text:
Patient Education
The Essential Role of Patient Education in Growing My Practice
Patients who understand new technologies and treatments are more likely to utilize them.
|Dr. Karpecki is clinical director of Corneal Services and Ocular Surface Research at the Koffler Vision Group-Kentucky Center for Sight. He is on the advisory board for Pixel Optics.
By Paul Karpecki, OD, FAAO
Premium intraocular lenses (IOLs), wavefront-guided all laser cataract surgery, daily disposable or silicone hydrogel contact lenses: new technologies have made amazing outcomes possible in eye care. However, many of the newest options are elective, and patients won't elect to spend money on something that they don't understand. This not only reduces revenue for the practice, but also can leave you with a patient who is less than impressed with your services.
The greater need to educate patients is juxtaposed to increasing demands on our time that leave almost all medical personnel in a time crunch. While it may seem an impossible conundrum, quality over quantity is definitely the rule with practitioner-patient time. Whether the practitioner spends two minutes or 20 minutes explaining something, patients recall only whether they felt that all of their questions were answered and that they left with a clear understanding of pathology and procedures. The only way to reach maximum practice efficiency and have satisfied, impressed patients is an effective patient education system. By using tools other than the practitioner to educate patients, everyone makes the best use of their time.
The Patient Education Plan
Our office uses a three-fold system of patient education that starts in the reception area and uses technology combined with personal attention. While patients are waiting, we show patient education videos that include information about contact lenses, the anatomy of the cornea, and what medical procedures the practitioners have performed recently. Visual media is particularly effective because most individuals remember and understand something they have seen better than something they have heard. Showing videos in the waiting area provides patients with a good basis for future discussion with the practitioner, and it keeps them engaged while waiting.
The second phase of education happens while they are in the lane and involves the use of two different tools. The first is a TelScreen (TSi) EyeRes system, or flat screen, that is attached to the slit lamp. Family members can view the anatomy of the eye along with the practitioner, or the images can be captured as video or still images for the patient to review. This allows physicians to share what they observe and explain why the patient may be a good contact lens patient, or why he may be having trouble with his lenses. We use either the same flat screen or an iPad in the exam lane to show patients the animated education videos specific to their situation. In our office we use the Eyemaginations Luma, which has excellent videos about disease states such as cataracts and glaucoma as well as segments about contact lenses and premium IOLs. I can toggle back and forth between the video and the patient's own eye to relate it to him. Patients already have an understanding of the anatomy of the eye from the videos shown in the waiting area, and the animated videos about disease state help patients achieve far better comprehension than they ever would with just a verbal explanation.
The third phase of our patient education is an email that we send to every patient that summarizes what we talked about, any follow up necessary, and links to the educational animations that they saw in the exam lane to review. All of our printed materials also include our website, which has links to the patient education videos as well. This allows consistency between the website and what patients experience here in the office, as well as allowing them to easily review information and share it with family members who may be part of the decision-making process.
The Impact of New Technology
There are a number of new technologies that are changing the way that optometrists and ophthalmologists practice. Wavefront analysis of the eye's surface and wavefront-guided surgeries have provided huge leaps in visual outcomes, and new contact lens materials offer patients better vision than ever.
Another advance has been our understanding of the ocular surface and procedures such as osmolarity testing. Previously, physicians used a Schirmer test to analyze the tear film, but it wasn't comfortable for many patients. Now we first show our patients a short three-dimensional animation about the tear film and the importance of the ocular surface as well as how the osmolarity test functions. The video also shows the meibomian gland, how tears form, and how the physician will check expression of the glands as well as a summary of the entire dry eye process and its potential impact on visual acuity. Patients now anticipate the tests and are eager to hear their results. Because the osmolarity test provides a classification of the tear film from mild to severe, we can evaluate change over time. If a patient is on an eye drop and does not feel symptomatic relief initially, an osmolarity test can show whether he is on track and often provides encouragement to the patient to continue treatment. Teaching patients about dry eye ahead of time so that they know the implications and importance of managing the disease really speeds up the entire process for the physician.
Our practice has made an effort to offer our patients the best by being very technologically advanced. From imaging systems that diagnose disease earlier to wavefront analyzers that can accurately predict the prescription, there are many exciting possibilities out there to enhance a patient's visual acuity. However, if your patients don't understand the technology and what you are offering them, they can't appreciate it. Surveys show that 83 percent of all adults who use the Internet search for health information online (Pew Internet and American Life Project, Generations Study, 2010). This is consistent with the growing trend toward patients desiring more autonomy. While there are advantages and disadvantages to that, without a doubt patients are taking more of an active role in their treatment and want to feel like a partner with their healthcare provider, and patient education is an extremely important element to them.
The Net Gain from Patient Education
Fortunately, better patient education doesn't equate to more time with the physician. I previously needed approximately 45 minutes with a single patient to explain the various functions of the ocular surface and to complete the battery of tests involved. I now book all of my dry eye patients on the same day so that I can target the educational videos in the waiting room for this audience. Due to the information they receive from these videos as well as those in the exam lane, I am now seeing two to three more patients per hour. All of the technological advances combined with the excellent educational tools allow the creation of a very efficient clinic in which we see 30 to 40 advanced dry eye patients a day.
In addition to practice efficiency, we see gains in patient adoption of advanced technology. Examples such as scleral lenses and even daily disposable contact lenses are an additional cost that many patients initially reject. However, since we began showing our patients educational videos on these lenses, our conversions have increased dramatically. This difference is also noted in the number of our patients who choose premium IOLs. The national average for premium IOL election is around 14 percent (Market Scope Quarterly Survey of U.S. Cataract Surgeons, Q3-2011). However, more than 40 percent of our cataract patients choose premium IOLs.
Oftentimes the most difficult metric to measure is patient satisfaction. However, our well-developed patient education program has allowed us to improve in that area as well. I previously spent more time personally explaining tests and results with my patients, yet office surveys showed that patients felt they didn't have enough time with the practitioner. Now I see more patients and spend less time with each one, yet our patient surveys reveal that they now feel they receive sufficient time with the practitioner. The difference is comprehension. Patients who leave the office with a greater understanding of their eyes and the treatments possible will be more likely to adopt new technologies, will be more satisfied, and thus more likely to refer others. CLS
For references, please visit www.clspectrum.com/references.asp and click on document #207.


