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Add Your Favorite Tutorial to This ListIf you notice a topic in another category that you think would be a good addition to the Tutorial category, please feel free to nominate it for the Tutorial Category by clicking on the "Report to Moderator" link in the lover right corner of the post and adding "Nomination for Tutorial Category" in the comments section.Don't be afraid to blow your own horn. If you have submitted a tutorial in another category, please let us know so we can include it here. The taxidermy discussion categories will eventually be pruned of older posts, so moving the informational topics to this category will help to protect them for future reference.I would like to extend a special thank you to Lisa Martin of Rifle Pines Taxidermy for her invaluable assistance in bringing this new category to fruition.
We can't toot our own horns/report our own posts. (Although I admit I know some that have tried to toot their own horns...but never mind about that! ) If we try it tells us "You can't report your own post to the moderator, that doesn't make sense!" Should we ask someone else to report it for us? Maybe log out, come back to the thread as a Guest and then report it? What would you prefer?


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Dr. Ghulam Nabi Fai
'The Christian Science Monitor' in its column on April 25, 2012 said it all by emphasizing that "Ritual Aggression: India and Pakistan's missile tests, following peace talks."
We know that both India and Pakistan are nuclear powers. Both have now tested intercontinental ballistic missiles. Both are adamant against inking the Nuclear Non-Proliferation Treaty or the Comprehensive Test Ban Treaty. Both feature domestic constituencies that universally celebrate their muscular nuclear postures; no political party or serious private association champions nuclear controls or disarmament. India and Pakistan have warred three times since their respective births in 1947, and two occasioned on the disputed territory of Kashmir. In the best of times, India and Pakistan are no more friendlier than the Montagues and Capulets on the streets of Verona.
Two not mutually exclusive approaches are available to the United States to turn back the nuclear clock in South Asia; a region that former President Clinton has lamented is the most dangerous place on the planet. The first emphasizes restraints on nuclear warheads and delivery vehicles; the second gives primacy to eliminating the probable cause of nuclear exchanges. The US has chosen the first, and given but lip service to the second.
All experience teaches that neither India nor Pakistan will accept non-trivial limits on their nuclear arsenals in the foreseeable future. India's intransigent position for more than 44 years is no nuclear constraints unless every nation abandons its nuclear forces and stockpiles, including the big five nuclear powers under the NPT: the United States, Russia, China, Great Britain, and France. India has now tested intercontinental ballistic missiles that could deliver nuclear warheads to the Beijing and Shanghai. Pakistan reciprocated with just few days. The United States did not say anything that gives cause for Indian military anxieties. India's nuclear and missile fixation pivots on her national ambitions and self-perception as the hegemonistic power in South Asia she routinely meddles in the internal affairs of Sri Lanka, Nepal, Bhutan, and the Maldives, and annexed Goa in 1961 and the Kingdom of Sikkim in 1975 by force of arms. Thus, nothing but an overwhelming nuclear disarmament incentive could cause India to entertain the idea. At present, such an incentive is chimerical.
According to the United Nations, Kashmir is a disputed territory. When the Kashmir question got erupted at the UN in 1948, the world powers took the stand that the future of Kashmir must be ascertained through plebiscite conducted by the United Nations. India's plebiscite obligation has been defied with both insolence and impunity for more than half a century, which substantially explains the chronic convulsions and ubiquitous indigenous Kashmiri resistance to India's illegal military occupation. Contrary to popular myth, cleverly peddled by India, the resistance in Kashmir is indigenous & popular; and infiltrators or terrorist "Afghan Arabs" are marginal to the Kashmir conflict.
The nuclear clock in South Asia thus can be turned back only by addressing the source of the proliferation, i.e., Kashmir. If the 65-year-old Kashmir conflict is settled with fairness and justice to all parties, then the possession of nuclear weapons by India and Pakistan will be dramatically less worrisome. Britain and France, for instance, do not fret that the other is a nuclear power. And the United States and Russia are engaged in serious nuclear arms reductions, but it came only after the end of the Cold War. In sum, Kashmir is the key to spiking the nuclear arms race in South Asia.
I do not mean to suggest, however, that tackling Kashmir will not be difficult. But here are my thoughts about a new and promising approach.
First, recognize that Kashmir is primarily about the 17 million Kashmiri people, their human rights and right to self-determination under international law and still binding United Nations Security Council resolutions. It is not a border quarrel between India and Pakistan, nor a fight between Hindus and Muslims, nor a struggle between secularism and theocracy.
Second, third party intervention and mediation is indispensable. India and Pakistan have negotiated for 65 years without result. All the flowery declarations from Tashkent, Simla, Lahore and other summits have proven sound and fury signifying nothing. To persist in the same course after 65 years of dismal failure conjures up many adjectives, but none are flattering to the cerebral faculty.
Third, the United States should urge the Secretary General of the United Nations, Mr. Ban Ki-Moon to appoint a special envoy on Kashmir. More importantly, the United States should insist on the inclusion of genuine representatives of the Kashmiri people at the negotiating table. It is their political destiny and human rights which are at stake, and no solution that fails to command their consent will endure. That same reasoning explains the United States support for Sinn Fein representatives in the Northern Ireland talks, PLO representatives in talks with Israel, East Timor voices in negotiations with Indonesia, KLA leaders in negotiations with Yugoslavia, and Muslim, Croat, and Serb politicians in discussions over Bosnia.
Fourth, the United States should mount a campaign of moral suasion against India's illegal occupation of Kashmir. At present, its moral voice has been as silent as the Sphinx. Moral suasion generally works slowly, but is not Pollyannaish. It accelerated South Africa's dismantling of apartheid and the end of the international slave trade. It promises no miracle in South Asia, but is nevertheless superior to all other peace and non-proliferation alternatives.
Finally, all tactics aiming at progress over Kashmir must be exercised with supreme prudence, without which, as the inimitable Sam Johnson sermonized, knowledge is useless, wit ridiculous, and genius contemptible.
Dr. Fai can be reached at: firstname.lastname@example.com

