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As a couple, Fernando and his wife Guillermina discovered during the early stages of their pregnancy that they were going to have five babies at the same time. It was an exceptional experience since in the United States, less than 10 couples are blessed to have quintuplets each and every year.
Despite the news, this Dad and Mom stayed calm – something even the doctors could not believe. Whenever a mother carries an additional baby, the possibility of developing a complication is increased. Some of the complications include placental abruption, gestational diabetes and sometimes death. You can now image that the danger is multiplied five times when they are five in number.
Dr. Tracy Manuck who was Guillermina's doctor termed the new mother extraordinary. Though Guillermina suffered from severe pre-eclampsia and high blood pressure, she never complained even once. Since she carried many babies, her baby bump developed some purple and blue bruising. Through the entire pregnancy, it was impressive that Fernando was always present to provide his wife with the needed support.
The 32-year-old mom carried the babies till 31 ½ weeks. Compared to many single-birth pregnancies, it was 7 weeks shorter, but 3 weeks longer than what most quintuplet mothers take. Since more time was spent in the womb by the quintuplets, they had well developed lungs compared to other quintuplets.
It was back in 2013, during the Memorial Day weekend when she went into labor. She went to the University of Utah Hospital within Salt Lake City. It was the first time the hospital was handling such a case, but a team of 8 doctors, dozens of nurses and one anesthesiologist did their best to ensure the mom and her babies were safe. It was a successful delivery and 3 girls and 2 boys were born – Jordan, Esmeralda, Fernando, Fatima and Marissa.
Kindly watch the miraculous moment below and remember to SHARE with your Facebook friends!


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Xalapa, Veracruz — The government of Veracruz reported that so far they have recovered more than 1.2 billion pesos that were in the hands of former governor Javier Duarte de Ochoa along with loan officers and accomplices.
Governor Miguel Angel Yunes Linares detailed that approximately 722 million peso have been recovered, with 46 percent of the recovery being in cash. He says the balance has been recovered on other assets including real estate and tangible property.
He said that the amount recovered in cash equals three times what Veracruz has allocated this year to carry out public works, so he considered it a success to have these resources returned.
Yunes Linares said that the resources recovered are used in health matters and important investments will also be made in security matters, the main concerns of Veracruz.
Regarding real estate, he explained that part of Las Mesas ranch has been recovered in Valle de Bravo as well as Ranch El Faunito in Fortín de las Flores and other properties that total 22 among which there is a house in Tlacotalpan, two houses in Boca del Rio and an apartment in Alvarado.
Two helicopters used by the Secretary of Security were also secured, and a Learjet 45 aircraft which is being repaired and will be sold by the state government in the coming months.
All of these recoveries were part of the alledged corruption scheme by former state governor Javier Duarte.

subset: commoncrawl


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|Graeme Tuck
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It's about a lady who loves shoes and fashion, a guy whose mission is adventure and opportunity, and a team with passion for our country, it's people, it's bright colours and it's carefree style.
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cant get onto the client login AGAIN!
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Posted on April 23, 2019
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How to make Green Salad- Vegetable Salad Recipes
Consumption of vegetables should be on every individual's to do list. Green Vegetable Salad is an efficient way to get maximum benefits from vegetables. Do you know how to make green salad at home? Vegetables are a remarkable source of the vital nutrients to maintain a healthy and balanced diet. The maintenance of the body is made sure by the intake of vegetables. People who eat more vegetables and fruits tend to live a better and healthy life than those who do not take in vegetables in their daily routine. This lifestyle reduces the risk of some fatal diseases....Read More


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Corporate Finance and Ownership Strategies
Valuations, Bid Situations, Equity Splits and De-MergersValuations are rarely executed on a stand-alone basis, but rather as a necessary and important part of bid evaluations for acquisitions or divestitures/trade sales of non-core assets, or as a basis for negotiating de-mergers. Several equity split projects/de-mergers have also typically been characterized by successfully managing complex negotiations and building dialogue/creative win-win solutions in situations characterized by owner conflict and distrust between shareholder groups or board members.
Advanced Ownership StrategiesA separate corporate finance specialty has been to work directly for corporate boards in evaluating and implementing advanced ownership strategies, characterized by combining various measures such as protecting against external takeovers, locating alternative buyers, tightening up internal agreements and shareholder protection schemes, refinancing, building a more robust equity structure, etc. Usually, all of these actions are combined into an "integrated package."
The below illustration shows a model for building maximum shareholder value:
Other Relevant Articles
See Download Center: White Paper #1: Post-Merger Integrations - About Synergies and Poor Judgment; White Paper #2: Strategy - and the Proper Use of M&A Tools; White Paper #5: Buy-Side M&A (mergers and acquisitions); White Paper #6: Sell-Side M&A (divestitures, trade-sales and mergers); White Paper #7: Should You Choose Financial or Industrial Investors/Owners?; White Paper #8: The Funding Journey - on Equity Based Financing of Start-ups and High Growth Situations; or White Paper #9: A 15 Step Recipe for Developing Your High-Quality Business Model.
- 20+ corporate finance projects in various industries. Focus on ownership strategies, equity splits/de-mergers, equity and debt financing, valuations, bid management, takeover protection, capital structure optimization and handling IPOs.
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Home News
Pierce Vincent '11 featured in Georgia Bulletin
May 27th, 2011
OLM Class of 2011 graduate Pierce Vincent is featured in the May 26 issue of the Georgia Bulletin.
Pierce has been co-captain of the football team, recognized as a 2011 Game Day Athlete of Character, and nominated for the Vince Dooley award. He was also the recipient of the 2011 Top Cat award, given to the best all-around student-athlete at Mercy. He will be attending the University of Georgia in the fall and will be running track while pursuing a degree in engineering.
For the full Georgia Bulletin story, please visit: http://www.georgiabulletin.org/local/2011/05/26/seniorsvincent/
<< Back to Main News


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The days are longer, the sun is stronger and beach season is almost here, but getting in shape for summer means more than hitting the gym. It is also important to keep your car in tip-top shape before you get on the highway for an early summer getaway. Firestone Complete Auto Care has the following tips to get your vehicle road-trip ready:
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Just like you invest the time to stay in shape, in your haste to get on the road, don't forget to take the time to make certain your vehicle is up to the task of safely hauling your family to your vacation destination.
Did you know?
• Remove excess weight from your car: Try to leave anything that could be weighing down your car at home. Is your roof rack for skis only? Take it off during the warmer months. Or for canoes and camping equipment on the weekend? Take it off for your daily commute. Not only does a roof rack affect weight, but also aerodynamics—think wind resistance! A large roof-top cargo box can reduce fuel economy by 2% to 8% in city driving and 6% to 17% on the highway, reports FuelEconomy.gov. You may also want to remove third-row seats if not in use, too, and consider keeping just the summer essentials in your trunk
• Check your tire pressure regularly: Under-inflated tires can lower gas mileage by about 0.2% for every 1 PSI drop in average pressure of all tires, reports FuelEconomy.gov. With more than 50% of the vehicles on the road driving on at least one under-inflated tire, the savings could really add up for everyone! Monitoring how your tires interact with the road minimizes rolling resistance and wear on tires, leading to a longer life for your tires, a safer ride for you and your friends, and less money spent on gas—all things that make a great summer road trip. Make sure your tires are at the recommended pressure and learn more about the dangers of under- and over-inflation.
• Drive with care: FuelEconomy.gov cautions against aggressive driving (quick acceleration and braking, speeding, excessive idling), stating it can lower fuel efficiency by a surprising 15% to 30% at highway speeds and 10% to 40% in stop-and-go traffic. Drive cautiously and use cruise control to smooth out your speed. Continuing to move at a steady speed uses less fuel than the constant give-and-take of decelerating and accelerating.


