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Explainer: The Debt Deal - What Happens Next and What's on the Chopping Block?
At the last second and after weeks of contentious partisan posturing, the president and Congress have agreed on a deal to raise the public debt ceiling and reduce future deficits. But what does the bill actually do? Who's going to be affected and what's in line to get cut?
The new legislation:
- creates caps on discretionary spending for the next ten years
- requires Congress to create and vote on a joint resolution proposing a balanced budget amendment to the Constitution,
- raises the debt limit by $400 billion (with two additional raising-opportunities scheduled that could raise it by as much as $2.4 trillion)
- creates a Congressional committee on deficit reduction which will propose another $1.5 trillion in cuts over the next decade, which Congress will either have to adopt or trigger $1.2 trillion in automatic cuts.
Robert Bixby, Executive Director of the Concord Coalition fiscal policy think-tank, takes issues with the bill's failure to tackle entitlements or raise revenue. He finds it unlikely that any committee will have the political will to do what Congress could not.
"As a deficit hawk, that kind of worries me, because it means the deal was kind of structured to prevent the problem from being solved... Right now I'd be inclined to think that this committee is not going to be the vehicle through which that happens."
What the "Cuts" Actually Cut
An important distinction is that these cuts are not actually cuts in the budget, nor are they reductions in the deficit. The amount of government spending will, in fact, increase every year over the next ten years. Rather the cuts made in the deal are to future increases in spending.
So, say $50 billion is scheduled to be cut in 2013, which has a baseline budget of $13,000 billion. Rather than decreasing the budget from $13,000 billion to $12,950 billion, what instead will happen is that the $13,000 will increase by $50 billion less than the amount it was projected to increase – so instead of increasing by the projected amount of $150 billion, it can only increase by $100 billion. So next years baseline budget will be $13,100 billion, instead of the $13,150 billion it would have been if there were no cuts.
The Congressional Budget Office (CBO) estimates that the legislation as it stands now, without the additional $1.5 trillion in cuts to be proposed by the joint Congressional committee, will reduce budget deficits by $917 billion between 2012 and 2021. If you add to that the minimum of $1.2 trillion that will be triggered if the committee's recommendations are not adopted, the legislation will reduce the deficit by at least $2.1 trillion in total.
Short and Long Straws
While the bill lays out the reductions on discretionary funding caps, it will be up to an appropriations committee to say where that reduced amount will be granted. Additionally the joint committee is tasked with finding deeper cuts, either through changing entitlement programs not subject to appropriations--such as Medicare and farm programs, adding additional revenues, or setting even lower caps on discretionary spending.
It is too soon to tell where either of these cuts are going to come from. Congressional leaders will be appointing the Joint Committee in the next two weeks, and until the committee starts naming its recommendations it is impossible to say what programs or services may feel the pinch, though there are certain likely candidates.
Some cuts will have to be made even before the committee issues its recommendations in November, as the bill requires a reduction of $25 billion for fiscal year 2012, which begins October first. That determination of who receives funding will probably come from the appropriations committee, but as they may be reluctant to set that determination without the joint committee's recommendations, it seems not unlikely that another series of continuing resolutions may push the decisions later.
Yesterday's legislation did name a few of the winners and losers of this deal. One thing is clear—while there will be winners, at least in the sense that their funding is protected, if not augmented—there will be many more losers.
Losers: Low-Income Grad Students
For one, if you are a grad student in the next few years, you are going to pay more.
As the economy grew worse and the job market dwindled, more and more recent college grads turned to graduate school in order to delay entry into the job market. Now, in a semi-ironic twist, the debt ceiling bill mandates that those students are going to be called on to help improve the economy through the elimination of subsidized loans for grad students.
This means that students will immediately begin accruing interest on their loans for school, rather than having that interest deferred until they graduate. Students will be allowed to borrow more through the unsubsidized loan program, in order to cover any gaps created by the elimination of the subsidized loans. So, in short, they can borrow as much as ever, they'll just pay more in interest, which the CBO estimates will save some $18.1 billion over the next decade.
In addition, some student loan repayment incentives will be cut. The CBO estimates this will cut $3.6 billion over the next ten years.
Possible losers: Education and mass transit
Robert Ward, deputy director of the Rockefeller Institute of Government at SUNY, says that states take orders from Washington when the federal government is handing out money to go along with certain policy prescriptions.
"We saw that, for instance, in President Obama's education program and in President Bush's education program, Congress and the president in both cases provided new federal funding for education and in return they required states and localities to do certain things. As the federal government is looking to ratchet back its spending, it will necessarily, I think, have to reduce the imprint that it is trying to make from a policy perspective. So, among other things, this budget deal makes it likely that the federal government will have less to say about education in the future than it has been saying in recent years."
Ward predicts that mass transit may also take a hit, since it does not have broad support among many states, though some states, such as New York, would feel the effects of those cuts deeply.
Possible loser: Medicaid
Robert Ward also thinks it is likely that Medicaid will see some of its funding reduced.
"Social Security and Medicare are the most popular programs that the federal government operates. Medicaid is also important to a lot of people but not as politically popular, so it's hard to believe that Medicaid will not end up taking a hit."
A reduction to Medicaid would also be especially hard on New York, as nearly two-thirds of the federal funding the state receives goes towards its Medicaid program.
Winners: Watchdog Programs
Program Integrity Initiatives, which carefully screen Social Security and federal health care programs for waste, abuse and fraud, will see their spending increase under the new legislation, with the idea being that they will eliminate enough misuse to result in a net savings. The CBO estimates that savings from reduced benefit outlays from Social Security might save $12 billion over the next decade, and savings through health care fraud and abuse control would total about $3.7 billion.
Sort -of Winners: Low-Income Undergrads
College-bound students won't get anymore help paying for college, but at least their programs will be offered some protections. Pell grants, which provide money to students who demonstrate financial need (up to $5.550 annually, as of right now) will be funded directly, rather than included as discretionary funding. This appears to be an attempt to free up more discretionary funds and possibly protect the Pell Grants, even as it increases direct spending by $17 billion.
Winners: War and Disaster
Yes, really. The caps on spending in the deal will not apply to spending for the wars in Iraq and Afghanistan, "or similar activities", according to the CBO. This, even though the Congressional Research Service estimates that the war in Iraq costs the United States $806 billion for FY2011, and Afghanistan $444 billion, for a combined $1,250 billion.
Defense spending will not go unscathed, however, as for the fist time defense spending is seriously on the table as a potential area for spending cuts. The trigger provision includes cuts to defense, if no agreement can be reached on the committee's recommendations.
Also a winner: disaster relief. In so far as the legislation provides for adjustment in the caps on discretionary spending to account for disaster relief and other emergency requirements, though that increase will be limited.
But at the End of the Day
These savings are all tiny compared to the total $2.1 trillion that the bill calls for.
The vast majority of savings will come through the cuts determined either by the joint committee or through the triggered cuts. The president himself pointed out that as a result of the deal, discretionary spending will be held to a much tighter standard than in the past, making that category of spending overall at its lowest level as a percentage of the economy since the fifties.
Back at the Concord Coalition, Robert Bixby says until the committee is appointed it's hard to guess what they might do.
"You can't say at this point that it's going to mean the cancellation of this that or the other weapons program or something, because Congress is going to have to make all that fit. So what they're trying to do right now, is simply set some bottom line numbers here, and then the committees are going to have to figure out how to make them work."


text:
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subset: commoncrawl


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Related Publications
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Related Links
Recent Scholarship on Eastern Jewries
Association for Jewish Studies (AJS), Spring 2005
The author surveys recent trends in the study of Sephardic and Middle Eastern Jewish communities, referencing a number of specific recent works. Topics of inquiry discussed include the colonial contexts of Eastern Jewries, the cultural and religious contexts of these communities, and the history of relations between Ashkenazi and Eastern Jewries.
Topic: History, Sephardic Jews, Mizrahi Jews, Judaic Studies, Jewish Studies
Name of Publication: AJS Perspectives: The Magazine of the Association for Jewish Studies
Volume/Issue: Spring 2005
Page Number(s): 8-10
Genre: Report
Language: English
Copyright Information: Download for personal use, freely distribute link
Bibliographic Information:
Goldberg, Harvey. Recent Scholarship on Eastern Jewries. AJS Perspectives: The Magazine of the Association for Jewish Studies. Association for Jewish Studies (AJS). Spring 2005: 8-10. http://www.bjpa.org/Publications/details.cfm?PublicationID=2628
» View Publication
(PDF, 215 Kb)