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|2012-09-23, 12:30
|Link #681
Join Date: Jul 2012
Location: Flying in the Air
Age: 31
|2012-09-23, 19:38
|Link #682
Pretty Swell Guy
Join Date: Mar 2011
Location: United States of America
And about judging a book by its cover, you should never watch/read a series without looking up a general summary of what the series about; one day you will seriously regret it.... *cough* School Days *cough* (T_T)
|2012-09-24, 00:30
|Link #683
Junior Member
Join Date: Aug 2012
Location: Hong Kong
Do remember this is a children's light novel, so I think it had better filter those inappropriate parts (the limit of LNs should go as far as kissing scenes...with Campione at its finest)
School Days...I wonder if the VN is better than mediocre.
|2012-09-24, 01:32
|Link #684
Join Date: Jul 2012
Location: Flying in the Air
Age: 31
Now I don't know what your standards for 'children' are, but with a theme that shouts of 'seinen and coming of age' aside (this is debatable), all those blatant sex jokes, bullying and other forms of socially questionable concepts that appear in almost every single volume would already throw this series right into the teens/PG-13 category. This series is definitely beyond the age category of series like Charlie Bone and Harry Potter.
If anything, I think your example, Campione, goes a lot further than just vulgarity with all those progressively suggestive scenes in later volumes. And I'm not talking about plain kissing.
Last edited by Lantern; 2012-09-24 at 03:11.
|2012-09-24, 07:08
|Link #685
We're Back
Join Date: Nov 2006
Location: Discord
Age: 30
The F word and various other English vulgarities have usually make it passed the Japanese censorship.
Also, you'll be surprised how much is allowed in 'children' books... Anybody remember reading K.A Applegate's Animorph and Everworld back in the days ?
|2012-09-24, 07:14
|Link #687
We're Back
Join Date: Nov 2006
Location: Discord
Age: 30
The physical violence is one part, but don't forget they've also deal with heavy stuff like torture and slavery and even child soldiers to an extend, along with various war themes.
|2012-09-24, 08:40
|Link #688
Kimi no na wa?!
Join Date: Jan 2010
Location: Hong Kong
The Chinese version actually had it as 'Fxxk you'.
I read the Animorphs when I was younger. The concept of morphing into animals for two hours was something I thought was quite cool back then (especially with one of the books being a choose-your-own-adventure style one), but in hindsight was kind of squicky.
|2012-09-24, 17:04
|Link #689
Junior Member
Join Date: Sep 2012
Location: Nyeh
In the United State is common to use foul lanuage in the authors writing. An example of a young adult writer is John Green, he used "F**k" in Looking for Alaska in a sexual way. And it's a young adult novel. However, if we're talking about George R. R. Martin, there's many "f**ks" used in his Game of Thrones book series. Though, that series is not meant for teens, mostly for adults but it seem to be really popular with young adults, including myself who's still a teen. Moving on, J. K. Rowling's Harry Potter book is a children's literature series and she used "bitch" in Harry Potter and the Deathly Hallows by Molly Weasley against Bellatrix Lestrange. Even if "bitch" is not a strong curse word, wasn't something I was expecting in her Harry Potter books that is meant for children. In a Toradora ep 16 , Taiga use the word F word; I never was confirm if that was really said in the anime since I haven't had the chance to read the novels yet.
Edit: I don't know if the swearing is unpleasant in the Asian area...
|2012-09-24, 18:00
|Link #690
Join Date: Jul 2012
Location: Flying in the Air
Age: 31
I mean, who'd expect Inaba to flip the bird (Vol 1) or drop the F bomb (Vol 4)?
Or, who'd expect Iori to go on absolute fury mode saying this line "Are you XXX trying to betray Inaba Himeko?" (Vol 6) Replace XXX with vulgarity that we commonly use to emphasize a point, like the word fxxking, even though it's not exactly fxxking in Japanese, but the severeness is of the same level.
Anyway, you see them swearing, and immediately get the point that A) The person is so angry or ridiculed that he or she is acting out of boundary of social norm or B) The person means business.
P.S. Original sentence is 稲葉姫子を裏切るってのかテメエは, where テメエ is a strong/very rude word in Japanese culture where you simply just don't go around saying that word in public (It's often translated to 'You bastard' in English, which imo sounds a lot less serious than what it actually implies.)
|2012-09-24, 22:09
|Link #692
Join Date: Nov 2010
Location: Dai Korai Teikoku
I'll just say this:
1. Korean and Chinese have even worse swearing than English.
2. Japanese has a very limited number of swear words compared to other languages, so swearing basically means that person is being either very vulgar or very insistent on a point.
|2012-09-25, 07:41
|Link #694
Join Date: Nov 2010
Location: Dai Korai Teikoku
A picture for those who know the novels. It took my breath away and left me with a warm beating heart.
Then Please Teach MeSorry; dynamic content not loaded. Reload?
|2012-09-25, 08:54
|Link #695
Join Date: Jul 2012
Location: Flying in the Air
Age: 31
Anyway yea we know that, Taichi and Inaban are both Iori's harem
If you are indeed talking about the ED though, then I'm pretty sure there aren't any shots where Taichi is holding someone's hand with uniform. Both the 'Letting go' and 'Taichi's choice' shots removed the sleeves of the girls' hands. Just pointing that out.
|2012-09-25, 10:50
|Link #696
Junior Member
Join Date: Aug 2012
Location: Hong Kong
Yeah, this makes perfect sense as heartseed said he was interested in them. It's the same with how you're interested in a girl.
But most importantly, heartseed is interested in Taichi.
Oh and yeah, heartseed is Iori's split personality. Iori changed her personality so much a new personality evolved and had the powers to control the club members. This explains why heartseed did not kill Iori in the first arc as Iori was his/her host. Also, in the third arc, they were turned to babies, right? When Iori was a baby, her split personality heartseed had not yet developed, so when the phenomenon was triggered by no.2, heartseed has no power to resist him at the start whatsoever. It was until Iori made up her mind to face her family did heartseed show up and ask her whether she wanted to start all over. Heartseed was once a split personality of Iori and thus he/she had the feeling of Iori—to start all over in an attempt to wipe out her trauma. But after all these things Iori had learnt to stand up, face the trauma, and march forward, unlike heartseed—a reflection of her past—who wants to simply erase things and start all over again. Iori denies what her past thinks, and therefore she is reborn.
|2012-09-27, 20:02
|Link #699
Join Date: Jul 2012
Location: Flying in the Air
Age: 31
I'm also wondering where did that colored version of black-short hair Setouchi Kaoru come from, it looks like official art to me, which I've never seen (The illustration in Michi is still her long-brunette version, and it's gray-scaled. She cut her hair and bleached it back to natural black after the events of Michi.) Did I mention she actually look kinda cute with that hair?
|2012-09-27, 22:29
|Link #700
Senior Member
Join Date: Sep 2011
Location: Canada
Screen caps for the next episode are up: http://www.kokoro-connect.com/story/
|romance, shounen
|Thread Tools

subset: commoncrawl


text:
|(916) 278-7737
Dr. Alexander Gonzalez has served more than three decades as a
professor and education leader, including the last eight years as
president of California State University, Sacramento.
As the first person in his family to graduate from college, Dr. Gonzalez has devoted his career to ensuring greater opportunities for students. He grew up in East Los Angeles with six siblings, graduating from high school at a time when students did not have the same options for higher education that they have today.
Dr. Gonzalez enlisted in the U.S. Air Force at age 17, served four years and then used the G.I. Bill to graduate from Pomona College in Claremont, Calif. He later earned a master's in psychology and doctorate from the University of California, Santa Cruz, before serving as a postdoctoral research fellow at Stanford University.
His experience includes six years as president of California State University, San Marcos, and 18 years as a faculty member and provost at Fresno State. At Sacramento State, Dr. Gonzalez implemented his Destination 2010 initiative to transform the campus into a premier metropolitan university.
Following his belief that universities and communities must work
together to improve lives and opportunities, Dr. Gonzalez serves on
the Pomona College Board of Trustees and is a board member of
Valley Vision. He also serves on the board of directors of the
Crocker Art Museum and as a Director of the National Endowment for
Financial Education (NEFE). Dr. Gonzalez was appointed by then-Gov.
Arnold Schwarzenegger to serve as a Commissioner on the California
Student Aid Commission.
His past service includes six years as a commissioner for the Western Association of Schools and Colleges, the accrediting agency for higher education institutions in California and Hawaii, and serving as chair of the Governing Board of the Hispanic Association of Colleges and Universities. He also served on the President's Advisory Commission on Educational Excellence for Hispanic Americans and the Sutter Health Board of Directors.


text:
Today in A State of Trance 718 new tracks by W&W, Rank 1, M.I.K.E. and many more! Also presentations of the "Start To Feel: Deluxe Edition" by Cosmic Gate and it will be announced the new place which will host the next "A State of Trance Festival"! Plus new Future Favorite and Tune of The Week! Enjoy! asot 718
Artist: Armin van Buuren
Title: A State of Trance 718
Date Of Release: 18-06-2015
Source: DI.fm (Trance Channel)
Genre: Trance
Quality: MP3 / Joint Stereo
Total Size: 273.3 Mb [SBD 320kbps]
Get ready to nice mix today!! For further info, when radio show starts and how to get broadcast links, please check on "About" page!
Read more… »
Tags: a state of trance 718, a state of trance 718 download, Armin van Buuren, ASOT 700 info, asot 718, asot 718 cue, asot 718 Cue sheets, asot 718 download, asot 718 tracklist, ASOTFest info, Cosmic Gate Start To Feel Deluxe Edition, Cue sheets for asot 718, state of trance 718


text: I also had a reduction ten years ago and have dealt with similar issues. Definitely check out the BFAR forums, though they are much slower than these here. I never feel letdown when I nurse, and have dealt with extreme nipple pain on latch and vasospasms, all due (I believe) to past nerve damage. But as Meg says, the early days are difficult, even with no prior issues or surgeries. How is your baby's diaper count and growth? You may not actually have low supply; you might just not be responding to the pump. I know I didn't respond to my pump until a few months in.


text:
urcoolcarrie wrote:
ha ha. ya. i was getting some pretty funny looks. it didn't stop there, either. when we got outside the theatre, i saw the poster, and made my friends take pictures of me in front of it for like, 10 minutes. a whole bunch of employees kept walking past with an expression that was like "what the..."
ah. good times.
XD i have to admit i saw the poster at my theater and hyperventilated infront of it for about 10 minutes while my friends stood like 20 feet away looking in the other direction XD


text:
WINFIELD—By the end of the first quarter of Friday night's game in Winfield, Augusta's girls basketball team already had put the Vikings in the bonus. Casady Marlnee played some of the second quarter with three fouls.
The Orioles fought through the rough start in their first game back from break, but they weren't able to put it all together as Winfield beat Augusta 52-43.
"The biggest challenge for us is we haven't learned how to adapt to them calling it like that," coach Tracy Anderson said. "We've got to be able to adjust out of the gate."
The Vikings made enough free throws down the stretch, and the Orioles didn't—Augusta finished 19-of-35 at the line, which proved costly.
Despite the foul trouble, Marlnee still played aggressively by driving in the lane and getting foul calls of her own. Marlnee finished with a team-high 18 points. She made six field goals and was 6-of-13 from the free throw line.
Augusta outrebounded Winfield 10-4 in the first quarter, but the Vikings had a 17-9 edge through the next two quarters and scored eight second-chance points in that stretch to pull away.
The Orioles' defense kept the game within reach until Winfield buried two 3-pointers in the opening minutes of the fourth quarter for a 44-27 lead.
"We've got to do a better job defensively, both individually and [with] the team concept," Anderson said.
Marlnee's ability to break down the Vikings' defense opened up shots for teammates like Bailey Reichardt, who finished with three jumpers for six points. Reichardt also had a couple assists and steals.
Maddy Leedom scored four points, all from the free throw line. Abby Tipton, who hustled hard for several rebounds, finished with four points. Hope Travaille scored four points, Kylie Wesbrooks, Brooke Eberhardt and Morgan Kirk all had two apiece.
Augusta's freshman girls lost to Winfield as well. The JV girls won 40-34.
The Orioles, now 0-5 on the season, host Collegiate Tuesday.


