text:
Tri County Heating
Tri County Heating is proud to be your local Coleman dealer. We install quality Coleman Heating and Air Conditioning equipment. Not only can we show you how a new system can save you money and keep your home more comfortable, but we can keep it running reliably and efficiently for years to come. We can also show you how affordable it is with easy financing options. Our commitment to quality goes beyond our products - it is also reflected in our reputation for excellence and integrity.
At Tri County Heating we feature the Coleman Echelon line that offers innovative features and stylish looks. Enjoy all of the Coleman Echelon technology including Coleman's WhisperDrive System which makes your unit virtually silent.
- Residential & Commercial
- Family Owned & Operated
- Planned Service Agreements
- FREE In Home Estimates
- Professional Installers
- NATE Certified Technicians
- Installation and Replacement
- Competitive Pricing
Tri County Heating is proud to be your local Coleman dealer.
Why Choose Tri County Heating
- Insured
- Licensed
- Family Owned & Operated
- 100% Guaranteed Work
- High Quality Work
- Factory Trained and Authorized
- Free Estimates On Installs & Replacements
Contact Your Coleman® Dealer Now! or call 920-543-3781
Learn the essentials to maintaining the HVAC system in your home.


text:
The Reunion Part Two Airs Thursday, November 14 at 9PM ET/PT
NEW YORK- November 11, 2013 - Bravo Media's "The Real Housewives of Miami" reunites the ladies of season three to set the record straight on some of the most talked about antics of the season . In part one, airing Monday, November 11 at 10pm ET/PT, Joanna's and Lisa's perfect friendship turns sour when Joanna goes below the belt by blaming Lisa's fertility issue on her partying lifestyle. Alexia struggles to see both sides of the couch, but doesn't hold anything back when Lisa questions Alexia's motives. While Adriana defends herself again and again on her secret marriage, Lea continues to break Adriana's olive branch. For a sneak peek, please visit: http://www.bravotv.com/the-real-housewives-of-miami/season-3/videos/want-to-get-pregnant-stop-drinking
Tune in to the second part of the reunion on Thursday, November 14 at 9pm ET/PT. Lisa is on the attack, after Joanna makes accusations about her, ready to reveal skeletons in her closet. Special guest, Marysol Patton joins the ladies on Elsa's wavering condition, and gets to the bottom of her feud with Lea once and for all. And it seems there is still a very clear division between the Latinas and the Gringas and neither side is backing down.
The series is produced by Purveyors of Pop with Matt Anderson and Nate Green serving as executive producers and Maty Buss serves co-executive producer.
Bravo is a program service of NBCUniversal Cable Entertainment, a division of NBCUniversal, one of the world's leading media and entertainment companies in the development, production, and marketing of entertainment, news, and information to a global audience. Bravo has been an NBCUniversal cable network since December 2002 and was the first television service dedicated to film and the performing arts when it launched in December 1980. For more information, visit www.BravoTV.com. Follow us on Twitter at https://twitter.com/BravoPR.

subset: commoncrawl


text:
WEST GROVE -- Fire gutted the upstairs unit of an apartment in the borough early Thursday morning. Twenty residents of the building at 142 East Evergreen Street were evacuated, said Chester County Fire Marshal Russ Kilmer. He said no one was injured and the Red Cross was notified.
Spokeswoman Sara Smith said Thursday the American Red Cross Southeastern Pennsylvania was meeting with residents and was told that seven families have been affected. The Red Cross is working with the families and the landlord of the building to determine what assistance will be needed, but will offer hotel rooms and financial assistance for food, clothing, shoes and coats as well as services to replace lost medications, if needed. Later Thursday, it was announced that four families were provided with lodging, two families had somewhere else to stay and all were given financial assistance for food, clothing, shoes and coats.
The cause of the fire was not known Thursday afternoon, and Kilmer said it is being investigated by state and county fire marshals. The West Grove Fire company received the initial call at about 8 a.m. Additionally, the companies from Oxford, Avondale and Kennett as well as Southern Chester County EMS Medic 94 responded.
An Oxford EMT-firefighter said when his crew arrived, flames could be seen coming from a third-floor window.
Kilmer said the fire was limited to the one unit.
East Evergreen Street between Oakland and Prospect avenues was closed for several hours in the morning.
By 9:30 a.m. the fire was extinguished, and firefighters were clearing out the burned remains.


text:
Just Compensation
|Beaststalker's Belt
|Beaststalker's Gloves
DescriptionYou've proven to be a very reliable individual, <name>. As much as I trust that you'll help me through this predicament, it would be wise of me to reward you according to your performance.
For now I will exchange your belt and gloves. If we both see this through I shall make the rest of the pieces available to you.
You're ready to perform the exchange?
Our agreement remains in place. Just remember, this is but a taste of what awaits you. Free me of this cursed fate and I will reward you with items of truly great power.
RewardsYou will receive:
|Beastmaster's Belt
|Beastmaster's Gloves
GainsUpon completion of this quest you will gain:
Please keep the following in mind when posting a comment:
- Your comment must be in English or it will be removed.
- Unsure how to post? Check out our handy guide!
- You might want to proof-read your comments before posting them.
- Please post questions on our forums for quicker reply.
Simply browse for your screenshot using the form below.
- Screenshots containing UI elements are generally declined on sight, the same goes for screenshots from the modelviewer or character selection screen.
- The higher the quality the better!
- Please review our Screenshot Guidelines before submitting!
Simply type the URL of the video in the form below.
The Wowhead Client is a little application we use to keep our database up to date, and to provide you with some nifty extra functionality on the website!
It serves 2 main purposes:
- It maintains a WoW addon called the Wowhead Looter, which collects data as you play the game!
- It uploads the collected data to Wowhead in order to keep the database up-to-date!
You can also use it to keep track of your completed quests, recipes, mounts, companion pets, and titles!
So, what are you waiting for? Download the client and get started.


text:
24 January, 2013 | (30 min)
Sign In to access this Webcast
The explosion of social media has brought both exciting new opportunities and potential new risks. Those who are best at utilizing social media keep a sharp eye on the horizon, anticipating new trends and envisioning how their organizations can participate to best advantage. What are top leaders seeing for 2013 and which challenges and opportunities are so compelling that they've landed on the leaders' 2013 "must-do" lists? Tune in to this 30-minute webcast to hear from social media leaders and ask your burning questions.
This webcast is part of the series, Your 2013 "Must-Do" List: Shaping the Future. As expectations for performance grow and resources continue to be tight, it's more important than ever to identify those "critical few" actions that drive the best results. In this new series of webcasts, we'll hear from leaders on the front lines about the issues and opportunities they will address in 2013–why they chose what they did and how the list is different from the past. By participating in the webcast, participants will gain new insights and ideas for their own 2013 lists.
Audience: Social media practitioners, communications and marketing professionals
Jeanette Carter
Jeanette Carter is the Vice President of Integrated Consumer Marketing and has the responsibility of all brand, loyalty and retail marketing for Hallmark Cards, a 100 year old company who leads the nation in social expression products and helps the company fulfill its mission to enrich relationsh...Full Bio
David Witt
David joined The Hershey Company in early 2011, where he leads the global digital marketing and brand public relations efforts for the company, including for iconic brands such as Reese's, Hershey's, Hershey's Chocolate Kisses, Twizzlers, Jolly Rancher and many more.
Pri...Full Bio
Mason Nelder
Mason Nelder is a communications and social business strategist, primarily focusing on social media and digital strategy. With over ten years of digital experience from startups to Fortune 20, he's a collaborator, strategist and speaker who has sparked culture change, improved busines...Full Bio
Anne Greer
Anne Greer began working with The Conference Board in 2012. Along with Rita Shor, she directs the annual Innovation Master Class, designed for advanced learned among Fortune 500 executives responsible for leading innovation in their companies. She is Co-Program Director fo...Full Bio


text: I studied political science and philosophy as an undergraduate, and now I'm in law school. I'm torn between intellectual property law and constitutional law, but my true love is bioethics. I'm not much of a tech person myself, since I lack the patience for it, but I love hearing about new cool gadgets. Oh, and I'm totally fascinated by outer space.


text:
Jump to navigation
Explore Further
Browse solutions by topic to the left.
Not sure where to start? Tell us your goals and challenges. Learn what's on the horizon. Understand core strategies for building innovation.
Find Innovative Solutions Now »
Government Innovators Network
A forum for innovation in the public sector
Inside Seoul's Innovation Bureau
The Effects of 'Girl-Friendly' Schools: Evidence from the BRIGHT School Construction Program in Burkina Faso
The Sum Is Greater Than The Parts: Doubling Shared Prosperity in Indonesia Through Local and Global Integration
Network Structure and the Aggregation of Information: Theory and Evidence from Indonesia
If The Banks Are Doing So Well, Why Can't I Get A Loan? Regulatory Constraints to Financial Inclusion in Indonesia
From Reformasi to Institutional Transformation: A Strategic Assessment of Indonesia's Prospects for Growth, Equity and Democratic Governance
Civic Monitoring of Social Programs in Argentina: The Case of Iniciativa Ciudadanía Social
Case Studies on Innovations in Service Delivery in Indonesia
Participatory Planning in Maros District, South Sulawesi Province
Civil Service Reform in Boalemo District, Gorontalo Province (Indonesia)


