text:
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The gap between research and practice is well documented. We address one of the
underlying reasons for this gap: the assumption that effectiveness research naturally
and logically follows from successful efficacy research. These 2 research traditions
have evolved different methods and values; consequently, there are inherent differ-
ences between the characteristics of a successful efficacy intervention versus those of
an effectiveness one. Moderating factors that limit robustness across settings, popu-
lations, and intervention staff need to be addressed in efficacy studies, as well as in
effectiveness trials. Greater attention needs to be paid to documenting intervention
reach, adoption, implementation, and maintenance. Recommendations are offered to
help close the gap between efficacy and effectiveness research and to guide evaluation
and possible adoption of new programs. (Am J Public Health. 2003;93:1261–1267)
Why Don't We See More Translation
of Health Promotion Research to Practice?
Rethinking the Efficacy-to-Effectiveness Transition
| Russell E. Glasgow, PhD, Edward Lichtenstein, PhD, and Alfred C. Marcus, PhD
is increasing consensus on evidence-based
diabetes management practices to prevent
complications and on the importance and cost-
effectiveness of these practices.10However,
these recommendations—and especially those
related to lifestyle counseling and behavioral
issues—are poorly implemented in practice.1 1–1 4
This gap between research and practice is
the result of several interacting factors, includ-
ing limited time and resources of practition-
ers, insufficient training,15lack of feedback
and incentives for use of evidence-based
practices, and inadequate infrastructure and
systems organization to support translation.8,16
In this article, we focus on another reason for
the slow and incomplete translation of re-
search findings into practice: the logic and as-
sumptions behind the design of efficacy and
effectiveness research trials.
Many of the methods used in current pre-
vention science are based on 2 influential pa-
pers published in the 1980s: Greenwald and
Cullen's1 7description of the phases of cancer
control research and Flay's analysis of efficacy
and effectiveness research.18Both papers ar-
gued for a logical progression of research de-
signs through which promising intervention
ideas should proceed. These papers had many
positive effects in helping to establish preven-
tion research and enhancing acceptability
among other disciplines. However, they may
also have had an important and inadvertent
negative consequence that derives from the
assumption that the best candidates for effec-
tiveness studies—and later dissemination—are
interventions that prove successful in certain
types of efficacy research. We argue that this
assumption, or at least the way in which it has
been operationalized over the past 15 years,
has often led to interventions that have low
probability of success in real-world settings.
To understand this point, it is necessary first
to briefly review the seminal papers by Flay18
and Greenwald and Cullen.1 7Efficacy trials are
defined by Flay as a test of whether a "pro-
gram does more good than harm when deliv-
ered under optimum conditions."18(p451)Effi-
cacy trials are characterized by strong control
in that a standardized program is delivered in
a uniform fashion to a specific, often narrowly
defined, homogeneous target audience. Owing
to the strict standardization of efficacy trials,
any positive (or negative) effect can be directly
attributed to the intervention being studied.
Effectiveness trials are defined as a test of
whether a "program does more good than
harm when delivered under real-world condi-
tions."18(p451)They typically standardize avail-
ability and access among a defined popula-
tion while allowing implementation and levels
of participation to vary on the basis of real-
world conditions. The primary goal of an ef-
fectiveness trial is to determine whether an
intervention works among a broadly defined
population. Effectiveness trials that result in
no change may be the result of a lack of
proper implementation or weak acceptance or
adherence by participants.18,19
Greenwald and Cullen1 7proposed 5 phases
of intervention research presumed to unfold in
Despite a growing literature documenting pre-
vention and health promotion interventions
that have proven successful in well-controlled
research, few of these interventions are consis-
tently implemented in applied settings. This is
true across preventive counseling services for
numerous target behaviors, including tobacco
use, dietary change, physical activity, and
behavioral health issues (e.g., alcohol use, de-
pression). Several recent reviews and meta-
analyses have documented this gap,1,2and the
task forces on both clinical preventive services
and community preventive services have noted
that in several areas there is insufficient ap-
plied evidence available to make recommenda-
tions at present.3–5 Most of the Healthy People
2000 objectives6were not met, and the even
more ambitious goals in Healthy People 2010
are similarly unlikely to be met without signifi-
cant changes in the status quo.7,8 To meet these
challenges, we will need to have substantially
more demonstrations of how to effectively im-
plement recommendations in typical settings
and in locations serving minority, low-income,
and rural populations facing health disparities.
This situation is not unique to preventive in-
terventions, as strikingly documented in the re-
cent Institute of Medicine report Crossing the
Chasm,9which summarizes the similar state of
affairs regarding many medical and disease
management interventions. For example, there
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TABLE 1—Distinctive Characteristics of Efficacy and Effectiveness Intervention Studies,
Using RE-AIM26,27Dimensions for Program Evaluation
RE-AIM Issue Efficacy Studies Effectiveness Studies
ReachHomogeneous,highly motivated sample;
exclude those with complications,
other comorbid problems
Intensive,specialized interventions that
attempt to maximize effect size; very
standardized; randomized designs
Usually 1 setting to reduce variability; settings
with many resources and expert staff
Implemented by research staff closely
following specific protocol
Few or no issues; focus on individual level.
