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Hurricane Irene dumped vast amounts of water on the eastern US at the weekend, cut electricity to millions of people and prompted warnings of extensive flash flooding further inland.
But ultimately the storm failed to deliver the catastrophic blow politicians had feared when they ordered the evacuation of more than 2 million people, shut down public transport in New York and other cities, and put the military on alert.
The category 1 winds – the lowest on the hurricane scale – may not have packed as much of a punch as other storms, but Irene's vast size, more than 400 miles wide, and slow speed, made it particularly threatening. It took 12 hours or more to pass overhead, wreaking damage estimated in the hundreds of millions of dollars.
The hurricane, downgraded to a tropical storm shortly before it reached New York as its winds fell to about 65mph, delivered up to eight inches of rain in places, leading to warnings of river floods over the coming days. It caused some flooding in coastal towns and in homes in parts of New York, with water up to people's thighs, but fell far short of what had been predicted by some officials.
Fifteen people were confirmed dead, including two children. The US homeland security chief, Janet Napolitano, attributed the lower than expected death toll to extensive warnings and mass evacuations. But as Irene proved to be less dramatic than had been predicted, some questioned whether the authorities had gone too far.
The mayor of New York, Michael Bloomberg, defended the mass evacuation and the dramatic warnings.
"We were unwilling to risk the life of a single New Yorker. The bottom line is that I would make the same decisions again, without hesitation. We can't just, when a hurricane is coming, get out of the way and hope for the best," he said. New York was expected to be back to business on Monday, with markets and offices open, but officials were warning that travel would be difficult.
The preparations for Irene were made with half an eye on the damage wreaked on New Orleans six years ago, when Hurricane Katrina claimed nearly 2,000 lives, wrecking entire neighbourhoods and political careers.
Caution was the watchword as people from the Carolinas to New York were ordered to leave their homes.
Bloomberg ordered the mandatory evacuation of 300,000 people from low-lying areas of New York.
"Time is running out," he said hours before the storm arrived. "If you haven't left you should leave now. Not later this evening, not this afternoon, immediately."
Chris Christie, the governor of neighbouring New Jersey, was even blunter: "Get the hell off the beach."
The warnings were repeated by politicians and television stations along the coast. Get out of your house, this is worse than you imagine, don't expect us to come and rescue you if you don't.
The mood was not helped by last week's unusual earthquake which rocked buildings along the east coast, from Virginia to New York.
People pulled back from the North Carolina coast and the seaside resorts of Virginia Beach, Ocean City in Maryland and Atlantic City in New Jersey. Some defiantly painted "Come on, Irene" – a play on the Dexys Midnight Runners hit of the 1980s – on plywood hastily nailed over windows before getting out of town.
New York shut down its subway system, a rare event. So did Boston.
Airports closed and intercity trains stopped running. Grey warships sailed out of the military dock in Norfolk, Virginia, to ride out the storm at sea.
Television reporters positioned themselves to appear live on camera clinging to poles as the storm lashed around them.
Some did not bow to the pressure. About 600 elderly people living in high rise flats in Atlantic City refused to move.
"I can't make you ... I'm not going to arrest you (but) let us walk you downstairs and put you on those buses," Christie pleaded.
Instead, residents of the 13-storey Best of Life Park held a "Goodnight Irene" party on Saturday as the storm moved in.
In New York, ABC News estimated that more than 20% of people living in the mandatory evacuation zone had refused to move, despite police and city officials going door to door.
Irene finally slammed into the North Carolina coast near Cape Lookout after daybreak on Saturday.
Bit by bit it claimed lives.
There may be undiscovered fatalities. The known 15 included a surfer caught in a rip current off the Virginia coast as he made the most of the huge waves. Two children died in the storm – an 11 year-old boy hit by a tree that fell on his house and a girl, 15, in a car crash. In New Jersey on Sunday a woman was found drowned in her car hours after she called the emergency services because she was trapped on a flooded road. A firefighter died trying to save another person.
Others were lucky. Two men were rescued off Staten Island after they capsized while kayaking as the first tentacles of the storm began to lash the area. Bloomberg was angry, saying that rescue workers had risked their lives to save the men who were then given tickets.
The waters washed through town after town. In Darby, Philadelphia, the waters rose so high that the mayor, Michael Nutter, said they were sending "couches, furniture, all kinds of stuff floating down the street".
The winds were strong enough to rip trees out of the ground and tear off branches, which in turn tore down power lines.
More than 3 million people were left without electricity as the storm passed over, mostly in Virginia, New York and New Jersey. It is likely to take days to restore power.
In Maryland, the hurricane forced an emergency shutdown of a nuclear reactor after it was hit by debris thrown around by the winds. The owners issued a statement saying there was no danger, but some people felt a flicker of doubt fuelled by the earthquake and tsunami disaster in Japan earlier this year.
In a sign that the storm both proved not to be as fearsome as once threatened and that the evacuations had paid off, the cost of Irene was mostly being assessed in dollars not human lives.
Christie said: "I've got to imagine that the damage estimates are going to be in the billions of dollars, if not in the tens of billions of dollars."
However, he added that there is likely to be more damage yet.
Even as the storm moved on, the danger had not passed. The torrential rains come on top of a particularly wet summer. The additional water is expected to take a day or two to cause rivers to crest, creating a concern of flooding far inland from the coast.
"Inland flooding of our rivers is at record levels," said Christie. "It's only going to get worse in the next few days. Do not leave your homes. Flooding is going to be the big problem. There's saturated ground, swelled rivers."
Warnings of flash floods were issued as far north as Vermont on the Canadian border.
Still, to the relief of politicians and every one else, Katrina it was not.
• This article was amended on 29 August 2011. The original said incorrectly that Bloomberg had said police would kick down the doors of people who refused to leave areas where evacuation was mandatory. This has been removed.


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So it has come down to this. After months of introspection, multiple drafts of essays, and dozens upon dozens of prompts to complete on MBA applications, you're about to push the button and let fate take over. Many of you have labored feverishly over the holidays to put the finishing touches on your apps.
This week more MBA applicants to elite business schools will send their best work into the admissions abyss than any other time of the year. This is the week that round two deadlines at leading schools tumble down like so many dominoes. In round one, Michigan Ross saw a 13% in apps, year over year, while Yale SOM saw its applications rise by 11$. Round 2 typically attracts the most applicants of any round, as many as half the apps a school will receive during its MBA admissions cycle.
On Jan. 2, round two candidates to the University of Michigan's Ross School of Business and Carnegie Mellon University's Tepper School of Business must have their applications complete and in before noon EST. But the single biggest day of the year for apps will likely be Jan. 4 when eight of the world's top schools have deadlines, including Harvard, Kellogg, Booth, Tuck, Fuqua, Goizueta, and London Business School. Applicants to Columbia Business School who hope to receive a merit scholarship also must apply by this date.
In most cases, the actual deadlines are at noon in the time zone of the school but readers should check the admission deadlines pages of each school's website to make absolutely sure. Stanford, for example, has a 1:00 p.m. Pacific Time deadline for your application, letters of recommendation and application fee.
At Harvard, applications will not be read before noon EST on Wednesday. that time. "We never shut down the application system until every application in the process of being submitted has been received," explains Chad Losee, the managing director of MBA admissions at HBS. "You will receive a confirmation email from our system once it goes through."
In any case, the deadlines continue. On Jan. 5, another seven leading schools have app deadlines, including Wharton, Haas, Anderson, Kelley, McDonough, Marshall, and IESE Business School in Spain. Then, on Jan. 6, the business schools at Cambridge and Oxford have their so-called "stage 3" deadlines.
More deadlines roll into the following week: On Jan. 9, it's UVA's Darden School, Rice University's Jones School, and SMU's Cox School. Stanford GSB, Yale SOM, Cornell, UT-Austin, and Notre Dame's Mendoza School pop up next on Jan. 10. Among the most elite schools, MIT Sloan brings up the round 2 rear with a deadline date of Jan. 17th.
Most applicants have nearly a three-month wait to hear back from schools, though a few MBA programs with rolling admissions could get word out earlier. At this late stage, the only thing you might be able to do is cross your fingers and hope for the best.
But admission consultants say there are probably a couple of last-minute things you should do before you finally hit the button to send your app into the hands of admission officials.
First off, look over your application and make sure you answered the questions asked. "A lot of applicants think they are answering the question but sometimes people go a little bit astray," says Betsy Massar, founder of Master Admissions. She notes that a number of people are doing cutting-and-pasting among their apps and it's no uncommon for candidates to take a detour from the actual school prompt. "The trick to do this is have somebody else read your essay without knowing what the question is," advises Massar.
She also counsels applicants to make sure that at least one or two other people have read your application to check possible errors before you send it off. But don't make it a party. "There is nothing worse than an application by committee," she adds. "If you have six people reading it, you will get six different opinions. The maximum number of people to read your application is two. A sibling or a peer are the best people to read your applications, someone who wants the best for you and can be candid."
And, finally, if you still have a few days free, you might consider tossing in one more application for a school with a latter deadline, say next week. Truth is, you've already done the hardest work, from taking the GMAT to the kind of introspection to allow you to write a compelling essay. So why not give yourself another shot at a school you would like to attend?
DON'T MISS: A DING OR ADMIT? FIND OUT WHY or READ THE ESSAYS OF SUCCESSFUL HARVARD BUSINESS SCHOOL STUDENTS
(See our full listing of round 2 deadlines on the next page)

subset: commoncrawl


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ST. JEAN BAPTISTE HIGH SCHOOL is participating in a fund raising project through Stop-n-Shop and asks if any sisters/associates shop there, could you please work with us. The process is simple - Just register your Stop-n-Shop card. These are the steps to follow: Go to Website www.stopandshop.com/aplus There is a box "For Customers". Click on Register Your Card. When this is completed, somewhere you will be asked for the School ID# - SCHOOL ID# 16679. Once this is done, all you have to do when you shop is swipe your Stop & Shop card. At the bottom of your receipt where it may list your Gas Rewards, you will also see School or APlus Rewards. Thank you for helping St. Jean's in this small way.
Andrews of Charlottetown becomes better acquainted with Marguerite Bourgeoys: The statue of Marguerite Bourgeoys behind the nurses' station has been arousing the staff's interest. Our presence at Andrews had some residents curious about our community's beginnings. On October 14, Sister Della Gaudet made Marguerite Bourgeoys come alive with an interesting and enlightening presentation on our foundress and our community's history. Our efficient technician, Sister Noreen Hickey, provided an enriching visual accompaniment with a PowerPoint presentation. Sisters, staff and residents present appreciated this event. Thank you, Della and Noreen!
We are happy to announce that from April 1 – April 25, 2015, the members of the Congregation of Notre Dame leadership team will be visiting the sisters and associates of Visitation Province (English-speaking Canada).


