text:
Running shoe manufacturers are now releasing shoes that are designed to make you run faster. These new generation of running shoes are not just marketing gimmicks, some of them have been proven to increase running speed. The speed increment is not monumental but significant enough to make a difference for someone trying to qualify for Boston Marathon.
Here is a look at shoes that make you run faster.
The Reebok ZigTech
Research done in Australia showed an elite athlete might save four to five minutes over a marathon in the shoes compared with an average running shoe. Tests on the Reebok ZigTech showed the shoes returned energy to the runner and helped propel them forward.
The sole is comprised of Zigs with enhanced rubber angled backward at 20 degrees, enabling the shoe to take heavy vertical and horizontal impacts and grip the road. The shoes are the latest addition in a new line of energy boosting shoes.
Adidas Energy Boost
This is another energy shoe. According to Adidas, this new shoe is made of revolutionary new Boost material. It's replacing a years-old industry standard of EVA foam, which is found in, according to Adidas, 90 to 95 percent of all running shoes. The big breakthrough—or claim, anyway—is that it returns a ton of energy while remaining comfortable.
Brooks Adrenaline GTS 11
This shoe doesn't claim to make you run faster but it is designed to minimize the agony of running. With this shoe you can concentrate on running without worrying about pinching, binding, or hot spots with the Adrenaline's "stay-put tongue" and moisture-managing mesh that "keeps feet ventilated." Denser foam at the instep and a firm plastic insert in the midsole improve stability too.
Nike Lunarelite+2
The LunarElite has a "snug but not-too-tight fit," says a frequent racer. A firm, responsive midsole and dense foam at the instep help mild over pronators "stay balanced" so they can "concentrate on going fast." And "these shoes quicken the tempo of every run," says one speedster, and also make "interval training a (relative!) joy." The "supercute" upper has a combo of mesh and featherweight paneling that "holds the foot securely and eliminates rubbing," adds a medal-winning racer.
Adidas Adizero Ageis 2
The "light" and "glove-like" Aegis 2 makes running feel"effortless," according to one 10K-er who notched a personal record wearing the shoe. The upper provides "outstanding ventilation," reports an ultrarunner, and a frequent runner raves that the "bright pink rocks!" A long-distance pavement pounder adds that the low profile sneaker is "ideal for someone transitioning to a minimalist shoe," and helps "eliminate knee pain" and "keep feet stable."
It is important to seeker further advice from shoe experts before you order one of these shoes. There are so many tips that you can find out there. The information that you will most likely find will help you gain confidence with whatever type of shoes you will choose to purchase.
Lastly, these shoes are not the end of running. To be able to run faster and with endurance you must do the heavy work of training. These shoes will complement the speed work, running of hills, intervals and the long run that you will do.


text:
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Online Article Directory!
Nothing Beats a Good Game of Bridge Card
No other game is as versatile and universal as a pack of 52 playing cards. Perhaps no country or culture is devoid of card games, played over centuries in thousands of forms. While the origin of playing cards is itself obscure – with some experts laying its source on China or India – there is one card game that has a fascinating recorded history. That game is Bridge.
Derived from whist, which originated in 17th-century England, the game of Bridge Card became popular in the US and the UK in the 1890s. While retaining the essential features of whist, bridge has acquired a loyal following over the time. There are now bridge clubs in all major cities and towns and local and international contests are held all over the world.
The origin of the word whist is also interesting. It comes from the Middle English interrogatives 'hist' or 'hush', which means enjoining silence. Quietness is therefore an essential element of bridge the game of skill and chance. The popularity and reach of bridge card is gauged from the fact that besides chess, it is the only game recognized as a 'mind sport' by the International Olympic Committee.
Today one can play online bridge on the internet or install a program and play against computers. However, nothing can beat a real game. Whatever the rules and process of auction or bidding, playing and scoring, it is quite engaging to watch people quietly playing and enjoying the game. Apart from the skills and experience of the players, one thing that makes bridge interesting is the element of randomness.
The beauty of bridge the game is that it sees no discrimination as to age, gender, religion, race or class. In fact, the game increases social interaction. Anyone can enjoy the game at homes, clubs, tournaments or even online bridge. As for learning the game, there are umpteen numbers of sources from which to learn and play, including books, dedicated magazines, digital media and the internet. However, experience is the most appropriate teacher. As one goes on playing, he or she learns the nuances of the game. One thing is certain: once hooked to this beautiful game, it is highly addictive but not in a harmful way.
A pack of cards may have other uses like divination and conjuring, but it is the king of card games, bridge, where its versatility becomes obvious. All said and done, bridge is the game of skill, chance, tactics, expertise, experience and teamwork. Nothing really beats a good game of bridge.
With a history of many centuries, bridge the game is the most popular of card games. Played by millions in various formats and forums the world over, including online bridge, it is a matchless game of silence, skill, chance, concentration and memory and mind development.
Helly Nickolas - About Author:
Expert bridge player who researches and writes extensively on bridge in books, magazines and online journals and blogs.
Article Source:
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subset: commoncrawl


text:
Pop Up Research Station Podcasts visit GYST Radio
Your participation is welcome Join our mailing list send an email to firstname.lastname@example.com
Join us in person Pop Up Research Station Salons in Los Angeles
Pop-Up Research Station invites your participation.
Phantom Gallery Chicago and Phantom Galleries LA have come together with the intent to create a network of support for artists, curators and arts organizers who are engaged in temporary public art installations, in storefronts and projects that engage community response. We envision the project as a portal for shared knowledge, a resource of best practices, ongoing professional development, and a place for moral support to enhance our collective impact.
Last year we launched a Podcast produced by GYST Radio on Blog talk. GYST Podcast http://www.blogtalkradio.com/gystradio. Pop-Up Research Station will develop gradually: hosting creative conversations that explore "Temporary Public Art Installations"," Storefront Art Movements", "Creative Place-making", and projects that are the impetus for "Cultural Urban Planning".
The Pop-Up Research Station will be a place to glean information. We see the Pop-Up Research Station as the portal to documenting our legacy, giving emerging curators and artists, new to the world of creative place making, a "Tool Kit" that has already been 20 years in the making, researched, developed, and implemented by artists who have carved out niches and built new communities from empty storefront to monthly art walks.
GYST Radio on Blog talk will cover snap shots of artist stories, host real discussions on the problems we face, offer a support system as well as soliciting advice on how to avoid the potholes moving forward. The interviews done for GYST Radio on Blog talk are conversational and geared toward the artist's mindset, but will be helpful for those interested in our projects as a research tool.
The Pop-Up Research Station will host an international conversation formatted as an online summit, coming in 2014. The conference and other recorded podcasts will be more candid, with facts and figures. Real discussions on the problems we face as curators in temporary public spaces, and the use of our intellectual property, and how it is used to cultivate urban renewal.
We believe that we will thrive when we find new ways of pooling our resources rather than duplicating them. Together we can bolster our ability to achieve our goals as we mentor and support each other.
If you would like to get involved or be on our mailing list send an email to firstname.lastname@example.com
Listen: interview with The Hammer Museum and Fallen Fruit on Arts ReStore LA