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Prevent Incurable Horse Virus
Eastern equine encephalitis virus (EEEV) is transmitted by the bite of an infected mosquito, advises the Centers for Disease Control (CDC). The virus is rare and causes inflammation of the brain ...View Article
You are using an outdated browser. Please upgrade your browser to improve your experience.
Make Appointment
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Our Services
We strive to provide complete care for our patients. Learn more about all the services we provide.Read More
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I solemnly swear to use my scientific knowledge and skills for the benefit of society through the protection of animal health, the relief of animal suffering, the conservation of livestock resources, the promotion of public health and the advancement of medical knowledge.
Animal Emergency? Read no further and call us right away!
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We have a number of resources for you to learn about how to take better care of your animals. Browse around and look at our articles and videos. The best veterinary care for animals is ongoing nutrition and problem prevention. If you want to ask a question call 518- 642-1676 or email us and we'll promptly get back to you. Our clinic is very easy to get to, and you can find directions on our Contact Us page. You can also subscribe to our newsletter which is created especially for livestock owners. In between your veterinary visits, both you and your animals will benefit from you reading these free informative articles.
At Granville Veterinary Service P.C., we provide the latest in high quality veterinary care.
The Doctors and Staff
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text: My 2000 DeVille leaks a few drops of oil on the driveway overnight. The car has 90k miles on it. The bottom of the oil pan is wet, but I guess the engine could be leaking from anywhere. Is there a common problem with oil leaks on the newer (2k and up) version of this engine too? I tried to search on "oil leak" and 11 pages show up, mostly on the older version of the engine. I have never had a Cadillac not leak oil! The 2k leaks more oil than my 85 HT4100! I can't believe this is progress. My 91 and 97 DeVilles also leaked oil. None of my Cadillac engines have ever been 100% dry.


text:
Aaffordable Sonshine State Trees, Inc. provides all of our customers' with EXCEPTIONAL, AFFORDABLE, QUALITY SERVICE, and we have over 20 years experience in the Tree Service industry.
We perform Tree Service, Tree Trimming, Stump Grinding, Tree Removal, Storm Cleanup, and 24 Hour Emergency Tree Service to the following areas: Jacksonville, Mandarin, Orange Park, St Augustine, NE Florida, SE Georgia, Mayport, Ponte Vedra Fernandina Atlantic Vilano Jax Beach, Middleburg, Callahan, Baldwin, Hilliard, Yulee and the following counties Duval, Clay, St John's, Flagler, Volusia, Nassau, and Baker.
Additionally, Aaffordable Sonshine State Trees, Inc. offers all active duty and retired military, as well as seniors a 10% discount, while schools and churches are eligible for a 15% discount, so be sure to mention where you saw this ad. Call now for all of your Tree Service, and Stump Grinding concerns or email us to schedule your "FREE" on-site estimate. Thanks in advance for your consideration, we hope to see you real soon.
All contracted jobs must be signed by Aaffordable Sonshine State Tree, Inc's owner, "Ron Wahl", in order to be covered by our aggregate insurance policy. Work performed by individuals claiming an affiliation to our organization without the proper identification, and credentials is a scam, therefore any resulting damages will not be covered, so be sure you know who you are hiring before any job or financial transaction takes place.


text:
|Desktop Enhancements
|Clipboard Software
Publisher's Description+
To use: Install and run the application. Click on the menu bar icon for WindowClipMBI to display its menu. The menu shows the windows currently displayed by your Mac. Make a menu selection corresponding to the window you want to take a snapshot of. The image of the window is put on the clipboard, signaled by the harp sound.
Use the preference window, or the menu itself, to specify various options such as: scaling, reflections, showing cursor in screen shots, include Desktop windows, ignore framing effects like shadows, and creating an opaque image.
WindowClipMBI is a member of the Limit Point Software Utilities bundle. See http://www.limit-point.com/Utilities.html for a complete list of available utilities included. One donation activates all the software. Upgrades free, new products are included.
What's new in this version:
- A new menu item named "Shade" is now available in the menu, under "Timed screenshot..." , which enables you to hide and show the desktop for screenshots.
- The default option "New from Clipboard in Preview" has been changed to "yes."


text:
Skip navigation.
Location: Ranger Perk by Coronado Cafeteria
Information for the upcoming pageant will be distributed. If you are interested in becoming a contestant, please attend this meeting.
If you have any questions, please contact: Rachel Stewart 580-327-8178 or email@example.com
MISSION STATEMENT: Northwestern Oklahoma State University provides quality educational and cultural opportunities to learners with diverse needs by cultivating ethical leadership and service, critical thinking and fiscal responsibility.


text:
Von Metzke "groomed" underaged girls by texting
Teens reported him, but theatre slow to act
Don Bauder 2 p.m., June 25
When Styx plays Viejas Casino Concerts in the Park on Saturday, August 13, expected munchies include a bag of assorted candy ("Snickers, Kit-Kat, Milky Way, etc."), a box of sourdough pretzels, a jar of soy peanut butter, a box of Balance bars ("not Granola or Power Bars"), and two large pizzas (one all cheese, another with half sausage/half pepperoni). Drinks: four gallons of spring water ("no Evian"), a 12-pack each of Classic Coke and Diet Coke, six cans of V-8 juice, and two cartons of Carnation hazelnut and French vanilla creamer ("not fat free"). (From celebritybooking.net and thesmokinggun.com.)


text:
Poppies for Grace Notebook Set - Happy
Poppies for Grace Notebook Set - Happy
Super cute mini notebook set. The Happiest Book in the World & Sprinkle notebook - 52 white pages. 2 notebooks perfect to pop into presents or party treat bags.
They are 74 x 105mm.
About Poppies for Grace
Poppies for Grace is from Melbourne, Australia and is the work of Sara Dickins & Alana Waterson. Every product is made with care & purpose. They start it and you finish it. With precious words to a friend, with a party laden with colourful joy or with gifts that make people happy.
More from Poppies for Grace


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"rather than relating to a specific period of time or a particular style, a timeless design is simply an expression of a unique program and site."
View Taal Safdie and Ricardo Rabines' "Architects' Choice" picks in the slideshow at left.
other favorites
Schüco: windows and doors, www.schueco.com.
Various vendors: teak siding and decking.
Portland Cement Association: concrete, www.cement.org.
timeless design objects
Toyota Prius: "Best car we've owned."
Our garden: "Enduring, timeless, soothing, and therapeutic."
Butterfly chairs: "Comfortable, minimal, and beautiful when we were young and still are."


