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Only | SAMHSA
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By Rebecca A. Clay
SAMHSA's Access to Recovery (ATR) program offers multiple ways for individuals with substance abuse problems to seek treatment.
Some individuals prefer to receive treatment from a traditional clinic in their community. Others prefer to seek help from a faith-based organization. Some may need intensive in-patient treatment. Others may need "recovery support services," such as peer support groups, job training, housing assistance, or even something as simple as transportation to a treatment session.
"Providing people who have substance abuse problems with choices regarding their treatment and recovery supports makes sense," said SAMHSA Administrator Terry L. Cline, Ph.D. "It helps empower them from the very beginning to find their own path to recovery."
Launched in 2004 by SAMHSA's Center for Substance Abuse Treatment (CSAT), ATR uses a voucher system to give people greater choice when it comes to choosing the substance abuse treatment and recovery support services they need.
The program, a presidential initiative, exceeded expectations in its first round. Hoping to serve 125,000 people, the first group of grantees instead served 190,144 individuals. Now the program has expanded. In September 2007, SAMHSA announced $98 million in new 3-year grants to more than 20 states and tribal organizations.
ATR is based on three principles, according to CSAT Director H. Westley Clark, M.D., J.D., M.P.H.
The focus on recovery support services is especially important, added Jack B. Stein, Ph.D., Director of the Division of Services Improvement at CSAT. "ATR is an opportunity to expand the concept of a recovery-oriented system of care nationwide," he explained. "We have learned over the last number of years that recovery support services are an essential component of truly comprehensive care."
Designed to prevent relapse and promote recovery, recovery support encompasses a wide range of nonclinical services.
These may be services directly related to recovery from substance abuse, such as self-help groups, mentoring and coaching, or case management. They may be services that make it easier for people to stay in treatment, such as transportation to treatment appointments or child care while they're there. Or, they may be services that help people rebuild their lives, such as job training or housing-related assistance.
The people offering these services can be just about anyone: professionals, faith leaders, family members, or peers who are themselves in recovery.
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That new approach is paying off, according to data from the 15 grantees in the first round of ATR.
Data on 130,978 clients show that their lives changed dramatically as a result of participation in ATR. Among clients who were using alcohol or drugs at intake, for instance, more than 73 percent were abstinent by the time they were discharged.
Substance abuse wasn't the only area of improvement, however. Of clients who were involved with the criminal justice system at intake, almost 86 percent reported no involvement at discharge. Of those who reported not being connected to friends they could turn to in times of trouble, self-help groups, or other sources of social support, more than 62 percent reported being socially connected at discharge. Of those who were unemployed at intake, 30 percent were employed at discharge. More than 23 percent of those who didn't have stable housing at intake had it at discharge.
Data show important shifts within the service delivery system. For example, the data show the importance of recovery-oriented services within ATR. About 65 percent of clients had received recovery support services. And nearly half the dollars paid were for such services.
The data also reveal the active participation of faith-based organizations. A third of dollars spent on recovery support and clinical services went to faith-based organizations. Faith-based providers accounted for 23 percent of the recovery support providers involved in ATR and 31 percent of the clinical treatment providers.
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My Ghoul Friday
Check back often!
Recent Moans from the Minions...
It's not as catchy as the movie title, but that does sum up my last week.
I wasn't going to make a public announcement but since there's such a long list of people waiting for some sort of reply from me, I thought it made sense to make a quick post.
On the way home from the convention on Sunday, I was informed of a death in the family. Ever since, I've been out of town helping with paperwork and funeral plans, and dealing with my own grief.
I appreciate sympathies but please don't send them. At this point, positive thoughts and good vibes are much more appreciated than messages of condolences. I'm drained. A death can throw you a steep learning curve where you have to learn a lot of things really fast. You make decisions and do things you never thought you'd have to do.
This year was certainly the busiest one for me in terms of people: general chatting, introductions, requests for interviews and interesting propositions for future shows or projects (many of whom are waiting for some sort of email from me, and if they are reading this, I hope they'll remain patient. There was a family emergency and I'm out of town. I didn't even get a chance to unpack from the show. Poor Yetch is surrounded by the mess I left in my wake).
As a rule, it's these interactions I'm most excited about as my anticipation grows each August. Celebrities are fun to see, but it's all the different people I meet (fellow artists, horror folk and - dare I say it - actual fans of my work) who make the weekend so great. I also feel guilty leaving people to man my table for too long, so it's been 3 years since I've lined up for or attended anything at the convention.
Of course, every now and then, there's an exception.
Very quick post for those of you who wanted to see what the table display is like this year. I've popped a handful of quick pictures on the blog.
It's my last day of madness before the big show tomorrow. I'm covered in paint, a bit twitchy, and making last minute decisions about what pieces and plans are to be sacrificed to ensure others are achieved.
Had a little fun with some packaging for a set of zombie ornaments. The plan is to get some proper boxes, but I've recycled these display boxes for now, adding new backgrounds, ribbon and such.
I'm sorry to those of you who've left me comments on the blog recently to which I haven't replied. I've read them and appreciated the kindness, humour and encouragement contained in their sentiments. I honestly haven't had breaks more than 20 minutes long the past two weeks where I wasn't doing anything. If I'm watching a movie, I'm painting. If I'm having coffee on the porch, I'm also reviewing my to-do list. I even went to a friends cottage and - you guessed it - brought a box of items to work on (and I did work on them the entire time, taking a break now and then to sit on the deck among the trees).
Even now, I'm taking this break to blog because I'm waiting for 7 plants to dry so I can add the next layers of paint. They should almost be ready, which means I need to go.
Storms raged across Ontario yesterday afternoon. Yetch and I were running errands when "tornado activity" was being reported. I'd looked up at the heavy, purple-grey clouds as we were pulling into a parking lot and said "Those look ominous". Turned out I was right.
By the time we were ready to head back to the car, the rain was falling in sheets, slamming into the storefront.
Thunder boomed, sending vibrations through the car as we made our way home. The rain thinned, but you got a sense of how much rain was dropped on the city all at once. Every five minutes we were faced with flooded patches of road where the water tickled the door frame of the car. Branches littered the roads everywhere in our neighbourhood, and even a large tree had been toppled.
We arrived home safe and sound, the sky sunny and blue once more, with only the scattered debris on the roads as evidence of the sudden storm.
That and the fact the power was out across the east end of the city for more than 5 hours.
What does a ghoul on a deadline with a huge show on the horizon do in a blackout? She gathers more than 20 candles to light up her office like a shrine, and does paper mache.
Just me, the work, and my little monkey radio playing commercial-free jazz.
It was actually quite nice, and took some of the pressure off from my looming deadline.
Of course, if it happens again between now and Thursday, I may have a breakdown.
Here I am, rushing around, trying to get ready for next week's convention, and I realize I haven't introduced you to a couple of minions that will grace my table. I've taken a moment out of the madness to post one of them.
Neville loves the smell of burning jack o'lanterns, and the sound of rattling candy in pillowcases.
"Trick or Treat", he grunts as he walks along the sidewalk on Halloween night.
Passing children laugh and point to him, exclaiming "Look at HIS costume, Mommy!".
Neville smiles, careful not to show his teeth, and continues on with his pumpkin lantern lighting the way.
August 25th is fast approaching.
Including today, I have 11 days left to get ready for Rue Morgue's Festival of Fear at FanExpo in Toronto.
They've officially announced the Horror schedule and the floor-plan for retailers, special guests, and people like me in Artist Alley.
I will be at table A248 which is in the back right corner of the convention. For whatever reason, they've separated the horror artists in the Alley from the rest of the horror section (we're not only a row back from them, but actually far to the right of where the horror retailers will be). Between us and our brethren will be huge corporate exhibits for video game companies.
The concern of course is that horror fans who aren't interested in visiting EB Games or Xbox will simply skip our little corner all together. They will see the video games section and assume there's no more horror goodness to be found.
No use worrying about it too much, I suppose. There's little to be done about it at this point.
It was the start to every haunter's nightmare.
Toronto finally got some serious rain today. So much rain, in fact, that many places around the city had serious flooding. Luckily, in my area, I didn't go outside to find my car submerged like some poor folks did.
Blissfully unaware of what awaited me in the basement, I headed downstairs to retrieve a box from the storage room which houses all of my Halloween props, decorations and even some supplies. I was distracted by my remarkable ability to actually walk down the stairs (albeit very carefully and clutching both rail and wall as I gingerly manoeuvred the injured ankle). I was smiling at the partial return of mobility. I was happy for the first time in a long day of ridiculous mishaps. I wasn't expecting the universe to play one more joke on me before bedtime.
I felt it before I saw it.
Barefoot on the cold tile. Two steps in.
My foot actually looks like a foot now (if you can ignore the rainbow hues of healing), and I'm at the point where I can get around with the help of a cane. This is good news since I have less than 3 weeks until the big show, and I am in desperate need of some art supplies.
While hobbling around the house, I did manage to get some pieces finished. Six mini carnivorous plants have been sprouted. One went to friends visiting from out of the country, but the remaining five will make their debut at Rue Morgue's Festival of Fear.
I'll still have some of the eyeball plants for sale, but less than usual. So if you're coming to the show with the hope of buying one, pick it up early!
Sunday night I managed to mangle my right ankle. Have spent the days since on the couch, saving up energy to wheel myself around the house to get whatever I need while riding my trusty-dusty office chair. I have crutches but can't carry anything with them, and besides, they cause their own pains and aches. I save them for when I have to do the really fun stuff, like stairs.
Plus my poor left knee, that bore the brunt of the fall once my ankle gave out, has its own nasty scrape.
I'm almost a rainbow: my knee with its reds and browns and yellows, and my ankle which right now is only a single shade of blue (but I predict brilliant purples and greens to come).
Needless to say, I have been less than productive. Or cheerful.
Having to take time off work (that I really can't afford), and not being able to work on a proper project for upcoming shows, just adds insult to injury.
Yesterday, though, I was able to paint some mini carnivorous plants I'd built on Sunday. They still need touch ups and final details, but at least that's something.
How did it happen? Well, it's been suggested to me that I stick to a zombie story. Ninja zombies, to be precise. Make up your own plot details as needed.
I'm off to ice the ankle. Hopefully I will be back by the weekend with happier news of progress!
My self-published book is still available!
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subset: commoncrawl