text:
Download Flash Plug-in
Harpies, Illustration from 'The Divine Comedy' by Dante Alighieri Paris, Published 1885, by Gustave Doré. . . — Buy this art print at AllPosters.com
A Greco-Roman mythological creature with the lower body, wings and claws of a bird and the chest and head of a woman, often portrayed as very ugly and loathsome.
Harpies were fierce, extremely ill tempered, and lived in an atmosphere of filth and stench, contaminating everything they came near. They are associated with the wind, ghosts, and the underworld. Their chief employer was Hades who sent them to bear away by force and bring to Tartarus those who were unwilling to die. But they also did vengeful errands-for the other gods.
In a notorious Argonaut story they tormented a king named Phineus who had incurred the wrath of a god. They swooped down at his table and snatched his food before he could eat it; they defecated in his plate. Phineus would have starved to death or killed himself but he was rescued by the Argonauts Zetes and Calais, who drove away the Harpies and, some say, killed them.
There were three Harpy sisters. Various names are given to them (Aello, Celaeno, Ocypete), but the most noted one is Podarge, who, despite her appearance, attracted the notice of Zephyr (in some accounts his brother Boreas, the North Wind), the West Wind. She bore him a pair of beautiful colts, Xanthus and Balius, who became the fabulous stallions of Achilles.
Besides being mentioned in the legend of Jason and the Argonauts, the Harpies also appear in the works of the poets Virgil in the 'Aeneid' and Homer in the 'Odyssey.'
See Achilles, Artemis, Hermes, Delphi, Xanthus, Zephyr, Mystic Gifts and Charms - New Age Gift Shop & Wicca and Pagan Supplies, Love Spells -- Use these powerful love spells to help you find and keep your true love, The Tarot Store, Divination & Scrying Tools and Supplies, Unique Amulets, Talismans, Good Luck Charms, and Love Tokens, Powerful Witch Doctor Spell Kits, Powerful Spells - Cast by Andreika the Witch, Webmasters Make $$$, AzureGreen - Celebrating All Paths to the Divine, ISIS - Tools for Your Soul's Journey, and The Pyramid Collection - Myth, Magick, Fantasy and Romance.
Greek Mythology 101; Enroll Today!
Sources: (1) Cooper, J.C. (Editor), Brewer's Book of Myth and Legend, Cassell Academic Publishing; (2) Evans, Bergen, Dictionary of Mythology, Dell Publishing Co., Inc.; (3) Dixon-Kennedy, Mike, Encyclopedia of Greco-Roman Mythology, ABC-Clio Inc. Publishers; (4) Ayto, John, Brewer's Dictionary of Phrase & Fable, Collins Reference Publishing.
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text:
Property Rates
Monthly Stay
2 bedroom from$117/night
all rates in CAD
Property Details
30 Waterfront Drive located on Bedford's waterfront offers a spacious 1,060 square foot fully furnished three bedroom executive suites that overlook the scenic Bedford Basin. Decorated with contemporary styling you're sure to feel right at home. These fully furnished apartments feature fully equipped spacious kitchens, and an open plan living and dining area. Executive suites in this building offer a private terrace with a water view, a dedicated workspace with high speed internet. The master bedroom is furnished with a queen size bed that is draped in quality bedding and linens. It also has a four piece ensuite bathroom. The second and third bedrooms are furnished with double sized beds. The living room is beautifully decorated and has an oversized window allowing plenty of natural light to stream in. Having the added amenities of in-suite laundry and complimentary parking, makes these suites the perfect solution to extended stay hotels.
- Quality Furniture and Contemporary Styling
- Fully Equipped Kitchens
- Entertainment Centers with TV, DVD and Stereo
- High Quality Bedding and Linen
- Master Bedroom Queen Size Bed
- Second and Third Bedrooms Double Size Beds
- In-Suite Laundry Facilities
- Hardwood Floors
- Dedicated Workspace
Also Provides
- Bi-Weekly Housekeeping Service
- Complimentary Wireless High Speed Internet
- Free Digital Cable TV
- Free Local Calling with Voice Mail
- Nightly, Weekly and Monthly Rates Available
- Private Terrace with View of the Water
- Indoor Parking Available
Earn 1,000 Aeroplan Reward Miles for Stays of 30+ Days
Making a Reservation
Videos and ToursWe'd like to invite you to drop by, and have a look around.
Waterfront Drive, Suite 204
Neighborhood Details
There is no better place to be in Bedford than on the waterfront overlooking the Basin. Located right on the fringe of Halifax, this suburban community offers easy access to great food and local shops.
Foodies, gourmands, chefs and families head to Pete's Fine Foods for the best in local produce, specialty food items and ethnic cuisine.
You'll find delicious comfort food in a family-friendly atmosphere at Resto Urban Dining. For authentic Italian food and wine and made with fresh, local ingredients, Il Mercato is your best bet. And, if you are looking for award winning chowder as voted by the readers of The Coast Halifax Weekly, look no further than Esquire Restaurant.
There are plenty of Tim Horton's to be found around town but if you prefer Nespresso or Keurig coffees and teas, we suggest heading to The Coffee Pro.
Head to the local Swiss Chalet for good food you know and love; a Canadian favourite.
Finbar's Irish Pub and the Riverside Pub are also couple of very popular venues that locals frequent for cold beer, live music, and weekly quiz nights.
You can find most of the major retailers at one of the areas two main shopping centres, Bedford Place Mall and Sunnyside Mall, but if you are looking for one-of-a-kind handcrafted pottery, cards, woodworks, houseware, photography, by local artisan, Made in the Maritimes is a must.
If you are looking for a place to rejuvenate your body, quiet your mind or indulge your senses, head to Cascades Day Spa or Vibe Salon Medi-Spa.


text:
There are many different types of kidney cancer, but the most common is called renal cell cancer, or RCC. Renal cell cancer is a disease in which malignant (cancer) cells start in the very tiny tubes (tubules) of the kidney.
What causes renal cell cancer?
Anything that increases your risk of getting a disease is called a risk factor. Having a risk factor does not mean that you will get cancer; not having risk factors doesn't mean that you won't get cancer. People who think they may be at risk should discuss this with their doctor.
Risk factors for renal cell cancer include the following:
What are the symptoms?
There may be no symptoms in the early stages of kidney cancer. Symptoms may appear as the tumor grows and are often similar to other illnesses. You should check with your doctor if you have any of the following:
A pain in the side that doesn't go away.
Loss of appetite.
Weight loss for no known reason.
Anemia or constantly feeling very tired.
Blood in the urine.
A lump in the abdomen.
How is renal cell cancer treated?
After renal cell cancer has been diagnosed, tests are done to find out if cancer cells have spread within the kidney or to other parts of the body. This process is called staging. It is important to know the stage in order to plan treatment.
There are different types of treatment for patients with renal cell cancer
Surgery to remove part or the entire kidney is often used to treat renal cell cancer. Kidney surgery is usually performed by a urologist. The following types of surgery may be used:
Nephron sparing surgery: Nephron sparing surgery is also known as a partial nephrectomy. It is a surgical procedure to remove the cancer within the kidney and some of the tissue around it. It may be done to prevent loss of kidney function when the other kidney is damaged or has already been removed.
Simple nephrectomy: A surgical procedure to remove the kidney only.
Radical nephrectomy: A surgical procedure to remove the kidney, the adrenal gland, surrounding tissue, and, usually, nearby lymph nodes.
When surgery to remove the cancer is not possible, a treatment called arterial embolization may be used to shrink the tumor.
Adjuvant Therapy
Even if the doctor removes all the cancer that can be seen at the time of the surgery, some patients may be given chemotherapy or radiation therapy after surgery to kill any cancer cells that are left. Treatment given after the surgery, to lower the risk that the cancer will come back, is called adjuvant therapy and usually includes:
Radiation therapy uses high-energy x-rays or other types of radiation to kill cancer cells or keep them from growing.
Chemotherapy uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing.
Biologic therapy uses the patient's immune system to fight cancer.
Targeted therapy uses drugs or other substances to identify and attack specific cancer cells without harming normal cells.
Kinase inhibitors uses inhibitors to prevent cells from dividing and may prevent the growth of new blood vessels that tumors need to grow.


text: On 18-8-2004 08:22, "Luis R. Rodriguez" <email@example.com> wrote: >> Please arrange for your project to officially change the license. The >> project leader can do it by fiat (it is a simple thing, after all) or >> you can do it through your resolution process. Tell us when you are done. > > Anyone know who it is we are really supposed to be addressing this > request to then? Debian-legal, any more advice? Luis, The "resolution process" is described in the Debian constitution (appendix A I belief), and involves getting a vote out: http://www.debian.org/devel/constitution http://www.debian.org/vote I'm not sure which project Bruce refers to when he talks about the "project leader" here. I assume the "Debian project". Apparently. SPI will change the licence if the Debian project tells them to. Regards, Freek PS: I stripped most people from the cc. Feel free to strip more or add them again.