text:
|Narutopedia policies
|Local Policies
|Blocking policy
|Canon policy
|Chat policy
|Deletion policy
|Image policy
|Forum policy
|Manual of Style
|Naming policy
|Quotes policy
|Revert policy
|Signature policy
|Sockpuppet policy
|Spoiler policy
|Talkpage policy
|Userpage policy
|Writing policy
|Create new page
|Request for Deletion
|User rights
|Discussions Moderator
|Chat Moderator (help page)
|Autoconfirmed Users
- Keep in mind that these policies are ultimately guidelines. If it's found that a policy restricts something that the reason the policy was created didn't intend to restrict, then the policy should be changed.
The deletion of content from the Narutopedia can happen if this content falls foul of our policies. Deletion removes the content — and all previous versions of the content — from public view. The actual deletion can only be performed by an administrator. However, any user may nominate a piece of content such as an article or an image for deletion by using {{delete}} template.
All deletions are logged (as are all actions on a wiki) and may be undone by an admin if an error has occurred.
Reasons for deletions
There are many reasons why a page (articles, images, video etc) may be deleted, in many cases it is failure to adhere to our Policies and Manual of Style. In some other cases there may be issues where editor discretion is also employed in determining whether or not to place a delete template on an article.
- Spam, anything such as blatant advertising, pages of random text, or user pages created by other users.
- Content covering fan fiction or fan produced titles.
- Content which does not conform specific policies such as (though not limited to):
- Images that do not conform to our Image policy.
- Talkpages against the Talkpage policy.
- Userpages which violate the Userpage policy.
- Pages containing only plagiarised content (if it is just a section of the page that is plagiarised it may simply be removed).
Brevity is not a reason for deletion unless the subject matter is covered by an article with a similar agenda.
How to mark content for deletion
To mark content for deletion, add {{delete|reason=<reason for deletion>}}
{{delete|quick=<true>|reason=<reason for deletion>}} (if it is an obvious vandal or spam).
Replace 'reason for deletion' with the reason why you are marking the content for deletion (See the the Delete Template for more information). If the article is well-established and has had several editors working on it, you will likely want to expound upon your deletion rationale on the content's talk page, and contact the primary editors so that they may join in the discussion on an article that they have spent time creating.
If you fail to give a reason why the article should be deleted, the deletion tag may be deemed frivolous and removed without discussion.
Remember to check the "what links here" link, found in the "My Tools" menu in the bottom right hand corner, for what other pages link to the page in question. This will help you note the degree to which the offending article has been integrated into the larger wiki. An article that has been linked several times may not be a better candidate for improvement rather than deletion. If you're sure, however, that the article should be deleted, it's usually a good idea to de-link it from the pages listed under "what links here". This makes it easier for the admin who will ultimately rule on your deletion request.
Content marked for deletion
If an article or an image has been tagged for deletion or deleted, please assume that the editor who placed the tag was acting in good faith. It is not meant as an attack against you, but is merely an attempt to improve the wiki by acting upon our policies.
Discussion may ensue on the article or content's talk page (even if the content's page has been deleted the talk page can still be used). Alternately, you may leave a comment on an administrator's talk page.
Do not remove deletion tags from content pages, except when no deletion rationale exists. If you disagree with the deletion rationale, discuss it on the content's talk page. If a user repeatedly removes a deletion tag supported by a valid rationale, his or her actions will be interpreted as vandalism and the user may be blocked.
Discussions of deletion
As mentioned above, a longer reason for deletion may be posted on the offending page's talk page. All pages so tagged may engender discussion on their talk pages as to the merits of the deletion rationale.
Not all content pages may require a discussion of the deletion tag's placement. In many cases, the deletion rationale may be so obvious that an administrator will make an independent assessment, simply based on the page's adherence to the policies of this wiki.
Should you wish to regularly take part in deletion discussions, you may wish to refer to Category:Candidates for Deletion, as all proposed deletions are automatically placed there.
You can also view the log of past deletions if you wish to confirm that the result of a discussion was that the page's removal.
Blanking articles
"Blanking" a page means that you've replaced the text on a page with either nothing or just a few words.
Never do this.
If you see an article that you believe should be deleted, tag it with a proposed deletion tag and cite a reason. By simply removing all content from a page, you prevent easy discussion about the merits of the deletion rationale and you make it harder for an admin to reach a decision based on that discussion. You also technically commit an act of vandalism, which may result in a diminishment of your ability to further edit here.


text:
J-pop princess
Novice rom hacker
Last Activity: October 16th, 2013 8:05 AM
About Me
- About J-pop princess
- Biography
- Well let me see...I'm 14 and draw anime. I own a free forum that I originally made for anime but it died out so me and my cousin (who is also me legal guardian) made a pokemon clan and we use my forum for the clan.
I am a lesbian regardless of my young age and I have a girlfriend who I have been with for over 8 months as of now.
I am in highschool and I do pretty good I think I mean I made the honor roll :P
- Interests
- I draw anime,manga,hentai etc. I play pokemon and hack roms. I built a forum and study scripting and run the forum in my spare time ^^
I don't really do much else of interest.
- Location
- Someplace kawaii~
- Gender
- Female ♀
- Occupation
- High school-Freshman
- Nature
- Hasty
- Also Known As
- Hilda
- Favorite Pokémon
- Lucario
Showing Friends 1 to 2 of 2
Contact Info
- Home Page
- http://japanluvr.forumotion.com/
- This Page
- https://www.pokecommunity.com/member.php?u=405308


text:
2011 Subaru Outback Introduction
The 2011 Subaru Outback is a top choice for when coping with nature's fury. It's a superb vehicle on dirt and gravel roads, in the snow, heavy rain, anything that calls of traction and sure-footedness.
The Subaru Outback, now in the second year of its fourth generation, was a unique sport/utility wagon when it was launched 15 years ago. The Outback is a unibody, all-wheel-drive crossover vehicle made in Lafayette, Indiana. Outback was redesigned for the 2010 model year, and there are no significant changes for 2011.
Subaru vehicles address utility as a form of luxury, based on the idea that a functional tool is a thing of beauty. With the Outback, there is the assumption of active outdoor use.
The Outback suspension, transmission and all-wheel-drive system are geared for control, comfort and stability on gravel roads and in inclement weather. All Subarus are all-wheel drive, aiming for sure handling and traction in marginal conditions. That may explain why they are most popular in the New England region, the Pacific Northwest, and mountain states. The engines feature horizontally opposed pistons, the so-called boxer layout that Porsche also uses. This results in strong torque for accelerating up hills while helping maintain a low center of gravity for improved handling.
We found the Outback to be an exceptionally capable car on unpaved forest roads. Extensive driving on Montana's back roads revealed that its tough, supple suspension could handle rough roads, and its superb all-wheel-drive performed well in all sorts of slippery conditions. Out on the open highway the Outback is smooth and comfortable and feels like a regular car.
We also drove it for one week of nasty Pacific Northwest winter, and it gave us a sense of security like few cars can. Confidence that with the Outback under us, we could breeze through whatever weather we were dealt.
Two engines are available, balancing efficiency and performance. Best government-rated fuel economy is an EPA-estimated 22/29 mpg City/Highway for the 170-horsepower 2.5-liter four-cylinder with the continuously variable transmission (CVT). For maximum performance, a 256-hp 3.6-liter six-cylinder is available, mated to a 5-speed automatic transmission. Neither engine uses forced induction or turbocharging to achieve its rated output, and both run on regular unleaded fuel.
Four-wheel independent suspension is standard. The revised rear suspension for 2010 incorporates a double-wishbone design, which delivers a smoother ride and enables a larger rear cargo area.
The Outback emphasizes cargo carrying, with large doors that swing open wide, and good interior dimensions for cargo room.
Possibly because the Outback is not exactly like anything else on the market, Subaru reports very high owner loyalty. More than 800,000 Outbacks have been sold since they were introduced.
* Although every reasonable effort has been made to ensure the accuracy of the information contained on this site, absolute accuracy cannot be guaranteed. This site, and all information and materials appearing on it, are presented to the user "as is" without warranty of any kind, either express or implied, including but not limited to the implied warranties of merchantability, fitness for a particular purpose, title or non-infringement. All vehicles are subject to prior sale. Price does not include applicable tax, title, and license. Not responsible for typographical errors.


text:
365 Kč
|Item nr.:
Our family company puts emphasis on treating every client individually, the clients' pleasure then boosts our energy. Thanks to that we have been making authentic jewellery and selling it worldwide for more than 15 years.Our story
We make our fashion jewellery by hand in North Bohemia, in the town of Jablonec nad Nisou. This area has combined traditional arts and crafts and a unique genius loci into timeless beauty and elegance for more than 300 years.


text:
Carpet Cleaning Services Penrith
Carpet Cleaning Penrith – We are providing 15% Discount on Carpet Steam/Dry Cleaning Services & Pre-Treatment if you book today! on 0488 850 862. Back 2 New Cleaning provides you best solutions for carpet cleaning in Penrith. With our dedicated and experienced crew, you can get not just carpet cleaning but also carpet sanitization and carpet fire and smoke restoration services from us. We provide efficient and punctual services at affordable prices. Moreover, the quality of services with an efficient pricing system makes us a leader in carpet cleaning services.
We have a wide reach covering whole of northern, eastern, southern and western suburbs of Penrith. Moreover, we cover both domestic and commercial carpet cleaning services. We are flexible and reach your place as per your requirement. Additionally, we use eco-friendly cleaning solutions which are 100% non toxic. Hence, we are a Back 2 New Cleaning you can rely upon.
Importance of Carpet Cleaning Penrith
- Carpet forms the top layer of our floor. We walk over them, our pets keep on treading over those and kids of our home keeps on rushing over them. Additionally, dust from the base of your shoes, fur and dandles from your pets keep on accumulating over them. Dust from the outdoors also adds on to the nasty factor in the same fashion.
- Excessive accumulation of dust, fur and dandles and pollens from the indoor plants can be a source of various diseases. Moreover, the dust and other contaminants take the form of allergens, which can pose a potential threat to not just to your health, but also hygiene of your family. This makes keeping the carpet clean very important.
- A dirty carpet can be home for bugs and mites. They reduce the life of the carpet. They are vectors of various allergic and infectious diseases. However, clean carpets can never attract such unwanted creatures to your home.
- Dirty carpet releases a characteristic stinky and unpleasant odor. This can make not just you but also your visitors feel uncomfortable.
- Dirty carpet spoils the elegance of the beauty of your interiors.
Carpet Sanitization Penrith
Cleaning carpet cannot be the complete solution for getting a fresh and healthy carpet back. Sanitization is necessary. Moreover, carpet cleaning just agitates and dodges the dust and particles from the surface of your carpet. However, many a time it cannot cleanse your carpet deeply. Allergens, contaminants, and microorganisms can stay within the inner layers of your carpet even after cleaning.
Carpet Stain Removal Penrith
Carpets can face a lot of stains regularly and these stains can lead to damage and deterioration of the carpet. Stains should be treated asap or it will result in permanent damage and discolouration of the carpet fibres. We at Back 2 New Cleaning can provide you with carpet stain removal service in Penrith. Our professional carpet cleaners have experience and training and we can easily treat any kind of stains. Best commercial products and solvents are used to deliver perfect stain removal results. Hire our affordable carpet stain removal service today in Penrith.
This makes Carpet Sanitization Important. By Carpet Sanitization you can –
- Remove allergens and hence contaminants from the inner layers of your carpet.
- Decrease the risks and threats not just of infection but also allergies for your family and pets.
- Prevent the carpet from being contaminated by microorganisms for the nearest future.
- Remove all odor and smell from your carpet in the same fashion.
- Restore and preserve not just the quality but also the shape of your carpet.
- Make the interior look not just fresh but also deodorized.
Need of Carpet Fire and Smoke Restoration Penrith
We invest a substantial amount of money for carpeting our homes. It is one of the major investments afforded by us to decorate our interiors. Hence, in case of accidental cases of fire damage, it is very painful to see the devastated look of the carpet. Carpet Fire and Smoke Restoration process can take you out of such setback.
By Using this Method you can
- Remove soot and odor from your carpet.
- Prevent soot and moisture combine with each other. On this combination, acids are formed which can ruin your caret along with the furniture and upholsteries over it.
- Restore your carpet to its previous look.
The areas of Expertise Covered by Back 2 New Cleaning
Our carpet cleaners provide 24 hours carpet steam cleaning services in Penrith. Call us for the same day service !!!
- Carpets stain removal service.
- Carpet steam cleaning.
- Fast carpet drying service.
- Carpet mould removal.
- Hot water extraction service.
- Anti-allergic treatment.
- Carpet odor removal.
- Carpet stairs cleaning services.
- Wet carpet cleaning.
- Carpet hallway cleaning services.
- Carpet dry cleaning service.
- Flooded carpet cleans up.
- Carpet water removal.
Our Carpet Cleaning Procedure
- Our experts reach your place after you confirm your order at a time and date decided by you.
- They then inspect your carpets to make a decision regarding the type of treatment they require.
- Our experts move your furniture or any other things which may be lying on your carpet so that the entire carpet can be cleaned well.
- A high quality vacuum is then used to remove dirt, dust and other particles from the carpet.
- Depending upon the type of treatment, we start off with the process. Hot water extraction, steam cleaning or whatever suits your requirement.
- We use efficient chemicals to remove all the stains as well.
- After this we use highly efficient dryers to dry the carpet.
- The next step involves sanitization of carpets to ensure there are no germs or bacteria on the carpet.
- After this we deodorize the carpet to leave it fresh and hence smelling nice.
- Finally, we restore your furniture to its original place.
Why Choose us?
- Expert services at your doorstep.
- Flexibility and availability as per your requirement.
- Highly trained and efficient staff with international certifications.
- 24*7*365 days availability.
- Eco friendly cleaning procedure and chemicals.
- Careful handling of your carpet and furniture.
- Easy procedure.
- All types of carpet cleaning services at one place.
- 100 % customer satisfaction and quality assurance.
Get In Touch Now For Same Day Carpet Cleaning Penrith
Give us a call now on 0488 850 862 to get in touch with our experts and fix an appointment right now for best offers and deals. We value your time and hence our staff will reach your place on time without any delay. Moreover, with our same day service option, you won have to wait too long to give your carpets a new clean look. Additionally, we never compromise with quality and look forward to a long term association with our clients.
The skill, experience, and expertise of our dedicated cleaning crew are your one stop solution to get your carpets clean. Back 2 New Cleaning with its team of trained and skilled crew members can provide one of the best carpet cleaning services in the area. We specialize in providing deft and on-time services for your home, office, business places, schools, clubs and other commercial places.Location: Penrith, NSW, Australia