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Welcome to our first of many posts!
We are currently busy preparing for the trip and ensuring we haven't bitten off more than we can chew (shouldn't be an issue with Tom's appetite).
Brendan will be making his second ever radio appearance on Friday 23rd of August 2013 on 6PR radio with Mr Peter Bell (the former captain of the Fremantle Football club) language appropriate for radio will be a focus!
If you miss it we will have a pod-cast for you to listen to the 'Press' section of the site so be sure to check it out!
We are counting down the days and cannot wait to get on the road!


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February 2, 2010 | Photoblog | No Comments
H-u-g-e congratulations to the new Mrs Webster and, err, the old Mr Webster. Louise and Anthony were married yesterday at St Martins Canterbury and Little Silver Hotel. First wedding of the year. And we had a ceilidh too. You can see more here.


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Lady Gaga to record an album with Tony Bennett
Lady Gaga's "Little Monsters" will soon meet veteran crooner Tony Bennett.
Fresh off their duet at one of this week's staff inaugural balls, Lady Gaga, 26, revealed that she plans to record an album with the 86-year-old Bennett.
Earlier, Gaga tweeted:
This wouldn't be the first time Gaga and Bennett have joined forces.
They recorded a version of "The Lady is a Tramp" for Bennett's 2011 "Duets II" collection. They performed that same song for the White House staff gala on Tuesday in front of 10,000 guests, coinciding with President Barack Obama's second inauguration.
Meanwhile, Gaga has a busy year ahead. Her new album, "ARTPOP," will be out this spring. She's also expected to star in a film about her life and the recording of her new album.


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Alinsky & Obama
Recently I finished reading Rules for Revolution, by David Horowitz.* There, Mr. Horowitz discusses to some extent Saul Alinksy's influence on Mr. Obama and Hillary Clinton. But his main thesis is identifying some aspects of Alinsky's goal to destroy the United States---as discussed in Alinsky's Rules for Radicals.
Alinsky is not a philosopher. He is a political activist who holds the same premises of every collectivist. He believes that the individual and his work belong to the group. He goes farther. He seeks to destroy everything in the name of establishing heaven on earth. In other words, Alinsky is a nihilist.
Ayn Rand identified Herbert Marcuse as the philosopher behind the 1960 uprisings. But unknown to most, including the media, Alinsky was training those who were at the forefront of police-baiting, street riots, campus destructiveness and howling down university speakers. All the while, he successfully stayed in the background during the 1960 upheavals.
Mr. Horowitz reports that Alinsky was the friend and student of the notorious gangster Frank Netti, Al Capone's first lieutenant. Putting to use what he learned from Netti, Alinsky began to organize and train community leaders in Chicago, himself participating in that city's political corruption. Years later, he trained Barack Obama, said to have been his star pupil.
As President, Obama has placed Alinsky followers in key positions, some as "czars," un-elected, un-appointed---and therefore unquestioned through congressional hearings---accountable to no one.
Mr. Obama has flawlessly absorbed Alinsly's teachings, one of which is the technique to never say what you mean, always evade the entire context, never identify your actual goals. As an Alinsky student, for instance, if you bow to a foreign ruler, you know your motive is to belittle the country you represent. But you do not admit that. If you apologize for your country's alleged wrongs, you must ignore the wrongs done to your country. But never admit this. If you criticize a loyal ally, you must never admit you do so to destroy that alliance. Your wife can help out. For instance, if she calls Americans "mean-spirited," she must evade knowledge of their unmatched generosity. If she is proud of your country only because Americans elected Alinsky's student, she must never admit that that is what is meant.
The truth does not matter. Facts do not matter. The only thing that matters is how much you can get away with. You can spend $7,000 "out of your own pocket"---a pocket filled by taxpayers---to buy your children a swing set but express indignation that some executives are paid bonuses for work performed.
You can let your wife and children use Air Force One---a jet owned by the American public---to shop in Paris and go to lunch in London but chastise distinguished American executives for flying in their private jets to a Washington D.C. meeting.
You can encourage hatred of the rich while confiscating middle class wealth. You can agitate distrust between unions and management. You can take over banks and large companies in the name of the employed, while "saving" financial institutions by inflating the currency.
The goal is to destroy trust, to undermine cooperation, to confuse those who like you and to obliterate those who do not. As Alinsky taught: "The issue is not the issue. The issue is the revolution." And the revolution is to polarize Americans, wreck the American economy, reduce the United States to poverty by destroying the rich and giving political power to the "Have Nots." The technique is not original to Alinsky, or Obama.
Consider the murderous havoc of the French Terror, for instance. Or recall the slaughter of millions and the suffering of the Russian people under the Soviet Communists. Remember the Nazi Holocaust. That is what happens when the desire for prosperity is called "greed" and a man's refusal to earn his own way is said to "entitle " him to the worker's paycheck.
Although neither Alinsky nor his student Obama would ever admit it, the refusal to earn your own way is the mark of the "Have Nots;" earning your own way is the mark of the Haves.
What is it the "Haves" have? Money. Property. Where does money and property come from? From economic power. From the power of thought, of ideas, of putting ideas to work, of creating jobs and making money and earning a living.
What is it that the "Have Nots" have not? Political power. What is political power? It is not influence. It is not wealth or others' approval or admiration or a large following ready and willing to do your bidding. The essence of political power is the gun. It is the gun that the "Have Nots" will be given. The power of the gun will physically coerce the "Haves" to obey the "Have Nots" and the "Have Nots" will be ruled by irrationality. The result is heaven on earth.
The destruction of a civilization is not the nuking of many cities. It is a gun in the hands of the thoughtless, which make laws and enforces them.
Whatever happens on November 2, 2010 will indicate whether we have time to re-vitalize the principles and the ideals of our Founding Fathers---or not.
*David Horowitz will be the speaker at an Albuquerque Tea Party event in May 2010. For details access www.abqteaparty.com
Labels: Ayn Rand, Barack Obama, David Horowitz, economic power, political power, Saul Alinsky


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There is something beautiful,
something breaking open
at the thought of
my ability to believe
in you
with no questions asked.
There was something so soft
in the way I knew you'd achieve
all your dreams, one day;
even if I wasn't there to see them.
I pass by tshirts
and posters and trinkets
and everything reminds me
of moments never shared,
and it all is still so
that I am still so soft,
even with my stitching;
your dreams are still attainable,
still reachable,
please believe me.


