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There has been a renaissance in recent years of the once disparaged technique of minimal incision surgery. This author details why minimal incision osteotomies can be advantageous for certain conditions, offers surgical pointers and provides salient advice on overcoming complications.
Unfortunately, there remains a huge stigma with minimally invasive surgery due to some catastrophic results of a small number of unscrupulous surgeons performing minimally invasive surgery of the foot in the United States in the late 1970s and 1980s.
This is detrimental in my opinion. With the refinement of minimally invasive techniques that has occurred, use of the surgery with proper indications and, most importantly, excellent training, these techniques have greatly improved patient care. Minimal incision surgical techniques also allow for correction of deformities that would otherwise be associated with long postoperative morbidity and, frankly, would be untreatable otherwise.
Thankfully, due to the refinement and appropriate implementation in Europe by very credible and highly trained surgeons, who have approached this concept with a very judicious and cautious approach, there has been a recent resurgence of this type of surgery in the U.S. There has always been a small faction of podiatric surgeons who have maintained the practice of minimal incision techniques with generally excellent results.
However, widespread general acceptance professionally has been scant, perhaps because only the few poor outcomes generate acknowledgement. Usually, the only time mainstream foot surgeons would talk about it would be to denigrate the techniques based on complications that surfaced.1-5 There will be more implementation of this type of surgery in the future here. In my opinion, when appropriately trained surgeons perform this method of surgery with technical skill and proper indication, it is a good thing for the patient.
Currently, there are probably more variations of osteotomies in metatarsals alone than there are conditions of the foot. Indeed, the number alone for osteotomy variations for the correction of hallux valgus would account for most of these. Conceptually, the surgeon as well as the patient must think of an osteotomy as hopefully nothing more than a precise and controlled fracture, one which will position the bone in such a way so healing will result in a correction of the original deformity.
Until recently, many variations of osteotomy configuration have been solely predicated on the ability for one to apply fixation, primarily internal fixation and usually with screws. A perfect example of this is the Akin osteotomy. While surgeons most often envision external fixation as some type of mini-rail device, simple casting and splinting have withstood centuries of time as effective means to stabilize bone healing after fracture as well as osteotomy.
However, until recently, with minimally invasive approaches to osteotomies becoming more popular with increased utilization, there has been a wide consensus of opinion that internal fixation is required to attain the optimum result. Some have contended that it is below the standard of care to leave any osteotomy unfixated. This is simply not true in both my experience and given the exposure I have had to large numbers of cases presented in European foot congresses. In many cases, the dissection required to apply fixation results in more morbidity than if it had not been fixated initially. The data and clinical results certainly do not support that contention with our utilization of these techniques. I have also observed this in hundreds of cases I have reviewed in Spain.
As with any surgical technique or philosophy, there must be implementation with a criteria for proper procedure selection. Without such judiciousness, all techniques can be doomed to failure.6 There are also hybrid situations in which one can perform the osteotomy with a minimally invasive technique and still use fixation (usually all first metatarsals). One can also use a minimally invasive osteotomy simultaneously with other traditional techniques for treating other concurrent pathology, such as in the treatment of lesser metatarsals with concurrent hallux valgus correction. When it comes to discussion of minimally invasive osteotomy techniques, the bone that one is addressing greatly influences whether some type of fixation, other than external taping or splinting, needs to occur. A general rule of thumb is that all first metatarsal osteotomies require fixation.
Successful bone healing depends on many factors ranging from the metabolic condition of the patient to which bone is involved. Fracture healing is similar to osteotomy healing and the type of fixation can affect outcome. Note that gaps in osteotomies or fractures up to 6 mm can heal physiologically.7
Any osteotomy that surgeons can perform with the least amount of periosteal disruption is preferable as the periosteum can contribute up to one-third of the blood supply to the bone. This is one considerable aspect that can improve with a minimally invasive osteotomy versus a procedure with large maximal dissection.
There are essentially three types of fixation: internal (screws, plates, cerclage wiring, etc.); external (casting and splinting in addition to percutaneous K-wires and mini-rail devices); and biologic.
In minimally invasive osteotomies of the lesser metatarsal, for example, the concept of biologic fixation occurs in addition to the orientation of the osteotomy itself. Due to the minimal amount of dissection and the orientation and position of the osteotomy where there is relatively good alignment in all planes, the undisrupted soft tissues provide support. Additionally, the soft tissues improve blood supply in comparison to where there was maximal dissection required for plating, etc.
Conceptually, surgeons love to see postoperative radiographs that show perfect anatomical alignment and demonstrate elaborate screw or plate placement. A 1 mm gap in an otherwise perfect osteotomy can cause surgeon apoplexy but the reality is there is no likelihood of an outcome that is impaired or even less than perfect.
Frequently the perfect X-ray does exist but this does not always correlate to the surgical outcome. There still may be a lack of full deformity correction, the joint may be stiff and painful, or the foot may still be extremely edematous due to the extent of the surgery. In contradistinction, the X-ray may look horrible, may be considered a complication, and the patient has no sequela and is extremely pleased with the outcome. When beginning to implement minimally invasive osteotomies and techniques into your surgical armamentarium, you will likely need to have a mental readjustment period when it comes to assessing surgical outcomes, particularly when evaluating radiographs.
You have to treat patients and not X-rays. It is also important to educate your patients about this preoperatively. Bear in mind they may seek a second opinion from someone who has no experience whatsoever with minimally invasive techniques. Such patients will really start criticizing your work when in fact you have done an excellent job. With the normal postoperative healing of bone, the ultimate result will be excellent. Those who have no experience with these techniques cannot judge the outcome of final osteotomy healing by what the X-ray looks like at four weeks post-op.
In hammertoe correction surgery, it is routine in the U.S. to perform some type of arthroplasty with removal of a portion of the articulation, whether it be the head of the proximal phalanx or a middle phalangectomy. In Europe, whenever possible, the concept is to try to avoid surgical dissection of the articulation during the correction, which decreases postoperative stiffness. Rather, one should implement correction with a minimally invasive osteotomy, either proximal or distal to the joint, in combination with other minimally invasive procedures like tenotomies and capsulotomies.
In the situation in which there is dorsal displacement of the proximal phalanx on the respective metatarsal head, which has been present for years, there is undoubtedly substantial bony re-adaptation between the base of the proximal phalanx and the head of the metatarsal. It is surgically naïve, in my opinion, to believe that some type of extensive soft tissue procedure (like a flexor tendon transfer) is going to allow for repositioning of the articular deformity present and that the soft tissue correction will be longstanding. If the joint is congruous in its deformed position and there is painless and functional range of motion, why not cut the proximal phalanx distal to the metatarsophalangeal joint (MPJ) and allow for a plantarflexory repositioning of the digit? These heal quickly, do not need fixation except for taping and result in an excellent outcome.
It is important to note that with this type of hammertoe correction, surgeons are also frequently performing minimal incision osteotomies concurrently and that there will not be a normal grasping motion of the digit post-surgery. An additional benefit of not having internal fixation is that while there is still bone plasticity (up to about three weeks), one can obtain additional correction by blocking the digit and manipulating it into more correction if that is necessary.
There are some forefoot reconstructions that are simply not possible with open techniques. Utilization of percutaneous osteotomies can allow for very satisfactory and functional outcomes with a minimum of trauma. Alternately, with a traditional open technique, so much tissue dissection would be required that the foot would be edematous and non-functional for a long period of time.
This is especially true for rheumatoid reconstructions. When employing the minimal incision technique, there are the added benefits of less tissue disruption in an immunocompromised patient and a faster return to normal function. However, with central metatarsal osteotomies, my highly trained colleagues in Spain caution that it will take a minimum of three months for them to heal and be non-painful. They almost always recommend doing the second, third and fourth metatarsals concurrently.