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42 U.S. Code § 5180 - Food commodities
(a) Emergency mass feeding
The President is authorized and directed to assure that adequate stocks of food will be ready and conveniently available for emergency mass feeding or distribution in any area of the United States which suffers a major disaster or emergency.
(b) Funds for purchase of food commodities
Source(Pub. L. 93–288, title IV, § 413, formerly § 410,May 22, 1974, 88 Stat. 157; renumbered § 413,Pub. L. 100–707, title I, § 106(h),Nov. 23, 1988, 102 Stat. 4705.)
Prior Provisions
A prior section 413 ofPub. L. 93–288was renumbered section 416 by Pub. L. 100–707and is classified to section 5183 of this title.
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.
The most recent Classification Table update that we have noticed was Tuesday, August 13, 2013
An empty table indicates that we see no relevant changes listed in the classification tables. If you suspect that our system may be missing something, please double-check with the Office of the Law Revision Counsel.
|Description of Change
|Session Year
|Public Law
|Statutes at Large
LII has no control over and does not endorse any external Internet site that contains links to or references LII.


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"The Lens" is the top choice of a five-member jury tasked with examining three possible replacements for the St. Petersburg Pier. That makes it the winner of an international design competition and the subject of further public scrutiny.
"I think now, once this decision is ratified, moving forward there will be other questions that people have, which is inevitable, and it's welcomed" said Leslie Curran, City Council and design jury chair.
Mayor Bill Foster said, "Public input starts now, and that's going to be on conceptual refinements and programming."
Those refinements could be significant because the current design shown in renderings is $7- to $10-million over budget. The city has $50 million for a new Pier, including the estimated $5 million to demolish the existing structures.
All three finalists in the international design competition came in over-budget but gave assurances their concepts could be scaled down.
"I feel comfortable that we're going to be able to build a Lens concept with refinements, with programming, within budget," Mayor Foster predicted.
The City Council will receive the jury's rankings at a workshop next week, and will decide whether to move forward within a matter of weeks.
Councilman Karl Nurse wants to see updated renderings.
"Don't show me the stuff that we're never going to buy," he said, referring to depictions of how the land leading up to the Pier might be developed. "You have to rein it in and show me what you can do for $45 million, because that's where we're going."
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Second Purse Hike at Ohio's ThistleDown
ThistleDown Racino announced Aug. 27 it will increase purses another 5%, starting with a special Labor Day race card Sept. 1.
|Breeder / Owner
|Defiant Flyer
|Liane P. Davis
|Wesley A. Ward
|Mark E. Casse
|Don Von Hemel
|Z Rockstar
|Donnie K. Von Hemel
ThistleDown Racino announced Aug. 27 it will increase purses another 5%, starting with a special Labor Day race card Sept. 1.
East Hall won the $300,000 Ohio Derby with a closing rush at Thistledown July 19, earning his first victory since a Nov. 24 allowance event at Gulfstream Park.
With a $300,000 purse, the 1 1/16-mile Ohio Derby has taken a step in the right direction in returning to the days when Lost Code, Broad Brush, Skip Away, Milwaukee Brew and Smarten graced the winner's circle.
Two fillies and seven competitors in this year's Triple Crown series are among the 37 nominees for the 80th running of the Ohio Derby, set for July 19 at ThistleDown Racino.
With purses boosted by added gaming, ThistleDown Racino will open its 2014 racing season April 18 when the North Randall, Ohio track offers its 90th season of racing.
High Cotton will remain at $7,500 stands and nurses, while new stallion Prospective still stand for $5,000.
Todd Pletcher closer will have to catch the swift Strapping Groom in seven-panel test Oct. 26 at Belmont Park.
Prospective, Malibu Moon's grade II-winning earner of $719,130, has been retired from racing and will stand at J. Michael O'Farrell Jr.'s Ocala Stud in Florida for the 2014 breeding season.
Where the 4-year-old son of Malibu Moon and grade II winner will stand has not been set.
The 5-year-old British Columbia-bred gelding wins his first graded stakes in the Emerald Downs feature. He has now won 10 races in 13 lifetime starts.
A full field of 12 is entered in the 78th renewal of the Northwest's most prestigious race, the $200,000 Longacres Mile (gr. III) at Emerald Downs Aug. 18.
Title Contender broke through for his first stakes win in the Ohio Derby when he defeated a field of six challengers in the grade III affair at Thistledown July 27.
Seven 3-year-olds, all in search of their first graded stakes victory, are signed on for the $100,000 Ohio Derby (gr. III) July 27, the signature race at Thistledown.
Speedy frontrunners set the $100,000 James Marvin Stakes (gr. III) up perfectly for Michael Dubb and Gary Aisquith's Sage Valley, who closed from off the pace to take the 7-furlong sprint July 19 at Saratoga Race Course.
After a fifth-place finish in the June 5 RTN True North Handicap (gr. III) at Belmont Park, Sage Valley looks to get back to winning ways in the $100,000 James Marvin Handicap (gr. III) July 19 at Saratoga.
Multiple graded stakes winner Data Link looks for his second victory of 2013 when he heads a field of seven turf horses going a mile in the $150,000 Poker Stakes (gr. IIIT), the Independence Day feature at Belmont Park.
Multiple stakes-winning Woodbine veterans Pender Harbour and Riding the River appear to be the most promising choices in a field of nine that are set for the June 23 King Edward Stakes Presented by TVG (Can-IIT).
After winning his previous start by more than 10 lengths, Souper Speedy found a different route to the winner's circle June 7 in the $147,000 Jaipur Stakes over a sloppy track at rainy Belmont Park.
Dynamic Sky recovered from a tough trip to win the $100,000 Pasco Stakes over stablemate Sky Commander Jan. 12 at Tampa Bay Downs, giving owner John Oxley and trainer Mark Casse consecutive scores in the race.
The Lumber Guy, whose big effort in the Xpressbet Breeders' Cup Sprint (gr. I) last month produced a runner-up finish, heads a field of 10 sophomores for the $300,000 Malibu Stakes (gr. I) on opening day at Santa Anita.
Bill Farish Jr.'s Pool Play will be pointed toward the Clark Handicap Presented by Norton Healthcare (gr. I) Nov. 23 at Churchill Downs, but the 7-year-old might not be the only Clark starter for trainer Mark Casse.
