. I thought it was especially charming that the menus we received had a special notation for my guest's birthday which he was very impressed with. There are many great seafood restaurants in Center City Philadelphia and this one is right up there with the really good ones!! Can't wait to go back and have another fabulous meal!!
Everything about my experience was great! The service was great, the atmosphere was inviting, the location couldn't be more convenient to my office in Center City and the food was supurb! I saved desert for home and when I had the chance to eat again, I sampled the cheesecake...OMG! It was the best cheesecake I've ever had. I'm still thinking about my experience at McCormick and Schmicks!
Nice setting, good food, great service in the city hall area.
Great food once you get what you ordered. Why can't a steakhouse cook a rare steak??? When my steak finally arrived as ordered (rare filet mignon), it was delicious.
Part of a group of 5 for an early dinner. Appetizers, food and dinner all well prepared, paced and presented. Fresh sheet was a bit limited (compared to what they used to showcase 5 or so years ago). Despite a 6:15 PM reservation they were out of 2 deserts. Service was friendly and attentive, but not overbearing. Would recommend for business groups and special occasions.
Had a wonderful meal, great service, not rushed noise level comfortable. excellent steak, large portions.
Prices are a little on the high side. Everyone in the group said they enjoyed their meal. My lobster thermadore was very good. And don't miss the chocolate bag for desert. Just order one with lots of forks.
Our food came shortly after our appetizers. I would have preferred to have a little time to eat my appetizers prior to receiving dinner. Everything seemed so rushed. Almost like they wanted us in and out of the restaurant. Even when it was time to bring the cake out. The waiter didn't check to see if everyone was at the table (which they weren't) prior to bringing the cake out. I had to stop him. I'm glad my mother didn't see him because it was a surprise. The other thing is if you leaned on the table, it raised up. The table was not sturdy at all. One more thing...The valet parking didn't know how to drive a stick shift and the guy that drives it called out. I think all valet parkers should be trained how to drive all types of vehicles.
Good service and good wine and excellent ambiance.
It was great for celebrating my grandson's 25th birthday. The dinner ended with a candle on a delicious pumpkin cheesecake! I would say the booth benches are somewhat uncomfortable. We would opt for a table next time.
The steaks were great, the sides were delicious (especially the mushrooms and lobster mashed potatoes), and our drinks were incredible (Strawberry Smash, Mojito, and Spiked Cucumber). It was great place to dress a little bit up and have a nice dinner out in the city. Our server was very sweet and attentive, and a good time was had by all. Note for pricing - dinner for 3 (including a drink and side each, as well as a shared appetizer) came out to around $200. Definitely worth it, in my opinion.
We went there to celebrate our anniversary. We had a DELICIOUS meal. The service was superb. The only reason we can't go here more often is the price. This is definitely a special occasion place since it is a little pricey.
Lovely ambience, good seafood - good for people who like a traditional menu.
A friend and I went there while in the city for a meeting. It was an easy walk from our hotels near the convention center. The menu had broad choices. My favorite items with the wedge salad and the apple crisp for desert.
Excellent dinner. Arrived about 30 minutes before reservation time and they were very accommodating. Our dinner was brought to us in a very timely manner. The food was excellent. A bit pricey but worth it.
You can always rely on this chain to produce lovely fish dishes. A really lovely wine list too. Waiters were so helpful...yet unobtrusive. You can't go wrong. Good, honest food. Many thanks.
The service was wonderful, food was fantastic, good sized portions, nice calming romantic setting. Loved everything about it. Would definitely return!
The food was delicious. The server was a bit of an issue.
For Veteran's Day 2013, I took advantage of the kind gesture by McCormick and Schmick's to dine for free. Veteran's very much appreciate this type of generosity. The menu selection was excellent and there was a special veteran's day dining room, which was noticeably quieter than the remainder of the restaurant. The service was generally pleasant, but one of the servers seemed unwilling to bring additional bread to the table. I found that somewhat disconcerting, but the food was very good!
We went for a Veteran's Day dinner, which was free (thank you M&S's!). However, we all had to say, the food was not that good. It was all just battered and fried. My wife even ordered trout off the main menu...which was just battered and fried. Our expectations were thankfully low, because the meal was free, so we weren't super disappointed, but in the back of our minds, we thought that this place had REALLY good food, and maybe they do, but they certainly didn't that night. Also, I ordered an Old Fashioned for before the meal, and it was super sweet and not very strong, both characteristics of which I don't like in a cocktail. Overall, the service and ambiance were very good, but the food and drink were very disappointing.
Me and my wife came in on the Vet Day dinner and it was great! Our waitress was outstanding! I made reservations and still had to wait about 10-15 minuets, but that was okay. I watched the football game while waiting and dinner was worth the wait! Thanks M&S
By making reservations, there was hardly any waiting time. Special request for tall seating was no problem. Hostess, replaced the waiter, who was grumpy. The new Hostess/Waiter's service was outstanding! I think her name is Jacklyn, or Jackie. Five Stars for the meal, and service! I had the salmon entree.
Outstanding service from door to door. Greeting, seating, presentation of Veterans Day menu, explanationm of meal suggestions, and check transaction all flow with efficient manner. Comfortable welcoming atmosphere.
It was our first time eating at McCormick and Schmick's in Philly. The food and service were good. If you are looking for a quiet dinner, ask to be seated upstairs. They have private booths that host groups of 4-6 people. On a quiet night (we went on a Wednesday) we sat there with no problem.