Another very useful indication for a minimally invasive osteotomy is the example of the patient with a failed hallux valgus surgery. There are cases in which patients have had a prior open hallux valgus reconstruction and they are still not happy because the hallux is still (albeit slightly) laterally deviated and touching their second digit. They do not want to go through another lengthy post-op recovery and their first MPJ works well with no pain and a normal range of motion. Another procedure aimed at the level of the first MPJ is certain to result in more stiffness and morbidity.
A simple percutaneous osteotomy (Akin) of the proximal phalanx works extremely well in this situation. It allows for minimal restriction of activity after surgery and the patient only has to tape/splint the digit for four to six weeks with virtually no postoperative morbidity. There is another advantage to this type of non-fixated osteotomy.
If the patient desires even more correction after surgery, while there is still plasticity in the bone (up to about three weeks), one can locally anesthetize the digit and manipulate it into better position. This is not possible when one uses rigid internal fixation (see "A Closer Look At The Necessity Of Internal Fixation For Different Osteotomies" below).
Performing minimally invasive surgery is more difficult and demanding than performing open surgery. There is a steep learning curve for some of these techniques. It would be my recommendation to begin with simple digital work for hammer digit correction and then phase into increased utilization for techniques such as proximal Akin osteotomies. Then one can finally progress to distal metaphyseal work on lesser metatarsals.
I highly recommend the excellent textbook Minimally Invasive Surgery, which is translated into English for a review of these techniques.8 The anatomical illustrations alone are well worth the cost of the text. As with any surgical procedure, let alone a whole foreign conceptual type of surgery, there are many nuances that one should contemplate before entering into this type of surgery.
While there is a strong need for the surgeon to be keenly aware of anatomy and topographical location, there is also a strong reliance on the use of intraoperative fluoroscopy to ascertain proper position of the cutting instrument prior to making the osteotomy. Surprisingly, there is very little trauma to surrounding soft tissues with good technique and the use of recommended instrumentation.9
Special instrumentation is required. For example, you cannot use high-speed rotary instruments as the heat generated will result in a high propensity for thermal bone necrosis. Use low RPM side cutting burrs. For lesser metatarsal osteotomies, we use small, traditional power saws while the assistant applies cooling, sterile water. We have not encountered thermal bone necrosis. This deviates from use of the side cutting burr for lesser metatarsal osteotomies but provides for less of a learning curve and more precision.
It is beyond the scope of this article to describe detailed surgical techniques. However, with the presentation of a few case examples, hopefully one can gain an appreciation of how powerful these techniques can be with extraordinary surgical outcomes.
Revision surgery for failed hallux valgus correction can be one of the most demanding surgeries the foot surgeon performs. Considerations of revision surgery should include:
1. What does the patient desire?
2. What is really possible?
3. Does the planned revision place the patient at more risk for increased morbidity?
As we have talked about the perils of treating radiographs and not patients, it is vital to understand what the patient does not like about the outcome. Sometimes, it has almost nothing to do with the original surgery (and almost never involves what the postoperative radiograph looks like). For example, say there is more of a separation between the hallux and second digit. The patient does not like that and wants the second digit corrected.
A minimally invasive osteotomy may be the ideal correction for this type of revision as there is already significant scar tissue present and often no need to "redo the whole thing."
Complex clinodactyly deformity. In a complex fifth digit deformity, the use of a minimally invasive proximal phalangeal base osteotomy provides ultimate correction of this complex deformity with minimal postoperative morbidity and often little, if any, post-op pain.
Diffuse metatarsalgia. Metatarsalgia is a common forefoot condition that can be difficult to treat and one must always evaluate whether an equinus condition exists concomitantly. If there is overwhelming gastrocnemius equinus, it is my opinion that one address this component primarily. This approach has much less postoperative morbidity than forefoot metatarsal osteotomies.10 Research has found the Weil osteotomy to be particularly beneficial to treat this condition and it is well suited to minimally invasive techniques.11
Additionally, when it comes to high-risk patients with ulceration, studies have found minimally invasive osteotomies to be beneficial with a high level of efficacy and low complication rate.12,13 This may allow for intervention that open techniques would preclude.
As with any surgical technique, there will be complications. Fortunately, in my experience, they have been small and rare. I believe that most complications emanate from two things: inappropriate indication of the technique and failure somewhere in the postoperative course.
With this type of surgery, my worst complication has been a delayed healing of three lesser metatarsal osteotomies in which the patient was feeling so well that she decided to start playing golf at six weeks post-op. Naturally, there was a long period of immobilization and bone stimulation with ultimate healing. Rarely will a lesser metatarsal osteotomy at the distal metaphyseal not heal if one gives it enough time. Another potential complication is an extrusion of bone paste postoperatively if one does not adequately remove it at the time of surgery.
The use of minimally invasive osteotomies provides the surgeon with some very powerful techniques. These techniques can provide previously unattainable corrections of very complex and severe forefoot deformity. However, it is important to emphasize that these techniques require advanced training and gradual implementation.
Dr. Barrett is an Adjunct Professor within the Arizona Podiatric Medicine Program at the Midwestern University College of Health Sciences. He is a Fellow of the American College of Foot and Ankle Surgeons.
1. Portaluri M. Hallux valgus correction by the method of Bosch: a clinical evaluation. Foot Ankle Clin. 2000; 5(3):499-511, vi.
2. Legenstein R, Bonomo J, Huber W, Boesch P. Correction of tailor's bunion with the Boesch technique: a retrospective study. Foot Ankle Int. 2007; 28(7):799-803.
3. Henry J, Besse JL, Fessy MH. Distal osteotomy of the lateral metatarsals: a series of 72 cases comparing the Weil osteotomy and the DMMO percutaneous osteotomy. Orthop Traumatol Surg Res. 2011; 97(6 Suppl):S57-65.
4. Giannini S, Faldini C, Vannini F, Digennaro V, Bevoni R, Luciani D. The minimally invasive osteotomy "S.E.R.I." (simple, effective, rapid, inexpensive) for correction of bunionette deformity. Foot Ankle Int. 2008; 29(3):282-286.
5. Bauer T, de Lavigne C, Biau D, De Prado M, Isham S, Laffenetre O. Percutaneous hallux valgus surgery: a prospective multicenter study of 189 cases. Orthop Clin North Am. 2009; 40(4):505-514, ix.
6. Waizy H, Olender G, Mansouri F, Floerkemeier T, Stukenborg-Colsman C. Minimally invasive osteotomy for symptomatic bunionette deformity is not advisable for severe deformities: a critical retrospective analysis of the results. Foot Ankle Spec. 2012; 5(2):91-96.
7. Banks AS, Downey MS, Martin DE, Miller SJ, eds. McGlamry's Comprehensive Textbook of Foot and Ankle Surgery, third edition. Chapter 4. Lippincott, Williams and Wilkins, Philadelphia, 2001, p. 68.
8. DePrado M, Golano P, Ripoli LR. Minimally invasive foot surgery: surgical techniques, indications, anatomical basis. About Your Health, 2009.
9. DiDomenico LA, Anain J, Wargo-Dorsey M. Assessment of medial and lateral neurovascular structures after percutaneous posterior calcaneal displacement osteotomy: a cadaver study. J Foot Ankle Surg. 2011; 50(6):668-671.
10. Saxena A, Gollwitzer H, Widtfeldt A, DiDomenico LA. [Endoscopic gastrocnemius recession as therapy for gastrocnemius equinus]. Z Orthop Unfall. 2007; 145(4):499-504.
11. Schuh R, Trnka HJ. Metatarsalgia: distal metatarsal osteotomies. Foot Ankle Clin. 2011; 16(4):583-595.
12. Roukis TS, Schade VL. Minimum-incision metatarsal osteotomies. Clin Podiatr Med Surg. 2008; 25(4):587-607, viii.
13. Roukis TS. Central metatarsal head-neck osteotomies: indications and operative techniques. Clin Podiatr Med Surg. 2005; 22(2):197-222, vi.
Editor's note: For further reading, see Dr. Barrett's DPM Blog "Reconsidering Foreign Advances In Minimally Invasive Surgery" at http://bit.ly/cnLpAc [21] or "Minimal Incision Surgery: Can It Have An Impact In Diabetic Limb Salvage?" in the March 2009 issue of Podiatry Today.
[1] http://www.podiatrytoday.com/issue/3168
[2] http://www.podiatrytoday.com/volume-25-issue-6-june-2012
[3] http://www.podiatrytoday.com/files/PT0612Cover.png
[4] http://www.podiatrytoday.com/files/PT0612Cover1.png
[5] http://www.podiatrytoday.com/files/PT0612Cover2.png
[6] http://www.podiatrytoday.com/files/PT0612Cover3.png
[7] http://www.podiatrytoday.com/files/PT0612Cover4.png
[8] http://www.podiatrytoday.com/files/PT0612Cover5.png
[9] http://www.podiatrytoday.com/files/PT0612Cover6.png
[10] http://www.podiatrytoday.com/files/PT0612Cover7.png
[11] http://www.podiatrytoday.com/files/PT0612CoverChart.png
[12] http://www.podiatrytoday.com/files/imagecache/normal/PT0612Cover.png
[13] http://www.podiatrytoday.com/files/imagecache/normal/PT0612Cover1.png
[14] http://www.podiatrytoday.com/files/imagecache/normal/PT0612Cover2.png
[15] http://www.podiatrytoday.com/files/imagecache/normal/PT0612Cover3.png
[16] http://www.podiatrytoday.com/files/imagecache/normal/PT0612Cover4.png
[17] http://www.podiatrytoday.com/files/imagecache/normal/PT0612Cover5.png
[18] http://www.podiatrytoday.com/files/imagecache/normal/PT0612Cover6.png
[19] http://www.podiatrytoday.com/files/imagecache/normal/PT0612Cover7.png
[20] http://www.podiatrytoday.com/files/imagecache/normal/PT0612CoverChart.png
[21] http://bit.ly/cnLpAc
[22] http://www.podiatrytoday.com/printmail/3146
[23] http://www.podiatrytoday.com/print/3146
[24] http://www.podiatrytoday.com/contentlinks


