text:
A Study of RoActemra/Actemra (Tocilizumab) in Comparison to Etanercept in Patients With Rheumatoid Arthritis and Cardiovascular Disease Risk Factors
This study is ongoing, but not recruiting participants.
Hoffmann-La Roche
Information provided by (Responsible Party):
Hoffmann-La Roche
ClinicalTrials.gov Identifier:
First received: April 7, 2011
Last updated: September 1, 2015
Last verified: September 2015
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- No Study Results Posted
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- How to Read a Study Record
This randomized, open-label, parallel-group, multicenter study will evaluate the rate of cardiovascular events of RoActemra/Actemra (tocilizumab) in comparison to etanercept in patients with rheumatoid arthritis. Patients will be randomized to receive 8 mg/kg RoActemra/Actemra intravenously every 4 weeks or 50 mg etanercept subcutaneously weekly. The anticipated time on study drug is up to 5 years.
Cardiovascular Disease, Rheumatoid Arthritis
Drug: etanercept
Drug: tocilizumab [RoActemra/Actemra]
Phase 4
|Study Type:
|Study Design:
|Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:
|A Clinical Outcomes Study to Evaluate the Effects of IL-6 Receptor Blockade With Tocilizumab (TCZ) in Comparison With Etanercept (ETA) on the Rate of Ischemic Cardiovascular Events in Patients With Moderate to Severe Rheumatoid Arthritis (RA)
Resource links provided by NLM:
Genetics Home Reference related topics: rheumatoid arthritis
MedlinePlus related topics: Arthritis Rheumatoid Arthritis
Drug Information available for: Etanercept TocilizumabU.S. FDA Resources
Further study details as provided by Hoffmann-La Roche:
Primary Outcome Measures:
- Time from randomization to occurrence of the primary major adverse adverse cardiac events, defined as a composite of cardiovascular death, non-fatal myocardial infarction and non-fatal stroke [ Time Frame: 5 years ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Time from randomization to occurrence of composite endpoint of major events, non-fatal coronary revascularization procedures and hospitalization for unstable angina [ Time Frame: 5 years ] [ Designated as safety issue: No ]
|Study Start Date:
|August 2011
|Estimated Study Completion Date:
|October 2016
|Estimated Primary Completion Date:
|October 2016 (Final data collection date for primary outcome measure)
|Assigned Interventions
|Experimental: 1
Drug: tocilizumab [RoActemra/Actemra]
8 mg/kg intravenously every 4 weeks
|Active Comparator: 2
Drug: etanercept
50 mg subcutaneously weekly
|Ages Eligible for Study:
|50 Years and older
|Genders Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Adult patients, >/=50 years of age
- Patients with moderate to severe rheumatoid arthritis >/=6 months duration
- Inadequate response to at least one non-biologic disease-modifying antirheumatic drug (DMARD)
- History of Coronary Heart Disease (CHD) or presence of one or more additional CHD risk factors, including current cigarette smoking, hypertension, low HDL cholesterol, family history of premature CHD, diabetes, presence of extra-articular disease associated with rheumatoid arthritis
Exclusion Criteria:
- Major surgery within 8 weeks prior to screening or planned major surgery within 1 year of study start
- Rheumatic autoimmune disease other than rheumatoid arthritis
- History of, or current, inflammatory joint disease other than rheumatoid arthritis
- Current or recent (within past 3 months) evidence of serious uncontrolled concomitant cardiovascular or cerebrovascular disease (Myocardial infarction, revascularization, stroke, transient ischaemic attack, or acute coronary syndrome)
- History of diverticulitis, diverticulosis requiring treatment or other lower gastrointestinal tract conditions that might predispose to perforations
- Active current infection or history of recurrent bacterial infection
- Previous treatment with tocilizumab or etanercept
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01331837
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01331837
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|United States, Alabama
|Birmingham, Alabama, United States, 35294
|Huntsville, Alabama, United States, 35801
|Tuscaloosa, Alabama, United States, 35406
|United States, Arizona
|Glendale, Arizona, United States, 85306
|Paradise Valley, Arizona, United States, 85253
|Peoria, Arizona, United States, 85381
|Phoenix, Arizona, United States, 85027
|Scottsdale, Arizona, United States, 85258
|Tucson, Arizona, United States, 85712
|Tucson, Arizona, United States, 85724
|United States, Arkansas
|Jonesboro, Arkansas, United States, 72401
|Little Rock, Arkansas, United States, 72205
|United States, California
|Covina, California, United States, 91723
|Huntington Beach, California, United States, 92646
|La Jolla, California, United States, 92037
|Long Beach, California, United States, 90806
|Mission Viejo, California, United States, 92692
|Murrieta, California, United States, 92563
|Poway, California, United States, 92064
|San Diego, California, United States, 92108
|San Diego, California, United States, 92120
|San Leandro, California, United States, 94578
|Santa Maria, California, United States, 93454
|Santa Monica, California, United States, 90404
|Torrance, California, United States, 90509
|Upland, California, United States, 91786
|Whittier, California, United States, 90606
|United States, Colorado
|Colorado Springs, Colorado, United States, 80920
|United States, Connecticut
|Bridgeport, Connecticut, United States, 06606
|Farmington, Connecticut, United States, 06030
|Hamden, Connecticut, United States, 06518
|United States, Florida
|Boynton Beach, Florida, United States, 33472
|Coral Gables, Florida, United States, 33134
|Daytona Beach, Florida, United States, 32117
|Jacksonville, Florida, United States, 32216
|Miami, Florida, United States, 33126
|Orange Park, Florida, United States, 32073
|Palm Habor, Florida, United States, 34684
|Pensacola, Florida, United States, 32501
|Sarasota, Florida, United States, 34292
|South Miami, Florida, United States, 33143
|St. Petersburg, Florida, United States, 33708
|Tampa, Florida, United States, 33609
|Tampa, Florida, United States, 33614
|United States, Georgia
|Atlanta, Georgia, United States, 30303
|Atlanta, Georgia, United States, 30342
|Duluth, Georgia, United States, 30096
|Rome, Georgia, United States, 30165
|Savannah, Georgia, United States, 31405
|United States, Idaho
|Boise, Idaho, United States, 83704
|Boise, Idaho, United States, 83702
|Coeur D'alene, Idaho, United States, 83814
|Meridian, Idaho, United States, 83642
|United States, Illinois
|Chicago, Illinois, United States, 60612
|Chicago, Illinois, United States, 60616
|Peoria, Illinois, United States, 61602
|United States, Indiana
|Fort Wayne, Indiana, United States, 46804
|Indianapolis, Indiana, United States, 46227
|South Bend, Indiana, United States, 46601
|United States, Kentucky
|Bowling Green, Kentucky, United States, 42101
|Owensboro, Kentucky, United States, 42303
|United States, Louisiana
|Monroe, Louisiana, United States, 71203
|New Orleans, Louisiana, United States, 70121
|United States, Maryland
|Baltimore, Maryland, United States, 21286
|Hagerstown, Maryland, United States, 21740
|Wheaton, Maryland, United States, 20902
|United States, Massachusetts
|Fall River, Massachusetts, United States, 02720
|Worcester, Massachusetts, United States, 01605
|Worcester, Massachusetts, United States, 01610
|United States, Michigan
|Flint, Michigan, United States, 48503
|Kalamazoo, Michigan, United States, 49009
|Lansing, Michigan, United States, 48910
|Petoskey, Michigan, United States, 49770
|United States, Minnesota
|Eagan, Minnesota, United States, 55121
|Minneapolis, Minnesota, United States, 55417
|Rochester, Minnesota, United States, 55905
|United States, Mississippi
|Flowood, Mississippi, United States, 39232
|Tupelo, Mississippi, United States, 38801
|United States, Montana
|Kalispell,, Montana, United States, 59901
|United States, Nebraska
|Omaha, Nebraska, United States, 68198
|United States, Nevada
|Las Vegas, Nevada, United States, 89123
|Las Vegas, Nevada, United States, 89128
|United States, New Hampshire
|Lebanon, New Hampshire, United States, 03756
|Nashua, New Hampshire, United States, 03060
|United States, New Jersey
|Berkeley Heights, New Jersey, United States, 07922
|Teaneck, New Jersey, United States, 07666
|Voorhees, New Jersey, United States, 08043
|United States, New Mexico
|Albuquerque, New Mexico, United States, 87102
|Las Cruces, New Mexico, United States, 88011
|United States, New York
|Brooklyn, New York, United States, 11203
|Brooklyn, New York, United States, 11201
|North Massapequa, New York, United States, 11758
|Olean, New York, United States, 14760
|Syracuse, New York, United States, 13210
|United States, North Carolina
|Asheville, North Carolina, United States, 28803
|Charlotte, North Carolina, United States, 28204
|Charlotte, North Carolina, United States, 28210
|Durham, North Carolina, United States, 27704
|Hickory, North Carolina, United States, 28602
|Raleigh, North Carolina, United States, 27617
|Sanford, North Carolina, United States, 27330
|Wilmington, North Carolina, United States, 28401
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|Minot, North Dakota, United States, 58701
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|Cleveland, Ohio, United States, 44109
|Columbus, Ohio, United States, 43210
|Columbus, Ohio, United States, 43215
|Toledo, Ohio, United States, 43623
|Toledo, Ohio, United States, 43606
|United States, Oklahoma
|Oklahoma City, Oklahoma, United States, 73112
|United States, Pennsylvania
|Duncansville, Pennsylvania, United States, 16635
|Hershey, Pennsylvania, United States, 17033
|Indiana, Pennsylvania, United States, 15701
|Limerick, Pennsylvania, United States, 19468
|Perkasie, Pennsylvania, United States, 18944
|Philadelphia, Pennsylvania, United States, 19152
|Pittsburgh, Pennsylvania, United States, 15213-2582
|Wexford, Pennsylvania, United States, 15090
|Wyomissing, Pennsylvania, United States, 19610
|United States, South Carolina
|Columbia, South Carolina, United States, 29204
|Myrtle Beach, South Carolina, United States, 29572
|United States, South Dakota
|Watertown, South Dakota, United States, 57201
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|Memphis, Tennessee, United States, 38119
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|Amarillo, Texas, United States, 79124
