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SPEAKER'S OFfiCE
President Ken Bennett
Arizona Senate
1700 W. Washington
Phoenix, AZ 85007
Speaker Jake Flake
Arizona House of Representatives
1700 W. Washington
Phoenix, AZ 85007
Governor Janet Napolitano
Office of the Governor
1700 W. Washington
Phoenix, AZ 85007
January 7, 2005
Dear President Bennett, Speaker Flake and Governor Napolitano,
Pursuant to Laws 2004, Chapter 278, please find attached a copy of the preliminary
recommendations of the Joint Legislative Study Committee on Full-Day Kindergarten.
Additionally, please find attached a dissenting report signed by the Co-Chairs of the Committee.
The Committee met three times, and attachments and minutes may be obtained through the
Office of the Chief Clerk in the Arizona House of Representatives and the Secretary of the
Senate in the Arizona Senate.
"l }
Senator Robert "Bob" Bums,
Arizona Senate
District 9
. Representative Linda Gray,
Arizona House of Representatives
District 10
Joint Legislative Study Committee on Full-Day Kindergarten
Preliminary Recommendations
I. Funding:
A. Funding is based on student projected average daily membership (ADM) formula.
B. Funding will be phased-in 20% increments over the next five years.
C. It is recommended that the free and reduced lunch poverty indicator be used for
determining priority of schools to be phased-in.
II. Capital Accommodations:
A. Funding for square footage deficiencies to be calculated using the current School
Facilities Board formula base recognizing Kindergarten students as full-time
III. Program Implementation:
A. Diagnostic Assessment:
I. Accountability for student improvement includes valid and reliable formative
and summative assessments.
B. Professional Development:
I. Require Professional Development related to delivery of Kindergarten
standards and responsive to diagnostic results.
II. Dialogue with Colleges of Education within the state to provide researchedbased
instructional training directly in support of teaching to the standards.
C. Other Considerations:
I. Identify the state's role in monitoring of districts in all areas. (Funding,
Capital Accommodations and, Professional Implementation).
President Ken Bennett
Arizona Senate
1700 W. Washington
Phoenix, AZ 85007
Speaker Jake Flake
Arizona House of Representatives
1700 W. Washington
Phoenix, AZ 85007
Governor Janet Napolitano
Office of the Governor
1700 W. Washington
Phoenix, AZ 85007
January 7,2005
Dissenting Report of the Joint Legislative Study Committee on Full-Day Kindergarten
As Co-Chairs of the Joint Legislative Study Committee on Full-Day Kindergarten, we
express deep concerns regarding the preliminary recommendations as approved by the
Committee. After listening to testimony and presentations representing both sides of the issue of
full-day kindergarten, it has become evidently clear that there remains numerous unanswered
questions on implementing a statewide program at this time. These questions include, but are
not limited to the following:
According to the Joint Legislative Budget Committee, there continues to be a large
structural deficit in the State budget, a fact that will continue for the foreseeable future. The
preliminary recommendations as approved by the Committee fail to take into consideration such
an economic outlook. Additionally, the preliminary recommendations neglect to specify a
reliable funding source. Therefore, as approved, the preliminary recommendations would lay an
additional burden on the State General Fund and exacerbate the current budget shortfall, which
we could not in good conscience, as legislators, support. As stewards of the taxpayer's money,
our constitutional responsibility requires sound fiscal policy that protects the integrity of the
State's budget.
In addition to our budgetary concerns, there continues to be outstanding questions related
to the capital aspect of implementing a statewide program at this time. It has become apparent
through numerous presentations that school districts will be impacted on the capital side beyond
what is funded through the School Facilities Board formulas. This unknown fiscal impact to the
local and state taxpayers casts a dark cloud over the extended cost of the program. Without
additional funding on the capital side, school districts that do not qualify for additional capital
funding would be placed at a disadvantage.
Additionally, we are reminded that the current funding needs for the School Facilities
Board have been reliant upon the State General Fund as the main funding source. In recent
years, however, the State General Fund has been unable to handle existing School Facilities
Board needs.
Furthermore, to simply take a current School Facilities Board formula and change the
calculation method for kindergarten students is overly simplistic and fails to consider the
exceptional needs of the school districts impacted by mandatory full-day kindergarten. As a
Legislature, we need to look at different funding streams currently available in order to fulfill our
responsibility of providing a sound fiscal policy for the taxpayers of this state.
Without knowing the actual capital costs associated with a statewide program, we cannot
support preliminary recommendations that are not fiscally sound or responsible.
Other Considerations:
Through numerous presentations to the Committee, it became abundantly clear that
national data does not exist that ensures a full-day kindergarten program would provide longterm
educational benefits to students. Testimony indicated that whatever benefits are derived
from full-day kindergarten dissipates by the third grade and is negligible, at best, by the fifth
grade. Research regarding the students that are most at-risk is quite limited due to mobility. As
was pointed out in presentations, the only comparison data we have is for students who have
stayed put for a few years. With existing national data clearly delineating the lack oflong-term
benefits of full-day kindergarten to the students of Arizona, we cannot support a costly endeavor
that would continue plunging the State into further budgetary chaos.
With the national data on hand suggesting that full-day kindergarten fails to provide longterm
benefits to students, we find that there are additional methods and reforms that would
increase educational achievement in Arizona by providing better options for parents.
Unfortunately, the Committee failed to take into consideration other educational reforms that
would ensure that parents are provided the opportunity to decide on full-day or half-day
kindergarten programs in the school of their choice and that would not be a mandated burden
placed upon the school districts and charter schools of this state.
Finally, any further discussions of legislative funding for kindergarten must include
viable half-day options where all of the Arizona Academic Standards are met.
With these considerations, we respectfully disagree with the preliminary findings
forwarded by the Committee and ask that you take this dissenting report into consideration when
reviewing the preliminary recommendations.
/ ,/ I ",' .' ." I·e
Serfcttor Robert "Bob" Burns,
Arizona Senate
District 9
Representative Linda Gray,
Arizona House of Representatives
District 10
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D.C. Watch: Farm bill embroiled in politics
"Congress should slash at least $100 billion in costs from the U.S. farm bill - three or four times more than cuts currently proposed," a dozen anti-deficit and environmental groups said last week. At a news conference, they said the $5 billion-a-year "direct payment" subsidy to farmers should be eliminated as part of temporary legislation that would bridge the gap to a new five-year law in 2013. That would give lawmakers time for a clear-eyed overhaul of farm policy, they said. They warned by way of specifics, that "Milk prices at the grocery store could double next month under an outmoded statute that took effect with expiration of the 2008 farm law on Sept. 30."
Agricultural leaders in Congress now hope to attach the farm bill to a deficit reduction package that is needed by year's end to avoid automatic tax increases and spending cuts in January. They say the $23 billion to $36 billion in proposed savings in the farm bill could help reduce the federal debt. But the critics at Monday's event said savings as currently envisaged are far too limited, and that it is too late in 2012 for lawmakers diligently to consider and debate a mammoth $500 billion bill covering everything from crop subsidies to food stamps.
Meanwhile the President is described as "playing both sides" to maintain a public pressure campaign depicting republicans as "obstructionists, holding 98% of Americans hostage to protect millionaires and billionaires from paying their fair share of taxes".
Yet, he is also engaged in private negotiations with GOP leaders who have already submitted several compromise proposals, all snubbed publicly by the President or White House spokesman Jay Carney. Senate Minority Leader Mitch McConnell, R-Ky summed up the bitterness by telling the press Wednesday, "The President would rather campaign than cooperate."
"It would be "relatively easy to save $100 billion in farm spending" said Scott Faber, of the Environmental Working Group. Faber said "Congress should pass a fiscally responsible one-year extension of farm and food programs and allow the House of Representatives to debate the longer-term future of farm subsidies." He then asserted it would be "relatively easy" to save $100 billion over 10 years by ending direct payments to farmers and making two changes to the crop insurance program:
- Lowering the premium subsidy to 30% from the current 62%, and
- Ending a federal payment to insurers to cover part of their overhead expenses.
That will be a very tough sell. As we've reported numerous times in this column, the one thing nearly all farm groups agree upon is that Congress definitely should NOT weaken crop insurance in the new farm bill, but consider it a top priority to defend as the backbone of future farm policy. And so far, that is exactly what they've done.
Read on: Farm spending was likely to climb despite the savings trumpeted by the version of the bill already passed by the Senate or the one currently pending in the House according to Agricultural economist Vincent Smith, part of the farm policy team at the American Enterprise Institute. He notes both bills would expand the crop insurance system, the largest strand in the farm safety net.
But he warns "They create insurance-like programs tied to crop production that could be challenged globally as unfair subsidies, he said, adding, "We have expanded the risk of WTO (World Trade Organization) problems to 17 or 18 crops, from chickpeas to corn," said Smith. "Blockbuster crops like corn and soybeans are not the only targets for cost cutting" says Tom Schatz of Citizens Against Government Waste. He says sugar subsidies should be a target for reform in a farm bill next year.
Brandon Arnold of the National Taxpayers Union said there would be a "much better opportunity to write good policy," if agricultural programs and public nutrition programs such as food stamps for the poor were split into separate bills. "It would end the often lengthy vote trading between urban and rural lawmakers," he said.
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Comments (9) Leave a comment
Subsidize the producer's crop insurance policy premium at 62% but then argue over how Obama Care is socialist??????
And how much are we going to subsidize home owners on the east coast that didn't want nor pay for home insurance. THEY should be left to their own devices. At least the farmers buy the insurance to help defray the costs.
How to save big bucks, close USDA down. Then let the public stand in food lines to go shopping for food. Time for the public to pay the true cost of food production.
Over 60%of USDA budget is for social programs. Cut USDA benefit programs across board not just producer programs.
Eliminate ALL AG subsidy's PERIOD!!! Let the free market and supply and demand dictate prices(aka Earl Butz!!!) then TAKE OUT FOOD STAMPS from USDA...put it in some other Social Program. And when U move Food Stamps, CUT it by 50%!!!!!!!! GET THE US GOVERNMENT OUT OF AGRICULTURE NOW!!!!! Stop and eliminate ALL SUBSIDY'S, air, rail, hiway, etc etc etc. Cut ALL Fed(non Military) employees by 50%!!!!!!!!!!!! Those who remain cut their salaries, benefits by 30%!!!! Stop ALL Fed RETIREMENT Programs, and put everyone on Social Security...including the WH and Congress.
Actually the senate's version of the so-called "Farm Bill" had 78.9% of its money going to Foods and Nutrition programs - Food Stamps.
Unemployment is high already,Bob.If you cut 50%of federal employees where will they work?Reducing our military will cut more jobs.Can't just shut down.Looks like our elected congress and president would do what the rest of us have to do-GO TO WORK AND GET ALONG.
The folks receiving that 78.9% would qualify as needy as compared to the 100% who have been receiving FSA Direct Payment checks for the last 5 years . The folks receiving the FSA checks are wealthier than the ones they took the taxes from to start with. I don't know what ism system that is ?????? Peter Pan in reverse.
Great Idea-----then when we sell something, we may even be able to negotiate a price; rather than NOW asking "what will you give me for the product today???"
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I have no comment. Hope you will understand.
– Robert Barnett, longtime Williams & Connolly partner and D.C. power broker, declining to comment to the New York Times about his representation of General David Petraeus, the former CIA Director who stepped down amid a sex scandal. Our jokey headline notwithstanding, "no comment" was probably the best comment here.
(Additional tidbits about who is representing whom in this messy affair, after the jump.)