text:
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Transfer duration ~10 min
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Our fleet of mini-vans and cars offer a comfortable, reliable and economical transportation services in Bukhara. The vehicle types will be catered to your group size, ranging from cars and minibuses for groups.
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If your flight arrives late
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text: The following reply was made to PR pkg/29780; it has been noted by GNATS. From: "Jared D. McNeill" <email@example.com> To: email@example.com Cc: Subject: PR/29780 CVS commit: pkgsrc/wm/fluxbox Date: Thu, 24 Mar 2005 15:00:41 +0000 (UTC) Module Name: pkgsrc Committed By: jmcneill Date: Thu Mar 24 15:00:41 UTC 2005 Modified Files: pkgsrc/wm/fluxbox: Makefile PLIST distinfo Added Files: pkgsrc/wm/fluxbox: options.mk Log Message: Update fluxbox to 0.9.12; closes PR/29780. Changes: News in 0.9.12: * Added Imlib2 support (./configure --enable-imlib2) [default=disabled] Fluxbox can now load *.png, *.jpg and other image-formats. * Added Tab command, which goes to a specific tab number action: Tab ex: Mod1 1 :Tab 1 Mod2 3 :Tab 3 * Added support for hsetroot to fbsetbg Bug fixes: * Fix for #1091710 (SystemTray is not covered by StyleStuff) SystemTray is now configurable via styles thru the toolbar.systray.* - resource, it falls back to the look of the clock * Warnings on amd64 (#1099278, #1099950) * WithdrawnState handling) (#1087220) * Windows dont respect toolbar.border.width (#996298) * Fixed "remove last workspace" bug * Fixed problems with gtk2-fullscreen-mode (gimp2, galeon etc) * missing header (#1080323) * Update ClockTool when timeformat changed (#1026096) News in 0.9.11: * Slit: * wheel or middle/right click in slit menu moves items up/down * Save slit list menu item * (Re)added dragNdrop ordering of tabs * Better visualisation of the RememberState in RememberMenu * iconbar: * new resources: session.*.iconbar.wheelMode: <mode> On - enable mousewheeling on the iconbuttons Off - disables mousewheeling on the iconbuttons Screen - uses the settings of desktopWheeling session.*.iconbar.deiconifyMode: <mode> Current - deiconifies the window on current workspace Follow - deiconifies the window on the workspace it was iconified from and jumps to that workspace SemiFollow - acts as 'Current' for windows that were actually iconified, and as 'follow' for the others * Added option to specify what to do with windows, that got activated on a different workspaces than the current one (thru NET_ACTIVE_WINDOW for example, guinotification-plugin from gaim) session.screen0.followModel: <value> Ignore - ignore the activated window Follow - go to the workspace of the window Current | CurrentWorkspace | Fetch - get the window onto the current workspace * session.focusTabMinWidth: defines the guaranteed minimize size of the focused tab in percent of the whole window * New command: export | setenv sets the enviroment of fluxbox to a given value export NAME=VALUE setenv NAME VALUE * Alpha values are no longer in theme, but are in init file. Possible values are (all beginning with session.screenN.), * means changed/new: - menu.alpha (*) - slit.alpha - window.focus.alpha (*) - window.unfocus.alpha (*) - toolbar.alpha (*) Bug fixes: * Fix to avoid gentoo bug #72703 also reported at http://www.securityfocus.com/archive/1/382398/2004-11-24/2004-11-30/2 * Fix for a java-bug (wrong opened subwindows) * Fix for hiding menu when menufile changed * Fix for segfault at startup * fbrun doesnt overlap screenborders anymore * Fixed Wine + Paradise Poker Client problem. * Fix UnderMousePlacement, patch #1052534, close #1048000 * Some changes to avoid invisible fonts * Fix memleaks * A few fixes to compile fluxbox with icc and mipspro(irix) #1045785 * Fixed a problem when system-date is set back * Fixed some TextBox issues with some "untypeable" keys * Fix a couple of bugs with transparency in toolbar/buttons * Fix crash when in windowmenu->submenu and closing the app * other bug fixes: #1057499 #1046472 #1052095 #1034522 #1039658 To generate a diff of this commit: cvs rdiff -r1.19 -r1.20 pkgsrc/wm/fluxbox/Makefile cvs rdiff -r1.8 -r1.9 pkgsrc/wm/fluxbox/PLIST cvs rdiff -r1.15 -r1.16 pkgsrc/wm/fluxbox/distinfo cvs rdiff -r0 -r1.1 pkgsrc/wm/fluxbox/options.mk Please note that diffs are not public domain; they are subject to the copyright notices on the relevant files.


text:
12-14mm Cultured Freshwater Pearl Station Necklace in 14kt Yellow Gold
★ ★ ★ ★ ★ ★ ★ ★ ★ ★
5 stars/
Item#: 876460
Stationed along a chain of 14kt yellow gold, each 12-14mm baroque cultured freshwater pearl shows off its unique shape and enviable luster. Lobster clasp, pearl station necklace.
Product Details (for 12-14mm Cultured Freshwater Pearl Station Necklace in 14kt Yellow Gold. 18")
1/2 inch
14kt close 14KT: Karat (abbreviated kt or K) is a unit that indicates the purity of gold in the metal. 14kt is 58.33% gold. In the United States, 14K yellow gold is most favored and used in jewelry. Yellow Gold close YELLOW GOLD: Gold is a precious metal with a natural yellow color. It is quite soft and often alloyed with other metals to increase its strength. The purity of the metal is indicated by a unit called a "karat," with 24kt having the highest percentage of natural gold.
Polished close POLISHED: A buffed-out finish used to produce a mirror-like shine.
Rope close ROPE: Chain links that are twisted or looped together in a pattern that creates a look similar to that of a rope.
Chain Size:
1 mm
Lobster close LOBSTER CLASP: named after the pinching style of the hook, this clasp is often shaped like a lobster's claw. Use your finger to work the lever to open the clasp.
Gemstone 1:
Cultured Freshwater Pearl close CULTURED PEARLS: Likened to the moon, pearls have been valued for their luminous glow and natural beauty for thousands of years. Today, high-quality cultured freshwater pearls make pearl jewelry affordable to all. Pearl is the traditional birthstone for the month of June. (Color: White, Quantity: 13, Shape & Cutting Style: Baroque close BAROQUE: is the term used to describe oversized and irregularly-shaped pearls. Baroque pearls add interest and intrigue to classic jewelry styles. , Size: 12-14 mm)
All weights and measures are approximate.
Ross-Simons Presentation Box Your purchase includes an elegant Ross-Simons presentation box.
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Customer Ratings and Reviews
June 7, 2017
The baroque pearls are lovely.
Fast service and the pearls were just as pictured. I also purchase the matching earrings. I would recommend Ross-Simons and any of their products.
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Bottom Line: I would recommend this to a friend!


text:
Separate names with a comma.
Discussion in 'NFL Draft' started by 2ToneBlueBlood, Apr 24, 2012.
You Tennesseans want a Yankee? Oooooo
Having Osi and Wimbley starting with Morgan and Ball rotating in would be legit...I'm not really jumping up and down at the thought, but it would automatically make us a better pass rushing team...If we can get a good DT in the 2nd and then Osi for a third our D-line doesn't look too bad all the sudden..
I started thinking if we got Osi for a third and managed to get Still in the second, our biggest weakness on defense could turn into our greatest strength.
Plus we could still grab a 4th round C and he would be soo much better than amano too.
Looking nice.... But yea, lets not get our hopes up just yet.
This is true. Osi is 30, we'd be able to get atleast 3-4 years outta him. It's also his contract year, correct? I'd want him to sign an extension before we trade a 3rd for the guy. I'm sure he's wanting more than we'd be willing to give.
Wimbley - Morgan
Still (2nd Round) - Douzable
Casey - Klug - Marks
Osi - Ball - Douzable
Solid 9 man DL rotation.
Still in the second, trade the third for Osi, and draft Blake in the fourth and I would be very very happy
Giants just announced that they re-signed DE Mathias Kiwanuka. Sounds like an Osi trade is in the works.
Pretty sure Kiwanuka played OLB last year.
He'll likely move back to DE for them now.