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More leave ordered for land and surveys employees in Santa Fe dispute
Reports of kickbacks to officials are being probed as the investigation into a surveying dispute involving the Santa Fe mega-farm continues and two Guyana Lands and Surveys Commission (GL&SC) officials have been ordered to proceed on further leave.
A senior official and a surveyor have been ordered to take an additional two weeks and a month's leave respectively, sources close to the investigation told Stabroek News. Even as the probe continues, a government minister has been querying why an investigation was needed and why it was taking so long, Stabroek News was told. The minister is reportedly close to the senior official who was sent on leave and who has strenuously defended his actions.
President Donald Ramotar intervened after senior GL&SC officials complained to him and other government officials about the Santa Fe survey which would have seen the GL&SC losing over $10 million. The President ordered that the privately done survey be cancelled and redone by the GL&SC. An investigation was also initiated and correspondence among officials which were seen by Stabroek News indicate rifts within the agency.
Based on a letter from a senior official at the commission, the issue began when an internal inquiry was initiated into the whereabouts of a surveyor. Subsequently, a broader investigation was recommended.
The GL&SC has statutory responsibility for all public lands in Guyana and based on the correspondence, Santa Fe was in the process of contracting surveying work to a private contractor, a move which was not welcomed by some senior officials but was approved by the senior official who was sent on leave.
"The survey could have been done by GL&SC, but it appears that a private surveyor is being identified for the work, which could result in the loss of revenue for GL&SC of over $10 million," Commissioner of the GL&SC Doorga Persaud said in correspondence to top officials including Ramotar and Head of the Presidential Secretariat Dr Roger Luncheon. In the correspondence which was seen by Stabroek News, Persaud said that following the instructions of the President, he was going to cancel all arrangements for a private surveyor to do the work in Region 9 and that the GL&SC would conduct the survey.
Santa Fe, which is operated by the Simpson Group of Companies out of Barbados has been in the spotlight recently over the use of chemicals on the farm in the North Rupununi. It has declined requests by Stabroek News for an interview on its investment and all the information on it, prior to a recent statement quoted by the Ministry of Natural Resources, has been provided by the Government Information Agency (GINA).
The official who approved the private survey defended his actions to Persaud. "Santa Fe sought quotations from several persons and it was not possible for the Commission to match those costs (almost 55% lower) since our overheads are much higher and the slow pace of our reaction to get such surveys completed all did not fit with Santa Fe's plans. I don't think anyone protested when Santa Fe gave their first job to Mr Rutherford and a Brazilian company," the official wrote.
He said that at the request of Santa Fe, he gave the go-ahead for field work to commence since he had already signed off the clearance letter. The official said that he was proceeding on leave while another manager was still off and "I needed to have certain changes to the descriptions fully understood before I left and I am fully aware of senior level thumb twiddling, lack of self-confidence and incompetencies" in the Survey Division.
"I see no issue with this since the survey still has to be checked and a plan needs to be submitted, it is absolute nonsense and a deliberate attempt to destabilise (major) investment projects by persons who have no foresight as to the need for cost efficiency and timeliness by the private sector," the official wrote.
The action of the official appears to have displeased other officials and a report was sent to the President.
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Selling your Greater Tampa Bay Area Home involves many steps and having a Greater Tampa Bay Real Estate Advisor on your side will make your transaction go a lot smoother and more efficiently.
The steps to selling a home in the Greater Tampa Bay Florida include:
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text:
India has its Bollywood stars and Iran has been attempting to catch up with creating a new film industry. However, government officials are furious at large salaries being paid to actors and actresses who may earn a $100,00 for a few days work. Critics warn the stars "this ain't Hollywood, let alone Bollywood, so cut out the high salaries." Some Iranian members of the film community are also confronting the issue that a few Iranians have made it to Hollywood where they were able to secure a part in films. Golddhitfeh Farahani was able to act in a major Hollywood film, "Body of Lies" and when she returned home it was not to acclaim, but to a ban on any other acting in western films.
This year a Hollywood delegation made it to Iran only to meet demands for apologies about the manner in which Arabs and Iranians are portrayed in films.


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SBS Worldwide Appoints Chris Paulz as Regional Vice President South East
SBS Worldwide has appointed Chris Paulz as its Regional Vice President South East, based in Atlanta.
Paulz, who will report to Christian Marz, Director of Operations USA, will focus on the company business plan, ensuring growth targets are met in the south-eastern region of the United States.
CEO of SBS Worldwide Lars Kloch says: "We are delighted to welcome Chris as our new Regional Vice President South East and feel his experience will be key in identifying new business and expanding the current levels of service provided to our existing customers."
Paulz says: "I am delighted to be part of such a first class freight company. I'm really looking forward to helping drive the business forward and to making sure our clients receive a great service and that their supply chains are competitive and effective."
Paulz has worked in international and domestic transportation for more than 30 years, starting out in Switzerland as a trainee/apprentice, before heading to Panalpina in
Nashville TN, ending his12 year tenure there as its Branch Manager and Head of Operations at its Atlanta location. He then joined Kuehne-Nagel as its Business Development Manager before moving to Agility Global Logistics in a strategic account / business development role.


text:
P.T. Honda Prospect Motor (HPM), Honda's distributor in Indonesia today held a ground breaking ceremony to mark the start of the construction of its new production plant in Karawang Industrial Park in a suburb of Jakarta. The new plant, with an annual capacity of 120,000 units is scheduled to go online by 2014. The new plant, built at an estimated ... Read More »
Home / Tag Archives: honda velez launch in indonesia


text:
Where do you buy paver edge restraints
Where do you buy paver edge restraints?
I cheked Home Depot out and theirs is like $1.4/linear ft without the spikes. And it's flimsy plastic. My questions:
1. Where do you generally get your edging strips? I want to see more seletions.
2. How deep the spike should be? 12" or 8"?
I am building a 700-sf paver patio and it has taken me over a month to finish excavation, grading plus landscaping wires and burying irrigation/drainage pipes.
Lowes and Home Depot both also carry steel edging in brown and green.
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Collect photos, maps, memories and books of interest to you.
Memories of Bamford
Growin Gup In Bamford
Hi, I am now 57 years and live in Los Angeles, USA. I just felt homesick and nostalgic and discovered this site. Growing up in the 50s and 60s in Bamford was wonderful (not that I felt that then). I've lived in several countries in my life, the older I get the more I relate to my childhood, my family, my friends. My ...Read full memory
Bamford Parish Church No One Cares Anymore
A churchyard is a place where families can be near their deceased loved ones, a calm and beautiful place surrounded by trees and flowers, but that is not the case in Bamford churchyard. The grass and weeds are taking over so it is impossible to walk through the graves without being entangled or ...Read full memory
Born In Bamford
I was born in Bamford in 1946. Now live in Nth Queensland, Australia. My folks were married in Bamford and my dad is buried there too. Part of the Greenhough family.
Birth Place
I was Born in this Hotel on the 31st May 1968. My Parents, Graham and Anne Henderson were running it back then.


text:
Centenarian Portuguese director Manoel de Oliveira, who can lay claim to be the world's oldest working cinéaste, returns to TIFF with a film that is really a play. Adapted from a 1923 drama by the Portuguese writer Raul Brandao but translated into French, Gebo and the Shadow is filmed as theatre, in the claustrophobic space of Gebo's modest house where the aging accountant lives with his wife, daughter-in-law and the secret of his long-absent son. Only Michael Lonsdale as Gebo can carry the highly theatrical language; otherwise, the depressive dialogue often feels false and the stasis overwrought. Jeanne Moreau appears as a gossipy neighbour and Claudia Cardinale plays Gebo's delusional wife.
Sept. 14, 2:15 p.m. Cineplex 6; Sept. 16, 9:15 p.m. Scotiabank 11Report Typo/Error
Follow us on Twitter: @GlobeArts


text: The Leonard Lopate Show Published by The Leonard Lopate Show The Pill and America Download this audio Want to embed this player? Use the code below. More info. <iframe frameborder="0" scrolling="no" height="130" width="100%" src="https://www.wnyc.org/widgets/ondemand_player/wnyc/#file=/audio/json/60613/&share=1"></iframe> Share on Facebook Share on Twitter Email a Friend Historian Elaine Tyler May talks about how the pill changed America. In America and the Pill: A History of Promise, Peril, and Liberation she describes how women saw that the pill was about much more than family planning—it offered women control over their bodies and their lives, and it created a great cultural shift. She uses personal accounts of the early years and testimonies from young women today to illuminate what the pill has—and has not—achieved during its half-century on the market.


text:
Venice Post Office
350 W Venice Ave, Venice, FL 34285
Phone: 941-483-4195
Fax: 941-486-1238
Toll-Free: 1-800-Ask-USPS® (275-8777)
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Monday-Sunday 12:01am - 11:59pmPO Box Access Hours
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*This facility does not process US Passports applications or renewals. Check nearby locations below.
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Visit our Links Page for Change of Address, Hold Mail/Stop Delivery, PO Boxes™ rentals and fees, Rates on Postage Stamps and Freight/Shipping, Holidays, Bulk Mail, Money Orders, and Available Jobs.
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Nearby Post Offices:
Venice Carrier Annex
314 Seaboard Ave
0.6 mile away
302 Laurel Rd E
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333 S Tamiami Trl
4.0 miles away
Sarasota County