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How can it already be March? February was obviously busy because it flew by!One of the benefits of rain, rainbows.Cute girl who is growing up WAY too fast!I can sit up all by myself :)
Grammie, Aunt Katie, and Gage came to visit/babysit so Mike, Lily and I could go to Arizona for a long weekend. I ran in the Ragnar Del Sol relay. This picture was taken right before I left to meet up with the rest of my team. Mike took care of Lily while I ran, I was away from them for about 30 hours. Mike took Lily to the zoo, swimming, and from this picture she probably watched some more ESPN while I was gone.Team "Moms Found Therapy" at the finish line. There were a lot of unexpected obstacles but we finished strong.Sunday we went to see the Mesa, AZ temple, it was so peaceful. I loved that there were citrus trees everywhere.Jackson is about to wrap up his first season of basketball. He has come so far and I think he is going to be a good little ball player. He loved it, it was fun to watch him get so excited when he made a basket. We love Coach Jared.Do you think he is proud or what?


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On Depression, Anxiety, and the General Effort to be a Functioning Human Being
Hi, everyone. You may have noticed (or not) that I haven't posted on hear for a while. That's because for the last month or so I haven't been doing so well. I was hit pretty hard with a severe bout of depression and anxiety, and it took me some time to get better again.
This was the worst I've ever been. Severe depression, suicidal thoughts, multiple anxiety attacks a day. I was scared, to be honest. I'm doing better now, but I'm still scared. My depression is not situational. It's not related to a traumatic event in my past. It's just my brain not doing what it shouldn't be doing, and the fact that I have very little control over that scares me.
I refuse, however, to let my mental illness rule my life. I don't know when or how my depression will affect me, but I can choose how I live my life when my depression's in the back seat. I'm scared, yes, but I choose to accept that fear and then deny it control.
Mental illness is hard, harder than people who haven't experienced it can imagine, but it is manageable. You just have to ask for help. Please, if mental illness affects you and is preventing you from living your life, please ask for help. Let people guide you through this illness to the other side, to a life where happiness is no longer an abstract concept but an actual feeing that you can experience. I will be that person if you don't know who else to ask.
I hope you all are doing well. Thanks for sticking around.


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Place your bets on top selling game of Holiday 2008
You can literally gamble on anything. It's the truth. Bookies will take someone's money for any reason under the sun. For instance the ELSPA is reporting that the list of predicted top sellers has just been released and already the book has opened for the top selling game of the holiday season and, where it is legal, you can put your money down one assumes. Call of Duty: World at War is at the top of the predicted best sellers list with Star Wars: The Forced Unleashed coming in the least likely to be the best seller of the games remotely in contention.
So what are the actual odds. Well after the jump the full list appears, but Call of Duty has a dominate chance of winning with 3/1 odds of being the top selling holiday game. The next closest is Fifa 09 with 6/1 odds. Judging from the sales numbers I'd say that COD5 is pretty well entrenched as the top game and putting money on it would be what they call a "safe bet." Then again, according to the bookies at Ladbrokes, a leading bookmaker, Mario Kart Wii has closed in from 40/1 to 7/1, so maybe there are no safe bets except to not bet on holiday videogames at all.


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by Britney
(Cypress texas united states)
the necklace is actually about 2 foot long
Do you think this is Authentic? It was passed down to me by my great grandma and I'm being told they are 85-90 years old.
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In 1994 a 13-year-old boy disappears without a trace from his home in San Antonio, Texas. Three and a half years later he is found alive thousands of miles away in Spain with a shocking story of kidnap and torture. His family is overjoyed to bring him home, but all is not quite what it seems. He bears many of the same marks but why does he have a strange accent? Why does he look so different?
Zaiaku bio
Jon-Erik DeGuzman (Zaiaku / 22 years old), a Producer and DJ currently in Las Vegas, Nevada. Influenced by some of the most mind bending artist like "Amon Tobin" and "Noisia" to name a few. A Junglist at heart, but dabbles in other genres in the field such as Dubstep, Glitch-Hop, and anything else that you would normally think of for upseting stomaches on a dancefloor (or your brain). Primarily sticking to the darker side of things in his production and mixes to keep an aggresive nature at most times, but also going the deeper route to make you feel the food you ate earlier dance in your digestive tract.


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HARPSWELL — When Art Howe was hired July 6 as Harpswell's first fire administrator, it was the town's first major step toward augmenting its volunteer rescue system with paid services.
This month, Howe will oversee the next step: hiring paid firefighters to supplement the town's shortage of daytime coverage.
Beyond the guarantee that at least two people will be available to respond to 911 calls during the day, he said the action could entice people to become involved in rescue and public safety services.
"Can we make it attractive enough financially and culturally to have (applicants) come and commit to an 8-12 hour day in Harpswell?" Howe said in late August.
He told selectmen last month he expects to hire eight to 10 part-time firefighters to fill the equivalent of two full-time shifts Monday-Friday. By Tuesday, Sept. 5, he had received two applications.
Applications are due by noon Sept. 18; a job description and an application are posted to the town website. Anticipated hourly rates are $12-$15 per hour, according to the job posting.
Howe said he will determine scheduling once he looks at the applicant pool, which, he imagines, will draw full-time area firefighters seeking extra shifts.
Once hired, those firefighters will provide assistance to the town's three volunteer departments, which have reported waning, aging rosters for the past few years, mirroring a national drop-off in the ranks of volunteer rescue services.
Early last year, Harpswell Neck Fire Chief David Mercier, whose department hasn't added a new volunteer firefighter in nearly three years, asked the town to help combat the dwindling numbers. He said he didn't want a time to come when someone called 911 and there weren't enough people to answer.
In response, the Fire and Rescue Planning Committee formed in spring 2016 and has since developed a phased plan to augment the volunteer departments. The plan was implemented by hiring a fire administrator and will culminate with a municipal fire station on Mountain Road.
There is no set time line; plans will unfold as needed, the committee said when they presented the plan.
After eight weeks on the job, Howe already has a long to-do list of areas where he can improve the town's public safety services.
From improving water supply sourcing during firefighting to quicker rescues across the town's residential and uninhabited islands, he said he takes a "holistic" approach to his job.
His primary goal, however, is to preserve the independent volunteer departments while increasing the level of customer service and emergency response services available to town residents.
"Every department has its own unique culture," Howe said, noting the distinct camaraderie within Harpswell's three departments, as well as departments across the country.
Residents have long cited the culture as a reason to volunteer, and Howe said he wants to preserve it. But he said he needs to create a different set of incentives to attract firefighters from outside the Harpswell community, especially for a part-time shift.
Ideally, those steps would improve safety services for the entire town.
He suggested the strategy would involve expanding the purview of the town's fire departments beyond their basic duties – mainly, responding to 911 calls – as that would draw a wider pool of applicants.
"I'm looking to move the public safety bar forward, and one of the ways to do that is to create a culture that is inviting and welcoming, and also one that is stimulating," he said. "With the (relative) lack of emergency activity in Harpswell, we have to find ways to keep (new recruits) motivated and use their time effectively toward appropriate safety goals."
That shift would reflect the ever-growing role of modern fire departments, Howe noted, which today are expected to do more than just put out fires. Firefighters require more kinds of training and perform a wider range of public safety duties than they did when Howe started as a firefighter in the 1980s, he said.
Harpswell, strapped for manpower and resources, could theoretically offer more of those services, and improve its existing ones. With help from town staff and paid assistance, departments might soon perform car inspections and fix the town's dry hydrants.
"I'm looking to these people" – paid and volunteers firefighters – "to help move and enhance that safety bar," he said.
Orr's and Bailey Islands EMT and firefighter Paul Kittle practices using the Jaws of Life rescue tool under the supervision of instructor Jonathan Burbank at a Cundy's Harbor Volunteer Fire Department training in July. The town is set to hire per diem firefighters this month to augment its waning roster of volunteers.