The 20th renewal of the Oklahoma Classics takes place Oct. 19 with a 10-race card featuring the $175,000 Chickasaw Nation of Oklahoma Classics Cup presented by TVG.
Politicallycorrect, rallying way wide through the homestretch for Kent Desormeaux, caught favored Willy Beamin in the final few strides to post an upset in the $400,000 Oklahoma Derby Sept. 30 at Remington Park.
Recent grade I winner Willy Beamin is part of a 10-horse field that includes fellow shippers Prospective and and Daddy Nose Best on the biggest day of the season at Remington Park Sept. 30.
Trainer Mark Casse entered Prospective and Stealcase in the $150,000 Ontario Derby at Woodbine Sept. 16, but only expects one to run. Casse will also send out Eclipse Thoroughbred Partners and Gary Barber's Patrioticandproud.
|Scarlet & Gray H.
|Race 3 (ALW) at TDN on 9/21/14
|Race 6 (ALW) at TDN on 9/21/14
|Race 5 (ALW) at TDN on 9/20/14
|Race 3 (ALW) at TDN on 9/20/14
|Kentucky Downs Ladies Marathon S.
|Kentucky Downs Ladies Marathon S.
|Kentucky Downs Turf Dash S.
|Fitz Dixon, Jr. Memorial Juvenile S.


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A full description is available at Order Code GBL96G.
About our web site....
In 2007 we migrated our system and web site from Windows to Linux. Customers that have previously registered their details with us, whether with Maplin SA or Yebo Electronics, and included an e-mail address, no longer need to re-register their details with us. Simply follow this link, enter your e-mail address and request a password (which you can change once you have logged in).
If you are a new customer and would like to place an order using this website, it will be necessary to register your details. The registration process takes only a few minutes and can be completed by 'Logging Yourself In'. It is completely secure and is certified as being so by ScionSSL Pro.
Customers registered with us can choose to receive a brief e-mail each month that provides a summary of our monthly Newsletter, as published on this website. Unfortunately, certain ISP's may attempt to block our Newsletter e-mails, incorrectly interpreting them as being Spam Mail. If you have not received such communication from us recently, we suggest you log in and check the status of the Newsletter Subscription field and, if necessary, reset it to 'Subscribed', whilst ensuring your e-mail in-box accepts mail from us.
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How to order....
Registered customers can place their on-line orders using this secure website. We offer various methods of despatch, depending on your order weight/volume and your destination. On completion of your order the options applicable will be displayed.
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We accept Visa Card, MasterCard, bank deposits (money transfer) or 30-day account for pre-arranged trade customers.
So who are we?
Based in Cape Town, we first launched in South Africa in 1992, trading as Maplin South Africa, and as a distributor of the UK company, Maplin. However, following a £15m+ buyout of Maplin in 2000 we decided to become an independent entity and changed our name to Yebo Electronics. We continue to offer a similar range of products, but by dealing directly with reputable suppliers and manufacturers we are able to pass on the cost benefits to our customers.


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The Line of Fire with Dr. Michael Brown
Featured Offer from The Line of Fire View All Resources
*Special* Three Resources from the Fires of Revival!
This week, Dr. Brown is offering 3 resources that were born out of the fires of revival. You can get all three at an drastic discount! This special resource package includes Dr. Brown's acclaimed books The Revival Answer Book and The End of the American Gospel Enterprise, along with the life-changing message Holy Desperation on CD. These three resources will stir you and with passion and purpose! Get your special bundle today for the incredibly discounted price of just $15, postage paid!
More Resources from The Line of Fire View All Resources


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Home | Massage Therapy | Skin Care | Spa Body Treatments | Specials | Gift Cards | Contact Us | Q&A | Privacy Policy | Follow us
SensAbility, the teaching clinic of Atlanta School of Massage and Atlanta Institute of Aesthetics, is conveniently located near Perimeter, Dunwoody, Sandy Springs, Norcross, Peachtree Corners, Duluth and Northside Atlanta. Massage gift cards are available for any of our full range of massage therapy and skin care services.
SensAbility - 2 Dunwoody Park, Atlanta, GA 30338 - Phone: 770-677-0300


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BodyFit 18-Inch Foam Roller
|Eligible for Free Shipping on Orders $49 or More! (see promotion details)
|Members of The League get 5% back when you spend $100! (see promotion details)
Product Details
Use the BodyFit® 18-inch foam roller to improve core strength, balance, and flexibility. It's also designed to promote better posture and skeletal alignment.
- BodyFit® 18-inch foam roller
- Relieve muscle tension
- Improve core strength, balance and flexibility
- Promote better posture and skeletal alignment
- Exercise chart included
Product Recommendations
Product Reviews
Reviewed by 4 customers
Sort by
- Does Not Hold Its Shape
- Poor Construction
Best Uses
Comments about BodyFit 18-Inch Foam Roller:
I use a roller for all kinds of muscle stretches, this is my third (I travel and have a couple of semi-permanent locations where I store my fitness equipment), and this is the only one I have ever used which has lost it's shape, becoming elliptical rather than cylindrical. It's new shape causes more problems than helps. Don't buy.
- Durable
Best Uses
Comments about BodyFit 18-Inch Foam Roller:
This product is great and really helped my back! Being a husky fellow, i fould it great that it held up under my weight!
- Wears out quickly
Best Uses
Comments about BodyFit 18-Inch Foam Roller:
I used this to roll my IT band in the evenings and after about two or three weeks the center got flattened down by about an inch or two. It now has an hourglass shape to it. The roller still works, but now it's inconvenient to use since it doesn't roll well and it's harder to focus on the right spot because of the curve.
- Durable
- Great Value
- Lightweight
- Well Constructed
Best Uses
- Fitness
- Sports
Comments about BodyFit 18-Inch Foam Roller:
I absolutely love this foam roller. It's not too soft, not too rigid, and it can take some heavy wear before it begins to start losing its shape. This's provided much relief to my quads, hammies, calves, and IT band!