Broad,heterogeneous,representative sample;
often use a defined population
Efficacy or
Brief,feasible interventions not requiring great
expertise; adaptable to setting; randomized,
time series,or quasi-experimental designs
Appeal to and work in multiple settings; able
to be adapted to fit setting
Implemented by variety of different staff with
competing demands,using adapted protocol
Major issues; setting-level maintenance is as
important as individual-level maintenance
Maintenance and
a sequential fashion. This continuum begins
with Phase I research to formulate and develop
intervention hypotheses for future study. Phase
II studies develop methodologies that can be
used in future efficacy or effectiveness studies.
Phase III (efficacy) studies test intervention hy-
potheses, using methods that have been tested
in Phase II. Thus, Phase III studies are de-
signed to test interventions for efficacy, with an
emphasis on internal validity, the purpose of
which is to establish a causal link between the
intervention and outcomes. Given this empha-
sis on internal control, Greenwald and Cullen
note that Phase III studies can be conducted in
settings and with samples that will "optimize in-
terpretation of efficacy," including study sam-
ples that may be more homogeneous than the
ultimate target population, and settings that will
maximize management of and control over the
research process.
The main objective of Phase IV (effective-
ness) studies is to measure the impact of an in-
tervention when it is tested within a population
that is representative of the intended target au-
dience. Given that Phase IV studies should
yield results that are generalizable, there is also
the presumption that the context and setting
for delivering the intervention should likewise
be generalizable to the intended program
users. In Phase V studies, effective Phase IV in-
terventions are translated into large-scale dem-
onstration projects. The major concern is im-
plementation fidelity of an intervention that
will now be introduced within even broader
populations, including entire communities. This
final phase (dissemination research), where col-
laboration and coordination with various com-
munity partners is likely to receive even
greater attention, is intended to provide the
necessary data and experience to move inter-
ventions into public health service programs at
the national, regional, state, and local levels.
Greenwald and Cullen specifically advocated
that intervention research unfold in a system-
atic fashion, building on and extending the
body of science accumulated in previous
phases. By explicitly defining the difference be-
tween Phase III and Phase IV research as being
an emphasis on internal control versus repre-
sentativeness, both Flay and Greenwald and
Cullen assumed that successful Phase III trials
would lead naturally to Phase IV trials. Unfor-
tunately, this has not occurred.1,1 1,20Instead, we
currently find ourselves in a situation in which
we have many small-scale efficacy studies of
unknown generalizability and few successful ef-
fectiveness trials.21,22In particular, we know
very little about the representativeness of par-
ticipants, settings, or intervention agents partici-
pating in health promotion research.1,21
Although the National Cancer Institute no
longer emphasizes this linear "phases of re-
search" model,23,24the model was extremely
influential in guiding an entire generation of
research; many researchers, reviewers, and
editors still use this framework when design-
ing, funding, and evaluating research—and in
deciding what types of studies are needed to
advance a given area. Similar phase models
are influential in evaluating prevention effec-
tiveness25and in developing drug therapies.
In the remainder of this article, we discuss
how this well-intentioned and logical phase of
research paradigm may have fallen short of
its intended goal, and propose approaches to
remedy the present situation.
Our primary thesis is that this "trickle-
down" model of how to translate research
into practice—namely, that the optimal way to
develop disseminable interventions is to
progress from efficacy studies to effectiveness
trials to dissemination projects—is inherently
flawed, or at least incomplete. We posit that
given the respective cultures, values, and
methodological traditions that have devel-
oped within efficacy versus population-based
effectiveness research, it is highly unlikely
that interventions that are successful in effi-
cacy studies will do well in effectiveness stud-
ies, or in real-world applications.
Table 1 summarizes the key characteristics
of well-designed efficacy and effectiveness tri-
als, using the RE-AIM evaluation frame-
work.26,27This model for evaluating interven-
tions is intended to refocus priorities on
public health issues, and it gives balanced em-
phasis to internal and external validity (see
http://www.re-aim.org). RE-AIM is an acro-
nym for Reach, Efficacy or Effectiveness (de-
pending on the stage of research), Adoption,
Implementation, and Maintenance.
Reach refers to the participation rate among
those approached and the representativeness
of participants. Factors determining reach are
the size and characteristics of the potential au-
dience and the barriers to participation (e.g.,
cost, social and environmental context, neces-
sary referrals, transportation, and inconven-
ience). Efficacy or effectiveness pertains to the
impact of an intervention on specified out-
come criteria and includes measures of poten-
tial negative outcomes as well as intended re-
sults (as recommended by Flay,18but seldom
collected)28,29(D.A. Dzewaltowski et al., un-
published data, 2002). Adoption operates at
the setting level and concerns the percentage
and representativeness of organizations or set-
tings that will conduct a given program.
Rogers30has written extensively on adoption
and dissemination issues. Factors associated
with adoption include political and cultural fit,
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August 2003, Vol 93, No. 8 | American Journal of Public Health Glasgow et al. | Peer Reviewed | Public Health Matters | 1263
cost, level of resources and expertise required,
and how similar a proposed service is to cur-
rent practices of an organization. Implementa-
tion refers to intervention integrity, or the
quality and consistency of delivery. Finally,
maintenance operates at both the individual
and the setting or organizational level. At the
individual level, maintenance refers to how
well behavior changes hold up in the long
term. At the setting level, it refers to the ex-
tent to which a treatment or practice becomes
institutionalized in an organization.