subset: commoncrawl


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Welcome to RedWolf Airsoft,
You've been selected to try the beta version of our new online store.
Would you like to try our completely new experience?
One of the most recognized explosive devices after the pineapple grenade is arguably the M18A1
Claymore. Named after a Scottish large sword by the inventor Norman A. MacLeod,
the Claymore mine was initially developed for the Korean war, but was more widely issued
in the Vietnam war. With the abundance of movies about that war (Platoon for
example) and the rising
of action movies such as Commando, there are few young men today who haven't
seen one in the big screen. The Claymore still remains widely used in real
battlefields, despite of restrictions on mines, because it can be operated in
various manners to change the classification. After seeing almost half a century
of use, the Claymore is far from becoming obsolete. As with all small arm and
light weapon technology, there is a connection to Airsoft games.
With the exception of the most hardcore MilSim players, Airsoft
"fashion" draws heavily from movies and games, so there has been a
demand among the majority of Airsofters for replicas of explosive devices for a
long time. People from MilSim groups have also expressed the need for working
simulation mines. It goes without saying that all kinds of props create a truly realistic
atmosphere in scenario games. Re-Enactors and MilSim players have even been
using non-working grenades and mines as part of their kit just to get into the feeling of actually
"being there"! A working Claymore offers the same kind of additional
realism and fun as Airsoft guns offer over blank firing Model Guns (cap guns).
How well the Claymore works will of course determine what kind of a difference
their deployment makes. Some Airsoft mines and grenades have been too complex,
unreliable or lacking in power to offer any fun over non-working
props. Let's see what the Gamma M-33 is made of!
Tactical advantage or just a fine prop?
The appearance of the Gamma M-33 Claymore is very believable. Players with
actual military training might notice the lack of some minor details, but
overall the Gamma looks so real that we have had requests to paint it entirely
bright blue or orange for shipping, to indicate more clearly that it is a toy.
Never, ever put these in your driveway or front yard even as a joke, as it will
bring the local SWAT and EOD to your house with 100% certainty! The olive drab
color has a nice matte finish and the front has the legendary "FRONT,
TOWARD ENEMY" in bold capital letters. The text is raised so the user may
read it by fingertips even in total darkness. When picked up, the Claymore is
somewhat lighter than its real counterpart, but a solid hefty package anyways.
The steel made scissor type legs are found to become somewhat loose over time,
but a few drops of Loctite in the pivots will tighten it up nicely. The hinge
was copied from the real one, which are single use only so they naturally were
not designed for repeated use without some maintenance.
The remote firing device has a realistic look, but unlike the real one it is
wireless. This is an excellent step towards practical use of the device, since
Airsoft games are very fast paced so you would not have too much time on your
hands to lay out a wire. Naturally if you are into realism, you can use a mock
wire to connect the Claymore to the firing device. Reliability of the wireless
device should not be of any concern: It is based on the same technology as car
lock remotes, which are proven to be reliable in everyday use all over the
world. They share a similar encoding system, which means the chance of someone
else setting off your mines with their remote are extremely slim. When did you
last accidentally unlock someone else's car with your remote? Further, all
remotes from Gamma have a unique code so it is impossible to get similar codes
by chance. Theoretically you can't harass the device without using radio jamming
equipment, which are highly restricted/illegal in most countries.
Due to the restricted availability and dangerous nature of many effective
pyrotechnics, they are simply not available to most Airsoft enthusiasts around
the world. Gas powered mines are certainly not an option for people who still
enjoy real winters in their countries. You can always warm up the magazine of a
GBB pistol, but warming up a mine you placed on the icy ground half an hour earlier
is a bit harder... So the options of getting BBs from a mine to the target are
somewhat limited. In the case of Gamma, simplicity is bliss. The actual
mechanism consists of only a few parts, which operate in a simple but precise
manner at the same time, much like a Glock pistol. Inside the mine there are two pre-loaded springs are
connected to steel teeters, which are held back by two trigger arms. A canvas
trampoline is rigged between the teeter ends with the payload. When the spring
assisted front
cover is opened by either the remote controlled solenoid or trip wire, it actuates the
trigger arms to release the teeters, throwing a good amount of frag-goodness
forwards of the mine. The mechanism is entirely made of steel and the canvas
trampoline is user-replaceable, so the mine is a very long life item.
The Gamma Claymore was found in our tests to have a spread of roughly 40
degrees, and the wall of BBs is dense enough to take out a player with certainty
up to 10-15 meters (33-45 feet). The BBs travel further up to 20 meters, and they have
a very good chance of hitting someone in the target area even at that distance.
This means that even a single Claymore can cover an impressive area of a small
site, and deploying several ones allow you to force the opponents to use routes
and positions where you have the upper hand! The performance was more than we
expected and the Claymore really has a high "Wow!"-factor attached to
it. Unlike sidearms which are not used that often, the Gamma Claymore is more
than just a good looking piece on your vest! Speaking of gear, the Gamma
Claymore is supplied with a high quality MOLLE pouch constructed of Cordura®
with high quality zippers. Bandoliers are coming soon.
Whether you can gain advantage by deploying one or several Claymores
depends heavily on the field type, and what kind of role you're playing. Bushes
offer a good concealment for the device, but dense leaves might cause
penetration problems just like with AEGs. Constructed CQB arenas offer less
flexibility in the placement of the mine, but in a fast paced game the surprise
effect is better as you can't see through walls. The use of a Claymore is most
effective when you are familiar with the field you're playing in, and have a
good communication level with possible spotters. As the Claymore actually wields
BBs, the playing rules don't necessarily need any appendices. Another option is
to agree to a certain elimination radius and sector for a Claymore loaded with
flour, and go with the spirit of the honor system, which should be familiar to
all Airsofters. The white cloud is easily noticed even from a distance, and
provides an awesome effect when mixed in with BBs!
Using a single Gamma M-33
Preparing the Claymore for use has a bit more steps than using a regular
airsoft gun, but it's simple enough to be learnt in a few minutes and with
practice the use becomes natural. When you become familiar with the system, it
can be reloaded in less than 30 seconds! After making sure that the back safety bar is
in place and safety pin removed, carefully pull the trip-wire loop and ease the
front cover open. At this point you may switch the power on, unless you're using
the mine in the uncontrolled mode, which is 100% mechanical. If the scenario
is really long (two figure numbers in hours), you can also choose to switch the power on when you actually deploy
the device, to save battery life. The Gamma Claymore should already synchronized with the remote firing
device out of the box, but it is a good idea to check the function anyways.
Normally you will only need to program it, if you are executing a cunning plan with
several mines. Batteries (3x CR123 and 1x A23 type) are included with the
Claymore, and last a good while before needing a replacement. Even after setting
off the Claymore dozens of times and having it turned on for hours, we are yet
to run out of juice on the first batteries!
Only one of the two teeters is opened to insert the payload (BBs, flour or
similar) to the canvas trampoline. The teeter and front cover are then closed
and the safety pin inserted. While the trampoline holds an impressive amount of
BBs, we found that it's not a good idea to overload it. You get a better range
and good enough spread with a little bit less BBs. To get better stability, it
is advisable to support the back of the device against a tree or wall, if
inserting the legs partially in the ground is not possible.
After finding a suitable location for the Claymore, open the scissor type
legs and adjust them. Check that the legs don't prevent the
front cover from opening past 90 degrees. At this point it is advisable to check that the electronics are switched on, even if you did it earlier. Despite
the green color, you might want to use light grass or similar to prevent the
opponents from spotting the device. Again, make sure that you don't prevent the
front cover from opening. After this it's only a matter of setting up the trip
wire, or moving away from the Claymore if you use the remote firing device instead.
The remote firing device has a range up to 100 meters, which covers enough area
that you can detonate it whenever you have a visual to the area that the
Claymore covers.
The more the merrier?
Each Gamma M-33 is supplied with a remote firing device. This means you can
deploy several Claymores to different locations at the same time, and launch
them independently as the situation demands. Having more than two different
firing devices in your possession might become confusing quickly as the
situations get tense, so it's a good idea to have a rough sketch of the field
with the positions of the Claymores marked with letters or numbers, and the
corresponding figure written on the firing devices. Each and every remote firing
device has its own individual synchronization code, which means you don't have
to change frequency crystals to avoid the risk of interfering with other mines.
Another option is to program all the Claymores to obey any single remote
firing device at once, and hand the extras to your team mates. This way any
member of the team can launch all Claymores at once, so you can keep a
certain area blocked from the opponents as long as you have any mates left.
Pairing the Claymore with the synchronization code of a remote firing device is easy to do. One Claymore
mine can be paired with up to 16 remote firing devices at a time, and an
unlimited amount of Claymores can be paired with one remote! To reset the
receiver inside the Claymore, you need to push just one button (RC Reset) for five
seconds. After that, pairing the Claymore with firing devices is a matter of
pressing the same button for one second at the time, and pressing the firing
button briefly during the following 10 seconds. An indicator light signals the succession of
each step.
Almost nothing restricts you from making complex combinations of mines that
are launched together, single ones which are actuated by individual controls, or
other tactical traps. You can leave out uncontrolled Claymores as sentinels for
a certain area. In a fast paced game a trip wire is really hard to notice, so
you can force the opponents to avoid certain areas - or move through them with
care. And as even the most brilliant plans always need a backdoor, you can
program one "SHTF"-control, which is paired with all the
Claymores in the field!
From the viewpoint of the target
In real life mines are one of the most feared weapons among soldiers, and
cause possibly the most controversy after nuclear and biological weapons. The
main effect of mines is not actually having an enemy soldier walk in a minefield
and hit one, but to have the enemy troops avoid certain areas. Common Airsoft
tactics would be reckless in real warfare, and the same applies to mines as
well. Fear of death is not easy to simulate, so the Claymore has to be deployed
with the thought that it will be detonated, and the advantage in game play is
gained that way. After a few rounds of effective use, an effectively deployed
Claymore teaches your opponents to be cautious when moving in the field. The Claymore is
hard to spot because of its size compared to a player, and if you are within
distance and sector, it will not miss you. The BBs feel like someone threw a
handful of BBs on you so they don't sting as with AEGs, but the surprise factor
in a tense gaming situation has made a lot of players literally jump and yell
"OUT!" in a whole new pitch!
Disabling the Gamma Claymore is fairly easy to do if you know how it works,
but getting to the mine can be a task. Preventing the front cover from opening
is the simplest method to disable the mine, but for this you have to be next to
it. Inserting the back safety bar or the safety pin will also prevent the device
from throwing BBs, but this also requires going next to the device. Getting close to the
Claymore may prove to be hard for the opponent, as they have to look out for a
trip wire, and even if it is avoided, the Claymore could go off at any time when
the remote firing device is pressed. At the same time they need to
constantly scan the environment for you and your squad.
As a safety matter, we also tested the Gamma M-33 at close range. To get all
the BBs hit one spot we used one of those freebie bags which TM give out with
their Airsoft guns. Shot in the chest by this bean bag, our test subject hardly
flinched. The anticipation was far worse than the actual hit. Separate BBs do
sting a bit at a close range, but it is also not a risk to a player wearing at
least proper goggles. While it is basically impossible to measure the speed of
the BBs, judging from the pinch factor and overall range of the device, the
inertia of a single BB is about equal to a spring operated pistol from the more
affordable price range.
To sum it up...
The Gamma M-33 Paintball / Pellet Mine is a faithful replica of the M18A1.
Despite the lack of a couple of minor details and a weight of only 1000 grams
(as opposed to the 1600 grams of the real one), the Gamma Claymore certainly
doesn't feel or look like a kid's toy. Having a couple of these in your kit
increases the weight of your vest enough to give you the feel like you're really
carrying something, while a load bearing harness with nothing but magazines
often feels overkill for such a light load. It is practical and easy to use in
the field, and it is reliable both in the wireless and mechanical mode. Overall
a very fresh flavor in the stream of AEGs and gas pistols, with no real weak


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Search Results
Stubbs Tickets
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Suppliers of raffle ticket printing and deal direct, choose your tickets and get them printed fast, efficiently and on-time for your event.
Threapleton Printers
Threapleton Printers – producers of personalised raffle tickets, draw tickets and lottery tickets since the early 1980s.
Ha'penny Press Ltd
Serving charities throughout the UK since 1974. Raffle/Draw tickets from as little as £25.00. For all your Raffle/Draw ticket needs please contact the friendly Ha'penny Press team.


