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The World God Only Knows
Le Chevalier D'Eon
XxxHolic is magical ouo
i say inuyasha its the best anime i have ever seen:D
Fairytail(its so awesome )
Shugo Chara Party(its like a sequel to Shugo Chara)
Full Moon o Sagashite(I saw the manga it was cute)
Shakugan no Shana II (sequel to Shakugan no Shana)
Kachou wa Maid-Sama ( the girl main character is just pure awesome)
Vampire Knight Guilty
Yumeiro Pattissiere
Yumeiro Pattisiere Proffesional
Kimi no Todoke 2nd Season
Ultra Maniac
Wolfs Rain(about wolves)
Ginga Detsetsu Weed(about dogs)
And thats all I can think of that Im pretty sure you didnt watch xD
Angel Beats,
Xamdou: lost memories,
ef-a tale of memories, ef-a tale of melodies,
the disapearance of haruhi suzumiya (movie),
the sacred black smith,
C The Money of Soul and Possibility Control (i liked this 1 the beginning was greate and i like the chaos bank worker^^ hope for season2 or an ova)
koukaku no ragios,
da Capo 1 and 2,
beyond the clouds,
5cm per second,
True tears,
Hanasaku Iroha,
Okami kakushi,
Deadman Wonderland,
Ano Hana,
Fairy Tail,
Heroic Age,
Isekai Monogatari (per episode is 45 minutes long 13 ep)
Tales of Synphonia, Thales of The alla, continuing 2011 end dezember
The world god only knows 1 and 2,
I"s pure,
my hime,
hanbu no tsuki ga noboru sora (6eps long romance story)
Elemental Gelade,
Seitokai Yakuindomo (1 of my fav comedi anime watched it twise=))
Bungaku Shoujo (well i love weird animes^^ about a girl eating books 9ep)
Yumekui Merry,
Fate Stay Night, Fate Stay Night: Unlimited Blade Works (Movie), Fate Zero will come out this year,
Itsuka Tenma No Kuro Usagi ( will be released soon i love the manga so cant wait^^)
kimi ga nozomu eien,
El Cazador,
Sister of Welbers,
Birdy the mighty decode 1 and 2,
Hatsukoi Limited,
Amagami ss,
Tokimeki "only love",
Iria no Sora, UFO no NATSU (6 eps long)
Dragonaut the resonance,
Sora o Miageru Shōjo no Hitomi ni Utsuru Sekai (9 eps long nice anime^^)
Kowarekake no Orgol (short movie)
Asatte no Houkou,
Kamisama Kazoku,
Gift Eternal Rainbow,
Venus Versus Virus,
Wind Breath Of Heart (romance)
Yozakura Quartet,
Shinkyoku Soukai Polyphonica Crimson,
World Destruction,
Infinite Stratos,
Ladies vs. Batlers!,
kenko Zenrakei Suieibu Umisho ( good comedy)
spice and wolf 1 and 2,
haruhi movie full http://www.youtube.com/watch?v=fka2teeL … ideo_title
try "Angel Beats!" and if you what something scary/awesome go "watch When they cry". you can watch a lot of different anime on a website called
they also have mamgas
well i hope this gives you an idea
I'd reccommend....
~Daikon Brothers~ (Its hillarious but its rated..MA just so you know )
~xXxHolic~ (EPICNESS)
~Soul Eater~ (its just so epicly awesome you cannot pass on it oAo)
~Pandora Hearts~ (sorry if you've finished its just a really good anime XD..well not the best, but I love alice in wonderland.. I say its almost just like that but with a different plot..? and its a LOT less Disney >.>)
~Panty and Stocking with Garterbelt~ (OMG How can u NOT love this anime?D:< Its the freaking bestttttttttttttttttt!! its hillarious..epic..just. watch it OAO)
Im different... Enjoy?
Try watching Hakuouki Hakketsu-Roku <--it's like continuation of Hakuouki Shinsengumi Kitan
Saiunkoku Monogatari season 1 and 2 (Colourcloud Palace)
Hanasakeru Seishounen
La Corda D'oro
These anime are Reversed Harem/Romance
Oh! Also, If you haven't seen
Uragiri wa Boku no Namae wo **** (Betrayal Knows My Name -another name- Uraboku)
Just finished the drama, Jin 2.
Yes I watch the second season and not the first XP I don't really even think I completely need to watch the first because there were pleanty of flashbacks. YES FLASHBACKS HELP FOR ONCE XD And it also sets up the story by, not explaining every detail for new watchers, but giving enough hints to put together to explain (if that makes sense? XD). It was a really unique and interesting story. I gotta say, even though it's a medical type drama thing and medical stuff bug me, this drama was amazing, and probably the best I've seen so far.
I'm also in the middle of watching the live action version of Hell Girl (began watching it a few months ago, before I heard of Jin 2). It's actually not as scary as I thought it'd be so I'm pretty happy -w- and it's still real good. I gotta finish the second season of that anime too... But I think I should catch up on the Ao no Exorcist episodes first. X3
:3 skip beat, you should read the description on animenewsnetwork xD it will make you curious
I just finished Hell Girl 2
I started tearring up and almost cried at the end. But then I heard that there was a third season. I'm starting to watch it now. If I had not heard that there was a season 3 I seriously definately would have cried. Love Hell Girl so much TTwTT <3
I know you have watched Higurashi, but there is going to be a fourth Higurashi OVA coming out later this month.
Monsoon_Girl wrote:
I know you have watched Higurashi, but there is going to be a fourth Higurashi OVA coming out later this month.
Yeah I heard =3 "Higurashi no naku koro ni Kira"
Though it looks like a whole lota fan service, I'm still so gonna watch it XP I'm such a huge Higurashi fan >w<
I started freaking out and jumping for joy when I first found out XD
Uua~ It seems as though I finished Katekyo Hitman Reborn =3
God, you have no idea how much I've skipped in this anime o-e
But it's really just all those random "fun" episodes that seem like they could possiblly be fillers. I skipped alot to get to the main plot and and see my fave characters ewe Other than the happy-fun comedy episodes, I really loved this anime. I mean not that those episodes were bad... it's just that they began to bore me when I was starting to watch the episodes cuz I was already bored enough. So I got sick of them and went straight to the main thing. -w- Sorry, I expect alot more action from anime like this. But, again, I really did love this one ^-^
Muahahahaa X3 now i shall start reading the manga >w<
"Real Life" is really good.
Panty and Stocking with Garterbelt is pretty funny and badass
mayo chiki! <-- hilarious
no. 6 <-- nice storyline
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Hi, I thought about dropping art here once in awhile. I still keep on posting more on tumblr, tho.
Thank you for all the birthday greetings you guys left me at this summer, I'm very grateful and I appreciate the time you spend to drop here and wrote me :--)
I hope you're doing well and the upcoming fall has something new, good and exciting to offer for you..!

subset: commoncrawl


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Unable to purchase anymore
Since the UK banned handguns,I have been getting my S&Ws & Rugers etc from Germany,Needing a new S&W 686,with a 6" barrel, & a Ruger Redhawk KRH 44,I sent my order & was told SORRY. The US State dept has decread that US firearms cannot be re -exported from the country originally exported too.IF I apply to ATF , pay 250$ for each one, and wait 6 months,I MIGHT get the ok to purchase one item at a time,depending if they are in a good mood that day or not.If they refuse,I still lose the $250.I can buy some pretty good semi-auto pistols from Europe,but they have nothing ( except Korth @ $6,000 a time) as good as a US made S&W etc etc.I am quite happy to spend my cash on your products, which would keep people in work,but they wont let me anymore.
That stinks. But, the elected officials in the UK made the law. Germany looks to be going the same way. See this new thread in the legal section.
Sounds like your gubmit needs an overhaul, too.
Maybe you and kdog should start some sort of trade business. I kid, of course.
Kinda makes you wonder how the two armed robbers that hit that jewelry store got those guns. Surely they didn't break the law to be able to break the law.
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Have you noticed the increasing number of protein pancake recipes these days? At first, I thought maybe it was just a body-builder thing, then perhaps it was a paleo-diet thing, but now I am realizing that these recipes cross those boundaries. A protein-rich pancake is a fabulous way to start the day. I love a good bowl of oatmeal, but unless I add some protein to it, I'm hungry within a couple hours. If I opt for a protein-rich breakfast, I'm far less likely to need a snack. This combination of protein and carbohydrates keeps you full and gives your body (and brain) some serious fuel to work through. Protein pancakes are an ideal breakfast solution.
I was very excited to stumble upon Stack'd: The Gluten-Free Protein Pancake Cookbook from Jessica Kahn and photographed by Rianna Alberty. These protein pancakes use rolled oats as a base and add eggs, yogurt and whey to bulk up the protein. Stack'd provides tips for swapping out oats for almond meal to make the recipes paleo-friendly and substitutions for making them dairy-free. I don't imagine these pancakes will work as well with vegan egg substitutions, but they might. Recipes rely on a blender for mixing, so break out that Magic Bullet!
Stack'd is elegantly simple. Its 30 recipes are beautifully photographed and contain easy-to-follow directions with ingredients you can find at your local supermarket. Because they do not rely on flour, there is nothing to be missed in these recipes. Use certified gluten free oats if you need the recipes to be gluten free. I absolutely adore the wonderful flavor combinations in the book- from sweet concoctions (adorably titled "Sweet Cheeks") like Tart Cranberry and Citrus and Crisp Apple, to savory Fragrant Rosemary and Cozy Carrot. Stack'd even has a whole section dedicated to chocolate concoctions and dressed up recipes- Orange Julep, anyone?
Jessica and Rianna would like to give one lucky winner a copy of this book, along with a package of our Gluten Free Regular Rolled Oats. To enter, simply follow the prompts in the app at the bottom of this post (this works best on a desktop computer). We'll pick a single winner at random from all who enter by 11:59 pm on 4/25/14. Can't wait? Head over to the Stack'd website to order or download a copy.
Chive and Cheddar Protein Pancakes
Modeled after some outrageously delicious mini muffins, these chive & cheddar pancakes make for a great, savory flavor combination. Serve with dinner or make two-bite silver dollar pancakes as an appetizer.
- 3 tablespoons milk
- 2 eggs, large
- 2 tablespoons fresh chives, finely chopped
- 1 teaspoon agave
- 1 teaspoon vanilla extract
- ½ cup (5 oz/143 g) nonfat plain Greek yogurt
- ½ cup (1.6 oz/46 g) rolled oats
- ½ cup sharp cheddar cheese, shredded
- ½ teaspoon baking powder
- 1 tablespoon natural whey protein powder (optional)
To keep pancakes warm while you make the full batch, preheat oven to 200°F.
Using a blender, first add all of the wet then dry ingredients. This will expedite the blending process, brief though it may be. Blend until the oats are broken down and the batter is smooth, about 10 – 15 seconds.
Heat a non-stick griddle or pan to medium. Test the temperature with a quick spritz of water – just run water on your fingertips and flick it in the direction of the cooking surface. If it sizzles, it's ready. Spray with non-stick cooking spray and you're all set for the batter.
Pour a scant ¼ cup of batter per pancake onto the griddle or pan. Cook on the first side for 1 – 2 minutes or until the edges start to cook and bubbles appear on the surface. Lift the side of the pancake up just a bit to see where it is in the browning process. Ideally, let them cook until they are a golden, maple color.
Because these pancakes won't have the rigidity of their flapjack forefathers, the swooshing technique can work wonders. Grab a spatula and, quite literally, swoosh it under the target pancake in one swift motion. Then flip it over.
Cook on the second side for an additional 1 – 2 minutes, or until golden-brown.
Transfer to an oven-safe dish and keep warm in the oven. Continue with remaining batter.