Table 1 summarizes how the RE-AIM di-
mensions apply to the efficacy–effectiveness
distinction. Efficacy trials typically limit reach
by seeking motivated, homogeneous partici-
pants with minimal or no complications or co-
morbidities. The considerable degree of initial
screening for eligibility inherently limits the
reach of an efficacy trial. Adoption is often
treated as a nonissue for efficacy trials so long
as at least one or, in some trials, a few set-
tings are willing to participate. For effective-
ness trials, reach is usually higher because
participants are drawn from a broad and "de-
fined" population. Adoption is critical because
the settings need to commit their own re-
sources and expect the intervention to "fit"
with existing procedures.
Implementation in an efficacy trial is usually
accomplished by research staff following a
standardized protocol, whereas in an effective-
ness trial, regular staff with many competing
demands on their time must implement the in-
tervention. While such staff are also guided by
a protocol, adherence is likely to be more vari-
able.1Because they are implemented by re-
search staff, efficacy interventions are often
more complex and intensive than effectiveness
interventions. Maintenance is usually a nonis-
sue for efficacy trials at the setting level; it is
expected that the intervention will cease when
final assessments are completed and research
staff depart. Since effectiveness trials are in-
tended to represent typical setting conditions, it
is hoped that the intervention will be main-
tained, assuming there are positive results.
We conclude that the characteristics that
cause an intervention to be successful in effi-
cacy research (e.g., intensive, complex, highly
standardized) are fundamentally different
from, and often at odds with, programs that
succeed in population-based effectiveness set-
tings (e.g., having broad appeal, being adapt-
able for both participants and intervention
agents). If this is the case, then the "system" of
moving from research to usual service pro-
grams, to which we have subscribed, may be
broken and may need to be substantially
Why does this linear progression of re-
search, which is analogous to the steps used
successfully to evaluate and bring pharma-
ceuticals to market, seem to fail with behav-
ioral and health promotion research? One
contextual factor is that, before trials, phar-
maceutical companies invest considerable
time and money establishing that the drug af-
fects relevant biological mediators to a much
greater extent than behavioral researchers in-
vest in showing that their interventions affect
psychosocial mediators. Granted, industry
has vastly more resources. But we suggest
that key differences also reside in the nature
of the interventions.
Standard medical interventions (e.g., drugs
or surgery) are presumed to be robust, readily
transferable from setting to setting, and to
work approximately equally across broad cate-
gories of patients. Clinicians exercise discretion
about dosage and surgeons vary in experience,
but it is still presumed that the pill is the same
whoever administers it. Medicinal and surgical
protocols can be relatively precisely defined,
and adherence to them can be more easily
monitored relative to behavioral interventions.
Behavioral interventions are more difficult to
define and standardize in part because of the
inherent interactivity with client characteristics,
preferences, and behaviors. This is exacer-
bated when behavioral interventions are deliv-
ered by staff whose training and expertise fall
outside of behavioral science. In efficacy trials,
research staff usually bring expertise in behav-
ioral intervention and ensure that it is imple-
mented consistently. This level of quality con-
trol and standardization is typically absent
among regular health care staff implementing
interventions for effectiveness trials.
There are 2 underlying differences between
efficacy and effectiveness approaches that we
feel are responsible for the current state of af-
fairs. The first is that in an effort to enhance
internal validity and control extraneous fac-
tors, the tradition in efficacy studies has been
to simplify and narrow settings, conditions,
participants, and a variety of other factors.
There is nothing inherently wrong with this
methodological approach, and the tradition of
reductionism (e.g., understanding effects by
isolating them and removing or controlling
other factors) has contributed much to the ad-
vancement of science and theory.31The prob-
lem is that usually the longer-range intent is to
generalize beyond the narrow conditions of
the efficacy trial. In effectiveness trials, an in-
tervention must be robust across a variety of
different participants, settings, conditions, and
other less controlled factors. Equally impor-
tant, it must appeal to a broad "defined popu-
lation" or target audience.
A classic example of the typical differences
between a health care efficacy study and an ef-
fectiveness trial concerns subject selection. In a
tightly controlled efficacy trial, only highly mo-
tivated, homogenous self-selected volunteers
who do not have any complications or other
comorbid conditions are eligible (to control for
potential confounding factors). Then, following
success in such an efficacy study, we expect
the same intervention to appeal to and be ef-
fective in a much broader cross-section of par-
ticipants, many of whom have comorbid condi-
tions and may not volunteer for treatment.
The second key difference between effi-
cacy and effectiveness trials concerns how
settings and contextual factors are treated. In
efficacy studies, the usual approach is to con-
trol variance by restricting the setting to one
set of circumstances—for example, one partic-
ular clinic (which often includes intervention
experts). In contrast, a key characteristic of ef-
fectiveness trials is to produce robust effects
and to understand variation in outcomes
across heterogeneous settings and delivery
agents. Therefore, it should not be surprising
when the results of an intervention are effica-
cious under a highly specific set of circum-
stances but fail to replicate across a wide vari-
ety of settings, conditions, and intervention
agents in effectiveness research.