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So, apparently the kids of Sandy Hook will be moving to a new school after the winter break. The PTSA wants them to have a fantastic fresh start so they are calling out to the nation to send snowflakes which will be used to create a winter wonderland throughout the school!
They are looking for as many unique snowflakes as they can get! They can be cut from paper, sewn, knitted, crocheted, pipe cleaners, etc. The more creative the better!
If you are looking for something to do over the break, I think making load of snowflakes is one of the best ideas ever!! I'm totally doing this with my kids. And since they are quite young and (thankfully) don't know the circumstances of this project, I'm just going to tell them that we're going to send some of the snowflakes to our friends.
If you'd like to join in, you can send snowflakes to this address:
Connecticut PTSA
60 Connolly Parkway
Building 12, Suite 103
Hamden, CT 06514
They've asked that snowflakes are sent by January 12, 2013
I know life is just the most crazy it can possibly be for most of us right now! I am hoping --and looking forward to-- a bit of a lull here between Christmas and New Years. If you have some down time that week too, how about getting out the art supplies and spreading a little love?
Okay, I hope you all have a wonderful and safe holiday!


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As I previously discussed, finding the right bridesmaid gown can be daunting. Everyone has a different style, theme and location for their wedding, so how does a bride choose the perfect look?
Patterns – I am seeing more patterns being introduced into bridesmaid dresses. I can picture these dresses in a garden wedding, country wedding, or a beach wedding.
Mix 'n' Match – Whether you want to mix and match with the same gown and styled differently for each bridesmaid, or styled the same but in different colors, Nuova Vita's convertible style gowns are ideal for bridesmaids who want to wear a bridesmaid gown that they can wear again. View our convertible gowns here.
Sparkle – Those who want a bit of sparkle for their wedding should choose a standout gown. The ladies will look glamorous with understated accessories and flowers. The gowns are the showcase.
Lace – Lace will always be classy and glamorous. Seen as romantic, lace would be the perfect option for a traditional or beach wedding.
Two piece – For a chic, fashion forward ,non-traditional bridesmaid dress, a two piece is another eye-catching option.
Happy Hunting!
XO – Francesca


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The basketball world is not aware that this is a Sunday and therefore, there is a smattering of games. We'll be at the Shore Conference vs. New York Challenge all day and you can hit up twitter for updates from there. We also hope to have something from Pennsylvania, where St. John Vianney is taking on state power Archbishop Carroll.
Shore Conference vs. N.Y. Challenge
At Holmdel
RB Catholic vs. Staten Island Tech, 11:30 a.m.
Back-to-back 3-pointers from senior guard Morgan Arnott and junior guard Mary Kate Caverly highlighted a 9-2 run to open the second quarter as Red Bank Catholic took a 16-6 lead and never looked back in a 52-25 win over Staten Island Tech. Caroline Corcoran finished with a team-high 12 points and Arnott added 11 for the Caseys, which led by as many as 28 late in the fourth quarter against one of Staten Island's top public school teams and the current leader in PSAL Staten Island 'A.'
Rumson-FH vs. Moore Catholic, 1 p.m.
Iona-bound senior guard Jamie O'Hare scored seven points as part of an 11-2 run to close the game as Moore Catholic, once down by as many as 20 early in the second half, stormed back to stun Rumson-Fair Haven, 41-37. O'Hare, who scored the aforementioned seven points as part of a game-high 15 in the fourth quarter, hit a long 3-pointer from the left wing to give Moore Catholic a 37-36 lead, its first advantage since 3-2 in the opening minutes of the first quarter. She followed that with a tough drive through traffic the next time down to push the lead to three as Rumson would get no closer. Behind strong ball movement and trademark defense, Rumson ripped off a 14-0 run to take a 19-7 lead after the first quarter. The lead was balloon to as many as 20 at 32-12 before Moore Catholic came charging back.
Holmdel vs. Ossining, 2:30 p.m.
Junior shooting guard Saniya Chong scored 22 of her game-high 35 points in the first as the Hornets (10-6) hung tough early, but eventually fell victim to a frenetic pace on both ends from Ossining in an 85-69 loss to the New York State Class AA contender. Chong, who has received preliminary interest recently from Connecticut and North Carolina, scored 13 of her 35 points as part of a 27-12 second quarter that gave Ossining (15-0) control for good The freshman duo of Jalay Knowles and Destini Walker added 20 points and 18 points, respectively, in the win. For Holmdel, junior guard Tara Inman scored 12 of her team-high 29 points in the first quarter.
Manasquan vs. Archbishop Molloy, 4 p.m.
In the marquee game of the day, freshman guard Marina Mabrey scored 11 of her team-high 25 points in the fourth quarter as Manasquan ripped off a 10-2 run in the middle of the fourth quarter to take control for good and claim a 66-52 victory over reigning New York State Federation Class A champion Archbishop Molloy. The 10-2 run put the Warriors (17-0) ahead, 58-49, with 2:18 to play as senior guard Michaela Mabrey scored 12 of her 21 points in the first half, while sophomore point guard Katelynn Flaherty added 16 of her own. For the Stanners (11-5), who were down two starters in Amani Tatum and Carolyn Gallagher and were coming off a blowout loss against Moore Catholic on Saturday, Kamille Ejerta scored 19 of her game-high 26 points in the first half.
St. Rose vs. Bishop Loughlin, 5:30 p.m.
Blue Chip Super Sunday Showcase
At Archbishop Carroll High School, Pennsylvania
SJ Vianney vs. Archbishop Carroll (Pa.), 5:30 p.m.
Junior forward Jill Brunori scored a team-high 13 points and added 10 rebounds, but the Lancers fell behind big early and never recovered in a 64-47 loss to the 2011 Pennsylvania Class 4A finalist. Junior guard Kat Egan added 10 points for St. John Vianney, while Katie Beriont added nine.
WHAT TO WATCH FOR: Given the fact Holmdel is coming off a road loss at Colts Neck on Saturday, the last thing it wants is a fight, but that's exactly what it may get as high-scoring junior guard Saniya Chong and Ossining. Chong is garnering high Division I interest, including Rutgers, UConn and North Carolina, and has a 55-point game on her resume….The headlining game at Holmdel this afternoon is still-undefeated Manasquan squaring off against a veteran Archbishop Molloy squad that won New York State Federation Class A season. Simply put, we expect Manasquan to get a little bit of resistance at the very least….Speaking of Shore Conference unbeatens, St. Rose gets CHSAA 'AA' contender Bishop Loughlin, which has a narrow loss to St. John Vianney on its resume from earlier this season….There's a small faction of people that believe St. John Vianney is going to have an easy time with Archbishop Carroll this afternoon. Maybe so, maybe not. We know this though: Carroll was a Pennsylvania Class 4A finalist (Pennsylvania's largest classification) last season and is ranked third in 4A this winter. Draw your own conclusions.


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Maureen Kay Kunkel was born January 27, 1945 in Mitchell to LaVerne and Norma (Barnes) Phillips. She grew up and attended school in Mitchell, graduating from high school in 1963. She graduated in 1966 from MTI with a secretarial degree and in 1986 with a LPN Nursing degree. She worked as a nurse at Firesteel Health Care in Mitchell, Colonial Manor in Salem and Dow Rommel in Sioux Falls until retiring. On March 18, 1967 she married Ronald Larson. They had three children, Terry Lee, Chad Wayne and Brett Allen. They lost Terry to cancer in 1979. On November 25, 1989 she married Lloyd "Bud" Kunkel at St. Peter's Catholic Church in Farmer, SD. They lived on Bud's farm at rural Alexandria until moving to Mitchell 2001. Maureen and Bud enjoyed traveling, especially with family. At one time, she even traveled to Europe by herself and was so proud that she did it on her own. She loved antiquing and garage sales. Above all she loved spending time with her sons, daughters-in-law and grandchildren.
She is survived by her husband, Lloyd "Bud" Kunkel; two sons: Chad (Jill) Larson, Sioux Falls, Brett (Michele) Larson, Chandler, AZ; two sisters: Vicki (Junior C) Sonne, Mitchell, Leslie "Puddy" (Daniel) Barber, Omaha, NE; three brothers: Larry (Karla) Phillips, Mitchell, David (Cheryl) Phillips, Mitchell, and Scott Phillips, Letcher; six grandchildren: Jacey, Connor, Garrett, Nicole, Ashley, and Juliet, three sisters-in-law: Lois Kayser, Lucine (Tony) Merlock, Mary (Gib) Zeal, a brother-in-law, Ron (Gloria) Kunkel and many nieces and nephews and great nieces and nephews.
She was preceded in death by her son, Terry, her brother, Gary, her parents, father and mother-in-law, Alma and Ray Kunkel and brother-in-law, Norbert Kayser.