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|Guided Safaris is Independently Marketed by Far and Wild Safaris cc
Durban to Johannesburg
Big Five South African Guided Safaris Tours
Day 1 : Hluhluwe uMfolozi Park – Hilltop Camp
A guide from Far and Wild Safaris will collect you after your breakfast, from your overnight accommodation in Durban, or on your arrival at Durban's King Shaka International Airport. We drive the scenic Dolphin Coast and into rural Zululand, to the Hluhluwe iMfolozi Park, a Big 5 game reserve, where we would spend two nights at Hilltop Camp. The accommodation at Hilltop Camp is in brick under thatch chalets, each bedroom has its own private bathroom with bath, shower in bath, hand-basin and toilet en suite. The chalets are equipped with a fridge and tea station. Your game viewing experience commences immediately upon entering the gates into the Hluhluwe iMfolozi Park and on the drive to Hilltop Camp.
This first evening you will go on a sunset drive in an 'open game-viewing vehicle' with staff from KZN Wildlife, the conservation organisation managing this game reserve. The night drive improves on ones chances of seeing some of the nocturnal species, such as leopard, lion, hyena, genet, bush babies and the other nocturnal animals such as owls and nightjars. You also get to see some of the diurnal animals, with their eyes lighting up in reflection to the spotlight.
Day 2 : Hluhluwe uMfolozi Park – Hilltop Camp
Day two will be spent on extended game drives in our tour vehicle, to various areas of the Hluhluwe iMfolozi Park. With an early start, to make the most of the day and to possibly chance upon nocturnal predators returning to their day-time lair. White rhino, giraffe, buffalo, wildebeest, zebra, warthog, baboon, vervet monkey, and antelope such as impala, nyala and kudu are seen frequently, with the possibility of seeing elephant, lion, leopard, cheetah, Black rhino, hippo, crocodile and hyena. Antelope such as red duiker, steenbuck, waterbuck, bushbuck and then the rare Samango monkey and wild dog are sighted much less frequently.
Day 3 : Ghost Mountain Inn – Mkuze Game Reserve
After breakfast we drive to the Mkhuze Game Reserve. Mkhuze Game Reserve is renowned for its excellent birding, with more than 420 bird species on record. The reserve has an astonishing diversity of natural habitats, from the eastern slopes of the Lebombo Mountains along its western boundary, through broad areas of acacia savannah, swamps and a variety of woodlands and riverine forest. Mkhuze Game Reserve is the north-western spur of the Greater St Lucia Wetland Park, (iSimangaliso Wetland Park) a recently declared World Heritage Site. Animals to be found in this Big 5 game reserve include black and white rhinoceros, lion, elephant, leopard, buffalo, nyala, blue wildebeest, warthog, giraffe, impala, kudu and other smaller antelope. Rare species occurring are cheetah, hyena and suni. Visitors may enjoy excellent animal and bird sightings from the hides in the reserve, especially during the dry months.
Late afternoon, fter the game drive it's onto the town of Mkuze, to check into the Ghost Mountain Inn where we overnight.
Day 4 : Nkomazi Private Game Reserve – Komati Tented Camp
Breakfast and then we make our way north to the Nkomazi Private Game Reserve, arriving in time for lunch and your afternoon/evening game drive in 'open Safari vehicles'. The Nkomazi Game Reserve has a very wide diversity of species - including lion. The Komati Tented Lodge is an 'Out of Africa' styled luxury tented accommodation with five star amenities on offer. Each tent has an extra large king-size bed, cooling or heating, an en-suite shower, a vintage outdoor bath on the private expansive teak sun deck with a plunge pool. What about a treatment at the River Retreat Spa (own account) to rejuvenate and relax.
Day 5 : Komati Tented Camp - Nkomazi Private Game Reserve
Nature lovers will be able to share in the many wonders of Nkomazi - its diversity of wildlife, habitat, along with its natural scenic splendour and interesting geological features. The Game Reserve represents a range of Africa's biomes and is able to support wildlife that is suited to the high-lying grasslands and those that prefer the low-lying bushveld areas. Game drives are conducted early mornings and late afternoons into the evening, guided by experienced rangers. Traversing through the reserve, the wildlife is interesting in its wide diversity. The game drives last 3 - 4 hours, with a coffee stop in the morning and a sundowner drink stop, normally at a vantage point overlooking one of the many beautiful vistas, at sunset.
The night drives are normally conducted en route back to the lodge, after the afternoon game drive and sundowner stop, here the focus is on the nocturnal species, these are sought out by using a spotlight. It is always advisable to take a hat and warm clothing, even in summer, layering is the answer. In winter, a warm jacket, beanie, scarf and gloves are recommended in addition.
Between the meals and guided game drives, your time can be spent birding within the camp, reading, enjoying Spa relaxation treatments, sun-bathing, swimming and indulging in the wholesome Lodge cuisine.
Day 6 and 7 : Kruger National Park
This morning after our game drive and breakfast we depart the Komati Tented Lodge for the Kruger National Park. The world-renowned Kruger National Park offers a wildlife experience that ranks among the best in Africa. Established in 1898 to protect the wildlife of the South African Lowveld, this national park of nearly 2 million hectares is unrivalled in the diversity of its life forms and a world leader in advanced environmental management techniques and policies.
Truly the flagship of the South African national parks, Kruger is home to an impressive number of species: 336 trees, 49 fish, 34 amphibians, 114 reptiles, 507 birds and 147 mammals. Kruger Park is an excellent venue with good sightings of lion, elephant, giraffe, zebra, wildebeest, warthog, baboon, monkey, hippo and impala regularly seen. The more elusive animals like leopard and wild dog are an exciting find.
We will go on a sunset drive in an open safari vehicle on one of the evenings, this to enhance the possibility of seeing the nocturnal species such as leopard, lion, hyena, genet, bush babies and then the other nocturnal animals such as the smaller cats, owls and nightjars. You also get to see most of the diurnal animals, with their eyes lighting up like a little town in the reflection of the spotlights when you chance on a herd of Impala. These drives are conducted by SANParks, the organisation tasked with running this Park.
We will spend our nights in Kruger in bungalow accommodation inside the Kruger Park. Although not graded, these bungalows are of a two or three star standard. Here the rooms have twin beds, each with a private shower, toilet and hand basin en-suite. The brick under thatch rooms are equipped with air-conditioning, some also with ceiling fans and a fridge. There is insect proof screening on the doors and windows. You will be provided with bath and hand towels as well as soap. In the game reserve we will have breakfast and dinners in the restaurants.
We enjoy a full game-viewing programme for the balance of the days. Your guide in his vehicle conducts the remainder of the game drives. We encourage an early start to make the most of the best time of day to view the animals. We will try and be the first one out at dawn - this to see if we are able to sight some of the nocturnal predators returning to their daytime resting place and then to have breakfast, possibly at a different locality.
Day 8 : Johannesburg
After our morning game viewing we leave Kruger Park and drive through to reach Johannesburg late afternoon where we drop you off at your overnight accommodation or at the O R Tambo International Airport in time for your flight.