From the above discussion, it may seem
hopeless to expect congruence across findings
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from efficacy and effectiveness studies. Some
might go so far as to suggest, as one reviewer
of this manuscript did, that perhaps efficacy
studies should be abandoned altogether. We
are optimistic, however, that there are solu-
tions to the present disconnect. In brief, we
need to embrace and study the complexity of
the world, rather than attempting to ignore
or reduce it by studying only isolated (and
often unrepresentative) situations.32What is
needed is a "science of larger social units"33
that takes into account and analyzes the so-
cial context(s) in which experiments are con-
ducted. To advance our present state of sci-
ence, the question that we need to ask of
both efficacy and effectiveness studies is
"What are the characteristics of interventions
that can (a) reach large numbers of people,
especially those who can most benefit, (b) be
broadly adopted by different settings (work-
site, school, health, or community), (c) be con-
sistently implemented by different staff mem-
bers with moderate levels of training and
expertise, and (d) produce replicable and
long-lasting effects (and minimal negative im-
pacts) at a reasonable cost?"
This suggested focus has important implica-
tions. It implies that we need to consider not
only individual participants but also the set-
tings within which they reside and receive
treatment. This move to a multilevel ap-
proach is consistent with developments in
several fields, and methodologies for how to
handle such factors are available. There is not
only a rich conceptual history to the study of
generalization34and of representative or pur-
poseful sampling,35,36but also statistical meth-
ods for handling these contextual factors.37
This comes down to an issue of generaliza-
tion.38The prevailing view seems to be that
efficacy studies should focus only on internal
validity and theoretical process mechanisms,
and that issues of external validity should be
left until later effectiveness studies. In con-
trast, we argue that issues of moderating vari-
ables (external validity) need to be addressed
in both efficacy and effectiveness studies.
Brewer39conceptualizes such social context
factors as moderating variables that influence
the conclusions that can be drawn about the
efficacy of an intervention. Moderating vari-
ables (e.g., race/ethnicity, socioeconomic sta-
tus, type of setting or intervention agent) are
relatively stable factors that interact with the
intervention or change the effect of the pro-
gram. Researchers should consider elevating
hypotheses related to moderator variables to
primary aims.
It is difficult to change established practice
patterns, regardless of whether they be of cli-
nicians, researchers, or funding agencies. It
cannot reasonably be expected that many sci-
entists will quickly discontinue practices in
which they have been trained and become
comfortable. It is also more efficient, and
much more under one's control, to continue
to conduct efficacy studies without consider-
ing moderating variables or external validity
because "the purpose is to study interventions
under ideal conditions." However, as illus-
trated above, , this is only true if one does not
intend to generalize one's conclusions beyond
the very limited sample and conditions of a
given study,1,31which is hardly ever the case
in health promotion research.
There is an increasingly well-documented
disparity between the large amount of infor-
mation on efficacy and the very small amount
of information on effectiveness and represen-
tativeness.21,22,40To produce significant im-
provement in the current state of affairs,
changes will be necessary on the part of re-
searchers, funding organizations, journal re-
viewers, and grant review panels. We propose
4 specific changes—2 of which focus on re-
searchers, 1 on journal editors, and 1 on
funding organizations.
1. Researchers should pay increased attention to
moderating factors in both efficacy and effective-
ness research. Table 2 outlines how data col-
lection and information about moderating fac-
tors, such as participant characteristics (reach)
and setting characteristics (adoption), can be
incorporated into both efficacy and effective-
ness research in a manner appropriate to that
phase. Using the RE-AIM framework, we sug-
gest that researchers consider the types of set-
tings, intervention agents, and individuals that
they wish their program to be used by when
designing and evaluating interventions. Dur-
ing efficacy studies, purposeful or oversam-
pling strategies can be used to include both
specific end-user groups (e.g., minorities, less
educated) and settings of interest. A critical
concern for broader application—and an inte-
gral part of Flay's original description18—was
measurement of potential harmful outcomes.
This part of his definition has seldom been
addressed, but it needs to be.
Participatory research methods, including
developing one's intervention ideas collabora-
tively with members of the intended audi-
ence (individuals, intervention agents, and or-
ganization decisionmakers) should not be left
for later phases of research but built into effi-
cacy studies. More formal measures of adop-
tion and setting level maintenance may need
to wait until later effectiveness studies
(Table 2), but both qualitative and quantita-
tive "proxy measures" of these factors can
and should be addressed in efficacy studies.
Such information can lead to better tailoring
of interventions to organizational culture in
the same way that tailoring of intervention at
the individual level has led to increased suc-
cess.41,42A final recommendation for both ef-
ficacy and effectiveness studies is to include a
variety of intervention agents, to describe
their backgrounds and levels of experience/
expertise with regard to the target behavior,
and to report on potential differences in im-
plementation and outcomes associated with
these differences.43
As illustrated in Table 2, issues pertaining
to moderating factors—and eventual transla-
tion into practice—are best addressed during
the planning phases of research. RE-AIM, or
other evaluation models,13,16 can be used to
help plan and select samples, interventions,
settings, and agents in ways that make it more
likely that results will be replicated in later
2. Realize that public health impact involves
more than just efficacy. Our training and cur-
rent review criteria all emphasize producing
large effect sizes under tightly controlled con-
ditions. To make a real-world impact, several
other criteria are also necessary.
a. At the individual level, several research
groups have proposed that Impact=Reach
(R) × Efficacy (E).44–47It is not enough to
produce a highly efficacious intervention. To
have broad public health impact, an interven-
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TABLE 2—Ways to Address RE-AIM26,27Issues in Efficacy and Effectiveness Studies
Reach Efficacy or EffectivenessAdoption ImplementationMaintenance
Efficacy trials
(Phase III
Have specified inclusion
criteria or purposeful
selection,but participants
will be volunteers in a
specific research setting.