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For some crazy reason, when I tried to research 'cheap' cities in the United States, I got things like 'worst cities' in America, 'crummiest cities' in America and so on. Apparently, cheap and trashy are synonymous in many people's minds. That's not what this article is about. Cheap, for the purpose of this article, will mean frugal.
Forbes…… $$$ At least that's what I think of. So I guess they would know about cheap. They do in fact list some which they call 'bargain boom towns' where you can get more for less. They actually published their top 100 online. Who you may ask, received the dubious ranking of the cheapest city in the United States of America today? None other than Manchester-Nashua, New Hampshire was awarded the title. With an unemployment rate of only four, a low crime rate, and a culture index of 24, they blew the city listed at 100 out of the water. That city just happens to be Brownsville-Harlingen, Texas whose unemployment rate rolled in at 92, a staggering crime rate, and a culture index of 75. To gain a better understanding of what all this means, the chart can be found on Forbes.com under lifestyles.
Keep in mind when discussing the cheapest city in the United States, the question of which city that would be depends on the type of cheap that you're looking for. Cheap housing, cheap night out, cheap taxes, cheap car prices, cheap vacations… And even if they do have, let's say a low cost of living, if the unemployment rate is sky high, you still won't be able to afford to live there… No job!
All that said; let's take a look at some inexpensive cities in the United States to visit or vacation. Categorizing by lowest hotel costs, low air fare and/or low gas prices, while still offering 'the most' (food, shopping, nightlife, culture).
- Phoenix, Arizona rolls in at number one, it's basically a sports lover's dream come true. Racing (boat and car), major league baseball and professional lacrosse all take place in Phoenix. Both water and dessert attractions pretty much cover all bases, as well as a ghost town and state park.
- Las Vegas, Nevada: No surprise here; with 90+ casinos, reasonable room rates, over 14 shopping malls, outdoor art exhibits, crazy cheap meal buffets, free drinks and entertainment, how on earth can you go wrong? Many travel agencies offer sweet package deals but some people like to put together their own packages (sometimes for less). Fountains, light shows and animal parks will appeal to the whole family.
- New Orleans, Louisiana (reasonable air fares and even more reasonable train rates are available to this destination) Bourbon street, the French Quarter, endless nightlife, infinite dining experiences, antiques, boutiques, numerous attractions for history buffs, and a diverse music collection (yes of course, Jazz) spell out an eventful, yet relatively inexpensive, collection of good times. Oh, and one last thing…MARDI GRAS! Hello!
- Austin, Texas: Yee Haw! (or something like that) Austin is, in a word, weird. And there's no shortage of it. Music festivals and nightlife are two things that Austin does best. Pure spring water, bike trails through rolling hills and a much needed break from the heat at Casey's New Orleans Snowballs (crazy collection of flavored sno-cones) will give the entire family something to do until mom and dad drop the kids off at the hotel and head out for the evening.
- Orlando, Florida: Home of Universal Studios and Sea World. Budget friendly theme parks and hotels are now a big part of Orlando. Art galleries, floral sites, farmers markets, and big bad cypress trees (photo op) are just a few of the attractions in this tropical paradise.
- Dallas, Texas: FOOD! My kind of town. Mexican, barbecue and Tex Mex all combine to offer one of the most down home culinary experiences of all time. Amazingly, Dallas has more culinary establishments per capita than does the infamous New York City. For history buffs, the museum devotes one floor in its entirety to JFK. 'Trees' and 'Club Clearview' are the best places to sample local musical talent but 'Deep Elm' in the warehouse district has the city's finest music venues as well as interesting shopping opportunities. (don't miss Mia's Tex Mex Restaurant)
- San Antonio, Texas: I'm sensing a pattern here. The walk way along the San Antonio River known as The River Walk, is packed with bars shops and restaurants of all types. Not too far from the river is the infamous Alamo viewable from the touring barge or a walk along the path. As with in Dallas, Tex Mex rules (I may have to stop writing long enough to take a trip south!). Taking a trolley through the city allows one to sample a choice of delectable delights. If art is your thing, a magnificent collection can be found at the McNay Art Museum as well as a fascinating medieval collection on the upper floor.
- Nashville, Tennessee-country music anyone? Nashville manages to maintain a small town feel despite its cities' skyscrapers. Market Street's nightly live music, chocolate shakes and cheeseburgers (in paradise), line dancing at the Wild Horse Saloon and of course the Grand Old Opry are only some of Nashville's many attractions. Musical shows and theme parks can be found at Opryland and for you more seasoned travelers, enjoy a bit of Europe by visiting the Parthenon (one of the city's most well known attractions).
Need one more? Okay.
- Portland, Oregon: Home of Voodoo Donuts. Uh huh, that's right. (Don't miss their 'bacon-maple-Donut') Whereas some of the other vacation areas where they offer temperature to the extreme, Portland has mild temperatures and low rainfall. It hosts one of the largest wilderness parks (in city limits) in the U.S. and is also home to a classical Chinese Garden. Keeping the throes of visitors in a jolly mood every year are Portland's Craft Beer Festivals. (okay so I'm traveling here right after Tex Mex) Oh, and the doughnut place… they host weddings.
So there you have it. Reasonable air fares, good hotel rates and a decent number of 'freebies' make each of these some of the cheapest cities in the United States.
Need to travel to these cities?
One of the best discounts users can get is by using online booking agencies such as travelocity or orbitz. They purchase in bulk so they can give the best discounts available. They often have coupons as well that can yield even more savings. Search for a travelocity coupon or orbitz coupon code to discover some of these discounts.
So what do you think about my list?


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This weekend, the Academy of Natural Sciences of Drexel University invites guests to get down with some creepy crawlies at the sixth annual Bug Fest.
The Academy, which has largely focused on the study of bugs since its opening 200 years ago, brings its insect research, discovery and collection to light at this annual festival.
An abundance of family-friendly activities are slated to fill all floors of the Academy of Natural Sciences on August 10 and 11.
This year, the Academy puts the spotlight on bugs that use camouflage for safety.
Over the course of the weekend, try your hand at spotting camouflaged insects at the Masters of Deception activity, or learn how and why bugs disguise themselves at a question and answer session with a bug expert at noon and 12:30 p.m.
On the ground level of the museum, a masquerade bug ball takes over and invites guests to dance, get a bug tattoo and have their face painted. Also on the ground level, boogie to live tunes at noon and 2 p.m.
At 1 p.m., the daring souls are invited to taste an assortment of insect-infused creations in the auditorium … think chocolate chirp cookies. Yikes.
Watch roaches in a mad roach race full of obstacles and numerous race tracks every half an hour from 11 a.m. to 3:30 p.m.
Get up close and personal with bugs of all varieties — from millipedes to praying mantises. Even head outside to Logan Square and Sister Cities Park to experience bugs in our own backyard.
That's not all, the full list of the day's happenings is available here, be sure to check it out for a special look into the world of creepy crawlies.
Bug Fest at the Academy of Natural Sciences
When: August 10-11, 10 a.m.-5 p.m.
Where: Academy of Natural Sciences, 1900 Benjamin Franklin Parkway
Cost: Included in general admission
More info: www.ansp.org


text:
: General Politics
Arizona congresswoman Gabrielle Giffords shot at public event
View Single Post
The Mad Crapper
Join Date: Dec 2009
Location: Sea of Green 23.4°
Casino cash: $5000
Originally Posted by
Chief Henry
Same hear.
Just a few things I can recall: (
paraphraisng here
Obama called the one Police Dept.
Obama during a fundraising event in California was
caught talking about the bitter people who cling to guns.
Obama just a few months ago said in a campaign speech that
could ride the same bus, as long as
sat in the
"BACK of the BUS"
On how many occassions has the SEIU been very uncivil
on purpose
taking busses to peoples homes or offices and creating near riot conditions all for the sake of promoting Obama and the Liberal Jive ?
Obama didn't apologize for what Liberals have said and done.
Obama didn't apologize for what his pastor Rev. Wright has said.
Obama didn't apologize for his friend Biill Ayers blowing up police stations
and KILLING and injurying in the police officers.
Obama didn't apologize for what "The Dailey Kos" blogs on a dailey basis.
Obama didn't apologize at all even after all of the uncivil crap that his party and sheep have done in supporting the left and his agenda.
Obama wants everyone to be CIVIL...what a CROCK of BS
Posts: 8,657
The Mad Crapper
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For now, I wanted to post this latest video from the Berkman Center, a recording of a lecture given on Culturomics: Quantitative Analysis of Culture Using Millions of Digitized Books. A quote from the summary of the video I present below:
In this talk Erez Lieberman Aiden and Jean-Baptiste Michel — co-founders of the Cultural Observatory at Harvard and Visiting Faculty at Google — show how culturomics can provide insights about fields as diverse as lexicography, the evolution of grammar, collective memory, the adoption of technology, the pursuit of fame, censorship, and historical epidemiology.Reasoned and well thought out searches of large data depositories are increasingly making their impact in several fields- while Journalism grabs the most attention due to its increasing daily contact with such large fields of data, I am a firm believer that the Humanities (especially History, but all disciplines really) will find potent new means to both analyze the past and interpret it in ways not possible for earlier scholars, even those whose works rested on the results of early adoption of quantitative analysis in the 80's and 90's. With both mass storage and cheap processing power, not to mention developments made on the granularization of tasks through online social platforms, researchers today can tackle far larger 'tracts' of data. This is the spirit behind my essay on Digital Archives and History, and for that reason I find the presentation of Aiden and Michel to be fascinating and prescient as to the power and potential of what they term 'Culturomics'.