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Local politicians, lobbyists and business leaders from the Sacramento region fly across the country each year to meet federal officials and eat at some of Washington, D.C.'s, best restaurants.
The most common gifts last year reported by the region's county supervisors were the dinners, drinks and artwork they received at the Sacramento Metro Chamber's Capitol-to-Capitol event.
The Public Eye reviewed gifts received by the 20 supervisors in Sacramento, Placer, Yolo and El Dorado counties, as listed in economic disclosure forms filed earlier this year with the state Fair Political Practices Commission. Two supervisors in Sacramento County and three in Yolo County attended Cap-to-Cap last year.
They dined and drank at restaurants such as Charlie Palmer Steak, Washington City Club and Occidental Grill & Seafood, "a gathering place for the nation's political power brokers, sports figures and celebrities."
Sacramento County supervisors Phil Serna and Susan Peters billed the county for airfare and hotel costs $3,000 for Peters, $3,500 for Serna.
Yolo County Supervisors Mike McGowan, Donald Saylor and Jim Provenza also billed their county for airfare and hotel.
The chamber touts Cap-to-Cap as a "premier advocacy program" that helps the Sacramento region secure federal support for important issues such as health care and flood control.
"As unusual as it may sound, it's more about going 4,000 miles across the country to get to know people who live in this region," Serna said.
The event also gives business interests extended access to local officials with responsibility for key issues.
Supervisors reported gifts valued at $2,212 during the five-day trip.
With one exception, the gifts came from lobbyists, health care providers and developers with business before the county boards, records show.
For instance, Kaiser Permanente and Sutter Health held dinners that included Serna and Peters. Kaiser and Sutter have joined with the county to start a low-income health care program.
Teichert, a mining and construction company seeking to build a large development on West Jackson Road, also held a dinner that included the two supervisors.
Sacramento attorney Greg Thatch hosted a dinner at the Washington City Club that was also attended by Serna and Peters. Thatch often represents developers before the Sacramento County Board of Supervisors, most recently on the controversial Cordova Hills project the board approved earlier this year.
Thatch said he sees nothing inappropriate about paying for the dinners of elected officials, as they're just some of the approximately 140 people who received the complimentary meal.
Serna noted that the dinners include a wide range of people, from environmentalists to developers.
He has gone to Cap-to-Cap all three years he's been a county supervisor, and several years before when he worked as a private development planner.
He said the free dinners have no influence on his work as a supervisor. The best evidence: He was the only supervisor to vote against Cordova Hills, he said.
Serna picked up a memento from last year's Cap-to-Cap: A canvas artwork depicting a band made up of him, McGowan and others, playing R&B for the contingent in D.C.
The gift from public relations specialist Lucy Eidam Crocker is valued at $200 and highlights "Phil and Mike's Excellent Adventure."
Call The Bee's Brad Branan, (916) 321-1065. Follow him on Twitter @bradb_at_sacbee.
© Copyright The Sacramento Bee. All rights reserved.


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Sustaining Communities through World Languages
The 61st Annual Northeast Conference
Weren't with us in Boston for NECTFL 2014? Here's what you missed:
Download Conference Program (6MB PDF)
Deep gratitude to Larry Webster for all the photographs!
NECTFL 2014 was held March 27-30 in Boston! The conference included a wide range of outstanding professional development opportunities and the sustaining experience of a true learning community. Special events, sessions, workshops, teaching labs, and exhibit hall displays will help all of us weather these challenging times as we return to our classrooms and offices. Attendees discovered new ways of supporting language programs, students, and the newest teachers in our field. The topics of greatest interest to you will be expanded after the conference using social media, webinars, and the tried-and-true F2F encounter!
Program Overview
Check out all the Friday and Saturday sessions
Check out the optional workshop & teaching labs
Check out our host city, Boston.