This restaurant is located across the street from Philadelphia's City Hall and at the head of South Broad Street, Philadelphia's Avenue of the Arts. Its seafood menu is thorough, but not overwhelming in selections, and our choices were excellently prepared and delivered with good order pacing.
The food has always been outstanding in the several times visited. The service is spotty, however. Not necessarily the fault of the very professional wait staff but more kitchen and bar. A second drink took almost 25 minutes to arrive with the waiter stopping by several times to apologize about a large party that was backing up drink orders at the bar. The main course arrived shortly after the salad. Very good food but they sure missed the timing on this mid-week visit.
Had dinner here before concert at Kimmel Center. Everything was fantastic; app, entree, dessert. Good service, cozy atmosphere, no complaints. I ate here before and will definitely be back. Specifically, the Pumpkin Apple cheesecake was delicious! and with a side of cinnamon ice cream, it was memorable.
Since our company recently moved to Center City, I've been in McCormick & Schmick's - Philadelphia at least five times for lunch. It is always perfect! The atmosphere is conducive to fine dining, yet friendly enough to feel comfortable. And the prices are very reasonable for a variety of items so you can't go wrong!
The server was great. The food was excellent and my husband had a great time and he really enjoyed his birthday!
All of our food was delicious! I love the scallops, and my boyfriend enjoyed his salmon dish. The service was excellent and accommodating. At first I was disappointed that my favorite dessert was removed from the menu (strawberry shortcake), but the berry cobbler was to die for!
M&S continues to be a favorite restaurant for its value, food selections, and ambience. Great wine selection with specials that help keep cost within limits. Would definitely recommend it to anyone who appreciates fresh ingredients, especially their choices of seafood offered fresh daily.
With a little attention to detail this restaurant could be great. The food was very good, unfortunately the service did not match. It appeared our server may have had too many tables. My water glass was never refilled after the first time. I will give them the benefit of the doubt because it was a holiday.
I decided to deviate from my usual philosophy of not ordering a steak at a seafood restaurant. Should have stayed true to my rule of thumb. Disappointed with the New York Strip I ordered. Was not done correctly which can happen but the steak was thin and mushy. Will stick to Landry's William Douglas in the future for my steaks
Food was amazing as well as the atmosphere and service.
terrific evening and food was outstanding. happily go back


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2 Triumph Stag's For Sale
About Stag
The Triumph Stag took the traditional two seater platform favoured by British sports cars of the time and added two extra seats and a touch of luxury that would allow it to compete with its continental rivals.
Introduced in 1970, with a design from Italian creative Giovanni Michelotti, the Stag had the inauspicious task of trying to take on the Mercedes-Benz SL range, which had already covered the luxury sports car market so comprehensively.
While the Stag was initially offered as a convertible with a structure-securing roll bar, it turned out that hardtop covers were so popular as an option amongst early buyers that it would eventually go on to include this in its standard retail package.
Initially the Triumph 2000 was used as the grounding for the Stag, but by the time the production model was completed these two vehicles were not closely related in terms of aesthetic design.
On its launch the press was positive about the Stag, although engine issues with the V8 meant that it did get something of a bad reputation in the early days. Part of the problem was that at the time there was not enough cash floating around at British Leyland to actually improve the engine's design or fix any of the regular faults.
This meant that it was left to industrious individuals rather than the company itself to come up with solutions. This has in part allowed the Stag to build up a following of enthusiasts who accept it for its technical flaws and in fact relish the chance to address them and turn it into the car that it could and should have been.
In the UK alone it is estimated that 9000 of the original 25,877 Stags that were originally produced are still kept in working order. This is a testament to the enduring popularity of this Triumph model and when the engine is working smoothly it still offers good performance and plenty of luxury, allowing it to be recognised as a classic long after production originally halted back in 1977, which might surprise people who were aware of its reputation at the time.
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2nd Saturdays Downtown marks 2nd year anniversary
Tuesday, May 8th, 2012It was on May 8, 2010 that the inaugural 2nd Saturday Downtown became a huge urban happening. I was there to witness it, along with several hundred people, increasing to several thousand over the past 2 years. I've been blogging every month since then about each 2nd Saturday Downtown event, and attending most of them.
With the temporary closing of part of E. Congress Street for the Sun Link modern streetcar construction, going downtown has been a bit of a challenge. However, 2nd Saturdays Downtown did happen last month on April 14, and will be held again on Saturday May 14.
Downtowntucson.org reports that Scott Avenue will be expanded down to Jackson Street to accommodate the construction: http://www.downtowntucson.org/2012/05/2nd-saturdays-moves-to-scott-avenue/
Full event schedule at the 2nd Saturdays Downtown website, www.2ndsaturdaysdowntown.com.
And click here for a detour map: http://www.2ndsaturdaysdowntown.com/wp-content/uploads/2010/04/Detour-Plan.pdf. Consider taking the Sun Tran bus, biking, walking, skateboarding, to ease up some of the traffic going downtown. But remember that 6th Avenue south of E. 6th Street is now two ways for easier access, so there is parking still available, just not on Congress.
Support downtown and continue to enjoy this wildly popular & successful urban street fest, with lively music, great selection of food, crafts, movies, art receptions, science exhibits, classic cars, etc. etc. Most events are free except for the food.
Showing at The Drawing Studio, 33 S. 6th Avenue are whimsical and satirical cartoons by David Kish, who draws the Hoopleville Comics in The Tucson Weekly. I went to the opening reception last Saturday, and the show is open again this 2nd Saturday, and will continue till May 26.