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Put on shoes, step on porch is my brother's mantra for getting himself going on a training run. That's all you have to do, he says — put on your shoes, go outside, take a couple steps. No matter how long the run is, it always starts that way.
When I had my second heart attack in 2012, a mere three weeks from the Medtronic Twin Cities Marathon I'd been training all summer for (and logging nearly 400 miles in the process), I asked my doctor — and I was completely serious — if I'd be ready to finish my training after the required post-surgery seven days of restrictions. (Runners will understand this — when it comes to the end of the training season, nothing — nothing!! — gets in the way of your scheduled runs.)
Spoiler alert: He said no.
So I asked him if I could run the marathon in three weeks.
Yeah, he said no to that too. He said not in three weeks. He said not ever.
I've written about this before, so I'll skip over the weeks of pain and pouting to the day in mid-December when I impulsively signed up for the Polar Dash 10K (and the Get Lucky 7K and the Minneapolis Duathlon, and Women Rock 10K and Monster Dash 10 Mile because the series came with a nifty five-medal frame and a discount).
If I can't run far, then I'll run often. So there.
A couple weeks later I came up with this fab idea — I would run one race every month for the whole year. Take that, heart disease, and shove it where the sun don't shine. I'll never outrun you, but you won't bench me either.
I finished the 12th race on New Year's Eve, just under the wire, and 2013 ended as it began: running, in the freezing cold, with my husband.
Looking back at these pictures — most taken with my phone, at the finish line, trying to catch a bit of the background and still achieve a flattering selfie — I count five races run alone, and seven with others. There were two relays (a full and half marathon), two 10Ks, a 10 mile, a duathlon (5K run plus 16 mile bike), a 7K, and five 5Ks (one of them a trail race).
Four were really cold — the Polar Dash (-10 below on New Year's Day), Get Lucky (unseasonably 10° at the start, in March), Drumstick Dash (unseasonably 15° with a nasty windchill in Milwaukee on Thanksgiving Day), and the last race, the Hopeful 5K, at least reached 0°. (The Jumping Jack Frost — that's the one with the glow earrings — was a perfectly comfortable 25°; great winter running weather.)
Four were really, really hot. The heat index forced the August 25 Minneapolis Duathlon to abandon the second 5K (it was supposed to be 5K-16 mile-5k) What? 90° plus 80% humidity isn't safe you say? Compared to that the Women Rock 10K a week later was cool runnings at only about 80° air temperature and considerably drier. The Fargo Marathon relay (May) was hot and sticky too, as was the August Hearts Healing Hearts 5K trail race; the sun was so hot on the rain-soaked mud you could almost see the steam rising.
Some were big, established, popular name-brand races. Some were tiny fundraisers or put on by road warriors who just love the sport. All moved me in some way — the first 5K that the boys, Scott, and I ran together (Drumstick Dash), the sea of thousands of powerful women ahead of me on the Women Rock course, or running up an endless mud hill for the Young Adult Heart Foundation, because being sick when you are young is just so damn unfair.
It's not unusual for me to cry during a race or a long run. I'm sure it has something to do with releasing stress or endorphins or pushing yourself when you think you can't.
But maybe it's the group of women, in their matching crazy socks and homemade tutus, running their first race together, all in a row. When one slows down and says "you go ahead, it's okay," and they answer "hell, no! We're doing this together." Or my friend, in that same race, glowing with pride (and possibly a little heatstroke) — damn right she finished that 10K, and it's been a while for her, too.
Or maybe I cry because my cousin, after finishing her 6.5 mile leg of the Fergus Falls relay, decided on the spot to run with me the rest of the way. Or because my friend ran that 7K so. very. slowly, since I was just seven days post-(yes, another) surgery. Or because the 14 members of the Run with Heart team not only put in the 400+ miles of training and finished the marathon, but raised $35,000 for heart disease, too.
Or perhaps I cry because I suddenly realize I'm running fast, and it doesn't hurt. That I can, because I am, so I keep going. Or because I actually finished the 8-mile training run, Scott slow-jogging alongside me, and I hadn't run that far since . . . before, and sometimes I wondered if I'd ever do it again.
Or maybe it's simply this, from the back of someone's shirt in the Fargo relay:
"I have fought the good fight, I have finished the race, I have kept the faith." — Timothy 4:7
Put on shoes. Step on porch.


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This past Friday night my hubby and I had a real-life grown-up date. As in, just us with a real babysitter at home with the kids. As in, a dress and loafers…well, my husband wore the loafers.
We headed out of town to 'Centro Martini' and we are sure glad we did but first we did a bit of shopping at Anthropologie. I must share my haul with you because the deals were sick!.
We started with their Point Judith Calamari which were tossed with olives, peppers and sweet Thai chili sauce….
Naturally, we needed a Pomegranate Martini (citrus vodka, poma liqueur, simple syrup, triple sec, fresh lime & cranberry juice) to wash down the calamari.
While we waited for our meals, we enjoyed the atmosphere….
Even the hallway is cool…
For dinner we ordered a Cajun Blackened Hanger Steak. It was cooked perfectly however, it was way over seasoned but my husband enjoyed it.
We also ordered a Citrus-Cilantro Compound Butter topped Salmon served with sauteed Spinach…..
Be sure to ask for the hostess/server Jenny as she was fabulous!


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Zweitsinn means a second meaning, or purpose. It's also the name of a network of innovative waste companies, designers and small German manufacturers supported by the University Dortmund and the DBU, a German government foundation.
All Zweitsinn products are made of recycled goods and at Zweitsinn.de you see how much CO2 was saved as a result of utilizing used things for the production instead of manufacturing new ones.
The Zweitsinn project was exhibited at Colognes IMM 2009, and including some of the pieces featured in the gallery above, such as the retro-inspired Pixelstar products and the amazing, massive wood pieces with integrated flower boxes.
Furnishing Homes With Trash
More Stats +/-
Recycling Garbage into Art
66 Creative Recycling Projects to Combat Global Warming
Ingenious Use of Recycling
Recycling Made Easy
Blood Sugar-Sustaining Bars
The Zweitsinn Project Makes Furniture from Garbage
- By: Holger MohrJan 26, 2009
References: zweitsinn.de & imm-cologne
References: zweitsinn.de & imm-cologne


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Food and drink
You can pop in just to buy a round of the organic stone-ground-flour bread, or take a seat at one of the rustic wooden tables and choose from a selection of freshly made soups, quiches and pastries and made-to-order salads and tartines (open sandwiches). There are plenty of vegan and vegetarian options to choose from. Don't leave without trying the bombe au chocolat for desert — words fail me!
The bakeries are famous for their table commune — a communal table designed to encourage you to natter with your neighbours.
Coumount's original store is located on Rue Dansaert (see below). However, I listed the Sablon café because it has a light-and-airy glass-house terrace out the back. It's particularly lovely in summer when they open the roof panels.
It gets incredibly busy at lunchtimes and on the weekends and, as a result, the waiters can be a bit unsmiling and blunt. You'll need to grab their attention to let them know you're ready to order etc.
On the fashionable Grand Sablon square, across the street from [node:178333].
Price advice
Soup costs 3 euros, sandwiches 7—9 euros and desserts 5 euros.
Coumout's first store at Rue Antoine Dansaert 16A is still open. Other can be found at: Avenue Louise 124, Rue des Tongres 71-73, Chaussée de Boondael 479, Chaussée de Waterloo 515 and Chaussée de Waterloo 1480.
Recommended for
- Backpackers / Students
- Couples
- Families with teenagers
- Families with younger children
- Singles
- People watching
- No fuss


text:
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We have many satisfied customers around the world using our products in one form or other.
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Soundwaves of The Reef
The Australian Chamber Orchestra is packing up the road cases, jumping into an old beat-up van, slopping on the sun cream and taking off on a tour of the east coast.
It's all part of a new performance called The Reef. It's a collaborative project featuring a live music performance by the ACO set against the backdrop of some absolutely stunning surfing and surfing photography filmed at Ningaloo Reef on the coastline of Western Australia.
To say the very least, The Reef is not what you'd expect from a surfing movie or from the Australian Chamber Orchestra.
- Mick Sowry
- Director of The Reef
- Ed Sloane
- Surf photographer who worked on The Reef
- Dicko
- Board shaper based in Torquay, Victoria
Further Information
- The Reef - performance details
- Visit the Australian Chamber Orchestra website for dates of the east coast tour
- Ed Sloane Photography
- A collection of Ed Sloane's surf photography
- Reporter
- James Pattison
Comments (2)
Ms. Mary Steinbacher :
26 Feb 2013 2:04:27pm
Hello! Love your show!!! Just wish "The Reef" with the Chamber Orchestra could come to the West Coast???!!! W.A. misses out on so much....Especially as it was filmed over HERE!!!!! Thanks for a great program anyhow.
Mick Sowry :
27 Feb 2013 1:46:15pm
Hi Mary
Actually we did tour the West as the major part of our first tour with the Reef playing the Perth Concert Hall in mid July. As we are hopefully going to be working further to bring it out as a feature, another round of the country in a couple of years may well happen. The encouragement is certainly there, and I do know Richard Tognetti, cinematographer Jon Frank and I don't want this particular ride to end.
Fingers crossed