text:
PRINCETON — Nuts 4 Donuts will open soon in Princeton.
Larry Werdeniuk, owner of the shop located at 927 N. Main St. in Princeton, said he wants to open the shop by Nov. 9.
Werdeniuk said he has operated donut shops since the late 1980s in the train station at Palatine in the Chicago suburbs, in Naples, Fla., and even overseas in Nottingham, England.
"My family lives here (Princeton) and I noticed there was no donut shop in town when I visited," he said.
After moving to Princeton about five months ago, Werdeniuk figured that if a donut shop would work well in England, why not try it in Princeton.
"I loved this town every time I visited," he said. "It is so peaceful."
Nuts 4 Donuts in Princeton will not only stock the classic lines of donuts, Werdeniuk plans on having some wacky flavors such as maple, bacon, fruit loops, M & M, kit kat, and peanut butter and jelly.
He will be open from 5 a.m. to 2 p.m. or until he sells out of his donuts seven days a week.
Werdeniuk will have several tables with chairs and a stand up counter for customers to eat their donuts at Nuts 4 Donuts if they so desire.
The business will be Internet accessible and can be rented out for birthday parties.
Werdeniuk has chosen pink as the color for the business' logo because it is a fun color and children like it.
"It reminds you of frosting and little kids like it," he added.
"We will possibly also offer breakfast sandwiches and late lunch soups and sandwiches if business is there," he said.
He also plans on starting a bakery at the shop if the business goes over good enough to warrant him taking this step.
Nuts 4 Donuts can be reached at 815-780-7452.
Comment on this story at www.bcrnews.com.


text:
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By entering the Sweepstakes, entrants agree that: (a) any and all disputes, claims, and causes of action arising out of or connected with the Sweepstakes, or any prize awarded, will be resolved individually, without resort to any form of class action; (b) any and all claims, judgments and awards will be limited to actual out-of-pocket costs incurred, including costs associated with entering the Sweepstakes, but in no event attorneys' fees; and (c) under no circumstances will any entrant be permitted to obtain any award for, and entrant hereby waives all rights to claim punitive, incidental or consequential damages and any and all rights to have damages multiplied or otherwise increased and any other damages, other than for actual out-of-pocket expenses. All issues and questions concerning the construction, validity, interpretation and enforceability of these Official Rules, or the rights and obligations of the entrants or of Sponsor in connection with the Sweepstakes, will be governed by, and construed in accordance with the laws of the State of Florida, without giving effect to any choice of law or conflict of law rules or provisions that would cause the application of the laws of any jurisdiction other than the State of Florida. Any legal proceedings arising out of this Sweepstakes or relating to these Official Rules must be instituted only in the federal or state courts located in the State of Florida, County of Broward and the parties consent to jurisdiction therein with respect to any legal proceedings or disputes of whatever nature arising under or relating to these rules. The invalidity or unenforceability of any provision of these Official Rules will not affect the validity or enforceability of any other provision. If any provision is determined to be invalid or otherwise unenforceable or illegal, these Official Rules will otherwise remain in effect and be construed in accordance with their terms as if the invalid or illegal provision were not contained herein.
For a copy of the final Winners List, mail a self-addressed, stamped envelope to Beat the Experts giveaway Winners List: c/o Debra Zobel: Sun Sentinel, 333 SW 12th Avenue, Deerfield Beach, FL 33442.Winners's name will be available after November 30, 2012 and requests must be received by no later December 15, 2013.


text:
1673 Performance No Show 3 Pack Hooey Sock
Men's medium 4-8.5 Women's Medium 7-10.5
Men's Large 9-12.5 Women's Large 11-13
Colors: Blue White and Black
Welcome to 52 West!
Our store originated in 2012 inside Behm's Travel Center in Minot, North Dakota. What started as a small push to add some items for the ladies and for truckers to buy for their ladies, quickly grew into a full fledged store. No one in my family thought those crazy, blingy purses and wallets would sell, but we soon proved them wrong. We couldn't keep them in stock!! Hats and t-shirts were next. Guess what? Those went crazy too. So, here we are, a short two years later with boots, jeans, and much more added to that collection. We travel in our horse trailer to all the great events in and around North Dakota, South Dakota and Montana. Rodeos, trade shows, stock shows, and any place that wants to see us with our clothing, boots, purses, jewelry and accessories.
UMMMM...update! Here we are FOUR years later...still traveling but now with a permanent location, a growing Facebook audience and even some regular website sales!!
Our team is small and we are like a family: (OK, Brenda and I really are family! lol!)
Amynda: Owner with wild and crazy dreams of someday having a huge store complete with a bar and dance hall all in the same building...you watch. It will happen! Husband who pushes her to do these crazy things. This is half complete...we've got the store!
Brenda: The organizer. The Creator. Keeps everything neat and easy to find. If she's around, everything is priced!! (This may seem small, but it is a HUGE deal when we can't find a price). Creative genius. She's currently working on a line of small leather purses and other goods for 52 West. Yep. I am going to keep you in suspense until she is ready to reveal....
Cracker: The Golden Retriever...also keeps us in line. Hoover. If its on the floor, he will eat it.
Our NEW STAFF! Brand new to us and our BRAND NEW STORE! Yes!! We are in our completely 52 West-ed location! 2815 South Broadway in Minot, ND. You have to see it to believe it.
Madi - the youngest 52 West-er. Has a smile for everyone!! Tells it like it is...;-)
Stephanie - She found the desk! Yes, my desk is always a mess. Steph keeps me in line. Everything has its place...and I should probably start putting it back. (insert "eeks" face here) Seriously, Steph is a blessing in so many ways!! All the signs in the store...made by Steph.
Jodi - (and Josiah, of course) Jodi brings me my daily smile with Josiah. Doodle Queen, Princess of quick and crazy comebacks...don't worry, someday you will get one from her!
We can be contacted at 701-838-4550 during waking hours...ok, banker hours. 701-833-7575 anytime.
Yes, we are on Facebook...but I don't have a clue about Twitter.
Email us at email@example.com and we will get back to you as quick as a wink!!
52 WEST....Western Wear with Boho Flair!


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Death Notices 12-09-10: Wayne Eldon Slabaugh, Connie L. McCuddy
Wayne Eldon Slabaugh
Dec. 9, 2010
NAPPANEE — Wayne Eldon Slabaugh, 79, Nappanee, died at 3:05 a.m. Thursday, Dec. 9, 2010 at his residence.
He is survived by his wife Patricia; sons, Randall (Jo Lynn) Slabaugh of Nappanee and Stephen Slabaugh of Nappanee; a daughter, Carla (Ken) Becker of Sweetwater, Texas; three grandchildren; four great-grandchildren; a brother, Max (Shirley) Slabaugh of Goshen; sisters, Mary Crowe of Bremen, Jo Anne Kroft of Ashland, Ohio and Rita Moore of Nappanee; and numerous nieces and nephews.
Visitation will take place from 3 to 8 p.m. Sunday, Dec. 12 at Thompson-Lengacher & Yoder Funeral Home, 950 N. Main St., Nappanee.
Funeral services will take place at 11 a.m. Monday, Dec. 13 at the funeral home.
Burial will follow at South Union Cemetery.
Memorials may be made to the First Mennonite Church or Goshen Health Care and Hospice.
Condolences may be made to the family via the funeral home's website at www.tlyfh.com.
Connie L. McCuddy
Dec. 9, 2010
PLYMOUTH — Connie L. McCuddy, 81, a resident of Miller's Merry Manor, Walkerton, died Thursday of natural causes.
Service arrangements are incomplete at the Johnson-Danielson Funeral Home, Plymouth.


