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"Screening for HIV in health care settings: a guidance statement for the American College of Physicians and HIV Medicine Association." has been saved, and will be accessible from the My NGC page.
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Human immunodeficiency virus (HIV)
To present the available evidence to internists and other primary care clinicians to guide their decisions of screening for human immunodeficiency virus (HIV) in health care settings
All adult and adolescent (age >13 years) patients seen in health care settings
Human immunodeficiency virus (HIV) screening
Not stated
Note: This guidance statement is derived from an evaluation of the guidelines in the United States on screening for human immunodeficiency virus (HIV) developed by the U.S. Preventive Services Task Force (USPSTF) and the Centers for Disease Control and Prevention (CDC).
The American College of Physicians (ACP) Clinical Efficacy Assessment Subcommittee (CEAS) began by searching the National Guideline Clearinghouse for guidelines on HIV. They reviewed the titles and abstracts of each document. Most of these guidelines did not address screening for HIV. Guidelines that were simply restating guidelines from other organizations were also excluded. The CEAS identified 2 guidelines from American College of Obstetricians and Gynecologists, which recommended universal screening in women between 19 and 64 years of age. These guidelines were not included in the review because they did not explicitly review the evidence. The CEAS selected the 2 major guidelines on screening for HIV developed in the United States: guidelines from the USPSTF and the CDC.
Two guidelines and five cost-effectiveness studies were reviewed.
Authors searched the National Guideline Clearinghouse to identify guidelines on screening for human immunodeficiency virus (HIV) in the United States and used the AGREE (Appraisal of Guidelines Research and Evaluation) instrument to evaluate guidelines from the U.S. Preventive Services Task Force and the Centers for Disease Control and Prevention. Readers are referred to the original guideline document for more information on the use of these instruments.
Guideline Selection Criteria
Primary Criterion
Secondary Criteria
Tertiary Criterion
AGREE = Appraisal of Guidelines Research and Evaluation; CEAS = Clinical Efficacy Assessment Subcommittee; Q = question.
The authors followed the AGREE (Appraisal of Guidelines Research and Evaluation) Collaboration method to produce this report. The AGREE appraisal instrument asks 23 questions in 6 domains: scope and purpose; stakeholder involvement; rigor of development; clarity and presentation; applicability; and editorial independence. Each guideline is scored in each domain. Before conducting the evaluation, the authors agreed on a method of stratifying the ratings into 3 main categories, outlined in the "Rating Scheme for the Strength of the Evidence" field above. The authors did not weight scores according to these 3 categories, but note their findings in the overall qualitative assessment of the guidelines as discussed. Specifically, the authors viewed a lack of an explicit link between evidence and recommendations as a major flaw that makes it difficult to determine whether the guideline recommendations are valid. A second tier of criteria included whether there was a systematic search and explicit criteria for selecting evidence and whether methods for formulating recommendations were described. The remaining AGREE criteria were considered as part of the overall score.
These guidelines were reviewed independently by 4 co-authors using the AGREE method, with a focus on the 3 major categories that the guiding committee viewed as important. Each guideline was scored, and scores were compared (Table 2 in the original guideline document). Although total quantitative scores varied somewhat, the qualitative assessment of guideline quality was consistent among the 4 reviewers; indeed, the overall rankings of the quality of the guidelines were similar.
Not applicable
Several good-quality studies of the cost-effectiveness of human immunodeficiency virus (HIV) screening have been published. A key variation among these studies is whether they consider preventing transmission of infection to others as one of the calculated benefits. One good-quality study showed that early identification and treatment resulted in an increase in life expectancy of 1.52 years in an HIV-infected patient, with a decreased benefit in older patients. The study suggests that a one-time screening program would reduce lifetime numbers of transmission from an average of 1.12 to 0.95, 0.35, and 0.12 partners among men who have sex with men, heterosexual men, and heterosexual women, respectively. The study found that screening was cost-effective (with a cost-effectiveness ratio of $50,000 per quality-adjusted life-year [QALY] gained), even at a prevalence as low as 0.05%. A study of the cost-effectiveness of screening among inpatients found that screening would be cost-effective at a prevalence of 0.1%. Another study that also did not include benefit from reduced transmission showed that the incremental cost-effectiveness of one-time screening was $36,000 per QALY gained in a high-risk population with a prevalence of 3.0%, $38,000 per QALY gained in a population with a prevalence of 1%, and $113,000 per QALY gained in the general U.S. population with a prevalence of 0.1%. More recent analyses that included the benefit from reduced transmission indicated that screening could be cost-effective at a prevalence as low as 0.2%, depending on the extent to which transmission is reduced. A study of targeted versus routine screening concluded that targeted screening could prevent more HIV infections if accompanied by pre- and posttest counseling. The study, however, assumed that high-risk patients could be identified at no cost, an assumption that is at odds with the evidence that many high-risk individuals are not identified through targeted screening. Finally, a cost-effectiveness analysis of screening older patients found that screening would cost less than $60,000 per QALY gained in patients age 65 to 75 years at a prevalence of 0.1%, if patients had a sexual partner at risk and streamlined counseling was used. In summary, these cost-effectiveness analyses provide good evidence that screening for HIV is cost-effective, even when prevalence is low, in the range of 0.1% to 0.2%.
Approved by the American College of Physicians (ACP) Board of Regents on 25 October 2008.
Guidance Statement 1: American College of Physicians (ACP) recommends that clinicians adopt routine screening for human immunodeficiency virus (HIV) and encourage patients to be tested.
The goal of screening for HIV is to identify patients with undiagnosed HIV so that timely treatment is provided and transmission is prevented. The ACP's guidance to perform routine screening of all patients is based on the following rationale and evidence. First, early identification and treatment for HIV provides substantial health benefit by extending the length of life of the person identified as having HIV. Modeling studies suggest that identification and successful treatment also probably reduce HIV transmission, both through changes in risk behavior and from suppression of viral load through treatment, although the magnitude of the risk reduction has not been assessed directly.
Second, risk-based screening has failed to identify a substantial proportion of people with HIV early in disease. Although risk-based screening has been recommended for more than 15 years, evidence from the Centers for Disease Control and Prevention (CDC) and Veterans Affairs indicate that almost half of patient are identified late in the course of disease, when they will no longer receive the maximum benefit from antiretroviral therapy. Thus, the effectiveness of risk-based screening has been limited because providers seldom actually perform risk assessments, and even if providers did such assessments in all patients, a substantial proportion of people with HIV would still be missed because they either are unaware that they are at increased risk or do not wish to disclose risk behaviors.
Third, routine opt-out screening (screening all individuals unless they decline to be tested) has been widely implemented and highly successful for prenatal HIV screening. Acceptance among women has been high, and mother-to-child transmission has been nearly eliminated in the United States. Whether specific informed consent for HIV testing is required varies by state, and clinicians should be aware of requirements in their practice setting.
Finally, strong evidence indicates that screening is cost-effective, even when the prevalence of HIV is low.
The ACP encourages clinicians to counsel patients to reduce risky behaviors when such counseling is feasible.
The Clinical Efficacy Assessment Subcommittee (CEAS) recognizes that further evidence on several aspects of routine screening would be useful. These include the degree to which patients will participate in screening, the effectiveness of routine screening in reducing risky behaviors in low-risk settings, and the prevalence of undiagnosed HIV infection in diverse patient populations. Nonetheless, risk-based screening has failed to identify a substantial proportion of people with HIV and, even if implemented universally, would still miss a substantial proportion of people with HIV. The CEAS judged that the benefits of routine screening outweighed the harms and that routine screening is therefore warranted. Several aspects of screening deserve particular emphasis.