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Big game on Friday night in Westlake Village near Los Angeles, as Oaks Christian High (13-0) takes on visiting Gardena Serra (13-0) in the Northwest Division championship game.
Arrive early before the Montana, Gretzky and Smith families take all the good seats.
Pictured here are Nick Montana, Trevor Gretzky and Trey Smith, whose fathers you may know. Montana, a junior, has quarterbacked the varsity (Gretzky and Smith are sophomore receivers) to within one win of the school's sixth straight Section championship.
The Cavaliers are the one team in the division that can match the Lions' speed and skill-position prowess, but only one team has so much as stayed close to Oaks Christian in a title game. The Lions defeated Oak Park, 21-16, in the 2003 championship game, but have won their four other titles by an average of 37.5 points.
Oaks Christian, which also gave the world current Notre Dame quarterback Jimmy Clausen, is 98-8-1 at the varsity level since the school began playing football in 2001. But there's trouble in paradise. Because Oaks draws talented athletes from as far away as Canada, and regularly pounds its Tri-Valley League foes (they beat Carpinteria 56-0 in the game I attended in October), no one wants them in their league. Tri-Valley wants to kick them out, and other area leagues are reluctant to take them. I'm convinced that one reason is the occasional attendance of Tom Cruise at their games; the actor is good friends with Gretzky.
Poor, homeless Oaks Christian (annual tuition, about $22 grand). Hope they don't end up in the Pac-10.
Oh, and I saw Jerry Rice at a basketball tournament in Burlingame (Calif.) last night, wearing jeans and a sweatshirt as he watched his son, Jerry Rice Jr., score six points for Menlo School of Atherton.
Oaks Christian Has Outgrown Its Competition [Los Angeles Times]


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"Stillpoint is well integrated with faith and spirituality. I recommend it to anyone seeking wholeness and healing."
- Father Thomas Nelson, O. Praem.
"I am familiar with the work that Dr. Ross Porter and his staff do and would recommend their services to members of the Jewish Community. I know of many success stories and I am confident that he and the team of clinical therapists that work at Stillpoint Family Resources will be able to assist those in need of services."
- Lauren Gottlieb, Teacher, Congregation Or Ami
"Stillpoint is active throughout the community, supporting families with a scientifically sound values-based approach."
- Thomas Murphy Goodwin, MD., Dept. of Obstetrics & Gynecology, Keck School of Medicine, University of Southern California
"In a day when mental health care is frequently framed in dollars and profit, Stillpoint stands out as an exemplar not-for-profit operation."
- Jeffrey P. Bjorck Ph.D., Professor of Psychology, Fuller Theological Seminary
"Stillpoint provides the ultimate safety net for families and youth in need, through the excellent services it provides. I thank God for Dr. Ross Porter and his vision."
- Walter Allen, Mayor, City of Covina
"The personal commitment by yourself and your staff to Judeo-Christian principles is noteworthy and a significant contribution toward healing and mentoring those in need, particularly the youth-at-risk."
- Mother Regina Marie, OCD, Superior General, Carmelite Sisters
"So much do I believe in the work Stillpoint is doing, that I have left part of my estate to further their ministry."
- Ms. Gerry Fagoaga, MFT
"By focusing on the underserved, Stillpoint brings help to the families that need it most and may have the hardest time getting it."
- Donald G. Marshall, Fletcher Jones Chair of Great Books, Pepperdine University
"Recently, our family faced multiple issues: psychologically and legally. We were paralyzed with grief and not completely sure how to start the healing process. A referral to Stillpoint Family Resources was a vital part of our family's recovery and we are forever grateful for their commitment and excellence in services provided."
- Teresa, former client


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Few things can spoil a ride quicker than cold hands. Even with today's advance sleds and their onboard hand warmers, when the temperature drops well below freezing or your speeds increase, having the right riding gear makes all the difference. Our new Trail Level 3 gloves are the most advanced and warmest we've ever offered. Featuring a long wrist gauntlet to seal out cold and snow, the oversized opening slips easily over you jacket for easy on and off performance. An all leather palm serves up maximum wear resistance and bar control and the "mapped" 3M Thinsulate insulation puts more where you need it (200-grams on the Backhand Armor of the glove) and less where you don't (100-grams on the palm). Anti-Slip technology connects all fabric layers to create a single layer feel for assured confidence. Dryzone and moisture wicking micro fleece allows perspiration to escape keeping you warm and dry; while silicone Backhand Armor fends off snow and ice chunks. Features include adjustable wrist enclosures, integrated goggle squeegee for clear vision, and gauntlet shock cords to completely seal out drafts during the coldest of rides.
- Black
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- Outer Layer
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- Machine wash cold, tumble dry on low heat
- 3 Years From Date of Purchase


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Women's Basketball Closes Out Non-Conference Action Falling 79-72 At Ole Miss
By ODU Athletics
Jan. 2, 2009
OXFORD, Miss. -- The Old Dominion women's basketball team tried to rally from a 10-point second half deficit behind the career-high 24 point night from senior Tiffany Green (Chesapeake, Va.), however the Lady Monarchs would close out the non-conference portion of its schedule at 5-5 following a 79-72 setback at Ole Miss on Friday night.
The first half endured six ties and six lead changes before Old Dominion controlled the later part of the opening stanza. With Ole Miss leading 23-20 with 7:22 left in the half, Old Dominion produced an 11-0 run fueled by six straight points by sophomore guard Jasmine Parker (Norfolk, Va.). Parker capped off the run hitting a four-point play and creating a turnover on the ensuing play to put the ball up and in on a lay-up to give Old Dominion a 33-27 edge with 5:34 remaining in the opening stanza.
The Lady Rebels, however, closed the gap to within two by the half's end. Ole Miss outscored Old Dominion, 12- 6, in the final five minutes of the half, including back-to-back three-pointers by Bianca Thomas and Elizabeth Robertson. Robertson's lone first half points came as she connected from the right side of the arc with 12 seconds left to cut the Lady Monarch lead to 37-35 entering the lockerroom.
Lady Rebel leading scorer Shawn Goff, who played much of the first half in foul trouble having gained her second foul with 15:10 on the clock, finished the half with 14 points going 5-of-7 from the field and 4-of-6 from the line.
Old Dominion held a five-point, 54-49, advantage with 11:36 remaining in the game, however Ole Miss took control of the game for the next five minutes. Thomas drained back-to-back three's cutting Old Dominion's lead to 54-52 with 11:13 remaining. Her second three began a 15-0 run returning the edge back to the Lady Rebels for good. Green finally stopped the run with a pair of free throws followed by ODU's first field goal in nearly five minutes.
The Lady Rebels led by 10 with 5:22 left, but the Lady Monarchs had a late surge to keep the game within reach. A 9-2 run by Old Dominion closed the gap with Green collecting back-to-back lay-ups and senior Jazzmin Walters (Norfolk, Va.) connecting on all three of her free throws after getting fouled from beyond the arc.
Walters went to the line again with Ole Miss clinging to a four-point, 75-71 edge with 30 seconds remaining. The 5-2 senior connected on the first attempt of a two-shot award, but missed the second, leaving the Lady Monarchs to foul down the stretch. Thomas would hit four free throws for Ole Miss for the final margin.
Green was one three Lady Monarchs to collect double figures in the loss. In addition to Green's career-high 24 points, sophomore Shadasia Green (Patterson, N.J.) registered a career-high 15 points. Also scoring in double figures was Walters with 15 points. Green also led with a game-high 13 rebounds for her fourth double-double of the season.
Thomas ended the night leading the Lady Rebels with 20 points, 15 coming in the second half of action. Goff, who played through two fouls in the first half en-route to 14 first half points, netted just four in the second on a field goal and a pair of free throw to finish with 18 points for the Lady Rebel. Black added in 13, while Alliesha Easley netted 10 to round out the Lady Rebels in double figures.
The Old Dominion women's basketball team returns to action on Monday, January 5th opening up Colonial Athletic Association (CAA) action against CAA runner-up Virginia Commonwealth. Tip-off is set for 7:00 p.m. at the Ted Constant Convocation Center.


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Monsanto's (MON) stock option volume went into orbit yesterday and its stock price was down 6% as well. Monsanto's call option and put option both went berserk yesterday. If you're in the farming business, Monsanto is your best friend. Monsanto provides agricultural products for farmers on a global basis. Some of Monsanto's leading brands include: Accleron TM, Asgrow®, DEKALB®, Deltapine®,De Ruiter Seeds, GenuityTM, Roundup®, Roundup Ready®, Seminis®, VistiveTM, YieldGard®, and YieldGard VTTM.
Category: Online Stock Trading Software
What's Up With Tempur Pedic & Sealy?
Stock and stock option volume for Tempur Pedic (TPX) and Sealy (ZZ) popped up on the radar yesterday. Tempur Pedic's stock price was up 11% yesterday and Sealy's was up 6%. After hours, Sealy reported results which were in line with expectations. Sealy said in their conference call that they are beginning to see signs that consumers are beginning to recover from the recession.
Recovery from the recession: An L, U, V or W?
The economic recession, which began in December 2007, ended in July 2009 according to some market analysts. Not all economists agree that the recession is truly over, but the one thing they can all agree on is that recovery won't be quick. The US economy shrank at a nearly 6% annualized rate from September 2008 to March 2009, so it will be a long time before real progress is felt. The shape of the recovery growth curve is likely to be an L or a wide U, although unexpected negative news could easily turn it into a W.
iPhone, iPod, Kindle and Textbook and Ways to Invest with Stock Options
E-books are here to stay, as evidenced by the proliferation of e-book readers, apps for the iPod and iPhone, and even email subscriptions to books. As more and more books become available in electronic form, it's only logical that textbooks would follow suit. On June 8, 2009 California governor Arnold Schwarzenegger announced an ambitious plan to implement digital textbooks in all California schools. Phase one begins this fall, using e-textbooks for high school math and science classes. Northwest Missouri State plans to go completely digital and has been running pilot programs since fall 2008. These early adopters believe e-textbooks are superior to print textbooks.
Make More Money with Covered Calls and With Less Risk
Mention covered calls and many investors think limited upside and big exposure to the downside. But, it's possible to make more money with covered calls and do it with less risk. Covered calls investing involves selling a call option against an existing or purchased stock. The inherent nature of covered calls provides less risk than simply owing the stock outright, as a covered call investing position has downside protection and a stock does not. The initial time value and the amount a covered call investing position is in-the-money determine how much downside protection a call option provides. The larger the time value and the more the covered call investing position is in-the-money, the more downside protection provided.
Making Monthly Cash Income with Covered Calls Options Investing
Mention the term covered call investing strategy, and many investors picture limited upside potential, with the potential for making a small profit. These investors may also consider the real beneficiaries of the covered call investing strategy to be the sellers of the call options who benefit handsomely when the price of the stock increases significantly.
Making Money in Neutral Markets with Stock Options and How to Calculate the Profits
A method for making money in a neutral stock market is with the iron condor. An iron condor is a neutral stock options strategy and consists of a combination of a bull-put credit spreads and a bear-call credit spreads. A credit spreads trade is entered by selling stock options and simultaneously purchasing stock options.
What about the "Cash for Clunkers" program?
President Obama has introduced "Cash for Clunkers," a subsidy program designed to help the automotive industry, the environment, and drivers with older, less fuel-efficient cars. Formally named the Customer Assistance to Recycle and Save (CARS) program, "Cash for Clunkers" is designed to stimulate the purchase or lease of brand new cars.
Investing in Restaurants with Stock Options
Consumers may be cutting back on a lot of unnecessary spending these days, but many people still see eating out as a "treat." The average American considers going to a restaurant with family and friends as a relatively inexpensive form of entertainment and pleasure, and a nice break from cooking and cleaning at home. And, after all, everyone has to eat.
Stock Investing & Option Investing in Mining Sector
Mining investments are looking attractive. For the last 6 months, this sector has been on the upswing. Iron, used extensively in steel production, isn't as glamorous as gold, but its importance is critical. Gold is, of course, the standard, and will always be a good recession investment, but the bottom of that market may have passed. This may be a good time to consider the broad Mining Sector.