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Health Notes
BlueCross BlueShield (BCBS) and WNED have partnered to present a health expo and live radio show on the topic of "Aging with Grace." The event begins with a complimentary lunch and health expo at 11:30 a.m. today in WNED Studios, 140 Lower Terrace. Participating in the health expo will be staff from Erie County Senior Services, Meals on Wheels and more.
The radio program will begin at 1 p.m. with panelists Cathy Campbell from BCBS, Gayle Eagan from Canopy of Neighbors, Ann Monroe from Health Foundation of Western & Central New York, and Dr. Robert Stall from Stall Geriatrics. Audience members will have the opportunity to ask questions during the radio show that will be heard on WNED radio, 88.7 FM and 970 AM. For information, call Caroline Hurley at 887-8534.
The American Lung Association and Catholic Health System will hold a meeting of its Better Breathers Club, a support group for people with chronic lung disease and their families, at 11 a.m. at Appletree Business Park, Suite 48, 2875 Union Road, Cheektowaga. Meetings are held on the third Tuesday of each month. For information or to register for the group, call 447-6205.
Schofield Adult Wellness Center in the Schofield Residence Nursing Facility, 3333 Elmwood Ave., Town of Tonawanda, will host a free program titled "Grief and the Holidays" at 1 p.m. next Tuesday. Call 995-3851 or visit www.schofieldcare.org for reservations.
Support groups, and phone numbers to call for information include: Co-Dependents, fellowship of men and women whose purpose it is to develop healthy relationships, 7:30 p.m. today, Trinity Old Lutheran Church, 3445 Sheridan Drive, Amherst, 864-0746 or 609-3022; anxiety self-help, 11 a.m. today, participants must be chem-free and refrain from using scented items while in the building, WNYIL, 3108 Main St., 836-0822, Ext. 118; Gam-Anon, for family and friends of gamblers, 7 p.m. Thursday, Weinberg Campus, 2700 N. Forest Road, Amherst, 254-4941; Reformers Unanimous faith-based addictions program, 7 p.m. Friday, Hedstrom Baptist Church, 55 Losson Road, Cheektowaga, 818-1012; Alcoholics Anonymous First Step, 8 p.m. Friday, auditorium, Niagara Falls Memorial Medical Center, 278-4569; Alcoholics Anonymous International Group, 6:30 p.m. Saturday, Niagara Falls Memorial Medical Center, 278-4569; Narcotics Anonymous, 5 p.m. Sunday, Memorial Medical Center Auditorium, 278-4569.


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For those who have not taken the STAR Sportsmanship course, there is a new course and a more detailed process in accessing the new video...however it is still free. If you are missing any documentation, you may go to www.AHSAA.com and click on the "Documents" tab to print off any of the following required paperwork:
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SPORTSMANSHIP instructions below:
As of June 1, 2017 the new requirement for students who are not grandfathered in prior to June 1, is found on https://nfhslearn.com and it is still FREE!! However, the process has more steps, and you will need to email a screenshot or the saved document once you have completed the course (video).


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What do you need to know to be hired in cybersecurity? As a hiring manager, what skills are you looking for? How should you be staffing the teams of the future? In September, RSAConference.com will be featuring content focused on professional development.
Experience the best of RSA Conference 2018 USA, online. Featuring some of the Conference's most exciting moments, RSAC onDemand puts critical and relevant industry information wherever you are.
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Well, does it bother you if a guy talks to lots of women?I like the shy guys myself.
Do you date any other ethnicities?
which best token: race car, hat, or cannon?
they're monopoly pieces.are white guys really smaller than black guys?
screw it, i'll ask:are you down with the swirl?


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Sarah wrote: That is just one dog, and we don't know what his tendency might have been towards dental disease.
With Monte we knew he had bad teeth issues, and they've been well documented on PBF. Yet 3 months on raw cleaned up the problems enough for the vet doing his root canal to comment on the health of his gums and teeth. (Yes, I was with him the whole time. I don't leave him alone at the vet's office which is why I know exactly what has and has not been done to his teeth.)
But, it isn't just me: here is a question from Raw Fit Pet survey of Raw Feeders:
What do you do to maintain your pet's dental health? (click all that apply)
Dental care by vet
Home dental care other than raw meaty bones
Raw meaty bones
Of the 1870 owners surveyed, 1862 owners answered the question
1632 or 88% - reported NO vet dental care required when on a raw diet
230 or 12% - reported vet dental care required at some point in animal's life, however most indicated that the frequency greatly decreased after switching to a raw diet
Of the 1632 owners stating no vet dental care is needed
1152 – Use raw meaty bones only
115 – Use home dental care only
188 – Do nothing for dental care
177 – Use both raw meaty bones and home dental care
In addition to dogs, humans who follow Ketogenic and grain free diets also experience improved mouth health, so you might want to investigate that research if you really want less anecdotal information. This isn't just a canine issue and has far reaching implications for your health as you age.
Sarah wrote:My dogs don't need dental cleanings because I give them PlaqueOff..."
IMHO if you can't see that your dogs NEED additional products to protect them against something that a good, natural diet can easily provide, I can't really help you.


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Campbell's star keeps shining, drives in 3 in 9-run inning in Vandy's 9-8 win over Virginia
OMAHA, Neb. – It's hard to believe Tyler Campbell came into the College World Series with two hits all season.
He's got five in Omaha so far, none bigger than his bases-loaded double that highlighted Vanderbilt's nine-run third inning in a 9-8 win over Virginia in Game 1 of the CWS finals Monday night.
"I guess Tyler is a veteran now. He's played in three games," Commodores coach Tim Corbin said. "He takes advantage of key situations... He's played with a great heartbeat."
Campbell, who appeared in only 14 games before the CWS, was put into the lineup as the fill-in for third baseman Xavier Turner, who was declared ineligible on Friday for violating NCAA rules. He's 5 for 12 at the CWS and has been solid with his glove.
If he keeps playing like this, there'll be a spot for him on the all-tournament team.
Campbell had two hits against Texas on Friday, legged out a bases-loaded grounder to drive in the winning run in the 10th inning against the Longhorns on Saturday, and then had two doubles and three RBIs on Monday.
"I'm confident, yeah," Campbell said. "Against Texas the other night I didn't think I had a great game, but I think that actually helped me to stay with my approach and try to hit balls hard on the ground. I feel like I'm seeing pitches well, so that is the best deal."
The Commodores (50-20) can win their first national championship in a men's sport with a win Tuesday night.
Monday's win came after Virginia starter Nathan Kirby imploded in the third. The Commodores hung on to win after the Cavaliers nearly came back from a seven-run deficit.
"We're fortunate to win that game, for sure," Vanderbilt coach Tim Corbin said. "No one could have scripted that particular game, and if anyone said they could, they're lying. I don't think you could have called a nine-run inning."
Virginia (52-15) scored three in the third, two in the fifth and another in the eighth. Had it not been for Vanderbilt reliever John Kilichowski getting a cleat on the ball to slow down and redirect a comebacker, saving a run in the eighth, the Cavaliers would have tied it.
"We didn't really want to fall back and pack it in," Virginia's Branden Cogswell said. "We hadn't done it all year. This is the championship series, and there is no reason to do it now."
Jared Miller (7-2) got the win for two innings of relief after Walker Buehler. Adam Ravenelle came on in the ninth and earned his second save of the CWS.
It was the highest-scoring CWS game at TD Ameritrade Park, which opened in 2011, and the most runs allowed by Virginia since an 11-6 loss to Mississippi State in super regionals last year.
The nine runs in the third, off three hits, five walks and a hit batter, were the most in an inning in the CWS since Stanford scored 11 against Florida State in the ninth on June 14, 2008, at the old Rosenblatt Stadium.
"I just couldn't find my release point," Kirby said. "It hadn't happened all year, but it happened tonight. I thought we did a great job with the bats. If we carry that into tomorrow, I think we'll be fine."
Things went south for Kirby in a hurry after he struck out Chris Harvey to start the inning. He walked Jason Delay on four pitches, gave up Campbell's first double, and walked Dansby Swanson to load the bases.
Bryan Reynolds' infield single drove in a run, and then Kirby issued the first of three straight bases-loaded walks — all while Whit Mayberry was warming up in the bullpen. By the time Mayberry came on, after Rhett Wiseman reached on an error, Vandy led 5-2.
Of Kirby's last 50 pitches, 31 were balls. He walked five in the third inning after having never walked more than three in a game in his 18 previous career starts.
"Nathan Kirby has done the job all year long for this team, and I thought he was pretty sharp the first couple innings," Virginia coach Brian O'Connor said. "The third inning, it just kind of unraveled."