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Real change, not loose changeLook around. Just about everyone is moving to TAP (Transit Access Pass), L.A. County's new fare payment system. While not a pass in itself, the TAP card is an important innovation for L.A. County transit riders. The durable plastic card contains a smart chip that allows you to buy and electronically load Metro passes, participating regional and local transit line passes, electronic cash, or any combination of the three. In other words, TAP becomes your "transit fare wallet" – holding your passes and cash, paying fares to the exact penny, and freeing you up from carrying around loose change. It even recognizes free transfers! And your TAP card will only get better over time. Because of its state-of-the-art smart chip technology, TAP allows Metro and other L.A. County regional and local transit lines to look to the future, finding modern new ways to deliver an improved transit experience. Someday soon, don't be surprised to find your TAP card paying dividends through special incentives/discounts, promotional offers and loyalty rewards. Now that's the kind of change we all like to see. |


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Homeland security getting ready for the OWS, Tea Party, ??? http://www.infowars.com/homeland-security-unveils-monstrous-swat-trucks/
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I am loving asymmetry this summer which is bizarre because I have always avoided it. Since I could remember I've been mildly OCD when it came to symmetry but I must be growing out of it. I'll always avoid the one long sleeve-one short sleeve but this flowy, dramatic asymmetry has become really appealing; this red skirt (40$) for example or a blouse I bought last week that is long in the back and short in the front.
I haven't blogged in what feels like forever. When I'm not working 45 hours a week I'm trying to get as much sunshine as I can, doing personal projects, playing music, burying some old emotions in the backyard. The beginning of summer always has a few adjustments before things go smoothly. There are also so many great parties in the summer. I'm a little late on commenting but the WRG party we had last weekend was swanky as hell and everyone had a good time (and looked just as good). Friday was ridiculous, it rained out of nowhere and we went to BoomClap all wet and drunk and ended up having hilarious adventures up and down St. Laurent all night, ending up at a drum and bass after party that was just too much.
Going to Toronto Friday morning. Jak and I have an apartment for the weekend. It'll be a mini vacation for us before she packs up and goes to Vancouver. Will take lots of photos.
I've also started a design journal. I haven't bought the url yet though. I'm just putting together little excerpts I write typographically. I already have a tumblr so I think I'll hold off and wait for the .com to start posting them. Here are a few:


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If you have any interest in purchasing a kit version of this machine please click the above button and complete the form so that I can gauge the level of interest.
This instructable will show you how to construct a CNC Router that will allow you to cut 3-D shapes out of wood, plastic and aluminum using a standard hand held router. Recently I have noticed that more and more projects on instructables have involved the use of some sort of CNC machine, be it a laser cutter, 3d printer, milling machine, etc. I wanted to join this revolution of digital fabrication and start making my projects even better using these tools. So about a year ago I set out to find a way to make this possible and came to conclusion that a simple 3 axis CNC router would be the best option to get things going. I started doing some research and decided to design and build my own machine. This instructable steps though all the parts needed to build the machine I have designed and the reasoning behind why I built the machine the way I did. It also includes an explanation of CNC technology and would be a great reference for anyone looking to learn some metal fabrication skills. My hope is that someone might use these plans to build this router for themselves or at least draw some inspiration from my design. I have created 2d drawings of all the parts with complete dimensions and specs, details on how to build each part, a complete parts and tools lists with prices and links, a basic wiring diagram and an explanation of the design.
I have designed this router to be very versatile and hope to also use this same machine as a 3-D printer and a hot wire foam cutter in the future. This machine is constructed from rectangular steel tubing and aluminum plate and was fabricated using a small horizontal band saw, bench top drill press and flux core MIG welder. There is no need for high precision and expensive tools to build this machine. Using the techniques I have listed in this instructable for marking, centering, drilling and tapping anyone with the desire to build something well, will be able to complete this project. There are no angles to cut or parts that seem impossible to get right, just straight cuts and holes to drill. The machine bolts together and can be adjusted for square and levelness on each axis.
For those of you who already know about CNC routers here are the specs for my machine.
Travel: X-Axis 23in
Y-Axis 13in
Z-Axis 6in
Linear Guide: Fully Support Round Linear Rail and Mounted Bearings (20mm, 16mm, 12mm)
Linear Drive: 1/2"-10 5 Start Precision ACME Screws and DumpsterCNC Anti-Backlash Nuts
Drive Motor and Controller: Gecko G540 Controller with Gecko 280oz-in NEMA 23 Stepper Motors
Construction: Welded 1"x2" Steel Tubing and 3/8" Thick Aluminum Plate
Spindle: Bosch Colt Trim Router
Rapid Speed: 200ipm (inches per minute)
Cutting Speed: 1/4" end mill, full width cut, 0.100" depth of cut, 50ipm, material - hardwood (This is a fairly easy cut and is probably less than half the true cutting capacity)
This video is a time lapse of the assembly of the router, an hour and half condensed into 45 seconds.
There is also a video of the very first test of this machine on the last step. The CNC writes the classic "Hello World"
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Here is a great article about cutting aluminum on a CNC router 10 Tips for CNC Router Aluminum Cutting Success
If you want to cut any metals other than aluminum I would suggest looking into a bench top milling machine. My friend, who made the mounting plate jig, recently converted a G0704 mill to CNC.
What is the thing that limited you to this cutting area dimensions?
Only the frame ? Or is something else ?