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online. The course is designed for technicians and individuals intending to learn how to install, maintain and repair Solar Photovoltaic equipment.
Participants of this course learn how Solar Panels work and gain a thorough understanding of solar PV systems, this allows them to apply for registration with an
Microgeneration Certification Scheme.
Become a Solar Energy Expert Consultant - Participants on this course can also take Electrics for Renewables and Renewable Energy Management and Finance courses to achieve the new Solar Energy Consultant Expert Certificate.
Course Content
Composition of the light.
Photovoltaic effect.
Photovoltaic cells.
Daily/ annual energy.
Positioning of the modules.
Photovoltaic Energy.
Photovoltaic Illumination.
Planning and designing a photovoltaic installation.
The electric load.
Costs and evaluation of the economical solutions.
Maintenance and reliability.
Practical solutions.
Typologies and modality of installation.
Integration of the photovoltaic modules in the building structure.
Payback time.
Economical perspectives.
For more information click here.
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what're you saying
bracelets // mantra bands
"I'm not superstitious, but I am a little stitious." - michael scott
I'm a big believer in the power of words. I think the way you vocalize your life has a huge impact on how you experience it. I like positive affirmations, and overused quotes, and having personal mantras. I also like gold jewelry that makes a lot of noise. I've had a couple of Mantra bands throughout the last couple of years, but this is my favorite stack. They're reminders, accessories, and make a very satisfying clank every time I wave my arms.
+ You're My Person.
I have a lot of very important people in my life, and this reminds me that as much as they're my person, I'm theirs too. I don't have a big crew, but we roll deep, and I will never stop appreciating them.
+ It Is What It Is
My dad says this all the time, and as frustrating as it is sometimes, he's right. I'm a type A straight laced perfectionist, and I always want everything to work exactly as I planned. I am also stressed 99% of the time.
+ You Got This
This is the big one: we've got this. Everything will get done, everyone will be where they're supposed to be, and this is gonna be fine.
Do you have a personal mantra or saying? Do you just hum "Hakuna Matata" to yourself every morning? Tell me about it. Better yet, wear it.
But do not tell your mother I condoned tattoos.
x Justina
follow A Bent Piece Of Wire on twitter|facebook|bloglovin
2 comments:
Tell me what I want to hear. Or what you want to say.
Just remember:
If you're mean, I'll track you down and replace all your shoes with those hideous white tennis things that are so popular among the very sad.
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As a non profit organization we need your help to reach our goals.
We are a non-profit think tank and rely on contributions from across the political and economic spectrum. Can you help us to help Scotland?
Any donation will help to bring exceptional new voices and ideas to the public discourse and shape the future of Scotland policies. As a supporter of the Scotland Institute, you will receive regular updates and invitations to our events, forums and conferences. And you will join a growing community that is proposing innovative solutions to many of the most complex and important issues facing our country.


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Downtown Revitalization Strategy: Fair Haven Green Historic District
Author(s): Paul Bienvenu Associates, Inc.; Moose Creek Restoration, Inc.; Office of Martin S. Tierney
Year: 1980
This resource is a citation record only, the Center for Digital Antiquity does not have a copy of this document. The information in this record has been migrated into tDAR from the National Archaeological Database Reports Module (NADB-R) and updated. Most NADB-R records consist of a document citation and other metadata but do not have the documents themselves uploaded.
If you have a digital copy of the document and would like to have it curated in tDAR, please contact us at firstname.lastname@example.com.
Cite this Record
Downtown Revitalization Strategy: Fair Haven Green Historic District. Paul Bienvenu Associates, Inc., Moose Creek Restoration, Inc., Office of Martin S. Tierney. 1980 ( tDAR id: 145006)
This Resource is Part of the Following Collections
Architecture • Cultural Resources Preservation Guide • Historic Buildings • Significance / Management • Special planning / management study
Geographic Keywords
50021 (Fips Code) • Fair Haven • North America (Continent) • Rutland (County) • United States of America (Country) • Vermont (State / Territory)
Temporal Keywords
Temporal Coverage
Calendar Date: 1975 to 2000
Spatial Coverage
min long: -73.431; min lat: 43.292 ; max long: -72.701; max lat: 43.858 ;
Individual & Institutional Roles
Prepared By(s): Paul Bienvenu Assoc. ; Moose Creek Restoration; M. S. Tierney
Record Identifiers
NADB document id number(s): 13010
NADB citation id number(s): 000000087608
General Note: Sent from: Paul Bienvenu Assoc. ; Moose Creek Restoration; M. S. Tierney


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class Insecta
Afrocoelichneumon natalensis Cameron, 1906 = Afrocoelichneumon pulcher Morley, 1916.
Initial species uploading to the site: Peter Khramov.
Note: you should have a Insecta.pro account to upload new topics and comments. Please, create an account or log in to add comments
* Our website is multilingual. Some comments have been translated from other languages.
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Afrocoelichneumon clavicornis Heinrich, 1967
Afrocoelichneumon cornelliger Morley, 1919
Afrocoelichneumon didymatus Morley, 1919
Afrocoelichneumon malagassus Saussure, 1892
Afrocoelichneumon noerus Tosquinet, 1896
Afrocoelichneumon scopulifer Morley, 1919
Afrocoelichneumon subflavus Heinrich, 1938


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** 51% of net profits of all purchases are reinvested back into supporting our community partners' to help them thrive and have a positive impact in their local community and throughout Wales #abetterwales **
How lovely are is this Sterling Silver Teardrop Shape Pendant with a Daffodil? Set on a 45cm sterling silver belcher link chain, the pendant measures 23mm x 11mm.
The items are supplied in a Celtic Treasure gift box and are made to order. Please allow 2 - 4 weeks for delivery.
There is a matching pair of earrings is available too.
Celtic Treasure, gold and silver jewellery from the heart of Wales. Anna has lived all her life in Snowdonia, with its rich Celtic past, her jewellery has a definite Celtic flare with a modern and unique twist. She started making jewellery when she left school at 16. In 1983 opened her own jewellery shop in Dolgellau which ran until 1991.
Having had a break to raise a family, she has now returned to jewellery making full time. Where necessary her jewellery will carry a London hallmark. The sponsors' mark has been registered since 1981 with Goldsmiths' Hall.


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Please click on a photo below to open a photo album for the event. We hope you enjoy the photos.
2011 - 2012 Photos
NPTE & NPDA 2011-2012 National Champions!
The 2011-2012 National Parliamentary Tournament of Excellence (NPTE) Champions and the 2011-2012 National Parliamentary Debate Association (NPDA) Champions
Back Row L-R: Ivan Moya, Zoe Brown, Tim Lake, Josh Campfield, Stephanie Sorensen, Shelbie Konkel, and Dr. Kevin O'Leary (Director of Forensics)
Front Row L-R: Mr. Steve Doubledee (Assistant Director of Forensics), Ian Mikkelsen, Dan Lyon, Olivia Butler, Joe Allen, Lauren Knoth, Joshua Ramsey, and President Farley


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BlackBerry Curve 9320 and Nokia Lumia 610 will be sold by Koodo Mobile soon
Up in Canada, Koodo Mobile is getting ready to sell two new smartphones: the BlackBerry Curve 9320 and the Nokia Lumia 610. Both are affordable devices, and should sell pretty well.
We've known about the Lumia 610 heading to Koodo for about a week now, but further confirmation has arrived in the form of a leaked shot showing an internal system at the carrier.
The Nokia Lumia 610 might be sold for just $175 outright at Koodo. Telus could also jump in and release this phone for about the same price. As for a release date, the best we can do right now is 'sometime around back-to-school season'.
The BlackBerry Curve 9320's intentions regarding Koodo Mobile have also become clear thanks to a leaked screenshot from an internal system at that particular carrier. Yet in this case we get to see the pricing as well, and it looks like it will be a pretty reasonable $200. Unfortunately though, it's unclear at this point when exactly the new BlackBerry Curve will be available at Koodo.
So there you have it. If you're a Koodo customer, soon you'll get two more cheap smartphones to choose from.
- Canada: BlackBerry Curve 3G now available at Koodo Mobile
- Canada: Koodo Mobile will launch the iPhone 4, BlackBerry PlayBook too maybe
- BlackBerry Torch 9800 coming to O2 UK this fall?
- Canada: Telus, Koodo, and Virgin now sell the BlackBerry Curve 9360, Bell has the Torch 9860 as well
- Nokia Lumia 610 headed to Canada via both Telus and Koodo Mobile?