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Today before the POV ceremony, I had hope that Britney would actually think for herself! She will regret trusting Lane when she realizes how she was played. I hoped just like a lot of people that she would have put up Hayden next to Enzo the Farting Penguin. She was completely manipulated and it's a shame. She doesn't even realize it spending most of the day out in the sun with her puppet masters today. She was basically... OK guys what do you want me to do? They weren't even like we'll respect whatever you decide. I felt like it was do it or else! This has been the most angry I have been since this season has started hence the long post. Brendon had a plan to all get in her ear and keep Lane with her before the ceremony. WOW! Cannot believe it worked! Right now I do not see her surviving this double eviction. Well there's always POV. I really wanted to see Brendon leave the house on Thursday, but thanks to Britney the only way I see it happening is if Ragan wins the first HOH comp this Thursday and puts Enzo, Lane, or Hayden next to Brendon and Brendon is not saved by POV. My logic is Matt and Britney have the same target... Brenda! It makes sense to keep him. Not that I like Matt, but I am so pissed that she messed up royally.
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|2011-03-09, 17:30
|Link #22281
Senior Member
Join Date: Jun 2010
I think there's a good chance it was. It would be an act of magic to revive Beatrice (an entire family vanished! Everyone gets a happy ending! And it was all Beatrice! Just ask the survivors, hehehe...) and would seem to explain the prior knowledge she has with the message bottles (as well as why she'd write them). It also gives a reason why the fake twilights would appear on the later gameboards at all.
|2011-03-09, 17:38
|Link #22282
Senior Member
|2011-03-09, 18:00
|Link #22283
The True Culprit
|2011-03-09, 18:12
|Link #22284
Join Date: Jul 2009
Location: Yesterday!
Concerning one of the point I wrote about.
Of course it's easy to write that the message bottle is found since it can only come true if it is found. But you cannot predict who finds it, when they finds it and how they found it.
Within arc 1's end we are told who finds it and when they found it. It's impossible to predict this beforehand.
Even if the message bottle was written after all the Rokkenjima events it cannot have been written after it has been found, yet contains the information of when it was found.
Edit : Weather forecast is arguably the least practical "science" that we still decide to use in society. It is rarely perfectly accurate even a day before.
Another Edit : When referring to how Battler acted on the boat, I'm referring to his fear of falling and the commotion he causes because of that. Kawabata didn't forget it. Surely the conversations on the boat can change since he didn't hear them, but that Battler freaked out and asked them to slow down seems to be a constant. One that the 1998 Kawabata didn't deny either.
Last edited by UsagiTenpura; 2011-03-09 at 18:22.
|2011-03-09, 18:40
|Link #22285
Join Date: May 2009
Really, the "problem" with pre-writing is you need some excuse as to how Beatrice "knew what was going to happen" but didn't cause it or fail to try to stop it. If she in fact did not know, that means one must explain away her actions through some other means. "A game was planned; the explosion was coincidentally similar to the game outcome (i.e. everyone "dies")" works... mostly.
|2011-03-09, 18:55
|Link #22286
Senior Member
Join Date: Jun 2010
What if the explosion is part of the game/ vanishing act? That's not just a coincidence... Beatrice's plan would've ended up exactly the same as it really did, only without everyone dying. Beatrice presumably didn't realize that the explosion which made the plan perfect for making everyone vanish was also perfect for murdering everyone for real.
|2011-03-09, 19:28
|Link #22288
Dea ex Kakera
Join Date: Jun 2006
Location: Sea of Fragments
Ange doesn't come to the island consistently because of her weak constitution, so it would actually be really dangerous to use her in anything plot-critical. It would have been safer to assume she wouldn't come and then have some out-of-narrative contingency plan to get her out of the way.
|2011-03-09, 20:28
|Link #22289
Join Date: Dec 2009
The criticisms to the pre-writing approach are good. It'd really depend how many pieces of paper we're talking about here, and how it was all set up.
It also depends on how far in advance we could have known that Ange was not going to make it.
Yasu has plenty of the qualities of a murderer. Odds are he/she was thrown from a cliff by the person who was supposed to love him/her, can't have children, and even if given all of the money in the world-- wouldn't be able to find any happiness. There are very few reasons to remain a servant after finding a horde of gold. They point, generally, to a sense of purposelessness.
I think that denying Yasu created a large plot to kill, or denying that the Ushiromiya's are all basically would-be murderers, misses the point of Ep5 and Ep7.
The obvious theory if they are written after, is that she's that author chick, living together with Battler after both of them "died" and were "reborn". There's probably something in Ep 8 that contradicts this.
|2011-03-09, 20:48
|Link #22290
The True Culprit
|2011-03-09, 21:33
|Link #22291
Senior Member
Join Date: Sep 2010
Also, and this isnt related to anything, but I'm curious - in EP8, pretty much everybody besides Bern / Lambda, Battler/Ange, Auau/ Erika is involved with fighting the pirate goat brigade, right? Do you actually see Zepar/Furfur ... helping?
Random question is random, I know.
|2011-03-10, 00:08
|Link #22293
Senior Member
Join Date: May 2007
Location: Meta-Meta-Meta-Space
IIRC, there were some other characters that didn't fight much either...
|2011-03-10, 08:33
|Link #22294
Senior Member
Join Date: Sep 2009
Location: Where you're not.
Everyone was trying to AVOID fighting the big scary goat navy with the big bitchy blue-haired pirate bitch by pretending to fight with each other. Gohda is the one who blows their cover.
|2011-03-10, 10:56
|Link #22295
Join Date: Jul 2007
Location: forever lost inside a logic error
Ootsuki says that the first message was found by the police right in front of Ange. I don't think he'd have any reason to lie and therefore the first finding is a fact stated by official sources.
How could this be less anecdotal than this? This is practically the only official statement claimed by the police that we're actually aware of.
I did...
In other words we need to accept that Beatrice planned something beforehand or knew something was going to happen or that something could happen.
Unfortunately it's almost impossible to conclude with any certainty about how much she knew of what then actually happened.
It could go from "She knew everyone would die" from a "She had a completely different plan and everyone died because something went wrong".
Dlanor's symbol of the two keys is the very same symbol in the Vatican's flag
|2011-03-10, 11:24
|Link #22296
Join Date: May 2009
That aside, the police aren't immune to hoax or error.
Come on, this is the easiest hoax in the world to make up. It's right up there with saying the government gave me this report that proves aliens exist, but of course if you call and ask the government they'll deny it! And the fisherman thing? Come onnnnnnnnnn.
Oh, right. You don't. Skepticism is not unhealthy. The provenance of the message bottles is inherently suspicious. The only thing Ange ever proved is that the same person who wrote them wrote in Maria's diary. That identifies the author. Doesn't prove anything else.
Nice random crack at me over something that's still not understood, too.
Is it really crazy to question whether that imagined pattern is nothing more than a falsely-drawn conclusion? Perhaps, given Ryukishi's ability to blow it and lean on coincidence and happenstance. But if this were a good story, that'd be the first thing I would question about 1998's "evidence."
|2011-03-10, 11:55
|Link #22297
Senior Member
Join Date: Jun 2010
Weren't the letters shown to be written by the same person who wrote in Maria's diary too? I mean... I guess Beatrice might've just done it for no reason at all, but I think it fits better if she was planning to fake everyone's deaths. It means the families left behind are reimbursed for the loss of an earner (and may later receive letters from their family member telling them that they're alive).
|2011-03-10, 12:03
|Link #22298
Join Date: Jul 2007
Location: forever lost inside a logic error
How could he lie about something that can be easily checked?
The police made that statement, it doesn't make sense to think otherwise.
The witch hunt phenomenon didn't begin if not several years later after the incident. So who the hell would create that first message?
Only Beatrice could, but then again it was found soon after the incident so you just gain a few days at best. Why would she want to wait? To be more precise in her story telling? If that was really true why did she "kill" Eva then?
This story doesn't provide any reason to believe Beatrice survived the incident. So you are basically denying the obvious because it's "suspicious" while all the other alternatives are far-fetched at best.
This story is full of holes. There is simply no way to make complete sense out of every single part of it in a satisfactory manner.
If your only reason to claim "theory x is wrong" is because it doesn't make much sense from a realistic standpoint then you should think twice.
The only thing that is reasonable to do is to understand what Ryuukishi laid out on this messy story. Suggesting never mentioned plot twists or trolls after the story has ended already isn't reasonable, especially after the last 3 episodes didn't really show any!
|2011-03-10, 12:29
|Link #22299
Join Date: May 2009
You are confusing "the police said x" with "someone said the police said x." Now, it's still entirely possible you're right, but there is a significant trust gap there.
The police aren't infallible, and if you fool the police, you add credibility to your story. We don't know how specifically the message bottle "found" by police was acknowledged, nor how it wound up released to the public. Did they make a press release, or did a retired detective "reveal" it? Hell, you could make the whole thing up, give the message bottle to Ootsuki, and tell him the police found it, knowing he'll repeat that story because he's a conspiracy nut.
Which he does, to Ange, one of only two times we're ever told that story and the sole time a main character in an investigatory role ever hears that story.
2) There are many reasons to wait, but relatively few reasons why the delay on the message bottles would be so long. If Battler can survive through ridiculous contrivances that restrict his ability to reveal himself to the world, basically any argument can be used here. And the impetus to publish (such as believing Battler is alive out there somewhere) could have only arisen later.
3) We have long known that Beatrice's goal was not factually-accurate retellings of the events of those two days. She has no reason not to kill Eva.
And that aside, I really don't have much reason to think she didn't. If two people can survive independently, three people certainly can. Or four. Or eighteen. Hell, what do we know?
|2011-03-10, 12:59
|Link #22300
Join Date: Jul 2007
Location: forever lost inside a logic error
Renall you completely ignored my point that it makes no sense for someone to lie about something that can be easily checked.
Your whole counters fall if you can't find a plausible explanation for this.
The messages in the bottles are an existence that is known worldwide and so are their contents. So a fact like "the first message was discovered by the police shortly after the incident" can't possibly be something that Ootsuki made up. There's just no way that the origin of those messages weren't made public, and there's no way that the authorities wouldn't rectify a false statement about themselves.
The bottle was taken as an evidence about the incident. You should know well that in that case all the related info about its discovery were properly registered and that it was stored into a safe place.
Again if you question this you must provide a sensible explanation as to why Ootsuki would lie or as to why he would be misinformed despite being a prominent witch hunter and an university professor.
So the only option that's left to you is to speculate that the police or someone inside falsified the story or the content of the bottle. But can you really find any reason as to why would they want to do that?
Maybe you haven't noticed but this was the last episode.
|Thread Tools