High-Risk Patients
The CEAS notes the importance of screening patients who are at increased risk for HIV infection. Many, perhaps most, patients at high risk have not been tested, so efforts to reach these patients are especially important. Groups at increased risk include men who have sex with men; men and women who have unprotected sex with multiple partners; past or current injection drug users; men and women who exchange sex for money or drugs or have sexual partners who do; individuals whose past or current sexual partners were infected with HIV, were bisexual, or were injection drug users; persons being treated for sexually transmitted diseases (STDs); and persons with a history of blood transfusion between 1978 and 1985. Patients who receive health care in high-prevalence or high-risk health care settings are also a high priority for screening. High-risk settings include STD clinics, correctional facilities, homeless shelters, tuberculosis clinics, clinics serving men who have sex with men, substance abuse clinics, and adolescent health clinics with a high prevalence of STDs. High-risk patients who are tested because of a viral syndrome that may represent acute HIV infection may require additional testing in addition to HIV antibody tests, because anti-HIV antibody tests may not be reactive during acute infection.
The CEAS also notes the importance of screening women who are pregnant. The United States Preventative Services Task Force (USPSTF), Centers for Disease Control and Prevention (CDC), and American College of Obstetricians and Gynecologists guidelines recommend HIV screening during pregnancy. Screening should be performed during each pregnancy.
The CDC recommends that patients age 13 to 64 years be screened for HIV. Less evidence is available on screening older patients, but nationally, approximately 20% of patients with HIV are older than 50 years.
Prevalence of HIV
The CDC recommends routine screening unless the prevalence of HIV in a population is less than 0.1%. This threshold is reasonable given the evidence from cost-effectiveness analyses. The CEAS recognizes that the prevalence of HIV is not known in most populations. A practical approach to routine screening is to begin screening and if no patients with undiagnosed disease are found after a substantial number of patients have been tested, then the need for screening should be reassessed. If no HIV-infected patients are found after screening approximately 4000 patients, the 95% confidence interval (CI) for prevalence will be less than 0.1%.
Education About Risk Factors
Clinicians should discuss the risk factors of HIV infection with their patients. Adolescents and older patients in particular may be unaware of behaviors that may put them at increased risk for HIV.
Rapid Versus Traditional Testing
Traditional testing (enzyme immunoassay followed by Western blot) has very high sensitivity and specificity, so false-positive results are rare. However, results from traditional testing are not rapidly available. Rapid tests provide results within 1 hour, an important advantage that increases the number of patients who receive their result. However, a recently published study found relatively high false-positive rates with an oral rapid test; other reports have noted increased false-positive rates with oral rapid tests. Patients and clinicians should be aware that any positive rapid test result must be confirmed with traditional testing.
Guidance Statement 2: ACP recommends that clinicians determine the need for repeat screening on an individual basis.
The importance of repeated HIV screening depends on whether patients have ongoing risk for HIV infection. Higher-risk patients should be retested more frequently than lower-risk patients. The USPSTF does not make recommendations about the frequency of screening. The CDC guideline recommends that providers screen patients at high risk for HIV at least annually. The CDC defines persons likely to be at high risk as injection drug users and their sexual partners, persons who exchange sex for money or drugs, sexual partners of HIV-infected persons, men who have sex with men, and heterosexual persons who have had or whose sexual partners have had more than 1 sexual partner since their most recent HIV test.
Apart from high-risk groups, the decision to retest persons should be based on clinical judgment.
None provided
This guidance statement is derived from other organizations' guidelines and is based on an evaluation of strengths and weaknesses of the available guidelines.
Early identification and treatment of human immunodeficiency virus (HIV)
Guidance statements are "guides" only and may not apply to all patients and all clinical situations. Thus, they are not intended to override clinicians' judgment.
An implementation strategy was not provided.
Not applicable: The guideline was not adapted from another source.
American College of Physicians
Clinical Efficacy Assessment Subcommittee of the American College of Physicians
Authors: Amir Qaseem, MD, PhD, MHA; Vincenza Snow, MD; Paul Shekelle, MD; Robert Hopkins Jr., MD; and Douglas K. Owens, MD, MS
Clinical Efficacy Assessment Subcommittee of the American College of Physicians (ACP): Douglas K. Owens, MD, MS (Chair); Donald E. Casey Jr., MD, MPH, MBA; Paul Dallas, MD; Thomas D. Denberg, MD, PhD; Mary Ann Forciea, MD; Robert H. Hopkins Jr., MD; William Rodriguez-Cintron, MD; Paul Shekelle, MD, PhD; Donna Sweet, MD
Grants received: V. Snow (Novo Nordisk, Centers for Disease Control and Prevention, Atlantic Philanthropies, United Healthcare Foundation); D.K. Owens (Department of Veterans Affairs, National Institutes of Health).
Any financial or nonfinancial conflict of interest of the group members was declared, discussed, and resolved.
Electronic copies: Available from the American College of Physicians (ACP) Web site .
Print copies: Available from the American College of Physicians (ACP), 190 N. Independence Mall West, Philadelphia PA 19106-1572.
The following is available:
A collection of Recommendation Summaries for all current American College of Physicians clinical guidelines is available for Personal Digital Assistant (PDA) download from the American College of Physicians Web site .
Electronic copies: Available from the Annals of Internal Medicine Web site .
Please note: This patient information is intended to provide health professionals with information to share with their patients to help them better understand their health and their diagnosed disorders. By providing access to this patient information, it is not the intention of NGC to provide specific medical advice for particular patients. Rather we urge patients and their representatives to review this material and then to consult with a licensed health professional for evaluation of treatment options suitable for them as well as for diagnosis and answers to their personal medical questions. This patient information has been derived and prepared from a guideline for health care professionals included on NGC by the authors or publishers of that original guideline. The patient information is not reviewed by NGC to establish whether or not it accurately reflects the original guideline's content.
This NGC summary was completed by ECRI Institute on March 16, 2009. The information was verified by the guideline developer on March 24, 2009.
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What does APLD stand for?
What does APLD mean? This page is about the various possible meanings of the acronym, abbreviation, shorthand or slang term: APLD.
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Automated Percutaneous Lumbar Discectomy
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"APLD." Abbreviations.com. STANDS4 LLC, 2014. Web. 20 Dec. 2014. <http://www.abbreviations.com/APLD>.

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Pierre & Vacances
Holiday In Bordaberry
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The Eguski residence offers air-conditioned apartments. Children can enjoy Parc Ducontenia's playground and its many activities.
Preferential rates are available for guests with the Hélianthal Thalassotherapy Centre in Saint-Jean-de-Luz and with the 3 golf courses with Golf Attitude.


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Purell's Long Path To SuccessApril 17, 2013 4:42 pm | by CBS News | Videos | Comments
Now the top pick among careful parents and germaphobes alike, Purell's market success wasn't always so obvious. After a decade of rising sales and steady marketing, the anti-bacterial hand sanitizer has become wildly successful, surpassing analyst predictions on its way to the top.
Apple Stock Falls On Supplier NewsApril 17, 2013 1:56 pm | by Peter Svensson, AP Technology Writer | News | Comments
Shares of Apple Inc. fell below $400 for the first time in a year and half on Wednesday, after a supplier hinted at a slowdown in iPhone and iPad production. The stock was down $21.89, or 5.1 percent, at $404.35 in early afternoon trading. Earlier in the day, it hit $398.11, the lowest level since Dec. 2011.