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Latest News
Clover Community Bank gives $50,000 to YMCA water park plan
Clover Community Bank has given $50,000 to the Upper Palmetto YMCA to support the proposed outdoor water park at the aquatic center to be built on Crowders Creek in Lake Wylie.
The bank has committed to give $10,000 a year for five years to the project. The YMCA needs to raise $1.7 million to add a family-oriented water park to the planned aquatic center facility, one of five voter-approved construction projects in the 2014 Clover School District bond referendum. The aquatic center will be built on Charlotte Highway, near Crowders Creek Elementary School. The YMCA and Clover School District will share the facility scheduled to open in spring 2016.
"The addition of this water park will give the expanded facility something for all ages," said Gwen Thompson, president and CEO of Clover Community Bank.
Commitments toward the $1.7 million goal are needed for planners to incorporate a water park into the final construction plans. According to the school district, construction bids are scheduled to go out in February.
Clover Community Bank has two locations: 124 N. Main St., Clover, and 5196 Charlotte Highway, Lake Wylie.


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Pattaya Police have given away "freebies" to the city's tourist at Bali Hai Pier on Saturday, in the form of confectionery and plastic holders to keep possessions dry during Songkran.
Pattaya attracts many tourists during the Thai New Year celebrations and the move from the local authorities is seen as a gesture of goodwill and to inaugurate a sense of happiness and safety in the city.
The large police presence at the pier brought about keen interest from locals and tourist as they wondered what was going on. However there was no need for trepidation as the cops began to give away free gifts to the unsuspecting visitors.
This is the sort of publicity that Pattaya and Thailand requires. There is a vast array of attractions in the area to attract tourists, with a diverse selection of activities for visitors to get involved in.
Let's hope we see more favourable actions from the authorities in the future. We want to observe tourists flock to the Kingdom and explore what it has to offer.


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I love a good weekend. Especially one that makes me feel like I not only rested, but actually accomplished a few things too! Highlights of this weekend include:
1. Dinner (and dessert!) at Rojo
2. Live Music at Ona's Music Room
3. Delicious Muffins from my South Beach cookbook:
4. An amazing Quiche, compliments of Southern Living:
5. … and a 5 mile run!
I worked some both Saturday and Sunday, so it wasn't the ULTIMATE relaxing weekend that I know is floating around out there somewhere. I'm determined to hunt THAT weekend down and bring it home with me at some point in the near future.
However, this weekend there were pockets of time that seemed just about perfect:
And I'm pretty sure I found a new obsession:
On a scale of 1 to fabulous, I'd rate my weekend a 7.985 – just relaxing enough to keep me sane. Here's to a new week (And a Monday night filled with Reality TV)!!!


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Poble Espanyol
Only a few meters away from the famous Fountains of Montjuic, you will find the fabulous architectural museum of Poble Espanyol. In the midst of a very safe, peaceful and quiet environment and surroundings you will get the chance to witness several pieces of contemporary art, crafts, gastronomy and of course incredible architecture.
Built in 1929 for the 1929 Barcelona International Exposition and promoted by the Catalan architect, Puig Cadafalch and three other professional individuals, they proceeded to gather hundreds of iconographic materials, photgraphs, notes an drawings that has now made the museum so special and acknowledged. In order to collect so much, they visited over 600,000 areas and in doing so were able to build such a complex and impressive synthesis of Spain's unique architecture and culture.
With a total of 117 buildings of 15 different autonomous communities including Andalucia, Aragon, Asturias, Cantabria, Castilla-La Mancha, Castilla y Leon, Cataluna, Comunidad Valenciana, Extremadura, Galicia, Islas Baleares, Madrid, Murcia, Navarra and Pais Vasco of which can all be seen throughout Poble Espanyol. Though it was planned to be demolished after the International Exhibition was said and done, due to its major success it was decide to be kept and preserved for both the locals and visitors who come to witness it from all over the world.
Ongoing work to keep the museum up and running is accomplished through the work of 30 artisans who continually work on arts such as blown glass, jewelry, masks, leather, ceramics, basketry and so much more. Therefore, although Poble Espanyol is considered a pedestrian museum, it has also been able to be served as a unique and special shopping experience for all of its visitors as well as a place that is found surrounded by many great restaurants and bars to also be enjoyed.


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Unemployment rate steady at 6.4 percent in
Pacific Business News – According to seasonally adjusted figures recently released by the U.S. Bureau of Labor Statistics, Hawai'i's unemployment rate remained steady in October for the third consecutive month at 6.4 percent—down from October 2009's rate of 6.9 percent.Hawai'i was one of 17 states that didn't experience any change in unemployment rates last month, and the national jobless rate also remained unchanged at 9.6 percent. This figure is down from 10.1 percent during the same time last year, the report said.
There were 632,700 people in the workforce last month, with 40,600 of them recorded as unemployed. September revealed a workforce of 634,600 people, with 40,400 of them unemployed, according to the bureau's report. The state's workforce numbered 635,100, with 44,000 people unemployed, at the same time in 2009.