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In a rather inauspicious start to Motorola's latest deal - the acquisition of Starfish Software - both companies' leading executives stood by awkwardly one night last week in San Francisco as assistants wrestled for several minutes to actually open the bottle for a champagne toast.
The unexpected acquisition means that connectivity software specialist Starfish will become an independent wholly-owned Motorola subsidiary.
Bob Growney, president and chief operating officer at Motorola, wouldn't discuss the exact financial terms of the deal, but said the deal was "of the order of several hundred million US dollars." Starfish has about 100 employees and is very close to going public, he said. The real discussions to acquire Starfish only got underway about 30 days ago, he added.
Starfish is a software startup helmed by Borland International founder Philippe Kahn. He established Starfish after leaving Borland after the development tool vendor got into serious financial difficulties.
Starfish provides software for the "global synchronisation and integration of wireless and wireline devices", according to Kahn. The company is best known for Rex, its PC card device that stores contact and calendar information, and for Kahn's ideas about wearable computing devices.
At the heart of Rex is Starfish's TrueSync technology, a way of enabling the synchronisation of data between a variety of computer devices. Becoming part of Motorola will bolster the TrueSync brand so that it will be synonymous with synchronisation in the same way that the Dolby brand means great sound for hi-fis, Kahn said.
"The success here [of the Starfish acquisition] will be how quickly Philippe and I can get it [TrueSync] into a lot of different parts of Motorola communications," Growney said.
Under the terms of the acquisition, Kahn, a well-known industry character, will report to the board of Motorola's newly-formed communications division as well as act as one of the senior advisors to the company's CEO's office. After Growney said that Kahn was already helping out, the Starfish head honcho chimed in with, "Yeah, I'm already a pain in the butt. But these guys [Motorola] are really good. They like controversy," he said.
Kahn welcomed the Motorola acquisition because it will give Starfish access to the company that "ships over half of the wireless devices in the world," he said. "This is amazing," he added. "Instead of doing an IPO, we can focus on building technology." Kahn also drew attention to Motorola's somewhat battered share price. "Hey, you guys have been a little beaten up. We'll take your stock, that's undervalued stock here," he said.


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Upon reading this when you were describing pain, I thought perhaps you should be investigated for fibromyalgia however, you mentioned that you had a staph infection related to your implants. If that was not treated properly it could be the source of your problem and must be treated so my thoughts then turned to going to an emergency room. I would head straight there and as Janet said don't leave without answers and relief. This is not normal as she has said and someone needs to listen and help. It's time to be the squeeky wheel. Please come and join us in the chat room room for some additional support as you work through this.
Hang in there


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New Nova Sound Website and FREE Drum Kit < MUSIC PRODUCERS>
Nova Sound has launched a new website. This new platform allows audiophiles and media composers to easily navigate through Nova Sound's newest virtual instrument and sound fx releases.
New Features
Nova News Outlet – The News section where software from different developers are featured as well as tips and other production tools.
Nova Sound Stock – Stock sound library in which users can find the specific sound effect or backing track they are looking for as well as build custom drum kits.
Join the Nova Sound E-Mailing list to receive updates and Umbra Drums 1 (a collection of 16 custom drum sounds designed exclusively for the Sound Wav Express), FREE after sign up.
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For the second year in a row, all of the nation's largest financial institutions passed their stress tests, meaning each company has enough capital on hand to survive a "severe recession."
On Thursday, the Federal Reserve announced the results of the annual stress testing, which showed that all 34 participating financial institutions are adequately capitalized and could withstand another economic downturn.
"The nation's largest bank holding companies have strong capital levels and retain their ability to lend to households and businesses during a severe recession," the Fed said Thursday.
"This year's results show that, even during a severe recession, our large banks would remain well capitalized," Fed Governor Jerome Powell added. "This would allow them to lend throughout the economic cycle, and support households and businesses when times are tough."
According to the Fed, the banks were tested on several scenarios.
The most severe hypothetical scenario projects $383 billion in loan losses at each of the 34 participating bank holding companies during the nine quarters tested.
The "severely adverse" scenario included a severe global recession wherein the U.S. unemployment rate rose approximately 5.25 percentage points to 10%, accompanied by heightened stress in corporate loan markets and commercial real estate.
And according to the Fed, each of the 34 banks has enough money to survive that scenario.
The 34 banks, which are those with $50 billion or more in total consolidated assets, make up more than 75% of the assets of all domestic bank holding companies.
Included among the tested financial institutions are Bank of America, Citigroup, Fifth Third, Goldman Sachs, JPMorgan Chase, and Wells Fargo.
For the full report from the Fed, click here.


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Get the latest product updates, travel tips and stories.
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The Cubo. High volume, max versatility.
Ultra-functional bags for modern travel.
For the city
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Special status has been conferred to the Hyderabad Karnataka Region by amending the Constitution of India by insertion of Article 371J to the Constitution. This would enable to redress of the regional imbalances and provides for reservation in Public employment and admissions to the educational institution. In this direction the Karnataka Public employment (Reservation in appointments for Hyderabad Karnataka region) order, 2013, Karnataka Educational institution (regulation in admissions in the Hyderabad Karnataka region) Order 2013 and Karnataka Private Unaided educational institution (Regulation of admission in the Hyderabad Karnataka region) order 2013 have been issued. This would enable the local persons of Hyderabad Karnataka region to get jobs in public employment. Similarly, admission in the education institutions A Cabinet Subcommittee constituted in this regard has finalised the consequential order to be issued by His Excellency the Governor of Karnataka
Disclaimer: Please note that this page also provides links to the websites / web pages of Govt. Ministries/Departments/Organisations.
The content of these websites are owned by the respective organisations and they may be contacted for any further information or suggestion


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I came across custom birth announcements one day on Etsy and I immediately wanted one for Jillian and our Baby Boy. I love how you can custom tailor the colors of the birth announcement to the colors of your nursery. It's the perfect wall art for any nursery - boy or girl!!
Coincidentally, I also noticed recently on my friend Jenna's blog that she had something similar hanging in her daughter Brynn's nursery. Since I was hoping to purchase one for Jillian and Baby Boy's room, I asked her one day where she had ordered it from. I was expecting her to tell me she ordered it off of Etsy, however, you can imagine how shocked I was when she told me she made it herself and with Power Point!!
One goal I have set out to accomplish this year for myself is to learn how to make printables. Whether it is with an application like Photoshop, Microsoft Pubshliser or some other tool, I really want to learn how to make fun printables and graphics. I have a bit of a printable obsession these days and would love to learn how to make a few for myself. I was so thankful when Jenna emailed me her slide and explained how she went about creating it. It was the perfect start I needed to learn how to play around with a pre-made printable. The only thing I had to do on my end was to learn how to download the custom font she used, re-create the slide with my baby's birth announcement and change the color scheme to match the nursery.
One afternoon I put Jillian down for a nap and decided to tackle my project. The first step was to download the ARSIS font that Jenna had used in creating her birth announcement. Downloading a custom font was a little tougher than I initially thought but I was up for the challenge! I really wanted to learn how to do this. God bless Google is all I have to say. What did we even do before Google? It took me a whole nap time to figure it out but I finally did it!!! I hope to go into more detail in a separate post on how to download a fun free font. I imagine there are others out there like me who would love to learn how to do this. Now that I know how to do it, I have downloaded several other fonts onto my computer and now have a new obsession for fun free fonts!! I am certainly not your average Times New Roman gal anymore!
Once I figured out how to add the newly downloaded font to my Power Point application, the rest was pretty easy. I changed the colors of the PowerPoint slide to match the green and pink shades in Jillian's room and updated the birth announcement to reflect Jillian's information.
I printed off Jillian's new birth announcement using our regular HP home printer and paper. Card stock is probably a better option for this project and for most printables, however, I didn't have any around and couldn't wait to see how it looked in print!
I think it turned out super cute!!! I bought a frame at Michael's, centered the printable in the frame, and propped it up on the shelf in Jillian's room. Easy peasy!! I am so pleased with how it turned out and can't wait to create one for our Baby Boy!!!!
Hooking Up With Hooked on Houses
Transformation Thursday at Shabby Chic Cottage
Amanda over at Serenity Now for her Weekend Reading
Cheryl over at Tidy Mom for I'm Lovin' It
Rachel at Finger Prints on the Fridge for Feature Your Self Friday
Marni at Sassy Sites for Free For All Friday
Kojo Designs for Friday Fun Finds
Stories from A to Z for Tips and Tutes Tuesday
Chic on a Shoestring Decorating for Flaunt It Friday
Metamorphisis Monday with Between Naps on the Porch
Tuesdays Treasures with My Uncommon Slice of Suburbia
One Project at a Time with A Bowl Full of Lemons
Tatertots and Jello - Weekend Wrap Up Party
I Heart Naptime - Sundae Scoop
Feature Friday Linky Party - Blissful and Domestic
Simply Link Party - Simply Designing
Best DIY Project of February - Beneath My Heart


text: Q&A › Category: Questions › Mg amount 0 Vote Up Vote Down asked 2 years ago If I normally get a 15ml with 6mg, would a 30ml need to be with 12mg to get the same amount of nicotine? Thank you! Question Tags: nicotine 1 Answers 0 Vote Up Vote Down Staff answered 2 years ago Great question! The nicotine strength is "per milliliter" so 6mg per ml is the same strength no matter if it is 15ml or 30ml. 🙂