Daimler Selling Rest Of EADS StakeApril 17, 2013 10:23 am | by The Associated Press | News | Comments
Automaker Daimler AG says it is selling its remaining 7.5 percent stake in EADS, the parent company of aircraft manufacturer Airbus. Daimler helped found EADS but now is cashing out to focus on its core business of making cars. It sold a 7.5 percent stake last year. The Daimler stake of 61.1 million shares would be worth about 2.3 billion euros at Tuesday's price of 37.20 euros a share.
Toyota's Hybrid Vehicle Sales Pass 5 MillionApril 17, 2013 10:11 am | by Yuri Kageyama, AP Business Writer | News | Comments
Toyota's global sales of gasoline-electric hybrid vehicles have surpassed 5 million in a milestone for a technology that was initially greeted with skepticism. The Japanese automaker, which said Wednesday it had sold 5.125 million hybrid vehicles as of the end of March, started selling the Prius, the world's first mass produced hybrid passenger car, in 1997.
GM To Roll Out New Line Of Smaller PickupsApril 16, 2013 2:20 pm | by Tom Krisher, AP Auto Writer | News | Comments
General Motors plans to roll out a line of completely revamped midsize pickup trucks, with gas mileage and features designed to take sales from Toyota's market-leading Tacoma. The trucks will replace the aging Chevrolet Colorado and GMC Canyon. Mark Reuss, GM's North American president, said Tuesday that the trucks will be able to do 95 percent of the work that a big truck can do.
Cars, Utilities Lift U.S. Industrial OutputApril 16, 2013 2:18 pm | by Paul Wiseman, AP Economics Writer | News | Comments
U.S. industrial output rose in March as cold weather kept utilities busy generating heat and a surge in auto production helped offset broader weakness in manufacturing. Production at the nation's factories, mines and utilities rose 0.4 percent in March from February, the Federal Reserve said.
U.S. Industrial Manufacturers OptimisticApril 16, 2013 1:10 pm | by PwC | News | Comments
U.S. industrial manufacturers remain positive regarding the outlook for the U.S. economy in the year ahead, while sentiment pertaining to the world economy remains guarded, according to the Q1 2013 Manufacturing Barometer, released by PwC US.
GM 1Q Global Sales Rise To Beat VWApril 16, 2013 10:17 am | by The Associated Press | News | Comments
General Motors edged out fast-growing Volkswagen in first-quarter sales as both companies try to close the gap with Toyota for the global world sales crown. Toyota, which is scheduled to release first-quarter numbers next week, dethroned GM to retake the top spot in 2012, a year in which VW posted record sales and came within 190,000 vehicles of beating GM.
U.S. Declines To Label China Currency ManipulatorApril 15, 2013 1:40 pm | by Martin Crutsinger, AP Economics Writer | News | Comments
The Obama administration declined to label China a currency manipulator, although it said that China's currency remains significantly undervalued. The decision came in a twice-a-year Treasury report on whether any nations are manipulating their currencies to gain trade advantages.
Pratt & Whitney Expects More OrdersApril 12, 2013 3:30 pm | by Kelli Kennedy, Associated Press | News | Comments
Pratt & Whitney's military program likely will take a dip as the company transitions from the legacy military engines it's known for making, but engine orders will pick up in a few years with an increase in production of joint strike fighter engines, the company's president said Thursday.
RIM Seeks Probe Into BlackBerry Returns ReportApril 12, 2013 3:30 pm | by Rob Gillies, Associated Press | News | Comments
The maker of the BlackBerry said Friday that it wants U.S. and Canadian regulators to investigate a "false and misleading" report by a financial analyst that claims the company's new smartphone is being returned in unusually high numbers.
Nissan To Increase Pay At TN, MS PlantsApril 12, 2013 10:02 am | by Jeff Amy, Associated Press | News | Comments
Nissan Motor Co. will raise pay for its employees in Mississippi and Tennessee. The company has told its employees it will increase their wages starting in October at its Canton, Miss., and Smyrna, Tenn., assembly plants, as well as its Decherd, Tenn., engine plant.
German Leader Welcomes GM InvestmentApril 12, 2013 10:01 am | by The Associated Press | News | Comments
German Chancellor Angela Merkel has welcomed General Motors' decision to invest another 4 billion euros ($5.3 billion) in European subsidiary Opel by 2016 as part of an attempt to turn the money-losing division around. Merkel met with GM Chairman and CEO Dan Akerson and other company officials Thursday in Berlin.
MAPI: Outlook Index Shows Slight AdvanceApril 12, 2013 9:52 am | by Manufacturers Alliance for Productivity and Innovation | News | Comments
The results of the quarterly Manufacturers Alliance for Productivity and Innovation (MAPI) Survey on the Business Outlook (EO-123) indicate improvement, albeit marginal, from the previous report, and imply that the manufacturing sector is holding its own in uncertain economic times.
The Two Faces Of U.S. ManufacturingApril 12, 2013 8:05 am | by AJ Sweatt | Blogs | Comments
The fact is that our trade and economic policies – or lack thereof – are the primary cause of stagnant manufacturing growth in this country. We in and of manufacturing find ourselves in an environment of two camps, vying on many fronts for supremacy & influence. And, these days, it sure seems like the inmates are running the asylum.
Bombardier's Dogfight With Airbus & BoeingApril 11, 2013 12:33 pm | by CNN Money | Videos | Comments
Bombardier's CEO, Pierre Beaudoin, talks about the company's expansion in the mid-size jet sector and what that means in terms of competition with Airbus and Boeing. Bombardier's C-series is the company's entry into mainline jets. Fortune's Adam Lashinsky reports.
Discouraging Jobs Report Raises Fear Of Slowing RecoveryApril 9, 2013 4:33 pm | by PBSNewsHour | Videos | Comments
A disappointing jobs report has sparked fears of a slowing recovery. Although the unemployment rate dipped slightly, that reduction was attributed to people retiring or who had stopped looking for work. PBS' Judy Woodruff reports on why the job market in March took a sharp decline from the past two months.
Alcoa's 1Q Profit Rises, Beats ExpectationsApril 9, 2013 2:11 pm | by The Associated Press | News | Comments
Alcoa Inc. kicked off earnings season Monday by reporting a larger first-quarter profit than analysts expected, helped by strong demand for aluminum used to make airplanes and automobiles. The company still sees demand for aluminum growing 7 percent in 2013, with gains cutting across many industries.
Survey: Small Business Optimism Falls In MarchApril 9, 2013 2:07 pm | by The Associated Press | News | Comments
Optimism among small business owners took a dive last month as expectations for their companies' sales and the economy fell, according to a survey released Tuesday. The National Federation of Independent Business said its index of small business optimism, compiled from a survey of its members, fell 1.3 points to 89.5 after three months of modest gains.
BMW Sets Monthly Sales RecordApril 9, 2013 2:06 pm | by The Associated Press | News | Comments
German luxury automaker BMW AG says it had its best month ever in March, increasing global sales by 3 percent to 191,269 vehicles. For the first three months of the year, sales rose by 5.3 percent compared with a year earlier, to 448,200 units — even though sales slipped in the company's home market, Germany.
Ford: Focus Is Best-Selling Car In The WorldApril 9, 2013 10:17 am | by The Associated Press | News | Comments
Ford Motor Co. says its Focus small car was the best-selling vehicle nameplate in the world last year, with just over 1 million sold. More than a quarter of all Focuses were sold in China, its largest market. The U.S. was the car's second-largest market.
Fiat-Chrysler Bearish On EuropeApril 9, 2013 10:13 am | by Colleen Barry, AP Business Writer | News | Comments
Italian carmaker Fiat, which controls Chrysler, will revise its earnings targets later this month as the European market is expected to decline for a sixth straight year, CEO Sergio Marchionne told shareholders Tuesday. European economies are suffering as governments cut spending and raise taxes to lower debt.