|Corpus Christi, Texas, United States, 78404
|Dallas, Texas, United States, 75231
|Fort Worth, Texas, United States, 76109
|Houston, Texas, United States, 77004
|Houston, Texas, United States, 77074
|Mesquite, Texas, United States, 75150
|Richardson, Texas, United States, 75080
|San Antonio, Texas, United States, 78217
|Waco, Texas, United States, 76708
|United States, Virginia
|Burke, Virginia, United States, 22015
|Norfolk, Virginia, United States, 23502
|United States, Washington
|Kennewick, Washington, United States, 99336
|Seattle, Washington, United States, 98104
|Tacoma, Washington, United States, 98405
|United States, West Virginia
|Beckley, West Virginia, United States, 25801
|Clarksburg, West Virginia, United States, 26301
|United States, Wisconsin
|Racine, Wisconsin, United States, 53406
|Buenos Aires, Argentina, C1431FWO
|Buenos Aires, Argentina, C1117ABK
|Buenos Aires, Argentina, C1194AAO
|Buenos Aires, Argentina, C1204AAD
|Buenos Aires, Argentina, C1425DTG
|Buenos Aires, Argentina, C1426AAL
|Buenos Aires, Argentina, C1015ABO
|Ciudad Autonoma Buenos Aires, Argentina, C1221ADC
|Ciudad Autonoma Buenos Aires, Argentina, C1284AEB
|Ciudad Autonoma de Buenos Aires, Argentina, 1111
|Cordoba, Argentina, 5000
|Cordoba, Argentina, X5004BAL
|Cordoba Pcia, Argentina, 5016
|Florencio Varela, Argentina, 1888
|Lujan, Argentina, 6700
|Pergamino, Argentina, B2700CPM
|Rosario, Argentina, S2000DSV
|Rosario, Santa Fe, Argentina, S2000PBJ
|San Juan, Argentina, 5400
|San Miguel de Tucuman, Argentina, T4000AXL
|Tucuman, Argentina, 4000
|Graz, Austria, 8036
|Stockerau, Austria, 2000
|Wien, Austria, 1100
|Wien, Austria, 1090
|Wien, Austria, 1130
|Bruxelles, Belgium, 1200
|Bruxelles, Belgium, 1000
|Kortrijk, Belgium, 8500
|Liege, Belgium, 4000
|Merksem, Belgium, 2170
|Bosnia and Herzegovina
|Banja Luka, Bosnia and Herzegovina, 78000
|Sarajevo, Bosnia and Herzegovina, 71 000
|Sarajevo, Bosnia and Herzegovina, 71000
|Tuzla, Bosnia and Herzegovina, 75000
|Canada, Alberta
|Edmonton, Alberta, Canada, T5H 3V9
|Canada, British Columbia
|Powell River, British Columbia, Canada, V8A 3B6
|Victoria, British Columbia, Canada, V8P 5P6
|Canada, Newfoundland and Labrador
|St John's, Newfoundland and Labrador, Canada, A1A 5E8
|St John's, Newfoundland and Labrador, Canada, A1C 5B8
|Canada, Ontario
|Etobicoke, Ontario, Canada, M9C 5N2
|Hamilton, Ontario, Canada, L8N 1Y2
|Kitchener, Ontario, Canada, N2M 5N6
|London, Ontario, Canada, N6A 4V2
|Mississauga, Ontario, Canada, L5M 2V8
|St. Catharines, Ontario, Canada, L2N 7E4
|Toronto, Ontario, Canada, M5G 1Z5
|Canada, Quebec
|Montreal, Quebec, Canada, H2L 1S6
|Quebec City, Quebec, Canada, G1V 3M7
|Sherbrooke, Quebec, Canada, J1H 5N4
|Trois-rivieres, Quebec, Canada, G8Z 1Y2
|Quebec, Canada, G1W 4R4
|La Serena, Chile, 1700000
|Santiago, Chile, 7500035
|Santiago, Chile, 7501126
|Santiago, Chile, 8320112
|Santiago, Chile, 7500000
|Temuco, Chile, 4780000
|Viña del Mar, Chile, 2520612
|Viña del Mar, Chile, 2570017
|Karlovac, Croatia, 47000
|Krapinske Toplice, Croatia, 49217
|Rijeka, Croatia, 51000
|Zagreb, Croatia, 10000
|Czech Republic
|Brno, Czech Republic, 656 91
|Bruntal, Czech Republic, 792 01
|Hlucin, Czech Republic, 748 01
|Hostivice, Czech Republic, 253 01
|Kladno, Czech Republic, 272 01
|Ostrava - Moravska Ostrava, Czech Republic, 702 00
|Praha, Czech Republic, 140 59
|Praha, Czech Republic, 128 50
|Praha 4, Czech Republic, 140 00
|Sokolov, Czech Republic, 356 01
|Terezin, Czech Republic, 411 55
|Zlin, Czech Republic, 748 01
|Cuenca, Ecuador, 101168
|Guayaquil, Ecuador, EC090114
|Guayaquil, Ecuador, 593
|Quito, Ecuador, 005932
|Quito, Ecuador, EC170517
|Amiens, France, 80054
|Bordeaux, France, 33000
|Clermont Ferrand, France, 63003
|Corbeil Essonnes, France, 91106
|Echirolles, France, 38434
|Lyon, France, 69003
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|Paris, France, 75571
|Paris, France, 75651
|Paris, France, 75679
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|Strasbourg, France, 67098
|Toulouse, France, 31059
|Berlin, Germany, 10117
|Berlin, Germany, 14059
|Dresden, Germany, 01307
|Erlangen, Germany, 91054
|Erlangen, Germany, 91056
|Frankfurt, Germany, 60528
|Hamburg, Germany, 20251
|Hamburg, Germany, 22081
|Herne, Germany, 44649
|Hildesheim, Germany, 31134
|Koeln, Germany, 50937
|Leipzig, Germany, 04103
|Muenchen, Germany, 81541
|München, Germany, 80337
|Osnabrueck, Germany, 49074
|Ratingen, Germany, 40882
|Athens, Greece, 115 27
|Athens, Greece, 15121
|Crete, Greece, 71110
|Larissa, Greece, 411 10
|Thessaloniki, Greece, 546 36
|Thessaloniki, Greece, 54 642
|Thessaloniki, Greece
|Budapest, Hungary, 1036
|Budapest, Hungary, 1033
|Budapest, Hungary, 1027
|Debrecen, Hungary, 4032
|Eger, Hungary, 3300
|Gyula, Hungary, 5700
|Mor, Hungary, 8060
|Szekesfehervar, Hungary, 8000
|Szekszard, Hungary, 7100
|Zalaegerszeg, Hungary, 8901
|Ahmedabad, India, 380015
|Ahmedabad, India, 380009
|Bangalore, India, 560017
|Banglore, India, 560034
|Hubli, India, 580020
|Hyderabad, India, 500034
|Nagpur, India, 440010
|Pune, India, 411005
|Ashkelon, Israel, 78278
|Beer Yaacov, Israel, 6093000
|Haifa, Israel, 34362
|Ramat Gan, Israel, 5262000
|Tel Aviv, Israel, 64239
|Napoli, Campania, Italy, 80131
|Napoli, Campania, Italy, 80144
|Telese Terme, Campania, Italy, 82037
|Arenzano, Liguria, Italy, 16011
|Genova, Liguria, Italy, 16132
|Bergamo, Lombardia, Italy, 24128
|Milano, Lombardia, Italy, 20162
|Varese, Lombardia, Italy, 21100
|Catania, Sicilia, Italy, 95124
|Firenze, Toscana, Italy, 50141
|Prato, Toscana, Italy, 59100
|Bauska, Latvia, 3901
|Daugavpils, Latvia, 5417
|Liepaja, Latvia, 3400
|Riga, Latvia, 1005
|Riga, Latvia, 1021
|Riga, Latvia, LV-1002
|Riga, Latvia, LV 1002
|Alytus, Lithuania, 62114
|Klaipeda, Lithuania, 92288
|Siauliai, Lithuania, 76231
|Vilnius, Lithuania, 06122
|Ipoh, Malaysia, 30990
|Kuala Lumpur, Malaysia, 68100
|Kuching, Malaysia, 93586
|Penang, Malaysia, 10990
|Selangor, Malaysia, 46150
|Selangor, Malaysia, 47500
|Chihuahua, Mexico, 31238
|Chihuahua, Mexico, 31000
|Ciudad Obregon, Mexico, 85000
|Cuernavaca, Mexico, 62270
|Culiacan, Mexico, 80000
|Delegacion Benito Juarez, Mexico, 03100
|Distrito Federal, Mexico, 06600
|Durango, Mexico, 34080
|Guadalajara, Mexico, 44500
|Guadalajara, Mexico, 45040
|Merida, Mexico, 97134
|Mexicali, Mexico, 21100
|Mexico, Mexico, 03100
|Mexico, Mexico, 06100
|Mexico City, Mexico, 06700
|Mexico City, Mexico, 14080
|Mexico Df, Mexico, 11850
|Miexico City, Mexico, 06700
|Saltillo, Mexico, 25000
|San Luis Potosi S.L.P., Mexico, 78240
|San Luis Potosí, Mexico, 78200
|Tijuana, Mexico, 22010
|Torreon, Mexico, 27000
|Amsterdam, Netherlands, 1056 AB
|Dordrecht, Netherlands, 3318AT
|Roosendaal, Netherlands, 4708 AE
|Schiedam, Netherlands, 3118 JH
|Cebu City, Philippines, 6000
|Iloilo City, Philippines, 5000
|Lipa City, Philippines, 4217
|Makati City, Philippines, 1229
|Bydgoszcz, Poland, 85-168
|Elblag, Poland, 82-300
|Krakow, Poland, 30-119
|Krakow, Poland, 31-121
|Lublin, Poland, 20-607
|Nadarzyn, Poland, 05-830
|Szczecin, Poland, 71-252
|Ustron, Poland, 43-450
|Warszawa, Poland, 02-118
|Warszawa, Poland, 02-653
|Wroclaw, Poland, 50-556
|Brasov, Romania, 500365
|Bucharest, Romania, 020475
|Bucuresti, Romania, 020983
|Bucuresti, Romania, 011172
|Cluj-Napoca, Romania, 400349
|Cluj-Napoca, Romania, 400130
|Iasi, Romania, 700127
|Iasi, Romania, 700656
|Ploiesti, Romania, 100337
|Sector 2, Romania, 020125
|Targoviste, Romania, 130083
|Targu Mures, Romania, 540142
|Timisoara, Romania, 300194
|Russian Federation
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|Barnaul, Russian Federation, 656024
|Kazan, Russian Federation, 420097
|Kemerovo, Russian Federation, 650002
|Moscow, Russian Federation, 123060
|Moscow, Russian Federation, 115522
|Moscow, Russian Federation, 121374
|Moscow, Russian Federation, 115093
|Novosibirsk, Russian Federation, 630068
|Novosibirsk, Russian Federation, 630099
|Ryazan, Russian Federation, 390026
|Saratov, Russian Federation, 410002
|St Petersburg, Russian Federation, 194291
|Stavropol, Russian Federation, 355017
|Tomsk, Russian Federation, 634063
|Voronezh, Russian Federation, 394066
|Yaroslavl, Russian Federation, 150007
|Belgrade, Serbia, 11040
|Belgrade, Serbia, 11000
|Belgrade, Serbia, 11070
|Niska Banja, Serbia, 18205
|South Africa
|Cape Town, South Africa, 7925
|Diepkloof, South Africa, 1862
|Johannesburg, South Africa, 2193
|Pretoria, South Africa, 0002
|Merida, Badajoz, Spain, 06800
|Sabadell, Barcelona, Spain, 08208
|Torrelavega, Cantabria, Spain, 39300
|Santiago de Compostela, La Coruña, Spain, 15706
|San Sebastian de los Reyes, Madrid, Spain, 28702
|Málaga, Malaga, Spain, 29009
|Seville, Sevilla, Spain, 41071
|S. Cristobal de la Laguna, Tenerife, Spain, 38320
|Barakaldo, Vizcaya, Spain, 48903
|Castellon, Spain, 12004
|Madrid, Spain, 28007
|Vizcaya, Spain, 48013
|Antalya, Turkey, 07058
|Edirne, Turkey, 22030
|Erzurum, Turkey, 25050
|Trabzon, Turkey, 61100
|United Kingdom
|Birmingham, United Kingdom, B29 6JD
|Cambridge, United Kingdom, CB2 0QQ
|Cannock, United Kingdom, WS11 5XY
|Dudley, United Kingdom, DY1 2HQ
|Leicester, United Kingdom, LE1 5WW
|London, United Kingdom, E11 1NR
|London, United Kingdom, SE5 9RS
|London, United Kingdom, E1 1BB
|Newcastle upon Tyne, United Kingdom, NE1 4LP
|Salford, United Kingdom, M6 8HD
|Southampton, United Kingdom, SO16 6YD
|Westcliffe-on-sea, United Kingdom, SS0 0RY
|Wrightington, United Kingdom, WN6 9EP
Sponsors and Collaborators
Hoffmann-La Roche
|Study Director:
|Clinical Trials
|Hoffmann-La Roche
More Information
No publications provided
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 03, 2015
No publications provided
|Responsible Party:
|Hoffmann-La Roche
|ClinicalTrials.gov Identifier:
|NCT01331837 History of Changes
|Other Study ID Numbers:
|Study First Received:
|April 7, 2011
|Last Updated:
|September 1, 2015
|Health Authority:
|United States: Food and Drug Administration
Additional relevant MeSH terms:
Arthritis, Rheumatoid
Cardiovascular Diseases
Autoimmune Diseases
Connective Tissue Diseases
Immune System Diseases
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases
TNFR-Fc fusion protein
Analgesics, Non-Narcotic
Anti-Inflammatory Agents
Anti-Inflammatory Agents, Non-Steroidal
Antirheumatic Agents
Central Nervous System Agents
Gastrointestinal Agents
Immunologic Factors
Immunosuppressive Agents
Peripheral Nervous System Agents
Pharmacologic Actions
Physiological Effects of Drugs
Sensory System Agents
Therapeutic Uses
ClinicalTrials.gov processed this record on September 03, 2015