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Wells family files suit against city
Emily Longnecker/Eyewitness News
Indianapolis - The family of a motorcyclist killed in a crash with a Metro Police officer has filed suit against the City of Indianapolis.
Eric Wells, 30, died Aug. 6th when Officer David Bisard crashed his cruiser into three motorcyclists who were stopped at a red light. The lawsuit will see dozens of people subpoenaed for their testimony about what happened the day of the deadly crash up to and possibly including Officer Bisard himself.
"This suit is never going to make you feel better or feel good, regardless of what the future brings," said Wells' father, Aaron.
The suit filed in Marion County Superior court is seeking $700,000 in damages, the most that can be asked for by state law. It asserts there was gross negligence and extreme indifference to human life by Officer Bisard.
"The dollar amount is woefully inadequate," said the family's attorney, Linda Pence.
"This gives us an opportunity to get into it a lot deeper and hopefully bring some truth that will lead to justice and that is what we hope for and pray for everyday," Aaron Wells said.
The suit claims Wells' wife, Luisa, and the rest of his friends and family are subject to a lifetime of permanent grief because of this accident.
"It has destroyed our lives. We're not the same people we were before August the 6th," said Wells' mother, Mary.
The suit names the city and IMPD as co-defendants.
"It's not just one. It's all of them. I believe it's all of them. I believe the system has failed," Mary Wells said in an earlier interview with Eyewitness News.
Pence says she will subpoena all those that were at the crash scene that day, including Officer Bisard.
"The family doesn't have to any longer, just take what the city officials told us happened," she said.
Even though Aaron Wells realizes no matter what is discovered, nothing can bring his son back.
"You really don't have any good days. You just have some days that are a little better than others," he said.
Suggested Links
With Christmas just around the corner Wells says his family is taking it one day - and sometimes one hour - at a time.
Related stories:
Crash victim's mother wants Bisard fired
Crash victims' families, Bisard attorney respond to report


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Originally posted by Ninerjohn:
Lol. I really am happy for Homer.Still not a keeper though. If he costs me 3rd I dont think I will lose any sleep.
See, that's the thing - you're stuck in present. I picked him up because he was pitching well and I felt if he pitches great during the rest of the season and post-seaosn - he is someone worth looking into.
Anyway, it's just a 3rd place match, so whatever...I thought it was sort of funny. Hopefully, you didn't lose much sleep over Lincecum costing you a spot in the final though...
Just kidding, don't get too worked up over it
[ Edited by 49ersMyLife on Sep 28, 2012 at 11:24 PM ]


text: On the flip side, have you come to appreciate the other players' music? JJ Redick: The funny thing about it is that I grew up around hip-hop, because basketball and hip-hop are so intertwined in pop culture. I was the only white kid on my teams growing up, and we used to travel all over the country, so I used to be really into hip-hop. I grew up listening to Tupac and Biggie and Nas, Atmosphere, Brother Ali, some independent rappers as well. I used to actually write lyrics and battle-rap in high school, so I can definitely appreciate it. I'm not a huge fan of what's out right now — I think that's partly why I don't listen to it as much. I've been a huge Kanye fan and a huge Lil Wayne fan and a huge Rick Ross fan, so when they put an album out I usually get it that day, and I'll listen to that for a while.


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Board Game for Type Designers
Behance designer Lukasz Kulakowski combined his love of board games with his love of typography. The result was Gametica, a simple roll-and-race board game where players put their type knowledge to the test. The questions on the 140 game cards range from visual recognition of fonts, to events in typographical history. Kulakowski has designed the board, questions, cards, even the players' tokens, which can be printed and folded according to the included folding template. His Behance page even has a free, high-res version of the Gametica poster available for download. The Gametica game isn't in production yet, but Kulakowski is looking for a publisher to make the game a reality for all type-obsessed designers.


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Organic solvent cleaning: Rhode Island Rules and Regulations (RI Rule) 12.031.036-36.4
Wood products manufacturing: RI Rule 12.031.035-35.5
Competent person/spot repairs: RI Rule 14.120.002-Part D
Hazardous waste:
Transporters: RI Rule 12.030.003-6.09
Universal waste:
Printed circuit board recyclers: RI Rule 12.030.003-11.2 and RI Rule 12.030.003-11.5
Lead-based paint abatement: RI Rule 14.000.013-18.0
Pesticides: RI Rule 12-020-013
Solid waste:
Incinerator and resource recovery facilities: RI Rule 12.030.024-4.3.31
Mixed solid waste composting facilities: RI Rule 12.030.028-8.7.35
Landfills: RI Rule 12.030.022-2.3.06(e)
Drinking water system operator certification: RI Rule 14.180.009
On-site wastewater treatment systems (OWTSs): RI Rule 12.1200.002-9 to 12.120.002-11
Wastewater: RI Rule: 12.190.007
U.S. Environmental Protection Agency (EPA) Region 1
Rhode Island Department of Environmental Management (DEM) Office of Waste Management
Board of Certification of Operators of Wastewater Treatment Facilities (Board) Rhode Island Department of Health (DOH)
U.S. Department of Labor Occupational Safety and Health Administration (OSHA) Region 1
Rhode Island Department of Labor and Training (DLT) Occupational Safety Unit
See ADDRESSES & CONTACTS for addresses and telephone numbers.
See national section for basic information and federal regulations.
• Rules. Under air regulations, Rhode Island has adopted training requirements that are stricter than federal requirements for wood products manufacturing, organic solvent cleaning, and gasoline dispensing facilities. The state also has stricter requirements for certain asbestos personnel, drinking water ...


text:
Soulful Butterfly
Soulful Butterfly Poems
|I Will Not Lose
Best Poem of Soulful Butterfly
I Will Not Lose
I will not lose to your despair
I am to grown to even go there
I have a life to live and u are not included
I will not lose to your insecurity
and your ego infirmities
I can't help the helpless thats not my
goal in life. I want a hard working man
who was to make me his wife.
I will not lose i choose to fight
because god has something in store
for me that right.
So i choose to win in this life and fight for what is right
Tonight when i lay my head to rest
and i look around at my life's success
no matter how great or little to you
i ...


text:
Free Shipping & Returns
Exclusively Ours! Barneys New York black lambskin moto jacket styled with diamond-quilted shoulder yoke. Convertible snap-down notched lapels, zip pocket at chest, angled side zip pockets, topstitched elbows, gusseted zip cuffs, silvertone metal hardware Asymmetric two-way zip closure Lined Available in Black Leather; lining: polyester Specialty care Imported Our model is 5'10"/178cm and is wearing a size Small.
Weighty brushed suede lends a luxurious feel to this classic Blank Denim moto jacket. Exposed zips secure the placket, pockets, and cuffs, and snaps secure the epaulets and notched lapels. Optional belt. Lined. Fabric: Leather. Shell: 100% pig leather. Lining: 65% polyester/35% cotton. Leather clean. Imported, China. Measurements Length: 19.25in / 49cm, from shoulder Measurements from size XS
This soft leather Acne Studios moto jacket is detailed with studded, notched lapels and an off-center zip placket. Belted hem. 3 zip pockets and a tiny snap-flap pocket detail the front. Long sleeves and zippered cuffs. Interior welt pockets. Lined. Fabric: Soft leather. Leather: 100% lambskin. Leather clean. Imported, Turkey. Measurements Length: 19in / 48cm, from shoulder Measurements from size 36
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A well-tailored biker jacket is something you'll wear season after season. Made from smooth black leather, IRO's 'Ashville' style has all the markers of a classic, as well as double tabs and zipped pockets that emphasize the waist and make it feel more structured. This piece is fully lined so you can easily slip it over layered tops or sweaters.
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Blush-hued leather softens the typically tough biker edge of a moto jacket outfitted with all the classic zips and snaps. Brand: MADEWELL. Style Name:Madewell Crop Leather Moto Jacket. Style Number: 5399669. Available in stores.
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Quilted shoulder and sleeve panels add an authentic note to a sleek stand-collar moto jacket cut from supple faux leather with a rugged, pebble-grained look. Brand: HALOGEN. Style Name:Halogen Quilted Faux Leather Moto Jacket. Style Number: 5358177. Available in stores.
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Rugged zip details boost the edgy, moto-inspired vibe of this soft faux-leather jacket designed to add a dose of cool to any look. Brand: BLANKNYC. Style Name:Blanknyc Life Changer Moto Jacket. Style Number: 5347686. Available in stores.
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Adjust your attitude with a tailored biker-babe jacket constructed with detailed seaming. Allover zip accents bring the urban edge, while a slim, feminine cut complements your curves. Brand: BLANKNYC. Style Name:Blanknyc Faux Leather Jacket. Style Number: 683636. Available in stores.
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Lambskin leather brings an exceptionally supple feel to a beautifully fitted stand-collar jacket finished with an attached half-belt at the waist. Brand: MACKAGE. Style Name:Mackage Miela-N Belted Leather Moto Jacket. Style Number: 5354182. Available in stores.
Free Shipping over 300 USD for a limited time only
Not only is this Just Cavalli leather jacket cropped for a cool and modern fit, but the stud embellishment keeps it tough and tactile with just enough shine Black leather, silver-tone stud embellishment, pointed collar with snappers, pointed lapels with snappers, asymmetric zipped front, zipped and snapped pockets, zippers at back Fitted, cropped body 100% Leather