U.S. Manufacturing Technology Orders UpApril 9, 2013 8:02 am | by AMT | News | Comments
February U.S. manufacturing technology orders totaled $385.89 million according to AMT - The Association For Manufacturing Technology. This total, as reported by companies participating in the USMTO program, was up 5.7 percent from January but down 10.6 percent when compared with the total of $431.63 million reported for February 2012.
ISM: Manufacturing Dips, Remains In Positive TerritoryApril 9, 2013 8:00 am | by Jon Minnick, Associate Editor, MBT | Articles | Comments
Although U.S. manufacturing declined in March, it continues a positive push into 2013. "The Institute for Supply Management (ISM) Index was 51.3 in March, down from 54.2 in February but is still above 50, the dividing point between growth and decline," said Daniel J. Meckstroth, Chief Economist for the Manufacturers Alliance for Productivity and Innovation (MAPI).
Toyota Taking On Rivals With Efficiency, New DesignsApril 8, 2013 2:15 pm | by The Associated Press | News | Comments
Having drawn lessons from a series of predicaments since the 2008 global economic downturn, Toyota Motor Corp. is focusing on lowering its production costs worldwide and improving its competitiveness in product design as it faces intense competition from overseas rivals.


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Counting on Karzai: Can he continue as President of Afghanistan for Five More Years?
| Posted 08.17.2009 | World
Read More: Abdullah Abdullah, Ashraf Ghani, Kabul-Afghanistan, Afghanistan, Afgan Elections, Rethink Afghanistan, Hamid Karzia, Afghanistan War, World News
I really don't support any of the candidates. Not because I don't like one or another, but because I am jaded enough to know their hands will basically be tied.


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Saturday afternoon, Roswell Police arrested Roy Mahoney, 83, near the intersection of Lincoln Avenue and Bland Street. Mahoney was charged as a public nuisance. He told officials at the time he was "trying to pick up a woman."
According to the RPD, Mahoney has a history of attempting to Login to read more
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Cubist To Present At February Investor Conferences
Cubist Pharmaceuticals, Inc. (NASDAQ: CBST) today announced that company management will present at investor conferences during February to discuss the company's business activities, financial outlook, and current news.
- Mike Bonney, CEO, will present on Thursday, February 14 th, 2013 at 4:05 p.m. Eastern Time, at the Leerink Swann Global Healthcare Conference being held at the Waldorf Astoria Hotel in New York City.
- David McGirr, SVP & CFO, will present on Tuesday, February 26 th, 2013 at 3:05 p.m. Eastern Time, at the 2013 RBC Capital Markets' Global Healthcare Conference being held at the New York Palace Hotel in New York City.
These presentations will be accessible live through Cubist's website at www.cubist.com in the Investor Relations Conference Calendar section and will remain available there for a period of 30 days after the presentations.
About Cubist
Cubist Pharmaceuticals, Inc. is a biopharmaceutical company focused on the research, development, and commercialization of pharmaceutical products that address significant unmet medical needs in the acute care environment. Cubist is headquartered in Lexington, Mass. Additional information can be found at Cubist's website.
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Earning My Ears
This is such a great idea! Looking forward to experiencing GF meals at Disney! They all look so yummy!
Earning My Ears
Join Date: Dec 2008
Posts: 72
Sorry it has taken me so long to get these pics up! They're from my May trip. I'm gluten free and my mom is gluten and soy free. I didn't get pics of all of our meals as some meals we were a party of 9 and it was just too chaotic trying to get pictures.
We stayed at Bay Lake Tower. Our first morning for breakfast we ate at the Contempo Cafe. Manager was awesome, food was hot and delicious. Absolutely no complaints and we'd definitely eat here again!!!
Earning My Ears
Join Date: Dec 2008
Posts: 72
This is my first time using photo bucket and I have no idea why my pics are so big. I'm sorry about the picture size!
Our first lunch was Be Our Guest for lunch! On our December trip we ate there twice for dinner. We booked this trip only about a month out so we weren't able to get into dinner. LUNCH WAS INCREDIBLE!!!! We loved it so much we ended up eating there twice during our 4 night trip. Definitely one of my favorite places to eat in the Magic Kingdom.
I'm going to combine both meals into one review. They have the kiosks that have allergy options too, but personally we're much more comfortable talking to the chef personally. Even though it was really busy, we didn't wait too long for the chef. He was really friendly and willing to do whatever we wanted!
My mom isn't a huge eater so she just got the potato leek soup and a cup of chocolate mousse both times. We try and avoid artificial sweeteners so that cream puff is out for us. Instead we just ask the chef about getting a cup of mousse and it's never been an issue. I had the same thing as my mom the first time.
Second time I had the roast beef sandwich and I really enjoyed that too. The bread was grilled and it was just delicious. The portion was HUGE and definitely enough to share!
If anyone has any questions about any of these places, feel free to ask and I'd be happy to answer any and all questions!
Earning My Ears
Join Date: Dec 2008
Posts: 72
For dinner that night we tried Kona for the first time ever!!!! We've typically eaten at Ohana and weren't interested in doing Kona. Well after that meal, Kona is definitely in our top 5 restaurants at Disney!
The chef was so friendly and accommodating! Pretty much anything on the menu could be made gluten free. He brought out some GNI rolls (not really a fan), but they were perfectly heated so they were edible.
I didn't get a picture of my mom's meal, but she had the pan roasted chicken. She substituted rice and sauteed swiss chard (I think?) for the pea risotto. Her chicken was perfectly cooked, moist and delicious!
I went for the teriyaki style new york strip. Only a minor change needed to be made to swap out the regular sauce for the gluten free version.
Desserts were absolutely the stars of the meal!!!! I'm a huge dessert person and I was so happy to see they had lots of options besides that usual OMG it's gluten free brownie. We ordered a kilauea torte which was AMAZING!!!! It's like this chocolate volcano cake thing. We also had a banana-chocolate creme brulee which was also very good. Also they have chocolate fondue, that they can make safe with a minor substitution. (swapping out the non-gf cookies for some gf-cookies)
Earning My Ears
Join Date: Dec 2008
Posts: 72
The next meal I got a picture at was 50s Primetime. Sorry I only managed to get a dessert picture though.
My mom and I both had the fried chicken. It was yummy as usual. That's become our standard whenever we go there. For dessert I had dad's brownie sundae. That thing is massive and so delicious!!!! It definitely wasn't the OMG it's gluten free brownie and (I think?) they might even make their own brownies there!
After our bad experience at Mama Melrose our last trip, this has become our go-to for our HS days.
Earning My Ears
Join Date: Dec 2008
Posts: 72
The next meal I got pictures at was 'Ohana for dinner. We've been going there for years (pre-TJ days). All I can say is that this was the worst meal we've ever had there. There is no way I'll be going back for dinner anytime in the near future. We haven't had any issues at breakfast so we might go back there someday.
It all started with the chef. He seemed annoyed to be at our table and he obviously didn't want to be there. He was just going through the motions and didn't really seem to care. Definitely not the Disney chefs we've become so used to.
Also I should probably note the timing of our meal was really off. It took us way longer than it ever has before to get our allergy-safe food. I have no problems waiting for food and I understand it may take longer, but I at least want the food to be delicious and something worth waiting for. (I probably would have enjoyed the Contemporary's counter service for dinner MUCH more)
We started with the GNI rolls and they were ICE cold. I can barely tolerate them warm and ice cold was not okay with me. I finally was able to get someone's attention and they warmed them up. I was absolutely starving at that point so they were edible.