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16" White Jade & BlackFreshwater Pearl Color Block Necklace
Pearl Collective
Add to wishlist
Anthony Dreyer's 16" White Jade & BlackFreshwater Pearl Color Block Necklacea contemporary 2 tone necklace that adds a modern touch to the classic pearl strand
Return and Refund Policy All flash sale items (24 and 48 hour special sales) are final sales. All non-flash sale items are satisfaction guaranteed. If you are not completely satisfied, simply return purchased item in its original condition with all included items within 60 days from the date of purchase to: Pearl Collective 2355 Westwood Blvd #721 Los Angeles CA 90064


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Look Out, Kindle Fire: Barnes & Noble to Launch Cheaper Nook This Week [REPORT]
Is Barnes & Noble launching an 8GB Android tablet to compete with Amazon's Kindle Fire tablet?
The bookseller is planning to release a smaller edition of the Nook Tablet this week, if a leaked memo from Walmart is to be believed. The memo, obtained by The Verge, says that a Nook 8GB tablet is currently arriving in stores and will be available for purchase the morning of Wednesday, Feb. 22.
In terms of specs, the current Nook Tablet and Kindle Fire are nearly identical: both are Android tablets with 7-inch, 1024-by-600 screens, and have 1GHz dual-core processors, access to Wi-Fi, more than eight hours of battery life, built-in microphones, etc. The Nook Tablet, however, comes with double the storage (16 GB vs. 8 GB) and is $50 more expensive.
Presumably, the new, lower-storage option will allow Barnes & Noble to compete with the Kindle Fire not just on specs, but also on price.
In Barnes & Noble's latest earnings call, CEO William Lynch said the company's Nook family of tablets experienced record sales during the nine-week holiday period at the end of 2011. In fact, that segment is doing so well that the company is considering spinning off the Nook business altogether. Digital content sales for 2012 are expected to be around $450 million, with the annualized forecast between $700 million and $750 million, according to Barnes & Noble's own estimates.
Amazon also reported record-breaking holiday sales of Kindle tablets and ereaders. More than 4 million devices were sold altogether during the season.


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Printed on a white extended 100% cotton tshirt
unisex sizing: girls may want to order a size down.
For best washing results and to maintain t-shirt quality; wash inside out, cold water, and hang dry.
Shipping Info
All orders are processed immediately, but shipped out on Fridays. Transit time takes anywhere from 2-8 business days depending upon location. (up to 2 weeks for UK customers). Unless stated otherwise.
please contact us with any concerns.


text:
- Year:2016 (66)
- Colour:GREY
- Transmission:Manual
- Doors:3
- Engine Size:1.4
- Fuel Type:Petrol
- Mileage:45141
Used VAUXHALL CORSA STING ECOFLEX in Bridgend
Call us now on 01656 662277
£5,995 £110.18
- Torque:4000
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- MPG Combined: 55.4
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- Gross Weight KG: 0
- Length (mm): 4020
- Width (mm): 1944
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Engineering consultant service, mineral processing test, mineral processing technological process, equipment selection, mineral processing plant design.
Manufacturing and procurement of mineral processing equipment, mine supporting materials, tools for installation and maintenance, devices for test and chemical test.
Guidance of plant construction and equipment installation, achievement of equipment commissioning, training of plant staff,plant consumables,equipment repair and maintenance.


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Dave Cronin
Dave Cronin is a director of interaction design at Cooper, where he designs all kinds of products for people like doctors, investment wizards, and architects. He is also a frequent instructor at the Cooper Interaction Design Practicum, was a co-author of About Face 3, and is currently a contributing editor (and author) for Interactions Magazine. Read more of his stuff on the Cooper Journal.


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How academically well-prepared is the next generation of vocational teachers? (2004)
|PDF (162 KB) | MS Word (2 MB)
The Carl D. Perkins Vocational and Technical Education Act of 1998, known as Perkins III, attempted to guide secondary vocational programs in new directions by strengthening the emphasis on academics in vocational education and incorporating the attainment of state academic standards as a performance measure for vocational programs. The policy objectives of Perkins III potentially require new roles and skills for vocational teachers, both those seeking entry into the profession and those already employed.
The purpose of this paper is to examine how well-prepared vocational educators are to teach courses and programs that reflect the emphasis on academic skills in the Perkins III legislation. The paper examines the academic skills and pedagogical knowledge of elementary, secondary and secondary vocational candidates to assess how well-prepared vocational candidates are to support and reinforce students' acquisition of academic skills. The study includes an analysis of 1) the demographic and academic characteristics of teacher candidates; and 2) the academic skills and professional knowledge of teacher candidates as measured by reading, writing, mathematics and pedagogical knowledge test scores on the Praxis assessments.
NAVE Contacts


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CNN's Drew Griffin investigates a charity suspected of only giving a small percentage of money raised to help dogs.
Post by: Drew Griffin and David Fitzpatrick
Filed under: Charity Investigation • Special Investigations Unit
Anderson – it is official now. Some of us have been noticing that David Gergen has been openly supportive of Romney and critical of Obama for some time now. He has now disclosed his relationship with Bain capital and monetary gains through that relationship. I think you should stop presenting him as a neutral analyst
Anderson Cooper goes beyond the headlines to tell stories from many points of view, so you can make up your own mind about the news. Tune in weeknights at 8 and 10 ET on CNN.
Questions or comments? Send an email
Want to know more? Go behind the scenes with AC361°


text:
In order to best display your results, please select the type of data that you need.
While only one selection can be made at a time, once finished with the search you will be given an opportunity
to save the results and then return to this page to begin another.
Missouri Student Survey
Alcohol and Drug Use Treatment
Comprehensive Psychiatric Services Treatment
Missouri Agency Data/Data for DMH Status Report
National Survey on Drug Use and Health
US Census


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The Superdanish mural is a copy of a mural Iraqi Freedom in the city of Twentynine Palms in California where one of the largest marine corps combat centers are situated. The Twentynine Palms mural includes signature images from the conflict, such as the toppling of the statue of Saddam Hussein in Baghdad, alongside portraits of American soldiers. In the Superdanish mural, American troops are replaced with Danish military personal and weaponry. The 13 x 3.5 meters mural (latex on drywall) was commissioned by The Power Plant Contemporary Art Gallery in Toronto to be presented in the context of an export drive for Danish culture and businesses in Canada, 2004. The wall painting visualizes Denmark's recent shift towards a more pro-active foreign policy, while also raising questions about the invasion of Iraq.
Mural painted by Mark Bell and Issam Idani
Populism / Number of Visitors, Merchandise Shop and Superdanish
Superdanish / Collective Creativity, Kunsthalle Fridericianum, Kassel