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South Fayette's Carr seeks to follow brothers' footsteps at WPIAL Class AA wrestling championships
South Fayette's Carr clan has placed itself firmly among the ranks of recent powerhouse wrestling families in WPIAL Class AA.
Nick Carr, a 2011 South Fayette graduate, won WPIAL titles for the Lions as a junior and senior and also claimed PIAA gold as a junior.
Younger brother Seth Carr, a 2013 grad, reached the WPIAL and PIAA finals as a senior.
And younger brother Mike Carr, currently a sophomore, intends to add an unprecedented achievement to the family legacy — remaining unbeaten on the way to a WPIAL championship.
Through the first day of the WPIAL Class AA individual championships, the sophomore 132-pounder is right on track. Seeded No. 1, Carr (35-0) received a first-round bye and won his quarterfinal match 15-2 on Friday at Chartiers Valley High School. Likely with his brothers in his corner Saturday, he'll meet Burrell senior J.R. Andrejcik, who lost to Carr twice earlier this season, in the semifinals, which begin at 11:30 a.m.
"Being around them, they set the pace high," said Carr, who placed third in the WPIAL at 120 last season. "You don't want to let them down. They've been training me hard, so I'm going to go out there and do what they did."
The perfect record is not something Carr discusses with his teammates or his brothers — Nick had one loss both times he took first in the WPIAL. There's enough pressure on him already.
"Seeing all the intense stuff (Nick) did, it put a lot of pressure on me to go out and do that," Carr said. "Last year, it put a lot of pressure on me, but this year, I learned that the key way to get there is to relax, have fun and be confident."
Another family made its presence known with authority Friday, as South Park cousins Dallas and Greg Bulsak each advanced to the semifinals. Freshman 106-pounder Dallas Bulsak (22-4), a No. 2 seed, won by technical fall in his only match of the night. And sophomore 152-pounder Greg Bulsak (31-2), a No. 4 seed, pinned both of his opponents.
The elder Bulsak, whose father is a brother of Dallas' father, won a WPIAL title at 126 last season. He believes Dallas, who meets Southmoreland sophomore Cole Lambie in the semifinals, is well on his way to a title, though he goes about his business differently.
"We kind of have different styles," said Greg Bulsak, who will wrestle No. 1 seed Steve Edwards of Burrell in the semifinals. "(Dallas') style is more straightforward aggressive. I'm more about waiting, and I'm more of a wrestler on the mat. He's more comfortable in neutral."
Greg Bulsak is one of eight returning champions poised to place atop the podium again. Kittanning senior 145-pounder Jason Nolf, a Penn State recruit, can become the 23rd wrestler in WPIAL history to win four championships with two more victories. South Fayette junior 160-pounder J.J. Walker can claim his third title. Burgettstown junior 113-pounder Austin McDermitt, Derry sophomore 120-pounder George Phillippi, Valley senior 126-pounder Patrick Dewitt, Avella senior 220-pounder Jake Temple and Burrell junior 285-pounder Al Beattie all are still in the hunt for title No. 2.
Carr, Nolf, Dewitt, Temple and Jefferson-Morgan senior 126-pounder John Demaske are the only unbeaten wrestlers left in WPIAL Class AA.
Bill West is a staff writer for Trib Total Media. Reach him at firstname.lastname@example.com or via Twitter @BWest_Trib.
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Album of Easy String Quartets, Volume I (Pieces by Bach, Haydn, Mozart, Beethoven, Schumann, Mendelssohn, and others): 1st Violin
String Quartet
1st Violin. Composed by Franz Joseph Haydn (1732-1809), Wolfgang Amadeus Mozart (1756-1791), Ludwig van Beethoven (1770-1827), Felix Bartholdy Mendelssohn (1809-1847), Luigi Cherubini (1760-1842), Johann Sebastian Bach (1685-1750), George Frideric Handel (1685-1759), Victor Masse (1822-1884), Luigi Boccherini (1743-1805), and Robert Schumann. Classical. Part. 20 pages. Published by Alfred Music - Digital Sheet Music (AX.00-PC-0002515_VN1).
Item Number: AX.00-PC-0002515_VN1
Includes: HAYDN (Serenade) * HAYDN (God Save Francis, the Emperor) * MOZART (Minuet from Quartet in E-Flat Major) * BEETHOVEN (Cavatine from Quartet, op. 130) * MENDELSSOHN (Canzonetta from Quartet, op.12) * CHERUBINI (Scherzo from Quartet in E-Flat Major) * BACH (Aria, My Faithful Heart) * HANDEL (Largo, from Xerxes) * BEETHOVEN (Minuet from Septet, op. 20) * HASSE (Canzona) * BOCCHERINI (Minuet) * SCHUMANN (Dreaming from Scenes from Childhood, op.15).
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(ST. LOUIS, AP) — The Boeing Co. is offering buyouts to some of its nonunion employees in the St. Louis region.
The company on Tuesday sent an email to 12,000 workers announcing that voluntary buyouts would be offered, although only a part of those employees will be eligible. Those who are eligible will receive invitations by Friday.
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The email says the buyouts are an effort to reduce costs in what the company called the "toughest business environment in a generation."
Tuesday's announcement doesn't affect union employees.
Boeing would not say how many employees it hopes will take the buyouts. The company employs about 15,000 people in the St. Louis region.


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Historical Items Showing 3 of 15 View All
Item 29407
Trestle over B & M on the Old Orchard Division, ca. 1930
Contributed by: Scarborough Historical Society & Museum
Date: circa 1930
Location: Scarborough
Media: Postcard
Item 31648
Burnham and Morrill Clam Plant, Scarborough, ca. 1885
Contributed by: Scarborough Historical Society & Museum
Date: circa 1885
Location: Scarborough
Media: Photograph
Item 100159
Cape Shore corned cod label, Portland, ca. 1920
Contributed by: Maine Historical Society
Date: circa 1920
Location: Portland
Media: Lithograph
Tax Records Showing 2 of 2 View All
Item 87908
Fairfield property, N. Side Island Avenue, Peaks Island, Portland, 1924
Owner in 1924: Lewis P. Fairfield
Use: Summer Dwelling
Item 32999
116-124 Manners Avenue, Portland, 1924
Owner in 1924: Anna K Ebbesen
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Exhibits Showing 3 of 4 View All
Maine's corn canning industry, as illuminated by the career of George S. Jewett, prospered between 1850 and 1950.
Eternal Images: Photographing Childhood
From the earliest days of photography doting parents from across Maine sought to capture images of their young children. The studio photographs often reflect the families' images of themselves and their status or desired status.
Gifts From Gluskabe: Maine Indian Artforms
According to legend, the Great Spirit created Gluskabe, who shaped the world of the Native People of Maine, and taught them how to use and respect the land and the resources around them. This exhibit celebrates the gifts of Gluskabe with Maine Indian art works from the early nineteenth to mid twentieth centuries.
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Biddeford History & Heritage Project
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A history of the easternmost town in Maine as created by the Lubec Historical Society, Lubec Consolidated School, Lubec Landmarks, and Lubec Memorial Library. Exhibits include the sardine and herring industries, the Sardine Queen, the West Quoddy Head Lighthouse, the 1911 Centennial Celebration, the S. S. Cumberland Steamer, the gold hoax, an important community quilt, a tragic boating accident, and the blizzard of 1934, among others.
An extensive history of a small central Maine town as compiled by team members from Guilford Historical Society and Piscataquis Community Middle School, with input from Guilford Memorial Library, Guilford Economic Development Board, and the Guilford's town office. Manufacturing, festive events, historic buildings, notable veterans, and education, are covered in depth.