Like everything its a trade off, you just have to decide what you want to do with the machine and design around that.
Since work, family, and related activities place a constant demand on my time that will make it difficult to go back and make another anytime soon, I'm planning on scaling things up to 24"x36"x18" in order to facilitate some specific future projects that will require a larger working volume.
That said, other than factoring in the cost of the additional materials necessary to accomplish this, and perhaps providing some additional external bracing and support to offset the longer spans, are there any other elements that I should consider when pretty much taking your design, and scaling it up to these dimensions?
If your going to have 18" of z travel then you should have at least that much if not a little more clearance from the bottom of the bit to the table. This would ensure you can actually use that full travel. This will make the gantry considerably taller than my router and therefore less stiff, so bracing should be used.
For 18" of travel your probably going to want to use at least 24" rails with the bearing spaced by 6", I would consider this the minimum. That means the router will be hanging down 18" the from the bearings. The aluminum plate I used probably wouldn't work for this. The high frequency vibration of the router could resonant in that plate and give you poor surface finishes. I would mount the bearings to the gantry and move the rails up and down with the z axes, the rails will help stiffen up the z axes. I'd also use steel tubing on the z axes just to keep it as stiff as possible.
Keep us posted on your progress!
What would be really cool to do is get like a 3d printer head on this and be able to interchange with a mill.... Why do I have to tempt myself??
Just wanted to see if you have made any progress on your build? I'm glad someone gave this design a shot and am will to answer any questions you may have.
Nice Job!
So your problem is when you tighten the rails to the frame the linear bearings won't move. I am assuming you have already welded some of the frame together, right? Which axis are you talking about? Does the problem still happen if you tighten one single rail to the frame and not the other for the problem axis? Did all the bearings slide freely on the rails before you installed them on the frame? If you mount two bearings together and try to slide them on a rail do they bind at all?
I ask because I want to help, because I'm glad someone has built this machine.
When I was bulding my machine I knew I might need to make adjustments to the rails to get them positioned right. I bought some of these shims, McMaster #98055A098, to put under the rails to make sure they were parallel. After building the machine and assembling everything I was really surprised that I did not need to use any of the shims.
Welding the frame was my biggest concern because things always warp/flex/move while welding. That is why I got the big heavy right angle welding clamp, to try to keep everything nice and square.
Cutting 1/8 steel plate is best done on a laser cutter, water jet, or plasma cutter. Even using a legit CNC machine for this material is impratical, the other three are by far the best choices.
I'd love to see some pictures of your build if you wouldn't mind posting them.
I got this video that shows exactly what I need, not necessarily at this speed :
The parts are a lil expensive, but I think it worths.
Im brazilian, but living in Mexico, and there are some "alternative" motor controlles around here. Do you think I could use them instead of the Gecko ones ?
Again, congratulations for your nice work, and thanks for sharing !
As far as the controllers I'd say used what you can get. I choose gecko because of their reputation here in the US but I'm sure there is plenty of other nice controllers from elsewhere.
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Advanced JPG to PDF Free 5.6.7
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Sometimes Size Doesn't Matter
A Thai man, 50, required emergency penile removal after unintentionally giving himself genital cancer with repeated olive oil injections to his penis. Olive oil injections are used in Thailand along with bees wax, silicone and paraffin wax, to increase penis size, but the back-alley plastic surgery procedures often lead to infections and in this case, doctors say, cancer.
Spokeswoman for the Police General Hospital in Bangkok Sirikul Jiraranaikhajorn told reporters "This is the biggest genital surgery we have ever done as we found cancer." Please note that Jiraranaikhajorn's words "biggest genital surgery" refer to the operation, not to the size of the genitals. She added, "A woman will love a man not because of the size." The man, whose identity is not being released, could not be reached for comment.
Be a Patient Lover
Ashley Hunter, 33, was arrested on February 8, 2013, when he became violent during a ménage a trois. According to the Smoking Gun, Hunter asked fellow participant Orlando DeWitt, 37, to switch positions, and stabbed him in the arm when he refused the request. The two Fargo, N.D., men, who originally met in prison, were hanging out at a Motel 6 drinking beer with several women, when DeWitt and one of the women began to engage in sexual intercourse. According to the police report Hunter, who had been observing the couple from the other room, joined in, and the woman began to perform oral sex on him. Pushing his luck, Hunter asked DeWitt to switch places him. DeWitt refused, calling Hunter a "F***ing retard."
In response Hunter pulled out a 12-inch-long butcher's knife and used it to chase DeWitt and the woman into the bathroom. Hunter stabbed at the door with the knife and yelled threats while the couple threw on their clothes to the sounds of splintering wood. When DeWitt and the woman made a run for the door of the motel room, Hunter allegedly stabbed DeWitt in the arm. The couple called 911 once they got outside. Hunter was charged with aggravated felony assault.
You Can't Hurry Love
Valerie Nile, 44, of Knox County Maine was arrested on January 22, 2013, after allegedly brandishing knives at the couple from two trailers over with whom she had been drinking. Police were called to the residence of Edward Sabatino, 56, who reported the threat. Sabatino's girlfriend had been sleeping and said that she had not observed any threatening behavior from Nile. According to the report, once police disarmed and calmed down the allegedly intoxicated Nile, she explained that she, Sabatino and his girlfriend "were going to have a threesome," which failed to occur. So Nile, who must've been looking forward to it, expressed her disappointment by getting three knives from the kitchen and yelling at Sabatino. Nile was charged with criminal threatening and terrorizing and was held on $250 cash bail.