text:
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Lady Gaga talks philosophy, Rainer Maria Rilke, and Andy Warhol.

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Photos by Laron Zaugg
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Really. That picture it looks like he is staring right at him. If anything it looks like Rory is the one looking down a bit, but you can't see where the eyes are looking anyway. And from watching it on Fuel they look like they were looking at each other


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Nb: infants must be under the age of 2 and
children must be under the age of 12 at the time of
The new designed hotel is situated in the heart of the Samnaun village and has 34 chalet-style rooms and a newly designed penthouse apartment. All rooms have free wireless Internet access. In the generous Silvretta SPA you can relax after an exciting day in the mountains. By an underground tunnel guests get directly to the swimming pool of the Wellness Hotel Chasa Montana. In the restaurant you can enjoy a cuisine inspired from the three countries nook Switzerland, Italy and Austria, or be surprised with Engadin specialties in the traditionally furnished Bünderstube. Guests of the Silvretta Hotel take advantage of all VIP services in the ZEGG shops and the possibility of our ¿Dine Around¿ at the ZEGG specialty restaurants.
Double room with bath/toilet, deluxebeautiful double room "Muttler" in a traditional country-home style with bath and toilet separately, (30sqm)
balcony to the south with a wonderful view to the mountain Muttler
Double room with shower/toilet, standarddouble room "Grandlit" in a traditional country-home style with shower/ toilet (20sqm)
and a wonderful view to the mountain Piz Ot
Double room with shower/toilet, superiorbeautiful double room "Muttler" in a traditional country-home style with shower and toilet, (25sqm)
balcony to the south with a wonderful view to the mountain Muttler
Single room with shower/toilet, superiorsingle room "Grandlit" in a traditional country-home style with shower/ toilet (20sqm)
and a wonderful view to the mountain Piz Ot
Iglu acts as a travel agent for disclosed principals/tour operators, further details
of which will be made available at the time of booking. Your holiday contract will
be bound by the tour operators terms and conditions.
Prices are shown for a basic room or unit, can be subject to change and are indicative
until time of booking. Please call on 020 8544 7114 for prices for other travel
and room options for this property.
Prices shown are per person per week based on maximum occupancy. Descriptions and
quality ratings are provided by the Tour Operator (or one of the Tour Operators
where similar holidays are offered by more than one supplier). We reserve the right
to make minor adjustments to the description or rating based on staff and customer
feedback. For payments by credit card, a 2.5% credit card charge (4% for AMEX) will
be added to your invoice. If you pay by a UK issued debit card, there is no charge.
All bookings are subject to a £5 per person Passenger Admin Fee charged by Iglu.com.


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DOLT by Don Lauria
DOLT by Don Lauria
Over six years a friendship had developed between Dolt and me. A friendship whose depth became apparent through tragedy and perhaps was never apparent to Dolt, Dolt may never have believed that he was loved by anyone.
I first met William Andrew Feuerer in Yosemite's Camp 4 the day in 1966 that he began touting his latest innovation, the nylon hammer holster. He accosted me after determining that I owned part of a mountain shop and I might be interested in selling his holster. In the months that followed, Dolt began to frequent our shop, always bringing in his latest ideas for discussion. He became a fixture. He made daily phone calls and nightly visits. He was always anxious to determine the needs of the contemporary climber. Did we think nuts were going to catch on in the United States? Should he make some? Was Chouinard's cliff hanger practical? Should he make a better one? He was constantly questioning, questioning.
From 1967 through 1969, Bill created an industrial dynasty on paper - Doltco, The Dolt Companies, Bill Dolt, and TDH (The Dolt Hut) Manufacturing company. He did it with long hours, 500 square feet of metal shop, a post office box, and a penchant for advertising. He employed a workforce of one, Bill "Dolt" Feuerer and work he did.
Bill once came stumbling into our store on an unusual early morning visit. His blue eyes were beaming despite his obvious exhaustion. He had been working on his ultra light chocks into the late hours of the night and had fallen asleep in the magnesium shavings under his drill press. In he staggered, a walking incendiary, magnesium shavings still clinging to his hair and eye brows. He was attired in his usual Dolt "uniform" black air force dress shoes, burnt through with swage splash, gray Sears Roebuck work clothes; a red kerchief tied about his neck; and perched atop his head, the locomotive
engineer's cap. His enthusiasm was unquenchable he just had to show us his latest handiwork.
Dolt's enthusiasm was exceeded only by his generosity. He lined the walls of our shop with Dolt photos. He gave us all his prototypes to test. Hennek and I used his original Dolt Cobras (sky hooks), and his only two Twinkle DoIts (head lamps) on our El Cap climbs. He gold plated a couple of Dolt Pegs that Boche and I used on the Nose and presented them to us. He gave the shop the original Dolt Winch from the first attempts on El Capitan. Dolt actually gave me three titanium alloy Dolt Pegs to test and keep for my own. One day he came in with a box under his arm. The box was nicely finished wood. Inside, nestled in red velvet, was his "complete" selection of highly finished Lost Arrow style pins all neatly seated in the velvet. I don't remember the exact number, but there were more than ten. He was offering me this collection in appreciation of West Ridge's help through the years. I paid him around $120 for the box and its contents and put the box on a shelf in my office.
Dolt's vicarious interest in our climbing adventures rekindled the climbing spark in Dolt's soul, and he became a familiar sight bouldering at Stony Point in the year 1969. Bob Kamps once related a story to me attesting to Dolt's incredible strength as a climber. At Stony Point one Sunday afternoon, the beer drinking competitors were happily solving a relatively easy boulder problem. Dolt was among the first to master the route, and when everyone had finally succeeded at it, Dolt picked up a rather large, heavy rock and repeated the route, using only his free hand. Kamps remarked that it was all he could do to lift the rock. No one else could repeat the feat.
Bob Kamps Photo
On Christmas Eve 1969, Dolt was invited to my home for dinner. He presented us with an old Argosy magazine containing Harding's, and Merry's account the first ascent of El Capitan and an old Dolt Hut catalog, circa 1957. That night he told us tales of early Yosemite and of his childhood. He was an orphan, raised by foster parents. He mentioned his attempts at matrimony that had repeatedly failed. Although Bill exhibited sincerity and generosity, he still managed to remain somewhat aloof, possibly a little paranoid.
Through the year 1970, Dolt was not seen nor heard from at the shop. I suspected that he may have been inadvertently slighted. I tried writing him with no response. Finally in the spring of 1971, Dolt and began making his regular visits to the store.
Bill had been having difficulties all through the year 1970 in deciding whether to remain an employee of McDonnell Douglas or to quit and give The Dolt Company his complete attention. Later that year, he told me he wanted to buy back his pin collection to use for advertising photos. I told that he could use them as long as he wished for that purpose, but that a deal is a deal, I would not sell them. He was comfortable with that and took them.
On December 6, 1971, while delivering some Dolt Rope, Bill mentioned that he was definitely leaving McDonnell Douglas after 10 years to go into Doltco on a full time basis. He was asking my opinion. A great idea I was sure he could do it. He was elated by the encouragement.
One week later, Bill telephoned, his voice quavering, "I'm thinking of selling most of my interests in Doltco, are you interested?"
"But Bill, I thought..."
"I changed my mind, Douglas has offered me such a good deal I can't let them down." He sounded unconvinced and subdued.
"Okay, Dolt, I'll buy whatever you're selling." I really didn't believe he would do it.
"I'll call you later to arrange a meeting," he replied weakly.
On Christmas Eve 1971, the telephone rang at the shop in the midst of a Christmas party.
"Hello, Don?", Dolt asked in a hushed tone.
"Yeah, Bill, what's up?"
"I just called to wish you a Merry Christmas", Dolt answered, his voice almost a whisper.
"Merry Christmas to you too, Bill."
He didn't answer.
"Bill, what's with the deal we were talking about a couple of weeks ago?" I was searching for a subject that might break his silence.
"Oh, I'm not sure what I'm going to do", he replied slowly. I had never heard him sound so depressed. He continued, "I just called to wish you and yours a Merry Christmas and a Happy New Year."
"Well, thanks, Bill. Same to you", I replied awkwardly.
"Thank you, Don. Goodbye."
As far as I know those were the, last words William Andrew Feuerer ever uttered.
One week later, the police were summoned to Dolt's apartment by Ken McNutt who had noticed the week's accumulation of newspapers on Dolt's porch and found his door chained from the inside. Dolt was found hanging from a water pipe on his back porch. He left no note, no will ... nothing. His funeral, paid for by his veteran's insurance, was attended by fourteen people, only six of whom were from his climbing world. The priest in attendance knew only two things about Bill Feuerer his name, and how he died.
- 16825 reads


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Red Carpet
Last Night's Look: Love It or Leave It?We can't stop talking about the outfits Katy Perry, Amy Poehler and more stars were just spotted in! Check them out, then vote – fashion-forward or fashion fail?
Credit: Steve Mack/Getty
Updated: Sunday Apr 28, 2013 | 06:00 AM EDT
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Here's one more example of how human health and animal welfare are inseparable: On October 7, the USDA announced that 278 people across 18 states have contracted salmonella from eating chicken from a certain West Coast poultry processor. Reports indicate that about 42% of the people infected have been hospitalized—about double the normal rate of hospitalization for Salmonella infections—because this strain of salmonella is resistant to several commonly prescribed antibiotics.
In a recent U.S. News & World Report story, Dr. Marc Siegel, an associate professor of medicine at NYU Langone Medical Center, explained how this life-threatening outbreak is linked to the common industry practice of feeding chickens low doses of antibiotics to compensate for the sickening conditions on factory farms:
"It's not an accident that this particular strain is resistant," he said. "I suspect it's resistant because of the overuse of antibiotics among farm animals."
Chicken live in squalor, Siegel said: "Ninety-five percent of chickens are grown in such horrific conditions that they're standing in poop and they end up infected with salmonella. If one chicken gets it, they all get it."
On top of poor living conditions on farms, most modern chickens are bred to grow so fat, so fast, that many collapse under their own weight and spend much of their lives lying in their own waste, with open sores and wounds.
It doesn't have to be this way. Chickens deserve better, and so do we. The ASPCA is urging the chicken industry to switch to slower-growing breeds raised in better conditions. Learn more and take action at TruthAboutChicken.org.