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Cape Town - Manager Alex Ferguson was satisfied with Manchester United's workout, praising the quality of their opposition after the pre-season friendly against Ajax Cape Town on Saturday afternoon.
The Red Devils needed an injury-time goal by Bebe to salvage a 1-1 draw after Alcardo van Graan put Ajax ahead in the 86th minute.
It was a competitive, fast-paced game, with both sides creating chances throughout.
"They nearly [beat us], but we've been there before," Ferguson said.
"Ajax's tactics were very good, they pressed the ball and when they won the ball they counter-attacked well and gave us a lot of worrying moments.
"It was a competitive game and it's good we managed to get some game time, with no injuries. It was very satisfying for us."
United head off to China next in their pre-season tour, having defeated AmaZulu 1-0 in their other SA game in Durban on Wednesday.
This is the third time in the last six years that United have toured South Africa, and Ferguson believed the quality of football in the country was improving.
"Over the years we have been here, there has been progress and I have seen good improvements," Ferguson said after Saturday's clash.
"Today we saw progress - Ajax played with a lot of speed, commitment and organisation."
Ajax coach Maarten Stekelenburg was pleased with the way they shaped up.
"The team played ok, and we were very happy for the support from Cape Town," Stekelenburg said.
"It's important for us to build our brand here in the city. Let's hope for our next games people come and support the team.
"I was happy with the game time, and for our players it was something special to play Man United."
Several of the club's younger players were on display at a packed Cape Town Stadium and Stekelenburg said Ajax were working on the way forward after they finished ninth in last season's Premiership.
"We are on the right track and because our academy is so professionally run, I'm sure we are going to see many more talents coming through," he said.
"But it's a long term thing and takes time, with the final step coming when the player steps up to the first team, so it's important that they get experience at that level.
"I've been with Ajax for three years now and worked with the youth before - I know that we have huge potential.
"I've always said that it's unbelievable how much young talent we have in South Africa."
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text:
X-Pro1 Manual Focus Zoom: FUJI FIX THIS!
Recently I have been using the EVF so I can manual focus my Fuji so that I can shoot fast and get shots that aren't in such sharp focus. It is a style issue for me. I have also been shooting at a faster pace.
What I found in shooting in this new style was a bit frustrating to me. When the X-Pro1 is writing files to the SD card the ability to zoom in for focus is disabled and you must wait for the writing to stop in order to zoom for focus again. So although you can shoot pictures while it is writing and look through the EVF, you cannot use the zoom to make sure that your focus is accurate.
This has annoyed me quite a bit and I am wondering if anyone else has noticed the issue or if there is a way to fix it in the settings? If not I would very much love for Fuji to address this in future firmware updates, as it presents itself as a problem in several real world applications.
Cyclopedia Creative Media
"Ideas that speak volumes"
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text:
I see a couple holding each other and longingly looking at flash sheets on the wall.
But after looking at it longingly, she put it back in her pocket.
Dick also glanced at him longingly as he said "last summer".
Sometimes he would lose his mastery of himself 117and regain it only to listen again, wistfully, longingly.
"It's the house of Grierson that should rejoice," he said longingly.
They are looking this way so longingly, but the procession don't come as far as them.
Uncle Matthew had spoken so sadly and so longingly that John had deeply pitied him.
Dick looked after her longingly and heaved a mountainous sigh.
Then he said longingly, "I'm about to catch up on some sleep."
But Peter had frowned angrily, as he longingly sized up Mr. Lane, and wished he were not a gentleman so that he could punch him.
"yearning, desire," Old English langung "longing, weariness, sadness, dejection," from long (v.). Related: Longingly.


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ENOC is a Superbrand for the 4th consecutive year
ENOC is a Superbrand for the 4th consecutive year
• Group honoured Superbrands status in recognition of excellence in products and services
Emirates National Oil Company (ENOC) has been named a Superbrand by the Superbrands Council, the independent authority that honours branding excellence and achievements in various sectors across the world. The group was awarded the status for the 4th consecutive year in recognition of its outstanding record for products and customer service in line with international standards.
The local Superbrands Council, which comprises some of the most prominent names in the UAE business sector, selected ENOC, along with other 63 leading UAE brands - all of which met the stringent selection criteria set by the Council.
Known globally as the "Oscars of Branding", Superbrand status is considered to be a stamp of quality and innovation. It is awarded based on market dominance, longevity, customer loyalty and other related criteria.
Khalid Hadi, ENOC Group Brand & Marketing Manager, received the Superbrands award from Mike English, Director of Superbrands Middle East, at a glittering event held in Dubai. Leading entrepreneurs and marketing executives attended the event.
Commenting on the recognition, Saif Al Falasi, ENOC Group General Manager, said: "The Superbrands status is a testament to our continuous dedication and commitment towards providing excellence across our business practices. The award is a reiteration of the success of ENOC as a company that contributes to the overall growth of the economy while focusing on best practices, upholding the highest standards of customer service and products. We are proud to be one of the strongest brands in the UAE, and this will encourage us to continue excelling in our line of business."
Hadi said: "We are honoured to receive this prestigious award, especially from such an influential organisation. Winning the Superbrands status for the 4th consecutive year means that we are the energy brand of choice, and highlights our achievements over the years in providing consumers with the best products and services."
The Superbrands Council is committed to promoting branding excellence across the world. Winners of the coveted award are also included in the Superbrands book, which highlights each company's core strengths and trade mark attributes.
This year, Superbrands were voted not only by the brand council but also online, expanding the voting base to over 3,000 marketing professionals.
Top Headlines
- Emirates Gas wins Dubai Chamber's CSR Label Award for 4th consecutive year
- Injazat named 'Managed Services Provider of the Year' at CNME's 4th ICT Achievement Awards 2013
- ENOC is only UAE company to win Superbrands Award for sixth consecutive year
- ENOC wins Superbrands Award for 7th consecutive year
- FINE wins prestigious Superbrands award for second consecutive year


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Mochila Herschel Little America Navy Tan Synthetic Leather
A popular mountaineering silhouette, the Herschel Little America™ backpack elevates an iconic style with modern functionality.
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In attempts of going through the Rockies to Aspen tonight, I am stranded about halfway there until a store or shop opens in 6 hours. So, I noticed my car start to lag a little bit when going uphill. Even had to take it out of cruise and downshift a few times to get over the hill. About 20-30 minutes later my CEL started flashing. I pulled over and the light went off. I drove it just far enough to make it to the next town, having to pull over one other time in between. I did happen to get gas about 50-60miles before this all happened and wondering if i had tightened the cap well enough. I've had the light come on because of that when I first got the car but can't remember if anything else abnormal happened then.
I tightened the gas cap, restarted the car and the light was then solid with a rough idle.
Got back on the road towards the store and it started flashing again. I don't know how long it takes for things to go back to normal if the problem was indeed the gas cap, but read somewhere that it can take up to 20 restarts to reset things. (???) I restarted it about 8 times, somewhat hesitant to start, idled roughly for close to a minute and then started flashing again. Turned it back off, and finally this last time ran it for a couples minutes without it flashing, but still solid. Still rough, but seems like it might be a little bit smoother now. Does this sound like an easy gas cap problem or not so much??
I know my spark plugs are way past due on being replaced and was told about a year ago that I would probably need coil packs replaced in the near future. Also, any recommendations on spark plugs and/or coil packs? I read up that he iridium and platinum last longer but the coppers are actually better despite how long they last.
I'm driving a 2003 WRX with 115k miles and the only mods I know of are the MBC and the K&N. Haven't changed anything else since having it. Fully synthetic Oil/oil filter and fuel filter both changed a couple thousand miles ago, air filter cleaned.
Any quick help/advice would be greatly appreciated! :)


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- Course Number:
- Course Title:
- Leadership Through Civic Engagement
- Credit Hours:
- 2
- Lecture Hours:
- 0
- Lecture/Lab Hours:
- 40
- Lab Hours:
- 0
- Special Fee:
- $12.00
Course DescriptionProvides students with the opportunity to hone their leadership skills by participating in activities associated with civic engagement through community service projects and volunteer roles. Students will develop leadership skills by working on meaningful projects that cultivate team work, communication techniques, group dynamics, project management, organization and evaluation. Instructor permission required. Audit available.
Intended Outcomes for the course
•Use and understand the importance of civic engagement, volunteerism, and service in our community to support and advocate for such engagement.
•Use team building skills to work effectively in community service.
•Translate the leadership skills learned by engaging in service and volunteer activities to those needed in the work environment like communication techniques and organization.
•Manage a project from beginning to end.
•Evaluate the success of a service project or initiative.
Course Activities and Design
Each student will be required to read some articles about the concept of servant leadership and civic engagement. A one page reflection paper will be submitted with students synthesizes concepts of civic engagement with servant leadership with the service project they work on during the quarter.
Each student will select a community service project to lead or participate (40 hours).
At the end of the quarter, each student will be required to submit a work log detailing their service with the project and a reflection paper evaluating the project.
Outcome Assessment Strategies
Develop a portfolio of the activities and projects the student worked on during the quarter with their service project.
Write two one page papers that reflect on the topics of servant leadership and civic engagement. The instructor will supply each student those articles.
Course Content (Themes, Concepts, Issues and Skills)
Civic Engagement
Servant Leadership
Group Dynamics
Project Management