Avoid Desperate, Needy Displays
George Batusek, 51, of Cape Coral, Florida, was arrested on February 4, 2009, after concerned shoppers at a local supermarket called police to report that Batusek was in the parking lot having a threesome in his 1998 Lincoln Town Car— with two blow up dolls. It's unclear exactly what he was doing, though the report describes "aggressively" kissing, as well as some masturbation and "simulated sexual activity." When confronted by police, Batusek claimed that he had been on his way to Target to "get some clothes for his dolls." He was charged with trespassing and disturbing the peace.


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Pataki, George
The latest news on Pataki, George
Mitt Romney and other Republicans criticize Obama for making the bin Laden raid a campaign issue.
GOP activists are hoping for a surprise candidate, but will a late entrant really be a savior?
Romney, Palin gave hundreds of thousands to candidates.
Outside groups continue to favor GOP candidates.
Obama's focus on GOP foe raises Boehner's profile, political status.


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I'm so in love with these. I hate how regular hair ties always seem to break right as I'm starting an exercise class but these never do. They are strong and pretty. Price is steep but they last.
I love these hair ties. They are cute, hold my hair well, and don't dent it like other hair ties sometimes do. They also look cute when you just wear them on your wrist!
These are the best thing ever. I don't have you worry about them breaking my hair. I let my friend use one and she fell in love with them. They are great and cute. You can wear it on your wrist and it looks cute.
I've really enjoyed using these, they are soft and cute, if not particularly hardy. This set has a nice color selection that can be used towards lots of different outfits.
these look super cute on the wrist but they stretch out easily - at least with my hair
I seriously own about 100 of these hair ties! They do still leave a mark but in stead of the horrible line normal hairties leave, these leave beautiful waves. They also look cute on your wrist!
I love using this collection as it adds a special touch to my hair when I put it up and also when I style it for that special night. LOVE it!
I have very long and straight hair, and when I read that they don't leave a dent in your hair I couldn't believe it. Well after one day of my hair up and no noticeable dent in my hair where the tie was I am now a believer. As with most ties it does loosen up after a few times, and I did have to adjust more than with my other ties, but to not have a dent and to wear my hair up or down in the same day without restyling is wonderful.
Not only are these twist band hair bands cute, but they are great for holding back my hair. So soft! Even my teenager loves them!!
I got these in one of my birchboxes, and bought more after a hairdresser friend of mine told me this was a great way to protect my hair from breakage. I have noticed a difference between these ponytail holders and the standard ones that tend to get hair wrapped around them. My only complaint was that I would have liked to get these in more neutral colors, but maybe they do sell them in basic browns and blacks now.


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The next time you fly, please measure the space under the seat and post your findings here along with airline and type of aircraft.
Original designs. Made in the U.S.A.
The next time you fly, please measure the space under the seat and post your findings here along with airline and type of aircraft.
You also need to consider what seat you have. On a three across configuration, the middle seat has the widest underseat space, then the window seat, and least of all the aisle seat. On long haul flights with AVOD, some of the seats have large control boxes under them that prevent larger items from fitting under the seat. (For example, on Asiana flights from Seattle to Seoul, the A and K seats definitely have this problem.)
Western Flyer (crimsom) with Absolute strap, Zephyr (black), Medium Cafe Bag (steel and olive), Shop Bag (solar), Large Cafe bag (navy and cayenne), Tristar (steel and solar), Tristar (indigo and solar, for husband) and more miscellaneous packing cubes, pouches, etc. than you can shake a stick at.
I'm sure it's been mentioned here before, but seatguru.com is a helpful guide to airline seat configuration http://www.seatguru.com/
I haven't looked at it much -- I usually remember just *after* a flight that it exists, as with so many other things. So do as I say, not as I do.
For each seat (shown in a diagram) on a particular plane type, there are icons showing whether there are drawbacks or advantages to it (such as being in an emergency row); so far, "underseat video box" is not specifically called out, but perhaps it will be later.
The opinions expressed do, in fact, represent the opinions of the government--its Congress, Supreme Court, and President--as well as the United Nations and its representatives; because, let's face it, I have that kind of power at my disposal.
I found this somewhere online and noted it, but I honestly can't remember where. Thanks to the person that did take the time to post it.
"In case anyone is still interested, here are the SWA under the seat measurements:
window seat: width 18", height 9 1/2", depth 18"
center seat: width 18 1/2", height 9 1/2", depth 18"
aisle seat: width 10 1/2", height 9 1/2"
NOTE: SWA flies only 737's so this applies to all of their aircraft.


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Whitney Nugent |
2012-13 (Sophomore): Did not compete.
High School / John A. Logan: All-South selection...Made State Qualifier as a senior...Led a conference-title winning team and placed second at the Regional Championships as a senior...Posted two top-10 finishes while at John A. Logan.
Personal: Full given name is Whitney Leigh Nugent...Daughter of Beth and Wandol Nugent...Born May 29, 1992 in Evansville, Ind....Intends to major in recreation.


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Something short of a miracle has happened in our household.
My ten-year-old actually made his bed and brushed his teeth without any nagging from me. He's been on a roll now for almost two weeks.
Recently, he called out from the bathroom sink, "I said my ABC's…" Sounds elementary, I know, but I told him that was a good indicator he'd brushed thoroughly, not the two-second brush-off.
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Martin Luther King Jr.