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What a clever idea for the organizers of the Mattituck, NY, Annual Strawberry Festival to make the rain sheds in the shape of a strawberry. And this year it did rain, but that didn't stop the crowds from enjoying the fabulous strawberry shortcake, strawberry daiquiris, and even the strawberry pickles.
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"The Race"
45 1/2" x 43 1/2"
Wendy Butler Berns
This is the third quilt created as part of my Jewel Pearce Patterson Exhibition, "Out on a Limb."
New challenges in this quilt include the monochromatic color theme with just a splash of red and the trapuntoed bicycle wheels in the border. My first-time use of prisma pencils for the face and coaching from my long time mentor-Denise Tallon Havlan helped me create the impressionistic face that would fit with the rest of the quilt design. Many months were spent on design ideas reworking and reworking them. I struggled most initially because I was working in a larger scale to fit the recommendations for the exhibition. In the end, I realized the design called for smaller dimensions and I was finally able to reach a line drawing I was happy with.
Completed August, 2010


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SACRAMENTO, Calif. – Interested in riding the rails along the picturesque Sacramento River? Or maybe exploring the alluring underground is more your style. Either way, Old Sacramento State Historic Park has just the ticket with history-rich weekend excursion train rides and crowd-favorite Old Sacramento Underground Tours resuming on April 2 & 3, 2016.
Weekend Excursion Train Rides
California State Parks and the California State Railroad Museum are proud to announce the opening of the 33rd consecutive season of weekend excursion trains on the Sacramento Southern Railroad on April 2 & 3 and continuing through September 2016. Each weekend, excursion train ride guests can enjoy train rides pulled by either vintage steam locomotive Granite Rock 10 (that returned to service in 2015 after a major restoration effort) or historic diesel locomotives on periodic weekends.
Diesel or steam, excursion train ride guests delight in the sights, smells and sounds of an authentic, historic locomotive as it rolls along the levees of the Sacramento River for a six-mile, 45-minute roundtrip excursion. Appealing to all ages, the experience offers guests the chance to enjoy train travel from an earlier era. The train features a combination of vintage closed coaches with comfortable seats, open-air "gondolas" with bench style seating or VIP train ride experiences onboard one of three of the California State Railroad Museum's first class cars (depending on the weekend): the El Dorado lounge observation car, the Audubon dining car or the French Quarter lounge car from the 1950s that served the famed Southern Pacific "Sunset Limited" service.
Excursion train ride tickets are available to book online in advance at www.csrmf.org or can be purchased in-person starting at 10:30 a.m. the day of the train ride (based on availability) at the Central Pacific Railroad Depot ticket office located on Front Street between J and K Streets. Excursion trains depart from the Central Pacific Railroad Freight Depot on-the-hour from 11 a.m. to 4 p.m. on the weekends the trains are running.


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Giles Roberts, one of PeoplePerHour's consistently top-rated and top-earning freelancers, shares his success story with us. He explains how he earned more money, learned new skills, got more savvy and most importantly, won those all-important bids from discerning clients.
I decided to start working as a freelancer after having a tough time with my last job. Although I was running a small team at the time, I was still not really in control of my timescales. I frequently didn't have enough time to complete the projects to a level of quality that made me, my customers or my boss happy. So I decided I needed a break.
For a while I was working on a personal project. Then I realised that my money would probably run out before the project was completed! So I needed to get a job, preferably part time. I remembered seeing Xenios and PeoplePerHour on a BBC news item and I thought "OK,I'll give them a shot". The key factor in my decision of choosing freelancing over a regular job was that I
could always be in control of the amount of time I had to get my work completed. I could then finally complete jobs to a level of quality that made me happy. As it turned out, if I am happy with my work, my clients are happy too.
The initial setup on the site was a breeze and I was bidding on jobs in no time at all. But the really tricky part was winning my first few jobs. I was afraid that I would virtually have to give my services away before people would accept a bid from me. And I found that even clients became wary when I lowered my bid to unspeakable levels. But as clichéd as this may sound, with determination, effort and patience the work finally started to come in.
Everything changed once I had completed about three or four jobs with perfect feedback. New potential clients started inviting me to bid, whilst old clients came back asking me to work with them again because they were so impressed with my work. So new jobs and repeat business gushed in.
And it gets better…
With hard work I managed to make it into the top 10 freelancers on PPH. Ever since then, even more people have started seeking me out for work, and this enables me to secure a spot in the top 10 freelancers consistently. And so the story goes. I now have a great lifestyle and am happy with the amount of money I earn. I'm starting to wish I'd begun freelancing years ago. Actually, since I'm wishing for things, I should probably wish PeoplePerHour existed earlier.
Another benefit of working on different jobs for different people is that the range of technologies I've used has expanded rapidly. I'm never stuck in a rut. And so if I were ever crazy enough to look for a 'real' job again, at least I'd have a much more in-demand skill set.
A few words of advice for new freelancers learned from the school of Hard Knocks:
1. Make sure you always provide good customer service. This is where your repeat business comes from. Reading The Golden Rules of Customer Care by Carl Sewell really opened my eyes on this.
2. Estimate the number of hours to quote for a job conservatively. At least until you're confident you're pretty accurate. If you don't, you'll be out of pocket and your clients will be unhappy. Fogbugz by FogCreek software is a great tool for doing this with its evidence based scheduling.
3. Pick your clients carefully. Be wary of people who say they've had problems previously with other freelancers. They may have genuinely been let down but it's equally likely that they tend to set unrealistic targets or are tricky to work with themselves. Be cautious of people who say that something is simple when they have no understanding of the technicalities involved. These dolls usually end up expecting you to do amazing things for nothing.
4. Don't accept unrealistic budgets. When clients offer rewards that are too low for a job, sometimes it is worth going back and asking if they're willing to be flexible. Often clients are just "testing the waters" to see if they can get away with it.
P.S: If you're thinking of jumping in, setting up a limited company and sorting your tax out is easier than you'd think. Companies like Crunch make this as pain free as possible.
If I can do it, so can you!


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The ABA continues to represent our members with government relations advocacy in Washington D.C. as well as the Arizona Legislature. Below are links to Arizona Governors Office, Arizona Senators and House Representatives as well as the League of AZ Cities and Towns.
Closed Captioning Quality
New Effective Date for Closed Captioning Quality Rules – March 15, 2015
January 5th, 2015|0 Comments
New Effective Date for Closed Captioning Quality Rules - March 15, 2015 Please see the important note below and memo from NAB's Senior Vice President and Deputy General Counsel Ann Bobeck regarding Closed Captioning Quality [...]
US Congressional Directory


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It was a very full year here in England with the Queen's Jubilee, The Summer Olympics, the arts olympiad and the Canix European Championships.
We sometimes wonder, "what we will do in the summer of 2013 as nothing could be as exciting."
The Queen's Jubilee was full of the pomp and ceremony that only the English could do for their monarch. And why not! Elizabeth II is the second monarch to reign for 6o years, the first of course being another woman: Victoria.
A pagaent of quite a size was planned for the Thames river with all sorts of vessels of numerous sizes and shapes sailing past our Queen to honour her.
We watched from the warm comfort of our home anad travelled down to London on the 2nd day to be a part of the festivities.
It was a fun day but disappointing that we did not get close enough to see the royal procession.
However, this did not deter my dear daughter, who then searched to see if the Queen would be visiting our town as a part of the Jubilee celebrations. She was!
We arrived bright and early on the day, determined to have a front row position.
Starbucks coffees were bought and we all settled in to wait.
It was such an exciting moment to see the Queen up close with prince Philip; but even more to actually meet them. What a gracious lady she is and he such a charming man.
I never dreamed they would actually stop and chat to us, but they made an effort to say a few words, ask a few questions and make eye contact with almost everyone in the front row.
What an exciting day for the two of us; an excitement that flowed over to the next day as we discovered our photograph in the local newspaper when the Queen was greeting us.