Report exclusions,
participation rates,
representativeness on
key characteristics.
Measure outcomes using
intent to treat
assumptions or
imputation of missing
values and a high level
of rigor.
Assess both positive
(anticipated) and
negative (unintended)
Report effects of moderator
Address as above,though
measures are usually
more limited.
Include economic
Have potential adoptees
assess fit of prototype
intervention to their
Include "proxy measures"of
adoption,such as
participation among
those staff members of
a system who will
participate in the study.
Collect data on likely
treatment demands.
Evaluate delivery of
intervention protocol
by different intervention
agents (usually research
Assess recidivism among
Engage potential community
settings in strategic
planning efforts from
the outset.
Document extent to which
research protocol is
retained by setting/agency
once the formal study is
Effectiveness trials
in defined
(Phase IV
Include all relevant members
of a defined population.
Report exclusions,
participation rates,
Assess willingness of
stakeholders from multiple
settings to adopt and
adapt the program.
Report on representativeness
of settings,participation
rate,and reasons for
Assess staff ability to
implement key
components of the
intervention in routine
Evaluate consistency of
intervention delivery
by agency staff who
are not part of
research team.
Assess continuation of
program over time,
and especially after
research phase
Systematically program
for and evaluate the
level of institutionalization
of the program elements
after formal study
assistance is terminated.
tion must also have high reach. To the Im-
pact=R × E formula, we would add a third
component: implementation (I). As discussed
by Basch et al.,19a program cannot be effec-
tive if it is not implemented. Thus, we pro-
pose that individual-level Impact=R × E × I.
b. An individual-level focus is, however, not
sufficient. An intervention also has to be ac-
ceptable to and adopted by a variety of inter-
vention settings, and to be implemented rela-
tively consistently by different intervention
agents. In other words, the parallel setting or
organizational-level impact formula should be
Organizational Impact (OI)=Adoption (A) ×
Implementation (I). Several authors have
discussed issues of nesting and setting fac-
tors37,48and how to adjust individual-level
effects for issues of nonindependence. How-
ever, to our knowledge, the A × I=OI for-
mula for estimating the impact of an interven-
tion across settings has not been discussed,
with the exception of an early related pro-
posal by Kolbe49that Impact=Effectiveness ×
Dissemination × Maintenance. It is important
to emphasize that in terms of overall public
health effect, adoption and implementation
are as important as reach and efficacy, and
that we need more emphasis on studies of or-
ganizational- and system-level factors.
3. Include external validity reporting criteria in
author guidelines. Within medicine, a widely
agreed upon set of criteria for reporting the
results of randomized clinical trials has been
developed. Known as the CONSORT crite-
ria,50these reporting standards have been
widely adopted by leading medical journals
and have helped to increase the quality of
published research. As helpful as the
CONSORT criteria are, they are almost exclu-
sively concerned with issues of internal valid-
ity. Only 1 out of 22 recommendations di-
rectly addresses external validity issues51; in
contrast to the other very specific and con-
crete criteria, it simply states "Generalizability
(external validity) of the trial findings" and
provides no guidance as to how this issue
should be reported.
We propose the following 7 additions to
the existing CONSORT criteria, which would
help greatly to increase awareness of and re-
porting on external validity. If such criteria
were widely adopted, it would greatly en-
hance the quality and information value not
only of individual studies but also of evi-
dence-based reviews and meta-analyses. The
current state of health promotion research is
so biased toward reporting on internal valid-
ity issues that it is difficult to draw any con-
clusions about generalization. In particular,
there has been a serious lack of attention to
issues of representativeness, especially at the
level of settings and intervention agents.21,28,52
This becomes even more problematic when
the evidence upon which meta-analyses and
practice recommendations are based consists
largely or solely of efficacy studies of un-
known generalizability.
The 7 items that we propose below
should apply to both efficacy and effective-
ness studies. They would not require a great
deal of additional journal space and are de-


text:
President Obama, fresh off a three-day weekend of golf and "climate change" scare-mongering in California, has once again turned his attention to the issue Americans care most about: Raising the minimum wage to $10.10.
Just kidding. Actually, Gallup did a poll just last week on what Americans feel is the country's biggest problem. The Top 10 list went like this:
• Unemployment and jobs
• The economy
• Dissatisfaction with government
• High cost of health care
• Federal debt
• Illegal aliens
• Family decline
• Poor education
• Lack of money
• Poverty
Shockingly, raising the minimum wage for the lowest-level jobs didn't make the Top 10. One reason, perhaps: You have to have a job before you start worrying about what you're getting paid.
Congress created the minimum wage in 1938 during FDR's "New Deal." The rate started at 25 cents (that equals $4.13 in 2014 dollars). Over the last 76 years, the rate has averaged about $6.75 an hour. It hit a high of $9.37 in today's dollars during LBJ's "Great Society" and a low in the post-World War II boom of 1948 ($3.87 today). Then again, the unemployment rate that year was half what it is today, 3.4 percent.

subset: commoncrawl


text:
America has shown its many faces over decades of television; the good, the bad, and the pretty scary. But through it all, those characters who remind us who we are as a nation and make us proud to be American have shown through. Here are our picks of the 50 TV characters whom, in many different ways, have earned our pride.
50 TV Characters Who Make You Proud to Be American
8 / 50
George Jefferson
THE JEFFERSONS, from left: Sherman Hemsley, Isabel Sanford, 1975-85.