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Arthur Hellman on "Calm Before the Storm" for Ninth Circuit at Supreme Court
Pitt Law Professor Arthur D. Hellman shares his opinions on Ninth Circuit's record in the Supreme Court term that just ended with San Fransisco-based newspaper, The Recorder. He said in his interview that the Ninth Circuit Court of Appeals experienced a better-than-average year at the United States Supreme Court, but this may have been "a calm before the storm."
Hellman noted that the Ninth Circuit's own judges might have spared the Ninth Circuit more reversals by overturning liberal panel decisions through en banc review before they could reach Washington. But with five new judges appointed to the court by President Obama, Hellman remarks that, "we may see a return of the expected pattern in a couple of years."
Read the full story posted on ALM law.com here.


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Mr. Ernest Wayne Witt, Attorney
|Service Type:
|Ozark Lawyer
Chapter 7 Bankruptcy Information
Do You Qualify for a Fresh Financial Start? In Chapter 7 bankruptcy, you can literally say goodbye to certain debts. Eligible debts are discharged by the court, giving you a fresh start and peace of mind.
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Illinois Adoptees Can Receive Original Birth Certificates Thanks to Illinois Adoption Law
The law allows disclosure to both adoptees and surrendered persons born in the state of Illinois, unless the birth parents specified they did not wish to have such information released.
by Sharon Mulyk
Rebuilding Good Credit
There are many reasons why someone might be afraid to file bankruptcy and the lion's share of those reasons revolve around fear of what their financial future will look like if they do. This is especially the case when it comes to issues of credit and understandably so.
by Kevin Cortright


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text: "If you build it, they will come..." So says the voice in Iowa farmer Kevin Costner's head, thus inspiring him to turn his cornfield into a baseball ground. His wife (Amy Madigan) obviously thinks he's mad, but the ghost of legendary player 'Shoeless' Joe Jackson (Ray Liotta) assures him otherwise. Rich in atmosphere and character, Phil Alden Robinson's adaptation of WP Kinsella's feelgood fantasy novel emits a warm and captivating glow.Read Review


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Qalam Institute is committed to enhancing the experience of family and community for Muslims in North America. This is being delivered to communities by means of our online material and on-site seminars. We realize the need for educated, passionate, balanced, and relevant leadership. To realize this Qalam has taken the vital step of training Khateebs and plans to launch an intensive Imam training program inshaAllah.
Talk about a lasting Legacy…Let's put it in a historical context! Check out this poets FB page. http://www.youtube.com/watch?v=Rprgi_pBeBo


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College football
HOBART'S JOSIFOVSKI KICKS MARIAN INTO NAIA NATIONAL TITLE GAME: Thanks to Mike Josifovski, Marian University is headed to Rome. And it will be better than pizza.
The Hobart grad booted a 51-yard field goal as time expired Saturday night, leading No. 5 Marian University to a stunning 20-17 victory over host and unbeaten Missouri Valley College in Marshall, Mo.
The win sends Marian, coached by Hobart grad and former Andrean coach Ted Karras, into the NAIA National Championship game in Rome, Ga.
Josifovski, who earlier in the game kicked a career- and school-record 54-yarder, connected on four field goals in the game – 54, 47, 34 and the game-winner. The Knights overcame a 17-9 deficit to advance.
It is Marian's first trip to the NAIA championship in the program's six-year history. !~ Brian Waddle
BELL HELPS BADGERS RUSH PAST NEBRASKA: Montee Ball ran for 201 yards and three touchdowns, and Wisconsin rushed for the 539 yards to rout No. 14 Nebraska 70-31 in the Big Ten title game on Saturday night.
The Badgers (8-5, 4-4 Big Ten) are the first team to reach the Rose Bowl with five losses, are the first Big Ten team to make it in three straight years since Michigan in the late 1970s. They also tied Texas' record for most points in a conference championship game.
It was a fitting end to a wacky Big Ten season that pitted the Cornhuskers (10-3, 7-1), the Legends Division champ, against the third-place team from the Leaders Division.
N.C. STATE HIRES NORTHERN ILLINOIS' DOEREN: Dave Doeren is leaving Northern Illinois after two straight championship seasons to take over at North Carolina State.
N.C. State announced Doeren's hiring Saturday — less than 24 hours after he guided the 19th-ranked Huskies to their second consecutive Mid-American Conference championship, and just six days after firing Tom O'Brien.
ILLINOIS STATE ADVANCES: Matt Brown threw for five touchdowns and 322 yards, and Illinois State (9-3) blocked the game-tying PAT in overtime to beat Appalachian State (8-4) 38-37 in the Football Championship Subdivision playoffs.
Pro football
POLICE SAY CHIEFS' BELCHER KILLS GIRLFRIEND, SELF: Kansas City Chiefs linebacker Jovan Belcher killed his girlfriend Saturday morning and minutes later, holding a gun to his head, thanked his general manager and coach before shooting himself outside the team's practice complex.
Authorities did not release a motive for the murder-suicide, though police said that Belcher and his girlfriend, 22-year-old Kasandra M. Perkins, had been arguing recently. The two of them have a 3-month-old girl who was being cared for by family.
Belcher thanked general manager Scott Pioli and coach Romeo Crennel before pulling the trigger, police spokesman Darin Snapp said. Officers had locked down the Chiefs facility by midmorning.
The team said it would play its home game against the Carolina Panthers as scheduled at noon today.
Pro basketball
BULLS GET THE BEST OF 76ERS: Luol Deng scored a game-high 25 points, and the Bulls beat the Philadelphia 76ers 93-88 Saturday night.
Richard Hamilton added 15 points for the Bulls. Joakim Noah had 12 points, 13 rebounds and seven assists, and Carlos Boozer had 12 points and 12 rebounds.
Men's basketball
SOUTH SUBURBAN CRUISES TO HOME ROUT: E.C. Central grad Michael Harris scored 27 points as South Suburban defeated Lake Michigan College 74-32. Michael Lee (T.F. South) posted 11 points and 10 rebounds.
RICK MAJERUS DIES: Rick Majerus, the jovial college basketball coach who led Utah to the 1998 NCAA final and had only one losing season in 25 years with four schools, died Saturday. He was 64.
Utah industrialist Jon Huntsman, the coach's longtime friend, confirmed in a statement released through The Salt Lake Tribune that Majerus died of heart failure in a Los Angeles hospital.
Majerus said Nov. 19 that he wouldn't return to Saint Louis because of the heart condition. He ended the school's 12-year NCAA tournament drought last season with a 26-win team that won its opening game and took top regional seed Michigan State to the wire. The Billikens were ranked for the first time since 1994-95.
Women's bowling
VU 3-2 AT TRACK KAT KLASH: Ninth-ranked Valparaiso University picked up wins over No. 8 Sam Houston State (1,123-987) and No. 10 Stephen F. Austin (990-907) en route to a 3-2 performance Saturday at the Track Kat Klash in Hunstville, Texas. The Crusaders sit in sixth place. Alyssa Alvarez had the team's highest game of the round with a 267 in the win over Stephen F. Austin.
College track
VU MEN WIN FOUR EVENTS AT MASTADON OPENER: Valparaiso University's men won four events at the non-team scored Mastadon Opener in Fort Wayne. Jacob Frey won the weight throw, Andrew Rixon the shot put and Nick Kowaleski the 60-meter dash. Drew Baker, Tyler Crum, Matt Filipak and Antwon Hatchett combined to win the 1,600 relay.
Brooke Hinstorff was the top VU women's finisher, placing second in the triple jump.
Around the horn
Former Bull and Basketball Hall of Famer Dennis Rodman will appear at Bridges' Scoreboard Restaurant & Sports Bar from 7 to 10 p.m. today. ... The Indiana State Warriors' season-opening American Basketball Association game is at 4 p.m. today at Marquette High School. Tickets are $10 for adults, children aged 10 and under are admitted free. ... David Beckham left MLS as a two-time champion after the Los Angeles Galaxy came from a goal down to beat Houston Dynamo 3-1 in the MLS Cup on Saturday.