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Comstock native beaten to death in San Francisco donated organs
SAN FRANCISCO (NEWSCHANNEL 3) - A Comstock Township native who had been on life support in San Francisco, following an assault four days ago, has died.
31-year-old Bryan Higgins was taken off life support Wednesday afternoon at a San Francisco hospital.
His sister in law says that Higgins is on the national organ donors list and that all of his organs are being donated.
She said, "No foreign substances (drugs or alcohol) were found in Bryan's body and because he was a very heathy young man all of his organs are in perfect condition. For the next several days, even in his afterlife, he continues to give, show, and be love."


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Part of the reason I love blogging – and vlogging – is that it forces me to do things I otherwise wouldn't and to examine the way I think about things. I have a problem spending money on myself. Truly. My clothes tend to hang around forever in my closet – last week, did you see my vlog on the oldest item in my closet and blog on the special items I found in my closet while preparing that vlog? – and I don't buy new ones often. When I do, they are always on sale and frequently on clearance. I own fewer shoes than almost anyone I know. I could go on and on.
That said, I can go out to dinner with friends and not worry about it. I finally figured out why. As long as I'm not doing it too often, it's as much about them as it is me. They're enjoying my company and getting out of their houses, so the money I'm spending isn't just for my benefit.
This week's #VlogMom question came from Veronica Pericon from Veep Veep who asked the perfect question for me:
What's the last thing you bought that truly was worth it? Absolutely no regrets.
Wow. No regrets? I really had to think about it. Fortunately, the serendipity of this question and a conversation with some friends last week gave me my answer.
And no, this was not sponsored in any way. I truly love this store and drag all my friends there. They love it, too, and I constantly get complimented on items I've purchased there. If you're in the Chicago area, head over to Dom itp and tell them I sent you – just for fun. There's truly no compensation or sponsorship.


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Open Table's Diners' Choice Winner 2015!
Overlooking the Manahattan skyline, Del Frisco's Grille in Hoboken offers a modern, inviting, stylish and fun, environment. Del Frisco's Grille takes the classic bar and grill to new heights, drawing inspiration from bold flavors and market-fresh ingredients. The energetic bar, a destination in itself, will create a buzz throughout the restaurant and sets the stage for an amazing night out. The patio will provide the perfect perch to catch a glimpse of the action and offers some of the best al fresco dining. It'll be your place to eat with a friend and catch up on the latest or make new friends at the bar.
Del Frisco's Grille uses local ingredients alongside new classics that are easy to share with friends: Oven-Baked Flatbreads, Cheesesteak Egg Rolls, and Ahi Tacos. The menu also includes a selection of prime steaks, hearty salads, formidable sandwiches and chef-inspired entrees.
*Reservations are accepted for indoor dining only. Patio seating is available on a first-come, first-served basis.
Hours of Operation
Monday - Wednesday: 4:00 pm - 10:00 pm
Thursday - Saturday: 4:00 pm - 11:00 pm
Sunday: 3:00 pm - 10:00 pm
Monday - Saturday: 11:30 am - 4:00 pm
Sunday: 11:30 am - 3:00 pm
Del Frisco's Grille Hoboken
221 River St.
Hoboken, NJ 07030
Tel: (201) 653-0195
Email: email@example.com
General Manager
Daniele Polimeni


text:
Howdy all,
I've been driving my 60 around, camping and taking photos. Canada, Alaska, the southwest and west coast, now Mexico and hopefully points further south.
Here are the photos I took on the northern leg:
The truck started the journey with an OME suspension, turbo glide turbo on the 2H diesel, single swingout rear bumper with jerry can & spare tire holder, an aluminum bull bar, worn out all-terrains and some interior mods for comfort & entertainment. That got me through North America.


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Procedure performed: UA, LA, outer thighs, waist, hips
My 'why' story is pretty standard. I had just turned 40, was done with having kids, and needed/wanted to get rid of a lifetime of problematic fat deposits. I already knew my doctor and trusted him and his facilites. I did not even consider those medi-spa places.
My procedure required that I have local anesthesia for safety reasons. I was giving two shots of Demoral that did not work for me. I was awake the whole three hours AND got to feel every bit of the suction. Yes, it sucked and hurt, a lot.
I am now two weeks weeks post op. I only had to wear the compresion garment for 2 weeks. Thank goodness to as that thing is awful. I do have some hard lumpy areas, swelling, and one spot that looks like he missed but overall, I am happy. The entry points might leave lil white scars that will blend in with the stretch marks. I don't wear a bikini or short shirts so I'm good with those. I didn't have a lot of bruising but the pain was/is quite severe. I was able to go back to work after 4 days but continue to have residual pain.
This process is VERY painful and I do expect that fully recovery and final appearance to be be obtained after 6+ months. The board what truly helpful in managing my expections and I am happy to contribute.
To those still researching, note the following: There are always malcontents, not everyone can be placated. The process IS painful and expensive. Don't do it if you can't stomach either. Give it plenty of time. Yes, you will fit into your clothes better the day after but you will swell and bruise and be lumpy after that. I am just two+ weeks out and know that my body is still recovering.


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This delicate little bottom is utterly elegant, the bold mantilla sweet lace and its graphic play against the skin is utterly fresh. A cheeky panty for the modern woman, ghost chair rather than baroque velvet, Edison bulb over crystal chandelier, modern meets sexy meets stunning. In short, this is the piece for when we think we may be all grown up.
- Low-Rise


text:
GoGeta's Web Provides Local SEO Services2013-04-17 14:20:48 (GMT) (Caymanmama.com - Press Release Website Announcement News)
04/10/2013 (press release: ncconcepts) // Copiague, NY, USA // Nic Canobbio
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In a time when the Internet is the source for most to find a product or service they need, there is no greater investment than local SEO marketing for your business. Who better to market your local business then a fellow local business? Our many local SEO services will give you the most for your money. Gogeta's understands the importance of Search Engine Optimization and how to make your website grow your business even while you sleep. We strive to push your site to the top of search engines with state-of-the-art tools, professionally trained consultants, and around-the-clock assistance.
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At Gemvara, we believe that the jewelry you wear should be one of a kind, like you. That's why we make each piece to order, one at a time, just the way you want it. Choose alexandrite and yellow gold or green amethyst and sterling silver: it's your choice. Mix and match gems and precious metals for a look that's exactly you. It's jewelry for all life's occasions, from a wedding or Valentine's Day to your own personal milestones and celebrations. Gemvara uses only the highest quality materials to craft your sterling silver round mothers band jewelry design with meticulous attention to detail. Our precious metals are recycled or responsibly mined. Round is the classic gemstone shape because it has the most brilliance of any gemstone cut. Sterling silver is 92.5 percent silver. Gemvara's silver is more pure: we use Argentium 960, which naturally resists tarnish better than any other silver. Our wide selection of sterling silver round mothers band jewelry by Ji Hwang, Jeet Palavwala, Bijoux & Bijoux, and other talented designers means you can find jewelry that's exactly your style. You can also shop by style, choosing our Customer Favorite, Celebrity Style, or Featured Collections. At most retailers, mother's designs are limited and, frankly, dowdy. Gemvara believes that mother's jewelry should be as fashionable as everything else you wear. Gemvara's fine quality sterling silver round mothers band jewelry is designed to be passed down for generations to come, crafted by hand in the United States.
We can help right away. Chat with a jewelry expert now!