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BRB, changing the world.
Please come to the Main Post Parade Field today for the groundbreaking Rock Beyond Belief festival. It's the first time we bypass the chaplaincy's ban on atheists meeting on post. We still have years to go to fix that problem, so please stand with us while we have this crazy opportunity.
Foxhole atheists are fighting for your rights, please return the favor. Simply show up.
The rain should pass by the time our event kicks off, but please feel free to bring towels/blankets/ponchos/umbrellas as necessary. This is an outdoor event on a well-kept field. No dogs, booze, drugs, weapons. Coolers are fine. Bring cash, ATM is far. You will be directed where to park once you arrive on post.
Last chance to dance!
Bring canned food to the after-party (Fort Bragg wont let us feed homeless veterans.) After party is at the Holiday Inn Bordeaux (call 910 323 0111 for reservations if necessary.) All events are free and open to the public.
Thanks everyone. May this be the first crack in the stained-glass ceiling.


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Ruth has an essay here
called The Informer: The Life and Art of Liam O'Flaherty
Killing The Emperors: UK paperback edition published in July 2013 by Allison & Busby. Published in 2012 in the US by Poisoned Pen Press; published in the UK by Allison & Busby.
All Ruth's fiction is now back in print.
Ruth at Poisoned Pen Bookshop in Arizona, run by her editor, Barbara Peters, who is married to her publisher at Poisoned Pen, Rob Rosenwald.


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After installing the beta, the first thing that'll hit you once you load the beta up is just how much cleaner and better-looking Internet Explorer 9's interface is. Gone is the barrage of toolbars, randomly placed icons, glaring colours; what you get now is a nice minimalistic, monochrome interface that fits surprisingly well into Windows 7.
While the interface sure is a major improvement in the looks department, it makes some curious choices I don't really understand. Chief among these is the rather odd placement of the address bar. Not only does placing the address bar on the tab bar reduce the already limited space available for tabs, it also makes it impossible to glance at your url.
Tabs quickly become unreadable - have more than 4 tabs open, and you'll be unable to read the page titles. Other browsers also suffer from this problem, but at least other browsers don't waste 1/3 tab space on the address bar. Tab overflow is available in IE9 (unlike in some other browsers - yes, I'm looking at you, Chrome), and takes the form of arrows on either end of the tab bar.
The new tab page is an exact copy of what we already know from Opera and Chrome; in other words, a list of most often visited sites. It has the additional nice but useless touch of a usage indicator (i.e., how often you open the page in question). Sadly, the new tab page does not use miniatures - it just uses favicons and the name of the site.
Notifications pop up from the bottom in pretty much the same way other browsers have been doing for ages. Another oddity - which I'm ascribing to the software's unfinished state - is that the
bookmarks favourites bar still uses the old-fashioned hideous gradient from IE7 and 8, which looks remarkably out of place in IE9. Also weird is the total lack of animations in the interface; if you close a tab, there's no subtle gliding animations of the tabs rearranging as Chrome has, making it all kind of jarring.
There is one rendering issue which I'd like to address, and that's fonts. As a Windows user, I've come to expect crystal-clear ClearType fonts, but for some reason, Internet Explorer 9 gives me slightly fuzzy fonts on some websites, fonts which reminded me of how Mac OS X renders its fonts. I'm assuming this is caused by the new feature in which font-rendering is hardware-accelerated, and lo and behold, switching to compatibility view returns fonts to their normal state.
IE9 also integrates very well with Windows 7, making optimal use of Jump Lists and the taskbar. For instance, you can pin any website to Windows 7's taskbar, which has already become one of my favourite features in IE9. The website's icon will appear in the top left of the window, functioning as a home button, while another nice touch is that the back and forward buttons will change colour to adapt to the pinned you're currently viewing. This is very handy for more application-like websites such as Facebook and Gmail.
More technically included web people will have to weigh in on the standards support stuff, and impatient people will have to look at the performance stuff, but the interface of IE9 is an improvement over IE7 and 8 which introduces a few curious choices. I don't think it'll convince any of us hardcore users to switch back (they can pry Chrome from my cold dead hands), but it will surely leave a positive impression among people with no strong inclination one way or the other.


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TERRO Stink Bug Killer
Description: Homeowners can protect themselves against foul home invasions with a new line of Stink Bug Killers from TERRO®, a leader in DIY ant and pest control products. TERRO® Ready-to-Use Stink Bug Killer Spray and TERRO® Stink Bug Killer Aerosol Spray quickly kill insects on contact. For long-term control, the Ready-to-Use spray is formulated to continue killing up to four months. The non-staining, odorless stink bug killers are also effective against boxelder bugs, Asian lady bugs, carpenter ants and crickets. Both products may be used indoors and outdoors.
Price: $9.00 to $12.00