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An inlay restoration is a custom made filling made of composite material, gold, or tooth-colored porcelain. Porcelain inlays are popular because they resemble your natural tooth. A porcelain inlay is made by a professional dental laboratory and is permanently cemented into the tooth by your dentist.
Inlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma. Inlays are an ideal alternative to conventional silver and composite fillings. Also, they are more conservative than crowns because less tooth structure is removed in the preparation of inlays.
As with most dental restorations, inlays are not always permanent and may someday require replacement. They are highly durable and will last many years, giving you a beautiful long-lasting smile.
Contact Us Schedule An Appointment
An inlay procedure usually requires two appointments. Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom inlay and a temporary restoration.
While the tooth is numb, the dentist will remove any decay and/or old filling materials. The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit an inlay restoration. A temporary filling will be applied to protect the tooth while your inlay is made by a dental laboratory.
At your second appointment your new inlay will be carefully and precisely cemented into place. A few adjustments may be necessary to ensure a proper fit and that your bite is comfortable.
You will receive care instruction at the conclusion of your treatment. Good oral hygiene practices, a proper diet, and regular dental visits will aid in the life of your new inlay.
Care so about my anxiety with dental work, and my teeth! Doctor worked so well with me to make sure I was physically and emotionally comfortable. No pain, great service! THANK YOU!!!!
Amy H. from Plainfield, IL
I love the service that I received! Everyone is very professional at this office specially the young lady named Sandy. She goes above and beyond and makes you feel very comfortable, specially for people like me that are nervous to go to dentist in the first place.
Jesus from Plainfield, IL
Millennium Family Dental | 13544 W. Route 30, Suite 100, Plainfield, IL 60544
Phone: (815) 577-9000


text: Germany's defeat in World War II divided the nation, and even its capital city of Berlin. In 1990, following decades of strife, the two republics came together to restore themselves as a single nation. Now, a quarter-century later, Germany is commemorating that reunification with 3D laser scanning of the historic Brandenburg Gate. Largely isolated and inaccessible to many during Germany's split, the landmark serves as a national symbol of the unified country. "Growing up in post-war Germany, the gate was a symbol of peace and unity, yet was inaccessible to many until the fall of the Berlin Wall," said Hans-Günter Börgmann, managing director of Iron Mountain Germany, a company involved with the project. The digital preservation project — a collaboration between Landesdenkmalamt Berlin, University of Stuttgart's Institute of Photogrammetry, CyArk, Iron Mountain Inc. and Seagate Technology — uses laser scanning and "reality capture technologies" to create a hyperaccurate record of the monument. This will allow people around the world to learn more about the Brandenburg Gate and (virtually) explore it via 3D models and videos. Laser data of Germany's Brandenburg Gate, as captured by CyArk. Laser imaging creates an astounding amount of data — the equivalent of nearly 1 million high-definition photographs — according to those involved with the project. Once scanned, the imaging data from the laser scan and photo, video, audio, and metadata is captured on site by Seagate Technology and stored at CyArk's California headquarters. The raw data is reviewed and rendered into 3D images, with a master copy stowed at Iron Mountain in Boston. CyArk Vice President Elizabeth Lee said the project contributes to diligent global efforts to conserve and study the world's most renowned heritage sites. She named the Middle East as another example of such sites, where she said a number of monuments are at risk. "Everyone deserves equal access to the ideas and artifacts of our history, regardless of geographic and economic barriers," Börgmann said. "The opportunity to apply our information management and protection capabilities to fulfill [the] mission of preserving [culture] and heritage allows us to use our expertise and experience to help ensure landmarks like the gate remain accessible to all forever." The laser scanning data were unveiled to the public last month during CyArk's Annual Summit at the Berlin State Library.


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Workers' compensation is a very important field of the law, if not the most important. It touches more lives than any other field of the law. It involves the payments of huge sums of money. The welfare of human beings, the success of business, and the pocketbooks of consumers are affected daily by it. Judge E.R. Mills, Singletary v. Mangham Construction, 418 So.2d 1138 (Fla. 1st DCA, 1982)
The College of Workers' Compensation Lawyers has been established to honor those attorneys who have distinguished themselves in their practice in the field of workers' compensation. Members have been nominated for the outstanding traits they have developed in their practice of twenty years, or longer, representing plaintiffs, defendants, serving as judges, or acting for the benefit of all in education, overseeing agencies and developing legislation. These individuals have convinced their peers, the bar, bench and public that they possess the highest professional qualifications and ethical standards, character, integrity, professional expertise and leadership. They have a commitment to fostering and furthering the objectives of the College and have shown significant evidence of scholarship, teaching, lecturing, and/or distinguished published writings on Workers' Compensation or related fields of law. In addition to these characteristics, a Fellow is expected to display the following traits in their day to day practice of workers' compensation and related fields:
All Fellows take the following Oath.
"By accepting your Fellowship in the College you commit yourself to life long dedication to the maintenance of the highest standards of professional conduct, and scholarly pursuits; absolute integrity with clients, opponents, colleagues and the bench; to excellence in the presentation of law and fact designed to produce to the trier of fact and the decider of law the most reasoned of result; and to a demeanor which manifests respect for the legal process and its participants."
Click graphic to learn more
CWCL Support Photo
About the College - Directory of Fellows - Board of Governors - CWCL BylawsWriting Contest - Other Links - Upcoming Events - Legends Award - In The News - Contact Us1997 Annapolis Exchange Parkway, Suite 300, Annapolis, MD 21401Phone: 410-972-4524 Email: firstname.lastname@example.com Copyright © 2008 - 2020 The College of Workers' Compensation Lawyers 501(c)(3). All Rights Reserved.


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YouTube celebrates 10-year anniversary, check out the first video ever uploadedBy Shawn Knight
The first-ever YouTube video was uploaded 10 years ago today. Titled "Me at the zoo," the 18-second clip shows co-founder Jawed Karin discussing "all there is to say" about the elephant exhibit behind him at the San Diego zoo.
That single, unassuming video – still available with more than 19 million views to date – arguably signaled the beginning of the online video revolution (we just didn't know it at the time). Well, some of us might have had a hint as Google scoped up the video sharing website a year later for $1.65 billion but even the search giant's backing didn't guarantee success.
The early vision for YouTube certainly doesn't match the star-generating powerhouse that exists today. Instead, its creators saw it as more of a digital locker where users could easily share videos – not necessarily a destination to view videos from other people.
But over the years, that's exactly what YouTube has become. As the top video sharing destination on the web, YouTube enjoys the level of traffic and brand recognition that others can only dream of. In the 18 seconds it takes to watch the very first YouTube video, users around the world will have collectively consumed seven years worth of video on the site. That is to be expected with more than a billion users visiting each month.
Yet in the fast-paced world of technology, no company is safe – even those at the top of the hill. Increased pressure from rivals Facebook (and perhaps in the long run, Vessel) is forcing the Google-owned company to innovate and come up with new ways to generate revenue – especially if it wants the next decade to resemble the last.
Image via Janet, Flickr


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The administration aims to limit new debt issuance for the next fiscal year below tax revenue, Finance Minister Taro Aso said, underscoring the intention to maintain resolve for rehabilitating the country's ailing public finances.
Aso, also deputy prime minister, is in charge of drafting an initial budget for fiscal 2013. The Cabinet of Prime Minister Shinzo Abe is planning to approve the draft budget next Tuesday and submit it to the Diet, whose ordinary session opens Monday.
"I want tax revenue to be bigger than the amount of new bond issuance," Aso said. If the administration can pull it off, it would be the first time in four years.
He said the government wants to cap new debt at ¥44 trillion, the same level as pursued by the previous administration led by the Democratic Party of Japan.
For fiscal 2012, which will draw to an end March 31, the DPJ-led government had decided to borrow ¥44.2 trillion while estimating tax revenue at ¥42.3 trillion.
The Finance Ministry is seeking to set both at ¥43 trillion to ¥43.9 trillion for the next fiscal year, ministry officials said.
"We are making efforts to that end," Aso said, but added "it is not so easy."
Abe's Cabinet last week OK'd a draft ¥13.1 trillion extra budget for the current fiscal year, the second-biggest on record for a supplementary budget, to fund a stimulus package for the economy struggling under chronic deflation.
The move was received positively by financial markets and Tokyo stocks shot up.
But it also triggered fears among market participants that the new Liberal Democratic Party government may weaken the nation's fiscal discipline despite outstanding public debt snowballing due to burgeoning welfare costs resulting from the aging population.
'Abenomics' panned
Deutsche Bundesbank President Jens Weidmann on Monday severely criticized Prime Minister Shinzo Abe's monetary and economic policy, which has come to be called "Abenomics."
In Hungary and Japan, new governments are intervening heavily in central bank affairs, pressing for more aggressive monetary policy and threatening central bank independence, said Weidmann, who also sits on the European Central Bank's Governing Council.
One consequence of heavy interference with central bank affairs could be the politicization of foreign exchange rates, he said. So far, the international monetary system has come through the financial crisis without competitive devaluations, he added, expressing hope that the situation will remain the same.