text:
Reviews - De Vere Cotswold Water Park Apartments4
Lake 6, Spine Road East, South Cerney, Cirencester, GL7 5FP
Customer Reviews
Our reviews are from genuine LateRooms.com customers. We verify that the customer has stayed before leaving a review.
Very Good
89% would recommend it to a friend
Customer service
Food quality
Room quality
Great apartment for young family booking
We came for a wedding with a 22 month old and the reception were helpful and accommodating although it would have been appreciated to have our room earlier.
We changed for the wedding in the SPA changing room family room
The accommodation was excellent in a one bedroom apartment as fully equipped kitchen ( although tea and coffee not replenished day to day)
My only criticism on departure is the need for help when you have a toddler in getting bags to a car as the car park was full and we couldn't easily move the car to just outside )We had great service on arrival our bags got to our room but on leaving we were so harassed by our toddler trying to escape that we ended up forgetting a vital piece of liggage
The hotel team were great and posted it to us but this was at our cost ( which is fine) but had we had help to leave the room it would have prevented the need for this
We will be back though and will call reception to ask for help moving the bags !.
Read More Less
Hotel and facilities are great and n an excellent environment for all of the family
Been to this hotel three times so far and still impresses me.
Convenient and pleasant stay
All normal rooms were booked but a studio apartment was offered.
It was the perfect solution. Kitchen was well appointed and even had a dishwasher. The only criticism was the room number signage was bad. We arrived late and struggled to find our room location in the dark. The apartments were in blocks but we were not given indication by the reception where our particular block could be found. Once the block was located the room numbers were clearer.
Read More Less
Back to nature
There is nothing better than waking up in the morning to a vista of a lake with a couple of swans swimming.
The place is totally relaxing and total value for money. No need to drive anywhere as it has gym, bat and a great restaurant. Totally recomended!!
Read More Less
Excellent 2 night stay
The quality of the accommodation was top, fantastic sauna available and also gym which I will use next time, looking forward to returning.
Four Pillars Self Catering
Excellent accommodation.
Plenty of room and as part of the hotel then food etc available if you wanted. The staff were all very friendly ,and special mention for excellent service from Luke in "The Old Boathouse" restaurant. Had a very enjoyable stay , and will definitely return.
Read More Less
wonderful. wonderful. wonderful!!!!!!
This was a wonderful stay , the only down side was the sofa bed was made up when we arrived and we had to unmake it and work out how to put it back to a sofa!.
A Great Retreat
As a returning customer expectations were already there and generally not disappointed.
The apartments provide a great retreat and place to relax. The small kitchen has everything you might need. A quick refresh of paintwork and carpets might be a good idea (carpet in hallway of our apartment had an obvious stain). Having said this would still return to use these time and time again. Great to be able to have breakfast in the hotel if wanted to. Highly recommended to give freedom of choice on what you wish to do - gives more options than a hotel room. Opens up the Cotswolds easily to car explorers and plenty of walks too.
Read More Less
Very disappointed won't be returning
Booked into apartment having previously stayed in hotel room.firstly room did not feel particularly clean on entry with dust and marks on parts of room.
Tried to shower in room but it did not work (room 708)so made way down to reception to report it. Reception promised someone would be up to fix it which ended up being untrue nobody came up to room in 2 days we stayed to try and fix problem so ended up showering in spa for entire stay. Our room was also not cleaned during our stay but being apartment I was not sure whether this was standard practice as previous stay in hotel room it was cleaned. Very poor all round will not be returning
Read More Less
Very pleasant stay
Good quality hotel offering modern and well equipped self-catering apartments.
We were pleased to be allocated three separate rooms, a twin with ensuite, a double with ensuite and a separate lounge/diner/kitchen. Very spacious, modern with good view. Good spa facilities but some classes booked within pool so not able to swim during advertised times.
Read More Less
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How Anton Perlkvist Got 9 Million Twitter Followers
Anton Perlkvist is the largest Twitter publisher in Europe, with more than 9 million followers
Based in Malmö, Sweden, this "Twitterpreneur" has made his mark via Twitter accounts that serve up a variety of content—from science facts to art and design to photos of glamorous dream homes—with an emphasis on shareability and fun.
Despite his relative youth (he was born in 1992), Anton has built an impressive resume with Twitter accounts like @Fun and @GoogleFacts. As the CEO and founder of social media management firm Somedia, he's created campaigns and provided managed tweeting (and retweeting) for such major corporations as Microsoft, Disney, Samsung, and Red Bull.
We asked Anton to share some insight about building an online brand and making the most of your relationship with your followers on Twitter.
WhoisHostingThis.com: How have you garnered so many Twitter followers?
Anton Perlkvist: How did Barack Obama become the president and get so many people interested in his politics? How did Coca-Cola get their first million customers? And how did I get more than 10,000,000 total followers?
I am confident that part of the truth is giving the people what they want. For example, by creating Twitter accounts worth following. However, understanding what goes viral — and how — has also been key to my Twitter success.
WIHT: How do you monetize your Twitter accounts?
AP: There will always be money where people spend time. I can reach millions of people in seconds, no matter where they are, as long as they have smartphones in their pockets. Monetizing Twitter accounts can be done in multiple ways: sponsored links, paid retweets, helping advertising messages, and branding projects to reach out are just a few.
WIHT: How much time do you dedicate to managing your Twitter accounts each day?
AP: Handling Twitter accounts as a professional takes time. Twitter never sleeps. I'm dependent on help from various resources to make this as effective as possible. Help from Twitter tools to help me tweet and retweet when I'm asleep, content writers who provide me with content when I don't have time to write, and partners who help me be online when I cannot be online. But I'm still averaging 40-50 hours per week.
WIHT: What inspired you to create these accounts?
AP: I have a lot of inspirations in different ways of managing Twitter accounts. One of my biggest inspiration to start with Twitter was @_Snape_.
WIHT: What software do you use to manage them? A tool like Hootsuite? Something custom?
AP: I have used hundreds of different Twitter tools. Hootsuite is a good one. The ones I use mostly these days are Twitter for iPhone, Tweetdeck, and Bufferapp.
WIHT:. What one thing do you wish you'd known when you started out?
AP: That I understood how important the most basic thing is: your tweets are a huge part of all your followers' Twitter experience. Every follower's experience matters, and you can make it interesting.
WIHT: What's the biggest mistake Twitter publishers make?
AP: Forgetting that every follower is a real human being. It's easy to be blind and not care about every single follower when you already have thousands. Big numbers seems to have that effect on people.
WIHT: What's next for you? Will you continue to build the accounts you have, build new ones, or move on to something else?
AP: I am working every day to make the Twitter experience more enjoyable for every Twitter user. Even if not everyone on Twitter is following me yet, I hope that most of them will have seen and enjoyed at least one of my accounts.
Keep up with posts like this by subscribing to our RSS feed, or following @WhoIsHosting on Twitter.


text:
Submit News
Microsoft Windows Sales Plunge 33 Percent as Company Looks Ahead to Win 8
Jason Mick
October 19, 2012 12:21 PM
Recipient E-mail
Sender E-mail
Q1 2013 likely left Microsoft's Ballmer sweaty and frustrated.
(Source: YouTube)
Some divisions profit, but Microsoft faces uncertainty as it races ahead to Windows/Windows Phone 8
Earnings week for the tech industry has brought
a lot
bad news
, with a few pleasant surprises (
like Intel
Corp. (
)). Microsoft Corp.'s (
definitely fall into the "bad news" category.
Microsoft, which operates two fiscal quarters ahead of the calendar quarter, saw itself narrowly miss
analyst targets
in both revenue and net income (profit). The company pulled in $4.47B USD (expected: $4.72B USD) in profit on revenue of $16.008 USD (expected: $16.416B USD).
A key to the miss was plunging revenue from the Windows unit, which saw a big drop in Windows 7 sales. Microsoft better hope that predictions of Windows 7 being the "
next Windows XP
" aren't true, because it's counting on Windows 8 to revive sales, with movement of the
once-sterling Windows 7
slowing to a sluggish pace.
Steve Ballmer, chief executive officer at Microsoft,
roared at his critics
, commenting in the earnings release, "The launch of Windows 8 is the beginning of a new era at Microsoft. Investments we've made over a number of years are now coming together to create a future of exceptional devices and services, with tremendous opportunity for our customers, developers, and partners."
Microsoft is currently selling Windows 8 upgrades via pre-order.
Microsoft did defer $1.36B USD (as it typically does) in pre-order revenue from its
Windows Upgrade Offer
program. Windows 8 official
launches next Friday
on Oct. 26.
One bright spot in the earnings report was Microsoft's servers unit, which saw an 8 percent bump on revenue, mainly on big growth in SQL Server and System Center. And in the also-somewhat-good news category, Bing and the online service division crept a bit closer to no longer being
massive money losers
, with revenue 9%, driven by a 15% increase in revenue per-click. That's particularly good as the dominant force in the search market, Google Inc. (
), saw
a large
in revenue per-click
after traffic acquisition costs (TAC).
The Entertainment and Devices division earnings were a revenue draw (down 1 percent). It is currently focused on reviving Microsoft's smartphone bid with
Windows Phone 8
, which launches next week. It also was able to brag that the Xbox 360 remains
sales king of the American consoles market
, with a 49 percent estimated market share. The Xbox 360's successor, which some are expecting to be
named the Xbox 720
, is not expected to land until sometime in late 2013 or early 2014.
Windows Phone 8 launches next week. [Images: Nokia (left), HTC (right)]
Microsoft remains one of the best earning and most successfully diversified hardware/software giants in the consumer electronics industry. However, it continues to be defined by the burden of high expectations, speculation, and intense scrutiny surroundings its "misses".
Shares of Microsoft were hammered in morning trading, down almost 3 percent to $28.70 USD/share.
FT [analyst estimates]
"Mac OS X is like living in a farmhouse in the country with no locks, and Windows is living in a house with bars on the windows in the bad part of town." -- Charlie Miller
Related Articles
AMD Set to Restructure After Poor Q3 Earnings, Layoff 15% of Workforce
October 19, 2012, 9:05 AM
Inadvertently Leaked Earnings Report Leads to Shaky Trading Day for Google
October 18, 2012, 7:08 PM
Q3 Bloodbath: Nokia Hemorrhages $750 Million
October 18, 2012, 12:43 PM
Intel Beats Expectations, Posts $3B USD Profit
October 17, 2012, 11:40 AM
Bill Gates Says "No" to Second Coming, Ballmer Discusses "New Era" for Microsoft
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text:
If you are looking for a fun, fast and portable word game for your child (or even adults), then you need to take a look at the Bananagram Game.
Bananagrams are designed for 2 to 8 players. Its banana like pouch makes it easy to grab and go. It's a game that can be played in the car while traveling, at a restaurant while waiting, when visiting a friends house or at grandparents home, especially during the holiday visits.
Nice Gift for under $20.
To learn more about Bananagrams visit: Bananagram
Popular toys sell out quickly during the holiday season so follow up now and avoid disappointment on Christmas morning.