This is an audio recording of Dr. Martin Luther King Jr. giving the "I Have a Dream" speech during the Civil Rights rally on the steps at the Lincoln Memorial in Washington D.C. on August 28, 1963.
The speech, from the steps of the Lincoln Memorial during the March on Washington for Jobs and Freedom, was a defining moment of the American Civil Rights Movement. At the end of the speech, King departed from his prepared text for a partly improvised peroration on the theme of "I have a dream", possibly prompted by Mahalia Jackson's cry, "Tell them about the dream, Martin!"
Artist/Composer: Dr. Martin Luther King Jr.
Date: 1963-08-28
Source: University of California, Berkeley Library
Label / Recorded by: Ben Franske
Creative Commons license: Public Domain


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Received August 29, 2007; revised November 20, 2007, and January 31, 2008; accepted February 13, 2008. Drs. Briscoe and Fore-Arcand are affiliated with the Department of Psychiatry and Behavioral Sciences at Eastern Virginia Medical School in Norfolk, Va.; Dr. Levine is affiliated with the Department of Psychiatry at University of Texas Medical Branch in Galveston, Tex; Dr. Carlson is affiliated with the Department of Neuroscience at the University of North Dakota School of Medicine & Health Sciences in Fargo, N.D.; Dr. Spollen is affiliated with the Department of Psychiatry at University of Arkansas for Medical Sciences in North Little Rock, Ark.; Dr. Pelic is affiliated with the Department of Psychiatry at Medical University of South Carolina in Charleston, S.C.; Dr. Al-Mateen is affiliated with the Department of Psychiatry at Virginia Commonwealth University in Richmond, Va. Address correspondence to Gregory W. Briscoe, M.D., Department of Psychiatry, Eastern Virginia Medical School, 825 Fairfax Ave., Norfolk, VA 23507; firstname.lastname@example.com (e-mail).
Copyright © 2009 Academic Psychiatry
Objective: Psychiatry clerkship training involves many learning components, one of which is acquisition of scholarly knowledge. The authors investigate the reading materials and learning methods used by clinical clerks in their preparation for the National Board of Medical Examiners (NBME) Psychiatry Subject Exam (PSE). Methods: Clerkship students from six U.S. medical schools who had recently completed their psychiatry clerkship and PSE were surveyed regarding reading material use, teaching methods encountered, and other relevant resources which may have influenced their PSE scores. Results: The most frequently used PSE preparation material was a "step-or-prep" book, followed by practice questions, handouts, and assigned texts. No single preparation material type or combination proved significantly different in influencing PSE scores. The didactic methods used in clerkships did differ significantly in their influence on PSE scores. Students in the top quartile used slightly more books and different combinations of books than students in the bottom quartile. Conclusion: Students exhibited several trends in their preparation for the PSE. The most striking findings were the heavy student reliance on step-or-prep books over other learning resources and that step-or-prep books did not demonstrate significance as a superior preparation resource for the PSE. These trends in third-year psychiatric rotations have important implications for medical student education.
With the rapid pace of advancement in psychiatric knowledge, it can be challenging for clerkship directors to select the best topics and teaching methodologies. Expert consensus guidelines (1, 2), specialty workgroup reports (3), and organized medicine (4) provide valuable curricular content guidance. To complicate matters, anecdotally clerkship directors have noticed that students do not always follow their guidance regarding learning resources. Nonetheless, the question remains as to which teaching methods and learning vehicles provide the greatest knowledge mastery in psychiatry clerkship students. This is a very relevant question, and while there are myriad approaches, there is little published research to guide those interested in optimizing knowledge gain in their students.
A range of 69%–84% of psychiatry clerkship directors in the United States and Canada use the National Board of Medical Examiners (NBME) Psychiatry Subject Exam (5, 6). This is a 100-item, multiple choice, end-of-clerkship testing instrument whose advantages include that it is expert-reviewed, current, well-written, and validated. Scoring is based on national norms, and the covered subjects represent information students will be expected to master in order to pass their United States Medical Licensing Examination (USMLE) Step II Clinical Knowledge tests (6). Its use may also mitigate effects of clinical grade inflation (7).
The NBME Psychiatry Subject Exam (PSE) may have some limitations. Studies are mixed as to whether exam scores increase as the clerkship year progresses (8–12). In addition, the PSE is not recommended as the sole basis for a judgment of program effectiveness (13) and there are no other standardized testing instruments available from which to choose. Finally, because the PSE is generally not considered a good measure of skills or professionalism (6), it will never replace comprehensive clinical assessments.
Nonetheless, given its important advantages, the PSE is the most commonly used standardized testing instrument for assessing scholarly knowledge in U.S. psychiatry clerkships. The purpose of this study is to investigate the learning materials and teaching methods used by clinical clerks in psychiatry which result in the highest rate of knowledge retention, as reflected by the scores on the PSE, and overall learning experience.
We developed a list of clerkship students from six geographically disparate U.S. medical schools who had recently completed their clerkship in psychiatry from January through April 2007, which included assessment via the PSE. These students were sent an e-mail asking them to consider participation in a voluntary, anonymous, 16-item web-based survey to investigate study materials and methods used for PSE preparation (e.g., textbooks, lecture handouts, teaching techniques encountered, and other relevant factors which might have influenced their PSE scores). The survey included a question requesting the student's PSE subject test score (not the same as the percentile or percent correct) and USMLE Step I score.