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Cumulative percentage of patients who had a follow-up visit with their primary care physician or pulmonologist from the day of discharge from a hospitalization for chronic obstructive pulmonary disease. Patients were censored at death (n = 1419).
Customize your JAMA Network experience by selecting one or more topics from the list below.
Sharma G, Kuo Y, Freeman JL, Zhang DD, Goodwin JS. Outpatient Follow-up Visit and 30-Day Emergency Department Visit and Readmission in Patients Hospitalized for Chronic Obstructive Pulmonary Disease. Arch Intern Med. 2010;170(18):1664–1670. doi:10.1001/archinternmed.2010.345
© 2020
Readmissions in patients with chronic obstructive pulmonary disease (COPD) are common and costly. We examined the effect of early follow-up visit with patient's primary care physician (PCP) or pulmonologist following acute hospitalization on the 30-day risk of an emergency department (ER) visit and readmission.
We conducted a retrospective cohort study of fee-for-service Medicare beneficiaries with an identifiable PCP who were hospitalized for COPD between 1996 and 2006. Three or more visits to a PCP in the year prior to the hospitalization established a PCP for a patient. We performed a Cox proportional hazard regression with time-dependent covariates to determine the risk of 30-day ER visit and readmission in patients with or without a follow-up visit to their PCP or pulmonologist.
Of the 62 746 patients admitted for COPD, 66.9% had a follow-up visit with their PCP or pulmonologist within 30 days of discharge. Factors associated with lower likelihood of outpatient follow-up visit were longer length of hospital stay, prior hospitalization for COPD, older age, black race, lower socioeconomic status, and emergency admission. Those receiving care at nonteaching, for-profit, and smaller-sized hospitals were more likely to have a follow-up visit. In a multivariate, time-dependent analysis, patients who had a follow-up visit had a significantly reduced risk of an ER visit (hazard ratio [HR], 0.86; 95% confidence interval [CI], 0.83-0.90) and readmission (HR, 0.91; 95% CI, 0.87-0.96).
Continuity with patient's PCP or pulmonologist after an acute hospitalization may lower rates of ER visits and readmission in patients with COPD.
Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death in the United States and the only disease associated with both increasing morbidity and mortality over the past 30 years.1 Research has consistently shown that patients with COPD have exceedingly high rates of hospitalization and emergency department (ER) visits. In 2000, COPD resulted in 726 000 hospitalizations and 1.5 million ER visits in the United States.2 One in 5 patients discharged with COPD is rehospitalized within 30 days of discharge.3,4 A recent study of over 11 million Medicare beneficiaries found COPD to be the third most common cause of 30-day rehospitalization.4
In 2005, potentially preventable hospital readmissions cost Medicare $12 billion.5 This burden underscores the importance of developing strategies to reduce these early readmissions for persons with chronic conditions. Age, disease severity, functional limitation, lack of social support, length of stay, and prior hospitalization are well-known risk factors for rehospitalization.6-12 Geographic variation in readmission rates suggests that some readmissions are potentially preventable.4,13 Coordinated discharge planning and hospital at-home and self-management education have been shown to reduce both exacerbations and hospitalization among patients with chronic diseases.14-17
Despite the consistently high rates of rehospitalization among patients with COPD, limited information is available on whether follow-up care with a patient's primary care physician (PCP) or pulmonologist after hospitalization for COPD reduces early rehospitalization (ie, within 30 days). In this study of patients hospitalized for COPD in an acute care setting, we assessed whether follow-up care within 30 days of discharge with the patient's PCP or pulmonologist that they had seen prior to hospitalization was associated with a reduced rate of 30-day ER visits and rehospitalization. We also examined patient and hospital characteristics associated with early outpatient follow-up.
We conducted a population-based cohort study using enrollment and claims data for a 5% national sample of Medicare beneficiaries from 1995 to 2006.18 Data were obtained from annual Medicare files of patients' demographic and enrollment characteristics (Denominator File), hospital stays (Medicare Provider and Analysis Review File [MEDPAR]), outpatient facility services (Outpatient Standard Analytical File), and physician services (Carrier Standard Analytical File).19 Hospital characteristics were obtained from the Centers for Medicare and Medicaid Services (CMS) Provider of Services (POS) File.20
Our study cohort consisted of 164 041 Medicare beneficiaries 66 years or older hospitalized for COPD (Diagnosis Related Group [DRG] code 088) at least once during the period 1996 to 2006. Patients with stays longer than 18 days (n = 1777 admissions) were considered outliers (exceeding the 99th percentile) and were excluded. Also excluded were 67 992 admissions for patients with no identifiable PCP in the year prior to hospitalization and 15 559 admissions resulting in a discharge destination other than home. For patients with more than 1 admission in a given year, we randomly selected 1 admission per patient per year and excluded discharges in December 2006 (in order to have a 30-day follow-up period), resulting in 62 746 admissions for study analysis. Of these admissions based on COPD-DRG, 87.6% had a COPD-related International Classification of Diseases, Ninth Revision (ICD-9) code (491.xx, 492.xx, and 496) listed as the primary diagnosis. Asthma (ICD-9 code 493.xx) was listed as the primary diagnosis in an additional 11.2% of these admissions.
Medicare enrollment files were used to categorize patients by age (66-74 years, 75-84 years, and ≥85 years), sex (male or female), and race/ethnicity (non-Hispanic white, black, or other). A Medicaid indicator (state buy-in) in the enrollment file was used as a proxy for low socioeconomic status (SES). Information regarding the origin of the admission (via the ER vs other), day of admission (weekend vs other), and discharge DRG were obtained from the MEDPAR files. A patient's place of residence was categorized by size of metropolitan area in quartiles. A comorbidity score was generated using the Elixhauser comorbidity score, using inpatient and outpatient billing data.21 Any prior claim for hospitalization with a DRG for COPD was considered a prior admission. Length of stay was categorized as 1 to 2 days, 3 to 4 days, 5 to 7 days, and more than 7 days. A patient was considered to have used intensive care unit (ICU) services if there was a claim for any ICU stay of more than 1 day.
Hospital characteristics, including total number of beds, type of hospital, medical school affiliation, and location, were obtained from data in the POS files. The total number of beds was categorized as less than 200, 200 to 349, 350 to 499, and 500 or more; the location was grouped by CMS region; the hospital type was categorized as nonprofit, for-profit, or public; and medical school affiliation was categorized as none, minor, or major.
A patient was defined as having a PCP if he or she had 3 or more visits to a PCP in a year prior to the hospitalization. There is no well-established algorithm to identify a patient's PCP using administrative data. Having 3 or more visits to the same PCP in a year had a 76.3% concordance to the patient's self-identified PCP.22 The Health Care Financial Administration (HCFA) Common Procedure Terminology (CPT) evaluation and management codes 99201 to 99205 (new patient encounter) and codes 99221 to 99215 (established patient encounter) were used to identify visits to the patient's PCP. For purposes of this study, a PCP was defined as a general practitioner, family physician, internist, or geriatrician. Physician specialty was determined from hospital claims in the MEDPAR file.
An outpatient visit to the patient's PCP or pulmonary physician (who saw the patient in the year prior to the hospitalization) within 30 days of the discharge date established follow-up care for that admission. We included pulmonary physicians in follow-up visits because 25.9% of our study patients were cotreated with a pulmonary physician (ie, had ≥1 outpatient visit to a pulmonary physician in the year prior to the hospitalization). Outpatient physician visits were captured using HCFA CPT evaluation and management codes 99221 to 99215 (established patient encounter).
The primary outcomes were (1) an ER visit and (2) a rehospitalization within 30 days of the discharge date. For patients with more than 1 ER visit or rehospitalization within 30 days, only the first event for each outcome was counted. We chose a 30-day window because most preventable readmissions occur within 1 month of discharge, and Medicare uses this time interval to compare readmission rates for hospitals across the United States.
We compared the patient and hospital characteristics between those with and without a follow-up visit to their PCP or pulmonologist within 30 days of discharge. The cumulative percentage of follow-up visits with their PCP or pulmonologist were estimated using the Kaplan-Meier method. In this analysis, patients were censored at death or 30 days after discharge. We repeated the analysis by also censoring patients who had an ER visit or readmission prior to the follow-up visit. The Cox proportional hazard model was used to identify factors associated with a follow-up visit within 30 days. To avoid time-dependent bias, a follow-up visit was treated as a time-dependent covariate to allow it to change over time during the 30-day period. Patients were assigned to the group "without follow-up visit" until they had their first follow-up visit to their PCP or pulmonologist after discharge. The outcomes of ER visit and rehospitalization for patients with and without a follow-up visit were estimated by multistate Nelson-Aalen estimation,23-25 a nonparametric method of calculating the cumulative hazard for time-varying covariates. We used a Cox proportional hazards technique with time-dependent covariates to model the effect of follow-up visits on 30-day outcomes.26 In these Cox proportional hazard models, the multivariate-adjusted hazard ratios (HRs) with corresponding 95% confidence intervals were estimated using admissions with no follow-up with their PCP or pulmonologist as a reference group. The covariates in the models were age, sex, race/ethnicity, SES, region, comorbidity, admission day (weekend or not), year of admission, history of prior COPD hospitalization, length of stay, source of admission, hospital teaching status, metropolitan size, type of hospital, and size of hospital. Efron approximation27 in the partial likelihood function was used to handle ties for events occurring on the same day in several patients within the 30-day follow-up period. To adjust for the clustering effect at the hospital level, robust sandwich estimation was used.24 We reanalyzed the 30-day outcomes (excluding death) and focused on any emergent or urgent readmission within 30 days or any readmission related to pulmonary conditions (COPD, pneumonia, pneumothorax, lower respiratory tract infection, and pulmonary embolism). The proportional hazard assumption was examined by plotting the log of cumulative hazard rates against time for patients with and without follow-up visits. The log of cumulative hazard rates was proportional to the follow-up time, and there were no violations to the proportional hazard assumption. All reported P values were 2-sided, and P < .05 was considered statistically significant. All analyses were performed with SAS statistical software (version 9.1; SAS Inc, Cary, North Carolina).
A total of 62 746 hospitalizations for COPD exacerbation occurred between 1996 and 2006 for patients who had a PCP prior to hospitalization. Of these patients, 74.1% were exclusively treated by their PCP and 25.9% were cotreated with a pulmonary physician in the year prior to the hospitalization.
Table 1 presents the patient and hospital characteristics of patients who did and did not have a follow-up visit with their PCP or pulmonologist and an adjusted HR of seeing either physician. Between 1996 and 2006, 66.9% of patients with COPD had an outpatient visit with their PCP or pulmonologist within 30 days of discharge. The percentage of patients with COPD with a postdischarge follow-up with their PCP or pulmonologist increased from 65.2% in 1996 to 71.0% in 2006 (P < .001). Among patients who had a follow-up visit, 86.7% were with their PCP, 6.7% with their pulmonary physician, and 6.6% with both.
Patients who did not have a follow-up visit with their PCP or pulmonologist were more likely to have a longer length of hospital stay, be older (>85 years), be black, have a low SES, have multiple comorbidities, and be admitted through the ER compared with those who had a follow-up visit within 30 days of discharge. Patients who lived in a large metropolitan area, received care at a major teaching hospital, or received care at a large hospital were also less likely to have a postdischarge follow-up visit. There were no differences between the groups in prior admissions for COPD, geographic region, admission day of the week, or type of hospital.