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Framework for Implementing the Convention on Wetlands of International Importance especially as Waterfowl Habitat (Ramsar, 1971)
2nd Meeting of the Conference of the Contracting Parties
Groningen, the Netherlands
7-12 May 1984
A) Introduction
The fundamental purpose of the Convention on Wetlands of International Importance especially as Waterfowl Habitat, is to conserve wetlands through international cooperation.
The present document, based on the text of the Convention, the Recommendations of the First Conference of the Contracting Parties (Cagliari, 1980) and the discussions at the present Conference, has been drawn up to facilitate the achievement of the Convention's objectives. It is proposed as a tool to guide in the development of national and international measures to further the conservation of wetlands. Its application should be flexible and adapted to the specific conditions of individual countries.
B) National Measures
One of the principal obligations of the Contracting Parties to the Ramsar Convention is to "formulate and implement their planning so as to promote as far as possible the wise use of wetlands in their territory" (Art. 3.1). The Cagliari Conference recommended that, in order to achieve this "wise use", comprehensive national policies, based on a nationwide inventory of wetlands and their resources, would be necessary.
Approaches to national wetland policies under the Ramsar Convention can be grouped under five main categories:
- scientific;
- policy and law;
- management;
- education and public awareness; and
- special measures for sites on the Ramsar List.
1) Scientific
1.1 Development of a nationwide inventory of wetlands covering all habitats listed in Article 1.1 to the Convention, and promotion of information dissemination on the importance of the sites;
1.2 Development and application of criteria for the identification, establishment, management and monitoring of wetland reserves (including marine parks);
1.3 Data collection, monitoring and research related to species dependent on wetlands, for the purpose of management and as a contribution to international actions to sustain wetland management efforts;
1.4 Review of the importance of wetlands for species conservation, review of the status of wetland species and identification of endemic, rare, or endangered species and their critical habitat areas.
2) Policy and Law
2.1 Review of impediments, particularly social, legal and fiscal, to the conservation of wetlands;
2.2 Adoption of policies, including preventive environmental policies, to ensure wetland conservation by both public and private parties;
2.3 Development of a planning system for wetland conservation based upon natural catchment areas;
2.4 Adoption of measures to ensure as far as possible the natural quality and quantity of water supplies to wetlands;
2.5 Evaluation of environmental effects before decisions are taken which would significantly transform wetlands, and involvement of ecologists in the development of plans (authorization of transformations should only take place in exceptional circumstances, and in the public interest);
2.6 Provision of measures to mitigate or exclude any adverse effects of wetland transformation, including compensation measures, if transformation of wetlands is planned;
2.7 Monitoring and follow-up of authorized operations affecting wetlands including the adoption and utilization of corrective measures where required.
3) Management
3.1 Definition and implementation of measures required to maintain the ecological character of wetlands;
3.2 Promotion of the sustainable management of wetlands to avoid over-exploitation of wetland resources, and to provide for a firm social and economic basis for wetland conservation;
3.3 Management of man-made wetlands to create habitat for waterfowl and other wetland species when establishing and modifying such wetlands, and if possible rehabilitating degraded wetlands;
3.4 Development of management plans to maintain the populations of wetland species and of recovery plans for endangered species, as well as the regular review of these plans to ensure that their objectives, priorities and actions remain appropriate;
3.5 Strict control of the introduction of exotic species to wetlands, and where appropriate eradication of introduced species.
4) Education and Public Awareness
4.1 Promotion of public education and awareness with regard to the value of wetlands;
4.2 Development of training programmes for wetland conservation managers;
4.3 Encouragement of the participation of local populations in the establishment, management and monitoring of wetland reserves.
5) List of Wetlands of International Importance
5.1 Designation of appropriate wetlands in the light of agreed criteria, national inventories and of international "shadow" lists;
5.2 Effective conservation of listed wetlands, including wardening, development of buffer zones, and other land-use control mechanisms;
5.3 Monitoring of any changes in the ecological character of listed sites, and reporting such changes to the Convention Bureau.
C) International Measures
The purpose of the Ramsar Convention is to promote wetland conservation through international cooperation. In order to achieve this cooperation, the Contracting Parties may wish to consider the following measures, grouped according to the categories of: promotion of the Ramsar Convention, data requirements, financial and technical assistance and international cooperation.
6) Promotion of the Effectiveness of the Convention
6.1 Promotion of adhesion to the Convention by developing countries, where many wetlands are still in pristine condition, and where the major opportunities for wetland conservation are likely to occur in the next twenty years;
6.2 Elaboration of the criteria adopted at the Cagliari Conference for the selection of wetlands for the Ramsar List with special reference to wetland types and species habitat insufficiently represented on the List. Criteria must be developed for species other than waterfowl, for limnological and hydrological characteristics, and might also be developed to cover economic aspects of wetlands such as fisheries.
7) Data Requirements
7.1 Coordination of national data collection, research and monitoring in order to provide an up-to-date international overview of wetland issues and priorities, and cooperation in the development of international "shadow" lists and databases.
7.2 Development of international or regional databases to monitor the conservation situation of wetlands, to draw up directories of national and international bodies working on wetlands, to prepare a global hierarchical classification system of wetland types to facilitate international comparison and to elaborate a standard 'pro-forma' to describe wetlands, to facilitate information exchange.
8) Financial and Technical Assistance
8.1 Provision of special assistance to developing countries in the elaboration of their national wetlands policies, in conservation and management of listed wetlands and other aspects of wetland conservation including data collection, monitoring, research, public awareness, education and training,
8.2 Ensuring that conservation measures are included in development projects where bilateral or multilateral aid programmes to developing countries affect wetlands, especially through evaluation of environmental effects before any wetland transformation is carried out (payment for the necessary conservation measures must be the responsibility of those carrying out the development projects).
9) International Cooperation
9.1 Cooperation in wetland management for the purpose of 1) migratory species conservation, 2) control of harmful influences that may affect wetlands in other countries, and 3) conservation of trans-frontier wetlands, through mutual consultation and coordination of policies.
9.2 Promotion of cooperation with other global and regional conservation conventions or other mechanisms providing additional means for wetland conservation.


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So last weekend, I was in New York City to "attend" TBEX '10, a travel blogger exchange.
Instead, me and my girls got a little crazy.
So last weekend, I was in New York City to "attend" TBEX '10, a travel blogger exchange.
Instead, me and my girls got a little crazy.
I have the worst luck when it comes to buying outlet converters.
No matter what country I'm in, or how much money I spend on these things, they never work. This is not conducive to my internet junkie/hair obsessive needs. I remember dropping an ungodly amount of money on a fancy looking converter before my first big trip to Australia, and upon plugging in my hair dryer the day after we landed it promptly exploded and smoke came billowing out from the oulet. Devastation ensued.
Faced with the possibility of having a bad hair day for the next four months, I decided to walk over to the Australian version of Circuit City, a gigantuan store named Clive Peeters. It was there that I met an excitable, talkative male sales associate. He was tall and lanky with a toothy grin and the kind of tan that only Australians can naturally have. I remember thinking how much prettier his hair was than mine as it was unbelievably wavy and voluminous. Thus I shall call him Mr. Schuster.
After a lot of explaining and wild hand gestures, the two of us concluded that there were no outlet converters in Clive Peeters. Wonderful. This was when I tried to make a graceful exit away from Mr. Schuster and the wall of flat-screen TVs he was standing in front of, but he wasn't very "keen" on this idea.
"So you're American, are ya?" he said.
"Where in America?"
"Boston." EDIT: I'm usually friendlier, but Mr. Schuster was getting closer and closer to me as he spoke and it was starting to make me uncomfortable. Plus I still had frizzy hair, which is as good reason as any to be cranky.
"Ah, Boston, I've heard of that. What kind of TV do you got back in Boston?"
Jesus. "A small one."
"Oh, really? I thought all you Americans had big TVs! You all like that flashy stuff don't cha?"
I think this is where he was trying to be flirty and cute, but I was not having it. While simultaneously looking around for the nearest escape route, I snarled, "Wow, way to take a dig at me."
A rare pause. "A what?"
"A dig."
"Come again?"
I remember thinking that this would be an opportune moment for someone to kidnap me. "A. DIG. You know, an insult?"
Apparently that was the wrong thing to say. Mr. Schuster's panties immediately bunched up into a fist-like apparatus, and he practically got down on his knees and prayed for forgiveness.
"OH MISS I AM SO SORRY I NEVER MEANT TO INSULT YOU PLEASE DON'T TAKE IT THAT WAY I'M SURE YOU'RE NOT FLASHY IN THE SLIGHTEST I LOVE SMALL TVS THEY'RE SOME OF OUR BEST-SELLERS TEAM USA" and so on and so forth.
His performance was Oscary-worthy, I will give him that. Definitely in the wrong profession, that Mr. Schuster. As much as I love a good round of public humiliation, between the sobbing and pleading I somehow managed to convince my perfectly coiffed friend that my feelings were still very much unhurt, and I would not hold his "dig" against him the next time that we crossed paths, which would hopefully be somewhere between "never ever ever" and "in the next gazillion years."
After an entire afternoon of awkward conversation, hair envy, and not getting a proper outlet converter, I finally walked out of Clive Peeters and sulked back to my dark apartment, my straw-like curls baking in the hot Australian sun.
Safe Travels Hand Stamped Copper Keychain
Cuteness overload. I highly enjoy the bird chillin' out in the corner as well.
I've been really into interior design lately, which should come as no surprise to anyone who knows me. I re-arrange my room twice a year, I obsessively make collages of pictures from the "Living" section of Real Simple, and I've been known to go buck wild in Home Goods. Remember that MTV show Room Raiders? That was my jam. I loved how the contestants could tell so much about their future date just from what he or she had going on in their rooms.
However, as I was flipping through some of my travel photos on the Fbook, I started noticing that it's really the EXTERIOR of a house that can tell you the major things about not just the person who lives there, but about the place itself. What the weathers like, what the quality of living is, if you should be prepared to protect yourself against ferocious giant animals that don't exist anywhere else (Australia, I'm looking at you). I'm sure if you were knocked unconscious and lost your memory, all you would have to do is wake up (fingers crossed!) and look at the nearest house to gather some clues as to where you were.
Here's some houses I've come across in my travels. Can you guess what countries they call home?
- Alison
EDIT: Don't remember Part One? It's okay, I didn't either! (Really though, I wrote the first part in February. What was that, like six months ago or something? SHEESH)
So let's review.
Here's me in Fiji, snorkeling for the first-time ever with the fishes and doin' the damn thing:
And then THIS guy had to come and ruin everything:
"Oh hey, I'm a Banded Sea Krait! I'm gonna eat you so hard!"
And I was all like:
Got it? Great, let's move on.
Rustic Vintage Suitcase Vanity
Aaaaaaaand I'm in love.
I love the word "free." Also the word, "lunch." When put together, it's like music to my ears. Get Facebook involved, and the whole thing starts to resemble a nerdy dream I once had.
During the last week in March, The Westin Copley Place had an exclusive deal reserved only for their fans on Facebook. To celebrate the re-launch of the lunch menu at Turner Fisheries, the first 100 fans to call the restaurant and make a reservation for April 2nd between 11:30 - 2 pm would get to eat lunch…FO' FREE. My thrifty co-worker Molli almost had a heart attack when she found out, and called to make us a reservation immediately.
It's been about a month since I got back from Florida, and I'm still talking about it. Since you're probably sick of me and my Sunshine State ramblings (haha, jokes! I know that's not possible), you'll be happy to know that this is my big wrap-up blog post. So, without further ado, here's my list of the Top 5 Things I Learned In Miami:
1. Trying to rent a car in America sucks.
I alluded to this incident in my last post, but I can't even begin to convey the nonsense that occurred when we tried to rent a car for a few hours.
My lunch today. I feel like chest-bumping someone and chanting "AUSSIE AUSSIE AUSSIE! OY OY OY!"