text:
Journalists Seeking Experts
JOURNALISTS: Submit your query here.
We can help you find a diverse source for any topic as well as experts on diversity and marketing to ethnic and niche consumers who are Hispanics, African Americans, Asian Americans, GLBT and other consumers.
We invite you to submit your query which will be posted on this page (below) or submit your query to Lisa Skriloff, President, Multicultural Marketing Resources, Inc. and team for a match up with selected experts (by email to email@example.com or firstname.lastname@example.com or phone 212-242-3351)
EXPERTS: There are two ways to be considered to be interviewed for news articles and features.
View posted queries below and send an email with your response directly to the journalist. or Participate in our Press Referral Program.
Examples of Previous Queries
|Media Outlet
|Query/Experts Needed
|Respond to
|Store Brands Magazine
I work for a trade magazine that focuses on what's happening in grocery stores with generics and how retailers can attract more or new consumers to their generic brands. My article is specifically on how retailers can attract Asian Americans. I have already reached out to the typical Market Research firms (Nielsen, Hartman Group, MarketResearch.com, Mintel, etc.) so I thought your site might be able to hook me up with someone new!
| Michal Christine Escobar
|The Next Economy, a quarterly supplement to The National Journal
|I'm working on story for The Next Economy, a quarterly supplement to The National Journal (www.nationaljournal.com), which will explore the positive role that immigrant entrepreneurs play in the U.S. economy. In particular, it seems like many of these entrepreneurs have found ways to build companies in the U.S. that then export products and services to other countries around the world -- creating U.S. jobs in the process. This also includes where larger Fortune 500-caliber companies hire employees based on their knowledge of world markets and opportunities. I'm hoping to connect with entrepreneurs and executives -- as well as academics -- that can talk about their own experiences with this trend. I'm a freelancer.
|Darren Dahl, firstname.lastname@example.com
|Fox News Channel
|I'm hoping to conduct an on-camera interview today, or tomorrow morning, if today isn't possible, with someone who is very familiar with the concept of multiculturalism. I will be using a soundbite or two from that interview for a report on multiculturalism in the United States compared with Europe. I will only need about 5 minutes of the person's time.
The types of questions I will ask:
--What is the definition of multiculturalism?
--Why do European leaders (in France, Germany and England) mean when they say it isn't working in their countries?
--What are we doing differently in the United States, and is it working?
--Is there any reason we should do things differently in light of what's happening in Egypt and Libya etc?
I am specifically looking for someone who can talk about multiculturalism from a global perspective, in light of what the Euopeans leaders said about it not working in their countries.
Interviews will be conducted in Chicago, New York and DC.
|Ruth Ravve, Producer
|Reporter is working on articles about chocolate and rum and would like to speak with experts on those industries who can discuss the topics, especially if they can comment on and share a breakdown of consumer numbers by region, age, ethnicity/race, socioeconomic level, etc.
|Private Label Buyer magazine
|We are working on a supplement issue of Private Label Buyer magazine for December, specifically covering the Hispanic market. I am working on a feature story about Hispanic private-label success stories or a look at which supermarkets, mass retailers, etc., have successfully sold to this market (how and why). I'm also interested in lessons others can learn from their successes and missteps along the way.
|Lynn Celmer, Managing Editor, firstname.lastname@example.com
|Freelance journalist seeking to cover stories that impact women's football (American Soccer) players in USA with a global perspective. According to FIFA some 26 million girls and women play football globally. In fact, participation in USA has increased over 210% in the last decade. In 2008, US Youth Soccer recorded 3,148,114 registered players, of that 1,511,095 players were female players. Many of my stories are tailored to the youth athlete, recreational player or to the families that support and inspire them. Stories will focus on profiles, health & wellness, technical strategy and analyses, business & marketing, pop culture, politics and ethics, product reviews, merchandising, beauty & fashion, grassroots, social and multi-cultural communities.
Seeking sources in the following categories: Marketing Executives managing multicultural budgets and or involved in diversity initiatives; Product Development - Merchandising & Design Executives or Managers; Corporate Social Responsibility Executives; Merchandising & Product Management Executives; Visual Merchandising Executives; Sports Marketing Executives, Sales Executives; Legal & Governmental Affairs Executives, Manufacturing & Engineering; Corporate Communication & Media Executives; Civic Officials; Sports Medicine Professionals, Sports Science Professionals, Sports Psychology Professionals. This list is by no means exhaustive but a good starting point.
|email@example.com; 865-304-1355
|Deliver Magazine
|I'm looking for unusual, quirky, or particularly successful (vs. ordinary) examples of direct mail campaigns from ethnically diverse sources at small- and medium-sized businesses. This is for a new section of Deliver Magazine that showcases 4 USPS direct mail campaigns in just 75 words each. This feature includes a head shot of the source, and because we want our sources to be as diverse as our readers, I'm actively seeking non-Caucasian sources (Hispanic, African-American, Asian-American, etc.). Please respond with a brief description of the campaign and the outcome -- maybe you scrubbed your list, used a different type of creative, incorporated personalization, or switched from a letter to a postcard or vice versa. (These are just examples, not requirements.) If you're an agency or vendor, please make sure your client is on board before responding, since I'll need access to them.
|Sandra Beckwith,
Writer & Author,
|What CPG manufacturers are finding success in multicultural marketing by building their brands through retail in the areas of shopper marketing and in-store marketing?
|John Karolefski, Editor-in-Chief, email@example.com
|TVNews Check, C21 Media (UK)
|I am a freelance writer for several business-to-business and consumer-oriented publications, including TVNewsCheck and I regularly seek experts on diversity and marketing to Hispanics and other ethnic groups with expertise in media, broadcasting, TV, cable industry and media buying, among other topics. If you'd like to join my source list, please send me an email describing your area of expertise together with your contact information.
|Kevin Downey, Staff Writer, email@example.com


text:
There are more male nurses than ever before, and — naturally — they're making more money than their female peers, according to a new nationwide study.
The proportion of male registered nurses jumped from 2.7% in 1970 to 9.6% in 2011, according to data from the 2011 American Community Survey. The number of men who are licensed practical and licensed vocational nurses also rose from 3.9% in 1970 to 8.1% in 2011. (Licensed practical nurses work under the direction of doctors and registered nurses.)
"A predicted shortage has led to recruiting and retraining efforts to increase the pool of nurses," report author Liana Christin Landivar, a sociologist in the Census Bureau's Industry and Occupation Statistics Branch, said in a statement. "These efforts have included recruiting men into nursing."
Women still made up 91% of the nursing workforce, but men, on average, earned $60,700 a year in 2011, compared with $51,100 a year for women. The gender wage gap is such a myth though, right?
Image via Dan Kosmayer/Shutterstock.