text: Can Residents Accurately Abstract Their Own Charts?Houston, Thomas K. MD, MPH; Wall, Terry C. MD, MPH; Willet, Lisa L. MD; Heudebert, Gustavo R. MD; Allison, Jeroan J. MD, MScAcademic Medicine: March 2009 - Volume 84 - Issue 3 - p 391-395 doi: 10.1097/ACM.0b013e3181971d11 Residents' Skill Abstract Author Information Article Outline Purpose To assess the accuracy of residents' record review, using trained abstractors as a gold standard comparison. Method In 2005, the authors asked 74 residents to review their own charts (n = 392) after they received brief instruction on both how to locate data on the medical record and how to use a data abstraction form. Trained abstractors then re-reviewed these charts to assess performance of preventive health care measures in medicine (smoking screening, smoking cessation advice, mammography, colon cancer screening, lipid screening, and pneumonia vaccination) and pediatrics (parent smoking screening, parent smoking cessation advice, car seat safety, car restraint use, eye alignment, and immunizations up to date). The authors then quantified agreement between the two record reviews and assessed the sensitivity and specificity of the residents versus the trained abstractors. Results Overall resident-measured performance was similar (within 5%) to that of the trained abstractor for five of six measures in medicine and four of six in pediatrics. For the various measures, sensitivity of resident-measured performance ranged from 100% to 15% and specificity from 100% to 33% compared with the trained abstractors. Relative to the trained abstractor record review, residents did not overestimate their performance. Most residents' (81%) relative performance rankings did not change when the basis for the ranking was resident measured versus trained abstractor measured. Conclusions Residents' self-abstraction can be an alternative to costly trained abstractors. Appropriate use of these data should be carefully considered, acknowledging the limitations. Dr. Houston is co-director, Birmingham HSR&D Research Enhancement Award Program, Birmingham Veterans Affairs Medical Center, associate professor of medicine, University of Alabama at Birmingham, and assistant program director for research, University of Alabama at Birmingham Internal Medicine Residency, Birmingham, Alabama. Dr. Wall is associate professor of medicine, Division of General Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama. Dr. Willett is associate professor of medicine, Division of General Internal Medicine, and associate director, Internal Medicine Residency Program, University of Alabama at Birmingham, Birmingham, Alabama. Dr. Heudebert is professor of medicine, Division of General Internal Medicine, assistant dean of graduate medical education, and director, Internal Medicine Residency Program, University of Alabama at Birmingham, Birmingham, Alabama. Dr. Allison is professor of medicine, Division of Preventive Medicine, University of Alabama at Birmingham, and assistant director, Center for Outcomes and Effectiveness Research, Birmingham, Alabama. Please see the end of this article for information about the authors. Correspondence should be addressed to Dr. Houston, 1530 Third Ave. South, FOT 720, University of Alabama at Birmingham, Birmingham, AL 35294; telephone: (205) 934-7997; fax: (205) 975-7797; e-mail: (firstname.lastname@example.com). Abstract Method Study design and participants Study setting and patient sample Selection of preventive services and charts Resident chart abstraction Training of abstractors and standardized chart audit Statistical analysis Results Comparing record review by trained abstractors and residents Differences in individual performance rank based on record ... Discussion and Conclusions Acknowledgments Disclaimer References Under the Outcomes Project of the Accreditation Council for Graduate Medical Education (ACGME), evaluation of residency education must expand beyond standard evaluation methods (e.g., in-training exams, faculty evaluations).1 An objective evaluation of residency education is a frequently noted goal. Within the ACGME toolbox of acceptable assessment methods, one suggested method of direct observation, developed by the ACGME, is a record review—an audit of resident performance based on chart abstraction.1–4 Based on the ACGME toolbox, "record review" is the preferred tool for several practice-based assessments including provision of preventive health services, appropriate use of laboratory tests, development and carrying out of management plans, and self-analysis of "own practice."5 However, record review using traditional, trained chart abstractors is costly,4 especially in the absence of a coded electronic medical record system. Possibly, as a result of this cost and because of the difficulty in identifying and training abstractors, record review has not been widely adopted. An alternative to trained chart abstractors, provider self-abstraction, is currently included as an optional module for license renewal for physicians in practice through the American Board of Internal Medicine (ABIM).6 The ACGME is currently evaluating the ABIM method using a small sample of residency programs. Compared with preabstracted performance reports, self-abstraction for performance assessment may have added value for trainees because it allows them to directly reflect on their documentation as they abstract. Although residents have performed self-abstraction in residency training,7–9 previous research has questioned the potential accuracy of providers acting as their own chart abstractors.4 Providers may be biased to overreport performance. The accuracy of resident self-abstraction has not been assessed. We designed a comparison study to assess the difference in record-review-based performance assessment as audited both by residents themselves and by trained chart abstractors. In designing the analysis, we considered the potential barriers and uses of resident chart audits in a residency program. Barriers include time limitations and rejection by trainees in the ambulatory clinic and training program. Potential uses for data from self-abstraction are feedback and longitudinal comparisons for all residents as a group. Clinical instructors could also use the data to provide individual feedback to residents about their own performance, and residents could compare their performance with that of their peers. To use self-abstraction data for performance feedback and comparisons, it must be acceptable and reasonably accurate. Back to Top | Article Outline Method Study design and participants In academic year 2005, 37 internal medicine (IM) residents and 37 pediatrics residents conducted record reviews during their residency clinic experience. Residents spent one hour abstracting charts of patients they had seen in their continuity clinic within the past six months. We asked all postgraduate year two and postgraduate year three residents from one IM and one pediatrics residency to participate between February and June 2005. Because this was an evaluation of a quality improvement performance audit, the University of Alabama at Birmingham institutional review board allowed exemption of informed consent from the resident participants and granted a Health Insurance Portability and Accountability Act (HIPAA) waiver and exemption of informed consent at the patient level because patient data were collected without unique identifiers from existing records. Back to Top | Article Outline Study setting and patient sample The IM and pediatrics clinics serve a low-income, urban patient population. Residents attend clinic, on average, one half-day, four to five hours, per week. Clinic notes, as well as lab and procedure reports, are stored in patient charts as paper records in the clinics. Medicine residents dictate clinical notes, and pediatrics residents use a structured paper note with checkboxes for commonly delivered services. Pediatrics charts also contain a sheet to record immunizations. Back to Top | Article Outline Selection of preventive services and charts For both clinics, we identified six evidence-based preventive services that are (1) common in the patient population, (2) relevant to residency education, (3) reliably abstracted for clinic charts in previous studies, and (4) deemed by the residency program as potential areas for improvement.2,10 For IM, these preventive services included a smoking screening, smoking cessation advice, a breast and colon cancer screening, lipid screening, and a pneumonia vaccination. In pediatrics, we screened families for smoking exposure, advised parents who smoked to quit, counseled on use of car seats for children under age four and car restraints for ages four and over, assessed eye alignment, and determined whether immunizations were up to date. To identify patients who were appropriate for these services and to specifically define each measure, we used the United States Preventive Health Task Force documents and current Health Plan Employer Data and Information Set measures.11,12 We based appropriateness of the service for the patient on the definition of each indicator. For example, mammography is not appropriate for males. We randomly selected for abstraction charts of patients whom residents had seen in their continuity clinics. Back to Top | Article Outline Resident chart abstraction We provided residents a one-hour block of time during one continuity clinic session to abstract their charts. Residents abstracted data from charts of patients they themselves had seen during the previous year. For each clinic, we developed a paper form with instructions for each chart abstracted. Before clinic, a research assistant collected charts of patients whom the residents had seen during the past year, separated them by assigned resident, and placed them on the conference room table. When each resident had completed his or her patient care, the research assistant and one of us (L.L.W.) presented a five-minute introduction to the abstraction session, providing a brief overview of the purpose of the review, reviewing the abstraction form, defining the measures, and allowing time for questions. The abstraction form detailed the specific performance measure definitions. Each performance measure definition included the appropriate patient population (e.g., age, gender, screening interval), criteria required for positive performance (e.g., documenting any counseling, obtaining or scheduling any testing), and where the information was likely located in the chart.2,10 Residents then abstracted each chart, blinded to the results of the standardized chart audit by the trained abstractors. Back to Top | Article Outline Training of abstractors and standardized chart audit One of two trained abstractors with extensive experience in chart audit abstracted each resident's charts, blinded to the results of the resident self-abstraction. The abstractors had been previously trained and had completed chart abstraction for a large audit and feedback of resident performance, including 3,958 charts from the residents' clinics. During this previous study, they had double-abstracted a 5% sample of charts, with errors adjudicated by group review.10 Error rates averaged less than 3%. Back to Top | Article Outline Statistical analysis For each of the six measures, we calculated the measured performance, as assessed by both the resident and the trained abstractor. We quantified raw agreement and kappa for each performance measure for the two abstractions. The total number of potential disagreements was the total number of performance measures abstracted for all of the residents' charts. Raw agreement was the number of disagreements divided by the total number of potential disagreements. Kappa is a measure of agreement that is adjusted for the amount of agreement that could be expected from chance alone. Then, using the record review by trained abstractors as the reference criterion, we calculated the sensitivity and specificity of the residents' assessments as a group. Next, we quantified each resident's performance and ranked the residents from highest to lowest performance on the smoking screening measure. We chose to rank on smoking screening because (1) it is applicable to both pediatrics and medicine and (2) it is applicable to all patients, giving the highest number of charts per resident. We report the number of providers whose ranking changed quartile from the self-abstraction to the trained abstractor abstraction. Back to Top | Article Outline Results Thirty-seven IM and 37 pediatric residents participated. Overall, approximately half of the residents were women (n = 14, 38% IM; and n = 22, 59% pediatrics). IM residents abstracted a total of 120 patient charts (mean per resident = 3.3 [SD 1.9]). Pediatric residents abstracted a higher number of charts, 272 (mean per resident = 7.3 [SD 2.1]). Patients were almost all African American (n = 345; 88%); 70 (58%) of the IM patients were women, and 141 (52%) of pediatric patients were girls. The majority of IM patients (n = 68; 57%) had three or more visits in the measurement period, and the majority (n = 226; 83%) of pediatric patients only had one visit. Back to Top | Article Outline Comparing record review by trained abstractors and residents On the basis of the performance measure definitions above, some measures were not appropriate for some patients (e.g., mammography is not appropriate for men). The total number of potential disagreements (sum of total number of measurements on appropriate patients for all six performance measures) was 618 for IM and 990 for pediatrics. The overall raw rate of disagreement of the six performance measures for IM comparing trained abstractor with resident was 13.4% (83/618), and for pediatrics it was 10.6% (105/990). Using the trained abstractor as the gold standard, percent agreement, kappa, sensitivity, and specificity of the resident abstractor varied by performance measure (Tables 1 and 2). However, for most measures, the overall performance rates at the clinic level from the resident and trained abstractor record review were similar. For five of the six measures in IM, overall performance measured by residents and abstractors was within 5% (Table 1). Resident-measured performance was lower than that of the trained abstractors for four of the six measures. Results were similar in pediatrics, with four of the six measures within 5% (Table 2). Table 1 Table 2 Back to Top | Article Outline Differences in individual performance rank based on record review by residents versus trained abstractors We used smoking screening to evaluate differences in measured performance and impact on relative performance ranking of the residents. We collapsed the patient data at the resident level to obtain mean performance on this