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Family Caregiver Handbook, a guide for family and other unpaid caregivers who care for an adult or senior with disabilities. Washington State Dept of Social and Health Services. Aging and Disability Services Administration.
Family Caregiving 101, developed by The National Family Caregivers Association (NFCA) and the National Alliance for Caregiving (NAC), provides caregivers with the basic tools, skills and information they need to protect their own physical and mental health while they provide high quality care for their loved one.
Keeping Older Drivers Safe on the Road, this podcast, Rebecca Naumann, MPH, an epidemiologist from CDC's Injury Center, talks about steps older adults can take to stay safer on the road. Created: 3/15/2010 by National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention. Date Released: 3/15/2010.
National Alliance for Caregiving
National Association of Social Workers – Standards for Social Work Practice with Family Caregivers of Older Adults, standards designed to enhance social work practice with family caregivers of older adults and to help the public understand the role of professional social workers.
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National Institute on Aging
- So Far Away: Twenty Questions and Answers for Long-Distance Caregivers, Aug. 2010.
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Next Step in Care provides information and advice to help family caregivers and health care providers plan safe and smooth transitions for patients, Free downloadable guides and tools for dealing with care transitions.
Protecting the Health of Family Caregivers, this podcast discusses role of family caregivers and the importance of protecting their health. It is primarily targeted to public health and aging services professionals. Created: 12/23/2009 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP). Date Released: 12/23/2009. Series Name: Healthy Aging.
Rosalynn Carter Institute, provides education information for caregivers and information about caregiving.
Well Spouse Association, is a national membership organization that provides support to spouses and partners of people who are chronically ill and/or disabled.


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We want to check and be sure that our licenses are correct for our company.
We have discovered that some of our HKLM\Software\Autodesk\Serialnumber is marked as 000-00000000 which might be considered as trial? At the same time, if we go to Help > About it shows the correct serial as shared from our FlexLM licenses.The key StandaloneNetworkType is set to 3 which should be Network License mode. Also, sometimes is StandaloneNetworkType set to '0'. So I am not sure what is safe here.
Can anybody inform us about how we ensure that our setup is legal?
only way to check is to verify your serial numbers with your reseller
thats the easiest
well checking our install and distribution method might be a long process so I hoped for some help here.
what exactly are you trying to determine?
seat count?
serial number?
products & versions?
im trying to ask if its legal to have a local registry 000-00000000 as long as help > about shows the correct serial and you are licensed.
as along as the product has the correct serial number you should be fine
thanks. do you know if its legal to use older serials locally? we have older products like 2011-products (we are allowed to use 2010-2013 products in our license). can we use serials from 2011 locally or do we have to replace them?
you use the 2011 serial number
as along as you aren't exceding the number of license as you own
thanks. well reading about this seems not so easy as you type here... when companies like http://www.scottandscottllp.com/main/Preventative_
have you ever been involved in a autodesk license revision of a company?
no i have not


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All of our in-stock items ship the same day you order if your order is placed by
6 p.m. ET. Engrave & Ship today items will be shipped out the same day if personalization
is approved by 3pm ET. Delivery to the 48 contiguous states takes 2-5 business days.
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Adds a touch of elegance
By Monica
from McDonough
About Me Administrative Assistant
Best Uses
Comments about Baudville Certificate Seal - Star - You Make the Difference:
The seals stand out on the certificates adding a touch of elegance.
Bottom Line Yes, I would recommend this to a friend
Was this review helpful? Yes / No
- You may also flag this review
Foil seals add class
By Morah Dina
from Milwaukee, WI
About Me Education Industry
Use of foil stickers adds a look of validity and class.
Great Seal to use!
By Christine
from Ashland, OR
About Me AdministriveCoordinator
I love using this foil seal with the Shooting Stars Certificates, it gives it that great finished look and an extra special look. I am sure it would look great with some of the other certificates and the message is simple and poignant.
Want this item customized with your logo or organization's name?


text:
ST. PETERSBURG— James Shields, Jose Molina and Fernando Rodney are in and Luke Scott is out — at least for the time being.
The Rays announced Wednesday afternoon they had exercised 2013 options for Shields, Molina and Rodney, while they opted to decline Scott's $6 million option and instead will pay him a $1 million buyout.
Shields will make $10.25 million, Molina will earn $1.8 million and Rodney will be paid $2.5 million next season.


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Daniel J. Myers
Professor, Sociology
Ph.D.: University of Wisconsin, Madison, 1997
Research Interests
Collective Violence; Diffusion of Social Processes; Social Movements; Formal Models of Collective Behavior; Game Theory; Research Methods.
Dr. Myers' principle research interests lie in the area of collective behavior and social movements. His current work focuses on racial rioting in the 1960's and 1970's, deterministic and stochastic models of diffusion for collective violence, mathematical models of collective action, media coverage of protests, demonstrations, and riots, and game theoretic analyses of small group negotiation.
Curriculum Vitae
Phone: (574) 631-3839
Fax: (574) 631-9238
Office: 719 Flanner Hall
E-mail: email@example.com
Personal Web Site: http://www3.nd.edu/~dmyers/