text:
Dreamed of you this morning
Then came the dawn, and
I thought you were here with me
If you could only see
How much I love you
That's all, that's all baby
Oh no oh, I never gave up no way
I never felt that before
I never felt that before
I never felt that before
But there's always
That's all, that's all
This is the shit you dream about with the homies steaming out
Back-to-back, backing them Beemers out
Seems as our plans to get a grant
Then go off to college, didn't pan or even out
We need it now, we need a town
We need a place to pitch, we need a mound
For now, I'm just a lazy boy
Big dreaming in my La-Z-Boy
In the clouds of smoke, been playing this Marvin
Mama forgive me, should be thinking about Harvard
But that's too far away, niggas are starving
Ain't nothing wrong with my aim, just gotta change the target
I got dreams of bagging snidd-ow, the size of pillows
I see pies every time my eyes clidd-ose
I see rides, sixes, I got to get those
Life's a bitch, I hope to not make her a widow
I never felt that before
(American dreamin')
I never felt that before
(Just American dreamin')
I never felt that before
(American dreamin')
But there's always
That's all, that's all
Now see the life's right there, and it seems right there
It's not quite near, and it's not like we're
Professionals, moving the decimals
Know where to cop? Nah! Got a connect? No!
Who in the F knows how to be successful
Need a "personal Jesus," I'm in Depeche Mode
They say its celestial, its all in the stars
Like Tony LaRussa on how you play your Cards
Cause y'all ain't fucking with me! The ironies are
At all costs better avoid these bars
Now let's start, on your mark
Get set, let's go, get out the car
Going in circles it's a vicious cycle
This is a crash course, this ain't high school
Wake up Muttley, you're dreaming again
Your own reality show, the season begins
I never felt that before
(American dreamin')
I never felt that before
(Just American dreamin')
I never felt that before
(American dreamin')
But there's always
That's all, that's all
Step one in this process: scramble up in your projects
And head to the heights where big coke is processed
You gotta convince them that you're not from the precinct
Please speak slow cause he no speaky no English
If he takes a liking after a couple of trips
And your money is straight, he's going to give you consignment
You're now in a game where only time can tell
Survive the droughts, I wish you well hold up
Survive the droughts? I wish you well?
How sick am I? I wish you health
I wish you wheels, I wish you wealth
I wish you insight so you could see for yourself
You could see the signs when the jackers is scheming
And the cops is coming, you could read they mind
You could see from behind, you could redefine
The game as we know it, one dream at a time
I'm American dreamin'
Lyrics © Sony/ATV Music Publishing LLC, Warner/Chappell Music, Inc., WORDS & MUSIC A DIV OF BIG DEAL MUSIC LLC


text:
By Stephanie Stahl
CBS PHILADELPHIA – You hear about summer myths everywhere this time of year; things like don't swim right after you eat. Doctors say most myths aren't true, but some are. 3 On Your Side Health Reporter Stephanie Stahl debunks some popular ones. Jellyfish stings, bug bites, and poison ivy are summer time maladies and come with plenty of myths for treating them.
Here's a popular, but strange one. Urinating on a jellyfish sting makes it feel better. "Yes, I think that is correct," said Mark Gehman, of Reading. "It worked for my sister," said Viviana Takfoor, of Venezuela. "That's a big myth that a lot of people have. They think urinating on a jellyfish sting can cure it," said Dr. Jennifer Caudle, a south Jersey Family Medicine physician. She says it's an old wives tale, that's not true. "Vinegar can be a good option for treating jellyfish wounds, also baking soda," said Dr. Caudle.
Another popular myth is you're not supposed to swim for 30 minutes after you eat. "Cause you get cramps," said Ida Spann, of Philadelphia. It's a popular notion; swimming with a full stomach can make you sick, or increase the risk of drowning. "I think that's ridiculous. I think you just go any time you want and enjoy yourself," said Gehman. He's right. Experts say there's no reason to wait to swim after eating. "Yes, your blood does rush to the stomach after you've eaten, but you still have plenty of blood and oxygen carried to the arms and legs to swim yourself to where you need to go," said Dr. Caudle. "My mother made me sit on the bench for nothing," said Maria Binck, of south Philadelphia.
Another myth: Have you heard the poison ivy rash is contagious? "Yes, you can, I think," said Gehman. Wrong. Poison ivy is only spread by oil from the plant. "The oils that actually cause the reaction from the poison ivy plant can be found in a lot of inanimate objects, things like pet fur, gardening tools, even sometimes clothing," said Dr. Caudle.
And finally, a true summer myth: scratching a bug bite makes it worse. "Cause of germs from your nails," said Spann. "When we scratch a lot you can actually cause small tears in the skin. That can allow bacteria to go into the wound and actually cause a secondary infection," said Dr. Caudle. And doctors say scratching a bug bite can also cause the body to release histamines, and that can lead to more swelling and itching. It's best to use an anti-itch lotion or antibiotic ointment if the skin is broken.


text:
We use traditional measurements. Please ask if you want the size converted. All our products are unique and we recommend a thorough inspection before purchasing. No refund can be given in the event that an item does not match another supplier - it is unlikely that it would.
Any item bought from the website is covered by distance selling regulations. We will give a full refund if the items are returned to us, in the same condition, within a week of receiving them. Mongers will not refund any postal/delivery charges.
Items that are purchased in the shop must be returned, in the same condition within 24 hours of purchase. Thereafter we reserve the right to make a 20% restocking charge.
For more information about returns please refer to our refund policy.


text:
Read the full story here Web Link posted Friday, December 16, 2011, 7:23 AM
Town Square
Police log: Cops nab thieves in separate incidents
Original post made on Dec 16, 2011
Read the full story here Web Link posted Friday, December 16, 2011, 7:23 AM
Comments (5)
a resident of Stoneridge
on Dec 16, 2011 at 8:10 pm
Live near Pleasant Hill Road/Muirwood. I notice we have a lot of door to door people in the neighborhood between 2 and 3 pm when many people are at work and kids are not home from school yet. I don't open the door for any of them. They still knock and ring the bell despite the no soliciting sign. Either they can't read or don't know what that means. They comment on our security cameras, I hear everything they say. Some of these people are extremely rude. It seems it's my fault I won't open the door, buy their product/service, I must owe them my time, and they are on my property. These people will intimidate your children, so please advise them to call the police if they don't feel safe. These people are creepy.
Can anyone tell me what these people are trying to sell? I'm thinking they are just scoping out the neighborhood to come back and commit crimes later. I heard noises outside around 2-3 am on Monday night but could not determine where they were and what they might be doing.
a resident of Vintage Hills
on Dec 18, 2011 at 1:18 pm
Resident-- YOU should call the cops if they're creepy and you're hearing noises at all times of the day/night. They'll come out and talk to the doorknockers and goodness knows what they'll find!
a resident of Downtown
on Dec 24, 2011 at 5:11 am
Props to two groups: The police for their diligence and the citizens who call this stuff in! Keep up the good work everyone!
a resident of Another Pleasanton neighborhood
on Jan 2, 2012 at 12:02 pm
Just wondering if there is a permit needed to solicit? Editor? Anyone?
I live in a PUD, with No Soliciting signs at the entrance.
Seems many of these people are "casing" the area, trying doors, etc. Most do NOT come from our city. I had one come into my side yard, despite the gate and the Beware of Dog sign. Set the dogs barking.
Did call the police, and they said they'd respond. Don't know what happened...
What can you do? Don't buy from these strangers. And call police right away. If nothing else it helps establish a pattern.
I also suggest you take a cell phone or camera to the door and get a picture, so if something happens you'll have a better image of them. And note unusual vehicles on your street.
a resident of Foothill Farms
on Jan 2, 2012 at 12:18 pm
Two days ago, a couple of Mormons trespassed up my sidewalk and rang my doorbell. How creepy is that?
Don't miss out
on the discussion!
Sign up to be notified of new comments on this topic.
Post a comment
Get the most important local news stories sent straight to your inbox daily.
Premarital and Couples: I'm not getting what I need. How can I get him/her to change?
By Chandrama Anderson | 0 comments | 1,051 views
Setting the record straight on NDB, Inc. of Pleasanton
By Tim Hunt | 2 comments | 905 views
Assessing Online Learning—Before, During and After COVID-19
By Elizabeth LaScala | 0 comments | 568 views


text:
Stamp Camp: Alternate Surfaces
Viewer Comments
I love the fibers!!! I've got to have them!!! Its so beautiful! Thanks for sharing!
Wow!! This is my favorite webisode of the series so far...love the transparency ideas, the fun things you can do with the metal sheets, and I didn't know about the new Staz-On metallic inks-need to have them! The fibers look like they are fun too. Thanks for sharing all these fun projects.
I've seen these fibres used over here in the uk for a while now and a great technique is to ink up your stamp (rubber, not polymer/acrylic!) with a permanent ink, lay over your fibres, cover with the parchment paper and then iron - you get a debossed inked image into the fibres. iron until you see the ink come thru the parchment paper.
kathleen xx
I'm loving these websodes. Wish I could buy everything I see and play along with you ladies. It's great to see Sarah. I learn so much from you two and have a lot of fun!! Thanks!
Lovin' stamp camp. Love all these ideas. Can't wait to make them! Thank You.
Love the new fibers--what fun we can have w/so little effort. I can see some really cool cards for sure.
I am really enjoying these webisodes and especially love Sarah. I've learned so much today.
I really enjoyed watching this video. I think this is so wonderful being able to learn something from you girls.. The cards are beautiful. I want to do some stamping noow. Thank you for showing what fun it can be with stamping.
Great Ideas!! Come back Sara we miss you!!
I loved the acrylic windows and the different ways the childrens stamps were used. I also really liked the ways the dicrofibers were used,can't wait to get some of them.
Love STAMP CAMP webisodes. Can't wait to see the next 2 days. Thanks for all the great ideas. I love that I can come back next week and watch them again.
Very interesting and I enjoyed the different ways to use stamps
Thanks girls for all the wonderful new ideas and techniques! I LOVE stamp camp and it is so great to see Sarah again.
It was wonderful to see the Dicrofibers used. I will get right to work using mine for a Swap I have signed up for. Thanks so much for the great webisode.
I love these webisodes...Have to have those new fibers. How do I get them. Have a great day!
WOW!!!! The fun never stops with you girls!!!!! Love to play...
Paper Wishes Weekly Webisodes feature free scrapbooking video classes and card making video classes! Every week Paulette and LeNae bring you new online scrapbooking or card making classes demonstrating the very latest paper craft and scrapbooking techniques. Each of our free card making and scrapbooking classes also gives you unique project ideas and tips from Paper Wishes' Design Team. Come back often so you don't miss any of the fun in our card making and scrapbooking classes! You are sure to be inspired! Also watch for our "Week of Webisodes" events where we feature new scrapbooking video classes daily!


text:
Our Savior's Love
1. Our Savior's love
Shines like the sun with perfect light,
As from above
It breaks through clouds of strife.
Lighting our way,
It leads us back into his sight,
Where we may stay
To share eternal life.
2. The Spirit voice
Of goodness whispers to our hearts
A better choice
Than evil's anguished cries.
Loud may the sound
Of hope ring till all doubt departs
And we are bound
To him by loving ties.
3. Our Father, God
Of all creation, hear us pray
In reverence, awed
By thy Son's sacrifice.
Praises we sing.
We love thy law; we will obey.
O heavenly king,
In thee our hearts rejoice.
Text: Edward Hart
Music: Crawford Gates
Artist: Hart/Gates
Album: Music Published in the Church Magazines: Ensign
Composition Date: 1977-07-01
More Info: Ensign


text: In this photo, taken on the pedestrian bridge, one can find my home-made panorama head sitting on the tripod that I didn't use for the shot. Handheld with a plumb-bob. It worked out nicely I thought. The young couple crossing the bridge to the north appear three times-- lucky them, they were walking the same way I was turning!