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Located in the heart of the Sonoma Valley, Kenwood Vineyards is dedicated to producing premium wines truly representative of Sonoma County"s world-class vineyards. Kenwood Vineyards was established in 1970 in the former Pagani Brothers Winery, a historic cellar dating back to 1906. Thoroughly refurbished and modernized, the facility now boasts more than 125 stainless...Read More About Kenwood
Twice as large as Napa in size, Sonoma County only makes about a half the amount of wine as her northeasterly neighbor. But Sonoma, with her size, is able to vouch for more diversity within her borders, including sub-AVAs that are climatically varied. The atmosphere of Sonoma is decidedly laid back and down home country style. But in wines, they are keeping up with the...Read More About Sonoma County
(cab-uhr-NAY sow-veeh-yawn) King of Red Many refer to Cabernet Sauvignon as the king of red grapes. Perhaps that title is due to its ability to grow worldwide in a number of climates, or to the fact that it produces wine with such character yet such diversity. Either way, this grape is responsible, as a whole or a partner, for some of the greatest wines in the world. In Bordeaux,...Read More About Cabernet Sauvignon
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Adam Blythe finished second to Marcel Kittel (Argos-Shimano) Wednesday at Omloop van het Houtland-Lichtervelde to post his third top five finish this month for the BMC Racing Team.
Furious Pace Forces Split
The BMC Racing Team went to work after a four-man breakaway was brought back near the end of the 193.8-kilometer race. On the third-to-last of eight laps of a 9.8 km circuit, Blythe sat back as his teammates set a furious pace up front. "We decided to go full gas with the team and that caused a split," he said. "The team did a super job for me and I just waited for the finish, riding as easy as I could." With a kilometer to go, teammate Klaas Lodewyck shepherded Blythe onto Kittel's wheel in anticipation of the bunch sprint. "I moved up before the dangerous corner and everything was perfect," Blythe said. "But Kittel was just too strong. I couldn't get past him." Timothy Dupont (Bofrost-Steria) finished third. Blythe's result improved on his third place finish at this race in 2010 and added to a fourth place result Sunday at GP d'Isbergues and a fifth on Sept. 1 on Stage 2 of the World Ports Classic.


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Cable vs. Satellite
Compare the differences and get the right service for you.Compare Now
Are bundles bogus?
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See the provider map.
You want cable, you need cable, but who is your cable provider?View Now
It's easy to get cable. Call 1-866-921-5828
Why Cable TV in Saint Albans, WV
Consider cable TV in Saint Albans, WV if you are looking for hours of entertainment, easy-to-use DVR technology, or want to save money with a bundle. With cable TV hundreds of HD channels, On Demand titles, and movies are right at your fingertips. And local channels are included for free. Cable is all-digital, so it won't drop out in bad weather, and requires less equipment than satellite. Cable TV is often bundled with high-speed internet. Cable Internet is faster than DSL, and a cable bundle can save you up to $400 every year. Plus cable is:
Cable TV offersmore HD choices
Snow may mess up satellite, but itdoesn't faze cable
Cable can beinstalled virtually anywhere
How People Watch TV in Saint Albans
If you thirst for cable TV knowledge, we can help. CableTV.com has cold-filtered cable data on tap and ready for consumption. Try this (it's on the house): almost everyone, or 97% of Americans, watches television as it is aired and roughly 33% of those TV viewers have at least four televisions in their homes. Upwards of 50% of people also stream video content online. Among those with cable TV, almost three-fourths bundle their service with high-speed Internet. Cable's ubiquitous national presence also helps explain how DVRs account for about 7% of America's total TV viewing.
All those stats mean that if you don't own at least one TV for every room in your house, chances are your neighbor to the left or right of you does. It also means that almost everyone you meet today will watch a TV tonight, and 57% of them will use either their DVR or their Internet to do so.
Why Choose Cable Internet in Saint Albans
Cable providers have so much more to offer than TV. That is why so many Saint Albans residents bundle cable services. Cable Internet is faster than most DSL services, providing downstream speeds 25%-100% faster than the national average. People who choose cable bundles also save money, roughly $400 every year they bundle TV and Internet. Both are very good explanations why cable Internet subscribers represent 32% of households, and how broadband penetration in West Virginia grew to 59% by 2010. Enter your zip code to find out more about cable Internet, bundles and providers in Saint Albans.
It's easy to get cable, Call 1-866-921-5828
Saint Albans Born Actors
Antagonist or not, Saint Albans loves Michael Emerson. Recently ranked at number 31 on TV.com's most popular actors list, Michael Emerson currently stars in the hit CBS series "Person of Interest." You will probably recognize him from another hugely successful TV show; he played Benjamin Linus, the manipulative and clever villain in "LOST." Born in Iowa in 1955, Emerson is a professionally trained stage actor who is set to be in Woody Allen's next film. Follow his next move on with cable TV on CBS.
Find Cable TV in Saint Albans
Because we know about cable TV like Family Guy knows potty jokes, we can help you figure out which cable TV provider is right for you. Our vast knowledge base puts us in a position to help you. Usually there is only one provider in a given area because local governments control the licensing ability of a cable company to provide service in a specific region. We are happy to help you find your Saint Albans cable provider - just give us a call.