text:
Corn futures ended mostly lower. Futures were higher most of the day amid news that USDA reported another sale to an unknown destination. This sale totals 19 million bushels and is for delivery in the current marketing year. This is widely thought to be part of the Chinese business that's been rumored in the market for the past several days. Corn sold off late, though, on selling tied to a rumor, which was later confirmed by USDA, that a California cow tested positive for BSE. May corn settled 4 ¼ cents lower at $6.18 1/4. The December contract was 4 cents lower at $5.41 ½.
Soybean futures settled higher on Tuesday. Analysts are taking more critical looks at the harvest data from Argentina and concluding that the crop may total even less than recent pessimistic forecasts. The Argentine harvest is past one-third complete and the low yields seen so far are indicative of a crop that may total only 42.5 million tonnes or less. Last year was 49.2 million. Hopes for some better yields for later planted Argentine beans were set back by frosts. May futures closed 24 cents higher at $14.61 1/4 while November gained 10 1/2 cents at $13.52.
Wheat futures closed lower Tuesday. New frost threats that had developed for soft red winter wheat areas this weekend and early next week trumped bearish wheat acreage plans released by STATS Canada this morning. However, as the midday weather forecast updates came in, the frost threat was subsiding some, leading to profit-taking. This selling fed on itself, as traders refocused attention to the report from STATS Canada that producers there planted 24.3 million acres of wheat, up 2.8 million from last year and 400,000 acres higher than average pre-report estimates. By the close, all gains had been erased and replaced with losses. CBOT May closed half a cent lower at $6.24 ½; KCBT May closed 2 ¼ cents lower at $6.33 and MGE May closed 7 ¼ cents lower at $7.84 ½.
Cattle futures closed sharply lower. Cattle futures contracts closed down the daily limit. Early price strength was a continuation of Monday's late session recovery, but rumors began circulating that a case of BSE was found in a California cow and futures plunged the daily limit. After the close, USDA confirmed the rumor, but indicated the affected beef did not enter the food supply. June cattle futures settled $3.00 lower at $111.57. August was $3.00 lower at $115.60.
Lean hog futures closed lower on Tuesday. Hog futures were trading in a fairly narrow range until rumors that a case of BSE (mad cow disease) had been discovered in California. The rumor, later confirmed by USDA, sent cattle and hog prices down sharply. The May contract was down $1.43, closing at $86.60. June was $1.25 lower, settling at $86.55.


text:
Purchase Your Tickets For Enchant Below
For guaranteed fast admission to Enchant, be sure to pre-purchase your tickets online today.Please note that for events marked as "Sold out online", there are a very limited number of tickets available at the Enchant Box Office, starting at 3:30pm the day of the event. Those tickets are typically sold out by around 4:30-5pm. Tickets marked "After 8pm" are only valid for use after 8pm on the day of the event.
To select the date you'd like to attend Enchant, click that date on the calendar below.
**Limited gate tickets available on a first come first serve basis
Ticket Pricing
* Online prices only.
Adult: $19.95 + $2 s/c + 1 tax = $22.95 online | $25 at the gate all inclusive.
Children & Seniors: $14.95 + $2 s/c + .75 tax = $17.70 online | $20 all inclusive at the gate
Family: $59.95 + $8 s/c + $3 tax = $70.95 online | $80 all inclusive at the gate.
** Please note that gate tickets may be released earlier (both online and at the Enchant box office) and are available on a first come first serve basis.
Family passes are good for 2 adults and up to 3 of their children (from the same family, under the age of 16).
Please note:
- A family pass is one scannable ticket, so everyone in your family must arrive at the same time to enter Enchant.
- Photo ID is required by both adults to register your family seasons pass.
Season Pass Information
Picking up your pre-purchased Seasons Pass:
- All seasons passes must be registered in person at the season pass booth inside Enchant during your first visit to the event.
- Photo ID is required to register your seasons pass.
- To re-enter Enchant at a later date, simply bring your season pass card plus matching photo ID.
Secure Your Spot Today
To purchase tickets to Enchant, go to the event calendar, choose a date, purchase your tickets
and get ready to experience the wonder of Enchant.
Click on the question below to find answers to frequently asked questions
Is Enchant wheelchair accessible?
- For regular wheelchairs, no. The ground is covered with cedar shavings, so you would need a wheelchair with large wheels to be able to maneuver around easily. There will be wheelchair accessible washrooms on site.
Will there be cash machines on site?
- Yes. There will be several cash machines located near the entrance to the event.
How do I locate lost items?
- Should you find any lost items during your visit to Enchant, please return them to Guest Services, or to your nearest event staff.
- The best way to find lost items at Enchant is to check the Lost & Found, located at Guest Services. If you cannot visit the Lost & Found in person, you can email email@example.com.
Does Enchant offer re-entry into the event area?
- Convenient exit and re-entry is available to the market area during the evening – be sure to get your hand stamp before leaving to provide proof for re-entry.
- There is no re-entry permitted into the maze.
Is there parking available?
- There are a limited number of parking spots available on site. That being said, we do highly recommend that you take public transportation / Canada Line (Skytrain) if possible as parking / traffic near the Enchant site can be challenging on busy days.If driving is your only option, you can try the Enchant parking lot at a cost of $20. Original pricing for parking was $10, but as of Dec 2nd the costs were increased on us 🙁 We're working hard to try and get them back down. Please accept our apologies in the meantime – and again, we highly encourage you to take public transportation.
Is there somewhere safe I can leave my bike at Enchant?
- Yes. There will be a secure bike storage area for you to leave your bike while you visit Enchant.
How can I get to Enchant by Public Transportation?
- Enchant is located within a short walking distance from the Canada Line – Olympic Village sky train station.
- The following bus routes stop within a short walking distance of Enchant: routes 15, 17, 50 and 84.
Are cameras allowed inside Enchant?
- Absolutely! There will be many great photo opportunities throughout the event, as well as a Santa on site to get the perfect holiday photo take with Old St. Nick.
- Be sure to tag #enchant or #lightmaze, and @enchantvancouver to share your photos of your experience with others this Christmas.
Are we allowed to bring food or drinks into Enchant?
- Enchant features a host of amazing food trucks, food vendors and a licensed eating area where you can find all that you need to eat drink and be merry.
- Outside food or beverages are not permitted inside Enchant.
What is the best way to dress for an evening at Enchant?
- There are several covered areas at Enchant, including the market and licensed eating area.
- Guests are encouraged to dress warmly and be prepared in case it rains.
Can I upgrade my Enchant Market ticket to include the Light Maze?
- Yes, there will be a ticket booth at the entrance to the maze where you can purchase tickets.
Can I purchase Christmas Lights at Enchant?
- Yes. If you enjoyed the lights used at Enchant, Shine Lighting Group will have their line of West Coast Proof Christmas light products available for purchase.
- Look for the booth located beside the Christmas tree farm near the market.
Is there an age limit for Enchant?
- All ages are welcomed to come and enjoy Enchant.
- Children 13 and under must be accompanied by an adult.
Is smoking permitted at Enchant?
- Enchant is a non-smoking event.
What forms of payment will be accepted?
- You can pay by Visa, Mastercard, American Express or cash.
- There will be ATMs on site.
Are pets allowed at Enchant?
- Animals are not allowed at Enchant, unless they are certified service animals.


text:
It ultimately was an easy decision for Pickerington (Ohio) Central defensive back/wide receiver Jamie Wood about where he wanted to go to school. The 6-foot-2, 190-pounder had seen a flurry of inte...
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text:
- Description
- Tasting Notes
- What's Inside
- Shipping
- Occasions
Each of us deals with the grieving process in our own way and in our own time, and one of the best ways to comfort someone during a difficult time is to offer support, guidance, and the gift of loving memories.
Show your support and help them through their grieving with this meaningful gift of a large Comfort Candle with inspirational messaging and award-winning stories of understanding and hope from Chicken Soup for the Soul®. The perfect gift to give peace and courage to those trying to overcome the loss of a loved one.
Gift Includes:
- The inspirational Comfort Candle with Chicken Soup for the Soul® Grieving and Recovery, featuring stories of personal loss from well-known authors, advice, and messages of hope.
- One large Comfort Candle size 6"x 6", beautifully inscribed with the message "The best things in life are the people we love, the places we've been, and memories we've made along the way."
- Chicken Soup for the Soul® has been featured on well-known television shows like Oprah and The Today Show, and is a recognizable brand worldwide.
- Comfort candle comes in a lovely gift box accented with ribbon and flowers.
- Items in this gift come packaged in a beautiful custom-made Chicken Soup for the Soul® box.
- Gift arrives decorated with a special hand-tied satin ribbon.
For holiday delivery, GiftTree can hold your gift and have it shipped to arrive anytime. To use this option, select "Ship Later" on the next page.
Comfort Candle with Chicken Soup for the Soul® Grieving and Recovery is a hand delivered gift. These gifts are delivered by one of our local design centers located throughout the United States and Canada.
Same day delivery is available for most gifts when ordered before the cutoff time. The cutoff time for Comfort Candle with Chicken Soup for the Soul® Grieving and Recovery is in the recipient's time zone.
Comfort Candle with Chicken Soup for the Soul® Grieving and Recovery has been purchased most frequently by our customers for the following occasions:
Average Rating:(3 reviews) write a review
HeatChickBeautiful GiftJanuary 20, 2015
Sent this item to a neighbor/friend who's mother passed away. She loved it and thought it was different then receiving the usual flowers. A great keepsake!
It was a gift for a friend who's dad passed away. I received a beautiful thank you note about how beautiful and unique it was.
SandiComfort Candle with Chicken Soup for Grieving BookJanuary 3, 2014
The friend I sent this to really appreciated the thought and stated that it was really pretty. This is my best friend and I wanted to give her something to help with the loss of her sister. I chose this gift because I felt it would help her in her grieving process.