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Select Local Merchants
Coastal FitnessRead MoreReach all your fitness goals at Coastal Fitness in Kittery. With a sizzling plate of terrific food, this gym boasts among the best eats this side of the city. Learn how to properly defend yourself with one of these kickboxing classes. Parking is plentiful, so patrons can feel free to bring their vehicles.384 US Route 1Kittery, ME US
JubilationRead MoreEquipment: Weights, mats, stability balls, suspended wood floor Students should bring: Cross training sneakers, water bottle (also available for sale) Average class length: 60 minutes Number of Staff: 5–10 people Class location: Indoors only Established: 2009 Registration required: No Good for beginners: Yes Guests allowed: Yes Parking: Parking lot Pro Tip: Get ready to have some fun. Honore Laflamme, owner of Jubilation, espouses a simple fitness philosophy: "As long as you are moving, sweating, and smiling, you are doing it right," she says. She describes her mission as making exercise fun. She couches hard work such as Zumba, yoga, and Pilates in an energetic atmosphere of low lighting and funky tunes that are akin to "being at a party with your friends." She leads every class in a space with a suspended wooden floor, which helps absorb impact to lessen the strain on joints and avoid bothering the mole people that live downstairs.2800 Lafayette RdPortsmouth, NH US
Large ArtRead MoreMake your dream spa experience a reality at Large Art Movement and Massage Therapy in Greenland, a day spa with luxury services. Have the professionals massage your troubles away while you're here. To keep the flow of customers steady and timely, this spa provides all services by appointment only. Whether you're a solo spa-goer or prefer to relax with friends, Large Art Movement and Massage Therapy's prices won't stand in the way of your plans. Major credit cards — including Visa, MasterCard, Discover, and American Express — are accepted. There are many ways to relax, and Large Art Movement and Massage Therapy provides all of them in one place so you can take care of business quickly and easily.192 Breakfast Hill RoadGreenland, NH US
3 Bridges YogaRead MoreJody and Bjorn Turnquist opened 3 Bridges Yoga with the philosophy that yoga should warmly embrace practitioners of all skill levels. As a result, they offer Vinyasa-style classes for beginners and advanced yogis. The Turnquists and other certified instructors teach postures and breathing techniques in a room heated to 75-80 degrees with lessons that focus on basic postures and alignments in addition to more intensified bending. With sun streaming through expansive windows and spilling out onto cork floors, their studio lends itself to a practice more peaceful than swimming through a pool of warm chamomile tea.185 High StreetPortsmouth, NH US
Portsmouth Athletic ClubRead MoreTurn over a new leaf working out at Portsmouth Athletic Club in Portsmouth. Check out this gym's restaurant, where you can stay for lunch or grab your meal to go. This gym welcomes kids, too, so you can feel good about bringing the whole family. Cross fit could be the solution to your fitness goals. Nothing more impressive than being strong and independent, which kickboxing can help you achieve. For additional help towards your fitness goals, you'd be wise to enroll in a few sessions with the fantastic personal trainers offered at this gym. Parking is plentiful, so guests can feel free to bring their vehicles.95 Brewery LanePortsmouth, NH US
Fitness SourceRead MoreWhen you're ready to switch up your regular weekend routine, head to Greenland's The Fitness Source. Building a support network is ideal for weight loss or achieving great fitness. Let the personal trainers give you guidance and support when you sign up for a session with them today. Test the cross fit challenge at this location to finally see the results you've been working towards. These kickboxing classes incorporate a combination of self-defense fundamentals and cardio, providing you with a challenging full-body workout. Parking is plentiful, so visitors can feel free to bring their vehicles.1 Bayside RoadGreenland, NH US


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We created Pandora to put the Music Genome Project directly in your hands
It's a new kind of radio –
stations that play only music you like
Firestorm (Karetus Remix)
Features of This Trackdanceable beats
a rhythmic intro
use of modal harmonies
the use of chordal patterning
synth swoops
light synth fx
extensive studio production
a highly synthetic sonority
a dry recording sound
trippy soundscapes
prevalent use of groove
These are just a few of the hundreds of attributes cataloged for this track by the Music Genome Project.show more
Similar Tracks
WTH is a subwoofer!?
Holy St!
(Fun fact: the is a turd :P)


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Greenphire Inc., is seeking a Senior Director of Business Development to secure and maintain business for Greenphire through professional, consultative, and proactive sales activities. The Senior Director of Business Development will establish relationships with senior decision8/2/2015 King of Prussia, PA Save This Job
Department: Product Development Reports to: Chief Technology Officer AgileSwitch, LLC is a power electronics company developing transformative technology that dramatically improves the performance and efficiency of drivers for IGBT switches used in a variety of applications8/2/2015 Philadelphia, PA Save This Job
Category: Domestic Minimum Experience: 4 years Required Education: Bachelors Degree Job Description We are the makers of Systems Tool Kit (STK) and are looking for creative minds to build user centric next generation enterprise products for AGI. As a front end software8/2/2015 Exton, PA Save This Job
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Requirements Follow existing processes to produce various opto-electronic components Operate semi-automated and manual equipment in the assembly of high-precision material placement and bonding Provide hands-on skills to help define fixtures and assembly processes Create8/1/2015 Horsham, PA Save This Job
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To support its continued exciting growth, Avo is seeking an individual that can fill the role of Mechanical Program Manager. This is a senior engineering position that reports directly to the CTO. Responsibilities Manage multiple photonic-based programs, provide system8/1/2015 Horsham, PA Save This Job
Responsibilities ? Create and/or follow assembly process documentation to produce various assemblies incorporating optical, mechanical and electrical components ? Operate semi-automated and manual equipment in the assembly of high-precision material placement and bonding ?8/1/2015 Horsham, PA Save This Job
Reports to: Director, Operations Role: The Project Manager is ultimately responsible for the successful implementation and completion of our recruitment campaigns and retention programs. As a Project Manager on our team, you would oversee and be accountable for all aspects of8/1/2015 Horsham, PA Save This Job
CityPhiladelphia StatePA Description The Revolution Foods Food Service Director's (FSD) role is to manage and ensure operational excellence at the schools that Revolution Foods serves. The FSD will provide account management to both our full service clients, through Area7/8/2015 Philadelphia, PA Save This Job


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Company Overview of Tire International Environmental Solutions Inc.