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- Hot Animes This Season
- Sword Art Online II,
- Akame ga KILL!,
- Tokyo Ghoul,
- Tokyo ESP,
- Zankyou no Terror,
- Rail Wars!,
- Barakamon,
- Re:␣Hamatora,
- Ao Haru Ride
Afro Samurai Duel Episode 4
if Afro Samurai 4 – Duel are not working, please try one of the Video Mirrors.
Upload by: chia214
Updated: November 8, 2012
Afro Samurai 4 – Duel Comments
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Giant DNA Origami
September 18, 2014|
Researchers create the largest 3-D DNA structures to date, many times bigger than previously constructed origami shapes.
Daily News Roundup
September 18, 2014|
Researchers create the largest 3-D DNA structures to date, many times bigger than previously constructed origami shapes.
September 11, 2014|
Sangeeta Bhatia, creator of miniature medical technologies, has won the Lemelson-MIT Prize.
September 8, 2014|
IBM's cognitive computer will be individualizing trial plans for cancer patients at the Mayo Clinic.
September 8, 2014|
The US Food and Drug Administration last week approved the first of a new type of immunotherapy that aims to pit a patient's own immune system against her cancer.
August 22, 2014|
Samples from an Antarctic lake 800 meters below the ice reveal an abundance of microbial life.
August 6, 2014|
Emmanuel Farber, past American Association for Cancer Research president who advanced fundamental understanding of chemical carcinogenesis, has passed away at age 95.
July 25, 2014|
Blood-based Alzheimer's diagnostics; CRISPR cuts out HIV; Leishmania and the sand fly microbiome; deconstructing the lionfish science fair debacle
July 24, 2014|
African elephants have more genes for olfactory receptors than dogs or humans, a study shows.
July 22, 2014|
Conversion of white fat to brown is associated with muscle atrophy and weight loss in cancer patients.
July 18, 2014|
Converting heart muscle to pacemaker cells in pigs; alternative splicing and the human proteome; questioning a reported yogurt mold-illness link; H. pylori swiftly find mouse stomach injuries


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Reebok EasyTone Reenew Women's Training Shoes
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text:
The flu continues to be a problem across the country, as well as in northwest Ohio and southeast Michigan. Local hospitals are being forced to change some of their visiting guidelines and hours.
There is currently no panic at Toledo ProMedica Hospital, but the hospital is taking steps to reduce chances of people catching the flu. Mercy hospitals will also be affected by the decreased visitation policies.
Lucas County Health Department officials say there has been 42 flu cases since November. As the season peaks, area hospitals are hoping those numbers stay down, which is why Ohio and Michigan ProMedica hospitals will no longer allow minors to visit the sick.
The Lucas County Health Department has announced decreased visitation hours, along with limitations on visitors at hospitals and long-term care facilities. Starting Wednesday, no minors will be allowed to visit ProMedica hospitals until further notice. The only exceptions will be with patients who are critically or terminally ill, which will be determined by personnel.
Staff is hoping this precautionary measure will help keep children out of harm's way.
"They don't quite have the immunity. They're in classroom settings, so they have exposures more often," explained Brian Dick, corporate director of ProMedica Infection Prevention and Control.
Mercy is not restricting minor visitation, but does ask anyone who is sick to refrain from visiting.
Visitors who have flu-like symptoms will not be permitted inside ProMedica hospitals and facilities, unless they require medical treatment. Flu-like symptoms are defined as a fever greater than 100 degrees with a cough. ProMedica visitors will also be limited to two per patient at any given time, and all visitors will be asked to follow established hand hygiene procedures when entering and leaving patient rooms.
"We appreciate the cooperation of our visitors in our efforts to help protect the health and well-being of our patients and employees," said Dick.
ProMedica Toledo is offering free vaccinations to hospital personnel.
For more information about the flu, including prevention tips, visit www.cdc.gov.
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Dracula Is Dead
Published on Monday, April 19, 2010 - 1:17pm
Author Talk: Thursday, May 13, 7 p.m.
In December 1989, Romanians overthrew dictator Nicolae Ceauşescu, ending more than 40 years of Communist totalitarianism. Twenty years later, Romania is a thriving democracy, an economic success, and a member of NATO and the European Union. What's the story behind the Romanian miracle?
Join us at the library as former United States ambassador to Romania, Jim Rosapepe and his wife, award-winning journalist Sheilah Kast, discuss their book and introduce readers to an amazing land -- beyond Dracula, beyond Communism, to the vibrant culture, unique history, and 21st-century skills that define modern Romania. A book signing will follow the program.