text:
Child Report
Building confidence for the future
Understand and track your child's progress
By tracing development potential, you get a better understanding of an appropriate path for your child to pursue, you are able to make adjustments based on confirmation of your child's most distinctive characteristics and abilities which can be identified and encouraged in a self-assured way.
Get 30% discount with ⭐ Special Deal adding Personal Outlook to Child Report, saving $10.14
Child's potential
Child's potential Basic foundations built on a child's essential characteristics including motional nature plus relationship with parental figures, as well as important personality traits.
Social development
Your child's assertiveness, how they build and develop friendships and social attitudes, including mental abilities as well as attitudes towards money and independence.
Higher education possibilities
The way your child stablishes their values, develops their will-power and ability to adapt to a suitable career and ambition.
We are here to help. You can update the birth details anytime if you make a mistake or find more accurate birth details.
Reports are delivered both onscreen and emailed to you. More Help & Full Order Information


text:
To the Editor:
Taxpayers should be infuriated about any tax dollars going to such an organization as the Evergreen Foundation. It is about time that county commissioners are taking a stand on behalf of the tax dollars as it relates to mental health, especially given this strange relationship with Evergreen.
How can our state and legislators allow this to continue? This is supposed to be about mental health, not financial gain.
Thanks to the Smoky Mountain Center for taking on this issue on behalf of the taxpayers and those in need of mental health services. How about a little help from our "elected" officials? Taking the word of the Evergreen director is not good enough, considering the relationship.
Ed Seavey


text:
Headlining now at CES 2017: A home security system that doesn't use cameras, a smart bicycle with touchscreen display and a patio umbrella with the intelligence to rotate toward the sun at all times.
These are but three of thousands of new and intriguing products that debuted Jan. 3 at the International Consumer Electronics Show, which is ingesting Las Vegas through Jan. 8.
An estimated 177,000 attendees have flooded the city of 603,488, boosting the number of inhabitants by a whopping 28 percent for most of the week.
Here are snapshots of a few innovative products being demonstrated at CES this week. eWEEK will have more product news as the conference goes on.
Further reading
No Cameras Needed in This Home Security Setup
Cognitive Systems Corp. announced Aura, which it claims is the first smart home security system that monitors and protects the home without the use of cameras.
The easy-to-use and discrete two-piece system uses the company's patented technology to monitor the disruption of wireless signals caused by movement in the home, sending notifications to household members when any unauthorized motion occurs in the home. Aura provides full coverage for the average home, even in rooms where people are typically unwilling to place cameras.
Aura's accuracy is above those of other motion detection systems, since it is not dependent on light and recognizes the difference between human and non-human movement, the company said.
Starting Jan. 5, Aura will be available for pre-order here for $499, with a special price of $399 for a limited time during CES. Orders are expected to ship by Feb. 28, the company said.
Next-Generation Smart Bikes
China-based LeEco's new smart bicycles for the U.S. feature an Android-powered BikeOS with touchscreen display that helps cyclists navigate rides and track performance.
The LeEco Smart Road Bike, which has been recognized as a CES Innovation Honoree, features an aerodynamic Toray T700 carbon fiber frame, fork, seat post, handlebar and wheels, while weighing in at a mere 18.5 pounds. With an 11-speed one-by drivetrain, the bike uses a single chain ring up front and a wide-range cassette in back, eliminating two-derailleur coordinated shifting.
Other components include lightweight brake set with dual-pivot technology, paired with shift/brake levers, mounted to a strong and lightweight carbon fiber handlebar.
The LeEco Smart Mountain Bike features Toray T700 carbon fiber frame and handlebar, SR Suntour XCR Air front fork, and the popular 27.5-inch/650b diameter wheelset, which weighs in at 26.9 pounds. The 11-speed one-by drivetrain model also utilizes a single chain ring crankset, quick and smooth rear derailleur, and a wide-range 11-42 tooth cassette. It includes an hydraulic brake set.
LeEco's Android 6.0-powered BikeOS system displays on a 4-inch touchscreen that runs on a quad-core Qualcomm Snapdragon 410 processor and is powered by a 6000mAh rechargeable lithium-ion battery.
The system provides turn-by-turn navigation tailored for bicycle riding from HERE Maps, online and offline music playback, walkie-talkie communication with other nearby compatible LeEco smart bikes, and ride logging. With the companion app, you can also review and share your rides with others.
For riders who want to monitor health and performance, the bikes feature a full suite of onboard sensors including GPS/GLONASS, compass, accelerometer, barometer, light level, wheel speed and crank speed, while also offering compatibility with third-party ANT+ heart rate and power sensors to help meet fitness goals.
Safety and security are always a concern; the new models offer automatic on-board lighting (front/sides), horn and security alarm. In fact, the bikes automatically notify its owner when the alarm is activated and tracks location via the mobile app. Additionally, the electronics in both models are water resistant to level IP54.
The new smart bikes will be available in the U.S. in Q2 2017, the company said.
Smart Patio Umbrella Knows Where the Sunshine Is
ShadeCraft's Sunflower, a first-of-its-kind intelligent patio umbrella, launched at CES. It is an automated umbrella that moves with the motion of the sun to keep its owner always in the shade, CEO Armen Gharabegian said.
Features include:
--fully autonomous movement via AI integration;
--runs on solar power, tracking the sun's movement throughout the day for optimum energy absoroption;
--can connect to other devices in a smart home; onboard cameras connect to users' existing security to enhance home monitoring service;
--sensor optimized to recognize wind to close automatically, and to understand proximity to obstructions; and
--also features GPS, USB port, controlled lighting and voice command.
The ShadeCraft team will be exhibiting at CES Unveiled and CES at booth 40530 (Smart Home Marketplace). Go here for more information.
AI Embedded into Toothbrush for Kids and Adults
Kolibree, a tech company focused on connected solutions in oral health, launched Ara, a CES 2017 Innovation Award Honoree and the first toothbrush with embedded artificial intelligence.
"Patented deep learning algorithms are embedded directly inside the toothbrush on a low-power processor. Raw data from the sensors runs through the processor, enabling the system to learn your habits and refine accuracy the more it's used," Kolibree founder and CEO Thomas Serval said.
Ara knows precisely where in your mouth you are brushing, even when not connected to the app on a mobile device. Whether brushing on or offline, brushing data (frequency, duration and brushed areas) is captured in the toothbrush and automatically synced via Bluetooth Low Energy (BLE 4.0) when the app is open.
Ara's advanced offline mode is a new step for IoT in oral health. It's the culmination of studying behaviors, over a three-year period, of more than 10,000 people who have used a Kolibree toothbrush, the first electric connected toothbrush, Serval said.
The company has learned that children are motivated to brush their teeth --and have learned to brush more effectively--when enticed by a mobile game, such as Kolibree's Go Pirate, which is part of the Kolibree app.
Key features:
--Proprietary AI technology in the toothbrush in addition to 3-D motion sensors, accelerometer, gyroscope and magnetometer
--Offline data capture and analytics include date, time, duration and zones brushed.
--Bluetooth 4.0 (Bluetooth Low Energy) for easy automatic connection and data sync
--Kolibree Index on the mobile app (iOS and Android) displays your personal score based on cumulative online and offline brushing.
--Weighing only 2.5 ounces (70 grams), and with a 2-week battery life, Ara by Kolibree travels easily.
--Weekly e-mail report shows at a glance how well you've brushed over the last seven days.
Ara is priced at $129. Pre-orders are accepted here for $79 now through Feb. 28, 2017.
Extra Functionality, 6TB Storage for 2016 Apple MacBook Pro
OWC, which makes accessories for Macs and PCs, announced the OWC DEC, which it claims is the first storage expansion solution designed specifically for the 2016 Apple MacBook Pro.
The OWC DEC dock enables users to extend the life and the functionality of the high-end 2016 MacBook Pro. The DEC is the latest in OWC's long line of upgrades for nearly every Mac made, the company said.
The OWC DEC attaches completely flush to the bottom of the 2016 MacBook Pro, providing additional flash storage and connectivity, ultimately increasing the performance of MacBook Pros. With the OWC DEC, users will get an enhancement path for their 2016 MacBook Pro and MacBook Pro with Touch Bar to keep their system upgradable for the long term in a clean and integrated fashion.
This dock has a range of features, which include:
--up to 4TB of additional Flash/SSD storage (for a maximum of 6 TB, including factory capacity);
--SD Card Slot/Multi-Media card slot;
--USB 3 Type A Ports for standard USB cabled devices; and
--Gigabit Ethernet.


text:
Mayor's Office
Mayor Chris Beutler will recognize the winners of the City's Bright Ideas online campaign at the City-County Common meeting Monday, November 1. The campaign invited residents to share their ideas in five categories as part of LPlan 2040, the update of the Comprehensive Plan and Long Range Transportation Plan (LRTP) for Lincoln and Lancaster County. Mayor Beutler will present certificates to the winners at the beginning of the Commons meeting at 12:45 p.m. in Room 113, County-City Building, 555 S. 10th.
The campaign kicked off July 14, and 96 Bright Ideas were submitted to lplan2040.org by the deadline of October 1. The winning ideas were determined by online votes, and more than 300 people participated in the process. All Bright Ideas entries will be considered by the LPlan 2040 Advisory Committee. The topics areas and winners are:
For more information on Bright Ideas or the Comprehensive Plan/LRTP update, visit lplan2040.lincoln.ne.gov or contact the Planning Department at 441-7491.