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The wild and woolly Atlantic rolls ashore on the coasts of Iceland, Ireland, the British Isles, France, Spain, and Portugal; imagine the differences in climate between the northern- and southernmost reaches of this region, not to mention cultural influences ranging from Celtic to Moorish.
Iceland is another world, in the Atlantic halfway between Europe and North America. Geographically it's young - the island of Surtsey only rose from the ocean in 1963. Explore glaciers in the east, fjords in the west, and craggy highlands in the center, all ringed by dramatic black sand beaches. See Iceland from a different perspective on a pony trek, a whale watch, training for the Reykjavik Marathon, or choose hiking, skiing, or maybe a long soak in natural hot springs, while snowflakes drift onto your face. Reykjavik is the world's northernmost capital and has a reputation for being one of the most sizzling! The nightlife, dining, and shopping are superb, yet you'll always be just minutes from unspoiled natural attractions. Be sure to pamper yourself with a spa experience, or take a short trip to Hafnarfjördu and learn about Icelandic elves!
Ireland's Atlantic coast includes the counties of Donegal, with its lovely scenery, the Arran Islands, steeped in tradition, legendary Connemara, dotted with lakes and famous for its capital, Galway, and further south, the renowned Ring of Kerry and the enchanting Dingle Peninsula. This is postcard Ireland; vast expanses of emerald green, charming villages, and people who know the meaning of the word "welcome". This quintessentially Gaelic region will seduce you with an atmosphere, music, and cooking found nowhere else.
Basque Country leads you into Spain: its irregular coastline, numerous cliffs and rocky inlets make for a most seductive panorama. The excellent beaches on the Costa Cantabria harbor beauties such as the Bay of Santander, nestled among the cliffs. The Costa Verde has some of the most gorgeous beaches on the Iberian Peninsula, as well as picturesque villages and traditional fishing ports. Galicia is full of character: high cliffs alternate with deep inlets, and fishing towns with medieval villages. Finally, in Andalusia, there are two key words to describe the Costa de la Luz: sun and sand. Traditional fishing villages of lime-washed houses welcome your visit. Don't miss the city of Huelva, which has a fascinating past connected with the discovery of America, or Cadiz, with an equally riveting historical heritage: it was founded 3,000 years ago by the Phoenicians. All along the coast here the beaches are superb.
Portugal's beautiful Atlantic coast has both beaches and cities to enjoy; Lisbon is proud to be the only European capital to have an Atlantic beach. This magnificent city has a fascinating history, and its old quarters just shine. Visit the historic World Heritage city of Porto, enjoying the mix of architecture, and then stroll along the long, white sandy beaches - and take your board if you surf, these waves are perfect. This is also your cue to dip into the Douro region to sample some port! The Alentejo coastline is so untouched it will seem as if you're the first person ever to find it. The enticing fishing villages welcome you to snack on fresh seafood while you admire the beach. Then, let yourself relax on a chaise longue, enjoy the sun on your face, fill your lungs with fresh sea air and let the view dazzle you. The spectacular Algarve, with its white cliffs and long, sandy beaches, has endless views of the Atlantic. To get the sensation, like our sailor ancestors, of being at "the end of the world", go to Cabo São Vincente, on 197-foot cliff, topped by a lighthouse, and watch the sun sink below the waves.
If the Alps were human, they'd be movie stars: world-famous, beautiful, charming and exciting.
The Rhine, one of Europe's great rivers, brings to mind wine and beautiful landscapes.
Central Europe is eager to welcome you to discover its treasures!


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Marianela at Dockweiler Beach
Marianela heads to Dockweiler Beach in LA for 3 miles of bonfire heaven.Filed under:
Marianela enjoys a hot dog she cooked on the bonfire.
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This blog is dedicated to the everlasting Marilyn Monroe. None of these photos are mine unless otherwise stated. This is just a fan blog to share her films, accomplishments, photos, gifs, etc of her life. I do no answer questions about her death as I've answered it many times and it is just beating a dead horse. This is a positive blog to love Marilyn, please keep take your hate somewhere else. :)
**perfectlymarilynmonroe is not affiliated with the estate of Marilyn Monroe
Marilyn photographed by John Vachon, 1953
Marilyn photographed by John Vachon, 1953


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Wednesday, February 13, 2013
Student Grief Group
This group is for students experiencing grief due to the loss of a loved one.
The death could be a recent one or one that took place years ago. The group is sponsored by the Office for Religious and Spiritual Life and the Dean of Students Office. For more information, contact Rev. Young at firstname.lastname@example.com or Ruth Tavlin at email@example.com.
Wednesday, February 13, 2013
Your Happy Ending: A Valentines Day Event
n celebration of the liberty and unity that is Love. Oxy Gammas are hosting Your Happy Ending: A Valentines Day event!
This is a free event, so come by with a significant other. Whether it be your boo, your friend, or your boofriend come under the arch and using a ring pop make them a promise of your choosing. Mad Libs and sample vows will be provided. [NOTE: Photos will be taken and posted on Facebook on Valentines Day, February 14th!]
Love means something different to different people, and everyone deserves to love and be loved.
Wednesday, February 13, 2013
Teaching Research Methods at Oxy
Teaching Research Methods at Oxy- A Cross-Division, Cross-Discipline Conversation
To that end, we'd like to invite you to help us better understand the limitations we face teaching research methods and to help us come up with some practical as well as innovative solutions.
In our first meeting we will present some starting ideas and see how the broader group would like to move forward.
Please RSVP to email@example.com so we can make sure to have enough lunches.
Wednesday, February 13, 2013
FoodCorps Phone-In Info Session
FoodCorps is a nationwide team of leaders that connects kids to real food and helps them grow up healthy.
They do that by placing motivated leaders in limited-resource communities for a year of public service. Working under the direction of local partner organizations, they implement a three-ingredient recipe for healthy kids.
Service Members:
1 - Teach kids about what healthy food is and where it comes from
2 - Build and tend school gardens3- Bring high-quality local food into public school cafeterias
Want to learn more? Join them for an info session via phone.
Number: 218.936.4700
Participant Access Code: 7904113#
Thursday, February 14, 2013
Diego Pascual y Cabo on Language Change in Heritage Spanish Speakers
The Spanish Department invites the college community to attend a research talk by Professor Diego Pascual y Cabo of the University of Florida Department of Spanish and Portuguese Studies. His talk is entitled "Language Change in Heritage Speaker Spanish: The Case of Gustar-like Verbs."
This project contributes to current trends of heritage speaker bilingualism research by examining Spanish gustar-like verbs. I refine previous studies and hypothesize that these verbs are possibly undergoing a reanalysis of their canonical underlying syntactic and semantic structure. Results will be discussed vis-a-vis accounts that seek to explain divergence in HS grammars such as incomplete acquisition (e.g. Montrul 2008), L1 attrition (e.g. Polinski 2011) and input delimited differences (e.g. Pires & Rothman 2009).
Thursday, February 14, 2013
"5 Broken Cameras" Screening
Please joint JStreet U Occidental for a screening of Academy Award nominated documentary 5 Broken Cameras!
5 Broken Cameras is a deeply personal, first-hand account of life and non-violent resistance in Bil'in, a West Bank village surrounded by Israeli settlements. Burnat watches from behind the lens as olive trees are bulldozed, protests intensify and lives are lost in this cinematic diary and unparalleled record of life in the West Bank.


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Michelle's Q & A
Who's your favorite sports team, and why?
Lakers, Purple and Yellow everyday.
What's your favorite movie quote?
"Love, Love is like oxygen, love is a many splendid thing, it lifts us up where we belong, all you need is love."
What's your favorite video game, and could you kick our butts at it?
Super Mario, Wii.
Piercings/Tattoos (How many? Where?)
9 piercings, 3 on each ear, belly button, and two dermals on my back. Two tattoos, down my right side - "Happily Ever After" with a key and a ribbon.
What's the most embarrassing song on your iPod?
Drive me Crazy - N'Sync
What's your best party trick?
Being the most awesome bartender.
What's the most memorable pick-up line you've ever heard?
"I wish I could grow you, because then I would have a whole field of you."
What's the worst job you've ever had?
Working as part of the cleaning crew for AMC back in high school.
What's the most dangerous thing you've ever done?
Rode in a racecar without a helmet.
It's 4AM after a crazy night out – what are we eating?
Pho, or mac n' cheese.
What's the strangest thing in your fridge right now?
A rack of frozen ribs.
What's the naughtiest thing you've ever done in public?
Touchy feely ;)
What do you feel sexiest wearing?
Tell us a joke.
Why did the chicken cross the road?
He can't tell you...he got run over...hehe


text: Hey guys. I'm looking to trade/sell my Omen. Has the 29" cam on it. It is a draw specific cam. It is 33" ata,5 1/2" brace,but the bow is made so that the string doesn't move forward past brace height. It is a 40-50 pound draw weight,and even though I'm a Martin man,this thing smokes arrows as fast or faster than my 2010 55-70#warthog. And contrary to what you may have heard or read,the draw is so smooth. I can do loaded or bare bow. I have lots invested in it and hate to see it go, but I'm restoring my beloved mustang,with money from the bow,or I wouldn't mind another bow either. Pm me and I will either e-mail or text pictures. Tom