text:
Chronic Obstructive Pulmonary Disease (COPD)-Related Healthcare Utilization and Costs After Discharge From a Hospitalization or Emergency Department Visit on a Regimen of Fluticasone Propionate-Salmeterol Combination Versus Other Maintenance Therapies
- Full Text View
- Tabular View
- Study Results
- Disclaimer
- How to Read a Study Record
This was a retrospective cross-sectional database study using administrative data (study period: 1/1/2003 through 7/31/2008). Managed care enrollees (aged >40 years) having at least one Hospitalization with primary or secondary diagnosis of COPD (ICD code 491.xx, 492.xx and 496.xx) or at least one Emergency Room (ER) visit with primary diagnosis of COPD (index event) during the study period was the target population. All subjects were required to have one year of pre-index period baseline data. COPD events of interest were ER, Hospital and physician visits followed by oral corticosteroids (OCS) or antibiotics (Ab) within 7 days. Other censoring events were treatment switch; loss of enrollment; >60-day gap between medication fills; or end of study period.
This study is a non descriptive hypothesis testing study. Key study hypotheses are listed below.
Specifically the study hypotheses for the primary outcome being tested were:
Ho: There is no difference in risk of COPD-related hospitalization between FSC and OMT Ha: There is a difference in risk of COPD-related hospitalization between FSC and OMT
Hypothesis for the key secondary outcome of COPD-related costs that was tested was:
Ho: There is no difference in COPD-related costs between FSC and OMT Ha: There is a difference in COPD-related costs between FSC and OMT
|Pulmonary Disease, Chronic Obstructive
|Drug: fluticasone propionate/salmeterol xinafoate combination Drug: Other maintenance Treatments (OMT)
|Study Type:
|Study Design:
|Observational Model: Cohort
Time Perspective: Retrospective
|Official Title:
|Chronic Obstructive Pulmonary Disease (COPD)-Related Healthcare Utilization and Costs After Discharge From a Hospitalization or Emergency Department Visit on a Regimen of Fluticasone Propionate-Salmeterol Combination Versus Other Maintenance Therapies
- Number of Participants Having a Hospitalization or Emergency Room (ER) Visit Related to Chronic Obstructive Pulmonary Disease (COPD) Represented Per 100 Person-years [ Time Frame: Maximum of 1 year after index date (Jan 1, 2004 through May 30, 2008) ]The number of participants (par.) with a COPD-related hospitalization/ ER visit was computed during follow-up (FU) and was standardized by dividing by the total days of FU in each cohort since par. had different lengths of FU. The number of par. per 100 person-years was computed as: numerator = total number of par. with a COPD-related hospitalization/ER visit; denominator = sum of the time of FU in years across all par./100. The index date is defined as the date of discharge from a hospitalization/ER visit for COPD that had a maintenance medication dispensed within 60 days post-discharge.
- Number of Participants Having a COPD-related Event Related to Chronic Obstructive Pulmonary Disease (COPD) Represented Per 100 Person-years [ Time Frame: Maximum of 1 year after index date (Jan 1, 2004 through May 30, 2008) ]The number of participants having a COPD-related event was computed during the follow-up and was standardized by dividing by the total days of follow-up in each cohort since patients had different lengths of follow-up. Four types of COPD events were defined: COPD-related hospitalization, emergency room (ER) visit, physician visit with a prescription (Rx) for oral corticosteroid or antibiotic within 3 days of the visit, or combined occurrence of any of the aforementioned three types.
- Mean Monthly COPD-related Costs Per Participant [ Time Frame: Maximum of 1 year after index date (Jan 1, 2004 through May 30, 2008) ]Cost categories included medical, pharmacy, and total calculated as the sum of medical and pharmacy. Costs were computed during a variable follow-up period and were standardized on a per-month basis. COPD-related medical costs were computed using claims with a primary diagnosis of COPD, and COPD-related pharmacy costs were computed using the paid amounts of pharmacy claims for prescription medication used for COPD.
|Study Start Date:
|November 2009
|Study Completion Date:
|May 2010
|Primary Completion Date:
|May 2010 (Final data collection date for primary outcome measure)
|Assigned Interventions
COPD Patients
Patients over the age of 40 with a COPD-related hospital or ER visit
Drug: fluticasone propionate/salmeterol xinafoate combination
Patients filling a prescription for fluticasone/salmeterol combination as index drug
Other Name: Advair (TM)Drug: Other maintenance Treatments (OMT)
OMT group includes tiotropium, ipratropium alone or in combination with albuterol, inhaled steroids, long acting beta agonists
Other Names:
|Ages Eligible for Study:
|40 Years and older (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
|Sampling Method:
|Non-Probability Sample
Inclusion Criteria:
- At least one hospitalization with a primary or secondary diagnosis of COPD or at least one ER visit with a primary diagnosis of COPD
- Initiatiation (prescription) of FSC or non-FSC (i.e. TIO, ICS, LABA, IPR) during peri-index period
- At least 40 years of age
- Continuous eligibility in the pre-index, peri-index, and follow-up periods
Exclusion Criteria
- Presence of exclusionary comorbid conditions during pre-index, peri-index, and follow-up periods: respiratory cancer, cystic fibrosis, fibrosis due to TB, and bronchiectasis, pneumonociosis, pulmonary fibrosis, pulmonary tuberculosis, sarcoidosis
- Controller medication use during peri-index period
- COPD-related hospitalization, ER visit, or physician visit plus OCS/Abx within 3 days of visit during the peri-index period
Please refer to this study by its ClinicalTrials.gov identifier: NCT01332461
|Study Director:
|GSK Clinical Trials
|Responsible Party:
|ClinicalTrials.gov Identifier:
|NCT01332461 History of Changes
|Other Study ID Numbers:
|Study First Received:
|March 18, 2011
|Results First Received:
|March 18, 2011
|Last Updated:
|June 1, 2017
Additional relevant MeSH terms:
Lung Diseases
Lung Diseases, Obstructive
Pulmonary Disease, Chronic Obstructive
Chronic Disease
Respiratory Tract Diseases
Disease Attributes
Pathologic Processes
Salmeterol Xinafoate
Fluticasone Propionate, Salmeterol Xinafoate Drug Combination
Anti-Inflammatory Agents
Bronchodilator Agents
Autonomic Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Anti-Asthmatic Agents
Respiratory System Agents
Dermatologic Agents
Anti-Allergic Agents
Adrenergic beta-2 Receptor Agonists
Adrenergic beta-Agonists
Adrenergic Agonists
Adrenergic Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Hormones, Hormone Substitutes, and Hormone Antagonists
ClinicalTrials.gov processed this record on September 21, 2017


text:
In the tapestry of personal, volunteer and professional experiences that define her life, Nancy Astor Fox, the newly appointed vice chair of Federation's annual campaign, is influenced by author Gordon Zacks in his book, Defining Moments. His definition of fulfillment mirrors her own "philanthropic philosophy." Zacks writes that "fulfillment is about participating in something that's greater than you … in seizing the moment to serve the greater purpose … It is not enough to live life in the mind, it has to be lived in the heart. Lived with tears, Lived with joy. Lived with risk. Above all, lived with passion … ."
Nancy's passion for family is the guiding force behind everything she does for the Jewish community here and in Israel. "As Jews we are all responsible for one another … it is as if one member of one family is taking care of another," she says.
Nancy's deep love for Eretz Yisrael is influenced by the efforts of her late grandfather, Samuel Astor, who fought against the Ottoman Turks in what was then Palestine to further the movement for a re-created Jewish homeland. He served in the 39th Battalion, one of five battalions of Jewish volunteers sponsored by the Royal Fusiliers of the British Army.
Nancy felt as if she was walking in her grandfathers' footsteps during a recent trip to Israel with husband, Robb, and their fellow members of Federation's Institute for Advanced Jewish Leadership. During a visit to the Israel Defense Force officers' training course in the Negev, she dressed in uniform and participated in physical and leadership training with cadets.
"As Hatikvah, Israel's national anthem, played and our group saluted the Israeli flag, I felt enormous pride in my grandfather's efforts to help create a homeland for all Jews," she recalls.
Her passion for older adults can also be traced to strong family ties. During her early years of involvement with Federation, she attended a program sponsored by the Young Women's Division. She learned for the first time that members of her family directly benefitted from Federation-funded services.
"My grandmother was a resident of the former Philadelphia Geriatric Center, now the Abramson Center for Jewish Life, and my great-aunt attended programs at the JCCs David G. Neuman Senior Center in Northeast Philadelphia," she says, adding, "I was thrilled to discover that Federation provided funding for both of these programs, which so greatly enriched the lives of my loved ones."
This knowledge inspired her decision some 20 years ago to become involved in Federation and work on behalf of her "extended family" — the Jewish community. She joined Young Women's Division and quickly rose through the ranks of Division leadership to become co-chair. As Nancy matured, she moved up to Women's Division, serving as major gifts chair, as president and as campaign chair.
When Women's Division changed its name to Women's Philanthropy to more accurately reflect its mission and vision, Nancy continued her involvement, both locally and nationally.
She served as Development co-chair for Federation's Women's Philanthropy group, and recently completed a six-year term on the National Women's Philanthropy Board of United Jewish Communities and served as chair of UJC's "Reach for the Rubies" initiative. Nancy currently serves on the Advisory Board for UJC's National Women's Philanthropy group and conducts training for the organization across the country.
While maintaining her involvement with Women's Philanthropy, she has diversified her Federation family album to include service as vice president and chairwoman of Federation's Center for Social Responsibility. She has found that she connects with the center's focus on identifying and helping address the needs of the low-income elderly, the poor and persons with disabilities.
As testament to her passion for tzedakah, the Hebrew word for "justice," Nancy co-founded Miriam's Project, a Jewish communal response to domestic violence, and helped launch to Camp Shalom, a weekend program for domestic-violence survivors.
Nancy received the 1997 Mrs. Isidore Kohn Young Leadership Award, one of Federation's highest honors, for her many efforts on behalf of the Jewish community. She has also held leadership roles within Temple Beth Hillel/Beth El in Wynnewood, where the couple and their daughters, Emily and Rebecca, and the newest addition to the family — Rebecca's husband, Kenny Starr — participate.
She likens her varied experiences to the many squares on a colorful quilt. Each individual square is connected to the other by a commitment to "Jewish values, passions and ideals."
Her quilt now incorporates a challenging new design. She has agreed to work with her friend, Mark Fishman, Federation's campaign chair. In her new role as campaign vice chair, she plans to add "many more mispocha" to the Federation family. Her goal is ambitious — 100 percent participation in Federation's annual campaign.
"We have to raise more money, so that we can do more for our people," insists Nancy.
Shared Interests and Experiences
To achieve results, she plans to create more opportunities for people to connect to Federation through shared interests and life experiences.
"Women's Philanthropy, Jewish Federation Real Estate and Renaissance — a group for young individuals and families — have paved the way by creating dynamic points of entry into Federation involvement," she says. She is working with Fishman to expand these groups — now called affinities — to include Medical Arts and Professional Services.
Nancy says she is optimistic that by nurturing the growth of affinities, "we will have more people at the table and be able to accomplish so much more."
Her professional life is intrinsically connected to her volunteering. Nancy, who serves as associate director of the Gerda and Kurt Klein Foundation, a nonprofit foundation in Narberth that makes the lessons of the Holocaust a living-history project. The foundation works with educators and students around the world to teach tolerance and respect for others, and to encourage community service.
It produces two comprehensive educational programs, created in cooperation with such prestigious organizations as the Southern Poverty Law Center and TIME Classroom. Materials are distributed free to schools and other organizations — materials, she explains, that "have been requested by the United Nations, United States Holocaust Memorial Museum, state Holocaust museums and commissions, as well as thousands of educators around the world."
Nancy first met the Kleins and learned about their foundation through her friendship with Beth Reisboard, the organization's director. "I consider Beth one of my mentors in Federation and am honored to work with her professionally in an organization that does such amazing work in challenging today's youth to assume responsibility and make a difference."