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September 16, 2014
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FIRST-PERSON: God, Allah & sacrificial love
Mark Coppenger
Posted on Sep 11, 2013
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NASHVILLE (BP) -- The Arabic word for God is Allah, and missionaries wrestle with what to say in evangelism. For instance, should they track with the classic Campus Crusade opening, "Allah loves you and has a wonderful plan for your life"?
It seems odd, since a lot of baggage goes with that word, including its frequent use by terrorists, who shout "Allahu Akbar" (Allah is great) as they kill innocents. So some translators prefer to use the Arabic expression for "the Lord" -- Al-Rabb.
Of course, the same name can be used for two different persons, as when we find a batch of John Smiths in the phone book. Similarly, the "Allah" whose nature and works are revealed in the Bible is distinguishable from the Allah of the Quran. There are many ways to demonstrate this, but let's take the case of God's agape love -- as in "God is love" (1 John 4:8b).
This is not simply the acquisitive desire of eros; the friendship love of phileo; or the instinctual mothering, familial love of storge. It is the self-sacrificial love of a Father who gives up His "only begotten Son" to murderous torturers in order that a host of unsavory characters might be spared destruction.
Muslims speak of the "99 names of God," which include references to his kindness -- expressed, for instance, as "exceeding beneficence" (Ar-Rahman), "exceeding mercy" (Ar-Rahim) and "generosity" (Al-Karim).
But these are the virtues of a potentate who has plenty of resources to spare injury to himself. In contrast, the God of the Bible exhibits a costly love not just in terms of how big a splash His generosity makes on the recipients but also in terms of the pain it causes Him in the giving.
Consider Romans 5:8, which teaches that, "God shows his love for us in that while we were still sinners, Christ [God's Son; God incarnate] died for us."
While the Quran's Allah shares the Christian God's capacity to "avenge" (Al-Muntaqim) and "afflict" (Ad-Darr), he does not provide a self-sacrificial way of escape. The Muslim Jesus (Issa) is only a prophet, and his suffering no more injures God than, say, the death of John the Baptist.
Not surprisingly, this plays out in contrasting Christian and Muslim ethics. Consider the Christian, Paul, who wrote, regarding his fellow Jews, who were missing salvation, "... I could wish that I myself were accursed and cut off from Christ for the sake of my brothers, my kinsmen according to the flesh" (Romans 9:3).
Notice that Paul was not saying he was willing to martyr himself for entry to paradise, but rather to forego paradise if necessary.
Yes, Arab peoples are known for their hospitality to the stranger who comes to their home. These people, many of whom are Muslims, will share their food and drink even when these provisions are in short supply.
They may have to miss a meal of lamb because of their generosity. But this is a far cry from the generosity-unto-personal-ruin of which Paul speaks.
In this same vein, Christian saints and Muslim saints are of a different stamp. Muslims are inclined to venerate the warrior Mahdi, buried in Omdurman, Sudan, or the pious Sufi mystic Ali Hujwiri.
Christians, on the other hand, more readily turn to a Gianna Beretta Molla, who refused both cancer treatment and an abortion so that her child rather than she might live.
Or the missionary Jim Elliot in the book "Through Gates of Splendor," who fired his pistol in the air to scare away his native attackers in Ecuador. His refusal to turn the pistol on these "infidels" meant the loss of his own life, since they weren't ready to face God on high.
When your god is not willing or able to suffer real loss to help his enemies, it is not surprising when his disciples follow suit. What a difference it makes to worship the God whose personal sacrifice was horrendous, the God who set the template for self-forgetful love in service to sinners, even those who would do believers harm.
This column first appeared at the blog of Bible Mesh, a website that teaches the Bible as a unified story pointing to Christ (online at www.biblemesh.com/blog). Mark Coppenger is director of the Nashville extension center for Southern Baptist Theological Seminary and professor of Christian apologetics at Southern Seminary in Louisville, Ky. Get Baptist Press headlines and breaking news on Twitter (
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Joe Thornton's appeal hearing with NHL Commissioner Gary Bettman on Saturday was unsuccessful.
The San Jose Sharks centre held a meeting with Bettman at 11am et and, as expected, he will still have to serve his two-game suspension, starting tonight as he sits out San Jose's game against the Tampa Bay Lightning.
John Thornton, Joe's agent and brother, issued this statement following Saturday's denied appeal:
"The league once again failed to follow any precedent they have set when making disciplinary decisions.
They stated this was most similar to the (Nick) Foligno hit (on the Hurricanes' Patrick Dwyer in mid-October) which only resulted in a $2500 fine.
When Joe asked the league, directly, what he could have done differently, they could not clearly explain. I guess being 5'9" was Joe's only solution to avoid this suspension.
We are extremely disappointed with the league's decision and feel the continuing uncertainty with league actions will only hurt the fans of the NHL."
Joe Thornton was originally suspended two games for his hit on St. Louis Blues forward David Perron on Thursday night.
Colin Campbell was travelling on Friday, so Mike Murphy conducted the formal portion of the conference call hearing, and Murphy and Campbell determined that supplemental discipline was required.
The Sharks captain, talking to Gino Reda on TSN's That's Hockey on Friday, said he was surprised with the league's original decision to suspend him.
"I didn't see the hit last night but I saw it (Friday) morning," said Thornton. "I thought that was my ice. It's not like I ran anywhere, I took two steps onto the ice from the penalty box and he actually hit me so I was a little shocked when (Campbell) gave me the two games."
Thornton will forfeit $77,419.36 in salary, which will go to the Players' Emergency Assistance Fund.
The 31-year-old was originally assessed a five-minute major and a game misconduct for the hit, that occurred in the second period. he said that he's received a lot of support from players around the league.
"I've had quite a few emails and texts from last night until this morning and guys were kind of questioning if I even should have gotten a two minute penalty."
Perron, who recovered from the hit to score a goal later in the game that the Blues won 2-0, didn't know who hit him at first.
"I asked the guys who hit me actually, because I didn't know who it was," Perron said after the game. "Obviously, Joe's not a dirty player."
Thornton went on to say that there is a lot of uncertainly amongst players regarding the new blindside hit rules.
"With this new rule I think everybody's just really sensitive right now and nobody really knows what's a penalty," said Thornton. "I think that's what's really confusing the players right now. Nobody really feels comfortable with this rule right now."