BOARD MEMBERS AFFILIATED WITH Martin J. Sergi *
Chief Financial Officer, Treasurer, Secretary and Director
*Data is at least as current as the most recent Definitive Proxy.
MOST CONNECTED PEOPLE TO Martin J. Sergi
|Dean Petkanas
|17 Relationships
|Andrew G. Acho
|5 Relationships
|Antonio Care
|5 Relationships
|James Rozier
|5 Relationships
|Serji N. Amirkhanian
|5 Relationships
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Herald: Death while in juvenile detention
Times: Florida makes final preparations for growing and dispensing medical marijuana
Sentinel: Keep most youthful suspects in juvenile not adult court: Editorial
Herald: Another chance to move Haiti forward
Sentinel: Gun deaths exponentially exceed terror toll: Their Take
Sentinel: Improved campus plan bolsters case for funding: Editorial
Sun-Sentinel: Hey, if you live near an airport. . .
Sun-Sentinel: College students don't need guns
Sun-Sentinel: Time to take a stand against domestic violence
Times: Editorial: Brighter focus on treating drug abuse, mental health issues
Today's Stories
Today: Rift widens between Rubio, Bush
Sun-Sentinel: South Florida Democrats pillory Republicans, defend Hillary Clinton
Times: Insiders say Atwater would fare well in Senate race
Sentinel: Florida leads U.S. for FAA drone approval in real estate
Post: Fla. dominates list of cities where you can make big bucks on rent
Sun-Sentinel: Venezuela's economy squeezes students in South Florida
Tribune: Tampa nonprofit can again perform hip, knee surgeries in Cuba
DBNJ: Bethune-Cookman University to honor Florida Gov. Rick Scott
Herald-Tribune: State GOP chief in boastful spirits
Daily News($): Minimum wage means maximum challenge
Times: Florida makes final prepartions for growing and dispensing marijuana
Post: All Aboard project the high-speed rail state always wanted
Tribune: Court program helps faltering vets reverse downward spiral
Tribune: Progress but no deal yet on Tampa's police review board
Post: PBC School district weighs free-speech limits for social media
Sentinel: Bear-wise rules in Wingfield Reserve aim to protect people, bears
Times: Winner-take-all Florida primary slows parade of presidential candidates
Times: PolitiFact Florida: Men named William do outnumber women in Florida elected offices
Times: Winner and loser of the week in Florida politics
Herald: Marco Rubio invites donors to Las Vegas for football-themed summit
Herald: Miami congressman agrees to pay another fine over misreported campaign contributions
Herald: Columba Bush pens Miami Herald op-ed on domestic violence
Post: Rep. Ted Deutch and the making of a Donald Trump hair joke
Herald Tribune: State GOP chief in boastful spirits
Post: HUD Sec. Julian Castro helps Palm Beach County Democrats raise $200,000
Times: Marco Rubio: More gun restrictions will not prevent shootings
Daily News: Oregon shooting strengthens guns on campus bill, Florida lawmakers say
SayfieReview: Backroom Briefing: GOP candidates ready for some sunshine
Herald-Tribune: Scott not backing off hospitals
Herald: Some Florida GOPers regret winner-take-all primary
Herald: Jeb Bush's latest inartful phrase: 'Stuff happens'
Herald: More than 500 Miami-Dade teachers apply for controversial bonus
Times: Bush's 'stuff happens' comment causes latest headache


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Video worth watching
Chuck Knows Church: Saul to Paul
How did Saul the Persecutor come to be known as Paul? Chuck tries to straighten out the confusion (or add to it). View
Daily Devotional
See today's food for thought from the Upper Room. More
Church Teachings
An open table: How United Methodists understand communion
The sacrament is such a common part of our worship that its uncommon richness can get lost. Learn more of what the church teaches about The Lord's Supper. Read More
It worked for us
Can church friends be a diet secret?
Keeping up a fitness routine can be rough, but some United Methodist churches offer ways to stay strong. Read More
Life Tip
Real happiness is more than putting on a face
What makes us happy? A United Methodist pastor and a professor agree that it is not about externals we receive or achieve, but an 'inside job.' Read More
Around the church
Trending Local: The Growing Role of Local Pastors
Local pastors — non-ordained, and in most cases without a seminary degree — are growing in number and taking on more roles in The United Methodist Church. Read More
Topic: Immigration
The Church and Immigration
Find resources along with historical context, information, and headlines related to the topic of Immigration. Read More
What is the United Methodist stance on assisted suicide?