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Protein Energizer Creamy Vanilla is a convenient, great-tasting source of protein and energy support. This high-protein, low-fat, low-carbohydrate shake provides 14 g of brown rice protein, targeted superfoods, botanicals, fiber - along with digestion-supporting enzymes - for comprehensive energy and stamina support. Rainbow Light's formula is 100% natural and free of artificial colors, flavors, sweeteners, preservatives and additives. Protein Energizer Vanilla is gluten-free, sugar-free and lactose-free and a great choice for people with allergy concerns. It is free of most common allergens, including soy, yeast, milk, eggs, nuts, fish and shellfish. It is vegan, vegetarian and free of animal products. Protein Energizer Vanilla can be mixed with your favorite beverage for a healthy, delicious, immediate protein boost!
Protein from Nutrient-Rich Brown Rice
Protein Energizer Creamy Vanilla delivers 14 g of brown rice protein to support healthy energy levels throughout the day. Non-allergenic brown rice is an easy-to-digest, gluten-free source of protein and provides a complete amino acid profile.
Directions for Use: Any time of day, measure one scoop into a glass and add 8 oz. of your favorite fruit juice, dairy or non-dairy milk beverage. Shake pouch well before each use. Mixes instantly in a shaker cup or use a blender. For a delicious smoothie, add yougurt, fresh fruit and ice.
Other Directions: Consult a health care professional prior to use if you are pregnant, lactating, taking medication or have a medical condition.Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. Keep this product out of reach of children. In case of accidental overdose, call a doctor or poison control center immediately.Store in a cool, dry place. Do not refrigerate.
* Daily value not establishedThese statements have not been evaluated by the FDA. These products are not intended to diagnose, treat, cure, or prevent any disease.
Other IngredientsNatural vanilla flavor, stevia [leaf] extract. Phenylketonurics: Contains phenylalanine.100% natural - Free of artificial colors, flavors, sweeteners, preservatives and other objectionable additives often found in vitamin products. Contains no sugar, lactose/dairy, wheat, soy or yeast. VeganGuard screened for vegans to be free of animal products.
Pharmaca Integrative Pharmacy is your source for natural health products. Browse our online selection of products from all of the best natural brands, or visit one of our pharmacy locations and talk with one of our licensed practitioners. From natural beauty products and cosmetics to vitamins, herbs and supplements, we offer high-quality natural wellness products for the whole family! Start exploring—shop by brand or by condition to find the perfect natural health products for your body, skin, home and more.
The products and claims made about specific products on this site have not been evaluated by Pharmaca.com or the United States Food and Drug Administration and are not approved to diagnose, treat, cure or prevent disease. The information on this site is for educational purposes only and is not intended as a substitute for advice from your physician or other health care professional or any information contained on or in any product label or packaging. You should not use the information on this site for diagnosis or treatment of any health problem or for prescription of any medication or other treatment. You should consult with a healthcare professional before starting any diet, exercise or supplementation program, before taking any medication, or if you have or suspect you might have a health problem. Pharmaca Integrative Pharmacy will not assume liability for any cross-contamination of ingredients, misprints, or adverse reactions to any ingredients in the products we carry. The products sold here may contain lead and other substances that are known to the state of California to cause cancer and birth defects and other reproductive harm. Prices and promotions are subject to change without notice. All content on this web site is copyrighted by Pharmaca Integrative Pharmacy unless otherwise stated. All online offers and prices are valid for online purchases only, and may be different from those in our retail stores. Free shipping offer may not apply to all orders and all states; see shipping policy for full details. Copyright © 2009 – 2015 by Pharmaca Integrative Pharmacy. All rights reserved.


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With the announcement of bipartisan legislation that would allow a pathway to citizenship for undocumented residents, the number 11 million becomes important. That's the most commonly cited estimate of the number of illegal residents in the country. But where does this number come from?
The number can be traced to the work of Jeffery Passel, a senior demographer at the Pew Hispanic Center. But more than the size of the illegal populations, Passel has found ways to document details of how the group lives and works, even though no direct survey of illegal immigrants exists.
To find these undocumented people, Passel has to do some detective work. Here's the basic process: For one, we know the number of immigrants the country allows in through the legal process. Also, we know, from the U.S. Bureau of Labor Statistics, how many people in the United States were born in another country. So the formula for finding the number of illegal immigrants in the country becomes, essentially, simple arithmetic.
"It's immigrants in the survey, minus legal immigrants, equals unauthorized immigrants in the survey," Passel says. It's actually a bit more complicated than that, involving a statistical correction for the number of people who are unlikely to make it into the survey.
Under this methodology, we arrive at the 11 million figure. But population size doesn't say much about who these people are. So Passel digs further.
He assigns statistical probabilities to the BLS data set to indicate who among the survey respondents might be illegal (the data does not include personal identifiers). It then becomes a process of logical elimination to find which of the 40 million immigrants in the BLS data are also here illegally.
Passel offers some examples. "We say, this person is a veteran, this person served in the armed forces, so we're going to say they are legal," he says. "This person is a certified public accountant—we're going to say they are legal.... This person is not getting welfare, this person works, this person is a construction worker—so they may be legal or illegal."
Through this roundabout process, we've come to our best guess at the makeup of the undocumented-immigrant population. If a pathway to legalization is affirmed, this picture will only become more clear.
Through his research, here's what we know about the 11 million.
They've come here to settle down.
"The unauthorized immigrant population is, to a degree that I think that is largely unappreciated, a group of families with children," Passel says. Twenty-one percent of nonimmigrant households are couples with children. In other words, nuclear families. In households of illegal immigrants, that number jumps to 47 percent, according to 2008 data.
"More than half of the adult men are in families, are married, or have a partner," he says. "And most of them, 80 percent of that half, have children here. The women represent about 40 percent of the adults, and almost all of them are not here by themselves." Part of this is due to difference of ages in the sample. The undocumented families are younger, and therefore more likely to have children. Nonetheless, the data is indicative of people who have come here to raise a family.
They've been here for a while.
According to 2010 Pew data, 63 percent of unauthorized adults had been in the country 10 years or more.
They're mainly from Mexico.
"Any place that sends us immigrants, we have some unauthorized immigrants from," Passel says. But around 55 to 60 percent are from Mexico, "which translates to over 6 million people. There is no other country that has sent as many as 500,000."
Twenty-one percent fall below the poverty line.
The number of new illegal immigrants has declined in recent years.
The number of undocumented workers peaked in 2007 at 12 million and then declined to a steady 11 million in the following years. "From 1990 to 2007, there were a lot more coming than leaving, so the numbers were growing steadily," Passel says. "With the onset of the recession, the numbers of people coming plummeted. There some evidence that the numbers leaving increased, but the main reason the growth stopped is that the people stopped coming."
The decline in the number of illegal immigrants is influenced by the recession, but also by tougher border practices.
"We have data that says its harder to get in, its harder to sneak in," he says. "We have data that shows the cost of hiring a smuggler has gone up, we know that the enforcement practices have pushed a lot of people who were trying to sneak into more remote areas so it is more dangerous physically.... But then when you look at the U.S. economy, it might be hard to find a job. You put all that together and it's not all that surprising that many, many fewer people are trying to come into the U.S."
If a pathway to legalization is made, we'll learn a lot more about this group.
"To some degree, a lot of the information we have on their characteristics is speculative," Passel says, because so much of the data is based on probability, and not an actual survey of illegal immigrants. "We're inferring who the people are who are undocumented, and that we are not actually asking people whether they are unauthorized or not. And some of those inferences that we are making are coming from surveys that were conducted 25 years ago when we had legalization [under President Reagan]. So if we go forward with some sort of legalization, we'll get a clearer picture of who they are."
But more than who they are, we can find out what they believe about their futures in the United States, and how they hope to shape the country.
"One of the things the Pew Research Center does is try to understand what motivates people, what their opinions are," he says. "Those are things that if we go forward with this and have an identifiable group of people who are former unauthorized immigrants, we can learn something about how they came, why they came."


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Founded by professional skaters Rick Howard and Mike Carrol in 1999, Lakai is a California-based footwear manufacturer known for releasing some of the most sought-after skate and streetwear shoes. The motivation behind Lakai is Rick and Mike's love of skate culture, and their desire to contribute functional footwear that maximizes comfort while still keeping fashion in mind. Lakai's team of pro skaters includes both founders, Guy Mariano, Jesus Fernandez, JB Gillet, Danny Brady, and more, and their skate videos have only served to increase Lakai's visibility in the scene. With the 2013 release of a new cup sole technology, Lakai has further cemented its place as a streetwear brand of choice.
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BBD Staff Writer: Joseph Curtis
The last year of the BCS was the first for Baylor (11-2) and Central Florida (12-1), who each played in their first and only BCS bowl when they met in the Fiesta Bowl on New Year's Day. Despite a string on three consecutive offensive drives, UCF led Baylor, 28-20, at halftime behind two rushing touchdowns by running back Storm Johnson and two passing touchdowns from Blake Bortles to Rannell Hall. Johnson added another rushing touchdown, while Bortles added both a passing and rushing touchdown in the second half, leading UCF to a win, 52-42.
Johnson and Bortles have both declared for the 2014 NFL draft as juniors and are considered potential early-round selections. Baylor, on the other hand, had several draft prospects on its offense and a quality safety in senior Ahmad Dixon. Bortles could be picked by the Houston Texans—whom you can bet on to win the AFC South next year with the help of SportsBettingDime.com.


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Credentialed providers now have view-only access to the new Epic electronic medical record (EMR), prior to Epic Go-Live Sept. 21 at Bridgeport Hospital. This allows them to view the chart of a patient cared for at an Epic-connected facility, such as YNHH, Greenwich Hospital, NEMG offices and more than 50 independent community providers.
Full access to Epic requires completion of training. View only instructions are on the MD portal (md.ynhh.org). For more information, contact Michael Werdmann, MD, Senior Medical Director, IT (203-384-3303).