text:
- Antique Jewelry
- The Ages
- Engagement Rings
- Antique Rings
- Diamond Jewelry
- So Much More
Edwardian Memories: Rose Gold Locket Pendant
Lockets may be the most personal type of jewelry. Typically worn on a ribbon or chain close to the heart, the locket often carries within an intimate object such as a photograph or sprig of hair of another. This Edwardian era locket may be petite yet has the depth to be filled to capacity with sweet memories. Deep and bulbous half round of glass are edged with solid 10k rose bezels. Moreover, the front compartment is appointed with a twisted gold border. A clever little "L" shape on the perimeter of the lower section is the catch which is used to open the locket.
Date: Circa 1900.
Measurements: 1 inch (2.6 cm) in length including "O" fitting by 15/16 of an inch (2.2 cm) in width by 3/4 of an inch (1.9 cm) in depth. Weight of 10.0 grams (6.4 dwt).
Condition: Excellent.
Forms of Payment
- VISA and MasterCard, Discover and American Express credit & debit cards.
- Personal checks drawn on U.S. banks only - Please allow 7 business days for clearance.
- Money orders, cashier's and traveler's checks - Please allow 7 business days for clearance.
- PayPal.
Other Forms of Payment
Bank Wire - For international orders and orders of $5,000 and over. Please contact us for more details.
Layaway information and for full details see Payment Methods.
Same Day Shipping - Order by 1 pm CST M-F!
FREE for All U.S. Orders - Standard 2 Day Shipping.
FREE for All International Orders - Standard 2-7 Day Shipping.
Full details at Shipping & Insurance.
Complete Money Back No-Risk Guarantee
Our Guarantee
If for any reason whatsoever you are not completely satisfied with your purchase, we will refund the FULL purchase price including U.S. shipping if charged. Remember, there is no charge for our regular shipping service!
International Orders - Due to customs and paperwork requirements, return shipping charges cannot be reimbursed.
Return Procedure
- Notify us of your intention to return the item within three (3) days of receipt. You may contact us by email or by telephone.
- Please ship back to us within another two (2) days after we receive notification from you.
- As soon as the item is received, a full refund is issued to you that same day.
More details at Full Guarantee including gift giving options.


text:
John Needham, director of Acquisition and Sourcing Management Issues, GAO
Click to hear the interview
Jump to main content.
On February 17, 2009, President Barack Obama signed The American Recovery and Reinvestment Act, or Recovery Act, into law. Federal News Radio follows how agencies have enacted the law and how the government is tracking spending through Recovery.gov.
Thursday - 7/22/2010, 6:55pm EDT
Click to hear the interview


text:
Prices and availability are subject to change from the time and date that you print this page.
10/26/2014 5:33:55 AM. For Customer Service, please call 800.606.6252
Pickup Check store pickup options
tall pour. Streamlined shape and thick tapered sham give rise to pilsners, lagers, pale ales, hefeweizen. Extra tall pour is handcrafted to maximize color, clarity, carbonation.
Details and Dimensions
cold 1 beer glass. 18 oz. 3" dia. x 9"H
- Handmade glass
- Dishwasher safe
- Made in China
Overall DimensionsHeight: 9" Diameter: 3"
Return/Exchange Policy
The short story is that you have 90 days within receipt of your purchase to make a return on most non-furniture items. For furniture returns or exchanges, please call us within 7 days of receipt at 800.606.6252 so we can advise you on how to make your return within 90 days of receipt. Our policy is simple. If you are not satisfied with your purchase, we promise an appropriate refund, credit or exchange.


text:
BMC Racing Team's Mauro Santambrogio and Greg Van Avermaet finished sixth and seventh, respectively, Thursday at the one-day, Italian semi-classic Gran Piemonte.
Chase Nearly Led To Crash
Santambrogio was close to chasing down a group of three who had escaped on the final climb of the 188-kilometer race. But rounding a corner in the final kilometer, he nearly crashed. "I was close to coming back to them, but on the corner I was going too fast and clipped my pedal," Santambrogio said. "It's too bad because I was only about 30 meters behind them, going full gas, when it happened." Rigoberto Urán (Sky Procycling) took the win ahead of Luca Paolini (Katusha Team) while Santambrogio's sixth place matched his best result of the season. BMC Racing Team Assistant Director Fabio Baldato said the results bode well for Saturday's edition of Il Lombardia, the final one-day race on the WorldTour calendar. "Four or five of our guys were able to stay with the best riders on the climbs today," he said. "We decided to stay quiet and just follow wheels today to mostly save energy for Lombardia."


text:
Hi Karl,
Thanks, The ridge between is enclosed, and mostly flat with really no major up and downs. I was surprised, as its enclosed like some parts between the Osceola's but without the descent and ascent. It is never exposed; there are few areas where the trees are more sparse and the gusts could be felt, but you wind be fine up there with steady winds or gusts.


text:
How small-business issues are shaping politics and policy.
The Agenda
How small-business issues are shaping politics and policy.
The most ballyhooed part of the House JOBS bill — and the only part changed by the Senate when it passed the legislation last week, is the so-called crowdfunding proposal to allow small companies to raise small amounts of money from large groups of small investors. It's backed by the president, and by high-profile entrepreneurs, like Steve Case.
Michael Greeley, of the Boston venture capital firm Flybridge Capital Partners, and a board member of the National Venture Capital Association, summed up the enthusiasm for crowdfunding this way: "This is the logical extension of the marriage of crowd determination around either commerce or content or entertainment. We've watched every other industry become democratized by the Internet, so there's no reason that finance can't be, too."
But interviews with securities and business lawyers, small-business strategists, and others in the venture capital and crowdfunding industries suggest that opportunities for businesses to take advantage of this novel financing arrangement are fairly narrow. Opportunities to defraud unsuspecting investors, however, may be vast if the House version of the bill survives.


text:
The innovative Exped SynMat 7 sleeping pad has garnered numerous awards. A built-in pump makes inflation incredibly simple and microfiber insulation enhances the year-round performance of the SynMat 7.
The Exped DownMat 7 inflatable pad delivers four season warmth (R-value of 5.9) and superior comfort at a size and weight comparable to many uninsulated pads. A built-in pump makes inflation incredibly simple and 750+ goose down provides insulation.
The Exped DownMat Lite 5 sleeping pad combines lightweight packability with the warmth of 650-fill duck down, allowing even ounce-counting backpackers to enjoy confident comfort for 3-season use.
The innovative Exped SynMat UL 9 inflatable sleeping pad offers FlatValve technology, ultra-lightweight construction and baffled air chambers for superior comfort and 4-season performance at less than 2 pounds!
Oversized to accommodate larger sleepers or those who like to sprawl out, the Exped SynMat 9 inflatable sleeping pad is designed specifically for four-season usage. An innovative, integrated hand pump makes inflation easy.
Open-cell foam absorbs air to self-inflate. These pads are more comfortable than closed-cell foam and don't have the "bounciness" of air mattresses.
View more videos in our Video Library.


text:
More features than a craggy face! escape is the most comfortable child carrier in town (& out of town!).
Designed for maximum chill & parent comfort: escape to the back of beyond!
*May contain minor aesthetic bruises and scratches
Not currently available in this region.
The escape ™ baby carrier is HOT! because:
Want to receive updates about new products and promotions?
© 2014 philandteds.com


text:
Team Kilted Clan
Team Kilted Clan
i am a Summit Club member
http://public.fotki.com/hvachawk/new pictures and videos
If your not a OBS member yet then what are you waiting for
Alright! The Kilted Clan is ready to enter the team fundraising efforts.
I never want to see a day
That's over forty degrees
I'd rather have it thirty,
Twenty, ten, five and let it freeeeEEEEEEeeze!
My Seek the Peak 2014 Photo Set
Yes we are. Bring on the donations. Lets go team !!!!!
There goes my teams first place standing!!!
Good Luck Guys!!!
Thanks Chris. Actually I'd be happy if you guys stepped it up and beat us. The Obs is the only winner in the end anyway!
Keep close to Nature's heart...
and break clear away, once in awhile,
and climb a mountain or spend a week in the woods.
Wash your spirit clean. - John Muir
Hiking photos: http://picasaweb.google.com/mtruman42
Hiking Blog: http://theramblingsblog.blogspot.com/
Seek the 2011 Peak page: Mark Truman's Pledge Page
Our team's objective is to have every member at or over the $1,000 mark. If you go to http://s.seekthepeak.org/kiltedclan you can donate to whomever you want - but, maybe you should do it to whomever has the lowest total.
Brad (a 6288 club member)
http://bradstreet.zenfolio.com Personal Photo sales site
http://public.fotki.com/bradbradstreet Personal photo web site
http://public.fotki.com/MWO/saved/2012/ MWO image & video archive site 2006-2012
Anna LeBlanc (06-28-2011), Snow Miser (06-23-2011)
Hi Everyone:
My name is John I go as Lowgear, I?m new to the forums and this is my first post.
I would like to say what you guys are doing as the Kilted Clan is great. Also I have a kilt and will be hiking the mountain during the Seek Peek event with Snow Miser. I?m not a registered hiker but I have helped the OBS in many ways such as donations, sponsoring hikers, and membership, also volunteering in the summer of 2012. It would be a honor to put my kilt on and hike the mountain as a part of the Kilted Clan group.
It sounds like it?s going to be a blast!
It's not about how fast it takes to get to your destination.
It's all about the enjoyment of the journey getting there.