Also shown in Table 1 are the multivariate analyses of patient- and hospital-level characteristics on the likelihood of an outpatient follow-up with their PCP or pulmonologist. The odds of a follow-up visit within 30 days of discharge increased 2% (95% CI, 1%-2%) per year from 1996 to 2006. Factors associated with a lower likelihood of outpatient follow-up were longer hospital stay, prior COPD hospitalization, older age, black race, lower SES, and emergency admission. Those receiving care at nonteaching, for-profit, and smaller sized hospitals were more likely to have a follow-up visit within 30 days of discharge. Censoring patients who had an ER visit or readmission prior to a follow-up visit with their PCP or pulmonologist did not change the adjusted HR for most of the variables listed in Table 1, except for low SES (HR, 0.92; 95% CI, 0.89-0.94) and 3 or more comorbidities (HR, 1.00; 95% CI, 0.97-1.03).
The Figure shows the lag time from the date of discharge to the patient's first follow-up visit with his or her PCP or pulmonologist. Of those seen, 75.2% were seen within 15 days of discharge.
Patients who had a follow-up visit with their PCP or pulmonologist after discharge had fewer ER visits and lower readmission rates. The 30-day rates of postdischarge ER visits in patients with follow-up to their PCP or pulmonologist was 21.7% compared with 26.3% in those with no postdischarge follow-up (P < .001). Similarly, 30-day readmission rates were 18.9% and 21.4% for patients with and without a follow-up visit with their PCP or pulmonologist, respectively (P < .001). Of the 11 558 readmissions within 30 days, the top 3 reasons for readmission were COPD (24.1%), pneumonia or respiratory infection (12.9%), and heart failure (7.8%).
In a time-dependent analysis, controlling for patient- and hospital-level characteristics and excluding patients (n = 1817) who died within 30 days of discharge, patients seen by their PCP or pulmonologist had lower 30-day adjusted rates of ER visits (HR, 0.86; 95% CI, 0.83-0.90] and readmission (HR, 0.91; 95% CI, 0.87-0.96) compared with those not seen by their PCP or pulmonologist (Table 2). The magnitude of the results did not change when we included patients who died within 30 days of discharge or restricted outcomes to hospitalization for pulmonary conditions or urgent or emergent admissions. Factors associated with increased 30-day risk of an ER visit or readmissions were length of initial hospitalization (>7 days), comorbidities, prior hospitalization for COPD, male sex, low SES, ICU stay, admission from the ER, and weekend hospital admission.
We found that patients with COPD who had an early follow-up with their PCP or pulmonologist after acute hospitalization had lower odds of a 30-day ER visit or hospital readmission compared with patients who had no such follow-up. In patients with COPD, a follow-up visit within 30 days of initial hospitalization was associated with 14% fewer ER visits and 9% fewer readmissions 30 days after discharge. Continuity of care with a PCP or a pulmonologist after an acute hospitalization is a potentially modifiable factor that may lower the risk of clinical relapse requiring an ER visit or readmission in patients with COPD.
Rehospitalizations among Medicare beneficiaries are common and costly.4 In 2004, 19.6% of older adults were rehospitalized within 30 days of discharge at an estimated cost of $17.4 billion. Congestive heart failure, psychosis, and COPD are the chronic conditions with the highest 30-day readmission rates (26.9%, 24.6%, and22.6%, respectively). Our findings of COPD, pneumonia, and congestive heart failure as the most frequent cause for readmission in patients hospitalized for COPD are similar to those in a recent study by Jencks et al.4
We used the follow-up visit as a time-dependent covariate in our analyses. A prior study using follow-up visit as a fixed variable showed a large effect of follow-up visit on reducing repeated ER visits within 90 days of an initial ER visit.28 The bias in these analyses results from the fact that patients who are readmitted earlier will not have a chance to see their physicians and hence are included in the "no follow-up" group; this makes the "no follow-up" group seem worse and thus overestimates the benefit of a follow-up visit. For example, when we analyzed the effect of a 30-day follow-up visit as a fixed variable, we found a large reduction in 30-day risk of readmission (HR, 0.48; 95% CI, 0.47-0.50) compared with when the follow-up visit was analyzed as a time-dependent variable (HR, 0.91; 95% CI, 0.87-0.96). Time-dependent bias can artificially inflate effects and is common in articles published in medical journals.29
Patients who were black and those with low SES had higher rates of rehospitalization and were less likely to follow up with their PCP or pulmonologist. These findings are consistent with those of previous studies that found substantially lower use of screening and preventive care among these subgroups. Efforts to improve early follow-up are necessary, especially in these vulnerable populations. It will be particularly important to examine the specific socioeconomic barriers and behavioral factors that underlie the reduced access to outpatient care in these patient subgroups. Similarly, older adults and those with multiple comorbidities were less likely to have an outpatient follow-up visit.
Patients receiving care at teaching hospitals were less likely to follow up with their PCP or pulmonologist than those treated at community hospitals. Patients are more likely to see their outpatient health care provider during hospitalization in community settings,30 and this continuity across transition may also increase the likelihood that they will follow up with their PCP after discharge.
Chronic obstructive pulmonary disease is designated an ambulatory care sensitivity condition (ACSC) by the Agency for Healthcare Research and Quality, among others; ACSCs are medical conditions for which timely access to outpatient care can obviate the need for hospitalization. However, a randomized controlled trial of improving access to primary care after discharge in male veterans hospitalized for COPD, congestive heart failure, or diabetes mellitus–related complications found increased rehospitalization rates in patients with increased access to care over 6 months after discharge.31 This study included only veterans who did not have a PCP, and the negative findings may be explained by the fact that assigning chronically ill patients to a PCP with no prior relationship may not translate into immediate reduction in hospitalizations.
Readmission rates can be lowered by postdischarge follow-up.32,33 Patients who follow up with their outpatient physicians after hospitalization may have fewer ER visits and readmissions for various reasons. Most patients are discharged with their symptoms improving but not completely resolved. Early follow-up with their PCP or pulmonologist can help intervene by adjusting medications to potentially avoid an ER visit or hospitalization. In patients with advanced disease, early referral to a pulmonary specialist, or cotreatment34 can raise the quality of care and improve survival.
Our study has several limitations. We examined only follow-up visits with the patient's own PCP or pulmonologist. Some patients may have had follow-up visits with other physicians or mid-level health care providers after discharge. This would have led to an underestimation of postdischarge follow-up. However, this change would affect the magnitude but not the direction of the association between follow-up and 30-day ER visits or readmission. We did not have information on the quality of care during the index hospitalization. Substandard care during hospitalization is associated with early relapse and readmission.35 In addition, information on outpatient treatment of COPD prior to the hospitalization and COPD-specific disease severity measures are not available in the administrative data set. Patients with more severe disease are likely to have recurrent exacerbations and frequent hospitalization. As a surrogate for severity of COPD, we controlled for prior COPD hospitalization in our analyses. Physician practice patterns can influence the decision to admit a patient independent of a patient's clinical status and were not examined in the present study.36 Our study did not examine care coordination, such as early discharge to pulmonary rehabilitation, home-hospital (in which the patient is treated by his or her PCP or other health care provider at home; this type of care is common in Europe), home visits from a respiratory therapist, or nurse or self-management education, all beneficial in reducing COPD exacerbations.16,37,38 This may have lowered our estimate of the true benefits of follow-up care. We included 1 admission per patient per year in our analyses. Theoretically, a patient can have a maximum of 11 admissions (once per year during the entire study period), which can result in clustering at the patient level. We did not adjust for clustering at the patient level, and this may have resulted in a small bias in our estimates. Our results may not be applicable to non-Medicare patients or those enrolled in managed care. Finally, given the observational design of the study, we cannot exclude unmeasured or residual confounding as a possible explanation for the observed associations.
In summary, an early follow-up visit with a patient's PCP or pulmonologist is associated with decreased likelihood of an ER visit and hospital readmission within 30 days of discharge in patients hospitalized for COPD. Discharge planning that emphasizes early outpatient follow-up may reduce hospital readmissions in patients with COPD.
Correspondence: Gulshan Sharma, MD, MPH, Department of Internal Medicine, 301 University Blvd, JSA-5.112, UTMB, Galveston, TX 77555-0561 (email@example.com).
Accepted for Publication: March 15, 2010.
Author Contributions:Study concept and design: Sharma, Kuo, Freeman, and Goodwin. Acquisition of data: Zhang and Goodwin. Analysis and interpretation of data: Sharma and Kuo. Drafting of the manuscript: Sharma, Kuo, Freeman, and Zhang. Critical revision of the manuscript for important intellectual content: Sharma, Kuo, Freeman, and Goodwin. Statistical analysis: Kuo and Zhang. Obtained funding: Sharma and Goodwin. Study supervision: Goodwin.
Financial Disclosure: None reported.
Funding/Support: This study was supported by grants K05 CA 134923, K08 AG 031583, R01 AG 033134, and P30 AG 024832 from the National Institutes of Health.
Additional Contributions: Sarah Toombs Smith, PhD, provided help in preparation of the manuscript.
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Nothing says Saint David's Day like accessorizing with leeks.
At least to the Welsh, who don an allium boutonnière every March 1, the feast day of their patron saint. The precise root of this practice is mired in myth, although it seems that this cousin to the onion was elevated to both sartorial splendor and national emblem back in the sixth century during a battle against the Saxons that took place in, of all places, a leek field. David—their patron saint, not LC's beloved saint and publisher—reputedly ordered troops to identify themselves by affixing the oniony stalk to their helmets. They emerged victorious. Ever since, this saint's feast day has meant leeks to the Welsh—whereas to those of us at LeitesCulinaria.com, it means a day spent reminding our David that no, the holiday's not for him, and by the way, he'd better watch himself if he ever hopes to be canonized.
Donning a leek corsage as an act of patriotism has persisted throughout the centuries, meriting a mention or two in Henry V and, more recently, sprouting into veggie contests on this day at Welsh grammar schools. The glory goes to the lad sporting the, ahem, longest leek. (We're not making this up. We swear.) Victory, however, seems a dubious honor, given that the winner is prodded to eat the allium. Nothing says "champ" like the crunch of gritty sand in a raw leek, right? (This assumes he's not given the option of halving the stalk, soaking it in cold water till the dirt sifts to the bottom of the bowl, then sautéing it slowly with a pat of butter and a sprinkle of nutmeg before wolfing it down.) We imagine the culmination of the ritual must offer more than a little comfort to the second-place schoolboy, who, though deemed inadequate in the length department, will at least have better breath, not to mention a bit of greenery of his own to contemplate for dinner.
Leeks Recipes to Honor Saint David's Day
- A Slice of Ranching History from The Pioneer Woman
- History of Tapas from ECurry
- Caesar's Last Salad: The Foods of Ancient Rome from Leite's Culinaria
- The Uncommon Origins of the Common Fork from Leite's Culinaria
Saint David's Day corsage photo © 1957 Full Homely Divinity. All rights reserved.