text:
This time of year, the discussion of homework of course seems to come up everywhere you go. In the grocery stores, school events, and even in the Wall Street Journal – Too much, too early, too long, too inane, too disconnected, too confusing, and on and on go the complaints from parents and kids everywhere. A kindergarten parent I know was shocked to learn they had an hour of sit down work each evening. A 6th grade parent I know stated 2-3 hours was the norm. Nightly.
We are lucky this year, across the board, we seem to be in situations where the teachers agree with us that busy-work homework doesn't do anything and that learning takes place everywhere.
Our 4th grade teacher told the kids the goal this year was not to worry. She wants them to actually learn NOT to worry. It's a brilliant message to send to a room full of 9 and 10 year olds. She told the parents at back to school night that family life takes priority. That's a brilliant message to send to a room full of parents in the second week of school.
Our 6th grader has homework each night but it seems to make sense. Each night he is assigned reading and then he's to write a paragraph about what he read. It's lovely. Sure he has some math work too but that seems pertinent and he seems to be able to get most of it done during school hours – with only a tiny bit left by the time he gets home.
Our kindergarten team has decided on monthly family projects which I love and which we had once before with a second grade teacher. They are to be completed over the course of a month – together. Not by the parents only or by the child only but all together – siblings too if they want to help. The result with our first family project was the fourth grader stepping in as mentor and helper to the kindergartner. Family time created. Sibling connection fostered. Project completed with more beauty than could be imagined.
Even our high schooler seems unaffected by homework this year what with a study hall each day and a long bus ride during which she catches up on all her required reading.
The teachers seem to get it this year. They seem to understand what the whole child needs – that playtime and downtime and fresh air time and family time are crucial to the child for integration of all they learned that day.
If your teachers don't get it and your child and family seem overwhelmed with work, perhaps its time for parents to take it into their own hands. When you see that busy work is just that, when you see that a child can't possibly learn anything more when they are hitting the wall and crashing hard, when you see that sleep would be the best learning tool they could possibly have at that moment in time or fresh air or just laying on the front porch staring up at the sky, say enough.
- Write a note to the teacher explaining the situation.
- Work with the teacher and have a discussion about the goals behind homework. They may be doing it because it's all they know. Share your views.
- Talk to your school about shifting to a school wide homework policy.
- If your teacher insists on pages being completed, do the homework for them. Make sure they know the material then send your child out to play, to bed or wherever you think they need to be.
- Remember that you are the parent and you actually know what is best for your child.
- Ask for homework packets that can be completed over the course of a week and more likely to be done with the ebb and flow of family life.
- Make all homework a family project. Sit together and work cooperatively. We work cooperatively all the time as a society – do it with homework too.
- Forward articles to your teacher about how homework hasn't actually been proven to be effective.
- Start a revolution in your school. Ban together with other parents. Write the principal. Involve the PTA
- Choose a different kind of schooling if you can. Homeschool. Co-op school. Start a charter. Look around and see that you have options.
- Accept a lower grade. So what if your 4th grader gets a B instead of an A. Does it really matter at that point? College won't be looking at your early elementary grades. Allow the wholeness of the child to take precedence over a grade on a piece of paper. I know this isn't easy but think about it, if we teach our child that grades are the priority, what are we teaching them about intrinsic value?
What are some things your family has done to make homework easier? More family friendly? I'd love to know.


text:
Qui Tam Representation For Medicare Fraud and Other Healthcare Fraud Whistleblowers
When you are contemplating taking action, you need a law firm that knows the healthcare system from the clinical to reimbursement perspective. We know the healthcare laws and regulations associated with your case. We share the frustration and moral outrage at what you have encountered. We will walk you through what you can expect step by step. Know that we speak the same language you do. We look forward to hearing from you. All communications are completely confidential. We have represented strong, courageous, and principled whistleblowers for over a decade and will be happy to review your case facts if they meet the firm's requirements.
Healthcare Fraud
Healthcare Fraud involves violation of laws affecting patient care; false claims associated with the provision of health care such as medical care or services and items; medical diagnosis and treatment; drugs and biologicals; supplies, appliances, equipment, hospitals and other facilities; and violations of the Stark and/or Kickback statutes.
Medicare Fraud
Medicare Fraud involving individuals 65 years and older and also those with disabilities covered by the Medicare program. The largest federally-funded healthcare program, medicare fraud occurs in various ways such as false claims regarding fees for services, cost reports, per diem, DRG's, RUG's, APC's, capitation, outcomes, and more.
Hospital Fraud
Hospital Fraud can take many forms, but typically involves the upcoding of diagnosis related group claims for inpatients; the upcoding of observation claims; the upcoding of ambulatory payment classifications for outpatients; the submission of false data to CMS contained in cost reports and other documents; failure to return over-payments; or the knowing violation of certain laws or regulations.
Part D Fraud
Part D provides a voluntary, outpatient prescription drug benefit for Medicare-eligible patients. Part D sponsors offer drug coverage either through stand-alone prescription drug plans(PDP) or through Medicare Advantage prescription drug (MA-PD) plans. Fraud involves false bids, false PDE data, and other false representations in documents submitted to CMS.
Pharmaceutical Fraud
Pharmaceutical Fraud relates or stems from the approval, manufacture, marketing, distribution, or pricing of pharmaceutical or biotech products.
Equipment Fraud
Medical Equipment Fraud involves or emanates from the approval, manufacture, marketing, distribution, or pricing of medical equipment. This includes implanted devices without FDA approval; manufacturing in violation of the CGMP's; promotion for unapproved and dangerous uses, or patient populations; and so on.


text:
MB Town Planning
(02) 9144 7968
Suite 10, 895 Pacific Highway
Pymble NSW 2073
MB Town Planning
(02) 9144 7968
Suite 10, 895 Pacific Highway
Pymble NSW 2073
Call us to book an Initial Consultation for $280- plus GST. We provide an initial assessment of your project and outline key strategies and advice.
Free Council parking is available next door under the Bayer building at 875 Pacific Highway Pymble (on the southward-bound side of the Pacific Highway)
"Fantastic service. Honest and reliable. I've been working with Matt and his team for several years now and never had a problem they couldn't solve."
"I used MB Town Planning to do the Town Planning on an 8 unit development on the Northern Beaches. It was a particularly challenging approved to obtain but MB Town Planning got it through. Their knowledge of the planning codes and meticulous attention to detail ensured that all aspects of concern to council were addressed. I would highly recommend them to anyone and I shall certainly be using them again in the future."
"Since engaging MB Town planning in early 2015 we have found them very responsive and proactive with all projects. A pleasure to work with and always giving good insight into the different aspects of planning, keeping mind speed and delivery with our line of work being at high demand of meeting client time lines. I would recommend MB Town planning and to this this date we continue to use for certain projects"
"As a Building Certification company (Building Certificates Australia Pty Ltd), we rely heavily on the services of Town Planners during the design stage to accurately determine and support our assessment whether or not a proposed development can be considered admissible under Local and State Legislation. Timing and financial implications of correctly assessing proposed development is paramount to our clients and legislatively imperative to our team of Certifiers. We have used MB Town Planning's Services for over 6 years and have found their work to be timely, comprehensive and of great quality. We will continue to use their services for the years to come!"
"Our architect recommended MB Town Planning to me in middle of 2015 for our DA application. I only want to say chose MB Town planning is my greatest decision. They provided us a professional and excellent town planning service. Carina and Matthew are so nice and easy to communicate. They always pay fully attention to every details in our project. I definitely will use their service for our future project and will be happy to recommend them to others."


text:
Your life is unique. Throughout time, for all the billions of people who have dug their heels into this planet's bountiful soil, no one has been exactly like you. Or your family, for that matter.
But here's a news flash for you: You're not the first person to show an interest in preserving family history. Chances are, there's someone in your own family that's doing it right now. Researching family history is the No. 2 hobby in America, ranking right behind gardening and, according to some accounts, closing fast.
So, why not capitalize on all that interest by making your job a bit easier? As the saying goes, why re-invent the wheel? There are plenty of genealogy resources available on the Internet, many of them free. And there are hundreds of blogs on the topic.
Use your favorite search engine to find them, read them and learn from them. Here's one woman who's not afraid to admit she borrows ideas from others. We all do. That's called learning.
When you find a blog that you like (such as this one!), subscribe to it. It's simple. Details can be found in the column at the left on this site. Or you can check out this post on "search once and subscribe" by my blogging-coach friend Mike Sansone.
Then you can start preserving the unique details of your family history in a format you're comfortable with.
We'll be giving you a nudge throughout the month of May which is Personal History Month. Starting May 1, we'll be offering a free, month-long mini-course on how to write your own personal history.
Be here.
Author Larry Lehmer's book about Dick Clark and American Bandstand -- Bandstandland: How Dancing Teenagers Took Over America and Dick Clark Took Over Rock & Roll --is available from Sunbury Press. His book about the last tour of Buddy Holly, the Big Bopper and Ritchie Valens -- The Day the Music Died -- is available at Amazon.
Flickr photo courtesy of Ana-Lin.


text:
Original Series "Cedar Cove" is #1 Cable Program on Saturday
Followed By Original Movie "Reading, Writing & Romance" as # 1 Cable Movie on Saturday
For the fourth consecutive week, Hallmark Channel's original scripted series, "Cedar Cove", is #1 in its Saturday primetime time period (8-9p). The August 10 one-hour episode delivered a 2.0 household rating with over 2 million total viewers and ranked as the #1 program of the day on cable among households. The solid audience for the new "Cedar Cove" episode provided a strong lead-in for the premiere of the Hallmark Channel original movie, "Reading, Writing & Romance", which was the #1 cable movie on Saturday and garnered a 1.5 household rating with 1.5 million total viewers.
"Cedar Cove" was #1 in household delivery, making Hallmark Channel the most watched network on cable in the 8-9p period among total viewers (2,074,000). In W25-54, "Cedar Cove" averaged 296,000 viewers. In addition, "Cedar Cove" placed #1 in household rating for the time period and among the top 10 for key demo ratings, including #2 in P2+ (1.0 rtg) and #3 in W25-54 (.7 rtg). The "Cedar Cove" episode elevated Hallmark Channel to be the #2 cable network in prime time for the day among households (1.6 HH rtg)
In "Cedar Cove: Suspicious Minds", Bob (Boxleitner) and Peggy (Niven) Beldon must deal with a mysterious death at their Bed and Breakfast as the Cedar Cove gossip mill begins buzzing with the news. Jack (Neal) is quick to begin covering the story for the Chronicle - even in the midst of rising tensions between him and Olivia (MacDowell) about Eric's (guest star Tom Stevens) bad attitude. Meanwhile, Justine (Smyth) is on the verge of a new career when she gets a chance to show her work at the local Art Walk. Stars Andie MacDowell, Dylan Neal, Bruce Boxleitner, Barbara Niven, and Sarah Smyth.
Commercial actor Wayne Wenders (Mabius) takes a job as a substitute teacher in "Reading, Writing & Romance" to make ends meet while he waits for his big break, but he soon finds himself enjoying the job and finding his leading lady. When his big break finally does come along, he has to break promises and hearts in his new life. Are his dreams of stardom are really worth sacrificing everything? Stars Eric Mabius, Virginia Williams, Stefanie Powers, Meredith Baxter, and Martin Mull.
Source: The Nielsen Company, August 5-11, 2013
Hallmark Channel, owned and operated by Crown Media Holdings, Inc., is a 24-hour basic cable network that provides a diverse slate of high-quality entertainment programming available in high definition (HD) and standard definition (SD) to a national audience of 86 million subscribers. Hallmark Channel is the nation's leading destination for quality family programming with an ambitious slate of original TV movies and specials, as well as some of television's most beloved sitcoms and series, including The Golden Girls, The Waltons, Little House on the Prairie, and Frasier. The channel is also home to a range of lifestyle programming, anchored by Home & Family, a daily two-hour live show shot in a fully functional house located on the Universal Studios lot. Hallmark Channel's sibling network, Hallmark Movie Channel, available in HD and SD, focuses on family-friendly movies with a mix of original films, classic theatrical releases, and presentations from the acclaimed Hallmark Hall of Fame library.
Hallmark Channel on Social Media: Facebook, Twitter (Join the conversation at #HeartofTV), Pinterest, GetGlue, YouTube