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T-Mobile would have to add 26 million subscribers, or 6.5 million in each quarter. Considering that would be more than two and a half times what T-Mobile added to its subscriber list this past quarter, Legere might be drinking too much of his own Kool-Aid.
What T-Mobile is more likely to do next year, is jump over Sprint to become the nation's third largest carrier. Sprint has a 6 million customer lead over T-Mobile, a lead that could disappear by the beginning of 2015. Sprint has admitted to losing subscribers while it tweaks its network, and Legere and crew have momentum. So while 75 million subscribers might be impossible for T-Mobile to reach next year, there still is a reachable goal for the carrier.
If T-Mobile does overtake Sprint to become the third largest carrier in the U.S., would the regulators feel differently about Sprint buying T-Mobile? After all, it would then be the fourth largest carrier buying out number three.
source: YahooTech via BGR


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1939 New York World's Fair Otis Elevator Souvenir Book
- Sold for: Start Free Trial or Sign In to see what it's worth.
- Item Category: Advertising
- Source: eBay
- Sold Date: Apr 12, 2007
- Channel: Auction House
Many photos in this Souvenir Brochure from Otis Elevator Company for the 1939 World's Fair. Featured on the cover is the Empire State Builiding, which contained 67 Otis Elevators. Very good condition. Good binding, clean and bright. Please read the following before bidding: Winning bidder to include $3 shipping to a US destination. New York State Residents please add 8.75% sales tax Additional postage will be required for delivery outside of US. Will combine shipping on multiple auctions to same address. Money orders or checks in US Funds accepted. Please make checks payable to Happihouse Inc Paypal accepted. No local pick-up unless arrangements have been agreed upon prior to auction close. Cannot be responsible for damaged or lost item unless insured. No Pink Canadian postal money orders. Payment must be sent within 7 days of auction close. Items are usually mailed the Tuesday following the receipt of your payment. Thanks for looking and please check out our other auctions.


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Deer Hunting Forums (http://www.deerhuntersclub.com/forums/)
- Rifle Hunting (http://www.deerhuntersclub.com/forums/rifle-hunting/)
- - Big Buck? Opinions Please (http://www.deerhuntersclub.com/forums/rifle-hunting/8392-big-buck-opinions-please.html)
Big Buck? Opinions Please
I cought this buck on camera for past two weeks at my family land. This is my first year hunting and my first buck i have crossed paths with. Any clue what he would score? Should I take him this year if possible or wait till next?
There is two scrapes about 25 yards to the right of the camera, Doesnt look like they have been messed with much. But they have been there sence eairly September.
Also on October 5th when he comes through in the picture he makes a fresh rub on one of the sapling trees right infront of camera.
I have put corn down and a mineral lick where the camera is facing to bring in some pics.
Any suggestions or opinions would be greatly appericate. Just wondering if this is gonna be a decent place to put a stand up and maby he might come back through.
DUDE! HECK YES he's a shooter! I would say he's either 4 1/2 or 5 1/2 year old. He's tall and wide and he's DEFINATELY a buck I'd shoot. He'll be a mounter! I would guess him to score around 160 - 170 non-typically.
Wish I was huntin' where you're at!!!! Good luck and let us know when you get him!
What tator said times 1702358701451...
Shoot it. You may never get a bigger one the rest of your life.
If you get a shot take it, dont expect buck like that to come around to often most have to hunt for many years to harvest a buck like that. Be careful placing your stand. A old buck like that doesnt get that old by being dumb if you can place your stand farther away but where you can still take a shot.
.........or you can send him my way!!!:lol:
Good luck on the hunt!
Thanks for input. I will definitely be in the woods every morning and afternoon till I get him. I hunt in upper South Carolina so I dont think the rut will be in for another 3 weeks or so if im not mistaking from what I have been told. Ill definitely take the advice and set up somewhere off his couple scrapes I found about 40 - 50 yards back. Hope he does come out. I would love to drop him for my first buck kill. I would consider myself very fortunate. Another big reason is its my grandads land im hunting on and would be nice to have a buck off my family land to remember for a long time down the road.
Thanks guys
Stop shaking and shoot
I haven't had the problem that you are going to have with this beauty, just SHOOT. I always look for antlers and if I see them I am looking for a shot. This big boy will be wonderful on your wall, we expect to see a picture posted with a big smile on your face.
Great Looking buck !!!
I'm a meat hunter so I say SHOOT! He's nice. Looks like a non-typical?
who cares what he scores thats a big buck and I would shoot him any day
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I'm new to Connecticut hunting and live in New Haven. Can anyone recommend some good public land to go hunting this weekend? I have a canoe and a dog that won't pay much attention to me. I read somewhere that the Wheeler Wildlife Management Area is supposed to be good. Are there ducks around yet? I haven't really heard any, but I haven't done much scouting.
Also -- does anyone know where to go for state-stocked pheasants? I can't figure out where the state does its stocking and when. I'd love to give that a go this weekend if there's no hope for the ducks.


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The Grey Side of Mobile Advertising
Grey hats do their work in between the good and the malicious sides of computing and often push the limits of maliciousness when it comes to making a quick buck.
Keeping a Secure Mobile Device
It's easy to protect your mobile device from malware with the various anti-virus and anti-malware apps (such as Malwarebytes Anti-Malware Mobile!), but what do you do if someone stole your phone?
Infected HTML Files Bundled in Android Apps
File infectors can be very destructive to a victims PC, typically they search the file system for certain file types to infect. We're starting to see them now in the Google Play Store.
Mobile advertisers use malware tricks to get installs
Deceptive advertising targeting Android users is an effective way of getting malware installed, but now some advertisers are using it to get paid through pay-per-install schemes.
Android Features Used Maliciously
The majority of Android malware doesn't need any special 'magic' to behave maliciously, they use existing functionality to attack users, functionality available to all developers.


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Plum Catering & Event Planning is a full service caterer located in the heart of Oakville. Plum caters to all areas from the Niagara region to all areas surrounding the GTA. We specialize in innovative fresh menus plus complete staffing and rental co-ordination.
Plum specializes in catering for Corporate meetings, Weddings, BBQ's, Milestone birthdays, Anniversaries, Graduations, Baby showers, Communions, Engagement and Family reunions.
Please feel free to browse our site or contact us to set up a personal consultation.


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Siri just happens to be a handy little iPhone assistant, however the interface has very limited functions. iOS developer Adam McNight figured he would change that with the release of a new free jailbreak tweak dubbed SiriGole. The tweak adds three touch-based gestures to Siri, which makes the assistant a little more functional. The gestures are illustrated by the animated gif image above.
In case you couldn't follow the animated gif image, the gestures added to the interface are mapped out below:
- Swipe the microphone icon to the left to open Siri's settings from the Settings application
- Swipe the microphone icon to the right to clear the current conversation
- Hold down on the microphone icon to close the Siri interface completely
Deciding whether or not the tweak will be helpful to you is subjective to your own individual Siri uses. The option to quickly get to Siri's settings is great for people that want to easily disable Siri or change Siri's language on the fly without the need to navigate through the maze that is the Settings application. The ability to clear the conversation is great if you have said something you might consider embarrassing and don't want other people to see. The gesture to easily exit Siri can also be done with the home button, however not everyone likes using a button on a touch screen device.
It is important to note that Siri must be in full-declared mode (full-screen) to use the swipe gestures. Holding down on the microphone icon to close Siri can be done both in full-declared mode and when Siri is only about the size of the multitasking App Switcher. Trying to use the swipe gestures while in the smaller mode will yield no helpful results.
SiriGole works with any iPhone 4S or any iOS device with the Spire Siri port. Since Siri is an iOS 5-only assistant, your iOS device must be running iOS 5 to install this tweak. Everything works as advertised and the tweak is recommended to any Siri users that might find these shortcuts helpful. It's free, so you can try it out and see if it will find a comfortable home on your iOS device.
Name: SiriGole
Price: FREE
Version: 1.0-1
Requirements: iOS 5, Siri capability
Repo: BigBoss
Developer: Adam McNight
Editor's Rating: 3/5
Sources: Adam McNight