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Mayhem Cruise Canceled, Job for a Cowboy Release Video + More News
The first-ever Mayhem Festival Cruise won't be setting sail after all. It has been canceled. It was set for Dec. 7 through Dec. 10, leaving port in Miami and with plans to move full speed ahead to the Bahamas before returning


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Grover Norquist
Joshua Roberts/Reuters
News about Grover Norquist, including commentary and archival articles published in The New York Times.
Chronology of Coverage
Nov. 27, 2012
Frank Bruni Op-Ed column welcomes what seems to be Republican repudiation of Grover Norquist's anti-tax pledge. MORE
Nov. 20, 2012
Some Congressional Republicans appear to be backing away from pledge created by conservative lobbyist Grover Norquist to never vote for tax increases; shift comes in face of ballooning federal debt and negotiations with Democrats over upcoming fiscal cliff; Norquist contends that while current times may test strength of pledge, Republicans will uphold it if pressed. MORE
Jul. 18, 2012
Senate Democrats are proposing a plan that would circumvent a Republican pledge not to vote for any tax increase whatsoever; virtually every Republican in Congress has taken the pledge, pushed by Grover Norquist's Americans for Tax Reform, and it is seen by members of both parties as a serious impediment to any compromise; the Democrats' plan, which entails allowing the Bush-era tax cuts to expire, only to vote on a tax cut for the middle class thereafter, illustrates the lengths to which they will go to include new revenues in the budget. MORE
Jul. 16, 2012
Op-Ed article by Sen Tom Coburn rejects notion that Republican lawmakers are thralls to antitax lobbyist Grover G Norquist, contending that they have repeatedly rejected his strict interpretation of the no-new-taxes pledge; contends that Norquist's uncompromising views about taxation have caused him to become isolated, and that Democrats should stop using him as a political boogeyman MORE
Mar. 11, 2012
Editorial observes that Illinois Rep Timothy Johnson, who has been redistricted into a more Democratic region, has tried to deny that he signed Grover Norquist's antitax pledge; asserts that voters should be asking their representatives whether their oath of office matters more than their pledge to Grover Norquist. MORE
Nov. 14, 2011
Editorial welcomes declaration by Republican Rep Steve LaTourette of Ohio against pledge never to increase taxes wrested from many members of Congress by Grover Norquist and his Americans for Tax Reform; says it is good to see former pledge takers realize that their allegiance is to their constituents, not Norquist, who enjoys too much access to and influence over the Republican leadership. MORE
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Louisiana Lawmakers Hold Their Noses as They Balance the Budget
A funding solution to the state's worst budget shortfall in decades evoked bipartisan criticism, but was viewed as a necessity to get a budget past Gov. Bobby Jindal.
June 12, 2015, Friday
MORE ON GROVER G. NORQUIST AND: Louisiana , Jindal, Bobby , Budgets and Budgeting , Tax Credits, Deductions and Exemptions , Norquist, Grover G , Americans for Tax Reform , Presidential Election of 2016
Today in Politics
Representative Michael G. Grimm of New York insisted last week that he would not resign from his seat. On Monday night, he changed his mind.
December 30, 2014, Tuesday
MORE ON GROVER G. NORQUIST AND: Boehner, John A , de Blasio, Bill , Grimm, Michael G , Norquist, Grover G , Scalise, Steve , Hawaii , Louisiana , New York City , Republican Party , Elections, House of Representatives , United States Politics and Government
A Brief History of Pro-Immigrant Conservatism
Conservative thinkers, lawmakers, and commentators have often come forward in support of immigration reform.
July 11, 2014, Friday
MORE ON GROVER G. NORQUIST AND: Reagan, Ronald Wilson , Hannity, Sean , Norquist, Grover G , Bush, George , Bush, Jeb , Beck, Glenn , Customs and Border Protection (US) , Illegal Immigration , Conservatism (US Politics)
A Profile in Courage Prize for George Bush (the Other One)
The John F. Kennedy Library Foundation recognized George H.W. Bush for agreeing to a difficult tax increase.
March 28, 2014, Friday
MORE ON GROVER G. NORQUIST AND: Bush, George , Norquist, Grover G , Kennedy, John F, Library and Museum , Taxation
Grover Norquist for Conservative (Not Liberal) Prison Reform
He said liberals couldn't be trusted to fix the criminal justice system.
March 7, 2014, Friday
MORE ON GROVER G. NORQUIST AND: Norquist, Grover G , Perry, Rick , Kerik, Bernard B , Conservative Political Action Conference , Prisons and Prisoners
Estimate of Immigration Overhaul's Cost Gets Mixed Reviews on Right
A Heritage Foundation study predicted that a proposal now in the Senate would vastly increase the government deficit in coming decades.
May 6, 2013, Monday
MORE ON GROVER G. NORQUIST AND: Barbour, Haley , Norquist, Grover G , Rector, Robert , Heritage Foundation , Republican Party , Federal Budget (US) , Illegal Immigration
A Republican Left Turn?
Grover Norquist doesn't think so, but other party strategists want to try it — no matter how it makes evangelicals feel.
March 27, 2013, Wednesday
MORE ON GROVER G. NORQUIST AND: Haidt, Jonathan , Kohut, Andy , Norquist, Grover G , Portman, Rob , Priebus, Reince R , Republican National Committee , Republican Party , Conservatism (US Politics) , United States Politics and Government
Paper Tigers and Glass-jawed Bullies
Are the obstructionist N.R.A. and Americans for Tax Reform in retreat?
December 20, 2012, Thursday
MORE ON GROVER G. NORQUIST AND: Norquist, Grover G , Americans for Tax Reform , National Rifle Assn , Gun Control , Newtown, Conn, Shooting (2012) , Taxation
Obama and Boehner Diverge Sharply on Fiscal Plan
Hopes for a fiscal agreement faded on Wednesday as Speaker John A. Boehner moved for a House vote on a scaled-down plan to limit tax increases.
December 20, 2012, Thursday
MORE ON GROVER G. NORQUIST AND: Obama, Barack , Federal Budget (US) , House of Representatives , United States Politics and Government , Boehner, John A , Norquist, Grover G
The True Burden of Government
Conservatives believe there is a sharp line between taxes and spending, but some tax cuts are just a form of spending and some benefit cuts are the same as tax increases.
December 18, 2012, Tuesday
MORE ON GROVER G. NORQUIST AND: Coburn, Tom , Norquist, Grover G , Americans for Tax Reform , Republican Party , Economics (Theory and Philosophy) , Federal Taxes (US) , Taxation , United States Economy
Grover Norquist on the Budget Talks
Grover Norquist, who leads Americans for Tax Reform, is interviewed by Louise Story of The Times on the budget talks.
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Ana takes on world No.33 Ursula Radwanska of Poland in the second round of the Sony Open Tennis in Miami on Friday. It will be the third meeting between the pair.
Radwanska defeated Ana 3-6, 6-4, 6-2 in a lopsided match in Tokyo last year: Ana cruised through the opening set but then became passive in sets two and three, with the Pole capitalising.
Ana's victory came in the Fed Cup five years ago, when she won 6-3, 6-1 on an indoor carpet court.
Radwanska reached round two thanks to a 6-3, 6-1 victory over world No.67 Annika Beck on Wednesday.
Click here for live point-by-point scoring from Crandon Park.


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Hello Mike:
I got an offer from someone to buy an article. I have never done this transaction. Could you please give me some idea of what articles on faithwriters sell for, if you are privy to that information? I realize that the length would make a difference, but I am wondering if it goes by word count or just a flat rate. Also, if I sell it do I have to delete it from faithwriters, or how does this all work? Is there some procedure to follow, or is it totally up to what I work out with the purchaser?
Thanks for your time, John Clark


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English Language Institute
The English Language Institute (ELI) at Pace University offers students, visitors, and immigrants the opportunity to improve their English skills for academic study, career advancement, or personal enrichment through a variety of programs. ELI instructors are experienced, dedicated to their students, and have master's degrees. As an ELI student at Pace, you will have access to all University facilities, including libraries, computer labs, cafeterias, sports centers, medical and counseling services, and the International Students Office.
Two convenient locations provide you with a choice of settings. Our New York City campus, located in the heart of lower Manhattan near Chinatown, Little Italy, and Wall Street, gives students the opportunity to explore the city with ease. Our Westchester campus, located just 40 minutes from New York City, offers both a quiet suburban campus with a modern fitness center and swimming pool and easy access to New York City. On both campuses, you will have the chance to participate in many cultural and social activities organized by the ELI for additional real-life opportunities to use English skills actively. You can also explore the possibility of continuing your studies as an undergraduate or graduate student at Pace University.
Download the English Language Institute Brochure Watch our video!
Please be sure to contact us if you have any questions. We look forward to welcoming you to the Pace University English Language Institute and helping you achieve your academic, career, and personal goals.
Brian Hickey, Director
Lisa Kraft, Director of New York City Programs
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Thursday, May 22, 2014 — As the public prepares for Memorial Day weekend, the California Highway Patrol is reminding motorists to buckle up, drive the speed limit and designate a non-drinking driver. These friendly reminders are part of the upcoming CHP Maximum Enforcement Period that begins at 6:01 p.m. Friday, May 23 and continues through 11:59 p.m. Monday, May 26.
"We encourage the public to put measures in place ahead of time to help make their road trip safe and enjoyable," said CHP Commissioner Joe Farrow. "Leave early and allow for additional traffic delays, eliminate distractions behind the wheel, buckle up and always designate a sober driver."
Last year, the 40 people killed in collisions in California during Memorial Day weekend represented a 60 percent increase from the same period in 2012. Among those who died within CHP jurisdiction, 40 percent were not wearing a seat belt at the time of the collision.
The enforcement period coincides with the National Highway Traffic Safety Administration's ongoing "Click It or Ticket" campaign, which continues through June 1.
"Seat belts and child safety seats increase a person's chance of surviving a collision," added Farrow. "Protect yourself and those that you love every trip, every time and insist they buckle up."
Keeping the roadways free from impaired drivers is another key component to increasing travel safety this holiday weekend. During the 2013 Memorial Day enforcement period, the CHP made more than 1,200 arrests for driving under the influence.
The mission of the California Highway Patrol is to provide the highest level of safety, service and security to the people of California.