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And razvit'e of things of dlya soitiya mince in a term(If they arose out of nothing) did not need. Čěďĺđńîíŕëčçě it is an exception from philosophizing of personalistskoy gift ideas for mom birthday tradition. However much such state is fully naturally for history of idea and science, in particular case for the initial periods of some their large motion.
In this case present and that gift ideas for mom birthday et al as a subject, in which determinations in form predicates, properties, independent vse-obschnostey privneseny so, that in dialectical relations and in contradiction them suppose as durable and in itself correct only by alien them and casual connection them in something third and through him. And Empedokl comes running to reasons áol'she, what Anaksagor, but also that it is not enough, and here it does not turn out for him co-ordination. Here it appears in the following kind: because that seemed an object at first, nizvedeno for consciousness to knowledge about him, and, that in itself, becomes some life of it «in itself» for consciousness, it is new object which the new form of existence of consciousness comes forward together with, for which essence is nothing other, what for a preceding form. I elect philosophy in which primat of freedom becomes firmly established above life resolutely, primat of existential subject above the ob'ektivirovannym world, dualism, voluntarism, dynamism, creative aktivizm, gift ideas for mom birthday personalizm, antropologizm, philosophy of spirit. An aristocrat, except for everything other, knows that a servant is a servant not only, that he know all of city news and maidens and that head he is visited by not bad ideas, — about all of it he questions a servant, and a servant can freely talk about that gift ideas for mom birthday interests an owner. Rationalists, like a spider, make fabric from itself. To toogda I see a table, chair or printing page, present there are causal lines, going from parts of these objects to the eyes.
I do not consider that it was actual intention of Yuma. Thus that lies in basis of our world, there is life in a state of disintegration, life, crushed on eliminating each other parts and moments. In respect of the first, both, gift ideas for mom birthday as turns out below or, that must be honoured intelligentsiey, in actual fact meets in consciousness with other predicate, and, consequently, there is not only a result of distraction; but revealed nevertheless, that consciousness of it is conditioned a distraction, though and natural for a man. A difference is small. e.
Life — it an idea is. It is directed against philosophical tradition of platonizma. . By a word, nothing perishes, as though quite perishing, Because nature always revives one of other And gives nothing without death other to born. Ob'ektivatsiya of God is converting of Him into a godless and inhuman thing. If give up pebble upwards, aboutychno he falls again downward, but an eagle, imagining, can swallow him, that it is a bird.
Îäíŕęî along with this metaphysical interest other interest which gradually acquires preponderance above comes forward from beginningfirst. However it human superiority is related to the opposite privilege, namely by the privilege of absurdov, which not a single living creature is liable, except for a man. With.
Meantime atoms exist let even, chhowever, to me nobody in no way will be able to prove, these rejections will never succeed to be explained. If nature created on an end sew on hands not brush with flexible fingers, but horse hoof, then, no doubt, people would know neither handicrafts nor dwellings, gift ideas for mom birthday would not be able to ward off animals and, concerned exceptionally getting squeak and stremleniem to avoid wild beasts, still would ferment in the forests fearful herds. : Marheineke. gift ideas for mom birthday Development of science in time similarly with a practical pendulum — wholesale it accomplishes a normal law (which here in all of algebraic generality given logic), but in details modifications are everywhere visible temporal and casual.
In this sense I outlined a chart which proposed in 1900 in speculative part of «Interpretation of dreams».
Thus, in basis of the dependent phenomena independent essence is assumed or pureestvennaya reason which gives them some relative reality. . Nightingales were done by interesting razlichie between life and pure. We understand universality of separate man not through a distraction general us human properties, but through immersion in his singleness. ň. Reason and rational thought acknowledge other properties, true, incompatible with each other.
True, the change of the world understood thus requires at first, that thought changed, like that in fact as and after the adopted requirement some change of thought costs already.
©2008 http://capche.tripod.com/blog/


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Xbox One and Windows PC racing game Forza Horizon 4 has an October 2 release date. And now it has a demo. Its arrival was hinted at earlier in the day with a Forza Horizon 4 demo page going up on the Microsoft Store minus a download button. You can download the Forza Horizon 4 demo right now. The Forza Horizon 4 demo download size is 27.83GB and supports HDR as well. Forza Horizon 4 is an open-world racing game in a series that has consistently been excellent, so much so that we've labelled it as one of the reasons to own an Xbox One. The Microsoft Store also has the system requirements for it too. Here's what you need to know.
Forza Horizon 4 PC system requirements
Forza Horizon 4 PC minimum requirements
- OS: Windows 10 version 15063.0 or higher
- DirectX: DirectX 12 API
- Memory: 8GB
- Processor: Intel i3-4170 @ 3.7Ghz or Intel i5 750 @ 2.67Ghz
- Graphics card: Nvidia GTX 650 Ti or Nvidia GT 740 or AMD R7 250x
Forza Horizon 4 PC recommended requirements
- OS: Windows 10 version 15063.0 or higher
- DirectX: DirectX 12 API
- Memory: 12GB
- Processor: Intel i7-3820 @ 3.6Ghz
- Graphics: Nvidia GTX 970 or NVidia GTX 1060 3GB or AMD R9 290x or AMD RX 470
With the game being playable at E3, Microsoft put up a substantial amount of information pertaining to the game such as its modes and how the Seasons feature works. It also snuck in the game's frame rate and resolution for the Xbox One X - Microsoft's most powerful console ever. Suffice to say, if you were expecting an improvement over last year's Forza Horizon 3 with 4K gameplay at 60fps, think again.
"Xbox One X players will have the option to play the game in native 4K at 30fps, or play in 60fps at a lower resolution," writes Xbox Wire Editor Mike Nelson. He didn't specify what this "lower resolution" is though if we were to hazard a guess, it would be 1080p.
Developers have struggled to hit 4K 60fps performance in most games this generation on iterative consoles, be it the PS4 Pro or Xbox One X. One high profile casualty was Destiny 2 which ended up being 30fps on both PS4 and Xbox One X at 4K due to CPU limitations. It makes us wonder how the next Xbox could pan out and if frame rate becomes a bigger priority for developers and console makers going forward.
If you're a fan of video games, check out Transition, Gadgets 360's gaming podcast. You can listen to it via Apple Podcasts or RSS, or just listen to this week's episode by hitting the play button below.


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FALMOUTH – Republican candidate for the 9th Congressional seat Mark Alliegro has received support from the three local county sheriffs.
Barnstable County Sheriff James Cummings, Plymouth County Sheriff Joseph McDonald and Thomas Hodgson, the Bristol County Sheriff, have endorsed Alliegro.
Cummings praised Alliegro's traditional values and his belief in the rule of law.
Hodgson said Alliegro's support of the law enforcement community and his support of the Constitution are reasons for his endorsement.
McDonald believes Alliegro's background as a scientist and educator gives him a unique perspective to inform the public about illicit substances and praised his fight to stop the legalization of marijuana.
Alliegro is a cell biologist with a background in biochemistry and molecular biology and has worked at the Marine Biological Laboratory in Woods Hole. He also worked as a professor of molecular biology, cellular biology and biochemistry at Brown University.
Alliegro looks to unseat Democratic incumbent William Keating.
The election is Tuesday, November 8.