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Buying An Existing Business Part 2
Grow Your Business, Not Your Inbox
6. Who are the suppliers? Are they in good shape financially and able to continue providing you with necessary supplies? Does the business have lines of credit with them?
7. Are there any licenses or patents due to expire soon?
8. Is the company adequately insured?
9. Is the equipment in good working order? How old is it, and are there warranties or service agreements? What are the terms of those agreements and when do they expire? If property is involved, what kind of shape is it in?
10. Is there anything occurring in the industry that has long-range implications for the business? If, for instance, it's an import/export business and a new law will prohibit the sale of your product to certain countries, this could negatively affect earnings. Or worse, the product or service could be in danger of becoming obsolete. Locate such critical information from trade journals and trade associations, or consult a broker or business consultant who specializes in that industry.
11. Are there any judgments or lawsuits lurking? Has an employee filed a discrimination or sexual harassment complaint? If so, you need a contract that holds you harmless from future actions.


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Quick Links
Monroe County, Iowa - Attorney
Iowa created the County
Attorney as an elected position in 1846.
The primary responsibility of the County Attorney's office is criminal
The prosecutor in ways is the heart of the Criminal Justice system. Except for
Simple Misdemeanors, all charging decisions rest with the prosecutor.
No jury or court can convict a person of a serious crime without a prosecutor
first determining that pursuing a criminal charge will serve the interest of
justice. Therefore, the County Attorney's daily challenge is to deal
appropriately with the people involved in the Criminal Justice System.
The County Attorney DOES:
The County Attorney's duties set by the Iowa Code (PDF)


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We've been raising and training retrievers for 19 years now.At Marsh-Mutt Manor Labradors we offer several different services to breeders, hunters, or companion dog lovers.
Full time training of retrievers for hunting, hunt test or for a companion.
Private lessons for individuals that want to train their own dog.
National Dog Registry Tattooing.


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Last night in New York, the Rock and Roll Hall of Fame inducted its latest members — and Madonna officially became a legend, bitches! But some of our other all-time favorite musicians were there last night, as both honorees and performers: Iggy Pop, Patti LaBelle, Leonard Cohen, John Mellencamp, Lou Reed, Joan Jett, Ben Harper — seriously, this is like half of my iTunes, no joke. Hollywooders — Tom Hanks, Chevy Chase, Michael J. Fox, Ed Burns — were also there, and on the whole, everyone rocked the red carpet. Except for Madonna. (Oy.) The full Good, Bad, and Ugly of the 2008 Rock and Roll Hall Of Fame Awards, after the jump.
The Good:
Ed Burns and Christy Turlington aren't so rock 'n' roll, but gosh and golly they look lovely.
Jerry Butler: One class act.
Dear Michael J. Fox and Tracy Pollan: You make me heart happy.
Does Chevy Chase's wristband mean he's old enough to drink?
I know I should hate Damien Rice's poseur maroon suit. But I sorta love it.
Leonard Cohen: He's your man.
Ben Harper can steal my kisses!
Nom nom Tom Hanks in glasses.
John Mellencamp: Way to rebel and ditch the tie.
Seth Meyers stays classy.
While Richard Belzer busts a move.
Princess of Firyal of Jordan looks like a Tory Burch ad.
The Bad:
Has Miss Patti been vacationing at Del Boca Vista?
God bless Iggy Pop for still rocking the shirtless chest and leather pants. That doesn't mean I have to like the look of it, though.
Joan Jett: See above.
The Ugly:
Even a love affair with Laurie Anderson doesn't compensate for Lou Reed's douchey attitude and leather suit.
Madonna, Madonna, Madonna: What the fuck are you wearing? The sorta see-through dress, the bow tie, the boots. Ugh.
[Images via FilmMagic.]


text:
There are no Upcoming Shows listed for this comedian.
James Price
James Price Jr.
"I love acting because it's an artistic way for me to bring out the many
different personalities that define me"
James Price has enough energy to power a small fleet of motor vehicles. It is a fuel that
burns full-throttle, ignited by the power and passion of his performance.
James Price Jr., affectionately called "Fat James" by his peers at the World Famous
Comedy Store, is at the forefront of the next generation of larger than life comedians.
Born in Pittsburgh, Pennsylvania, an erratic childhood propelled James to the stage.
Never quite being able to establish roots in one place, James formed a close friendship
with his father and found refuge in the theatre. His fathers love of Doo Wop music and
everything 1950's was passed along to James. An accomplished singer James has opened
for acts as varied as Tim McGraw, The Temptations and childhood hero and Doo Wop
legend Bobby Vee. Combining his love for theatre and music, James was once recognized
as one of the top Elvis Presley impersonators in the nation.
Always looking to the legends of the past to predict his future, James followed the sage
advice of George Burns who said "I'd rather be a failure at something I love than a
success at something I hate" and decided to pursue his true passion, comedy. James
risked it all by leaving Keene, New Hampshire, the one place that finally felt like home.
Upon arriving in Hollywood James immediately enrolled in classes at the renowned
Second City Training Center and found a job at the World Famous Comedy Store. It took
little time for James to make his presence felt on the Hollywood comedy circuit. Movies
and television quickly followed his stage success. In the past few years James has costarred with Wilmer Valderrama in "The Latin Lover", appeared on Comedy Central
and Jimmy Kimmel Live.
James Price's Upcoming Shows
James Price is Known For


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Death Row Information
Offender Information
Last Statement
Date of Execution:
June 26, 2002
Jeffrey Williams #999154
Last Statement:
The Lord is my Shepherd, I shall not want. He maketh me lie down in green pastures; He leadeth me beside the still waters, He restoreth my soul. He leadeth me in the paths of righteousness for His name's sake. Yea, though I walk through the valley of the shadow of death, I will fear no evil; for Thou art with me. Thy rod and Thy staff, they comfort me. Thou preparest a table before me, in the presence of mine enemies. He anointeth my head with oil; my cup runneth over. Surely goodness and mercy shall follow me all the days of my life, and I will dwell in the House of the Lord forever. Amen. Amen.