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Skin Lesion Removal
- Home
- Your Health
- Skin Lesion Removal
Skin Lesion Removal
|Melanoma Excision
|Copyright © Nucleus Medical Media, Inc.
Reasons for Procedure
- Lesion is precancerous or cancerous
- Lesion has created a chronic skin irritation
- Cosmetic preference
Possible Complications
- Bleeding
- Scarring
- Changes in skin color
- Infection
- Poor wound healing
- Nerve damage
- Recurrence of the lesion
- Smoking
- Immunosuppression
- Bleeding disorders
- Circulatory problems
What to Expect
Prior to Procedure
Description of the Procedure
- Removal with scalpel—The lesion is cut away with a surgical knife.
- Laser surgery—A high-energy beam destroys skin tissue.
- Electrosurgery—This is the use of an electrical current to selectively destroy skin tissue.
- Cryosurgery—A cold liquid or instrument is used to freeze and remove the lesion.
- Curettage—This is the scraping of the skin with a circular cutting loop instrument.
- Mohs micrographic surgery—This is used to examine suspected cancerous lesions. Small pieces of tissue are successively removed and then viewed microscopically for signs of cancer. The goal is to get all the cancer tissue and leave as much healthy tissue as possible.
How Long Will It Take?
Will It Hurt?
Post-procedure Care
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
- Pain that you cannot control with the medications you've been given
- New or worsening symptoms
American Academy of Dermatology http://www.aad.org
Skin Cancer Foundation http://www.skincancer.org
Canadian Cancer Society http://www.cancer.ca
Canadian Dermatology Association http://www.dermatology.ca
Diagnostic tests for skin disorders. The Merck Manual Professional Edition. Available at: http://www.merckmanuals.com/professional/dermatologic%5Fdisorders/approach%5Fto%5Fthe%5Fdermatologic%5Fpatient/diagnostic%5Ftests%5Ffor%5Fskin%5Fdisorders.html. Updated September 2013. Accessed September 29, 2014.
Melanoma. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated September 5, 2014. Accessed September 29, 2014.
Pickett H. Shave and punch biopsy for skin lesions. Am Fam Physician. 2011;84(9):995-1002.
6/3/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
Revision Information
- Reviewer: Michael Woods, MD
- Review Date: 08/2014 -
- Update Date: 09/30/2013 -


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En español l When Bill Clinton invited me to lunch in May, I knew better than to expect fried catfish or barbecued ribs. The former president is now a devoted vegan, meaning no meat, fish or dairy products, and he has pursued a healthier way of life for more than three years. While I figured our lunch menu might be bland, that would be a small price to pay for private time with a world leader who is anything but.
Subscribe to the AARP Health Newsletter
As it happens, the fit, trim and sharply attired Clinton, whom I've come to know well during more than two decades covering his career, is his usual gregarious, charismatic self. But a bland menu? Not even close.
As we enter a private room overlooking Manhattan's busy Rockefeller Center, I'm struck with a dazzling kaleidoscope of a dozen delicious dishes: including roasted cauliflower and cherry tomatoes, spiced and herbed quinoa with green onions, shredded red beets in vinaigrette, garlicky hummus with raw vegetable batons, Asian-inspired snow pea salad, an assortment of fresh roasted nuts, plates of sliced melon and strawberries, and rich, toothsome gigante beans tossed with onions in extra-virgin olive oil.
The luncheon banquet gives a whole new meaning to the dreaded cliché "Eat your vegetables." And this is exactly what Clinton, who is taking on America's obesity epidemic with the same passionate commitment he brought to the presidency, wants.
As I gawk, he smiles. "This looks pretty good, doesn't it?" Clinton asks. It looks better than good. We sit down and with great relish start passing plates back and forth. He favored the quinoa; I loved the roasted cauliflower and snow peas; and we both liked the beans.
The road to a healthier diet
At age 66, Bill Clinton still travels and works at a pace that completely exhausts staffers who are two or three decades younger. Yet, while coping with heart disease and the usual complaints of aging, he has managed to change his diet drastically, lose more than 30 pounds and keep the weight off. If he can do all that, then maybe there's hope for the rest of us baby boomers — and Americans of all ages — whose eating and exercise habits (and medical expenses) worry him a lot.
I first noticed a change in Clinton's eating habits when we were in Capetown, South Africa, back in July 2010. (I have been covering his extraordinary postpresidential career since 2005, interviewing him frequently and traveling with him across Africa, Europe and the Mideast, as well as the United States.) We were all preparing to dig into a tempting dinner sent up to the former president's suite from a very fine restaurant in the hotel. Sitting down next to him, I glanced at his plate and saw none of the steak, shrimp, fish or chicken on the buffet — just a tangle of green lo mein noodles and a pile of broccoli.
"Is that all you're eating?" I blurted.
"That's right," he replied. "I've stopped eating meat, cheese, milk, even fish. No dairy at all." He smiled and yanked on his waistband. "I've lost more than 20 pounds so far, aiming for about 30 before Chelsea's wedding. And I have so much more energy now! I feel great." (He achieved his ideal weight in time for his daughter's marriage to Marc Mezvinsky on July 31, 2010.)
Next page: Pass the quinoa. »


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Food and Family: Cruise Trends for 2013
Cruise trends as the 2013 season gets under way are shaping up to include a bigger focus on multi-generational groups, more specialty food offerings, and continued efforts to wow passengers with new onboard firsts like an aquapark, a glass walkway and a vertical garden.
Here are some details on what's new in cruising.
The New "It" Ships
CruiseCritic.com editor Carolyn Spencer Brown says two of the hottest new ships debuting in 2013 are the Norwegian Breakaway, which will be the largest ship ever to homeport year-round in New York City beginning in May, and Princess Cruises' Royal Princess, launching in June.
The Breakaway's exterior features the unmistakable pop art of Peter Max, with Lady Liberty's face and a city skyline anchoring the brightly colored design. Onboard the ship offers an open-air quarter-mile (.4-kilometer) boardwalk and an aquapark, including five multi-story water slides and a double freefall slide where the floor drops away. The ship will carry 4,028 guests and will sail weeklong cruises to Bermuda through Oct. 6.
The Royal Princess will carry 3,600 passengers and will feature a jogging track and the SeaWalk, a glass-bottom walkway extending 28 feet (8.5 meters) beyond the edge of the ship and 128 feet (39 meters) above the ocean. One part of the ship, The Sanctuary, is described as a "signature haven just for adults," with private cabanas and steward service for light fare and drinks. Its maiden voyage will begin in Southampton, England, and head for Spain and Portugal, followed by trips to the Mediterranean and Caribbean. It calls on Fort Lauderdale, Fla., in October.
"The important thing about these two ships is what they say about cruising, which used to be you were outside during the day and at night you got dressed up and had dinner and went to the theater," said Spencer Brown. "Both ships reflect the new trend of being outside all the time with outdoor restaurants, more on-deck seating and other reasons for you to be outside."
New Attractions and Activities
Today's cruise ships offer everything from skating rinks to planetariums to climbing walls, but the new attractions and activities just keep coming. Among the latest:
Specialty Food
Seems like every cruise line is upscaling and expanding food options. Disney Dream and Disney Fantasy in October began offering a $50 per person Champagne brunch at Remy, Disney Cruise Line's adult-only restaurant named for the character from the animated film "Ratatouille," with dishes created by the French Michelin-starred chef Arnaud Lallement.
The Norwegian Breakaway will have everything from a churrascaria (Brazilian-style steakhouse) to separate bars for Asian noodles, gelato and raw shellfish. On MSC's forthcoming Preziosa ship, there will be an Eataly Restaurant modeled on the Manhattan Italian gourmet food mall.
Celebrity chef Jacques Pepin has served as Oceania Cruises' executive culinary director for nine years, and this September, he'll be a guest on Oceania's Riviera ship, doing a cooking demonstration, Q&A, and meet-and-greets with guests at his namesake onboard restaurant, Jacques, and the ship's culinary center.
But there may be a downside to some of the new food offerings. Arnold Boris, editor-in-chief of Cruise Gourmet, said he has found that as specialty food options with extra fees increase, basics that used to be offered for free decrease. "It's all unbundled now," he said.
Spencer Brown agreed: "The quality of the main dining room has gone downhill while they've raised the prices to get into these alternative restaurants."
For example, she said Royal Caribbean now "charges for food in the dining room that used to come with your cruise. Surf and turf is $38 but surf and turf used to be part of the dinner. The dining room had been sacrosanct in terms of hands-off, no extra fees, except for liquor. On Celebrity cruises, you go to a French restaurant and you pay to get in, and they greet you with a glass of Champagne, then you look at the bill and see it's an extra $18."
The unbundling trend is seen in other areas as well, with mass market lines keeping fares low but charging extra for various onboard activities. Ironically the opposite is happening on luxury lines, where "they don't want to lower (ticket) prices because it doesn't look good, but they're throwing everything in for free. Luxury is the best value it's ever been," Spencer Brown said.
Next page for ship revitalization, multi-generational traveling and how social media and online booking are influencing the industry.


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Downton Abbey Keep Calm and Bring Tea Women's Junior Fit T-Shirt
$24.95$4.97(You save $19.98)80% off
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- Color: Red
- Fit: Slim Fit. We recommend ordering 1-2 sizes up.
- Gender: Women's
- Made In: Imported
- Made Of: 100% Cotton
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Nb: infants must be under the age of 2 and
children must be under the age of 12 at the time of
The Rauriserhof, owned and managed by Family Mayr, offers a relaxed and informal atmosphere. The hotel's rooms are comfortable and stylish and the hotel also boasts a wealth of facilities in their spa "Oasis", including a large indoor pool with beautiful views of the surroundings. The Rauriserhof's spacious bar/lounge area is a great place to relax of an evening.
82 bedrooms. All bedrooms with private shower or bath, WC, satellite TV and some with balcony. Rooms in the main hotel also have hairdryer, safe and internet connection.
Rauriserhof's annexe: Rooms are also available in the hotel's annexe (3 star and known locally as Haus Wieshof) which is located behind the main hotel. Meals are taken in the main hotel and guests staying in the annexe have use of all the hotel's leisure facilities. Prices are based on the 3 star annexe rooms. A supplement applies to 4 star rooms in the main building.
Iglu acts as a travel agent for disclosed principals/tour operators, further details
of which will be made available at the time of booking. Your holiday contract will
be bound by the tour operators terms and conditions.
Prices are shown for a basic room or unit, can be subject to change and are indicative
until time of booking. Please call on 020 8544 7114 for prices for other travel
and room options for this property.
Prices shown are per person per week based on maximum occupancy. Descriptions and
quality ratings are provided by the Tour Operator (or one of the Tour Operators
where similar holidays are offered by more than one supplier). We reserve the right
to make minor adjustments to the description or rating based on staff and customer
feedback. For payments by credit card, a 2.5% credit card charge (4% for AMEX) will
be added to your invoice. If you pay by a UK issued debit card, there is no charge.
All bookings are subject to a £5 per person Passenger Admin Fee charged by Iglu.com.