text:
Geysers of the World
Geysers of Yellowstone
Pyramid Geyser
Feature Type: Geyser
Geyser/Spring Type: Cone geyser
Upper Geyser Basin
Daisy Group
Pyramid Geyser received its name from its proximity to the old hot spring cone known as the White Pyramid. The geyser itself is located on a flat geyserite platform to the northeast of the White Pyramid, visible to the right of the large cone as seen from the boardwalk near Daisy Geyser. The best place to view Pyramid Geyser is from the boardwalk past (to the west of) Splendid Geyser on the north side of the Daisy Group.
The distance from the boardwalk is such that the details of the formation cannot be seen, but the formation is visible as a flat platform to the right of the White Pyramid near a lone, small pine tree, as shown in the image.
What to look for:
Pyramid Geyser has erupted about every three hours between 1996 and 2009, but in 2010 has been erupting about every 4h45m. Eruptions are brief, lasting between 45 seconds and one minute. In 2010 most but not all eruptions have been preceded by minor play reaching about a foot in height about an hour before the eruption.
Both the minor activity and the full eruptions are preceded by increased steaming and some small splashing, which builds to a white mass of boiling water about a foot in height. This play either lasts a minute or so and then subsides, or builds rapidly to the 12-15 foot eruption.
Electronic Monitor Files
Pyramid eruptions for 1996.txt
Pyramid eruptions for 1997.txt
Pyramid eruptions for 1998.txt
Pyramid eruptions for 1999.txt
Pyramid eruptions for 2000.txt
Pyramid eruptions for 2001.txt
Pyramid eruptions for 2002.txt
Pyramid eruptions for 2003.txt
Pyramid eruptions for 2004.txt
Pyramid eruptions for 2005.txt
Pyramid eruptions for 2006.txt
Pyramid eruptions for 2007.txt
Pyramid eruptions for 2008.txt
Pyramid eruptions for 2009.txt
Pyramid eruptions for 2010.txt
Some of the temperature data used to derive the eruption times and durations used in this section were collected by Ralph Taylor under a National Park Service research permit, and the remainder was collected by personnel working for the Geology Department of the Yellowstone Center for Resources (including Ralph Taylor). The loggers are a combination of loggers owned by the NPS and Ralph Taylor. Analysis of the raw temperature data to extract the eruption data was performed by Ralph Taylor. The eruption time files on this website may be used provided that Yellowstone National Park is credited for the temperature data and Ralph Taylor is credited for the eruption times.
Pyramid Geyser has been monitored electronically since 1996, but the monitoring has been done only in the summer months. The periods of electronic monitoring have ranged from two weeks to three months. No attempt has been made to monitor Pyramid Geyser over the winter months.
From the initial monitoring in 1996 to the 2009 season Pyramid's intervals were consistently around three hours. When monitoring resumed in June of 2010 intervals had increased to about 4h45m.
Activity in 2010
Pyramid Geyser was monitored starting on 23 June. The overall eruption interval statistics for Pyramid Geyser in 2010 are shown at
Pyramid Geyser 2010 Statistics.
The chart at the right shows the activity recorded in 2010 to date.
Click for a larger image
The next graph shows the activity for the three month period prior to the most recent download.
Click for a larger image
The next graph shows the activity for the month prior to the last download.
Click for a larger image
The next graph shows the interval distribution for 2010. The blue bars show the distribution for all recorded intervals in 2010, the maroon bars show the distribution for the three months preceding the last download, and the yellow bars show the distribution for the most recent month of data. In 2010 as of 21 July the peak of the distribution is at 5h00m, nearly two hours more than the preceding years.
Note that in this and the other histograms displayed here the labels shown on the X-axis represent the upper boundary of the class, not the midpoint. Geyser times are traditionally truncated. The graph at the right has class widths of five minutes. The bar appearing above the label "3:00," for example, contains intervals from 2h55m through 3h00m.
Click for a larger image
Activity since 1996
As the interval graph shows,the summertime activity of Pyramid Geyser was fairly consistend from 1996 to 2009. When logging resumed in 2010 however it became clear that a large change had occurred, with intervals jumping from about three hours to more varied intervals varying from four to six hours.
Click for a larger image
There is considerable variation in intervals in the previous graph. The next graph shows a one-day moving median interval, which removes some of the variation and reveals the long term trends more clearly. The daily median intervals started at three hours in 1996, dropped to just over 2h40m in 199802001, then returned to the three hour mark until 2005 when they dipped by about 10 minutes, returning to the under-three hour range for 2007-9. The large jump to more than 4h30m in 2010 is unprecedented in the time I have been monitoring this geyser.
Click for a larger image
The monthly minimum, mean, median, and maximum intervals further reveal the change in activity in 2010.
Click for a larger image
Activity in 2009
Activity in 2008
Activity in 2007
Activity in 2006
Activity in 2005
Activity in 2004
Activity in 2003
Activity in 2002
Activity in 2001
Activity in 2000
Activity in 1999
Activity in 1998
Activity in 1997
Activity in 1996
Please note - this site is currently under constuction. Please visit
for more information.
Last update 01-29-2017
Contact GOSA
GOSA Store
About GOSA
Geysers of the World
Geysers of Yellowstone
Designed and Hosted by:
Computer Point
All images © 1999-2017. All rights reserved. No form of reproduction, including copying or saving of digital image files, or the alteration or manipulation of said image files, is authorized without written permission


text:
Great write up in the Guardian
Grace Speaker wrote:
Is anyone on the Forum in the Extras cast for GO? If so, how did you do it and is there any room for some extra Extras? She added hopefully . . .
SANEAlex wrote:Found via multiple bits of fandom on twitter IIRC the Irish con tweeted about something the American con got about a link on faceborg which i don't do but the video ended up on Vimeo
Neil Gaiman and Rob Wilkins in conversation about Good Omens
Edited to add it seems it was the Australian con on Faceborg maybe the Irish con Retweeted it my memory is so bad these days its hard to do proper attributions where social media is concerned
Grace Speaker wrote:Great write up in the Guardian
Amazing crew. Glorious cast. And all I can think is of Terry Pratchett. I think "why aren't you here to see this?" And my eyes get wet.
I think Jack could make it work - at least I really, really, really hope that he does . . .chrisboote wrote:More cast listed today
Jack Whitehall (a marmite actor if ever there was one) as Newt and Jasmine Hyde as Sister Grace
Users browsing this forum: No registered users and 1 guest