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Being a savvy shopper is much more than looking for the lowest advertised prices or the highest percentage of savings. There are many other things that you need to take into consideration. The key question is this: How do you know where to shop to get the best prices for items you buy regularly?
Percentage of savings - the store offering the highest percentage of savings isn't necessarily the best deal.
As a savvy shopper, it is fun to watch those numbers go down at the register. With each coupon that the cashier scans, the total drops lower and lower. I love to calculate the percentage saved.
• To calculate the percent saved, you take the amount that you saved and divide it by the total before savings.
• For example if I paid $50 for $250 worth of groceries I would have saved $200. Take the $200 that I saved and divide it by the $250 the groceries would have cost and you will get 80 percent.
An 80 percent savings is awesome, but don't be fooled. It is possible that you could have purchased the same items at another store whose everyday prices are less. Don't fall into the trap of basing your purchases on the percentage of savings you will receive at the register. I try to save at least 50 percent on almost every item that I purchase; however, I am very knowledgeable about prices and will not purchase an item that is 50 percent off unless the price is still an awesome price after the discount.
Here's an example:
• Michelle's Market has cereal on sale for $2; the price is normally $6.
• Amazing Market has cereal on sale for $2; the price is normally $5.
• If I purchase the cereal at Michelle's Market, my percentage of savings will be 66.67 percent.
• If I purchase the cereal at Amazing Market, my percentage of savings will be 60 percent
• Michelle's Market has a higher percentage of savings, yet the products are the same price at both stores.
Now, let's look at what the percentage of savings would be if each store had a slightly different price.
• Michelle's Market has laundry detergent on sale for $2.50, normally $8.
• Amazing Market has the same laundry detergent on sale for $2, normally $5
In this case, the store with the higher percent of savings does not have the lower price. Michelle's Market will show 68.75 percent savings, and Amazing Market will only have 60. Amazing Market definitely has a better deal because the price is lower.
Coupon policies can make a huge difference in the price of the item.
Do they double coupons?
Another contributing factor to determine the best final price will be the store's coupon policy. A store that doubles coupons will have a lower price than a store that doesn't. Let's assume that I have a 50 cent coupon for the cereal that I mentioned earlier.
• Michelle's Market does not double coupons. $2-50 cent coupon = $1.50. My percentage of savings is now 75 percent. (Savings of $4.50 divided by $6)
• Amazing Market doubles coupons. $2-(50 cents coupon+ 50 doubled amount) = $1. My percentage of savings is now 80 percent ($3 savings divided by $5)
Even though both stores had the same sales price, the coupon policy of Amazing Market allowed the shopper to score a better deal.
Do they allow overage?
When a coupon is valued at more than the cost of the item, the difference is called overage. Not many stores allow this; most of them will adjust the coupon down to the price of the item. In our area, Walmart and Publix both allow overage. Sometimes overage will determine where you need to shop to get the best deal.
• Michelle's Market has aspirin on sale for $2. You have a $3 coupon for Bayer Aspirin. Michelle's Market allows overage. You will receive the item for free plus $1 toward the rest of your groceries or you can receive the $1 back at the register.
• Amazing Market has aspirin on sale for $2, and you have a $3 off coupon for aspirin. Amazing Market does not allow overage. They will adjust the coupon down to $2, and you will still receive the item for free.
In this case, Michelle's Market is the best place to shop because it allows overage.
Combine price-matching and overage to score an even better deal!
• Amazing Market has aspirin on sale for $2, and you have a $3-off coupon for aspirin. You will receive the item for free, but you will lose the $1 overage.
• Michelle's Market has aspirin on sale for $3, and with your $3-off coupon you will receive the item for free. Amazing Market has a lower price on the item. Michelle's Market matches competitor prices. You can take Amazing Market's ad to Michelle's Market and price-match the $2 price and then use the coupon to get overage on the item. (Walmart is the only store in our area that price matches and allows overage.)
Do they allow you to stack coupons?
Some stores allow you to combine their store coupons and a manufacturer coupon on the same item.
• Amazing Market and Michelle's Market both have laundry detergent on sale for $10.
• I have a $1 Amazing Market store coupon for the laundry detergent and a $1 manufacturer coupon. If I can stack these coupons, I will save $2.
• Amazing Market does not allow you to combine a store coupon and a manufacturer coupon. I will have to choose either the store coupon or manufacturer coupon. My final price for the laundry detergent will be $9.
Do they take competitor coupons?
Sometimes you will have a store coupon that is not allowed to be stacked at the issuing store. However, if a store accepts the other store as a competitor, you will be allowed to stack the coupons.
• Michelle's Market allows you to combine a store coupon and a manufacturer coupon.
• It will also take competitor coupons and you can stack a competitor coupon with a manufacturer coupon.
• I can use the Amazing Market $1 coupon at Michelle's Market and combine it with the $1 manufacturer coupon to end up paying $8 for the laundry detergent.
Do you want to know who doubles coupons, who allows you to stack coupons, and who takes competitor coupons?
Sign up for one of my coupon classes and you will learn all of this and much more.
Send your tips or questions to Savvy Shopper Michelle Rubrecht at firstname.lastname@example.com or post them to Facebook at Savannah Savvy Shopper.


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Subcutaneous emphysema occurs when air gets into tissues under the skin. This usually occurs in the skin covering the chest wall or neck, but can also occur in other parts of the body.
Alternative Names
Crepitus; Subcutaneous air; Tissue emphysema
Subcutaneous emphysema can often be seen as a smooth bulging of the skin. When a health care provider feels (palpates) the skin, it produces an unusual crackling sensation as the gas is pushed through the tissue.
Common Causes
This is a rare condition. When it does occur, possible causes include:
- Collapsed lung (
pneumothorax), often occurring with a rib fracture
- Facial bone fracture
- Ruptured bronchial tube
- Ruptured esophagus
This condition can happen due to:
- Blunt trauma
- Breathing in cocaine
- Corrosives or chemical burns of the esophagus
- Diving injuries
- Forceful vomiting" (Boerhaaves syndrome)
- Gunshot wounds
- Pertussis (whooping cough)
- Stabbing
- Certin medical procedures that insert a tube into the body, such as endoscopy, a central venous line, intubation, and bronchoscopy
Air can also be found in between skin layers on the arms and legs or torsoafter certain infections, including
Call your health care provider if
Most of the conditions that cause subcutaneous emphysema are very severe, and you are likely already being treated by a doctor. Sometimes a hospital stay is needed, especially if due to an infection.
ReferencesWolfson AB. ed: Harwood-Nuss Clinical Practice of Emergency Medicine. 5th ed. Philadelphia, Pa:Lippincott Williams & Wilkins; 2010.
Review Date:
Reviewed By:
Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, and Stephanie Slon.


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CatEye's Strada Smart connects with your smartphone so you can view your ride data while your phone stays safely in your pocket with its battery life preserved. Simply download the CatEye Cycling App and the Strada Smart will display current/average/max speed, distance traveled, altitude, and more. CatEye's speed/cadence sensor and heart-rate monitor (both sold separately) track your efforts even closer. After a tough ride come back and upload your data to CatEye's Atlas, Training Peaks, or Strava to compare your workout to previous rides or your friends' times. And, if you choose to leave your phone at home, the Smart also works with Bluetooth sensors (sold separately).
|Manufacturer's Part Number
|Store SKU


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News, notes, quotes and observations from the Raiders open locker room period Wednesday:
— Jason Campbell took exception to the perception that he had been sent to the bench for reasons of performance.
Campbell was removed at halftime of the Rams game in favor of Bruce Gradkowski, then against the Steelers. After coach Tom Cable had said Campbell was still the quarterback and there was "no issue,'' he was found himself backing up Gradkowski against Miami.
Here's how Campbell sees it:
"The hardest part was hearing people telling me I've been benched three times. That's not true,'' Campbell said. "The Pittsburgh game I was not benched. I was taken out for reasons of being hit a lot and different ghings.
"I expected to come back last weekend and start, but the situation came up where they felt like Bruce was healthy, and coach said he's a man of his word and that's what he's going to stick by.
"I wasn't benched not to play the Miami game, just because he was sticking by what he said.''
Campbell is the starter for the time being and there's no reason not to apply some selective reasoning. Nothing good comes from repeating his postgame concern that if Gradkowski was healthy enough to play against Pittsburgh, why didn't he start that game?
Or from recalling that Cable said on Nov. 15 that Campbell had "earned the right to start'' to the starting job after three straight wins and that he was staying with the hot hand.
Campbell doesn't seem the type to play the victim anyway, and it makes even less sense when you have the job again. He surely realizes that had had he passed for 300 yards and the Raiders had beaten the Steelers, he would have started against Miami as well _ regardless of whatever "promises'' were made to Gradkowski.
His job will not be an easy one, with the Raiders having lost two straight games in one-sided and uninspired fashion.
"Going to the bye week, having won three in a row and four out of five … sometimes, the bye week is a chance to get healthy and finish the run the rest of the season,'' Campbell said. "Unfortunately, this time the bye week seemed like it bit us and we lost that chemistry and we lost the things that we were doing very well. Now, we're trying to regroup and get back to that. ''
— The switching of quarterbacks has taken its toll on the passing game.
"Offense is all about chemistry and continuity, and getting a feel for each other and learning each other,'' Campbell said. "Especially when you don't have a lot of years together. You try to make the best of it until you can get to the point where you want to be. It's all a work in progress. You can't get down, can't get frustrated.''
Wide receiver Louis Murphy concedes it's been an adjustment.
"Sometimes it's a little rough, because there's two different quarterbacks,'' Murphy said. "They have different styles, we have different hook ups with them. You know, certain passes, each one throws differently.
"But we've played with both of them for a fair time and it's really no excuse. We just gotta' keep going out and making plays when it's our number called.''
— With the Chargers giving up 81 yards per game on the ground and the Raiders running game having gained just 77 yards on 30 carries the last two weeks, Oakland can choose to either mix things up and be more daring with the pass, or just run that much harder.
Left guard Robert Gallery is in favor of the latter approach.
"Execution,'' was Gallery's answer when asked about the issues with the running game. "I think we've only run it 22 times (on called running plays) the last two games and that's not who we are. We've got to get back to running the football and executing when we're doing it.''
In the first game against San Diego, Michael Bush rushed for 104 yards on 26 carries and a touchdown with Darren McFadden sidelined because of a hamstring strain. He is only one of only three backs (Arians Foster and Stephen Jackson are the others) to gain 100 yards on the Chargers this year.
— San Diego quarterback Philip Rivers has drawn his share of criticism for being a little mouthy, but he's got one fan in Raiders defensive tackle Tommy Kelly. Kelly said he met Rivers at a college all-star game and considers him this year's NFL Most Valuable Player.
"Who's playing better than Phil?,'' Kelly said ."I mean Phil is doing his thing, to me he's the MVP because everybody around him that got hurt, and he's still carrying his team. To me, that's a leader right there. He done put the team on his shoulders and came up big.''
Kelly got a chuckle out of a question referring to how the Raiders "had pretty good success'' against Rivers the first time this season.
"He threw for 400!,'' Kelly said. "I mean, you gotta pressure Phil, me and Big Rich and Big John, we gotta push up in his face. "Phil likes to step up in the pocket and and get them intermediate routes to (Antonio) Gates, dump it to (Darren) Sproles out of the backfield. We've just got to make his day very uncomfortable.''
— Chargers tight end Antonio Gates is battling a painful plantar fascia condition which has him at less than 100 percent, but he has no intention of shutting it down.
"My goal is to deal with what I can, try to contribute if I can and if I can't, just try to be unselfish enough to know what's my limitations."
— Jacoby Ford was named the AFC Special Teams Player of the Month for November. He had a 94-yard touchdown on a kickoff return against Kansas City and a 101-yard return for a score against Miami, the latter the third longest in club history.
More to come after Cable's post-practice press briefing . . .