text:
Announced during the group's 127th annual convention at the Jekyll Island Club Hotel, the GPA contest recognized achievements in newspaper journalism and handed out the prestigious Freedom of Information Award for the daily and weekly newspaper that did the most during the previous year to uphold the principles of the First Amendment and to protect the public's right to know.
Judged in one of nine divisions based on circulation, The Daily Tribune News received two awards as a publication with two staff members also being honored.
The newspaper's 2012 series "All In A Day's Work" garnered the first place prize for feature writing. Submitted for the contest were Jessica Loeding's "Feeling the Heat: Nothing could have prepared me for the sheer physical demand of the job" from April 7, 2012, focusing on the Bartow County Fire Department; Mark Andrews' "Teachers set primary focus on students" on May 6, 2012, offering a look at a typical day for teachers; and Matt Shinall's Aug. 5, 2012, feature, "Bartow cattlemen stake their lives and legacy every day," focusing on Shady Grove Farm.
The Daily Tribune News also received third place for community service after a lengthy look at the county's budget. The "Bartow's Budget" series ran almost every Friday for most of 2012. The focus of each story was looking at the budget of a different department within the county government.
DTN Photographer Skip Butler took home first place for his spot news photo from a May 19, 2012, armed robbery. The photo shows a suspect in the armed robbery being placed into a Cartersville Police Department vehicle after he allegedly held up a downtown business in broad daylight, leaving the owner injured after he was pistol-whipped by the two suspects.
Butler joined The Daily Tribune News in 2006 and has earned two first-place honors prior to this year.
In the religion coverage category, Features Editor Marie Nesmith earned second place for her work on faith-based pieces. Nesmith submitted three articles, which earned her the distinction: "Helping Hands: Smither family's recovery bolstered by community's support" on Jan. 22, 2012; "Friendship Table brings warm food to many" from Feb. 26, 2012; and "In-county mission effort inspires students to serve for a lifetime" on July 15, 2012.
Nesmith has worked for The Daily Tribune News for more than seven years. While at the newspaper, she has earned awards through the GPA's contest, including two previous wins for
religion coverage.
The Georgia Press Association presented 651 awards in 36 categories to 84 newspapers. For a full list and look at the winners, visit www.gapress.org.


text:
The BMC Racing Team will tackle the cobblestones of Paris-Roubaix on the new BMC granfondo GF01, which was unveiled Thursday, prior to the team's pre-race press conference.
Built For The Classics
All eight riders on the BMC Racing Team – including past podium placers Alessandro Ballan, George Hincapie and Thor Hushovd – will start Sunday's 257.5-kilometer race on the BMC granfondo GF01. It is the first bike in BMC's new Endurance Series. "Loaded with special features, the BMC granfondo GF01 was built to maximize the BMC Racing Team's chances to go for victory in Paris-Roubaix," said Thomas Binggeli, chief executive officer of BMC Switzerland. Though it was especially created for the classics, the bike is also a perfect match for riders enjoying the recreational side of cycling, Binggeli said.
Visit the BMC website for details of the new BMC granfondo GF01:
Download audio from the press conference on the BMC Racing Team AudioLine:
Download the official BMC Racing Team race card (PDF with roster, statistics, bios, etc.):


text:
10-Second Rule Has Been Flagged (page 28)
How perfect. The NCAA is pumping the breaks on the rule that would slow down the modern offense. The 10-Second Rule has been flagged for lack of facts.
Those fighting for it did so in the name of "player safety."
One problem, no one ever demonstrated that playing faster jeopardized the players in any way. In other words, just because you don't run and can't figure out how to defend it, is no reason to run into a crowded theater screaming, Safety! Safety! And this is why so many coaches had their thumbs down and their middle fingers up. It's why Rich-Rod called it a joke. Mike Leach said it was disgusting.
And Mike Gundy called it borrring. And they're all right. Because the only coaches who want to slow down offenses are the coaches who can't keep up with them.
This isn't a safety issue; it's a security issue; as in job security. And if you want it, you better get your team in better shape and get your offense into the 21st century. The 10 second rule should have taken exactly one second to rule out.


text: From the lobby, lounges and restaurant on up, peripatetic Londoner Tara Bernerd has brought her distinctive glamour home to our London boutique hotel, with sleek contemporary lines warmed by dark, rich textures. Bespoke design details include fine joinery throughout, wide-plank hardwood floors, and Arabescato marble bathrooms with smoked glass and wooden vanity units. A golden, metal-beaded curtain on glass artfully separates bath and bedroom, a design touch echoing the lobby lounge. And with luxurious throws laid across leather seating and velvet sofas, you just may find that you've arrived home yourself.


text:
Wordspy's lessons in vegan vocabulary! »
Hey young world, my pal Kev showed me this site Wordspy, "a Word Lover's Guide to New Words," because he knows I love the words. I'm into it! I thought I might see if they have any vegan-related terms, and do they ever! For your enjoyment, I bring you the latest and greatest in veggie vocab!
Ape diet: A vegetarian diet that emphasizes soy protein, soluble fiber, nuts, and leafy green vegetables.
Ethical eater: A person who only or mostly eats food that meets certain ethical guidelines, particularly organically grown food and humanely raised meat, poultry, and fish.
flexitarian: A person who eats a mostly vegetarian diet, but who is also willing to eat meat or fish occasionally.
freegan: A person, usually a vegan, who consumes only food that is obtained by foraging, most often in the garbages of restaurants, grocery stores, and other retailers.
opportunivore: A person who eats whatever he or she can find, particularly food that has been discarded.
pescetarian: A person who supplements a vegetarian diet with fish. —adj. Also: piscetarian.
retro defiance: Hostility towards current ideas about healthy living, which includes a return to allegedly non-healthy activities such as smoking cigars, drinking martinis, and eating steak.
Slow Food: An agricultural and gastronomic movement that emphasizes traditional, organic growing methods and the appreciation of fine food and wine.
Tofurkey: Tofu molded into the shape of a turkey. Also: Tofurky. [It's a brand, and it hasn't got an "e" in it. Bad call, wordspy.]
VB6: A person who eats a vegan diet before 6 p.m., and then whatever they want after that. (From the phrase "vegan before 6.")
vegangelical: An extremely zealous vegan who is eager to make other people believe in and convert to veganism. (Blend of vegan and evangelical.)
vegivore: A person who craves or has a special fondness for vegetables. Also: vegevore.
victimless meat: Meat grown from a tissue culture.
OK, who's got more?! This is fun! At least for me! And word nerds like myself! Here! I just made up another! Off the top of the dome:
Borivore: Someone who won't stop talking about how much they just love cheese and bacon: BORING!
∞ posted at 08:44 by youtalkfunny