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Mar 09, 2017
Probably the best course videos Ive come across. Professor George I believe is an amazing teacher...the way he gets the concept across to students by simple and constant examples is worth mentioning..
Sep 18, 2015
This is one of the best and enlightening MOOC I have taken and I already start reaping the benefit. I encourage everyone who is serious about his/her career to consider this course!\n\nYannick Kounga
por Сорокин Д В•
May 29, 2018
Very interesting and usefull course. It has many surprising examples. I'm very happy that I watched this cours. I hope I can apply this knowledg. I even fell out of reality a little, I got over the routine at work when I watched the cours. Very interesting. Good luck to you.
por Balint P•
Jan 14, 2017
I would definitely recommend this course, hence it is easy to follow, but still can give a nice framework how to prepare for a negotiation. You also have the chance to realize some of your weaknesses and strong skills with regards to a negotiation. All in all, worth to try !
por Saiful I•
Jan 06, 2017
George Siedel, You are one of the best teacher of my life. I enjoyed your teaching. I can say I learn many things from you and what I learn from you today, will stay with me forever because of your examples, related stories and wit. Thank you, Sir. Stay safe and play for me.
por Muhammad J•
Jun 21, 2020
Negotiation is never ending process, as we live on earth. First i thought it will be very difficult to learn negotiation skill and tactics , but the way sir George teach, i really salute to my teacher. His unique and wide experience will help me a lot in future. Thanks sir.
por Yan E•
May 11, 2020
I enjoyed this course very much and have learn a lot, although I am not sure how much of what I have learned from this course will be put in use in my life. Professor Siedel is a great teacher on this subject. I will definitely recommend this course to someone who need it.
por Juan C S•
Nov 30, 2016
El enfoque sencillo y de muy alto contenido técnico hace de este curso muy pertinente para profesionales dedicados a actividades donde va continuamente implícita una negociación de alto nivel, agradezco la oportunidad de haber realizado este curso, altamente recomendable!
por Xavier D•
Apr 21, 2019
I learnt a lot with this course that provides methods and lots of exemple on how negotiation is being prepared, done and evaluated ! Greta teacher and pace of the course to study with 2-3hours per week which makes it compatible with on-goign full time workload. Tks !
por Danny G•
Oct 14, 2015
Good course. I feel I got a lot out of it to fine-tune some of my tactics. One thing that I would find useful - there are many terms introduced throughout the course. It would help if there was a reference link to jargon where I could look up the meaning of terms.
por Yusuf A•
Oct 08, 2015
The instructor delivers 'common sense' but vital and often overlooked insights on the aspect of negotiation. Before I finished 'week three' of the module I could see for myself that my negotiation skills have greatly improved.
This is way beyond a theoretical course.
por AU M S•
Nov 15, 2015
A very practical course with many real life examples and case studies. Never boring and excellent presentation by the very experienced Prof. George Siedel. Thank you University of Michigan and Professor for giving me this opportunity to learn a very valuable course.
por Tobia A•
Aug 31, 2015
Great contents, fantastic teacher. I advise you to buy the book, I really enjoyed reading it. This is my first course on Coursera platform, I prefer EdX but that's an opinion. I would like an additional course taught by the same teacher, with more advanced contents.
por Siva K•
Sep 30, 2015
Wonderful course. If you are understanding negotiations, this course is the place to be. George Siedel gives a very patient and clear explanation on the terminologies and concepts. Very useful indeed. You will have fun and it will never be boring. Thanks Courseera.
por Washington A•
Jun 03, 2018
Curso fantástico! Além de abrir um horizonte ante negociações corriqueiras como negociar com negociar com nossa esposa, com o caixa da padaria, com o motorista do Uber até grandes negociações que envolvem valores consideráveis. Sou muito grato pela oportunidade!!!
por Łukasz S•
Apr 20, 2017
I am glad that I participated in this course. Everything was clear, lectures were interesting, a lot of tips and cases to ilustrate theory and practical exercise. The final test was difficult, but if something comets too ease, we do not appreciate it. Recommended!
por Nikita L•
Mar 30, 2020
That was my first online course and it's perfect. There were some issues probably because I'm Russian and this course in English and I intentionally didn't use Russian subtitles but that was my choice. Very pleasant lector. Thanks for this time, that was awesome!
por Cameron K•
Jul 05, 2019
Great materials, well delivered, and overall construct of the class was wonderful. Easy to review 1 weeks lessons to comprehension before moving to the next. At times the videos may seem dry, but the content is 10/10, and often is the case with the best theories.
por Aljorelle N•
Apr 13, 2020
Exceptional. This course made me realize that with sufficient knowledge and tools, one can make a usually stressful event such as negotiations and disputes be less stressful and even value adding to both parties. Thank you to everyone who arranged this course. .
por Kiran M•
Oct 17, 2017
Excellent Course on the essentials of Negotiation. George did a great work on educating us on some of the underlying concepts of Negotiation. My knowledge in this subject has gone from zero to one!! Very satisfied with the course overall and highly recommended!!
por VINEET G•
Mar 20, 2020
Easy to understand and practical examples for students ..Pace of the course was well balanced giving you the opportunity to learn at your own convenience ..overall something that one should go in for if he / she is part of the management or want to be ..Cheers
por Pedro S•
May 10, 2020
Many useful insights provided in this Negotiation course with Professor George Siedel, who keeps a very clear communication throughout the whole course. For someone with little to no knowledge in strategies for negotiating, this comes across as very valuable.
por Arthur D•
Feb 05, 2017
Very important practical course for people from all walks of life. After all we all negotiate on a regular basis. I greatly enjoyed this course. Dr. Siedel's delivery of the material is very clear and engaging. Thank you Dr. Siedel for preparing this course.
por Sviatlana L•
Nov 16, 2015
Thank you very much for this course. It offered insightful details into how negotiations should be structured as well as the many different types of negotiations. I learned a lot of very useful information that better equips me for negotiations in the future.
por Lamarti A•
May 10, 2016
I have so far, loved the examples given in this course ! The teacher gets you to be very interactive by asking you to answer some questions in the videos. The subject is interesting, and the way the courses are is a good way to make you quick learn about it.
por Pranava N B•
Feb 27, 2018
Being a Sales manager for more than a decade, I came across multiple strategies and methods that I was unaware of in negotiations. I am sure this is going to help me in the future for my career in handling my corporate clients & key accounts. Thanks again!
por Gabriel A•
Apr 24, 2017
I would like to thank Coursera and the University of Michigan for this amazing resource. The course is a great opportunity to acquire essential knowledge to better prepare and perform in negotiation situations, and to be more efficient on daily situations.


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A winter without severe frost and favourable sowing conditions across Europe have sharply reduced malting premiums from €56 at the end of last year to currently €35.
"With perfect drilling conditions being reported widely across the continent, it is expected that they will experience further downward pressure on premiums," says Matthias Wree, Executive Director at Evergrain, a trading house specialized in malting barley which is 100% owned by Munich-based BayWa AG. Winter barley crop in France"appears to have done well, with hardly any winterkill reported", reports Wree.
A comparatively low demand for malting barley in contrast to a firm demand for feed barley has even more helped to reduce the spread in prices between spring and winter barley.
Additional pressure comes from North America, where brewers reduced contracted acreage for malting barley because of abundant supply from former crops.


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Archive for September 5th, 2017
Do you need diesel fuel tank cleaning service in Tacoma, WA? Are you in search of efficient, yet economical solutions to meet your needs?
Consider hiring Certified Cleaning Services, Inc. for your diesel tank cleaning job.
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What Is Confined Space Entry And How Do You Get Licensed In Tacoma?
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Though fuel tanks or chambers are large and made for holding big volumes of the material, most of them have narrow entry points.
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This is so because when technicians who are not trained and certified for confined space entry enter the tanks to clean them, they stand the risk of:
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Dial (888) 927-0078 to hire the confined space entry specialists at Certified Cleaning Services, Inc. for diesel tank cleaning in Tacoma.Continue Reading »


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The 4th AIBT Golf Invitational was held on Friday, May 25th, 2018 at the Ocean Club Golf Course. A special thanks to our Reception Sponsor CIBC FirstCaribbean Wealth Management and our General Sponsor SMP Partners as well as to Tyreflex Motors for putting up the hole-in-one prize.
Team Results:
First Place:
CIBC Wealth Management – Sabastian Bethell & Marcus Farrington
Second Place:
CIBC Wealth Management – Brent Hines & Andrew Bell
Third Place:
Weiser Asset Management Ltd. – Serge Lacroix & Marianne Trembley
Individual Results:
Longest Drive (Female): – Bridget Ludig-Dridi, Corner Bank (Overseas) Ltd.
Closest to the pin (Male): – Brent Hines, CIBC Wealth Management
Longest Drive (Male): Pablo Nahmias, Julius Baer Bank & Trust (Bahamas) Limited
Straight Drive: Dominique Lefevre, Holdun Family Office
A selection of photos from the day's round are below. Click to view.


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Baby One-Piece - "I Am Meant for Amazing Things"
These adorable One-pieces are by far the cutest "Sleeping At Last" merch item ever. It's official!
This super soft, adorable baby One-pieces feature a play on the lyric "You were meant for amazing things" from the Sleeping At Last song "Umbrellas," altering the words to read "I am meant for amazing things," with "Sleeping At Last" and an umbrella (Awwwww)
Available in Pink and Black
Printed on Bella + Canvas 100B Baby Jersey Short Sleeve One Piece
100% combed and ring-spun cotton*
Fabric weight: 3.9 oz (110.6 g/m2)
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*Heather color is 52% Airlume combed and ring-spun cotton 48% poly
Shipping fee of $5 US, $7 CAN & $10 for orders from other countries.
Shipping fees will be reduced on this item if purchasing other items from our store.


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Project CARS Has A Release Date Again Again Again Again
November, March, April, May. Slightly Mad's extremely pretty racing game Project CARS [official site] has just named its latest date, and while the temptation to add a pinch of the old sodium chloride to this is there, perhaps the fact that May 8th (reports Eurogamer) is a mere three weeks away suggests this is actually, really, honestly happening this time.
In the grand pantheon of game slippages, six and bit months of waiting really isn't much, so let's not file CARS alongside Duke Nukem Forever or Half-Life 3 just yet. Reassuringly, there's been plenty of recent activity around the game, including sticking the official soundtrack on Spotify and the unusual news of a graphics settings menu in the console versions, so I'm guessing that latest date is bona fide.
As not much of a racing game player myself, I'm mainly in this for straight-up car porn. I might even dust off the old Oculus DK2 for it, as apparently it supports it natively. Then I can watch myself immediately veer off the road and plough into a barrier in MIND-BLOWING SENSES-SHATTERING VIRTUAL REALITY.
While Steam is still listing simply 'mid-May' rather than the concrete date, it does have a big pre-order button, if that's your reckless bag.