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A while back there was a proposal to increase the power of Senate (membership) votes by lowering the required majority from 66% to 50%. This passed so quickly and overwhelmingly that I didn't even have time to post it here.
Now, another change has been proposed that would increase the power of the Imperial Regent, or the head of Foreign Affairs. This new proposal would make it so that if the Regent disagrees with either a proposed treaty signing or treaty cancellation, a 2/3 majority would be needed for the change to pass, rather than the (now) standard simple majority. That said, it does also give the Emperor the power to override the Regent's opinion, and allow a treaty signing or cancellation to be passed with a simple majority.


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Last week, while visiting with the Crestview Area Chamber of Commerce's Professional and Inspired Leaders of Tomorrow, I got one of the nicest compliments.
Last week, while visiting with the Crestview Area Chamber of Commerce's Professional and Inspired Leaders of Tomorrow, I got one of the nicest compliments.
But let's rewind to what preceded it.
While in a roundtable discussion about job-related challenges, I said, "I'm an introvert in the communications field."
Yes, before I came to Crestview, you wouldn't find me doing much after hours except for cooking and "unwinding" with a movie, cable news or exercise � and honestly, "after hours" itself didn't exist, as most people know it. I edited two twice-weekly newspapers, a quarterly senior citizens magazine and touched up reporters' video, on top of everything else.
It was a morning, afternoon and evening job, and I loved every second spent in that Daphne, Ala., shop.
I've always been a workaholic, probably because of my farming father's work ethic. No one forced me to overdo it; I just did.
"After hours," I would go to book stores and purchase style and journalism books or read trade magazines like the American Journalism Review. Journalism was an addiction.
My family has deep roots in that community, having been one of the first Italian American families to settle in the area. And even those I didn't know (those new to town, like some of our city officials) I called weekly.
So everyone knew me; it wasn't like they needed to see me, I thought. Especially since it was a high-production, behind-the-scenes, closed-door, minimal interaction kind of job.
And it allowed me to revert to an introvert's tendencies � and even become downright reclusive, as many creative types can be. (Back then I also designed every inch of those three publications minus the ads. That takes time, especially for a perfectionist who wants his weekly newspaper to look more like a polished, highly engineered daily paper.)
That isolation was familiar, as it's how I grew up: in the country, on a farm, with no neighbors in sight. I had a few close friends, but only saw them, for the most part, in school or at summer camp. I participated in talent shows here and there, edited the school yearbook and poetry publications, but usually kept to myself, especially after my father died. (Unfortunately, as I learned, classmates took that silence and grief for being stuck up. Being an introvert has its drawbacks as people often "read" into things that just aren't there.)
Things loosened up at Spring Hill College, a Jesuit institution in Mobile, Ala. You saw me everywhere. Vice President of the Multicultural Student Union, handling public relations for Campus Ministry, in the church choir, hosting and producing school-wide talent shows, participating in community outreach and leaving annoying � as friends later revealed to me � campus-wide voicemail reminders about student activities.
But after leaving that familiar college bubble, I reverted.
Because that college experience involved people reaching out to me rather than me reaching out to them. Yeah, they got me to join their organizations, and I enjoyed them. But I was an accidental extrovert.
And that was evident for those six years I worked in the Daphne shop.
When Alabama's journalism opportunities temporarily dried up in 2011, a friend (who, of course, I met online), turned me to insurance. She and I did it together for awhile, and I stuck it out for year.
Anyone who's sold insurance knows that a year is an eternity in that industry. Plus, you leave your comfort zone. A typical work day involves driving four to five hours from home to set 15 appointments, knowing only 10 would be at home and probably two would buy. So you knock on doors, talk with strangers and learn how to be social really fast!
I'm sometimes shy, but thankfully can rise to the occasion every time, and can carry a conversation with no problem. It's just the introduction � the most important part � that always stumped me.
Insurance was successful, and they were even considering me for the leadership team because I could sell and communicate effectively.
But it wasn't my passion. And that was evident because, despite being able to pay the bills, I still edited for national publications on the side to keep my resume up. Which meant there was a social life at work (with clients) and isolation at home, although I hung on to that close friend I mentioned.
Anyway, flash forward to 2012 and a wonderful opportunity in a smaller area much like my hometown opens up in Crestview, Fla.
Here, no one knew me or my family. That was both scary and refreshing, as it opened opportunities to get out there and meet people again.
And have I ever! Being Relay For Life Crestview's publicity chairperson, visiting monthly with the Crestview chamber and PILOT members, joining the local Toastmasters International chapter and guest speaking for various organizations, including an April 10 date with the Crestview Civitans, has been the opportunity of a lifetime.
And I'm always looking to learn more about the area and visit with other organizations or clubs I don't know about. (Hint, hint!)
I didn't even do this stuff in my hometown.
Which brings me back to the nicest compliment from last week's PILOT meeting. One of the attendees said she sees me around the community, sees the activity generated on our new Opinion page and can't remember anything about the last News Bulletin editor.
I feel for him, but felt reassured that we're on the right track.
And I'm so grateful for this opportunity to bring you the news, meet everyone I can in North Okaloosa and, on a personal note, really come alive.
What's your view? Write a letter to the editor or tweet News Bulletin Editor Thomas Boni @cnbeditor.


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Official Portal for North Dakota State Government
On March 2, 1861, President James Buchanan signed the bill creating the Dakota Territory, which originally included the area covered today by both Dakotas as well as Montana and Wyoming. The name was taken from that of the Dakota or Sioux Indian Tribe. Beginning about 1877, efforts were made to bring Dakota into the Union as both a single state and as two states. The latter was successful and on November 2, 1889, both North and South Dakota were admitted. Since President Benjamin Harrison went to great lengths to obscure the order in which the statehood proclamations were signed, the exact order in which the two states entered is unknown. However, because of alphabetical position, North Dakota is often considered the 39th state.
Dakota is the Sioux Indian word for "friend".


text:
A big thanks to our friends, family, and friends of friends and family that tweeted, shared the video, and shared this blog.
We closed our loan on our 4th scheduled closing date, 12/16/11 at 4:00pm. Bank of America agreed to pay for our per diem charges.
Also, thank you to those Bank of America employees – especially ^ek at the Social Media Services team for her quick response and follow up on our claims.
We're glad it's over and that our garden gnome will finally have a home.
We are asking that Bank of America contact us at email@example.com. We are approaching our 4th closing date on our 203k FHA home loan. As of 12/13/11, we have been attempting to buy this home for 76 days. We are asking for an internal Bank of America advocate to take control of this process and close our loan. We have had two Bank of America employees quit during the course of our loan. E-mail and phone messages continue to go unanswered. Seller now charging per diem for multiple Bank of America delays.
Click here for full timeline of delays and negligence.


text:
Allen R. Rush
Allen R. Rush
March 21, 1964-Jan. 21, 2013
WARSAW — Allen R. Rush, 48, a resident of Warsaw Meadows Care Center formerly of Tippecanoe passed away Monday, Jan. 21, 2013 at 8:10 a.m.
Allen was born the son of Larry Rush and Rebecca Futch Rush on March 21, 1964 at South Bend. He was a lifelong resident of the Tippecanoe area and was employed at A M General until his illness. He also attended the Bourbon First United Methodist Church when he was able. He enjoyed all kinds of aircraft, naval memorabilia and celebrating the Fourth of July.
He is survived by his father, Larry Rush of Tippecanoe, his daughters; Nikki Temple and Tracey Schafer and his son Joe Rush. He was also blessed with four grandchildren, his sister Sue Rush and her son Kyle of Tippecanoe.
He was preceded in death by his mother.
A graveside service will be at 2:30 p.m., Saturday, March 23, 2013 at the Tippecanoe Cemetery, Tippecanoe.
Deaton-Clemens Funeral Home is caring for the arrangements. Condolences may be left at deatonclemensfh.com.