text:
Small M-8 problems being addressed
Repairs on new trains' glitches are under way
STAMFORD -- As more M-8 rail cars are introduced on the New Haven Line, the state Department of Transportation continues to deal with glitches that reduce the new rail cars' maximum performance, rail council members were told last week.
Partly due to a design glitch with the pantograph arm, Metro-North Railroad saw the average mileage the M-8 cars traveled without performance problems fall below 100,000 miles in September, Gene Colonese, head of the DOT's rail division said at the Connecticut Commuter Rail Council meeting in Stamford last Wednesday. The pantograph draws power from overhead catenary wires.
In September, the average number of miles an M-8 traveled before repairs were needed was 85,219, a drop from 126,103 miles in August, according to Metro-North statistics. That was lower than the New Haven Line's M-2 cars, the state's oldest, which averaged 113,098 miles without problems, and the M-4 cars which averaged 128,273 miles.
"We had some issues with the catenary that we had to deal with," Colonese said Wednesday.
The design glitch and other M-8 equipment issues are being addressed with the manufacturer, Kawasaki Rail Car Corp., to ensure the cars achieve goals for durability and performance, Metro-North spokeswoman Marjorie Anders said; Kawasaki is responsible for related retrofitting costs.
The M-8 catenary problem stems from a component in the pantograph, a carbon strip that contacts the overhead wires, flexing too much, Anders said. The problem is to be resolved in all cars by the year's end through the application of a plastic stiffening agent to make the strip less yielding, she said.
In addition, Kawasaki and Metro-North have found a solution to another problem -- a banging noise originating from couplings linking the cars together.
Cars already in service will be retrofitted to correct the problem beginning in January, and new cars will have updated coupling equipment, Anders said. The issue does not raise safety issues for travelers, she said.
Kawasaki and Metro-North are also working on warranty modifications to assure modifications to the cars' auxiliary power system are made so the correct amount of voltage is supplied to run on-board lights, heating, cooling and other systems.
"MTA Metro-North Railroad has high expectations for the M-8s and we are confident that Kawasaki will meet these expectations," Anders said. "While we are not satisfied with their performance, we recognize that such a complex car will require a break-in period."
Anders said the period of tweaking the M-8s was anticipated, given the complexity of computerized technology used to operate the cars, partly driven by the need of New Haven Line trains to be able to operate on more than one electrical system.
"This is normal with a new rail car and is to be expected with the M-8, which is the most complicated car in the U.S., with three different electrical modes," she said.
Initially to debut in late 2010, the first M-8 cars were placed in service in Connecticut in March 2011, after software glitches and other problems scuttled the rollout.
Other production delays held back delivery of the first M-8s to the state until December 2009, nearly a year behind schedule, including a problem in 2008, when Kawasaki could not buy steel to build the cars.
In spring 2010, a delay installing diagnostic software aboard the first M-8 cars held up testing of mechanical and computer components controlling speed, braking, restrooms and doors.
Chairman Jim Cameron and other rail council members said they are pleased with the rate the new cars have been put into service and were not very concerned about the equipment fixes.
Cameron said with enough new cars now available to cover nearly half of weekday train runs, while also keeping a large number of M-8s in reserve, he believed they could be retrofitted without significantly affecting service.
"The engineering on these cars is amazingly complex, and I think with any new car there is a certain break-in period and I think the railroad and Kawasaki are working as fast as they can to make sure the cars are as reliable as they can possibly be," Cameron said.
Jeff Maron, a Stamford commuter on the council, said even the most nettlesome issues he has seen on the M-8s, such as glitches with on-board announcements and the occasional stuck door, pale compared to breakdowns on the older rail cars.
While some complain about the air-conditioning system on the new trains being too frigid, Maron said it is welcome compared to the lack of heating or cooling, and even lights, on older trains.
"We're very thankful to have the cars and appreciate that the air conditioning works, and we're now up to almost 100 percent of the number of cars we need being in use," Maron said. "There continues to be a shakedown period where we discover problems that can only be solved through use of the cars and production."
At the meeting, Cameron said customer complaints about the M-8 interiors, such as seat size and temperature, are more common than those about breakdowns or delays.
Westport commuters Susan Eaton and Christopher Wilson both said the M-8's ride is much smoother than older trains, but that the air conditioning is too powerful. Eaton said she often wears a scarf and hat on the train, even in warm months.
"I find the cars are extremely blowy and I wear a hat in the middle of the summer and I do try to find a seat that I think will be less cold," Eaton said. "The seats are also very tight, which can be uncomfortable."
Wilson said the cars are much quieter and cleaner, and will likely prove more reliable, but said they are made less comfortable than necessary by smaller seats and the strong air conditioning. The on-board lighting is also somewhat harsh, Wilson said, recommending a softer glowing bulb.
Six-seat sections -- with two groups of three passengers face-to-face -- are especially cramped, he said.
"As a result, this six-seat area effectively becomes a seating area for 3 people, not 6, as rarely will anyone ever sit directly across from another person," Wilson said.
Anders said Metro-North is working to resolve the temperature complaints by looking at ways of reducing the amount of air volume being used by the system.
After last Wednesday's meeting, Colonese said the September drop in problem-free miles for the new cars is part of a necessary adjustment process. He said he believes the fully vetted cars will eventually run 300,000 to 400,000 miles on average, similar to the M-7 car on Long Island Railroad and Metro-North's Hudson and Harlem lines, which is considered a precursor to the M-8.
The M-7, built by Canada's Bombardier Inc., includes many similar features as the M-8, including centralized computer control, on-board diagnostic systems, alternating current propulsion and single-leaf rather than double-leaf doors.
"We've experienced some issues with the M8s and there have been a lot of little tweaks and fixes we've had to make," Colonese said. "But there is no reason to believe they won't eventually perform at the level of the M-7 fleet on Long Island Railroad and the other lines."


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Old Home Day
1638 - Town of Hampton - 1960
416 Winnacunnet Road
According to the records, Reuben Lamprey built this house and barn about 1760, and presumably still haunts it according to the present owner, Mrs. Vrylena Olney.
The property remained in the Lamprey family until it was bought by Lieutenant Clifford B. Gill, Mrs. Olney's father, in the early 1880's.
During its 200 year history, the house has been continuously occupied, and rented to many Hampton families. It was used as the farm house until the turn of the century, and for a few years in the 1930's, it was a restaurant and inn. The only major changes since the house was built have been the addition of the porch on the west end, and the big ell on the north side.
Guests will find a visit to "Reuben's Barn" adjacent to the house, very rewarding.


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Blessing the Mother…..Thursday, July 14th, 2011
Blessing the mother ease the period at the end of pregnancy and ease the transition into postpartum.
Ideas that bless before and after birth:
- Freezer Meals
- Organizing Fresh Meals for end of pregnancy through first month post birth.
- Buy baby wearing gear for her.
- Organize a Blessingway
- Write down encouraging and affirming words in a beautiful card.
- Listen to her.
- Buy her a baby wearing, cloth diapering, breastfeeding class, etc. to her desires as a surprise.
- Organize housecleaning party for end of pregnancy and once or twice postpartum.
- If she has other children, have them over to give her a rest.
- Donate toward her doula, midwife or doctor.
- When she is postpartum, visit her and prepare a variety of snacks so she is never without food.
- Offer to run errands after the baby is born.
- Offer to give her time to shower.
- Buy her a reusable water bottle so she drinks enough fluids.
- Give her permission to phone you during odd hours after the birth if she needs support, advice.
- Offer to dog sit or take care of any pets as needed after the birth.
- Check in on her about 3 weeks after birth to see how she is doing emotionally and physically.
What other ideas do you have to add? Please leave me a comment.


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Wednesday, September 9, 2009
Cleaning the sauce from suede shoes - An Epic
11 comments:
I always appreciate the witty verging on snide (hell that's why I like Waugh). I think the proper thing to do whenever you ruin anything of anyone's (clothing, a rug, a CD) is to offer to pay for its repair or repay its value. I like the persistence and thrift though.
- September 10, 2009 at 2:01 PM
That's it? Did you use the cleaning spray followed by the emery board? Or just the emery board? And you just rubbed it away? I'm going to try these on my suede Belgians that I foolishly wore on an overcast day which slowly turned into a rainy day. My shoe repair guy laughed at me. I thought there was no hope. Fingers crossed. Much appreciated.
- September 10, 2009 at 5:10 PM
- Enzo AGC said...
Dale - I just call it like I see it...
Jose - The cleaning spray did nothing but stink up my apartment. All it look was an emery board. Go get yourself one and good luck!
- September 12, 2009 at 12:15 PM
It worked! My Belgians look almost new. Thanks for the tip. Much appreciated.
- September 14, 2009 at 11:23 AM
- Enzo AGC said...
Jose - That's great! I'm glad I could help.
- September 14, 2009 at 3:06 PM
- Foster Huntington said...
I am so pleased that the BBQ sauce came out, greAt post and hope your house hunt/move is going well,
- September 15, 2009 at 8:40 AM
- Enzo AGC said...
Foster - glad I could please you broseph...how is school going?
- September 15, 2009 at 4:32 PM
- Foster Huntington said...
school is going well, i havent spotted winterbottom yet. still looking for a to a chat with her hahah,
- September 16, 2009 at 12:02 PM
- Enzo AGC said...
Haha..She's abroad in London until Dec. so it will have to wait until then
- September 16, 2009 at 12:11 PM
- FIXED BAYONET METAL SOLDIERS said...
Can you go more into detail on cleaning Suede shoes. I live in Milan and had your same problem.This was bad because the shoes cost a mint (Rossetti) and I still can't get the stains out=Olive Oil.But please contact me on this.By the way anyone who wants dirt cheap but really decent Suede brogues hand made should check out Samuel windsor shoes on Google and check out the 30 pound a pair offer.I bought suedes from them and they look the business. I bought four pairs. American Tassel loafers in Ox-blood, Semi Brogues, Gibsons,Suede brogues. They are also sold under Richmond
- September 29, 2009 at 2:30 AM
- FIXED BAYONET METAL SOLDIERS said...
By the way these shoes got bad press on the MOD STYLE site but i've worn them and they are much better than the same style shoes made by Rossetti or most of the Italians at 600 bucks or more.the only negative point is they come up a bit large=not for those with really narrow feet. And they are only in english classic style.I don't buy Italian anymore but buy from Loake or Charles Tywitt in London when I'm back home. I recently got the Bogart brogues from Loake at a 100 pounds circa. Now I'm getting their Steve MacQueen shoe
- September 29, 2009 at 2:34 AM