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Fibromyalgia is a common syndrome in which a person has long-term, body-wide pain and tenderness in the joints, muscles, tendons, and other soft tissues.
Fibromyalgia has also been linked to fatigue, sleep problems, headaches, depression, and anxiety.
Alternative Names
Fibromyositis; Fibrositis
Causes, incidence, and risk factors
The cause is unknown. Possible causes or triggers of fibromyalgia include:
- Physical or emotional trauma
- Abnormal pain response - areas in the brain that are responsible for pain may react differently in fibromyalgia patients
- Sleep disturbances
- Infection, such as a virus, although none has been identified
Fibromyalgia is most common among women aged 20 to 50.
The following conditions may be seen with fibromyalgia or mimic its symptoms:
- Chronic neck or back pain
- Chronic fatigue syndrome
- Depression
- Hypothyroidism (underactive thyroid)
- Lyme disease
- Sleep disorders
Pain is the main symptom of fibromyalgia. It may be mild to severe.
- Painful areas are called tender points. Tender points are found in the soft tissue on the back of the neck, shoulders, chest, lower back, hips, shins, elbows, and knees. The pain then spreads out from these areas.
- The pain may feel like a deep ache, or a shooting, burning pain.
- The joints are not affected, although the pain may feel like it is coming from the joints.
People with fibromyalgia tend to wake up with body aches and stiffness. For some patients, pain improves during the day and gets worse at night. Some patients have pain all day long.
Pain may get worse with activity, cold or damp weather, anxiety, and stress.
Fatigue, depressed mood, and sleep problems are seen in almost all patients with fibromyalgia. Many say that they can't get to sleep or stay asleep, and they feel tired when they wake up.
Other symptoms of fibromyalgia may include:
- Irritable bowel syndrome (IBS)
- Memory and concentration problems
- Numbness and tingling in hands and feet
- Reduced ability to exercise
- Tension or migraine headaches
Signs and tests
To be diagnosed with fibromyalgia, you must have had at least 3 months of widespread pain, and pain and tenderness in at least 11 of 18 areas, including
- Arms (elbows)
- Buttocks
- Chest
- Knees
- Lower back
- Neck
- Rib cage
- Shoulders
- Thighs
Blood and urine tests are usually normal. However, tests may be done to rule out other conditions that may have similar symptoms.
The goal of treatment is to help relieve pain and other symptoms, and to help a person cope with the symptoms.
The first type of treatment may involve:
- Physical therapy
- Exercise and fitness program
- Stress-relief methods, including light massage and relaxation techniques
If these treatments do not work, your doctor may prescribe an antidepressant or muscle relaxant. The goal of medication is to improve sleep and pain tolerance. Medicine should be used along with exercise and behavior therapy. Duloxetine (Cymbalta), pregabalin (Lyrica), and milnacipran (Savella) are medications that are approved specifically for treating fibromyalgia.
However, many other drugs are also used to treat the condition, including:
- Anti-seizure drugs
- Other antidepressants
- Muscle relaxants
- Pain relievers
- Sleeping aids
Cognitive-behavioral therapy is an important part of treatment. This therapy helps you learn how to:
- Deal with negative thoughts
- Keep a diary of pain and symptoms
- Recognize what makes your symptoms worse
- Seek out enjoyable activities
- Set limits
Support groups may also be helpful.
Other recommendations include:
- Eat a well-balanced diet
- Avoid caffeine
- Practice good sleep routines to improve quality of sleep
- Acupressure and acunpuncture
Severe cases of fibromyalgia may require a referral to a pain clinic.
Expectations (prognosis)
Fibromyalgia is a long-term disorder. Sometimes, the symptoms improve. Other times, the pain may get worse and continue for months or years.
Calling your health care provider
Call your health-care provider if you have symptoms of fibromyalgia.
There is no known prevention.
Abeles M, Solitar BM, Pillinger MH, Abeles AM. Update on fibromyalgia therapy. Am J Med. 2008;121:555-561.
Häuser W, Bernardy K, Üceyler N, Sommer C. Treatment of fibromyalgia syndrome with antidepressants. JAMA. 2009;301:198-209.
Wolfe F, Rasker JJ. Fibromyalgia. In: Firestein GS, Budd RC, Harris ED Jr., et al., eds. Kelley's Textbook of Rheumatology. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 38.
Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Katz RS, Mease P, et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res. 2010;62(5):600-610.
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The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. ©1997-2014 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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LARAMIE, Wyo. (KWSN) —Wyoming guard Riley Grabau made four three-pointers and scored a game-high 20 points to lead the Cowboys to a 70-53 win against South Dakota Friday night inside Arena-Auditorium.
Wyoming (4-1) improved to 4-0 on its home court while the Coyotes' (0-3) three losses have all come on the road. The two teams will meet again on a neutral court in Rapid City, S.D., on Dec. 7. It is the fifth season in a row these two programs have met and the Cowboys have won four out of five.
Junior guard Brandon Bos had 12 points to lead South Dakota. The Coyotes shot a season-low 31 percent from the field (20 of 63) and were 6 of 24 from three-point range. Wyoming made half of the 46 shots it took and was 9 of 17 from behind the arc.
Wyoming junior forward Derek Cooke Jr. scored 12 points on 6 of 7 shooting and pulled down 11 rebounds for his second career double-double. The Cowboys also got 12 points off the bench from senior guard Jerron Granberry.
Junior guard Tavian Pomlee came off the bench and scored his first 10 points as a Coyote. Senior center Trevor Gruis had eight points and 10 boards.
Wyoming's Charles Hankerson Jr. scored seven of his nine points during a 10-0 run in the first half that turned a two-point lead into a 26-14 advantage with 8:36 to play in the first half. The Coyotes scored the first six points of the second half to get within seven at 40-33, but Wyoming out-scored USD 16-6 over the next 10 minutes en route to the win.
South Dakota wraps up a four-game road trip Monday at Texas State before opening at home Nov. 30 against Graceland.
Courtesy: University of South Dakota


text:
Model Number: 62074
With an ergonomic 10 oz bottle that feels comfortable in-hand, the CamelBak Arc Quick Grip handheld is the perfect companion for short runs when you don't need much liquid. A gentle squeeze delivers liquid via a spill proof valve that eliminates the need to open and close every time you want a sip; a zipper pocket stashes gels, keys and an ID or credit card.
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Unlucky!!!! by Roadduck, Estes Park, Co on 12/23/2011. Trim: 2011 Subaru Forester 2.5X Premium, Owned less than 1 year.
Pros: This Vehicle rides as smooth as a CTS, best ride in a SUV that I have ever encountered. Handles very well on ice and snow with the right tires. Since we live in the Colorado mountains the feeling of driving safely is a major asset for this vehicle.
Cons: The passenger seat is too low and non adjustable, very uncomfortable for long trips as a passenger. Blue tooth phone is very difficult to program and is a non use item. Sound system sounds like an old boom box of yester year. Our Forester now has 3,500 miles on the od, it has been in the shop for 21 days, having the cylinder head, intake camshaft, intake valves and rocker arm pivots replaced. These items come from Japan, so long delay since their weather problems. Really took the fun out of buying a new vehcile for the wife. We will be trading this vehicle the day it leaves the dealership.
Overall review: We have friends and family that drive Outbacks, Foresters, and the Impreza and have had no real problems with their vehicles. Other than the low passenger seat (which would have been a deal breaker if we had known) the forester is a great little car that the wife loves. Much sportier than the outback she is driving while awaiting repairs. Guess we were just unlucky in the purchase of this particular vehicle. Don't know if the folks at the dealership can put the car back together without having further problems down the road. So goodbye little forester:
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Dallas Market Center
2050 Stemmons Fwy.
Dallas, TX 75207
Dates & Times
Thursday, Nov. 7th, 2013 at 6 p.m.
Friday, Nov. 8th, 2013 at 10 a.m.
Saturday, Nov. 9th, 2013 at 10 a.m.
Sunday, Nov. 10th, 2013 at 11 a.m.
Sample Sale tickets for Thursday, November 7 can be purchased here; Admission November 8 - 10 is free of charge.
It Is a Like a Cross Between A Villa in Cannes, a West Hollywood Hot Spot and a Zendo.- new york times style magazine