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This is the most common usage, where you show thumbnails and they simply open in your selected lightbox. You still manage everything in NextGEN, such as their captions, tagging and order. The benefit of using NextGEN galleries is that they are centrally managed and can be re-used. They are often part of an album-gallery hierarchy. Justified Image Grid's various features can of course be used with this source, such as Filtering and Load More or other visual features.
Showing NextGEN galleries with JIG
[$justified_image_grid preset=3 row_height=150 lightbox=magnific mobile_lightbox=magnific filterby=on last_row=flexible load_more=once load_more_text="Show all flowers" load_more_count_text=none load_more_limit=10 ng_gallery=15]
Narrowing NextGEN galleries by tag
Narrow the contents of a gallery to photos that match certain tags. The text above the gallery is its description, displayed automatically.
Beautiful and colorful.
[$justified_image_grid preset=3 row_height=250 lightbox=magnific mobile_lightbox=magnific ng_gallery=15 ng_narrow_by_tags=red ng_description=yes]
Straight to lightbox: galleries open in lightbox groups
This is an album that holds galleries. However, the gallery opens straight in the lightbox instead of as thumbnails on a separate page. There are two distinct lightbox groups that you can observe in this example. This is a unique feature of Justified Image Grid.
[$justified_image_grid preset=20 row_height=300 lightbox=foobox mobile_lightbox=foobox ng_album=7 ng_lightbox_gallery=yes]
Why show NextGEN galleries with Justified Image Grid?
Take advantage of all visual styles JIG has to offer and no longer worry about your cropped images.
- Add title, description and keywords (tags) on the thumbnails and in the lightbox.
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- Enjoy the benefits of all other Justified Image Grid features.
Sorting gallery content
Sort NextGEN galleries using their sorting screen where you can simply drag and drop the photos. It offers predefined options as well. JIG fully respects this order as it's the best way to sort a gallery's content.


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Christian Articles for All of your Publishing Needs!
Word Count: 746
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by Julie Arduini
6/25/2007 / Teen Issues
11:58:45 p.m.
The hard rock music echoed throughout Marc's room, darkened by charcoal colored paint and closed blinds. His whimpers were melodic, in perfect synch to the music.
He lifted his head off his childhood desk, filled with mementos of his mediocrity. Fourth in a fifth grade spelling bee. Tenth grade drama program as understudy never called on. Eleventh grade yearbook opened to Ginger's picture with a promise of a great friendship their senior year. Pasted to Marc's sweaty forehead was the college rejection letter. Marc plunked his head back down with a thud.
'Where are you God? Don't you care? Are you too busy with the special people to see me?'
Marc cried out, drowned out by the pulsating death music screaming on. A sob escaped, his tears falling on the letter opener in his hand.
11:59 p.m.
Marc grasped the letter opener to position, his fingers taut with purpose. He'd show them all with his blood spilt all over the memories. It actually would be their blood. The college stuffed shirts that passed him by. Ginger who led him to believe he had a chance, and dropped him cold when he finally got the courage to ask her out. The friends who rarely called because they had other plans, plans that didn't involve him. Family that wanted to know why he was always so moody.
His note felt like a masterpiece of explanation. No one remembers the average. If the only college he cared for wasn't interested, if the only girl he desired rejected him, what's left? There were his parents of course, but they had his beloved baby sister Michelle and big college success brother Mike. The family would move on eventually. They most likely would chalk the whole episode up to God's will.
God's will. The youth pastor would probably use that theme as his springboard at the service. Pastor Joe reached out a few times, taking Marc out for pizza twice, calling every couple of weeks. Pastor Joe attempted to assure Marc not getting the college of choice was God's will. Marc paused to yell again.
'God, will You show yourself? Is Pastor Joe all You have in your arsenal? Cuz I have more than the letter opener. I have my own will and it doesn't have anything to deal with Yours!'
Marc thought he was screaming but his voice was soundless against the music. He slowly maneuvered the opener towards his wrist, rehearsing the act. He glanced at his neon clock.
Marc's eyes widened as he realized the time. He loosened his grip on the opener to wipe the sweat onto his torn jeans. His stomach twisted and convulsed. His throat parched, he took a cleansing breath and went into active position once again. He started to close his eyes but realized the music stopped.
'I need my death tunage.'
Marc stood up and went for his CD player. With finger almost on repeat, a strange sound from across the room diverted his attention. Marc pivoted and went to the bed where his cell phone rested. He checked the caller ID and dropped the letter opener.
The display read Jesus
Marc cleared his throat and started to violently shake. The phone continued to ring. Marc put the opener on the bed and reached for the phone. He flipped the phone open and croaked out a hello, which sounded like a question.
"Marc? Hey it's me. You were on my mind, I felt like I really needed to call you. Everything okay?"
Marc felt close to vomiting. The moment felt completely surreal and a presence, a peaceful feeling completely permeated not just his room, but his life, hung in the balance. He coughed out his next question.
"What? Who? Who iswho is this?"
"Marc, can you meet me for coffee? I think we need to talk. I can't shake the feeling that something's very wrong."
"Jesus? Is this Jesus?"
Marc sounded like a lost child. The caller detected the urgency.
"Marc? It's Pastor Joe. Hey buddy, seriously, let's get together, right now. It's Pastor Joe De Jesus. Ten minutes, okay? Let's meet at Perkins in ten."
Marc closed his eyes, crying in relief. Apparently Pastor Joe was what God had in His arsenal. Marc replied yes, he'd be there. He threw the opener in the garbage and tore up the letter. If Pastor Joe was all God had up His sleeve for the new day, suddenly, it seemed enough.
Julie Arduini, http://thesurrenderedscribe.blogspot.com/, is devoted to writing for Christ in ways that encourage and inspire. A graduate of the Christian Writer's Guild, her writing resume is on her blog's sidebar. Happily married to Tom, they have two children.
@2009 by Julie Arduini
Article Source: http://www.faithwriters.com-CHRISTIAN WRITERS
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Clot-busting drugs improve outcomes after stroke even in people with a history of stroke or diabetes, researchers reported.
And outcomes were comparable to those seen among patients with neither condition, according to Kennedy Lees, MD, of the University of Glasgow, in Scotland, and colleagues.
On the basis of the analysis, there is "no statistical justification" for denying thrombolytic drugs to patients with previous stroke or concomitant diabetes, or both, Lees and colleagues concluded in the Nov. 22 issue of Neurology.
The issue has been controversial, largely because of restrictions in the European approval for intravenous alteplase (Activase), Lees and colleagues noted, although in clinical practice the restriction is often ignored.
Action Points
- Explain that a stroke registry study showed that patients with diabetes, previous stroke, or both had better outcomes following an acute stroke if they received thrombolytic therapy, despite exclusion of patients with these conditions from clinical trials.
- Note that, despite statistical manipulations to adjust for confounders, this was not a randomized trial.
Thrombolytic therapy "can limit damage and disability due to blood clots," Lees said in a statement, but, "current guidelines can keep people from receiving the therapy if they have a history of stroke and diabetes."
To clarify the issue, he and colleagues used data from two large stroke registries. The T group included 23,334 patients in the Safe Implementation of Thrombolysis in Stroke–International Stroke Thrombolysis Register.
They were compared with 6,166 non-thrombolyzed controls -- the C group -- whose data came from the Virtual International Stroke Trials Archive.
The outcome measure was the 90-day modified Rankin Score, which measures disability and death owing to the stroke.
All told, the researchers had complete data on 29,500 patients, including 5,411 (or 18.5%) with diabetes, 5,019 (or 17.1%) with a previous stroke, and 1,141 (or 5.5%) with both.
Lees and colleagues found that 43.2% of diabetics who got clot-busting drugs had a modified Rankin Score of two or less -- defined as at most a slight disability.
In contrast, only 34.8% of diabetes patients who did not get the therapy had a score of two or less on the scale.
Similarly, among patients with a previous stroke, 48.4% who received clot-busting therapy scored a two or less, compared with 35.4% of those who were not treated, Lees and colleagues reported.
The difference was attenuated but still positive for thrombolysis among patients with both conditions -- 37.7% for those who got treatment and 34.5% for those who did not.
Overall, the researchers reported, modified Rankin Score outcomes were better with treatment. Specifically:
- For those with diabetes, the odds ratio for a good outcome was 1.45, with a 95% confidence interval from 1.30 to 1.62
- For those with a previous stroke, the odds ratio was 1.55, with a 95% confidence interval from 1.40 to 1.72
- For those with both the odds ratio was 1.23, with a 95% confidence interval from 0.996 to 1.52
The outcomes were comparable to those seen among patients with neither condition, where the odds ratio for a good outcome, given thrombolytic therapy, was 1.53, with a 95% confidence interval from 1.42 to 1.63.
"Better outcomes with therapy show that people with prior stroke or diabetes should not be excluded from receiving thrombolytic therapy," Lees said.
The authors cautioned that the study was not randomized, but after careful adjustment for potential confounders, "we believe we have attained a reliable statistical result."
Up to 15% of the people who show up at the emergency department with a stroke have a stroke history or concomitant diabetes, noted Bart Demaerschalk, MD, of the Mayo Clinic Hospital in Phoenix, Ariz.
Whether they should be treated with thrombolytic drugs has been controversial and a range of questions has been raised, including such issues as whether transient ischemic attacks or glucose intolerance should be taken into account, he noted in an accompanying editorial.
But on the basis of the current study, he concluded that those questions are moot: "There appears to be no justification for the continued restriction of these patients from receiving thrombolytic therapy."
From the American Heart Association:
The study had support from the European Stroke Organisation; the universities of Glasgow, California San Diego, Nottingham, Edmonton, Calgary, Texas, and Massachusetts; BrainsGate; Novartis; Boehringer Ingelheim; the Vertical Group; the UK Stroke Association; Ferrer; the European Union; Stockholm County Council; and the Karolinska Institute.
Lees reported financial links with Boehringer Ingelheim, Talecris Biotherapeutics, Lundbeck, Ferrer, PhotoThera, and ThromboGenics NV.
Demaerschalk reported financial links with AGA Medical Corporation, Vernalis, Mitsubishi Tanabe Pharma Corporation, Abbott, Penumbra, Axio Research, Neuralieve, and Genentech.
Primary Source
Source Reference: Mishra NK, et al "Thrombolysis outcomes in acute ischemic stroke patients with prior stroke and diabetes mellitus" Neurology 2011; 77: 1866–1872.
Secondary Source
Source Reference: Demaerschalk BM "Challenging the validity of imposing contraindications to thrombolysis for acute ischemic stroke" Neurology 2011; 77: 1862–1863.