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Cant decide on a setup
Ok heres my situation I really want a tiger 10/22 but I can't chose between tactical for SHTF or practical for varmints so I would like to know if you had 600$ one setup and 600$ for the other what would it the be and be specific
1st of all I dont see a 22lr as being a tactical weapon. If it is all you have, use it. It is a great hunter though. While it is not the best hunting rifle around, it will work exceedingly well in a survival situation. Ammo is light, relatively quiet and will take larger animals with good shot placement. Wont destroy a lot of meat on smaller animals with proper shot placement. I have 2 10-22's in stock form and either one is capable of a head shot on a squirrel at 50 yards. One has a red dot and one has a 2.5x scope. I have 25 rnd mags for them. I also have a bolt action 22lr that is very accurate and a Remington pump that is also very accurate.
My wife just won a S&W MP22 that she likes. The stock adjusts for her and it is light. I have not done any target work with it but I equipped it with a laser and a red dot. At 21' it looked pretty nasty. In a close encounter someone might take it for an AR. I keep it in the closet for her with 20 rnds in the mag. She is having some eye problems right now and is not doing too well with the pistol. She is pretty deadly with the laser and 20 rnds of 38gr HP ammo is better than missing with her 9mm. The mag holds 25 but I dont like keeping it full. I am looking at putting a laser on her pistol although she likes the carbine better. Might have to get a 9mm carbine.
If your going for a 9mm carbine I can not speak highly enough about the kel-tech sub-2000
And I do have an Ar-15 but want something is fun to shoot and looks tactical and the other for Varmint control and things like that
I bought a used basic 10/22 this week. Try and find a nice used 10/22 as all you really want off of it is the receiver. I am adding a EA Brown bull barrel, a Timney trigger and putting it on a EA brown compsite "adult" sized stock. The gun was $180, barrel was $170, trigger was $160, stock was $49 = $559. The barrel is already threaded and capped for a suppressor which should be here in the next few weeks. All in all a great little project gun and well within your budget.
The gun will be both tactical and practical. The .22 is an excellent protection round when used correctly. The military and law enforcement around the world still use it today for tactical situations. Put on a bipod and a sling and you can whack just about anything. I have clients that take coyotes and bobcats with a .22.
- Craig
If you want the tactical look, the MP 22 comes apart just like the AR and the controls are the same. It is pretty much all plastic though. The one thing I dont like about the 10-22 is having to take the stock off the clean it. You can get a 10-22 for about $200, a trigger job from Bear for $60 and a stock for about $100 or less. Add some 25 rnd mags and you are set. I found that a heavy barrel was not worth the expense for the type of shooting I was doing. You could probably find an MP22 for around $400 or the heavy barrel version for a little more. I paid $20 for a 2nd 25 rnd mag. There are several other AR style rifles out there. We have put a couple hundred rounds through her MP22 testing it for function. No jams with Mini Mags, American Eagle or Aguila Extra. I had a jam with CCI Velocitors. There is a definite difference in recoil with the Velocitors. We were shooting at short range standing so I cant tell you about accuracy but it did look pretty good. My 10-22's are more finicky and like Mini Mags.
I'm not sure what a tactical .22 is. If you can shoot vermin at 50 yards, that is practical. 75 yards is outstanding, 100 yards is about as good as it gets. We are talking small vermin. CCI Mini mags always shoot well, my marlin 60 likes Hyper velosity Aguila and velositers. My little guys 69 trainer shoots everything well, but it is a bolt action. Having a cool looking rifle that is not a tack driver is not worth the $ you put into it. I'd buy a stock 10/22 before a modified one.
What is a tactical 10/22 with lots of 25 round magazine? Nothing more than a smaller scale version of an AR15 or AK47 type of weapon. They're just a "Spray and Pray" weapon that everybody likes. They can be made to shoot very well with the right setup of fixed low power scope, bipod, and taking your time with the trigger pull, BUT if you just keep pulling the trigger without any thought of how you're gonna hit the target, they're all the same. You can get a good little 10/22 used for around $125 and put on the shortest 16-1/2" bull barrel for $150, along with a tactical folding style butt stock at $200, with a trigger job for $75 and a polymer bolt slide buffer pin(protects receiver hole from elongating) for $5 and a little shotgun scope for extended eye relief at $100, or a Red Dot scope for less than $75, and a one piece picannay rail for $25, and you know you want to throw on a tactical light and lazer, and you have a very nice capable weapon that'll last for years and offer great home protection, plus give a little WOW factor. Also remember that you can also get a used 10/22 with bull barrel for maybe less than $175 and just cut off barrel to legal length and you already saved money.
Tactical is a name given to black guns that look cool. Some associate it with AR-style weapons while others associate it with a sniper rifle. You can rig a 10/22 to appear similar to either style. As I described in my previous post, mine will look more like a sniper rifle in all black.
Really either style is fun to shoot and still have a great gun for varmints.
OK, so you dump money down a pit to make it look "cool"? I understand w/ tactical means today, but This is not tactical IMHO, it is not a .22.
This, and these where tactical weapons:
Why, because the were use as part of a doctrine, not looks.
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text:
Chase N. Cashe O.M.W. LyricsIt's me and you, and you and me
We all alone, just doing we
Lost in my world, it's going deep
And you don't mind that, you just recline back.
You catching contact, shit, sometimes you hit it
You always rolling, with such precision
See I'm so persistent, it's so consistent
And you fucking dig it, girl just admit it.
See you let me in it, knowing I handle business.
Always a pleasure whenever I visit
I been thinking of staying, you been thinking of playing
Girl you my angel on earth, for you, yeah I've been praying.
Yeah you got me straying from my turf, tryina grow with you
From the grass, cruising, make it work
Make you get a tattoo of my name
Which one, pick one, as long as you pick me,
Gotta keep you with me.
I swear it feel like, everyday it feel like
It feel like, ah, love, yeah
I swear it feel like, yeah, yeah, feel like
Feel like, feel like, word, look.
You say you feeling me, well keep it real with me
Claim that you'll always be true, so keep it true with me
If I ever bleed red would that make you blue?
Girl tell me is you crazy for me like I am for you.
Got a spot at the top, make room for two
Try to, try to not drop the broom for you maybe too soon
Ain't acting too cool, but the way you stay about it
Make me contemplate about it,
What you say about it?
I swear it feel like, everyday it feel like
It feel like, ah, love, yeah
I swear it feel like, yeah, yeah, feel like
Feel like, feel like, word, look.
Girl, you don't have to find another,
'cause I'll be your man, plus your friend.