measure. The mean performance for IM and pediatrics combined, based on the trained abstractor, was 84% (SD 0.27), and, based on resident abstractor, was 81% (SD 0.3). Eighty-one percent (60/74) of the residents' measured performance did not differ compared with measured performance based on the trained abstractor, and for only 13 residents (18%) did the residents' measured performance differ by more than 10%. Comparing quartiles of performance ranking, six residents (8%) fell in performance ranking by two or more quartiles when using their own self-abstracted performance versus the trained abstractor-measured performance, and six residents (8%) rose by two quartiles. Back to Top | Article Outline Discussion and Conclusions Despite some disagreements, we found that the resident self-abstraction provided a fairly equivalent depiction of overall performance, compared with trained abstractor, at the clinic level for the group of residents. For five (IM) and four (pediatrics) of the six measures, the resident-measured performance was within 5% of the abstractors' audit of documented performance. This suggests that for these measures, resident self-abstraction could be used to provide an estimate of documented performance in clinic, replacing more costly audit by chart abstractors. In a prior abstraction of 761 charts, we calculated the total cost of abstraction (including training of abstractors) to be $7,510, for a per-chart cost of $9.8.13 In comparison, from the perspective of the training program, the cost of the resident self-abstraction was minimal and included the cost of printing paper surveys, time for support personnel to gather charts for residents, and the effort required to hold a block of clinic time open for this activity. However, this perspective does not account for the loss of revenue to the clinic that resulted from the loss of patient appointments to perform self-abstraction. The cost-savings/revenue-loss equation will likely vary with how and where self-abstraction is implemented. We implemented abstraction during a clinic session because we thought it would be most feasible and acceptable to our residents. However, it could also be conducted after clinic, during a lunch session, or some other time during work hours that would not result in loss of clinical revenue. When measuring the performance of specific residents, the proportion of residents, especially pediatric residents, whose data agreed with the chart abstractor (within 10%) was high for tobacco use screening. We found that measured performance and subsequent performance rank were similar, despite the relatively low number of charts per resident. However, we did not assess provider-specific performance for other indicators that had substantially lower numbers of charts. For these indicators, the number of charts abstracted would likely create an unstable estimate of individual performance. There may be additional benefits to resident self-abstraction unrelated to accuracy of audit and subsequent feedback.14,15 The act of chart review in itself may be an intervention, allowing self-reflection. Of note, the ABIM has implemented self-abstraction as a module for board recertification.6 We conducted self-abstraction in this study because it is most consistent with the current practices of the ABIM and is likely to be the model that our trainees will experience in the future. Anecdotally, our residents found the abstraction experience acceptable, and several reported that they were "surprised" or "disappointed" that they had not documented provision of preventive services to some patients who were appropriate. Thus, the opportunity to review even a few charts may act as an important training experience. Our analysis is limited in that it derives from two residency programs from one institution and from a limited sample of residents and charts. Further research across multiple residency programs should assess whether residents can achieve higher levels of agreement with further training or more frequent abstractions. The number of preventive services we abstracted was low and does not reflect the totality of resident performance. We acknowledge that although chart abstraction is an accepted standard for performance evaluation, this method measures documented performance, and additional preventive services may have been delivered that were not documented—or documented but not delivered. We also do not have prospective follow-up data, assessing change in performance after self-abstraction, or comparing the impact of self-abstraction with feedback from trained abstractors' audits. Understanding whether self-abstraction changes behavior and whether it is as effective as feedback from abstraction from trained abstractors is a critical topic for future research. Other research may also investigate residents' review of one another's charts. We based our self-abstraction strategy on what could be reasonably integrated into a residency training program. We felt that residents would be willing to self-abstract during a clinic block reserved for this purpose. The number of charts represents the number that the residents could reasonably abstract in the given time. The self-abstraction was feasible, although the total number of charts abstracted was limited. We blocked out a time of one hour. On average, IM residents reviewed 3.5 charts per hour, and pediatrics residents reviewed seven charts per hour. We could have blocked off a series of clinic times to enhance the sample of charts per resident. However, as the time burden increases, the feasibility of implementing self-abstraction and the acceptability to residents would likely decline. For those measures with poor agreement, resident abstraction may have been improved if time and training had increased. Clearly, our trained abstractors had been more rigorously trained than the residents and had more experience with chart audit, but this again goes to the feasibility of implementing self-abstraction. Providing feedback to individual residents or comparing residents using self-abstraction is limited by the number of charts abstracted and, thus, by the precision of the estimate. Because of the limitations in accuracy and precision, we do not feel that self-abstraction is robust enough to serve as the basis of incentive programs in training or promotional criteria. On the basis of our results, we would recommend that audit and feedback be used for formative assessment and self-reflection, not for summative evaluation by the training program. Of note, the residents did not overestimate their performance compared with the trained abstractors. Anecdotally, residents seemed to derive some value from the exercise, although we did not assess perceived importance as part of this analysis. In conclusion, resident self-abstraction is feasible, acceptable to residents, and cost saving. Our results have important implications for residency training because implementing record review by trained abstractors is cost-prohibitive for many residency programs. Future efforts assessing self-abstraction in a broader array of settings and using a broader array of performance data are needed. Understanding how resident self-abstraction triangulates with other methods of assessment from the ACGME toolbox,5 such as patient surveys, would be a valuable addition to our results. Self-abstraction is likely most appropriate in the context of an overall, multicomponent evaluation using a variety of tools from the ACGME toolbox. Back to Top | Article Outline Acknowledgments The authors wish to thank Heather Coley for her editorial assistance with this report and for management of our medical education research initiatives. This project was supported with funding from the University of Alabama Health Services Foundation General Endowment Fund. Back to Top | Article Outline Disclaimer Part of this research was presented previously as an oral abstract at the 2006 National Society for General Internal Medicine conference in Los Angeles, California, April 26–29, 2006.Back to Top | Article Outline References1 Accreditation Council for Graduate Medical Education. Outcome Project. Available at: (http://www.acgme.org/outcome). Accessed November 24, 2008. Cited Here... 2 Willett LL, Palonen K, Allison JJ, et al. Differences in preventive health quality by residency year. Is seniority better? J Gen Intern Med. 2005;20:825–829. Cited Here... 3 Peabody JW, Luck J, Glassman P, Dresselhaus TR, Lee M. Comparison of vignettes, standardized patients, and chart abstraction: A prospective validation study of 3 methods for measuring quality. JAMA. 2000;283:1715–1722. Cited Here... 4 Allison JJ, Wall TC, Spettell CM, et al. The art and science of chart review. Jt Comm J Qual Improv. 2000;26:115–136. Cited Here... 5 Accreditation Council for Graduate Medical Education. Toolbox of Assessment Methods. Available at: (http://www.acgme.org/outcome/assess/toolbox.asp). Accessed November 24, 2008. Cited Here... 6 Wasserman SI, Kimball HR, Duffy FD. Recertification in internal medicine: A program of continuous professional development. Task Force on Recertification. Ann Intern Med. 2000;133:202–208. Cited Here... 7 Staton LJ, Kraemer SM, Patel S, Talente GM, Estrada CA. "Correction:" Peer chart audits: A tool to meet Accreditation Council on Graduate Medical Education (ACGME) competency in practice-based learning and improvement. Implement Sci. 2007;2:24. Cited Here... 8 Paukert JL, Chumley-Jones HS, Littlefield JH. Do peer chart audits improve residents' performance in providing preventive care? Acad Med. 2003;78(10 suppl):S39–S41. Cited Here... 9 Holmboe ES, Prince L, Green M. Teaching and improving quality of care in a primary care internal medicine residency clinic. Acad Med. 2005;80:571–577. Cited Here... 10 Houston TK, Wall T, Allison JJ, et al. Implementing achievable benchmarks in preventive health: A controlled trial in residency education. Acad Med. 2006;81:608–616. Cited Here... 11 U.S. Preventive Services Task Force (USPSTF). Available at: (http://www.ahrq.gov/clinic/uspstfix.htm). Accessed November 24, 2008. Cited Here... 12 National Committee for Quality Assurance. HEDIS 2008 Technical Specifications. Revised October 2006. Available at: (http://www.ncqa.org/tabid/536/Default.aspx). Accessed November 24, 2008. Cited Here... 13 Palonen KP, Allison JJ, Heudebert GR, et al. Measuring resident physicians' performance of preventive care: Comparing chart review with patient survey. J Gen Intern Med. 2006;21:226–230. Cited Here... 14 Holmboe ES, Meehan TP, Lynn L, Doyle P, Sherwin T, Duffy FD. Promoting physicians' self-assessment and quality improvement: The ABIM diabetes practice improvement module. J Contin Educ Health Prof. 2006;26:109–119. Cited Here... 15 Holmboe ES, Rodak W, Mills G, McFarlane MJ, Schultz HJ. Outcomes-based evaluation in resident education: Creating systems and structured portfolios. Am J Med. 2006;119:708–714. Cited Here... © 2009 Association of American Medical Colleges Article Outline Abstract Method Study design and participants Study setting and patient sample Selection of preventive services and charts Resident chart abstraction Training of abstractors and standardized chart au... Statistical analysis Results Comparing record review by trained abstractors an... Differences in individual performance rank based ... Discussion and Conclusions Acknowledgments Disclaimer References Source Can Residents Accurately Abstract Their Own Charts? Academic Medicine84(3):391-395, March 2009. Full-Size Email + Favorites Export View in Gallery Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Academic Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Academic Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. 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chocolate covered oreos
a 5some involving 4 black individuals and 1 white individual.
"yo kenny, didn't you have that chocolate covered oreos session with those 4 chicks?" "h-ll ya! best night ever!"
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the baddest b-tch there is woah jaszmon is such a bad b-tch the most amazing person you'll ever meet, she knows how to make people feel happy about themselves even if their life actually sucks. jaszmon's are often perfect in everyway. but they will most likely deny that and claim that they aren't. no one […]
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Memorial Day: The solemn side: A ceremony to remember those who died serving in the military features Rep. C.W. "Bill" Young at 10 a.m. today at Bay Pines National Cemetery in St. Petersburg (free). The party side: Kick off summer at Shephard's on Clearwater Beach featuring drink specials and DJs Ray Deville/Nova/Ku/A Rock ($10-$20). Active duty and retired military also can find deals, including free admission to the Florida Aquarium and Lowry Park Zoo in Tampa.
IPA Festival: More than 35 hoppy IPAs, spicy food and funky jams Saturday at Dunedin Brewery, one of the originals in the craft beer movement. $35-$45. (727) 736-0606.
Date Night
7 Homeless Mammoths Wander New England: American Stage's new comedy involves a complicated relationship among three women, a university in dire financial straits and characters from a diorama in a history museum. Previews start Wednesday ($29); opens Friday ($59 for opening night with reception; $29-$49 after). (727) 823-7529.
Summerland Tour: '90s tour brings together Live, Everclear, Filter and Sponge. Not much of the original lineups remain — but the hits do. It's Thursday at the Mahaffey Theater in St. Petersburg. $29-$69, $15 with student ID. (727) 893-7832.
The Rascals: The group known for '60s hits Groovin' and You Better Run do a unique stage show combining a reunion concert with the story of the band's tumultuous era. Produced by Steven Van Zandt, it's Thursday at Ruth Eckerd Hall in Clearwater. $55-$125, $200 VIP. (727) 791-7400.
More music: Australian teen pop phenom Cody Simpson promotes his album Paradise at the Straz Center in Tampa on Friday. $39.50-$99.50; (813) 229-7827. Even younger phenom 13-year-old Jackie Evancho of America's Got Talent fame performs songs from the silver screen Sunday at the Mahaffey Theater in St. Petersburg $55.50; (727) 893-7832. Folk duo Indigo Girls bring a 32-piece orchestra Saturday at Ruth Eckerd Hall in Clearwater $39-$59; (727) 791-7400. Also at Ruth Eckerd is Peter Frampton, known for hits like Baby, I Love Your Way, on Sunday. $49.50-$99.
Kids and Family
Pinellas Pepper Fest: Fire up the taste buds with spicy foods, live music, family activities, a pepper eating contest and a spicy lolly lick-a-thon. It's Saturday at the England Brothers Bandshell Park in Pinellas Park. $2, 12 and younger free. (727) 541-0700.
more to explore
See what's new at the theme parks — plus insider tips — at tampabay.com/things-to-do.