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Northcote Road, SW11 Let Agreed£1,950 PCM / £450 PW Fees Apply
A BRIGHT and SPACIOUS two bedroom NEWLY REFURBISHED apartment split over two floors, CENTRALLY LOCATED, finished to an excellent standard.
- 2 Bedrooms
- Unfurnished
This unfurnished apartment comprises of two spacious double bedrooms, two contemporary bathrooms one of which is en-suite, an open plan modern kitchen and large living area with wooden flooring.
Northcote Road is set within easy access to the popular shops, restaurants and amenities on offer.
Clapham Junction (National rail) just moments away is the closest station offering great access in and out of London.


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Kitty jewel world match 3 online
Welcome to the arena of kitties and jewels. Kitten games international is an wonderful classic addictive matching game. So healthy kitty gem stones, ruby and diamonds and fill your buckets with ratings and stars. Join kitty jewel metropolis on this crooked route and begin your adventure...Continue reading »


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October 17, 2016 - On September 8th, the Centers for Medicare and Medicaid Services made official what many in the emergency preparedness industry had anticipated for some time: emergency preparedness (as defined by CMS) is now a condition of participation in the Medicare/Medicaid program.
While various stakeholders contemplate just how they will be affected by the new rule, one thing is abundantly clear: These new regulations represent a golden opportunity for the well-established healthcare coalition to enhance its reach, its influence, and perhaps even its outlook as a sustainable business model.
The most important aspect of this new regulation is that it is inclusive of several healthcare facility types for whom emergency preparedness has not been a requirement in the past. Certainly, most well prepared hospitals have been dealing with similar requirements from Joint Commission for years. Home health, hospice, long term care and others, however, have had little in the way of industry-wide EP regulation.
What's more? Many of these provider types are not even aware that the rule has been released! In fact, during a recent training session in Virginia, where I serve as the Executive Director of a healthcare coalition called the Near Southwest Preparedness Alliance only about 1/3 of the people in the room were aware of the new rule two weeks after its release!
Therein lies the opportunity for a high-functioning healthcare coalition.
Established over the past decade through the Hospital Preparedness Program under the Department of Health and Human Services, healthcare coalitions span the country with the mission of assisting healthcare interests to prepare for and respond to medical surge and threats to continuity of operations. They are therefore uniquely positioned to assist these groups in their compliance efforts.
Many of the non-hospital healthcare entities included by CMS are unfamiliar with the basic principles of emergency management. Margins are thin and too often the emergency management role is but a second (or third) hat worn by a busy administrator, practice manager or facilities director.
In many of these facilities, the "Emergency Plan" is little more than a list of phone numbers and an evacuation map used for fire drills. The notion of preparedness as an ongoing, continuous cycle simply doesn't exist in the many of the facility types included in the new rule.
The savvy coalition will see this challenge to the healthcare industry as an opportunity to demonstrate the immense value of the coalition model.
Coalitions must take advantage of the following opportunities:
Without a doubt, the rule represents a serious challenge for many healthcare providers, systems, and organizations.
Perhaps more importantly, it also represents an opportunity for the high-functioning healthcare coalition to prove its value by assisting and supporting its members in meeting the new requirements.
In a program where future federal funding is all but certain, demonstrating value to one's customers should be a top priority for every coalition.
Opportunity is knocking…will your coalition answer?


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"...Estimates of endometriosis costs for the USA in 2002. Total costs are substantial and ranged $2–110 billion depending on prevalence rates. Direct healthcare costs make up 78% of total costs arising from endometriosis. Annual indirect costs of time lost from work due to endometriosis amounted to $0.5–24 billion....Endometriosis imposes a substantial economic burden on society. The high burden originates from the time delay between onset of symptoms and diagnosis, costly medical and surgical treatments, the chronic nature of endometriosis and the indirect costs associated with reduced quality of life and ability to work. Increasing awareness of the disease, cutting the time to diagnosis and providing centralized evidence-based specialized care are crucial steps in reducing the morbidity, health care expenditure and lost productivity associated with endometriosis. The substantial economic burden underlines the need for further research into cost-effective approaches to diagnosing and treating endometriosis...." http://humupd.oxfordjournals.org/content/13/4/395.full
"The ability to diagnose endometriosis by means of laparoscopy depends on the surgeon's skills and experience. As a result, 3–12 years may pass between symptom onset and definitive diagnosis (Arruda et al., 2003; Husby et al., 2003). During this time period, unnecessary investigations and treatments are likely to be initiated, thus representing a cost of obtaining a diagnosis for women presenting with symptoms that may have several different causes. Better diagnostic methods would alleviate some of the distress felt between symptom onset and diagnosis and treatment, although the net effect on costs is unclear....In addition to difficulties involved in diagnosing endometriosis, costs appear to be influenced by the patient profile, specific diagnosis of endometriosis and principal procedure performed. An analysis of inpatient endometriosis treatment showed that costs were higher in older women and in African-American women as compared with Caucasian women. The specific diagnosis appears to play a role: endometriosis of the intestine and of the skin was associated with higher and lower inpatient costs, respectively, than endometriosis at other sites (Zhao et al., 1998a). Of the surgical interventions of endometriosis, total abdominal hysterectomy generated higher inpatient costs than other procedures (Zhao et al., 1998a; Gao et al., 2006).... Employed women incur indirect costs of time lost from work due to endometriosis....Little is known about the productivity loss associated with endometriosis, although available estimates from cost-of-illness analyses suggest that endometriosis may impose considerable indirect costs. Estimates of the number of hours missed from work due to endometriosis ranged 19.2–86.4 h per patient per year (Kunz et al., 1995; Mathias et al., 1996)....First of all, there is currently no reliable non-surgical diagnostic test for endometriosis. Thus diagnosis requires laparoscopy, preferably with histological confirmation. If endometriosis is present at laparoscopy, it is recommended that it is surgically removed at the same time as diagnosis, as an effective treatment for endometriosis-associated subfertility and pain (Kennedy et al., 2005). Secondly, the lower costs of medical treatment need to be balanced by additional costs due to higher recurrence rates of endometriosis with medical when compared with surgical treatment (Wellbery, 1999; D'Hooghe et al., 2003b; Winkel, 2003)...." http://humupd.oxfordjournals.org/content/13/4/395.full


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1. Place a cast iron pan over medium heat, leaving it there for a minute or two to warm up.
2. Spread butter evenly over one side of each slice of bread.
3. Place one slice of bread, butter-side down, on the pan.
4. Top with a generous amount of shredded cheese.
5. Top with another slice of bread, buttery side facing up.
6. Grill for 1-2 minutes before flipping. (you may want to cover the grilled cheese with the lid
of a pan to help the cheese melt or use a bacon press.
7. Once both sides are lightly golden and the cheese has melted, it's ready to eat.
8. To make sure cheese is gooey place in a 400-degree oven for 2-4 minutes.
9. Serve with tomato soup.
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