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Twenty years after Cuban raft exodus, they keep coming
By David Adams
MIAMI (Reuters) - Alicia Garcia vividly recalls her rescue at sea 20 years ago during a mass exodus from Cuba, a dramatic event that changed the lives of hundreds of thousands of people and reshaped relations between the communist-run island and the United States.
"We didn't think we'd make it. We prayed, and put ourselves in God's hands," she said of her six-day ordeal clinging with five others to a raft made of truck inner tubes and rope.
Illegal departures by sea from Cuba are on the rise again, U.S. officials say, with more than 2,000 migrants picked up by the U.S. Coast Guard over the last 12 months. That is the highest rate in six years.
Many more are passing undetected, mostly headed west aboard flimsy home-made vessels in a risky bid to cross the Caribbean to Honduras, in hopes of getting across the Mexico-U.S. border.
Late last month 17 Cubans were rescued by the Mexican navy after almost a month at sea, 20 days without food. Details are unclear, but more than a dozen others may have died from dehydration - the survivors forced to throw their bodies overboard.
The town of Manzanillo in eastern Cuba, where most of the victims are from, planned a church Mass on Friday night.
"My wife, she can't bring herself to tell me what really happened. It's too terrible," said Jose Caballero, husband of one of the survivors, who left Cuba via a similar route in December and now lives in Texas.


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A natural sequela of the loss of maxillary molars is the loss of crestal bone height. Once teeth are removed, the remaining ridge can lose 30% to 60% of its height and width within the first 3 years. The maxillary sinus can pneumatize and become larger, and this too will result in a decrease in the remaining osseous ridge height.
When this loss of vertical distance between the crest and the sinus floor occurs, the ability to place dental implants can be compromised. When not enough bone exists to provide stability and long-term support for a dental implant and its restoration, a sinus lift procedure is indicated.
There are 3 anatomic locations for performing sinus floor grafting:
- The classic Caldwell-Luc opening anterior to the zygomatic process and above the root apices of the premolar and molar teeth,1
- The mid-maxillary entrance between the alveolar crest and the zygomatic process,1-2
- A low position at the level of the existing alveolar ridge crest.2
In the maxillary sinus for prosthetic reasons, Boyne3 first used bone grafting to increase the volume of osseous tissue in the 1960s. Tatum4 then used an antral grafting technique for the placement of metal implants. This invasive lateral wall approach requires the surgeon to create an access window through the lateral wall of the sinus using a Caldwell-Luc Approach.5-7 Once the window is created, the wall is infractured while simultaneously elevating the sinus membrane, creating a space between the Schneiderian membrane and the floor of the sinus. A graft material is introduced into the resulting space. This technique is usually utilized when less than 5 mm of crestal bone remains.8 However, this technique, while very successful and predictable, does not come without its possible negative side effects. Infection, dehiscence, sinus perforation, and infraorbital nerve injury are all very real possibilities.
In the mid-1990s, Rosen et al9 and Summers10-11 demonstrated that the sinus floor could be lifted by the introduction of an osteotome via the implant osteotomy. This internal approach is known as the Summers approach, and it involves creating an osteotomy to within one mm of the sinus floor and then using an osteotome to upfracture the floor. Once upfractured, particulate graft material is placed into the osteotomy and pushed into the sinus. This approach has an unpredictable limit of approximately 4.0 to 5.0 mm of lift. Tears of the sinus membrane are a common side effect due to the uncontrolled fracture of sinus floor.
The unfortunate reality is that many patients will forego implant treatment if a sinus lift procedure is indicated. Either the perceived fear of the procedure or the additional cost may be the deciding factor for them.
Utilization of Short Implants
Initially, the efficacy of short implants was questioned due to longstanding implant doctrine, but in recent years, the success of short, wide-body implants has been shown. In 2004, Fugazzato et al12 demonstrated the cumulative success rates of implants less than 9 mm in length to be 95.1%. More recent studies have shown the survival rate of short implants in partially edentulous patients is similar to that of standard implants.13
The 6.0-mm Macro implant (OCO Biomedical) is a viable alternative for ridges where vertical bone height is compromised. It has aggressive threading, which allows for placement in either soft or hard bone with outstanding primary stability, has platform switching, and has a simple placement protocol.
Diagnosis and Treatment Planning
The patient was a 32-year-old male who presented with an unremarkable medical history. The maxillary right first and second molars (teeth Nos. 2 and 3) were atraumatically extracted approximately 2 years prior due to extensive decay (Figure 1). The remaining ridge, although very wide (about 11.0 mm), was compromised in the vertical dimension. CBCT scans showed posterior ridge height of 5.2 mm in the area of No. 2 (Figure 2). A compromised ridge such as this would usually have been treated with a crestal approach Summers lift, using osteotomes to upfracture the sinus floor 4.0 to 5.0 mm to accommodate an implant of 8.0 mm in length. In the No. 3 implant site, the sinus floor sloped upward as it approached the anterior wall. The ridge height in this area was 5.9 to 6.0 mm.
|Figure 1. Pre-op panoramic radiograph.
|Figure 2. Cross-sectional CBCT of edentulous area.
The treatment plan was to place two 6.0 mm x 6.0 mm Macro implants. The implant site in the No. 2 area would require a slight (1.0 mm) lift, and the No. 3 area would be able to accommodate the short implant without a lift.
Clinical Protocol
Once profound anesthesia was accomplished with the infiltration of Septocaine (Septodont) (with 1:100,000 epinephrine) on both the buccal and palatal areas, a No. 8 round bur was used to penetrate the keratinized tissue and create a divot in the crestal bone. Next, a 1.8-mm pilot drill with copious irrigation was used to create an osteotomy that extended up to the sinus floor without antral penetration (Figure 3).
Following the prescribed protocol, a 6.0-mm guided tissue punch was used to remove a concentric tissue plug around the initial pilot hole (Figure 4). Now that the crestal bone was exposed, a 3.5-mm upper osteotomy former was used first (Figure 5), followed by a 5.7-mm wide osteotomy former (Figure 6). Normally, with the OCO system, protocol allows progression from pilot to final diameter in a single step due to the unique step drill design. When using a 6.0-mm implant, it is advisable to step up in a progression in order to minimize drill "walk out" and also to lessen the possibility of heating up the bone by such a large jump in diameter. Once the osteotomy was completed on site No. 3 (Figure 7), the steps were repeated for the No. 2 site. The only difference was the use of a single 1.0-mm rubber o-ring in conjunction with a 6.0 mm depth stop to indicate the proper depth for drilling based on the CBCT measurements (Figure 8).
|Figure 3. The 1.8-mm pilot drill with 6.0-mm depth stop in place.
|Figure 4. A 6.0-mm guided-tissue punch.
|Figure 5. A 3.5-mm osteotomy former.
|Figure 6. A 5.7-mm osteotomy former.
|Figure 7. Completed osteotomy.
|Figure 8. Pilot drill with depth stop and o-ring.
Both sites were flushed with sterile saline, and the patient was instructed to perform a Valsava maneuver to determine if an oral-antral communication occurred during preparation of the osteotomies. No perforation was noted, so steps were taken to place the implants.
A thin shell of bone was left at the sinus floor, and, to avoid having the bare implant body protruding into the sinus cavity, the floor was upfractured approximately 1.0 mm utilizing the dental implants.
Autogenous bone recovered from the osteotomy formers was mixed with a small amount of cortico-cancellous blend allograft material (Raptos [Citagenix]) and introduced into the osteotomies with a small paddle curette (Zoll-Dental) (Figure 9). Two 6.0 mm x 6.0 mm Macro implants were threaded into the prepared sites utilizing the attached Ultim carriers (Figure 10). Once seated, the carriers were removed and the implant driven into position with a torque wrench. Upon reaching the thin sinus floor, and mechanically pushing against it, a controlled upfracture resulted for the implant in area No. 2 (Figure 11).
The 45-Ncm rotational resistance was achieved on implant No. 2, and 47 Ncm was achieved on implant No. 3 at final insertion. These values on their own constitute enough primary stability to immediately load,14 but both implants were then checked using RFA (Osstell) (Figure 12). Implant stability quotient (ISQ) values of 68 and 72 were realized on sites Nos. 2 and 3, respectively. It is generally accepted that an ISQ value higher than 65 is sufficient to commence an immediate load (or early load) protocol per summary research by Osstell.
With outstanding primary stability achieved, 5.5 mm solid crown and bridge abutments were placed and torqued to the specified 30 Ncm (Figure 13). In approximately 5 minutes, they were retorqued to counteract any potential prestretch of the abutment threads.
|Figure 9. Autogenous bone harvested from osteotomies.
|Figure 10. A 6.0 x 6.0 Macro (OCO Biomedical) implant.
|Figure 11. Panoramic radiograph of implants in place.
|Figure 12. Smart peg inserted in implant for implant stability quotient reading (RFA [Osstell]).
|Figure 13. The 5.5-mm solid crown and bridge abutments.
|Figure 14. Acrylic copings in place.
Immediate temporization was carried out utilizing acrylic copings (Figure 14) and Protemp Crowns (3M ESPE). The splinted temporary crowns were cemented using Improv (OCO Biomedical), a temporary resin-based cement. The patient was dismissed with appropriate postoperative prescriptions and instructions (Figure 15).
The patient was also advised that there were no limitations for eating for the next few weeks.
After 3 weeks, the patient returned to the clinic for evaluation and the final impressions. The temporary crowns were removed and Tissue Retraction Impression Pickups (TRIPs) were placed (Figure 16). A final impression was taken using a combination of light- and heavy-body vinyl polysiloxane impression materials (Identium [Kettenbach LP]) (Figure 17). Once the impression was removed from the mouth, one-piece implant analogs were positioned back into the TRIPs. The upper and lower quadrant impressions were sent to the lab along with a bite registration (Futar [Kettenbach LP]) to fabricate individual PFM restorations (Figure 18). The temporary crowns were recemented and then the patient was dismissed.
|Figure 15. Provisional restorations (Protemp temporary crowns [3M ESPE]).
|Figure 16. Tissue Retraction Impression Pickups (TRIPs) in place.
|Figure 17. Impressions taken with TRIP.
|Figure 18. Analogs placed into final impression (Futar [Kettenbach LP]).
|Figure 19. Final PFM restorations in place.
|Figure 20. Final radiograph of completed restorations.
In approximately 2 weeks, the patient returned for final seating of the restorations. After removal of the temporary crowns, all remaining temporary cement was cleaned off the abutments and the crowns checked for fit. Occlusal adjustments were carried out and the crowns were cemented (Improv [Alvelogro]) in place (Figure 19).
Excess cement was removed and verified with a radiograph (Figure 20).
Short, wide implants have allowed practitioners to place implants utilizing an atraumatic, minimally invasive, and predictable technique, done in areas where previously a traditional sinus augmentation would have been necessary. This type of treatment exposes the patient to fewer detrimental side effects and, in addition, these short implants allow for predictable, long-term success.
- Boyne PJ. History of maxillary sinus grafting. In: Jensen OT, ed. The Sinus Bone Graft. 2nd ed. Chicago, IL: Quintessence Publishing; 1999:1-6.
- Zitzmann NU, Schärer P. Sinus elevation procedures in the resorbed posterior maxilla. Comparison of the crestal and lateral approaches. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;85:8-17.
- Boyne PJ. Restoration of osseous defects in maxillofacial casualties. J Am Dent Assoc. 1969;78:767-776.
- Tatum H Jr. Maxillary and sinus implant reconstructions. Dent Clin North Am. 1986;30:207-229.
- Smiler DG. The sinus lift graft: basic technique and variations. Pract Periodontics Aesthet Dent. 1997;9:885-893.
- Smiler DG, Johnson PW, Lozada JL, et al. Sinus lift grafts and endosseous implants. Treatment of the atrophic posterior maxilla. Dent Clin North Am. 1992;36:151-186.
- Jensen J, Simonsen EK, Sindet-Pedersen S. Reconstruction of the severely resorbed maxilla with bone grafting and osseointegrated implants: a preliminary report. J Oral Maxillofac Surg. 1990;48:27-32.
- Boyne PJ, James RA. Grafting of maxillary sinus floor with autogenous marrow and bone. J Oral Surg. 1980;38:613-616.
- Rosen PS, Summers R, Mellado JR, et al. The bone-added osteotome sinus floor elevation technique: multicenter retrospective report of consecutively treated patients. Int J Oral Maxillofac Implants. 1999;14:853-858.
- Summers RB. A new concept in maxillary implant surgery: the osteotome technique. Compendium. 1994;15:152-162.
- Summers RB. The osteotome technique: Part 3—Less invasive methods of elevating the sinus floor. Compendium. 1994;15:698-710.
- Fugazzotto PA, Beagle JR, Ganeles J, et al. Success and failure rates of 9 mm or shorter implants in the replacement of missing maxillary molars when restored with individual crowns: preliminary results 0 to 84 months in function. A retrospective study. J Periodontol. 2004;75:327-332.
- Telleman G, Raghoebar GM, Vissink A, et al. A systematic review of the prognosis of short (J Clin Periodontol. 2011;38:667-676.
- Schlesinger CD. Predictable immediate implant stabilization and restoration. Journal of Implant and Advanced Clinical Dentistry. 2013;5:17-23.
Disclosure: Dr. Schlesinger is the COO of OCO Biomedical.