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Strapless High Low Dress with Split Front Detail Style F15678
This item is available in stores and online.*
Very chic and right on trend, this high low bridesmaids dress calls for command!
This neckline is shaped like the top of a heart and is flattering to the decolletage.
A popular neckline for brides seeking a stylish and versatile look (offering unlimited jewelry and accessory options).
Tight decorative gathers which create flattering pleats in the fabric.
customers bought with this dress
Strapless High Low Dress with Split Front Detail Style F15678 7 7
Best bridemaids dress ever I had originally picked out 2 other dresses for my maid of honor & bridesmaids to wear, but when we went to the appointment I seen this one and fell in love with it. Now 3 of 5 girls have gotten their dresses and its absolutely stunning. The cornflower blue color is a little lighter than I thought, but its still very pretty and I can't wait till my October wedding to have my girls standing by me wearing them!!!! June 26, 2014
PERFECT for a Beach I let my bridesmaids choose their own dresses so long as the dresses were the same color/fabric. This is the dress my maid of honor wore and it looked FABULOUS on her. She is small all over and the top made her girls look bigger, which she LOVED. Great dress! I highly recommend. May 30, 2014
Love This Dress I had seen this dress online and like most things you see you dont know how well its going to look on everyone. no matter the style shape or curves of your body it looks absolutely wonderful on everyone i ordered this dress is Petal and Mercury for my bridesmaids and i absolutely love this dress more than anything and it LOOKS GREAT ON EVERY BODY STYLE/TYPE March 9, 2014
Just ordered this dress for my girls! It looks wonderful on all body types. My maid of honor is a very busty girl and this dress supported her SO well. The flowyness of the dress is absolutely beautiful. December 28, 2013
1-4 of 7
*Color & Style representation may vary by monitor. Not responsible for typographical or pictorial errors. Product availability varies by store and online. Some in-store purchases require special order and markdown styles cannot be special ordered. Contact your local store for details.


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Product DescriptionTheTektro Oryx 992A Cantilever Brake features Linear springs, 70mm pads, and includes Z-link . Linear springs 70mm pads Includes Z-link wire Includes: brake caliper for 1 wheel
There have been no reviews posted yet for this product. Be the first by clicking Submit a Review
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Welcome to ACT Alberta
Human trafficking occurs throughout the country and within Alberta. ACT Alberta - the Action Coalition on Human Trafficking in Alberta - has arisen in response to this violation of basic human rights.
ACT Alberta coordinates services for victims of human trafficking, provides training to front-line service providers, engages and educates the public, researches and collects data on human trafficking, manages a Victims Assistance Fund, helps develop policy provincially and nationally, and creates community based responses to human trafficking.
ACT works collaboratively with government agencies, law enforcement and nongovernmental organizations to address the needs of victims of human trafficking. We provide services and referrals to victims of trafficking through our local Chapters and our Victim Assistance Fund.


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One must ask children and birds how cherries and strawberries taste. Johann Wolfgang Von Goethe
Nothing says spring like a big bowl of sweet, fragrant strawberries. These heart-shaped ruby red jewels are the first fruit to ripen in spring. Strawberries are high in nutrients, low in sugar
(only 8 grams), and high in antioxidants. Eight medium-size strawberries contain only 50 calories and have more vitamin C than an orange.
A member of the rose family, no one is quite sure how strawberries got their name. One myth, according to the Old Farmer's Almanac, is that nineteenth century English children would pick the berries and string them on pieces of straw to carry them to market. Another is from the practice of placing straw around the berry plants to protect the berries as they ripen.
About 80 percent of American strawberries are grown in California, making them available year-round. However, late spring and early summer is when an abundance of luscious, locally grown berries becomes available. Take advantage of the vanishingly quick season and head out to the farmer's market – or bring a basket to a pick-your-own fruit farm. If you've never indulged before, the taste of a juicy, ripe, fresh picked strawberry will absolutely stop you in your tracks – a little taste of heaven indeed.
Unlike peaches and bananas, which continue to ripen after picking, strawberries do not. Even though strawberries continue to develop a deep red pigment, larger berries aren't necessarily sweeter. The best way to tell if the berry is ripe for the picking is to take a whiff. A sweet, fruity aroma is a good indication there's something sweet inside. Choose medium strawberries that are plump and unblemished and avoid berries with white or green patches. Don't forget to check the bottom of the basket to make sure the berries aren't bruised or starting to leak.
To store berries, don't wash them and don't remove their green caps. Instead, place them in a small colander and refrigerate, uncovered for up to three days. The colander allows air to circulate around the berries making them last longer. Right before using, gently spray them with cool running water and blot dry with paper towels. Don't remove the green caps until after washing as the caps prevent the berry from getting water-logged.
Strawberries freeze well, and it's a great way to stock up on the delicious local berries that are available now. Spread them in one layer on a cookie sheet and freeze until frozen. Transfer the frozen berries to zip-close freezer bag and freeze up to 3 months.
Frozen berries do not need to be thawed before using in a recipe. Frozen or partially thawed berries work best in smoothies, muffins, quick breads, and cakes. Paula's Simply Delicious Strawberry Cake, or Strawberry Pretzel Salad are perfect examples. For uncooked berry toppings like Paula's Fresh Fruit Tart or Strawberry Shortcake, use only fresh and never frozen berries. Strawberries are not only for dessert, but are berry delicious in salads too! Paula's Spinach Strawberry and Hearts of Palm Salad and Spinach and Strawberry Salad are perfect for a light lunch. Top them with grilled shrimp or chicken and you have a cool spring dinner.


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References:Jim Daly, Dr. Juli Slattery and John Fuller discuss age-appropriate methods to correctly model forgiveness and emphathy to children.
Walking with God through Pain and Suffering answers one of life's most troubling questions: why do bad things happen? The question of why there is pain and suffering in the world has confounded every generation; yet there has not been a comprehensive pastoral treatment from a Christian perspective exploring why they exist for many years. It's time for a new, contemporary examination of this issue uniquely suited to our context and struggles.
Tim Keller, a pastor known for unique and biblically based insights is eminently qualified to address these issues. He is thoughtful, well studied, and lives in the midst of human struggle everyday as the pastor of Redeemer Presbyterian Church in New York City. Walking with God through Pain and Suffering will bring a much-needed, fresh viewpoint on this important issue.


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Dr. Cathy Gormley-Heenan (Director of the Institute for Research in Social Sciences (IRiSS), University of Ulster)
|CA118, JE Cairnes School of Business and Economics, NUI Galway
|11.00am :: 25th January 2012
This seminar will look at the establishment of multidisciplinary research groups within an Institute, issues of collaboration within and across research groups and the impact that such groups can have beyond academic within business, government, the media, the community and voluntary sector.
Dr. Cathy Gormley-Heenan is the Director of the Institute for Research in Social Sciences (IRiSS) and a Senior Lecturer in Public Policy in the School of Criminology, Politics & Social Policy at the University of Ulster. She was awarded a first class honours degree in politics at Queens University, Belfast (1994) and gained a MPhil in Modern Middle East Studies from Oxford University (1996) before becoming a Kennedy Scholar in the J.F.K. School of Government and Public Policy at Harvard University, USA (1996-1997). Other fellowships and awards include a fellowship in leadership studies at the James MacGregor Burns Academy of Leadership at the University of Maryland, USA in 2000; the 2004-2005 Tip ONeill Fellowship in Peace Studies at INCORE (International Conflict Research), University of Ulster/United Nations University; and the UKs Political Studies Associations Bernard Crick Award for Outstanding Teaching in 2007. Her PhD, which was awarded by the University of Ulster (2005), focused on the subject of political leadership during the Northern Ireland peace process. Published works include Gormley-Heenan, C. & Lightfoot, S. eds. (2012) Teaching Politics & International Relations published by Palgrave Macmillan; Aughey, A. & Gormley-Heenan, C. eds (2011) The Anglo-Irish Agreement: Rethinking Its Legacy published by Manchester University Press and Gormley-Heenan, C. (2007) Political Leadership and the Northern Ireland Peace Process: Role, Capacity and Effect published by Palgrave Macmillan. She is a member of the UKs Political Studies Association and the UKs Kennedy Scholars Association, working closely with both organizations and serves on the editorial boards of Community Development: Journal of the Community Development Society (Routledge) and the Online Journal of Conflict Transformation and Security. She is also a member of the ESRCs Peer Review College.