text:
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Simply elegant. Simply delicious.
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text:
Hepatitis C is a disease
caused by a
virus that infects the
liver. In time, it can lead to cirrhosis, liver cancer, and liver failure.
Many people don't know that they have hepatitis C until they already
have some liver damage. This can take many years. Some people who get hepatitis
C have it for a short time and then get better. This is called acute hepatitis
C. But most people who are infected with the virus go on to develop long-term,
or chronic, hepatitis C.
Although hepatitis C can be very serious,
most people can manage the disease and lead active, full lives.
Hepatitis C is
caused by the hepatitis C virus. It is spread by contact with an infected
person's blood.
You can get hepatitis C if:
In rare cases, a mother with hepatitis C spreads the
virus to her baby at birth, or a health care worker is accidentally exposed to
blood that is infected with hepatitis C.
The risk of getting hepatitis C through sexual contact is very small.1 The risk is
higher if you have many sex
cannot get hepatitis C from casual contact such as
hugging, kissing, sneezing, coughing, or sharing food or drink.
Most people have no
symptoms when they are first infected with the hepatitis C virus. If you do
develop symptoms, they may include:
Most people go on to develop chronic hepatitis C but
still don't have symptoms. This makes it common for people to have hepatitis C
for 15 years or longer before it is diagnosed.
Many people find out by accident that they have the virus. They find out when
their blood is tested before a blood donation or as part of a routine checkup. Often people with hepatitis C have high levels of liver
enzymes in their blood.
If your doctor
thinks you may have hepatitis C, he or she will talk to you about having a
blood test. If the test shows hepatitis C
antibodies, then you have had hepatitis C at some point. A
second test can tell if you still have hepatitis C.
When blood tests
show that you have hepatitis C, you may need a
liver biopsy to see if the virus has caused scarring
in your liver. During a liver biopsy, a doctor will insert a needle between
your ribs to collect a small sample of liver tissue to look at under a
Some people prefer to
find out on their own if they have been exposed to hepatitis C. You can buy a
home test called a Home Access Hepatitis C Check kit at most drugstores. If the
test shows that you have been exposed to the virus in the past, be sure to talk
to your doctor to find out if you have the virus now.
You and your doctor need to
decide if you should take antiviral medicine to treat hepatitis C. It may not
be right for everyone. If your liver damage is mild, you may not need
If you do take medicine, the best treatment is a
combination of medicines that fight infection. The medicines used include peginterferon, ribavirin, and boceprevir or telaprevir.
How well these medicines work depends on how damaged your liver is, how much
virus you have in your liver, and what type of hepatitis C you have.
Taking care of yourself is an important part of the treatment for
hepatitis C. Some people with hepatitis C don't notice a change in the way
they feel. Others feel tired, sick, or depressed. You may feel better if you
exercise and eat healthy foods. To help prevent further liver damage, avoid
alcohol and illegal drugs and certain medicines that can be hard on your
Learning about hepatitis C:
Being diagnosed:
Getting treatment:
Ongoing concerns:
Living with hepatitis C:
End-of-life issues:
Health Tools help you make wise health decisions or take action to improve your health.
Hepatitis C is
a liver disease that is caused by infection with the hepatitis C virus, a virus
that lives in your liver cells.
You cannot
get hepatitis C from casual contact such as hugging, kissing, sneezing,
coughing, or sharing food or water with someone. You can
get hepatitis C if you come into contact with the blood of someone who has
hepatitis C.
The most common way to get hepatitis C is by sharing
needles and other equipment (such as cotton, spoons, and water) used to inject
illegal drugs.
Before 1992,
people could get hepatitis C through blood transfusions and organ transplants.
Since 1992, all donated blood and organs are screened for hepatitis C, so it is
now rare to get the virus this way.
In rare cases, a mother with
hepatitis C spreads the virus to her baby at birth, or a health care worker is
accidentally exposed to blood that is infected with hepatitis C.
If you live with someone who has hepatitis C or you
know someone who has hepatitis C, you generally don't need to worry about getting
the disease from that person. You can help protect yourself by not sharing anything that may
have blood on it, such as razors, toothbrushes, and nail clippers.
Most people who are infected
with hepatitis C—even people who have been
infected for a while—usually don't have symptoms.
If symptoms do develop,
they may include:
A hepatitis C infection can cause damage to your liver (cirrhosis). If you develop cirrhosis, you may
Many other health problems are linked with long-term
cirrhosis. For more information, see the topic
Cirrhosis. There also are many
other conditions with similar symptoms, such as other liver infections and liver damage caused by drinking too much alcohol.
The incubation
period—the time it takes for symptoms to appear after the hepatitis C virus
has entered your body—is from 2 weeks to 6 months. But not all people have symptoms when they are first infected.
You can spread the virus to someone else at any time after you are infected, even if you don't have symptoms.
There are two phases of
hepatitis C. The first form is called acute hepatitis C. It means that you recently became
infected with the virus. The second form is called chronic hepatitis C. It which means that you have had an
infection for more than 6 months.
Right after you are infected with
hepatitis C, you enter the acute
stage. Some people fight off the virus
and never have any liver problems. But up to 85% of people who are
infected will go on to have chronic hepatitis
Most people have no symptoms
right after they have been infected with hepatitis C. Your symptoms may be
blamed on
the flu. Since any symptoms are likely to go away in a
few weeks, you may not know you have hepatitis C for a long time.
If you have an obvious symptom of hepatitis C, such as
jaundice, or if you know you have been exposed to the
blood of someone who has hepatitis C, you should be
tested for hepatitis C virus infection.
Long-term hepatitis C
often causes tiny scars in your liver. If you have a lot
of these scars, it becomes hard for your liver to work well. About 25% of
people who develop chronic hepatitis C eventually have more serious liver
problems such as
cirrhosis or liver cancer, usually over a period of 20
or more years.3
Certain things may help
predict your risk for severe liver damage, such as how much alcohol you drink and the age when you were infected.
If the infection becomes
so severe that your liver can no longer function (end-stage liver failure),
having a
liver transplant may be the only way to extend your
Certain things may increase
your risk of becoming infected with the
hepatitis C virus. Just because you are at risk for
getting hepatitis C does not mean that you have the virus.
Many people do not know how they became infected with hepatitis C.
You can get hepatitis C from:
Sometimes people get hepatitis C from:
People born from 1945 to 1965 are 5 times more likely to be infected with hepatitis C than people born in other years.4
or other emergency services immediately if you have
hepatitis C and you:
Call your doctor if:
The following health professionals can diagnose
hepatitis C:
The following specialists also can diagnose the disease
and provide further care:
To prepare for your appointment, see the topic Making the Most of Your Appointment.
Because many people don't have symptoms, it's common for
people to have hepatitis C for 15 years or longer before it is diagnosed. Many
people don't find out that they have the virus until they are tested for some other reason, such as when donating
blood. Experts recommend that all adults born from 1945 to 1965 should be tested for hepatitis C.4, 5 People in this age group are more likely to have hepatitis C and not know it.
It is important to be tested for hepatitis C if
Before you have
tests, your doctor will probably talk to you about the
pros and cons of testing for hepatitis C so that you
understand what having the virus means.
Your doctor will:
If your doctor
thinks that you may have hepatitis C, he or she may order:
Some people prefer to find out on their own whether they
have been exposed to hepatitis C. In most drugstores you can buy a
home test called the Home Access Hepatitis C Check kit. If test results show
that you have been exposed to the virus, it is important to discuss these
results with your doctor and to find out if you are infected with the virus
To check how well your liver is working, you may have:
If you have a hepatitis C virus test, you may also get tested for
You may or may not receive treatment for
hepatitis C, depending on:
Treatment isn't
always an option, because the medicines used to treat hepatitis C have serious
side effects, are expensive, and don't work for everyone.
Being diagnosed with
hepatitis C can change your life. You may need help and support to cope with the illness. For more information, see Home Treatment.
people who have acute hepatitis C don't get treated, because they don't know that they
have the virus.
If a person knows that he or she may have been
exposed to the virus—such as a health care worker who is stuck by a
needle—acute hepatitis C can be found early. Most people who are known to
have an acute hepatitis C infection get treated with medicine. In these cases,
treatment may help prevent long-term (chronic) infection,
although there is still some debate over when to begin treatment and how long
to treat acute hepatitis C.6
is common for people to live with hepatitis C for years without knowing they
have it, because they do not have symptoms. So most people diagnosed with
hepatitis C find out that they already have long-term, chronic infection.
your blood tests and liver biopsy show that you have a chronic infection but no
damage to your liver, you may not need treatment. But treatment with a combination of medicines can fight the viral
Whether or not you take medicines to treat
hepatitis C, you will need to have routine blood tests
to help your doctor know how well your liver is working.
Some people who at first decide not to have
treatment later decide they want to have it.
The medicines usually used to
treat hepatitis C are interferons combined with ribavirin plus a protease inhibitor such as boceprevir (Victrelis) or telaprevir (Incivek). They are used for 6 months to a year and help your body get rid of the virus.
Your doctor can help you decide whether
medicines are right for you.
Sometimes you can take different medicine if your
first round of treatment didn't work very well. The decision to try treatment
again is based on several things including how well you tolerated the first treatment and how well the
first round of treatment worked. Talk to your doctor about whether you might try
medicines again.
Severe liver
damage caused by chronic
hepatitis C usually takes 20 or more years to develop.
If your hepatitis C continues to get worse, it can
cause your liver to stop working, a condition called end-stage liver failure.
In this case, a
liver transplant may be the only way to extend your
life. But if you are drinking alcohol, are sharing needles to inject drugs, or
have severe
depression or certain other mental illnesses, liver
transplant may not be an option.
Most people with chronic
hepatitis C will not die from the disease. But 1 to 5 out of 100 people with
severe liver damage from chronic
hepatitis C will die because of the virus.7 Even if a liver transplant is done as a last possible
treatment, there can be complications that lead to death. For more information
about decisions to help prepare for death and dying, see the topic
Care at the End of Life.
There is no vaccine for hepatitis C, but there are vaccines for
hepatitis A and
hepatitis B. Your doctor may recommend that you have
these vaccines to help protect you from more liver problems.
Researchers are working
to develop other treatments, including gene therapy and medicines that help
control the immune system.
There is no vaccine to prevent
hepatitis C. But you can reduce your risk of becoming
If you have hepatitis C, you can help prevent spreading it
to others:
Breast-feeding mothers who have hepatitis C can continue to
breast-feed their babies, because hepatitis C cannot be spread through breast
milk. If you are breast-feeding, try to avoid having cracked
nipples, which might pose a risk of spreading the virus to your baby.
Some people who have
hepatitis C don't notice a big difference in the way
they feel. Others feel tired, sick, or depressed. The following are steps you
can take at home that may help you feel better both physically and
It is very common to feel tired if you
have hepatitis C. If you feel tired, give yourself permission to do less and
rest more. If possible, ask others to help out around your home or ask your
employer for a shorter or more flexible work schedule.
Exercise if you feel up to it. Aerobic
exercise can help you have more energy and may also improve depression. It is