Next came the chicken wings. If I'm remembering correctly they were luke-warm/cool. Nothing special or exciting
We finally get our "platter" of food to share and I was shocked by its size. My mom and I are both full size adults and that really wasn't enough food to share. I asked the chef for more chicken and he gave me attitude about it. He was like if you want more food you can always have salad. Eventually he got me more chicken, but it was definitely a process and shouldn't have been that difficult.
Dessert wasn't satisfying at all. I should probably note that in the past, we've had chefs go out of their way to get us one of the Kona desserts as they are safe and SO MUCH better than the OMG brownie thing. This chef made me a brownie sundae with an ice cold brownie. Our server held everyone else's dessert for probably about 10-15 mins in hope our dessert would come out. 10 minutes after their dessert came out, we finally got our dessert.
Honestly, there is no way I'd recommend 'Ohana for dinner and it used to be one of our favorites. I just don't think the cost is worth it for what you get and if you want to eat at the Polynesian, Kona is definitely a much better option.
Earning My Ears
Join Date: Dec 2008
Posts: 72
For our final breakfast, we took the boat from the Contemporary to the Wilderness Lodge. I love the special waffles they have there!!! I always get the chocolate lover's waffle. It's Mickey waffles with chocolate chips, chocolate syrup, and whipped cream. Served with a side of bacon. I loved this and I'd definitely get it again!
I never got pictures at Whispering Canyon for dinner, Norway Princess breakfast, Chef Mickey's breakfast, Tony's Town Square for lunch or the few snacks we had at the Contempo Cafe. If anybody would still want reviews of these places without pictures, let me know!
I'll be at the Animal Kingdom Villas for a few nights in August before I check-in for the Disney College Program!!!! I'm hoping to get food pictures at all of our meals!
Then my parents are staying at the Wilderness Lodge when they visit me for my birthday in September. I'll definitely be getting lots of food pictures that week!
My parents are coming down for New Year's Eve-first week of January and staying at Bay Lake Tower again. I'll probably be working for part of their trip, but I'll be getting food pictures whenever I join them for meals!
I'll also have lots of food pictures from all the places I dine at during my 5 months in Disney! I'm definitely do my best to keep this thread updated with my food allergy pics.
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Location: PA
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great update thanks for sharing. hope more post soon.
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Hoping you were there for a fluke night.
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Whoa, whoa, whoa. Chocolate lovers waffles! How did I miss these!!! Guess who will visiting there this fall!
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We are actually in disneyworld right now...been here since the 25th and leaving on the 1st. I will have some pictures to post but here's the quick run down of meals so far:
All of my meals do not include:
Peanuts, tree nuts, eggs, shellfish, wheat, oats, coconut, dairy, soy protein (soybean oil and soy lechitin are okay for me), sesame, sunflower seeds, honey, ginger, bananas, cherries, broccoli, raw vegetables, and raw fruits (except grapes).
Turf club bar and grill (saratoga springs)- chef was wonderful! They have ener-g tapioca rolls!! I got 2 warm rolls with olive oil and spices for dipping. For dinner I got a maple glazed salmon with sautéed corn and asparagus. It was amazing! Highly recommend this place.
Liberty tree tavern: the chef was good here. I was just in the mood for a burger and fries so it was pretty simple. They have the GNI buns here but I've never had them before and didn't want to try anything new. So I had a burger with bacon and sautéed mushrooms (no bun) and fries. The food was basic but very good.
1900 park fare dinner- we ate here in December and the chef was great (not chef TJ but still wonderful). This time, the chef was a real let down. The food was okay but plain and basic. I got some salmon and beef along with some corn and a baked potato. It was good and safe...just not exciting.
Garden Grill- our first time here. This place was terrible. I got plain tilapia, plain beef and a plain potato. The potato wasover cooked and so was the beef. And there was no seasoning on anything...not even salt and pepper!! Complete waste of money
Crystal palace lunch- we went twice in December and it was wonderful this time around as well. The chef was great and very little needed modifications....it was basically the meats with no sauces that needed modifications. But I ate: grapes, roasted beet salad, ratatouille, tilapia, salmon, ham, beef, and green beans. It was all hot and fresh and the chef came out like 4 times to see ow everything was....we are considering going back again on the 30th.
The restaurants we have coming up are:
Citricos, 50s prime time, 1900 PF breakfast (hoping for chef TJ!), the wave and Kona cafe. Hopefully the rest are as good as CP was.
All Star Sports (2007, 2008); All Star Music (2001); Caribbean Beach (1992, 1994, 1996, 1997, 1999); Coronado Springs (2004); Port Orleans French Quarter (2007); Port Orleans Riverside (2014); Wilderness Lodge (2006); Pop Century (2010, 2012); Saratoga Springs (2013); The Contemporary (2013); Grand Floridian (2014)
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Sarah, John, and our eight Disney fans.
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Great updates, everyone!! Only 70-some days until I can make my own! (hurry up hurry up hurry up.....)
Me- DH- ~*~My "hippie" blog~*~ Allergy Food Pictures Thread
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Reviewed Italian Wedding Soup
Oct 5, 2012 in Food Network Community Toolbox on FoodNetwork.com
"Delicious and fairly quick!
I took mattwalma's suggestion and substituted a half cup of seasoned bread crumbs in place of the slice of bread. I also subbed escarole for the endive, and added a cup or two more broth because I added a half cup of pearl pasta when I put in the meatballs and escarole. I did use the egg/cheese at the end and it..."


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Q. We plan to sell our home in about five years when we retire. But we want to work on improving our master bathroom now, for resale value down the road. Our old, outdated tub with a plastic shower curtain needs to go. What is the going trend and a good resale move? Should we install a larger "shower only" stall or should we stay with a traditional bathtub with a shower?
A. First, good move on doing the bathroom remodeling job now so you get to enjoy to enjoy your investment before you sell. In the past I've done a number of remodel jobs for customers just before they sold the house. All the money they put into their home was enjoyed by someone else. You may want to go with a current trend called "universal design" for your bathroom. Bathrooms designed according to this approach usually include a larger shower stall in place of a bathtub. This can make for a more comfortable shower experience for people of all ages and abilities because there's no tub wall to step over. As long as you have another bathroom in the home with a bathtub, the universal design shower stall can be of more use to you and may help your resale value as well.
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NY Times says outage 'most likely' maliciousPUBLISHED: 28 Aug 2013 08:33:41 | UPDATED: 29 Aug 2013 04:33:33PRINT EDITION: 28 Aug 2013
The New York Times says its website has gone down after what appears to be a "malicious external attack".
A security researcher says there are indications that the Syrian Electronic Army, which has attacked several media organisations, is the culprit.
Times spokeswoman Eileen Murphy made the announcement on Twitter, two weeks after the site went offline due to what the daily said was an internal server problem.
re: http://t.co/BQE1fJ3uLx - initial assessment - issue is most likely result of malicious external attack. working to fix— Eileen Murphy (@NYTeileen) August 27, 2013
The newspaper's main Twitter account said shortly after 2000 GMT on Tuesday (6.00am Wednesday AEST) that the website "is experiencing technical difficulties" but that news was still being published via Twitter and other links.
Matt Johansen of WhiteHat Security said in a tweet that the technical aspects of the website during the outage were "pointing to Syrian Electronic Army".
The Washington Post website was hacked this month in an attack blamed on the Syrian Electronic Army, a group that backs embattled strongman Bashar al-Assad.
The Times said in January that hackers stole its corporate passwords and accessed the personal computers of 53 employees after the newspaper published a report on the family fortune of China's Premier Wen Jiabao.