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Wright & McGill Skeet Reese S-Curve Casting RodsItem Number: 4009063
Price: $89.99
Free Shipping Eligible on Qualifying Purchases Over $49! Up to $15 Shipping Credit. (See Promotion Details)
Product Information
Customer Reviews
Wright & McGill designed these Skeet Reese rods for one purpose - to give anglers a slim rod that's lightweight yet tough and powerful. Each Skeet Reese S-Curve Casting Rod is built with high-density graphite that's wrapped in carbon fiber for increased compression resistance and better lifting power. Wright & McGill® Skeet Reese S-Curve Casting Rods prove that lightweight rods can fight with the best of them.
- Designed by Skeet Reese
- Carbon Nanotube resins bind all layers for enhancing strength
- Split-handle design reduces weight and increases balance
- Revolutionary high-density rubber handles produce a remarkable feel and grip
- Large fighting butt for performance and durability
- Zirconium guides decrease weight and increase casting distance
- 1 piece construction for enhanced power and performance
- Wright & McGill
Click here for additional information relating to the Manufacturer's Warranty.
Power: M-Medium, MH-Medium Heavy, MS-Medium Strong, H-Heavy
Action: MF-Moderate Fast, F-Fast
Rod Action & Length: MHF 6'4"
- Model: WMESRJW64C1
- Technique: Jig/Worm
- Line Weight: 10-25 lbs.
- Lure Weight: 1/4-1 oz.
Rod Action & Length: MSMF 6'8"
- Model: WMESRJB68C1
- Technique: Jerk Bait/Top Water
- Line Weight: 8-17 lbs.
- Lure Weight: 1/8-1/2 oz.
Rod Action & Length: MHMF 7'0"
- Model: WMESRSB70C1
- Technique: Spinner Bait/Worm
- Line Weight: 10-20 lbs.
- Lure Weight: 1/4-3/4 oz.
Rod Action & Length: MHF 7'2"
- Model: WMESRJW72C1
- Technique: Jig/Worm
- Line Weight: 10-25 lbs.
- Lure Weight: 1/4-1 oz.
Rod Action & Length: MHF2 7'2"
- Model: WMESRST72C1
- Technique: Senko Toad
- Line Weight: 8-20 lbs.
- Lure Weight: 1/8 - 1/2 oz.
Rod Action & Length: MMF 7'6"
- Model: WMESRCR76C1
- Technique: Swimbait/Carolina Rig
- Line Weight: 10-25 lbs.
- Lure Weight: 1/4-1 oz.
Rod Action & Length: 8'0" HMF
- Model: WMESRFP80C1
- Technique: Flippin' Pitchin'
- Line Weight: 15-30 lbs.
- Lure Weight: 3/8-2 oz.
Country of Origin: United States
Customer Reviews
Rated 4.6 out of 5�by 28 reviewers.
Rated 5 out of 5�by fishing fool Skeet Reese Jerk bait Very nice piece. a great rod for your dollar. Should have had one sooner. August 19, 2014
Rated 5 out of 5�by docbones skeet jerkbait rod great rod ,made with quality and preforms great on all size bass July 16, 2014
Rated 5 out of 5�by Ben Great fish rod for the money Excellent fishing rod for the money. Very light and great action. May 13, 2014
Rated 5 out of 5�by Baby bull The pole is light. Flexible I like this pole. I used it sat. It's light and cast lures smoothly. Unfortunately I didn't catch any fish on it so I don't know the setting action on it. May 6, 2014
Rated 4 out of 5�by BassKiller65 Nice baitcaster. This is a very good pole! I use it for casting as well as drop-shot rigging, and jigging. It has excellent feel and sensitivity. It has good power to pull the hogs out of the weeds and underbrush. I would recommend this pole to anyone who wants a mid-grade casting/jigging pole. Only if it were made in America...Other than that, its worth the dough.. April 12, 2014
Rated 5 out of 5�by Jersey bass 2 A very good selection of spinning and casting rods I am a tournament fisherman. As such I carry approximately fifteen casting and spinning rods in my rod locker. All but two rods are W&M Skeet Reese models. These rods are light weight, comfortable and tough. For me it's about the prize money. Every fish lost is money lost. The Skeet Reese line of rods gets the job done. March 12, 2014
Rated 5 out of 5�by Chris Great Cranking Rod this rod is lightweight but strong. Makes throwing those larger crankbaits out there a lot easier than my other rods March 11, 2014
Rated 5 out of 5�by Fastboats123 Great flipping stick I've caught several big Bass with this rod. Looking forward to using it in my upcoming tournament on Lake Okochoobee March 11, 2014
Rated 5 out of 5�by fishlife93 very satisfied I bought the wright and mcgill skeet reese swimbait/Carolina rig rod and i caught many bass on it, I am going to get some more but with different actions, I deff recommend this rod for any pro or novice angler. It is very strong and light. February 8, 2014
Rated 5 out of 5�by Spike1 Nice rod I Use this rod for Carolina rig. The rod is light and very sensitive. I use braided line and this rod excells. October 29, 2013


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An investigation into a registered sex offender led to a drug bust and four arrests in Aurora.
On March 3, Aurora Police received word from a concerned citizen that Joshua Howe, 26, a registered sex offender, was living within 1000 feet of the Lollipops and Rainbows day care.
When officers arrived at the residence, the found evidence of marijuana packaged for sale and delivery and multiple items of marijuana usage inside the residence.
Officers also found three children, ages 10, 7 and 6, who were released to a family member.
Howe was charged with maintaining a common nuisance, possession of marijuana, possession of paraphernalia and sex offender registry offense.
In addition, police also arrested Felicia Brightwell, 27, for maintaining a common nuisance, possession of marijuana, possession of paraphernalia, dealing in marijuana and neglect of a dependant; Jason Bice, 27, for possession of marijuana and possession of paraphernalia and Steven Wirthlin, 43, for possession of paraphernalia and visiting a common nuisance.
Copyright 2013 WXIX. All rights reserved.
725 S. Floyd Street
Louisville, KY 40203
FCC Public File
EEO Report
Closed Captioning


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A couple of weeks ago I was on a morning walk with Rockefeller and got really excited when I saw the first irises of the season in bloom. I adore irises. I don't always take walks with my camera but that morning I did and I snapped a couple of shots:
Then yesterday I was walking Rockefeller down by the fairgrounds, without my camera, and was surprised to see a nice variety of irises planted along their chain-link fence. The blooms were past their prime but I made a note to go back today and try to see what I could capture:
Although the irises were starting to fade, some other gorgeous beauties were having their hey day. Peonies! What is not to love about a peony? Except the ants.
Back to irises. When we got home I took some pictures of my irises. They tend to bloom a little later than most thanks to all of our shade.
I also finally bought my annuals today. I always buy loads of impatiens thanks to all the trees. But they are lovely and I never tire of them.
I need to get back to that front porch quick!
Irises. Such an elegant flower. And I am not the only person to love them…check out Lisa's photos.
Do you have a favorite flower? I am not sure I could ever pick an absolute favorite.
~~Mistress Bliss~~


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Each AutoTrader Classics vehicle listing is assigned a Classic Car ID to let you quickly return to cars you like.
You can compare up to 3 cars
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text:
The Immune System
Common Infectious Diseases
Prevention of Infectious Diseases
Fighting infectious diseases today is much easier than in the past. With proper hygiene and proper precautions, in addition to numerous vaccines and rapidly advancing medical technology, people are better equipped than ever to avoid getting sick.
Prevention is the key to fighting many infectious diseases. Part of preventing the spread of an infectious disease includes proper handwashing techniques; taking certain precautions, depending on the disease; following the nationally recommended immunization schedule for children and adults; and taking medications correctly.
Even when prevention efforts are made, sometimes a disease is unavoidable. Some reasons include evolution of drug-resistant strains of a disease; changes in a person's environment; increased travel; inappropriate use of prescription drugs; a weakened immune system; and lack of attention to proper personal hygiene.
The third-party content provided in the Health Library of phoebeputney.com is for informational purposes only and is not designed to diagnose or treat a health problem or disease, or replace the professional medical advice you receive from your physician. If you or your child has or suspect you may have a health problem, please consult your primary care physician. If you or your child may have a medical emergency, call your doctor or 911 or other emergency health care provider immediately in the United States or the appropriate health agency of your country. For more information regarding site usage, please visit: Privacy Information, Terms of Use or Disclaimer.
© 2014 Phoebe Putney Health System | 417 Third Avenue, Albany, Georgia 31701 | Telephone 877.312.1167
Phoebe Putney Health System is a network of hospitals, family medicine clinics, rehab facilities, auxiliary services, and medical education training facilities. Founded in 1911,
Phoebe Putney Memorial Hospital (the flagship hospital) is one of Georgia's largest comprehensive regional medical centers. From the beginning, Phoebe's mission and vision
has been to bring the finest medical talent and technology to the citizens of Southwest Georgia, and to serve all citizens of the community regardless of ability to pay.