best to avoid any strenuous activities on the day after you receive
Sometimes people
with hepatitis C have a hard time eating. You may have no appetite, feel
nauseated, or have different tastes than you are used to. Even if you don't
feel like eating, it's very important to eat small meals throughout the day.
Some people have nausea in the afternoon. If this happens to you, try to
eat a big, nutritious meal in the morning.
If you have cirrhosis,
it may not be a good idea to eat salty foods or foods that are high in protein.
If you want to know more about which foods to avoid and which foods are good to
eat, ask your doctor about meeting with a
registered dietitian to discuss a healthy eating
One of the most important
jobs of your liver is to break down drugs and alcohol. If you have hepatitis C,
one of the best things you can do is to avoid substances that may harm your
liver, such as alcohol and illegal drugs. If you have cirrhosis, you also may
need to avoid certain medicines.
If you use illegal drugs or
drink alcohol, it is important to stop. Being honest with your doctor about your drug
and alcohol use will help you deal with any substance abuse problems. If you don't feel that you can talk openly with your doctor, you may want to find a
doctor you feel more comfortable with. If you want to stop using drugs or
alcohol and need help to do so, ask your doctor or someone else you trust about
drug and alcohol treatment options.
Because many medicines can
stress your liver, talk to your doctor before you take any prescription or
over-the-counter medicines. This includes herbal
remedies as well.
If you have itchy skin, ask
your doctor about taking nonprescription medicines, such as diphenhydramine
(for example, Benadryl) or chlorpheniramine (for example, Chlor-Trimeton), to
relieve itching. If you do take these medicines, be sure to follow the
instructions and to stop using the medicine if you have any side
You may feel angry
or depressed about having to live with a long-term, serious disease.
You may have a hard time knowing how to tell other people that you have the
virus. It can be helpful to talk with a
social worker or counselor about what having the
disease means to you. You also may want to find a support group for people with
hepatitis C. If you don't have a support group in your area, there are several
on the Internet.
Depression may
develop in anyone who has a long-term illness. It also can be a side effect of
antiviral medicines for hepatitis C. If you are feeling depressed, talk to your
doctor about antidepressant medicines and/or counseling. For more information,
see the topic
Learning about hepatitis C
may help you feel more in control of the disease. The more you understand, the
better you can make decisions about treatment and lifestyle changes that may
help you feel better, both physically and emotionally.
Most people who are known to have an
acute hepatitis C infection get treated with antiviral medicine. Treatment for acute hepatitis C may help prevent long-term (chronic) infection,
although there is still some debate over when to begin treatment and how long
to treat acute hepatitis C.6
Antiviral medicines also are used
to treat long-term (chronic)
hepatitis C. These medicines can help prevent the
hepatitis C
virus from damaging your liver.
Sometimes treatment doesn't permanently lower
the amount of virus in your blood. But some studies have shown that treatment
may still reduce scarring in your liver, which can lower your chances of
developing cirrhosis and liver cancer.9, 10
Medicines to treat
hepatitis C don't work for everyone. Chronic hepatitis C infection is cured or
controlled in about half of the people who are treated with a combination of
peginterferon and ribavirin.13 Treatment works for up to 50 out of 100
people who have genotypes 1 or 4 and up to 80 out of 100 people who have genotype 2 or
3.13 Adding a protease inhibitor (such as boceprevir or telaprevir) to peginterferon/ribavirin therapy controls hepatitis C in up to 88 out of 100 people with genotype 1.14
If you have tried
interferon in the past and didn't get good results, talk to a doctor who is a
liver specialist (hepatologist). He or she will be able to tell
you about new medicines that are producing good results and about experimental medicines that are being developed.
The length of your
treatment depends on what hepatitis C genotype you have. Genotypes 1 and 4 typically
are treated for 1 year. Genotypes 2 and 3 typically are treated for 6 months.
If you have genotype 1 and your viral load does not show signs of improvement
after 3 months of treatment, your treatment may be stopped.
It is important to weigh the benefits of medicines for hepatitis
C against the drawbacks. You most likely don't need to make a quick decision
about treatment, because hepatitis C progresses very slowly. New medicines are helping to cure hepatitis C in more people. Talking with your
doctor can help you decide whether medicines are right for you.
If chronic
hepatitis C damages your liver so severely that it no
longer works well (end-stage liver failure), you may need a liver transplant to
extend your life. Liver transplants aren't common.
liver transplant is the only surgical treatment that
can help people with end-stage liver failure.
Liver transplantation is a
risky, expensive procedure. And donor organs are hard to get. Most of the
time, only people who are in good health (other than having liver disease) are
considered for a transplant. You will not be considered if you are drinking
alcohol, using illegal drugs, or have certain mental health problems.
After a
liver transplant, you will need lifelong follow-up care by a specialist. You
also will need to take immunosuppressant medicine to keep your body from
rejecting the new liver. This medicine may cause other problems.
Hepatitis C almost always infects the newly transplanted liver. Recurring
liver disease after a transplant can be a serious problem and may cause the new
organ to fail. But most patients do very well after a liver transplant and are
able to live normal lives.
Some people seek out
complementary medicines or alternative ways to treat
hepatitis C. At this time, no complementary or
alternative medicines have been proved to reduce symptoms or cure hepatitis C.
In fact, some herbal therapies (such as
kava) may actually damage the liver.15
Rigorous studies of the herb
milk thistle show that it does not protect the liver from
damage.16, 17 Talk to your doctor if you are thinking about trying milk thistle
or any other complementary therapy to treat hepatitis C.
The American Liver Foundation (ALF) funds research and
informs the public about liver disease. A nationwide network of chapters and
support groups exists to help people who have liver disease and to help their families. ALF
also sponsors a national organ-donor program to increase public awareness of
the continuing need for organs. You can send an email by completing a form on the contact page on the ALF website: www.liverfoundation.org/contact.
The Division of Viral Hepatitis provides information
about viral hepatitis online and by telephone 24 hours a day. Pamphlets also
are available. Information is available in English and in Spanish.
This organization is a grassroots communication and support network
for people with viral hepatitis. It provides education to patients,
professionals, and the public about the prevention, diagnosis, and treatment of
viral hepatitis. The organization will make referrals to local doctors and
support groups.
This clearinghouse is a service of the U.S. National
Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the
U.S. National Institutes of Health. The clearinghouse answers questions;
develops, reviews, and sends out publications; and coordinates information
resources about digestive diseases. Publications produced by the clearinghouse
are reviewed carefully for scientific accuracy, content, and readability.
The National Institute of Allergy and Infectious
Diseases conducts research and provides consumer information on infectious and
immune-system-related diseases.
Terrault NA, et al. (2013). Sexual transmission of hepatitis C virus among monogamous heterosexual couples: The HCV Partners Study. Hepatology, 57(3): 881–889.
Dienstag JL (2010). Chronic viral hepatitis. In GL
Mandell et al., eds., Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, 7th ed., vol. 1, pp.
1593–1670. Philadelphia: Churchill Livingstone Elsevier.
Flamm SL (2003). Chronic hepatitis C virus infection.
Smith BD, et al. (2012). Recommendations for the identification of chronic hepatitis C virus infection among persons born during 1945–1965. MMWR, 61(RR-4): 1–32. Available online: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6104a1.htm.
U.S. Preventive Services Task Force (2013). Screening for Hepatitis C Virus Infection in Adults: Recommendation Statement. Available online: http://www.uspreventiveservicestaskforce.org/uspstf/uspshepc.htm.
Wiegand J, et al. (2006). Early monotherapy with
pegylated interferon alfa-2b for acute hepatitis C infection: The HEP-NET Acute
HCV-II Study. Hepatology, 43(2): 250–256.
Centers for Disease Control and Prevention
(2012). Hepatitis C FAQs for health professionals. Available online:
Ward RP, et al. (2004). Management of hepatitis C:
Evaluating suitability for drug therapy. American Family Physician, 69(6): 1429–1438.
Singal AK, et al. (2010). Antiviral therapy reduces risk of hepatocellular carcinoma in patients with hepatitis C virus-related cirrhosis, Clinical Gastroenterology and Hepatology, 8(2): 192–199.
Morgan RL, et al. (2013). Eradication of hepatitis C Virus infection and the development of
hepatocellular carcinoma: A meta-analysis of observational studies. Annals of Internal Medicine, 158(5, Part 1): 329–337.
Ghany MG, et al. (2011). An update on
treatment of genotype 1 chronic hepatitis C virus infection: 2011 practice guideline by the
American Association for the Study of Liver Diseases. Hepatology, 54(4): 1433–1444. Also available online: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3229841.
Ghany MG, et al. (2009). Diagnosis, management, and treatment of hepatitis C: An update. Hepatology, 49(4): 1335–1374. Also available online: http://onlinelibrary.wiley.com/doi/10.1002/hep.22759/full.
Pawlotsky JM, McHutchinson J (2012). Chronic
viral and autoimmune hepatitis. In L Goldman, A Shafer, eds.,
Goldman's Cecil Medicine, 24th ed., pp.
973–979. Philadelphia: Saunders.
Bacon BR, et al. (2011). Boceprevir for previously treated chronic HCV genotype 1 infection. New England Journal of Medicine, 364(13): 1207–1217.
U.S. Food and Drug Administration (2009). Consumer advisory: Kava-containing dietary supplements may be associated with severe liver injury. Available online: http://www.fda.gov/Food/ResourcesForYou/Consumers/ucm085482.htm.
National Center for Complementary and Alternative
Medicine (2012). Get the Facts: Hepatitis C – A Focus on Herbal Supplements (NCCAM Publication No. D422). Washington,
DC: U.S. National Institutes of Health. Available online:
Fried MW, et al. (2012). Effect of silymarin (milk thistle) on liver disease in patients with chronic hepatitis C unsuccessfully treated with interferon therapy: A randomized controlled trial. JAMA, 308(3): 274–282.
Other Works Consulted
Centers for Disease Control and Prevention
(2005). Guidelines for Viral Hepatitis Surveillance and Case Management. Available online:
Craxi A, Licata A (2006). Acute hepatitis C: In search
of the optimal approach to cure. Hepatology, 43(2):
Everson GT, et al. (2008). Quantitative
tests of liver function measure hepatic improvement after sustained virological
response: Results from the HALT-C trial. Alimentary Pharmacology and Therapeutics, 29(5): 589–601.
Mack CL, et al. (2012). NASPGHAN practice guidelines: Diagnosis and management of hepatitis C infection in infants, children, and adolescents. Journal of Pediatric Gastroenterology and Nutrition, 54(6): 838–855.
Maylin S, et al. (2008). Eradication of
hepatitis C virus in patients successfully treated for chronic hepatitis C.
Gastroenterology, 135(3):
Mohsen A, Norris S (2010). Hepatitis C (chronic), search date April 2008. Online version of BMJ Clinical Evidence: http://www.clinicalevidence.com.
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Last Revised:
August 15, 2013
Healthwise Staff
Medical Review:
E. Gregory Thompson, MD - Internal Medicine
& W. Thomas London, MD - Hepatology
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text:
Jockey Quotes
RAFAEL BEJARANO, MADE TO LOVE HER, Winner: "I was in perfect position right out of the gate. She surprised me a little bit today. I knew she was going to run well, but not that well. From the first time I rode her to the second, she improved, but today she showed me a really big kick. She was still running strong at the wire. Seven or 7 ½ furlongs may be her best distance."
Trainer Quotes
JAMES KASPAROFF, MADE TO LOVE HER, Winner: "There really weren't any (allowance races), so you either have to run in a stakes or ship somewhere else. This seemed like an ideal spot. She really likes Hollywood Park quite a bit, she trains very, very well here. I wanted to run her 7 furlongs. I thought it would be an excellent distance for her and the timing was perfect. She got an excellent trip and ran fantastic. We'll see how she comes out of the race and we'll look at the ($250,000-guaranteed, Grade I) Hollywood Starlet (Dec. 10). She'd have to be supplemented (for $10,000, plus an additional $10,000 to start), but we'll take a look."
Copyright © 2009-2014, Hollywood Park. All rights reserved.