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Job Description
Life balance - career fulfilment, family or study commitments? Now you CAN do it all!
If you have found yourself looking back on your successful career in the travel industry and have the desire to evolve into a challenging, next-level specialised role, then this could be an ideal opportunity for you.
For the past eight years I have had the absolute pleasure of finding amazing people for this warm, dynamic and growing team. I fondly refer to them as "The All Star Team" for very good reason!
This role is your chance to continue your talents and love for the travel industry; whilst earning a fantastic remuneration level, gaining great work-life balance whilst being part of a highly experienced and mature-minded team of impressive capabilities, fun and laughter.
Due to continued global domination and expansion to further continents, new roles have become available within this team and we are now looking for new travel superstars.
Part Time fulfiling roles can be hard to find, but this is the place to secure the role you have been looking for!
About the Role
Initially you will take on a satisfying and valuable role of providing an exceptional client experience via the management of emergency situations in airfare routing around the world.
There will be days when things are relatively calm and straight forward, but also days that will challenge you, and draw upon your deep industry experience with pressure situations; but through all of this you will have full support and guidance from head office. You will love coming to work and relish the feeling of accountability.
About You
You will have the chance to consider which shifts you work, whether that be 2 shifts per week, 3 or 4 shifts per week; weekday or weekend. You can choose.
These roles fall outside of regular office hours, which means you'll either fulfil early morning shifts or late evening shifts. Given the expansive and varied rosters, the hours that work best for you can be discussed with the Manager during the interview process.
Currently, we are looking for professionals who are available to work Monday to Friday ideally from 10.30am to 7.00pm. Every second weekend is also required.
You will also work with an incredibly flexible team who are open to swap times, so you won't miss out on those important events in life!
Ideally you will be avaiable for these times but if they are not for you, please feel free to still apply for future opennings.
To be successful, you will have:
- Either Amadeus, Sabre OR Galileo GDS proficiency (essential)
- Travel industry experience with a dedication to customer service (essential)
- The skills to calculate fares, change fees and additional collections with a high degree of accuracy
- Ability to work under pressure to competing deadlines, unsupervised, within a small supportive team
- Ability to work in a flexible environment on a 24 hour, 365 day roster
* Free Parking * 5 weeks annual leave * Exceptional flexibility * Beautiful Manager and supportive team
Along with working in a warm and wonderful environment, you will be rewarded with an attractive salary package, travel benefits, access to an in house gym, financial advice, health and well-being program and many other perks.
To apply, click the link and upload your current resume in word format.
Please also feel free to send any queries to firstname.lastname@example.com.
Applications can be addressed to Chrissy Mandalis, quoting ref no. JO-1505-53930. Want to know more about Davidson? Visit us at www.davidsonwp.com


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Twinklight The Movie is the first & only twink vampire saga!
In this highly anticipated Afton Nills' feature film Billa plays an innocent twink searching for a new beginning. What he finds is the dark and dangerous world of vampires; an erotic and cryptic society filled with fucking and blood sucking. Billa spirals deeper into the underworld as he falls for the forbidden but irresistible Edmund, a strong and powerful vampire. Twinklight is a dramatic and graphic expose on the secrets, horrors and sexual fantasies of vampires. Watch as these young and deadly monsters take whatever pleasures they desire!
Twinklight.tv includes access to behind the scenes footage and more!
More Twinklights Inside
Watch the movie in all its high definition glory
Behind the scenes footage
Interviews, bloopers
The story continues with additional episodes
Access to 6 bonus sites
Easy Cancel and Discreet Billing
Twinklight is the most anticipated gay porn movie of all time, go watch it now!
Edmund & Billa
Bailey & Vampire
Egan & Edmund


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Beagle Scout Snoopy Rocks!stevejb68 on August 1, 2013 in collections, Holiday
It is August 1st, and that means this year's new Hallmark Keepsake ornaments are in the stores and ready to sell. Beagle Scout Snoopy and his friends once again make an appearance as the Scouting series continues. This year captures the Beagle Scout as he climbs to the top of the mountain with the help of Woodstock and his friends. It is a fitting theme when you think about how popular rock climbing has become with Boy Scouts and how many summer camps now feature climbing towers.
Unfortunately, it is not one of my favorite Beagle Scout Snoopy ornaments. To me it looks like the characters are climbing a piece of frosting covered chocolate. Maybe the characters are climbing a gigantic s'more instead of a mountain! That would be quite tasty. The sticky marshmallow topping would make the climb a little easier, or would it make it worse?
Anyway, I bought two when I was in the store today. One will actually be used on the tree, and one will be stored away as part of my collection. I believe this is the seventh Beagle Scout ornament in my collection. Here are my articles from the previous years:
Campfire Fun 2007
Beagle Scout Day Out (canoeing) 2008
A Spooky Story 2009
The Fearless Crew 2010
Holiday En-tree-preneurs (selling Christmas trees) 2011
Salute The Flag 2012
Beagle Scouts Rock! (this year's)
It looks like you may have to find a store to buy it. The Hallmark website does not to seem to include it as an online purchase. Will you be picking one up for yourself or that special Scout in your life?


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Bird-B-Gone's Repeller 360° Uses Wind Power To Prevent Birds From Landing
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|Oct 27, 2012
Bird-B-Gone, Inc. would like to announce the addition of a new product, The Repeller 360.
The Repeller 360° is a physical bird deterrent that rotates in the wind to deter large birds from landing in unwanted areas such as boats, docks, signs, rooftops, A.C. units and more.
Covering a 6 ft diameter, the Repeller 360° features reflective "predator eyes" to confuse and scare birds from coming near the protected area. The arms work to "sweep" birds off surfaces, while the reflective predator eyes create a visual scare zone that birds will want to avoid.
The unit has optional mounting bases to choose from and can be mounted to railings, masts, bimini and canvas covers, flat surfaces and more. A locking pin in the base ensures the Repeller 360° will not blow away in high winds.
The Repeller 360° is safe, humane and made in the U.S.A by Bird-B-Gone, Inc.
Repeller 360° is made of durable materials meant for prolonged exposure to saltwater and sunlight. The anodized aluminum arms and U.V. protected body are meant for outdoor use. Repeller 360° is easy to install and easy to store.
Bird-B-Gone's goal is to provide the most effective, humane, and economic products available in the bird control industry.
About: At Bird-B-Gone it's our expertise, training and customer service that set us apart. Our high quality bird control products carry the longest industry guarantees, and are proudly made in the United States.
To learn more about the Repeller 360° or other Bird-B-Gone products, visit us at http://www.birdbgone.com call 1-800-392-6915 or email firstname.lastname@example.com.
For other relevant searches, you might want to try:


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Lil Wayne's preview of his new song "Dusse" contains a reference to Jay Z.
"Hov, fuck wit' your boy," Wayne says on the track.
No further details about the song have been released.
The name of the track also references a brand of alcohol that Jay Z has discussed in his raps. On Beyonce's "Drunk In Love," Jay Z says, "That Dusse is the shit." Moreover, Jay Z has worked with the company and has taken promotional photographs for an ad.
Wayne's reference to Jay Z follows years of a rumored feud between the two rappers.
In February 2012, Lil Wayne appeared to rap about Jay Z and Kanye West's Watch The Throne.
"I met a bad red bone, I took the bitch home," Wayne rapped during a show. "I asked her what she want to watch, she said surely not The Throne."
He reportedly was upset with a Jay Z line off Watch The Throne's "H.A.M."
"I'm like, 'Really, half-a-billi?' / Nigga, really, you got baby money / Keep it real with niggas, niggas ain't got my lady money," lines that some took as a shot towards Cash Money's head, Birdman, who also goes by Baby.
Wayne also appeared to respond to this on "I'm Good" off Tha Carter IV.
"I got your baby money," Wayne raps on the track. "Kidnap your bitch, get that 'how much you love your lady' money."
In June 2013, Jay Z appeared to address Lil Wayne on Magna Carta…Holy Grail's "La Familia."
"Wanna kidnap wifey," Jay raps on the song. "Good luck with that bruh / You must gonna hide your whole family / What you think we wearing black for / Ready for that war / Ready for that war ready / You ain't ready, yo, you radio," spits Jay.
In July 2013, Jay Z spoke about a bothced Roc-A-Fella deal with Lil Wayne.
"This is the first time I ever told this truth," Jay-Z revealed. "The truth is after I had a meeting with Wayne—I had a relationship with Baby, when I used to go to New Orleans I would meet up with him…So, I felt it was only right to call him. I called him out of respect like 'Yo, I was talking to Wayne. Just to let you know. Boom boom boom.' So, after that I think we received a letter at our office for like torturous interference from a lawyer…And it all just went from there. I would rather lose that situation and do the right thing than the opposite. Cause I think I could have signed him. I could have signed him and then told him after. I did the right thing and I'm cool with that decision."
In March 2014, Wayne addressed his appreciation for Jay Z.
"I loved Jay so much," he said at the time. "And then at that time I was super young and I was still—I was a fanatic of Jay Z…So, when he said he was retiring, I looked—I was like a basketball player looking up at Kobe or looking up at Jordan…LeBron. Somebody gotta step up. And you know, I felt like you said, I felt like nobody cared about what I said, so when you're that person then what you say means the world to you."
During that interview, Wayne also spoke about the botched Roc deal.
"It wasn't like Jay was reaching out for me or nothing," Lil Wayne said. "Like needed me, 'I need—I want you over here.' He expressed interest. And I took that and you know me…I was on the first thing smoking. So, I went over there and we met. I met with Jay. But the history turned out to be where history is."
To listen to a preview of "Dusse," click here.
(May 15, 2014)
UPDATE: Lil Wayne also refers to Jay Z's Dusse in "Grindin," his new single featuring Drake.
"Heard Jay Z got a new cognac / Where [you] find that shit," Lil Wayne raps on the song, which is available for stream on HipHopDX here.
This is at least the second time Lil Wayne has mentioned his former foe's drink in one of his rhymes.
RELATED: Lil Wayne Recalls Being A Jay Z Fanatic & Leaving Behind "Best Rapper Alive" Title