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The Socrates Sock Co. Attica and Xeno selections are not your run of the mill Walmart multi-packs. These socks guarantee that they will never wear a hole, no matter how far out you let those talons on the ends of your toes grow. How do they do it? With a little help from the military, of course.
Boasting a kevlar-carbon matrix around the toes, both versions of the Socrates Sock Company's offerings prevent wear in the toe before it can even begin without compromising the comfort factor thanks to carbon threading on toe and heel. The military-spec elastic around the shin also means these will stay pulled up much longer than the standard sock.
Aside from that, the socks come in three or four different dyes for your feet (depending on sock choice), and are also available in Women's Sizes (7-9) and Men's Sizes (9-15). Alternating horizontal stripe patterns are on the Xeno while "invisible" vertical stripes make up the body of the sock between toe and band on the Attica.


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posted on 06 February 2016
Is Twitter An Acquisition Target?
by Felix Richter, Statista.com
The past few months haven't exactly been easy for Twitter's CEO Jack Dorsey.
Ever since he took back the reigns at the company he co-founded in 2006, he has had to let more than 300 employees go, see several top executives leave and witness his company's stock price crumble to new lows.
Since the day Dorsey was named permanent CEO of the social media company in October 2015, Twitter's stock price dropped by 40 percent, shaving more than $6.5 billion off the company's valuation. Twitter's market cap currently stands at $11.5 billion, down from almost $40 billion at its peak in December 2013.
Twitter's low valuation has made the company a subject of acquisition rumors. After the News Corporation had dismissed takeover rumors earlier this year, another rumor surrounding Twitter's possible acquisition by a group of investors surrounding venture capitalist Marc Andreessen surfaced on Monday. Twitter's stock price is up almost 10 percent in early trading on Monday, as Wall Street appears to like the idea of tech investor Andreessen getting involved.
This chart illustrates the rise and fall of Twitter's stock price since the company's IPO in November 2013.
You will find more statistics at Statista.
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* Chrysler revives a name that dates to 1974 * Newest Jeep breaks out of traditional design box * But would it look better as an Alfa Romeo? By Paul Lienert DETROIT, March 27 (Reuters) - The 2014 Jeep Cherokee revives one of the brand's hallowed nameplates, one that dates back nearly 40 years. But the Chrysler Group's new crossover vehicle looks like it would fit better in Italian cousin Alfa Romeo's future product stable. ...
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EC rules on hazardous waste incineration implemented
Regulations to implement the 1994 EC Directive on hazardous waste incineration came into force in April.1 Most processes affected are already regulated under integrated pollution control (IPC), but the tighter EC emission limits may cause particular difficulties for the drum reconditioning industry. Some smaller processes which co-incinerate hazardous wastes will be upgraded from local authority pollution control (LAPC).
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Sunny Webb is a Manager at Accenture Technology Labs, within the Digital Experience team in Silicon Valley. Her team develops innovative technologies into solutions for the business world's most challenging and exciting opportunities. She's led innovative transformation at multiple Fortune 100 clients in Retail, Finance, and Oil & Gas.
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Tranmere loanee James Wallace faces two weeks out with a torn hamstring. The 20-year-old midfielder went back to parent club Everton for treatment after suffering the injury against Exeter on Saturday.
Rovers boss Ronnie Moore told the club website: "It looks like he has got a second degree tear in his hamstring which isn't too bad. It could be 10 days or two weeks.
"But it will be a blow not to have him for those games. He's got great ability, he's strong, he can get a goal so he will be a miss for us.
"But Joss Labadie has come on and done well. He has taken his opportunity, to be fair."
Click here to reach the No1 destination for hard news and exciting gossip on Everton