text:
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text:
How Do You Spend Your Money?
The president says the economy is on sound footing. And, true enough, many states across the union are experiencing budget surpluses, and spent the summer debating increases to their education budgets. So why are consumers still so wary, and why are educators still struggling with recession-style budget allocations?
The answer, of course, is politics.
Education spending has been a hotter-than-usual topic during the last budget season in most states, but in a good way:
Maryland had a billion dollar surplus, and was discussing providing full funding for its $1.3 billion school reform effort.
Legislators in Massachusetts found themselves with a $400 million surplus, and proposed channeling an additional $160 million to local school districts.
Indiana proposed increasing education spending by 2.5 percent over the next two years, nearly double the increases proposed over the last two-year budget cycle.
Alaska increased state spending per pupil by 7.5 percent and added $190 million for construction projects.
But the picture was considerably less pleasing in a handful of states that are wrapped up in court cases and legislative wrangling that could dramatically change how education is financed. There are at least 20 funding equity cases in courts around the country, according to The Campaign for Fiscal Equity. Michael Rebell, who produced a legal grand slam on behalf of New York City earlier this year, is now leading an effort at Columbia University's Teachers College to address the issue nationwide.
In New York City, the Campaign for Fiscal Equity won a judgment that ordered the funding authorities produce an additional $5.6 billion a year for NYC, plus a one-time gift of $9.2 million. The state is still appealing.
Legislators in Kansas eventually approved a $148 million increase in school funding, following a court case.
The Texas legislature held two special sessions this summer hoping to revamp how education is funded in that state, following a legal ruling that the current taxation system is unconstitutional.
In Missouri, legislators grappled with a complex plan to transform the way the state pays for education, forced to act after 250 districts filed a lawsuit charging that the current system doesn't provide enough money.
In Georgia, a suit by 51 rural school systems seeks a $1.5 billion increase in funding by the state
In Colorado, parents and districts file a funding suit that says the state underfunds education by as much as $1 billion annually.
So given this backdrop, District Administration asked our readers the question that is at the heart of education reform and funding debates everywhere: Some 80 percent of your budget, give or take, is automatically allocated to personnel costs every year. How do you spend the rest of your money? And, when there's not enough, how do you decide what to cut?
"Over 99 percent of our budget is locked into fixed costs, not only for salaries and benefits, but also the ongoing costs of utilities, gas, diesel, leases, repair and maintenance and the like," says Michael Haluska, superintendent of the Jefferson-Scranton Community Schools in Jefferson, IA. "Simply put ... less than 1 percent of our operating budget is truly discretionary."
Your answers weren't surprising--nearly everyone in education knows how precious little discretionary spending truly goes on. But the way districts approach budgeting, budget cuts and searching for cost savings, are instructive for every district that's ever wanted to add programming but couldn't find the funds.
"We have enough money to do anything we want in public education--just not everything" says Stephen Kleinsmith, superintendent of the Nixa (Mo.) R-2 School District. "With our federal and state governments accelerating and expanding expectations, as well as issuing mandates without money, it becomes very difficult to exercise local control in the prioritization process."
First, the Sacred Cow
Superintendents from across the country report that personnel costs account from anywhere from 75 percent to 85 percent of their annual budgets, a percentage that seems to creep up every year.
"It's no secret our increases are due to rising employee hospitalization [costs], retirement [increases] and the teacher annual salary schedule," says Carl Hilling, superintendent of the Gaylord (Mich.) Community Schools. "So we have built in annual expense [increases] of at least $1,000,000 before we can do anything academically."
The Catch 22 of budget cuts is that when districts are forced to eliminate discretionary items, the less they have to work with the next year. "The 10 to 12 percent that's actually discretionary goes to transportation, maintenance and operations, supplies and materials, staff development and technology," says Steven Meyers, superintendent at Huffman ISD, a suburban district outside Houston. "But the longer you have to cut from those areas, the more difficult it becomes. That percentage grows smaller, and what you have left is a smaller base from which you can save."
Some superintendents have found ways to sacrifice the sacred cow, with innovative moves that cut into their personnel budgets without violating labor contracts or incurring the ire of the teaching staff. Prairie Valley CSD, in agribusiness-dominated northwest Iowa, found that one way was to ask new superintendent candidates if they were willing to do double duty. David Arnold, who took the job as head of the 750-student district that covers 240 square miles, is both principal of the district's elementary school and superintendent. His job description includes all the management and budget tasks of a superintendent, but also requires pulling lunch and recess duty on a regular basis, just like the other principals in his district. Arnold relishes his dual role, but says his days can be long and full of hat changes.
"You have to do what you've got to do to make it work," Arnold says. "There are days when you've just got to pick up the puke and go on."
In the coming years Prairie Valley will likely move toward multi-age classrooms and distance learning agreements with other districts, as it looks for creative ways to deal with declining enrollment but increasing mandates on class size and course offerings.
Other districts are also experimenting with creative staffing. Another trend: hiring back retired teachers, who are already collecting a pension, at lower salary rates. It's a win-win; the schools get the benefit of the veterans' experience at the cost of a newbie, and the retirees get something to do with their time and an extra income stream.
In other places, teachers and administrators have chipped in to help keep personnel costs down and retain FTEs. "We do what we can to maintain our staffing levels," says Judith A. Palmer, superintendent of the Oxford (Conn.) school district. "Our teacher's union agreed to a four-month step freeze as part of our negotiations; all administrators and the superintendent offered a year-long wage freeze in an attempt to hold on to teaching positions."
When there's no creative way out of a budget crunch, districts are often forced to cut personnel. Nearly every respondent to our survey agreed with Tom Shelton, superintendent of Davies County Public Schools in Owensboro, Ky.: "If we are forced to cut staff, district-level positions would be considered first. The last possible place a cut should be felt is in the classroom. It must be about kids first."
Next, the Seemingly Fixed Costs
After salaries and benefits, mandatory costs like insurance, transportation, utilities, maintenance and contracted services eat up the next largest chunk of most district budgets, generally accounting for up to 15 percent every year. But, as many superintendents will testify, these are not necessarily fixed costs; there's a grab back full of tricks that districts employ to save money on operational expenses.
At Huffman ISD, a suburban district of 3,000 students outside Houston, Superintendent Steven Meyers has reduced his utility expenses by more than $400k in the past two years by retrofitting schools with energy management systems. The operating equipment allows the district to centrally control all of its heating and cooling devices so "we're not running AC in the middle of the night," Meyers says. Funded through a lease-purchase agreement, the arrangement allows the district to pay for the cost of the system from the savings it generates, and will be entirely paid for in six years.
"Almost every district--whether they have someone come in and put together an energy management plan for them, or do something in-house like put procedures in place for turning off the lights, could save a significant amount of money," Meyers says.
The next most likely place to look for savings is in non-core competencies, things like food service and transportation that can often be handled better and cheaper by outside vendors who specialize in that industry. Many districts that have chosen to outsource their food service have turned those functions into student-loved, revenue generators, after years of subsidizing unappetizing meals.
"We contract out for school transportation and food service and have saved several million dollars over the past nine years," says. Dennis D. Murray, superintendent at Perris (Calif.) Union High School District.
Conversely, in-sourcing some functions can also lead to cost savings, as the Greece (N.Y.) Central Schools realized.
"Our largest cost savings during the past five years has been through the ongoing reduction and elimination of purchased special education services from outside agencies," says Margaret Keller-Cogan, Greece's superintendent. "By creating a much broader continuum within our district we have saved $1.2 to $2.1 million per year.
Other approaches to trimming seemingly fixed costs:
Eliminate or combine bus routes, using bigger buses, or passenger vans, as needed
Shift technology, maintenance and transportation purchases or upgrades to bond issues.
Buck the Conventional Wisdom
Stephen D. Levitt, author of best seller Freakonomics, asks the question, "What do schoolteachers and sumo wrestlers have in common?" In asking, and answering, this and other freakishly compelling probes, Levitt advocates "turning conventional wisdom on its head." This may be just the latest form of the cliche "think outside the box" but it's true that questioning accepted norms can often lead to savings in surprising ways.
Murray, in Perris, Calif., found that he could save a bundle by re-examining conventional wisdom regarding economies of scale.
"Do we actually save money by warehousing supplies, paying for employee time to inventory, order and deliver, or can we make better use of the resources through site-based ordering that is direct shipped?" Murray asks. "These considerations have actually allowed us to put more dollars in the classrooms, reduce class size, add more student services and raise employee salaries," he says.
Strategic Approaches to Budgeting
Questioning the conventional wisdom may mean a departure from budget as usual. In Statesville, N.C., Superintendent Terry Holliday has taken a cue from business in implementing a zero-based budgeting process, based on the Baldridge National Quality Program for education.
The budget for the Iredell-Statesville schools has been categorized into approximately 50 line items, each owned by a particular staff member or group. When the budget process begins every year, each person responsible for a line item makes a presentation to a budget committee on how the money was spent the prior year, the results achieved, and how they're tied to the district's 28 strategic goals. The owner then makes a pitch for next year's allocation, whether it remains static, decreases or increases.
"We say, 'Assume you have no money and make an argument for what you need to meet your customer requirements,' " says Holliday. "Fringe benefits are the only thing that are a given--retirement contributions, health benefits, social security and other things based on state formulas."
After eight to 10 budget meetings, the committee puts together a list of items or programs that they think aren't producing enough results for the investment; they call this a list of potential 'redirects'. This year's redirect list had $1.6 million in potential cuts.
"What we do through our budgeting process is identify all those redirect items that are not adding value," Holliday says. And if budget cuts are required, "we take that list to all the building principals and say, 'If you were going to cut from this list, which would you cut?' " After the principals give their input, the list is sent to the board of education, which has final say on all budget matters. "We look at every dollar every year to make sure we're spending it in the most effective way possible," Holliday says. "Ours isn't just a carry-over budget."
Similar to the zero-based budget approach is another that's intricately tied to strategic goals.
"What we're moving toward is what we call budgeting the plan," says Peter Flynn, superintendent of a K-12 district with 4,300 students in Freeport, Ill. "Most school districts plan their budget; they figure we're going to get this much money and try to figure out where to spend it. We do the opposite. We develop a strategic plan that assumes certain operational things are going to continue, but also states our goals over the coming years. Then we try to figure out an action plan to achieve our goals."
The entire district has a "plan on a page" that states goals and plans to achieve them. Each principal also develops a plan on a page for his or her school. "Then we budget the plan. We ask the principals to come and tell us what they need to accomplish their goals," Flynn says. This approach to budgeting developed as a result of a partnership with a major employer in the area, Honeywell.
But this approach can't be implemented everywhere, Flynn says. "There are a lot of districts that don't have this luxury because they're operating on a crisis basis. Some of the fast-growth districts in Illinois can't generate enough revenue to build schools for all the kids who are coming in. But in districts where we have some stability, we can begin to look strategically at what our issues are."