A total of 489 students were invited to participate in the study. Of this group, 471 were e-mailed a second invitation within 2 weeks of the first. The total population of third-year medical student classes at these six institutions was 1,640; therefore, approximately one-third (30%) of the third-year class at each institution was sampled. Of the 489 students invited, 151 completed this cluster sampling type survey, yielding an adequate response rate of 30.9%. Clerkship lengths varied from 4–8 weeks. Based on data from the Association of American Medical Colleges (AAMC) (14), we categorized the participating schools as small [total school enrollment in smallest third of all schools and below 1 standard deviation (SD)], medium (middle third and size within ±1 SD range), and large (largest third, >1 SD); our study included one small, four medium, and one large school participants.
A "step-or-prep" book was defined as a book residing in the category of "Test Preparation and Review" at Amazon.com. Typically these books explicitly state that they are intended to serve as a study aid for the PSE, are usually written in an outline format, contain "essentials" (at the expense of comprehensiveness), and are shorter than conventional texts.
Statistical analyses were performed using SPSS 15.0 for Windows (SPSS, Inc.) and Microsoft Excel 2007 (Microsoft, Inc.) and included the following statistical categories: descriptive, difference inferential, and associational inferential. Approval for research was granted by the institutional review boards of all respective participating institutions.
Students were asked, "Which of the following did you read prior to taking the NBME Psychiatry Subject Examination (check all that apply)?" The most frequently reported reading materials were step-or-prep book(s), used 84.7% of the time. Handouts, assumedly from instructors, were also popular, with over 60% of students using them. Assigned texts were utilized less than 40% of the time. Journal articles were infrequently used (14%).
Students were asked which of 37 currently available psychiatric textbooks (by our count) they used to prepare for the PSE and given the instructions to "check all that apply." The top six were step-or-prep books as opposed to a conventional textbook. Out of the top 10 titles only one was not classified as a step-or-prep book. Three percent of respondents reported not using any textbooks.
In their preparation for the PSE, 84.6% reported using practice questions, and in many cases these may have come from step-or-prep books. Only 8.8% did not report using this resource type, and 6.8% did not respond to this question.
The students were surveyed on a range of topics regarding their preparedness for the PSE. For example, they were asked, "On a scale of 1 to 5, how prepared were you for taking the subject examination? (1=not at all prepared; 5=highly prepared)." The average score was 3.8 (SD=0.81, skew=−0.37). Second, the students were asked, "Looking back, I would rank the following components in order of importance in preparation for the subject examination (1=most important, 7=least important)." They ranked books as most important (mean score 2.2, SD=1.6), and then practice questions (mean 2.6, SD=1.8), didactics (mean 3.4, SD=1.6), discussion with faculty outside of lectures (mean 3.5, SD=1.5), multimedia focused on the psychiatric material (mean 4.9, SD=1.7), recommended journal articles/additional reading (mean 5.0, SD=1.7), and other (mean 5.3, SD=2.2), respectively. Third, students were asked, "Which of the following would have helped you to improve your preparation for the subject examinations (pick the top 3)." Students ranked "more time to read/study" as the most important (32.7%, n=49), followed by "clinical-faculty-teaching discussion" (25.8%, n=39), "didactic coverage" (20%, n=30), and "team-based learning" (15.3%, n=23). Team-based learning is a technique that "allows a single instructor to teach through conducting multiple small groups simultaneously in the same classroom" (15). This technique was formally utilized in two of the six schools studied.
The students self-reported their PSE test scores, which were cross-referenced to their method of preparation. The students were told to "check all [methods] that apply," because any one student may have used any combination of reading materials. Eighty-nine percent of students used more than one method to prepare for the PSE. No one method or combination of methods demonstrated significance as measured by analysis of variance (ANOVA) (p>0.05 in each case).
Seventy-six percent of students reported exposure to more than one didactic method (average of 2.1 methods). We compared students' PSE scores to the didactic methods they encountered. Using ANOVA, the two didactic categories topic-based lectures and team-based learning, and the combination of case discussion/topic-based lectures, did demonstrate significance. Topic-based lectures increased the students' average score from 75.42 to 81.72 (F=7.024, df=1, 86, p<0.05), team-based learning increased the average score from 78.82 to 81.83 (F=9.475, df=1, 86, p<0.01), and the combination of case discussion/topic-based lectures increased the average score from 72.33 to 80.30 (F=5.584, df=1, 86, p<0.05).
The top quartile of students (PSE test score ≥81, as per NMBE) reported using the same most frequently used step-or-prep book as the bottom quartile (PSE test score ≤70)—Case Files Psychiatry (16). Four of the five top books used by the top quartile were also listed in the favorites of the bottom quartile.
The average number of books used to prepare for the PSE was dissimilar between groups: 1.7 books for the bottom quartile (SD=0.9; skew=−0.3) and 2.7 books for the top quartile (SD=1.6; skew=0.7). We found that using book combinations was the norm for both quartiles, reported by 63.6% of the bottom quartile (SD=0.9) and 77.4% of the top quartile (SD=1.6); however, the bottom quartile group did not report using any of the top book combinations used by the top quartile.
We compared respondent PSE scores to USMLE Step I total scores, for those who reported these values (73.5%, n=111). There was a modest positive correlation of 0.343.