text:
Services on Demand
Related links
- Cited by Google
- Similars in Google
SAMJ: South African Medical Journal
On-line version ISSN 2078-5135
Print version ISSN 0256-9574
SAMJ, S. Afr. med. j. vol.98 n.2 Cape Town Feb. 2008
'Look and Lletz' - a Chris Hani Baragwanath Hospital experience
Y AdamI; C J van GelderenII; K NewellIII
IBSc, MB BCh, FCOG (SA); Department of Obstetrics and Gynaecology, Chris Hani Baragwanath Hospital and University of the Witwatersrand, Johannesburg
IIMB ChB, FCOG (SA), FRCOG; Department of Obstetrics and Gynaecology, Chris Hani Baragwanath Hospital and University of the Witwatersrand, Johannesburg
IIIBSc (Biol), MEd (Exerc Physiol), MPH (Epid & Biostats); Perinatal HIV Research Unit, Chris Hani Baragwanath Hospital and University of the Witwatersrand
OBJECTIVES: An audit was undertaken of a 'colposcopy and treatment' clinic between April 2003 and December 2006, to determine: (i) the frequency of overtreatment with Papanicolaou smear on its own, colposcopy on its own or a combination of the two methods; (ii) differences in overtreatment between patients who are HIV positive and those who are HIV negative; and (iii) the short-term complications of Lletz (large loop excision of the transformation zone) at this clinic.
DESIGN: A retrospective analysis of data from the colposcopy clinic database of patients, who were referred according to national guidelines.
SETTING: Patients who are referred to Chris Hani Baragwanath Hospital.
REULTS: Normal histology was found in 1.3% of patients, and cervical intraepithelial neoplasia (CIN) 1 or human papillomavirus (HPV) in 8.4%. The overall complication rate was 3%.
CONCLUSION: The high loss to follow-up and the low early complication rate together with an acceptable overtreatment rate make this a justifiable approach in our situation. HIV-negative women were more likely to be overtreated than HIV-positive patients (p=0.03).
Cancer of the cervix is the second most common cancer in women in South Africa, and the most common cancer in women aged 15 - 29 years and 30 - 54 years, accounting for 12.5% and 25.7% respectively.1
A National Screening Policy was instituted in South Africa in 2001.2 The State health system will pay for three cervical smear tests in a lifetime, commencing at the age of 30. Screening coverage has been shown to be more important than interval of screening in Scandinavian countries.3 Cytological screening for cervical cancer in Johannesburg primary health care facilities has achieved 20% coverage4 and there is a commitment to increase this. Papanicolaou smear screening and treatment of premalignant cervical abnormalities was shown to reduce the incidence of cervical cancer in Europe and North America.5 There are few dedicated clinics for the treatment of premalignant disease of the cervix in South Africa. A one-stop clinic for diagnosis and treatment is a very attractive alternative in our setting. Compliance is a concern at our clinic. Out of 231 booked patients, 80 (34.6%) did not attend in the first 6 months of 2005. Loss to follow-up was assessed at an audit done in September 2005; this showed that 9.9% of patients did not come back for their histology results and 38.5% did not come back for a 6-month Pap smear after treatment.6 The workload at the colposcopy clinic has increased over the last 2½ years because of the increase in the number of referrals to the colposcopy clinic. There was a long delay after the Pap smear in patients accessing the colposcopy clinic (Fig. 1). The range was between 14 and 706 days, with half of the patients arriving by 104 days.6
In South Africa cancer of the cervix and AIDS are both endemic. The incidence of cervical intraepithelial neoplasia (CIN) is between 50% and 70% in patients who are HIV infected in Africa.7,8 One would have anticipated an increase in the prevalence of cervical cancer but this has not yet occurred. It is possible that HIV-infected women die from other causes before they develop cancer of the cervix. With the rollout of antiretroviral drugs, cervical cancer may become more prevalent in HIV-positive patients.
The study was designed to assess the degree of overtreatment and undertreatment by correlating cytology, colposcopy and histology. The incidence of complications in the short term was also considered. The difference in overtreatment in HIV-positive as opposed to HIV-negative women was evaluated.
Information was obtained from a colposcopy database which was created for audit purposes. This was therefore a retrospective analysis of routinely collected data. The University of the Witwatersrand Ethics committee approved the study.
Between April 2003 and December 2006, 1 252 patients were referred to Chris Hani Baragwanath Hospital. Patients were excluded from the analysis if there was a lack of cytological and colposcopic evidence of CIN, pregnancy, histological evidence (e.g. punch biopsy) of CIN or if colposcopy was not possible. There were 922 patients who were included in the analysis. All of these women had a large loop excision of the transformation zone (Lletz) or cold-knife cone.
All patients with a Pap abnormality grade worse than low-grade squamous intra-epithelial lesion (LG SIL), atypical squamous cells of unknown significance which persisted for longer than 6 months, clinical suspicion of a malignancy in the presence of a normal Pap smear, and HIV-infected patients with an ASCUS or worse are referred to the clinic for colposcopy. Patients are given a written explanation of abnormalities of the Pap smear and possible treatments including outpatient Lletz and its complications. They are then counselled and given the choice of whether to have the Lletz procedure done under general or local anaesthetic. The vast majority, 892 (96.6 %) patients, have chosen to have the procedure done under local anaesthetic, while 30 (3.4%) patients (almost all by choice) had a Lletz or cold-knife cone performed under general anaesthesia.
A Lletz is performed on all patients with CIN 2 or higher on Pap smear or colposcopy, CIN 1 or higher in patients who are HIV infected, where the colposcopy is inadequate, and when there is a discrepancy between colposcopy and cytology by one grade.
The Lletz procedure
A colposcopy is performed using the saline technique. A cervical block is performed using a dental syringe with 2% lignocaine and 1 in 100 000 adrenaline. The loop size is chosen according to the size of the lesion and the transformation zone. Patients are then followed up with cervical smears at 6-monthly intervals for 3 smears and annually thereafter.
The patients' ages ranged from 18 to 82 with a mean of 38.7 and a median of 35.
There were 84 (9.1%) nulliparous patients, 245 (26.6%) who had had one pregnancy and 593 (64.2%) women who were multiparous.
HIV status
Two hundred and twenty (23.8%) women were HIV-negative, 464 (50.4%) had a documented HIV-positive test result and the HIV status of 238 (25.8%) women was unknown.
correlation between cytology and histology (Table I)
The correlation between Pap smear and histology was exact in 71.8%. The prediction was better with the higher grades. We considered it an undercall when Pap showed normal, ASCUS, LG SIL, or atypical squamous cells cannot exclude HG SIL (ASC-H) in the presence of histology of CIN 2 or worse. The rate of undercall with Pap smears in this group was 15.4%. The overcall for cytology was 5.6%. Of concern was the finding that the Pap smear reflected ASC-H or HG SIL in 2.1% of cases where invasive cancer was found on histology.
correlation between colposcopy and histology (Table II)
There was exact correlation between colposcopy and histology in 80.2%. The undercall (less than CIN 2 on colposcopy and more than CIN 1 on histology) with colposcopy was 5.8%. There was a 0.8% finding of invasion when the colposcopy diagnosis was CIN 2 or CIN 3.
The overcall (more than CIN 1 on colposcopy and less than CIN 2 on histology) was 7.5%.
To calculate the overtreatment in this population, we used the US National Cancer Institute definition of overtreatment, in which the appropriate treatment threshold is a diagnosis of HG SIL or worse, and the numerator is the number of patients who were treated and found to have normal or LG SIL on histological diagnosis.9 Table III reflects the weighted percentages using the above definition.
A positive colposcopy was defined as reflecting an assessment of CIN 2 or worse, a positive Pap smear as HG SIL or more severe and negative histology as being normal, CIN 1 or human papillomavirus (HPV) only. Overtreatment was not significantly different whether Pap and/or colposcopy were used to decide on treatment.
HIV-negative women were more likely to be overtreated than HIV-positive women (Table IV).
Clearly only patients who returned for follow-up could be assessed in this regard. There were 79 (2.7%) patients who returned with excessive bleeding, infection or pain. There were 38 patients with haemorrhage of whom 2 were admitted for suturing in theatre. There were 34 patients with infection and 1 required a laparotomy for a pelvic abscess.
The main criticism of the 'see-and-treat' approach is the risk of overtreatment. Quoted rates of overtreatment range between 13% and 72%.10,11 These studies differed as regards referral patterns and the definition of overtreatment.
Most of the patients who were referred to our clinic had HG SIL, and we found a better overall correlation with Pap and/or colposcopy when HG lesions were reported at histology.
The patients with equivocal smears (ASCUS, ASC-H or LG SIL) that were referred to our clinic all either had persistent abnormalities or were immunocompromised. There were 189 (20.5%) such cases, 46 (4.9%) of whom had CIN 1, HPV or normal histology, and the remainder had CIN 2 or worse. HPV testing would probably not have helped reduce the overtreatment in this group. HPV testing is less specific than Pap smear.12
The rates of overtreatment were similar for colposcopy, Pap or a combination of the two. However colposcopy did aid in assessing the transformation zone and the size of the lesion. Pap followed by Lletz without colposcopy may be considered as an option in high-prevalence areas.
There was a more liberal referral of patients who are HIV infected to the colposcopy clinic. Patients who were HIV positive were referred to the clinic with less severe cytology findings, reflecting uncertainty as regards prognosis.
It has been shown that punch biopsy does not reduce the occurrence of negative Lletz, and may be unreliable. It cannot be regarded as representing the gold standard.13 Selecting treatment on the basis of colposcopically directed punch biopsy may not be accurate.10
Failure to diagnose micro-invasive and invasive lesions was also of concern.
There were 17 out of 922 (1.8%) cases of micro-invasion or invasion not detected at colposcopy and 20 out of 922 (2.2%) cases not detected by Pap smear. These figures are similar to those reported in other series of 'see-and-treat' clinics.14,15
In this population with a high prevalence of both CIN and HIV, a 'see-and-treat' approach is justifiable.
The early complication rate was acceptably low, and management was appropriate in terms of over- and undertreatment, and it should be noted that overtreatment on the basis of cytology alone would have occurred in 11.1%.
1. Mqoqi N, Kellett P, Sitas F, Jula M. Incidence of histologically diagnosed cancer in South Africa, 1998-1999. National Cancer Registry. Johannesburg, 2004. [ Links ]
2. National guidelines for cervical cancer screening in South Africa-2000. DoH http://www.doh.gov.za/docs/facts-f.html (last accessed 14 March 2007). [ Links ]
3. Laara A, Day N, Hakama M. Trends in mortality from cervical cancer in the Nordic countries: association with organized screening programs. Lancet 1987; 8544: 1247-1249. [ Links ]
4. Report by the Public Health Unit on Cervical Cancer Screening - July 2006 to December 2006. Johannesburg: Department of Health, 2006. [ Links ]
5. Bonfiglio T. Cervical cytology: Perspectives from both sides of the Atlantic. Hum Pathol 1997; 28: 117-119. [ Links ]
6. Adam Y, van Gelderen C, Newell K. Look and LLetz. Royal College of Obstetricians and Gynaecologists, 6th International Scientific Meeting, Cairo, Egypt, 2005. [ Links ]
7. Moodley J, Hoffman M, Carrara H, et al. HIV and pre-neoplastic and neoplastic lesions of the cervix in South Africa: a case-control study. BMC Cancer 2006; 6(135). http://www.biomedcentral.com/1471-2407/6/135 (last accessed 24 May 2006). [ Links ]
8. Parham G, Sahasrabuddhe V, Mwanahamuntu M, et al. Prevalence and predictors of squamous intraepithelial lesions of the cervix in HIV-infected women in Lusaka, Zambia. Gynecol Oncol 2006; 103: 1017-1022. [ Links ]
9. Cardenas-Turanzas M, Follen M, Benedet J, Cantor S. See and treat strategy for diagnosis and management of cervical squamous intraepithelial lesions. Lancet 2005; 6: 43-50. [ Links ]
10. Ehsany N, Golbang P, Papadakis T, et al. The use of large loop excision of the transformation zone in management problems of cervical intraepithelial neoplasia. Aust NZ J Obstet Gynaecol 1998; 38(3): 251-253. [ Links ]
11. Bigrigg M, Codling B, Pearson P, Read M, Swingler G. Colposcopic diagnosis and treatment of cervical dysplasia at a single clinic visit. Experience of low-voltage diathermy loop in 1000 patients. Lancet 1990; 336: 229-231. [ Links ]
12. Walker J, Wang S, Schiffman M, Solomon D, ASCUS LSIL Triage Study Group. Predicting absolute risk of CIN3 during post-colposcopic follow-up: results from the ASCUS-LSIL Triage Study (ALTS). Am J Obstet Gynecol 2006; 195(2): 341-348. [ Links ]
13. Denny L, Soeters R, Dehaeck K, Bloch B. Does colposcopically directed punch biopsy reduce the incidence of negative LLETZ? BJOG 1995; 102: 545-548. [ Links ]
14. Das S, Elias A. Diagnosis and treatment of cervical intra-epithelial neoplasia in a single visit. Aust NZ J Obstet Gynaecol 1998; 38(3): 246-250. [ Links ]
15. Hallam N, West J, Harper C, et al. Large loop excision of the transformation zone (LLETZ) as an alternative to both local ablative and cone biopsy treatment: A series of 1000 patients. Journal of Gynecologic Surgery 1993; 9(2): 77-82. [ Links ]
Accepted 17 July 2007.


text: Note on permissions of php files: You don't have to use 'chmod 0755' under UNIX or Linux; the permissions need not be set to executable. Again, this is more like a html file than a cgi script. The only mandatory requirement is that the web server process has read access to the php file(s). With many Linux systems, it is popular for Apache to run under the 'apache' account. Given that HTML and other web files, like php, are often owned by user 'root' and group 'web' (or another similar group name), acceptable permissions might be those achieved with 'chmod 664' or 'chmod 644'. The web server process, running under the 'apache' account, will inherit read only permissions. The 'apache' account is not root and is not a member of the 'web' group, so the "other" portion of the permissions (the last "4") applies.