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I have a Millermatic 172, running Argon/co2 mix (75/25 I believe). I will be welding all 3/16 material on my next project (utility trailer). I currently have (.30) wire in the welder. For this project would I be better served to use (.35) wire. I have seen some charts and they seem to recommend this size wire for this thickness steel. Looking at the chart on the inside of the welder, it indicates that I drop to a 3 for voltage and 55 for wire speed (4/70) if I were to use the (.30) wire). Why the significant drop in voltage and would I be assured of better penetration if I increased it to 4? As an amateur, I am nervous about the strength of the welds. The steel I will be using is new with mill scale on it, which I will grind off.
Any suggestions would be greatly appreciated.
Results 1 to 5 of 5
Thread: Help with welding wire size
02-02-2008, 08:00 PM #1Junior Member
- Join Date
- Jan 2008
- Posts
- 3
Help with welding wire size
I would stick with the .030. thats my everything size wire in my MM185...BobBob Wright, Grandson of Tee Nee Boat Trailer Founder
Metal Master Fab Salem, Oh 44460
Birthplace of the Silver & Deming Drill
1999 MM185 w/185 Spoolgun,1986 Thunderbolt AC/DC
Spool Gun conversion. How To Do It. Below.
02-02-2008, 09:23 PM #3Junior Member
- Join Date
- Jan 2008
- Posts
- 13
Too many variables to be welding right out of the book. Travel speed, the deposition needed and the penetration for strength can not be right from the book. Best bet is to test with a small piece and then test the weld strength on your own. I would guess .030 for this light metal.
Harley 55
JC..........Don't be nervous as Ho in Church ?............... The gas mix is fine ........ actually I prefer 88 %- 12 % when I do short -arc ( little splatter and better sheilding ans peneration ) .............. a little weld does a long ways ............ notice I said a liitle weld goes a long ways............ short -arc produces a hard brittle weld but for anything under 1/4' ,,,,,,NP.........don't worry about the strengh........You Ok.........more then OK........... Kid Knows
I would practice on steel first. When you weld enough steel then You will feel confident enough to answer your questions. Soon enough you will not even use the door charts. I think 0.30 is an all around good size wire for your machine.
Just my thoughts, don't seem to be worth much these days.Tim Beeker,
T-N-J Industries
(my side bussiness)
Miller Synchrowave 350LX with tigrunner
Esab 450i with wire feeder
HH135 mig
Thermal Dynamics cutmaster 51 plasma cutter
Miller aircrafter 330 - sold
Marathon 315mm coldsaw
vertical and horizontal band saws
table saw
Dewalt cut off saw
Sand blast cabinet
lots of hand grinders
Harris torch
beer fridge


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I'm Chloe , I'm 13 and this is my second year going and cosplaying to San japan. Right now I want to do back rock shooter and sherlock shellingford cosplay but it may change since I change my mind on cosplay when I find one I like or can pull off better. But for sure I'm going as hatsune miku I just haven't decided what outfit to choose ^^'
Cosplays for SJ 5
Homestuck - Roxy Lalonde
The name is Leah but call me Riia! ^-^
This will be my second year!
My cosplays will be Yuna from final fantasy and Ai Enma from Hell girl!
http://www.facebook.com/profile.php?id=100000753446339 <--- My facebook
Lol, Hey - the names DeAnna but, please, call me Zaya (Please don't try and find a connection - there isn't xD)
This'll be my. . Uh *counts* erm. . 4th San Japan trip ;P (Missed 4TW T.T)
I'm gonna be cosplaying as Lightning this year ^^ (Pulling out all the stops now that I have Moneh! *evil laugh*), but I did Homunculus Edward one year - Anko another, and Nanao Ise the last time lol
I don't have many cosplay pics of me, but here's my facebook :P
See ya'll there! <3
Name's Amber. My friends call me Amberlamps but that's a mouthful so Amber will do just fine. This will be my third time at San Japan and my third year of cosplaying.
I'll be going as Altair, a S.T.A.R.S. member/The Anger (from Brink), and a Mandalorian (from Star Wars). I've got a few pics on my profile of myself and my cosplays so if you're interested feel free to look there.
hi my name is bethany dunn but just call me beth (its easier), im 14 and this will be my first trip to san japan (im so excited!). for my first cosplay ever i will be hungary from hetalia!
Hiya! My names Maria, but please call me Sebby or even Fox. Hmm Lets see this will be my *holds up a three* third time going to SJ. But only my 2nd time cosplaying~! This year i will be (Drumroll please!) Son Goku (Saiyuki), Ciel (Black Butler), Dark Magician Girl (Yugioh) and Ken (Digimon Adventures 02). If you see me feel free to say Hi~!
"If you think of me as a women, I am a raging demon.
If you think of me as a man, I am a female angel."
hi I'm Sadie I'm in high school and I'll be cosplaying Feferi from Homestuck most likely, and then Vriska and Princess Bubblegum as well possibly, I'm still a bit undecided! this'll only be my second year but I'm glad it's going to be at a convention center this time!!
http://i1212.photobucket.com/albums/...e/ba9a8772.jpg (that's me looking all dumb and spacey)
pm me if you want my facebook or wanna chat
My name is Neoshi. You can call me Neo if you want. This is my 3rd time going to SJ. I'm not sure who I'm going to cosplay this time. If you wanna chat, just pm me and I'll give you my Facebook. I have like NO friends who are into anime. =/
Photo on 3-11-12 at 9.16 PM #2.jpg
Cosplay I've done:
Shihōin Yoruichi (Bleach)
Haruhi Suzumiya (The Melancholy of Haruhi Suzumiya)
Kirche Augusta Frederica von Anhalt Zerbst (The Familiar of Zero)
Girl Ranma (Ranma 1/2)
Hey everyone!
My name is Alan Delgado and this will be my first time at SJ.
Cosplaying as either an ANBU ninja, ANBU captain or lovable Tobi with those mines full of candy lol (pre-madara) from Naruto Shippuden!
I'm Kitty!
I am known as Akiyhrah, or Aki for short.
<--- This is me
I will be cosplaying as Rarity from My Little Pony, Foxface (both Arena and Interview versions) from The Hunger Games, and Rikku from Final Fantasy X-2 :3
If you see me, please come say hi! I will probably be with the lovely miss Kieran Strange most of the weekend, but we are both really friendly people and we love to make new friends!
Check me out on Twitter!!
San Japan 2012 cosplays:
Friday: Rarity - My Little Pony: Friendship is Magic
Saturday: Rikku - Final Fantasy X-2
Sunday: Gothic Steampunk
I've been to San Japan 3 years always by myself sadly.lol I'm going to cosplay this year as Ciel in his black outfit from the manga cover 5 I believe hope to meet some of you my badge will say Sarina
I love meeting new people don't be afraid to say hi ^-^
This is me
name is ChrisIll be going as my self on friday then Kid on saturday :] feel free to convers with me or be random xDuntitled.png
Last edited by Hazama; 04-20-2012 at 10:37 AM.
Hello, the name is Emily. ^_^
I'll be going as Saeko from Highschool of the Dead on Friday I believe, Ringo (Sleeping Forest version) from Air Gear on Saturday, and on Sunday i'm not quite sure who yet, may just be Ringo again if I don't have the money. It is to be decided, lol. :P
also dos anyone know a good vid tutorial to styling hair? need to know how to style Kid's hair >~<
I'm goin~
I'll be Gijinka Entei, Korra, and probably something along the lines of a monster hunter outfit.
You won't be able to miss me because I run the free photobooth lololol
Hi! Im Alexandra! I got my pass the month it came out and I will be a fanmade vocaloid i made up! If i have any more money i might get a wig and cosplay as something else
SJ6 cosplays:
DoubleD (Ed Edd n Eddy)
Sasuke (Konoha High ver.)
My name is Justine and I might go as a casual England(Hetalia) and/or Len(Vocaloid), depending if I have money. This will be my first year at a convention, so I'm glad it'll be San Japan. ^^


text:
Did you attend Teachmeet iPad last week? If not, read my summary of the wonderful things that you missed!
Via John Evans
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Sally Tilley's curator insight, October 9, 2014 5:43 PM
Love a bit of organisational brilliance! Thanks for sharing @joevans
Joyce Valenza's curator insight, May 28, 2014 10:48 PM
Thanks, Silvia and Mark for sharing what thoughtful curation could look like in the classroom!
John Rudkin's curator insight, March 21, 2014 10:18 AM
.....or contact me. See http://www.Lancashire-regional.tv
Bridget Bengtson's curator insight, March 21, 2014 11:05 AM
This is a fantastic tool for engaging anyone with picture or video for behavioral feedback, or for social stories and language development. Very easy to operate and free. Social stories for kids are a snap.
Alfredo Corell's curator insight, March 23, 2014 12:16 PM
This is a guest post from Greg Kulowiec of EdTechTeacher.org, an advertiser on Free Technology for Teachers.
Anu Ojaranta's curator insight, September 4, 2013 4:39 AM
How to use instagram in school AND in libraries...
Kimberly A. Hurd's curator insight, May 22, 2013 2:51 PM
Investigating the gap in learning between elementary schools and middle-high schools concerning apps.
Alan Ovens's comment, May 29, 2014 8:35 PM
Bloom wrote his stuff in 1956. This is just a pretty picture of some old ideas. It doesn't even capture all the dimensions Bloom was talking about. It seems to me this is just a way of using technology to push old ideas about what learning and knowing is.
John Evans's comment, May 29, 2014 9:34 PM
Alan check the far left edge of the image. It does address the Revised Bloom's Taxonomy as outlined by Krathwohl http://www.unco.edu/cetl/sir/stating_outcome/documents/Krathwohl.pdf
Alan Ovens's comment, May 30, 2014 4:58 AM
Hi John. I appreciate the link and have looked at the articles. The point remains that the revision still represents an old way of thinking about learning and only concentrates on the cognitive domain. The first article does not appear to explain why the revision only deals with vol one of Blooms Taxonomy. What about the affective and psychomotor domains? I am curious why people keep pushing the overly cognitivist notion of this taxonomy when iPads (and more modern learning theories) give us a way of thinking about learning in enactivist and embodied ways. I think it is generally accepted that the cognitivist view of learning is fairly outdated. Mobile technologies and digital learning should be informed by more contemporary theory. I would be interested go hear your thoughts and anyone's else who wants to respond.
Joyce Valenza's curator insight, May 28, 2014 10:48 PM
Thanks, Silvia and Mark for sharing what thoughtful curation could look like in the classroom!
Emily Kate Hardy's curator insight, February 27, 2014 11:35 PM
Inquiry Learning isn't something I do that often.
Martin Debattista's curator insight, February 28, 2014 2:30 AM
Many of these app are also available for Android - Dropbox, Evernote, Skype, all Google apps obviously etc.
Mick Huiet's curator insight, March 15, 2014 2:06 AM
This is a very logical organization of apps. It would be interesting to compares other schools or districts app usage in this manner.
Christopher Bezsylko's curator insight, June 27, 2014 11:00 AM
leaders create sustainable change by putting the right tools in front of our teachers/students AND building a culture of innovation
Raquel Oliveira's curator insight, July 2, 2014 7:34 PM
um big quadro de aplicativos utilizados para apoiar aprendizagem no seculo XXI...


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Hike in spectacular valleys and behold glorious temples
Browse Trips ►
Few have seen it—France gets more visitors every 90 minutes than Bhutan does in a year—but within this tiny kingdom exists more natural beauty and cultural treasure than just about anywhere else. Led by one of the only Westerners to have lived there, our Bhutan team has more than 20 years of experience, granting unparalleled access to the best temples, treks and artisans. We're confident you'll come home with as much passion for this heart- and mind-expanding Himalayan kingdom as we have.
Phone: 415-922-0448Toll Free: 888-570-7108
Office Hours:Monday through Friday,8 a.m. to 5 p.m., Pacific time
© 2015 Geographic Expeditions Inc.All rights reserved. CST #1006401-10


text: If you've never visited one of our 3 locations - Kenny & Zuke's Delicatessen, Deli Bar or Bagelworks - you're missing out on some of the finest artisan-made Deli fare that this country, and tradition, has to offer. Browse through the menus and photos on this site and - we hope - you'll be tempted to visit us. We think you'll find the journey rewarding!