We suspect several attributes of step-or-prep books contribute to their popularity among students (84.7% of students reported their use). First, the books' easy-to-read, "essentials-only" outline format allows rapid digestion of large amounts of information once or possibly twice during the rotation. This may make the task of the psychiatry overview seem less ominous and alleviate student anxiety. Second, despite lack of verity, students may believe these books lend themselves to mastering factual scholarly material and consequent success on standardized examinations such as the PSE. Anecdotal success stories involving these types of books may have spread, reached critical mass, and became a part of the students' collective unconscious. Third, given that these books are typically shorter and often cheaper than other more comprehensive learning resources, it is possible that students are simply choosing the easiest path in PSE preparation without regard to long-term learning benefits. Last, students may see various combinations of these factors too seductive to forgo.
Our finding that 65% of students utilize "handouts" to prepare for the PSE is not surprising, as these materials represent concise, distilled expert guidance from their clerkship faculty. However, we wondered why students utilized the book assigned by the clerkship directors less than 40% of the time. It may be that clerkship directors prefer to prescribe more lengthy and detailed readings than what is found in the step-or-prep books, but that students often settle for the merits of the latter category instead. This raises interesting questions, such as what precisely might the students be missing in this compromise? Surely leading contemporary psychiatry textbooks have essential depth and breadth of content which is being sacrificed in this process.
It was both interesting and important to note that while in the preparation phase for the PSE students used practice questions at essentially the same high rate as step or prep books (84.8% and 84.5%, respectively), but after taking the PSE students ranked practice questions as less important than step-or-prep books. The recommended journal articles and additional readings were rated with low importance, perhaps because these resources were perceived as too advanced or superfluous in nature, especially given the already burdensome knowledge base for which students are responsible.
Given the data that students feel that books were the most valuable learning resource for the PSE, it is hardly surprising that the highest rated preparation step to improve student performance was "more time to read/study." We find this commensurate with anecdotal comments from students. Students also noted that more "clinical-faculty-teaching discussion" and "didactic coverage" would be helpful in their PSE preparation, though somewhat less so than reading time. Consideration of these findings, while not yet replicated, may have relevance when developing clerkship structure.
While step-or-prep books were the most popular study material, their use did not result in significantly higher Psychiatry Subject Exam (PSE) scores for students in our study. In fact, no one preparation material type or combination of materials proved superior, as the ANOVA produced all nonsignificant finding (p>0.05 in each case). The fact that students who utilized journals had the second highest average PSE score may reflect extraneous factors, as discussed below.
On ANOVA the didactic types topic-based lectures and team-based learning, as well as the combination of case discussion/topic-based lectures, demonstrated significance (p≤0.05 in all cases), indicating that their use did result in significantly higher PSE scores. Given that 95% of respondents were exposed to either topic-based lectures or team-based learning, most students had equal opportunity to excel on the PSE, obviating the need for didactic structure change in the clerkships studied. It is speculated that conventional topic-based lectures are very common in psychiatric education, and student participants benefit similarly. Team-based learning may be less common, but participants nonetheless share these benefits. Moreover, the heterogeneous didactic approach (76% surveyed reported exposure to more than one didactic method, n=114) may confer educational advantages not studied herein.
Given that the top quartile of students used more books and different combinations of books on average than bottom quartile students, it may be that the highest scoring students have a special skill in choosing the right combination of books and/or mastering knowledge contained within a combination of books.
There are limitations of this study. First, certain factors were not studied, such as the degree to which quality of clerkship teaching and/or the innate attributes of students —native intelligence, work ethic, reading comprehension skills, test taking skills or any combination thereof—play in PSE scores success. The modest positive correlation of PSE scores with USMLE Step I total scores suggests that such attribute independent variables may influence PSE scores. Yet since they probably impact PSE success, they certainly deserve further study. Second, while the findings are generalizable to the institutions studied, they may not generalize to the body of all U.S. medical schools, as such a scaled comparison exceeded the scope of this study. Third, it is possible that the study window, January through April, included students whose study habits differed significantly from their peers, but prior studies are mixed as to the existence of differences in PSE performance due to the clerkship timing effect (8–12).
Potential weaknesses of the study include the fact that the students' PSE scores were self-reported (i.e., unconfirmed). Second, student responses regarding the adequacy of their preparation, as well as the value and importance of individual learning resources, are subject to the inaccuracies found in self-assessment of adult learners (17–19). Last, retrospective study design carries its own potential liabilities (20).
In conclusion, the Psychiatry Subject Exam, taken at the end of the third-year psychiatric rotation, is an important and valuable standardized testing instrument for students and educators alike. Students exhibited several trends in their preparation for the PSE, and these trends have important implications for medical student education. Topic-based lectures and team-based learning, as well as the combination of case discussion/topic-based lectures, demonstrated significance in preparing students for the PSE. Students should be aware that while step-or-prep books have certain positive qualities, they did not demonstrate significance as a superior preparation resource for the PSE. Moreover, while not specifically explored in this study, it is possible that if students eschew the more comprehensive, rigorous, and sophisticated conventional learning resources, it is possible that their clinical competence in general psychiatry may suffer more subtle deleterious effects (e.g., the limitations and error susceptibility in those with a superficial understanding of a field). Educational guidance from seasoned psychiatric educators vis-à-vis balanced eclecticism may prove invaluable for contemporary clinical clerks in psychiatry.
Data contained in this article were presented at the Annual Meeting of the Association of Directors for Medical Student Education in Psychiatry, Park City, Utah. Approval for research was granted by the Institutional Review Boards of all respective participating institutions.
Dr. Pelic was previously on the Speaker's Bureau for Pfizer and Eli Lilly. Drs. Briscoe, Levine, Carlson, and Al-Mateen disclosed no competing interests.
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