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Main Street Farmer's Market
Each week on Thursday beginning June 19th and winding up on October 2nd, the annual Monticello Main Street Farmer's Market will gather in the shady location in front of the Community Building on North State Street--Allerton Library. Many of your favorite vendors will be back with seasonal fruits, vegetables, plants, flowers, breads, and more. Come meander around the vendor booths to search out the best of the summer, and later, the fall produce.
Renee Fruendt, market manager said, "There are always special events planned to go with in conjunction with the market. Special features will be music, drawings for gifts, crafts for kids, a demonstration on making fresh salsa, and much more." If you are interested in becoming a vendor or need more information about the market call Renee Fruendt at 762-3661 or the Main Street office, 762-9318 or email email@example.com. See you at the Market!


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Rolex Rankings #2
Rolex Rankings #35
Who will win the inaugural event?
Will Jessica Korda defend her title?
Ernst's victory another big step in her career
The Social Scene for October, 2014
With her win at the Kia Classic, Sandra Gal is named the Prudential Rock Solid Performer of the week.


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writer verified by Martin O'Hearn
house ad for Sgt. Rock's Prize Battle Tales (DC, 1964 series) #1, on sale January 23
Statement of October 1, 1963
No circulation information given.
Owners: National Periodical Publications, Inc., Harry Donenfeld, Irwin Donenfeld, Sonia Iger, J.S. Liebowitz; P.H. Sampliner, S.U. Sampliner, Harry Donenfeld Foundation, Inc. all at 575 Lexington Avenue, New York 22, N.Y.
letters submitted by Andy Zerbe; Robert A. MacAvoy; Leslie Hackett; Elaine Littlewood; Paul Gambaccini
house ad for The Doom Patrol (DC, 1964 series) #1, on sale January 23
When published, this issue was actually numbered #86 (continuing the numbering of My Greatest Adventure (DC, 1955 series)
published in cooperation with the National Social Welfare Assembly


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- Explore the testimonials, and the ratings and reviews at wordpress
- See demos at directories.wpusersplugin.com,
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- roysmyth on "Great plugin. Essential if you use s2member" May 29, 2014This plugin fills a huge gap in s2member. Flexible, configurable, customizable, well-documented. Responsive developer. Thank you Anmari.


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North Carolina "Small Business" Out-Performs "Big Business" Competitors
Given that FestivalNet.com is close to reaching 26,000 listings, it's safe to say that festivals are big business. And a big new feature is FestivalNet's online marketplace. Here, artists, vendors & musicians can sell their products year-round. So when the stages and booths come down, vendors and consumers can visit FestivalNet.com/mc to benefit throughout the year from the relationships made at a festival or event!
"Our Marketplace is an awesome venue for people to find holiday items for Thanksgiving and unique handmade gifts & affordable artwork for Christmas shopping," said Cochrane.
FestivalNet.com publishes the most extensive and comprehensive database of festivals and fairs in North America. We provide web tools and resources relevant to the festival goer, exhibiting artist, craftsperson, musician, band, service provider, booking agent, food vendor and festival promoter. As the leader in the festivals and special events industry, we publish detailed event data on 25,000+ events. We can be reached at 800-200-3737 or http://festivalnet.com/
Media Contact:Peggy Glassman 704-604-5515 Email Read more news from FestivalNet.com SOURCE FestivalNet.com
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RTI Reports 2011 Financial Results
RTI International Metals, Inc. (NYSE: RTI), released results today for the fourth quarter and year ended December 31, 2011. The 23% year-over-year increase in revenue to $529.7 million and the 37% increase in the year-end backlog to $476.0 million reflect an overall return to growth in all of RTI's markets, including the aerospace, defense, energy and medical markets.
Highlights of RTI's fourth quarter and full-year results for 2011 follow:
Financial Summary
For the fourth quarter of 2011:
- Net sales rose over 23% to $141.9 million compared to $114.7 million in 2010.
- Operating income nearly doubled to $4.6 million, which includes the impact of $1.6 million of transaction related expenses, compared to $2.5 million for the prior year.
- Net income was breakeven in comparison to a net loss of $1.4 million, or ($0.05) per diluted share, for the same period in the prior year.
- Titanium mill product shipments during the quarter were 4.0 million pounds at an average realized price of $19.11 per pound. This compares to fourth quarter 2010 titanium mill product shipments of 3.1 million pounds at an average realized price of $18.67 per pound.
- Net sales rose 23% to $529.7 million compared to $431.8 million in 2010.
- Operating income for the year nearly doubled to $27.8 million, compared to $14.1 million for the prior year.
- Net income was $6.6 million for 2011, or $0.22 per diluted share, versus net income of $3.4 million, or $0.11 per diluted share, for the prior year.
- Titanium mill product shipments for the year were 14.7 million pounds at an average realized price of $19.54 per pound. This compares to 10.5 million pounds at an average realized price of $18.81 per pound in 2010.
- The Company ended 2011 with cash and other highly liquid investments of $333.8 million and $230.0 million of convertible debt due in 2015.
- Backlog increased 37% year-over-year from $347.0 million at the end of 2010 to $476.0 million at the end of 2011.
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December 21, 2014
NASHVILLE, Tenn. (WVLT) -- A Knoxville-area Tennessee Highway Patrol officer has been promoted to Lieutenant at the Knox County Scales, according to the THP.
In a release, the THP said Lt. Kim Ogle started working with the agency in 1995, and is a DUI, EVOC, and Defensive Tactics instructor.
As a member of the 1st District Strike Team, Ogle was named Trooper of the Year in the district.
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I've lost my head. Emotional outburst? Some horrific, bizarre accident? No. In almost every photo of me during my high school years, I'm forever preserved with various members of the opposite sex, minus my head.
My family — my mother — was photo-challenged. I doubt there's a single image from my high school dances where my head isn't removed somewhere around my chin. But after lots of tips, and a lot of teasing — by me — my mom is now an accomplished portrait-taker. If she can do it, so can you.
The holidays are coming and, like a song that you can't get out of your head, so are the relatives. Kids are scrubbed up and paraded in front of loved ones, and everyone wants a picture. So, to avoid years of therapy and a drawer full of unidentifiable family photos, here are a few tips to make taking family portraits a lot easier and more enjoyable. Really. Location, location, location:
Please, not the fireplace. Everyone loves the fireplace/mantle photo, but it usually means dark surroundings and distracting elements in the background. Grandma will not be pleased with moose antlers looming behind her head.
Also, your subjects will be jammed together like last-minute Christmas shoppers around the counter at Macy's. So, look for a clean background that will not compete with your subjects. If possible, put some distance between your subjects and the background to give your portrait a more three-dimensional look. A great idea is to find your background first. Compose your image and then add your subjects. This way, there's far less chance of unwanted surprises in your photos. Go to the light: The sun is our friend, except when we can see it through the viewfinder. This results in silhouettes.
What you see with your naked eye and what the camera captures can be two different things. Shadows and highlights are much more pronounced in photos than what you see when you take the picture. For example, high noon is possibly the worst time of day to take photos. Shadows in the eye socket create the unflattering "raccoon eye." Early morning and late afternoon offer the best lighting.
Try to keep the sun behind you, so it illuminates your subjects from the front. Another great effect is diffused light, such as light coming through a window or in the shade of a porch awning or tree.
But be careful that the area behind your subject is not brighter than the light falling on your subject. This also could result in a silhouette. That's great for photo contests, but not if you want to see Uncle George's and Aunt Betty's faces.
Everything in its place: Composition, where you place your subjects in the viewfinder, is almost as important as lighting.