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Games & PuzzlesPlay like a champion or puzzle like a pro. Put the many pieces of a puzzle together by yourself or with friends & family. Whatever your gaming preference, explore our choices to make parties & rainy days an enjoyable time!
Staying indoors doesn�t have to be boring - make it exciting with friendly competition or teamwork with puzzles. For your selection of games & puzzles for all ages, shop with us online at Boscov's Department Store!


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At Marinello Schools of Beauty in Topeka, we offer the following training programs and specialty workshop. Students are encouraged to choose a program that suits their personal and career aspirations.
- Cosmetology: Students enrolled in this program receive practical training and technical instruction in haircutting, hairstyling, hair coloring, texturizing, skin care, makeup, nail care, salon management and state board training.
- Esthetics (Skin Care): This program provides practical training and technical instruction in various aspects of esthetics including skin analysis, facials, hair removal, exfoliation, make-up, salon management and state board training.
- Manicuring: The manicuring course trains students in the anatomy, physiology and pathology of nails and skin; nail beauty techniques; and professional nail products and their uses.
- Specialty Workshops (Makeup Artistry): The workshop includes training in makeup artistry under the expert guidance of some of Marinello's leading specialists.


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State courting a higher opinion
The delay everyone was expecting finally came last week when Republican lawmakers in the General Assembly said they will not take up a proposed constitutional ban on same-sex marriage until 2014. Senate President Pro Tem David Long, R-Fort Wayne, and House Speaker Brian Bosma, R-Indianapolis, both said they wanted to see how the U.S. Supreme Court would rule on the issue this summer when it considers the legality of Californian's similar constitutional amendment and the federal Defense of Marriage act that denies benefits to same-sex couples.
Most of the stories about the delay threw in a similar line about the reasoning – "wait to see how the Supreme Court will rule" – without speculating on what that ruling might be. Such analysis might be helpful since the court will affect our own efforts so much.
The pope who kept his word
Hey, what's the deal here? Popes don't resign! At least, they almost never do. Only four have quit in the last 1,000 years, the most recent more than 600 years ago in 1415. That was before America was discovered. It was before Gutenberg invented his printing press.
So unlikely was the possibility that hardly anybody even believed Pope Benedict XVI at the beginning of his service when he said he would step down if his age or health ever prevented him from carrying out his duties. So when he actually did announce on Monday that he was stepping down on Feb. 28 due to health issues from old age, it was almost stunning.
It's a sad commentary on the modern age when someone can shock us by merely keeping his word, isn't it? Other popes have hung on to the bitter end despite being more and more incapacitate.
State can't win on Obamacare
If you want to be an informed voter on health care so you can decide whether Indiana should expand its Medicaid program for the Patient Protection and Affordable Care Act as the federal government has been demanding, well, good luck with that.
A study by the actuarial firm Milliman Inc., produced at the request of then-Gov. Mitch Daniels, estimated that Medicaid expansion would cost the state an average of $140 million per year from 2014 to 2020. Heavens, we can't afford that.
But hold on there. On Monday, the Indiana Hospital Association released a study saying the expansion would add $3.4 billion to the economy per year and support 30,000 jobs. How in the world can we pass on such a deal?
The truth, as is usually the case, is somewhere between those two extremes.
No booze on Sunday for us
Guess we're not going to be buying any bottles of booze on Sundays anytime soon. The Sunday carry-out proposal got further than ever this year – a committee actually heard testimony on it – but in the end the influential package liquor store lobby prevailed again. House Public Policy Chairman Bill Davis, in announcing he was pulling the bill, said he had been against Sunday sales and had heard nothing new to change his mind.
The only winner is the package store lobby. Their members won't have to stay open on Sundays to compete with grocery stores, increasing their overhead and labor costs. Drinkers will lose because choices they should have won't be there. Retail outlets in border areas will lose business to neighboring states all have some form of Sunday package sales. Actually, so does every other state.
FWCS is not spending wisely
When Fort Wayne Community Schools board members sought the $119 million for school projects approved in a referendum last year, they promised they would be good stewards of that money. This week, we learned what an empty promise that was.
A FWCS committee had a choice to pay higher wages or lower wages for $24.7 million in construction projects, and its members chose higher by a 3-2 vote. Voting the other way could have cut from $3.6 million to $7.2 million from the cost, according to one estimate.
At issue is Indiana's "common wage" law. The Indiana Court of Appeals has defined "common" for this purpose as "that which is customary, takes place daily, is widely used or is generally known." The definition in FWCS, however, seems to be a little more specific: Always pay union wages.


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Premium fabric and durable construction make these plush critters extra tough. Polyfil-stuffed plush toys have double-stitched seams for extra energetic playtime action. Eyes are embroidered right into the fabric, which means no pieces to chew off! Large Toughy Wuffies spark the interest of the most laid-back dog with grunter, 4 squeakers, and inner crinkle. They're also super strong because they only have one seam in the upper part of the toy, adding extra strength and creating a durable pull/tug area. Toughy Wuffies Mini features a tummy squeaker and is ideal for smaller dogs to cuddle and carry. Machine washable stuffed toys are absolutely adorable. Please specify Lion or Alligator.Shop more Dog Toys.
Please specify Lion or Alligator.
Please click on "More Information" for cleaning instructions, playtime recommendations and why some dogs like plush toys.


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On the surface, last Friday's announcement by Michigan Governor Rick Snyder that Detroit's financial situation was so grievous that a special emergency financial manager (EFM) would have to be appointed to take over from the city council appeared to be the end of the line for a once great city.
A city that was once the fifth largest and wealthiest in the country, Detroit appears to have hit bottom. It has lost nearly 60 percent of its population since its peak in 1950, its tax revenues have declined by $100 million in just the last decade, and one-third of Detroiters now live in poverty. So cataclysmic has been the decline that the governor is having trouble finding someone willing to take on the job of Detroit's EFM.
Mara MacDonald, a local TV reporter who is close to the epicenter of the Detroit disaster, wrote: "There is no possible way for Detroit to fix its long-term liabilities and short term cash burn without the assistance of an emergency financial manager and possibly a bankruptcy judge."
The numbers are indeed appalling. According to Snyder, Detroit has a $327-million budget deficit and more than $14 billion in long-term debt. And this is somehow to be serviced by a population of just 700,000 people, many of whom don't pay taxes, or refuse to. There are 77 blocks in the city where just one taxpayer pays his real estate taxes. The photographs of decrepit residences are commonplace. Just type "Detroit Disaster" into YouTube. Even banks are walking away from their own REOs.
The city set another record: It just reported its highest homicide rate in 20 years. More people were killed in Detroit during a period of time when the city's population was declining and gun crimes nationally were also declining. David Martin, director of the Urban Safety Program at Detroit's Wayne State University, noted, "At least two-thirds of the homicides in Detroit are related to drug sales, disputes between people selling drugs or disputes between people owing people money about drugs.
Detroit has another sad record: In 2012 it had the highest rate of violent crime of any city over 200,000 population in the country, according to the FBI.
Click here to read the entire article.
Photo of downtown Detroit skylin


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Since 1947
The Sensi-Dent denture reliner kit is easy, do-it-yourself denture relining. The denture reliner kit contains everything denture wearers need to put a new soft liner on their dentures—the same materials used by dental professionals, but at a fraction of the cost. You get simple, clear instructions, plus a relining that lasts 6-12 months. Denture relining kit contains cushion and adhesive. No express shipping.
(based on 12 reviews)
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Reviewed by 12 customers
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(1 of 1 customers found this review helpful)
By Full Timer
from Woodland Park, Co
Comments about Sensi-Dent Denture Reliner Kit:
Received two denture reliner kits which were incomplete. The powder form was in a glass container same as liquid. Unable to mix withoutproviding a cup. Not as advertised.
Bottom LineNo, I would not recommend this to a friend
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(4 of 4 customers found this review helpful)
Denture Relining
By Gibson Girl
from USA
I think this product is fantastic! My dentist charges $1,000 for relining my dentures for the same length of time.
Bottom LineYes, I would recommend this to a friend
(2 of 2 customers found this review helpful)
Finally a liner I like!
By Grandma M
from Monticello, Fl
About Me Have partial plate
I made this with a thicker consistency then directed. Almost playdough consistency but softer. Very easy to use, no harsh feel or smell, soft like rubber when firm. Very happy with the results. It fits my mouth tight.
(8 of 8 customers found this review helpful)
lasts a long time
By long time denture wearer
from up north
About Me Old guy
i was skeptical about product but couldn't afford the dentist visit. i tried product last fall, and it is still holding. i believe it when they say it lasts up to a year. i am VERY happy with product, and am ready to buy again.
reliner kit
By none
from puxico mo. 63960
About Me Frequent User
i wanted to relimne the lower denture only to replace the prior lining. there was only about 50% of what was needed. the whole purchase was a loss.
(0 of 1 customers found this review helpful)
denture kit
from Griffin, Ga
Great product
i would buy again and again
By jan
from lake villa, il.
this makes my bottom dentures stay in all with no problem
(3 of 4 customers found this review helpful)
Wonderful money-saver
By gloribug
from Jerome,ID
About Me Denture Wearer
It saved me about $500 that I did not have to spend to get bottom denture relined. It is great stuff.
So far so good
By cheris
from Ft.Myers.Fl.
This product was easy to use.Directions were easy to understand.Products says it lasts 6 months,not sure if that is true or not I've only had reline for about a month.
A good product kinda exspensive
By Littlerip
from Idabel OK.
About Me Casual User
All in all a good product


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Practice Philosophy
To deliver the most innovative and technically advanced plastic surgery procedures to you with a personal touch!
Cosmetic Surgery
Plastic Surgery
Hand Surgery
Reconstructive Surgery
Microvascular Surgery
Dr. Jejurikar strives to make every part of a patient's journey - the initial consultation, the operative event, and the post-operative recovery - a pleasant and rewarding experience. He performs the entire spectrum of plastic surgery, including cosmetic surgery, reconstructive surgery, hand surgery, burn surgery, and microsurgery. He also offers complimentary consultations to all patients interested in cosmetic procedures, so that they can get to know him and learn about the possibilities available to them in a relaxed setting. Dr. Jejurikar's goal is to provide outstanding care to each patient with a personal and compassionate touch
All surgery is performed in an accredited outpatient ambulatory surgery facility or in a hospital.
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Suite 106
3800 Highland Avenue
Downers Grove, IL 60515
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Monday, Wednesday, Thursday, and Friday 9:00am - 5:00pm
Tuesday 10:00am - 7:00pm
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1585 N. Barrington Road
Suite 601
Hoffman Estates, IL 60194
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