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Twin Nine Patches
Kathe Dougherty pieced this doable nine-patch, drawn from an old quilt that made clever use of simple nine-patch blocks. She created sets of twin nine-patches (fraternal twins, not identical). The blocks come from a single layer cake!
1 layer cake, Arnold's Attic
2/3 yd small calico in a dark color (#8160-24), edge triangles
2 yd Ohio Autumn (#8167-14), border
5/8 yd small calico (#8160-15), binding
Blocks finish to 6".
For each nine-patch, cut 9 squares 2 1/2" x 2 1/2". You can get 16 squares from each layer cake. Arrange and piece squares on design wall as shown to match the twins.
You need 36 of Fraternal Twin A (lighter blocks in blues and greens).
You need 25 of Fraternal Twin B (darker blocks in oranges and browns).
{Edge Triangles}
Cut 5 squares of the dark print 9 3/4" x 9 3/4". Cut each square into 4 triangles, with 2 diagonal cuts. You'll need 20 triangles.
Cut 2 squares of the light print 5 1/8" x 5 1/8". Cut each square into 2 triangles, with 1 diagonal cut. You'll need 4 triangles for the corners.
Cut 2 strips 9 1/2" x 69 1/2" for top and bottom borders.
Cut 2 strips 9 1/2" x 51 1/2" for side borders.
Piece as photo indicates. Baste, quilt, and bind.
69" x 69" quilt
9 comments:
- Scarlett Burroughs said...
I love your Twin Nine Patches so much I linked to it here:
I'm a fraternal twin (Baby B), so I especially enjoyed this quilt recipe.
Scarlett Burroughs
Quilting Editor, Craft Gossip
- September 8, 2010 at 6:33 AM
- Carol said...
- September 8, 2010 at 7:45 AM
- Chartreuse Moose said...
Darling, sounds yummy! ;-)
- September 8, 2010 at 9:04 AM
- Cindy said...
Love it, want it, will make it!!! Thank you so much for sharing this fun pattern.
I LOVE Moda Bake Shop !!
- September 8, 2010 at 10:46 AM
- Wendy P said...
I love it! And I love 9 patches. This is so lovely for Fall.
- September 8, 2010 at 11:58 AM
- copehome said...
I'm confused - the recipe calls for 2/3 yd dark fabric for the edge triangles, but the instructions have you cutting triangles from the layer cake squares (cutting 25 dark triangles - there are only 20 in the photo)- and smaller corner triangles from a light layer cake square (not pictured).
- September 8, 2010 at 2:14 PM
- Moda Fabrics said...
Copehome, thanks for the head's up. The dark triangles should be cut from the 2/3yd. I fixed the typo.
- September 9, 2010 at 8:25 AM
- Barbara Brackman said...
And Copehome's right about 20 versus 25. There are 20 edge triangles. I counted 5 on each side and multiplied that times 4 in my head and came up with 25. Too bad when the multiplication tables slip off the stack.
- September 9, 2010 at 12:38 PM
- Karmic Wolff said...
What does the backing look like on this quilt? What type of design did you do and what type of quilting design did you do?
- February 24, 2011 at 10:33 AM


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An easy pattern for long gloves or mitts with a thumb and an open finger style (not individual fingers). A stitch tutorial is available on my blog.
(c) 2013 LazyTcrochet For personal use only.
I'm Tricia and I love to crochet! I'm self-taught and have been crocheting for many years. I love creating my own designs, specializing in fashions and accessories for women. You can see more of my designs at www.LazyTcrochet.Etsy.com
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Burger Wuss
Anderson, M. T.
Teen Fiction ANDERSO
Anderson, M. T.
Teen Fiction ANDERSO
What other readers are saying about this title:
KaliO said:
When Anthony finds his girlfriend in the arms of some dumb jock at a party, he doesn't want to go back to being the high school loser he's always been—he wants Revenge. His master plan means working at O'Dermott's, a McDonald's-like fast food "restaurant" where Turner, the dumb jock, is a star employee. Despite constant humiliation at Turner's hands, Anthony manages to hobble together his plan and sets Turner up to take the fall and bring down the O'Dermott's franchise all in one fell swoop. But planning revenge is all-consuming and sooner or later, something's gotta give. Soon Anthony's not sure he can stick with greasy food, ugly uniforms, and low respect of a fast food job. Can Anthony get over his girlfriend and make the dumb jock cry? Is revenge worth it? Is revenge really what Anthony wants? Burger Wuss, with its teen angst and caustic stereotypes, is a darkly comic satire (McSatire) that examines the delicious highs and embarrassing lows of our everyday obsessions. Eat-while-you-read: A Happy Meal, while wearing a paper Burger King crown.
posted Aug 20, 2009 at 2:39PM
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Michelangelo Polo ShirtProduct Sku: TMNT182
$ 40.00
- With this Teenage Mutant Ninja Turtles polo shirt your favorite party animal, Michelangelo can be a part of your business casual wardrobe. Michelangelo is most recognizable with his orange mask and nunchakus. In this polo shirt, you'll be recognized as the best dressed TMNT fan. Because Michelangelo is the most fun-loving of all the Ninja Turtles, no one would be surprised to hear you shout out, "Cowabunga"...no matter how flattering you look in a polo shirt.
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*For full circumference of the waistline, double the waist measurement.
- • Product Type: Polo Shirts
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Distressed refers to the worn appearance in the image or lettering on a garment. A distressed print may include faded areas, missing color, or other irregularities. This is an intentional occurrence in the product and adds to the vintage look of the design.• Tag Location: TaglessThe traditional size tag has been removed from the neck seam. Sizing and composition information is screen printed on the inside of the back of the shirt, just below the neck seam or collar. Popular clothing brands often use tagless t-shirts for extra comfort when wearing.
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• Fabric Softness: MediumPolo Shirts of MEDIUM SOFTNESS are composed of mid-weight, fairly soft fabric. These Polo Shirts are not vintage style, but do offer a higher level of softness and flexibility than your standard Polo Shirts.


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38 U.S. Code § 3538 - Vacant]
Prior to renumbering of sections 1700 to 1766 of this chapter as sections 3500 to 3566 by Pub. L. 102–83, § 5(a),Aug. 6, 1991, 105 Stat. 406, section 1738 of this chapter, added Pub. L. 95–202, title II, § 201(b),Nov. 23, 1977, 91 Stat. 1437, which related to accelerated payment of educational assistance allowances, was repealed by Pub. L. 100–689, title I, § 124(a),Nov. 18, 1988, 102 Stat. 4174.
The table below lists the classification updates, since Jan. 3, 2012, for this section. Updates to a broader range of sections may be found at the update page for containing chapter, title, etc.
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Joining the Petroleum User Group connects you with an active community of people dedicated to sharing information, ideas, and experiences about Esri technology within your industry.
The Petroleum User Group is open to all professionals working with GIS in petroleum, pipeline, and electric and gas industries. The contributions of this group have a significant influence on Esri's development efforts.
You'll stay up-to-date with software news, events, and feature stories in
Esri News for Petroleum, a free printed newsletter. We encourage you to contribute your project insight and experience by writing an article for the newsletter.
The annual Esri Petroleum GIS Conference and Esri International User Conference offer you opportunities to present your work and be part of the worldwide community.
For more information, you can browse proceedings from previous Petroleum User Groups (2013, 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005) and European Petroleum User Group conferences.
Connect with your fellow community online and join the conversations.
If you have questions about the Petroleum User Group, contact our industry experts.