text:
Runners carry torch for Special Olympics
Special Olympic athlete Patrick Mohwish helped carry the flame on its 10-mile journey Wednesday along with participants from the Rowan County Sheriff's Office and the Landis, China Grove and Salisbury police departments.
Salisbury Rowan runners and Jesse Carson High School's cross country team also took part.
"The YMCA of Rowan County is honored to have Special Olympics as part of our programs. It ties directly into the YMCA's mission, which is to build Christian principles through programs that build a healthy spirit mind and body for all," according to a release from Jenny Buchanan Special Olympic coordinator for Rowan County. "Thank you to all the sponsors and organizations involved. Your courage and love allows Special Olympics Rowan County to continue to touch lives."


text:
Main Content
Every guy has a signature look. Keep yours casual and classy with the One & Only walkshort from Hurley. These shorts feature a simple and clean look with sewn-on clip tags. When you can't wear boardshorts, these shorts will be your new best friend — and they'll definitely single you out as one confident dude.
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text: Hello all, I have been reading some of the post here and AT with regards to Martins 2013 bow line up. I have read a couple post that relate to quality issues in bows produced in the past couple years. I have to admit that it has shaken my confidence a little, even though my new 2011 Nemesis is shooting and performing well. I now have a nag in the back of my mind that says from time to time are these limbs going to hold up. I do shoot quite a bit to stay sharp for hunting and as I stated no problems to date. My question is given the limb change for 2013 should one consider picking up a spare set of limbs now and were the 2011 Rytara Limbs that big of a problem? Thank you in advance for your input and views.


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text:
Mathias Frank was the BMC Racing Team's best finisher on the mountain-top finish that began the Tour of Austria Sunday.
Strong Team Effort
The BMC Racing Team worked hard to first bring back a four-man breakaway and then position Frank well at the base of the 20-kilometer climb at the end of the 134.9-km race. "We might have taken control of the race a bit early, but in the end it was just a matter of having the legs on the climb," BMC Racing Team Assistant Director Jackson Stewart said. Frank, who is nursing injuries from a crash at the Swiss national road championships one week ago, said he did not have the legs to follow the attacks. Kevin Seeldraeyers (Astana Pro Team) soloed to the win as the reduced peloton splintered. Frank finished 12th, 61 seconds behind. "I was kind of missing the rhythm a bit, so I had to go my own pace," Frank said. "I was lucky nothing was broken in my crash at nationals. I hit my hands pretty hard and have cuts on right hand and stitches in my right elbow. But it's all healing up very well." Monday's stage will be equally as challenging, Frank said, as it finishes with the ascent of the Kitzbüheler Horn. "Tomorrow is going to be a really a hard climb," he said.


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text:
This Help article describes keyboard shortcuts for common tasks in Microsoft OneNote 2010. These keyboard shortcuts refer to the U.S. keyboard layout. Keys on other keyboard layouts may not correspond exactly to the keys on a U.S. keyboard.
For keyboard shortcuts in which you press two or more keys simultaneously, the keys are separated by a plus sign (+). For shortcuts in which you press one key immediately followed by another key, the keys are separated by a comma ( , ).
Note You may not be viewing the most recent version of this article. If the status bar near the bottom of this window says Offline, connect your computer to the Internet, click the Offline button in the Help viewer, and then click Show content from Office.com on the shortcut menu. Alternately, visit Office.com and look for the Microsoft OneNote 2010 Help & How-to page for the latest documentation.
Select all items on the current page.
Note Press CTRL+A more than once to increase the scope of the selection.
Open a hyperlink.
Note The cursor must be placed anywhere within the formatted hyperlink text.
Insert a screen clipping.
Note The OneNote icon must be active in the notification area, at the far right of the Windows taskbar.
Create another row when at the end cell of a table.
Note Press ENTER a second time to finish the table.
Note To change the writing direction for your notes, you must first enable right-to-left languages in the Microsoft Office 2010 Language Preferences tool.
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Select all items.
Note Press CTRL+A several times to increase the scope of the selection.
Save changes.
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Search only the current page.
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