The rule of thirds. This is not as complicated as it sounds. Visually divide the frame into thirds, horizontally and vertically. Where the lines intersect are the most pleasing areas in the viewfinder to place subjects. All rules are made to be broken, but learn this one first and you'll be rewarded quickly with better images.
Get closer! Get closer! Get closer!: Photographers call this filling the frame. Amateur photographers typically stand too far away from their subjects.
Eye, eye: Place your subjects so their eyes are not at the same level. Try having someone sit, others take off their shoes, or even stand on a book. (Don't worry, you can crop the book out of the final image.)
Highs and lows: The world isn't all the same size. Vary the level and the angle of your camera. Try shooting low to include some of the foreground. And anyone with a double chin can tell you that getting up high and shooting down from a high angle flatters just about everyone. A high vantage point also lets you include more folks in the frame.
Tools of the trade: You just unwrapped the new camera with all the latest bells and whistles. Now what do you do? Humble thyself and read the manual. You'll learn a lot about your camera and accessories.
Most cameras have a builtin flash that automatically kicks in or can be manually overridden. Indoors, the flash adds light if needed. Outdoors, the flash can compensate for tough lighting.
A tripod helps to stabilize the camera and lets you look into the viewfinder without moving the camera's position. (My mother should have had one of these.)
ASA and ISO. What? Are we at a Star Trek convention? Steady, Jim. ISO and ASA are the same thing. Both are the light ratings, indicating how sensitive to light your film or digital cameras are. Think of it this way. Bright sunny day, low ASA/ISO. Inside where it's dark, high ASA/ISO. A good versatile setting is ASA/ISO 400.
Digital cameras, which record images to CCD's electronically, have similar light rating systems. The great thing about digital is that you can change your ASA/ISO on the fly. Outside, 200 ASA. Run inside, switch to 800 and shoot away.
Don't be shy: Go ahead and shoot, shoot, shoot. Film is cheap, and digital cards can be reused. Why go through all the steps to making a great portrait and take only one frame? Don't be afraid to hold that shutter down and shoot a bunch.
Maybe Uncle George blinked. Maybe you goofed. It doesn't matter. If you don't have the shot, you'll have to answer to the family. So, shoot liberally.
What are you wearing, baby?:
They say clothes make the man. They can make or break your photo, too. Paying attention to colors and patterns is important. Try to avoid white. It draws attention away from others in the photo. Patterns that clash, like stripes next to flowers, just look stupid. If you can, suggest neutral colors.
If you're confronted with a fashion disaster, discreetly place them where their outfit is least glaring.
Don't ask people to take off their glasses. It's part of who they are. Have them make sure the glasses are tilted slightly more than 90 degrees to avoid glare when using a flash.
What are you looking at?: Props can help you avoid the "deer in the headlights" look. A pet, a favorite toy, even a chair can relax your subjects.
Every photo is a minirelationship between the photographer and his/her subjects. So, talk to them, relax them, tell a joke or make fun of yourself. Do whatever it takes to lighten up the situation and get more naturallooking photos of your loved ones.
Just don't lose your head.


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Ski test days with the season's latest skis from Sportalp
Ski – hire or buy?
Many people ask themselves this question before every winter holiday.
With the ski test days by Sportalp ski rental, making the decision
is now a little simpler.
Are you still a novice, getting your first whiff of the ski lift? Or
do you feel as if you are actually a born racer? Whether you are
a Skistars racer or a beginner, you will find the right "board" for a
comfortable day of skiing, with the well-known, competent help
and advice Sportalp provides.
You get to test the latest top 5-star skis at the ski test days!
If something does not feel 100% right, simply come back the next
day and try another model! And as soon as you find that dream pair
of skis, buy them on the spur of the moment and take them home
with you. The price of the rental will even be deducted from the
purchase price of the skis.
* If you buy a pair of skis, Euro 111.00 will be discounted from the purchase
Our special offer:
5 nights for the price of 4 from Sunday 7 to Friday 12 December
All-inclusive price of EUR 849 per person in a standard double room
5 nights for the price of 4 from Sunday 14 to Friday 19 December
All-inclusive price of: Euro 1,005 per person in a standard double room
The above prices include:
> Breakfast buffet fit for royalty
> Selection of cakes in the afternoon
> 5-course dinner menu
> Use of the Alpin-Bad bathing facilities and Revitalium spa and wellness area
> Bathrobe and slip-on shower sandals during your stay
> 25-minute wellness massage
> 4-day ski rental – 5-star models*
> 4-day ski depot at Sportalp
> 4-day ski pass
> Garage parking
At this time of the year, we also recommend the off-piste instruction
offered by the Lech ski school, as the groups usually include
less than 8 people.
Can only be booked as a package.
Skiing lessons for the little ones -in groups of up to 7 children (this week´s special)
Even children can learn how to ski or improve on their skills in fun ways, without causing their parents stress!
In the morning, we bring the little ski bunnies via the Teddy Express to the ski school meeting point. There, qualified, caring ski instructors from the Lech ski school take over and, during the five days of ski school, teach the kids everything that aspiring ski racers need to know! That way, participation in the ski race on Fridays is guaranteed! Training happens in the mornings, then everyone has lunch together with the ski instructor and in the afternoon there is one more round on the slopes – experiences the kids will be talking enthusiastically about for years afterwards!
And if after so much action, anyone is still feeling like playing and having fun, our Teddy Club will take excellent care of
them. And if separation from the parents won't be too difficult, dinner can be eaten together with our kindergarten teacher in the Teddy Club. The grand finale: The children can be proud of themselves on the Saturday when they can show off their skiing talent to their parents when they go for a ski together.
You can see from this programme that the parents get a lot of free time for themselves. And we have all sorts of suggestions as to what they might like to spend it on, such as relaxing in our spa, leisurely walks through the pre-Christmas landscape and, of course, speeding athletically
down the slopes.
Our special offer:
Sunday 7 December to Sunday 14 December
> 7 nights for 2 adults and 1 child born in or before 2007
> Breakfast buffet fit for royalty
> Selection of cakes in the afternoon
> 5-course dinner menu
> Welcome drinks
> Use of the Alpin-Bad bathing facilities and Revitalium spa and wellness area
> Bathrobe and slip-on shower sandals during your stay
> Child-minding in the Teddy Club from 3.00 pm, to 10.00 pm
> 6-day ski pass for both parents
> 6-day ski pass for one child (born between 2010 and 2007 inclusive)
> 5-day kids' ski school (born between 2010 and 2007 inclusive)
in small groups of up to a maximum of 7 children (from Monday to Friday), with ski races on the Friday
> Garage parking – and much more
Total package price: Euro 2,800
> for 2 adults and 1 child born in or before 2007
in a nice, comfortable double room with additional bed
Book your Cineastic Gondolas Weekend directly with us:
– 3 nights in a double room for two persons incl. half board
– 2x 3 day ski passes
– 2x 2 minutes spa massage
- 2x tickets for all events Cineastic Gondolas
FRIDAY: 12/12/14 Pre-events:
17:00 clock Cineastic Gondolas exhibition opening Mounty RP Zentara
22:00 clock pre-party at Club Opening, Zürs
SATURDAY: 13:12:14 main event:
20:30 clock Cineastic Rüfikopfbahn Gondolas & Aftershow Party
From 2:00 clock Archivbar & K.Club
Caution: Outdoor Event – sturdy shoes and warm clothes are required!
package price for 2 people for 3 nights EUR 1299.00
In our January Ski & Wellness Week from 11 to 17 January all roads lead to rest, relaxation and a really good pampering. Precisely the
right thing for the true connoisseur…
Do you want to avoid the high season, and have a flexible appointment diary? Then the ski slopes and hiking trails are waiting for you in January! Give yourself a break from the hustle and bustle, and pamper yourself with spa and wellness treatments that are individually tailored to your personal requirements. The luxurious products in the Sothys line and our well-trained spa team will do the rest, leaving you to relax and unwind completely. Oh – and only the very best food and wine is served. Relaxation and enjoyment in its purest form!