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Updated: September 1, 2009
Dr. Panke joined the Microsoft Board as a nonexecutive director on November 11, 2003. He also serves on the boards of directors of UBS AG, Switzerland; Singapore Airlines Limited; and the supervisory board of Bayer AG.
Dr. Panke was with BMW Bayerische Motoren Werke AG beginning in 1982 in a variety of positions and, from May 2002 through August 2006, served as chairman of the board of management.
From 1999 to 2002, he served as member of the company's board of management for finance. From 1996 to 1999, Dr. Panke was member of the board of management for human resources and information technology. In his role as chairman and CEO of BMW (U.S.) Holding Corp. from 1993 to 1996 he was responsible for the company's North American activities.


text: Posted Online: May 09, 2013, 10:14 pm Moreno 'pumped up' about newest QC Marathon addition Comment on this story By Steve Tappa, firstname.lastname@example.com Move over Saturday Night Live's Hans and Franz. The Quad Cities Marathon also plans to "pump you up." This fall's 16th annual event features a new concept for the area, the Pump-N-Run, the perpetually pumped-up race director Joe Moreno announced Thursday during the marathon's annual May kickoff press conference, hosted again by Davenport's 11th St. Precinct. The Pump-N-Run combines weightlifting with running, offering participants a chance to shave time off the Sunday clock according to the number of repetitions recorded Saturday during the Health & Fitness Expo, curling and bench pressing a percentage of their body weight. "It's going to be a big hit," Moreno promised, surrounded by sponsors, volunteers and the mayors from three of the local cities the Sept. 22 race runs through annually. "This is going to entice a lot of gym rats who might not be crazy about running but who are into physical fitness. It caters to them instead of the straight-up runners. This is a separate division for them to excel in and have fun." The Pump-N-Run is offered in the marathon, half-marathon and 5K distances. Besides bidding for special awards with adjusted times, participants remain eligible for the usual age-group and overall prizes with their actual time, as well as qualifying for events such as the Boston Marathon. "It's just a $10 extra fee to be involved," Moreno said. "Let's say you do 25 curls and 25 bench presses for a total of 50 reps. You get 10 seconds per rep off your 5K time, 20 seconds (per rep reduction) in the half-marathon, and 30 seconds per rep off in the marathon." Moreno just participated in a Pump-N-Run last weekend in Cincinnati, finishing second overall, while the new wrinkle's QC chairperson, Christa Buenting, took first among all women. "When I first visited that race in 2008, I had so much fun. I said then, 'We're going to do this.'" Moreno said. "What made it finally happen is finding the right sponsor. "I didn't want a local gym, because if XYZ sponsors it, ABC will not support it. But since Body Dynamics is not affiliated with one gym, we can get everybody involved. They work with everyone, and they're the kind of sponsor I always want because they offer more than financial support. They're enthusiastic and committed to making it happen, too." Body Dynamics has been the local leader for the last two decades in sales, service and the repair of fitness equipment in both residential and commercial settings. "We're super-excited to be involved," said Matt Fisher, the owner of Body Dynamics. "When Joe approached us after last year's marathon, we jumped on board immediately. Our business is all about athletic performance and making sure athletes in our community get the most out of their bodies. So this is perfect for us." Besides the Pump-N-Run, Moreno announced the six-race event's cap for registration incentives has been pushed to 6,000 this fall, 1,000 more than last year, when more than 5,400 participated. New this year among the many perks are a larger marathon-finishers medal and a bandana with the marathon logo. Also unveiled during the kickoff was this year's race poster and event logo, designed by local artist Ralph Iaccarino for a third straight year. For the first time, though, the fundraising work-of-art was created in tandem with Iaccarino's grandson, making even the race shirts with the design a collector's item. Moreno also introduced this year's special guest speaker, Dane Rauschenberg, who first visited the event in 2006 while running one marathon a week for an entire year to raise money for charity. For Rauschenberg's third visit locally, the Oregonian will run from Dane, Wis., to Davenport, a 150-mile trek in three days, stopping for inspirational talks with school children along the way. "I hope he can run from Wednesday to Friday, so he can also talk to the kids at our local high-school and college cross-country meet that Friday," Moreno said of the combined meet hosted by Augustana College and Rock Island High School. "We've had some Olympians speak there before, but Dane has a great message to share because he's just a regular guy running with a purpose."


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Upcoming Events
What: 2013 Frontiers of Democracy: Innovations in Civic Practice, Theory, and Education
Co-sponsored by TDI, the Deliberative Democracy Consortium, and the Summer Institute of Civic Studies, CIRCLE, and Tisch College
What: THE QUALITY OF U.S. DEGREES: Innovations, Efficiencies, and Disruptions—To What Ends?
What: Ashoka U Exchange 2013 (social entrepreneurship)
What: The 21st Century Citizens: Building Bridges, Solving Problems
Short Takes
Framing, Power, and Conscience
Understanding political and economic inequality
Read the conference report from No Better Time (2009), read session summaries, and link to a broad range of resources here.
Civility: It's all the rage - March 6, 2011
Twelve Positive Signs for the New Year - December 17, 2010
Educating for Civic Literacy and "Informed" Engagement - December 11, 2010
Civic Skills and Federal Policy - May 14, 2010
Educational Achievement Gap - April 29, 2010
Read the conference report from Frontiers of Democracy here - March 30, 2010
Get Involved
TDI is compiling a repository of election 2012 curricula – syllabi, readings, resources, etc. Please contact Nancy Thomas if you want to help or contribute.
CIRCLE has launched a new study of student voting rates. Be part of this innovative research and learn the aggregate voting rate of your student body. It's easy and, for 2012, free.
The U.S. Dept. of Ed. requests comments and suggestions how to implement the action strategies outlined in their civic learning Call to Action. Submit ideas about doing democracy on campus to firstname.lastname@example.com.
TDI's Special Higher Education Issue of the Journal of Public Deliberation is on-line and open source. You'll find an updated version of TDI's framing paper, as well as papers on communication, philosophy, political science and more. For more on TDI's catalyst papers, click here
Contribute to the Syllabi Repository
Host an NIF forum on Shaping Our Future and you'll be part of a national dialogue on the role of higher education, sponsored partly by the American Commonwealth Partnership.
The Democracy Imperative is a national network of academics and civic leaders in democratic dialogue, deliberation, and renewal. Our mission is to strengthen public life and democracy in and through higher education.


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Scott Bennett Borders
Elizabeth Fager Imafuji
Peter Elliott
Cara Miller
Deborah Miller Fox
Jason Robert Parks
Kevin Paul Radaker
Elizabeth Ranfeld
Date in brackets indicates year first appointed to AU full-time faculty.
Need to contact the English department?
Chair of the English Department: Dr. Scott Borders
Email: firstname.lastname@example.com
Phone: (765) 641-4424
Campus Extension: x4424
Location: Decker 323 [pictured right]


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Rebekah Whited
Mental Health Counseling Intern - Master's Level
- Phone:
- 716.286.8536
This is Rebekah's first semester with Counseling Services. Rebekah is a student in the University at Buffalo's mental health counseling program. Rebekah draws from many different theoretical backgrounds to create a successful counseling experience for her students. She also has a wellness focus and encourages a healthy lifestyle in her students. Rebekah's skills and positive energy are a welcome addition to our center.