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Major progress reported in writers talks
By Steve Gorman
LOS ANGELES (Reuters) - Hollywood's striking writers and its major studios made "significant progress" in recent talks aimed at ending their labor dispute, a source briefed on the discussions said on Saturday, raising hopes a settlement may be near.
Word of a breakthrough came as the Writers Guild of America strike neared its three-month mark and after 11 days of low-key contract talks that followed a separate labor deal between the studios and Hollywood directors.
The current writers' talks were initially conceived as "informal discussions" designed to sketch the outlines of a potential settlement and to lay a foundation for the resumption of full-scale bargaining that collapsed in acrimony on December 7.
But the latest sessions proved more fruitful than expected, evolving into substantive negotiations now expected to lead straight to a deal that would put the 10,500 striking writers back to work, the source said.
The person who was briefed on the talks but spoke on condition of anonymity because the individual was not authorized to talk on the record, told Reuters, "I know they made significant progress" on Friday. The source declined to give further details.
Any deal would have to be endorsed by the governing boards of the WGA's East and West Coast branches and ratified by the union's rank and file.
The chief sticking point in the labor dispute has been the question of how much writers should be compensated for work distributed over the Internet and other digital media.
The New York Times, citing unnamed sources, reported on Saturday the last major roadblocks to a deal had been eliminated and that a tentative accord could come as early as next week. Continued...


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It's looking like campaign 2012 may include a few familiar faces in the Republican lineup of presidential hopefuls, as potential challengers to an Obama re-election bid such as Mitt Romney, Newt Gingrich and Rick Santorum begin to pull their acts—and teams—together. —KA
AP via Google News:
Mitt Romney, Tim Pawlenty, Rick Santorum and Mississippi Gov. Haley Barbour are quietly preparing for possible candidacies with visits to would-be donors, calls to potential supporters and interviews with future hires.
"Things have picked up dramatically in the last couple weeks," said Matthew Strawn, the chairman of the Iowa Republican Party.
Putting together the early nuts-and-bolts of a campaign is a delicate balance between persuading staff and donors that the candidate is serious while telling the public that a bid is being weighed.
"I haven't made a decision yet as to what we're going to do," Romney often demurs even as his advisers are reviewing resumes.
AP / LM Otero
Romney reboots: 2008 presidential contender and former Massachusetts Gov. Mitt Romney is exploring his 2012 options behind the scenes.