Our special offer:
> 6 nights with half board in a standard double room
> Welcome drinks
> Use of the Alpin-Bad bathing facilities and Revitalium spa
and wellness area
> Use of bathrobe and slip-on sandals during your stay
> 3 hours' worth of treatments of your choice, which can be spread over several days
50-minute massage of your choice
50-minute manicure or pedicure
50-minute facial treatment
30 minutes in the Heaven swing
> Free use of the fitness room
> Garage parking – and much more
Total package price from Euro 1,200 per person
in a standard double room
We are happy to arrange wellness packages during other weeks
of the year.
A nostalgic, musical end of sunny sky days, including plenty of jazz, soul, rock`nroll, and swing. Live bands provide free entertainment on all sorts of open-air terraces in the ski area and on the Rüfiplatz, while skiers enjoy that extraordinary retro feeling in a casual, relaxing atmosphere.


text:
Rosvall, M., G. Engstrom, G. Berglund, and B. Hedblad. 2008. C-reactive protein, established risk factors and social inequalities in cardiovascular disease—the significance of absolute versus relative measures of disease. BMC Public Health 8(189):1-10.
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Russell, L. B., J. E. Siegel, N. Daniels, M. R. Gold, B. R. Luce, and J. S. Mandelblatt. 1996. Cost-effectiveness analysis as a guide to resource allocation in health: Roles and limitations. In Cost-effectiveness in health and medicine, edited by J. E. Siegel, L. B. Russell, and M. C. Weinstein. New York: Oxford University Press. Pp. 3-24.
Sabik, L. M., and R. K. Lie. 2008. Principles versus procedures in making health care coverage decisions: Addressing inevitable conflicts. Theoretical Medicine & Bioethics 29(2):73-85.
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———. 2008b. Phase I report: Recommendations for the framework and format of Healthy People 2020. Appendix 14. Washington, DC: U.S. Department of Health and Human Services.
Siegel, B., D. Bear, E. Andres, and H. Mead. 2009. Measuring equity: An index of health care disparities. Quality Management in Health Care 18(2):84-90.
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text: This module can permanently change your MAC address. This can be used to get around the ban permanently if you decided to stop hacking on WFC. It is a pain to get to the original module. Takes an hour or more to install. Needs thermal compounds not included. Should have included a spare antenna just ... Read more


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My Profile
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Member since Feb 2012
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Reviewed Daube a la Provencale
Feb 13, 2012 in Food Network Community Toolbox on FoodNetwork.com
"Was laid up sick all weekend and caught the show. Thought hugh... that looks interesting... WOW! Takes a while, so plan ahead, but it's worth it. I used a merlow, but I think a cab might work better. I'll let you know because I will me makling this again. Could be adapted to pork or mutton I think. I'll let you know that one too."""


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This page contains Berserk Hints for Dreamcast called "Easy hard mode prizes" and has been posted or updated on Oct 5, 2006 by uwantsth. Let us know what you think of this Hint by thumbs voting.
- Developer: ASCII Entertainment
- Publisher: Eidos Interactive
- Genre: Action Beat-'Em-Up
- Release Date: Feb 29, 2000
- ESRB: Mature
Easy hard mode prizes
Use the following trick when obtaining the hard mode prizes. Set the difficulty to easy and proceed to the final stage save point (before fighting Balzac's first form). Quit and save the game. Set the difficulty back to hard and continue the game. Even though you completed most of the game under the easy difficulty setting, you will still get the prizes for hard mode. You still have to complete the final stage in hard mode, but some tough sections (such as the battle with Zod) are a lot easier.
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text:
Brass City meets 'Beauty & the Beast'
Middlebury-based dance school stages spring fundraiser
|Brass City Ballet members, from left, Dina Lasso, Ainsley McMahon and Gabrielle Rodriguez dance in 'The Nutcracker' in 2010. McMahon and Rodriguez will both perform in Saturday's production of 'Beauty & the Beast.' Credit: Tara McMahon
For its annual spring gala performance and fundraiser Saturday, Middlebury-based Brass City Ballet will stage a familiar production — but with a twist — and a brand new work from a respected New York choreographer.
The nonprofit dance school and performing company will perform "Beauty & the Beast" and an untitled piece by Matthew Westerby, artistic director of the Matthew Westerby Company, a modern dance group.
"We usually do a crowd pleaser, like 'Beauty & the Beast,' which is great and fun, but our end-of-the-year finale is also a way for us to put our art out there," said Elizabeth Fisk Barisser, artistic director of Brass City Ballet.
Originally from the United Kingdom, Westerby danced for many companies and started his own in 2008. For the past three years, he has been the dance company in residence for Litchfield Performing Arts' Project Poetry Live! While he was in Connecticut working for the arts-in-education initiative last year, Barisser invited him to teach a master class at her studio.
"I liked his approach," Barisser said. "He works very well with the students."
She then hired him to choreograph a work for her student-based performing company, whose members are between 8th and 12th grade and are enrolled in a pre-professional program.
"Brass City Ballet is not new to modern. It's really important to our dancers to be exposed to it as they continue their training," Barisser said. "Matthew gives them improvisational tasks and projects and the material that comes from it is so inspiring. He is living and working in New York and it's good for them to see what is current in the modern dance scene."
As for "Beauty & the Beast," Barisser said the piece will feature new, original choreography by herself and associate artistic director Christine Harris. There are new sets and costumes and the production will have a cast of more than 50 dancers enrolled in Brass City Ballet School. Guest artist Todd Hall, formerly of Boston Ballet, performs the role of Prince/Beast. Gabrielle Rodriguez, a senior at Chase Collegiate School in Waterbury, dances the role of Belle.
"It's very dramatic ... it's a fairy tale," Barisser said.
One of the fun challenges, she said, has been making the Beast scary but not too frightening.
"We want kids to come to our show so you want him scary, but accessible ... We are hoping for nervous giggles," she said. "And his development as a character has to go from being scary and angry into someone Belle can fall in love with."
In addition, Judith Ehrman-Shapiro of Litchfield will present "Love Poems" performed by Christine Harris.Eleanor Barisser (daughter of Elizabeth Fisk Barisser), a dance major at Barnard College in New York, will perform a modern work to music by Cab Calloway.
If you go
Brass City Ballet will present its annual spring gala, including a production of "Beauty & the Beast" and a new work choreographed by Matthew Westerby of New York, Saturday at Naugatuck Valley Community College in Waterbury. The gala is the nonprofit's major fundraiser of the year. There will be a champagne reception after the performance with the dancers and choreographers.
The performance begins at 6:30 p.m. on NVCC's Main Stage, 750 Chase Parkway. Tickets are $35 for adults; $20 for seniors and children 12 and under. The reception is $25 per person. To reserve tickets, call 203-598-0186.
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Sunday, December 21, 2014
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During 'No Refusal,' any driver pulled over on suspicion of drunk driving must submit a breath test or get a court-ordered blood draw.
State law says anyone with a blood school concentration at or above .15 will be charged with a Class A misdemeanor, and could face up to one year and jail and $4,000 fine for first year offenders.
Last year during the Super Bowl 'No Refusal' initiative, officers made 17 arrests for driving while intoxicated.
The initiative will start 7:30 p.m. Sunday and continues through 5:00 a.m. Monday.
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