Recently the governor of California made assisted suicide legal in that state. Learn what The United Methodist Church says on the topic. Read More
What is a Special Sunday?
Special Sundays
Learn more about the many ways you can participate in church-wide giving, and where the dollars go. Read More


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We have lots of customers using our hex nuts to make awesome jewelry! Remember you only order what you need. ... See MoreSee LessView on Facebook
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Scottish Island To Be First 100% Self-Sustaining Place On Earth
There is a beautiful island in the North-West of Scotland called Eigg and it's forward thinking residents are leading the way in building a completely self-sustainable way of living. So far over 90% of their energy is derived from renewable sources. The Island operates completely independently of th…
Greenboatstuff.com shared BellyBelly - Pregnancy, Birth & Parenting's photo. ... See MoreSee Less
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Tag Archives: green sunscreen
Chemicals To Avoid In Sunscreens and Lip Balm
Whether it's summer, spring, fall or winter, spending time on the water requires a good sunscreen and lip balm to prevent chapped lips and sun damaged skin. You might also want to protect your skin from wind if you're going … Continue reading


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Local Doctor Monitoring Himself For Ebola
Doctor Myron Glick, who lives and works in Buffalo, recently returned from West Africa and is now monitoring himself for Ebola.
Doctor Myron Glick, who lives and works in Buffalo, recently returned from West Africa and is now monitoring himself for Ebola.
Nueske's Applewood Smoked Meats is recalling approximately 4,454 pounds of liver paté products because they are misbranded in that they contain the milk protein sodium caseinate, a known allergen, which is not declared on the product label, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced.
Fresh Food Manufacturing, a Freedom, Pa., establishment, is recalling approximately 1,008 pounds of Italian Style Wedding Soup due to misbranding and undeclared allergens, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced.
Murry's Inc. is recalling approximately 31,689 pounds of gluten free breaded chicken products that may be contaminated with Staphylococcal enterotoxin, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced.
Taylor Farms is recalling approximately 377 pounds of Signature Café Broccoli Kale Salad with Chicken product because of misbranding and an undeclared allergen, tree nuts.
On Thursday night, officials announced the first case of Ebola to hit New York City.
She is the mother of my niece and nephew (who is also my Godson) and when I heard she had a breast cancer battle on her hands...I was sad, yet, I knew she'd win! Karen tells us of her experience and, she has some advice for all women within the sound of her voice.
After weeks of concern, worry and then near panic over the deadly Ebola virus, there is finally some good news that will (hopefully) relieve some of the lingering fear of a broader epidemic.
Ebola may be grabbing all the headlines, but the virus we're all far more likely to catch and get seriously ill from is one that's very preventable: the flu.
I'm one of those people who can't get a crumpled up piece of paper in the garbage if it's 6 inches away from me.
But somehow I was chosen to be one of the judges for the DUNKING CONTEST tonight....a...
We're still looking for our next $100 gift card winner...is it YOU? How can you win, you ask?
Have you ever had a mammorgram? I...
Ebola is all over the headlines lately. Here are some helpful facts about the deadly disease (that you're not going to catch).


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"I took a chance, since I never ordered from here before...easy to customize, order, and arrived earlier than expected. The invitation looked exactly like what was on their site ..The paper quality was excellent...It was nice and thick and even the envelope was a high thick quality as well. I selected Paisley Pattern and changed the font and size...I loved the pink, teal and purple colors. Will definately order again and tell my friends!!! Thanks and well done!!!!"
"I LOVE using TinyPrints for all of my party needs, but when it came time to organize my son's 13th birthday party...I didn't know if TinyPrints would have what I was looking for. I could not have been more wrong! In fact, the entire theme came together from this one invitation! We even carried it through to pit crew shirts for all of the guests, postage, and chocolate "tire" cupcakes. I'm sorry I ever doubted you TinyPrints!! And ps, I already found invites for my husband's 40th too!! Thanks again!!"
"Absolutely gorgeous card - perfect for my daughter. Pink and chic, came quickly and customer service was super helpful. Preppy and stylish just like my girl!"
"There were multiple color options for customization, it featured a unique design and the invitations were delivered quickly."
"The colors are all bold. No colors are faint. Loved how I could change colors, fonts and sizes of the text. The Quality of the card and the envelopes were amazing."


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Live Prices Not Available
$9.99 MSRP (actual price may vary)
To show you the most accurate prices prices, TTPM only displays our pricing tool on products which we've reviewed in the past three years.
Let us know if you think we should continue to search for the best prices for this product.
What It Is
With Dream Bakery Petite Treats, kids can pretend to be bakers, creating sweet-looking (but non-edible) treats out of Crayola's Model Magic. Using easy tools and bakery accessories, kids can create and decorate pretend Model Magic treats. There are icings, sprinkles, glazes, and more that kids can add to their creations. Once they are finished creating, kids let the Model Magic creations air dry overnight and then have a pretend party with the finished desserts displayed on the paper pedestals.
Dream Bakery Petite Treats comes with directions on how to get started, as well as ideas for decorating the treats. The set also includes two presses; two pedestals; two bead sets; three "icing" dazzler tubes in mocha brown pearl, strawberry pink pearl, and brilliant blue sparkle; four molds; a spatula; two scented doilies; and five packages of Model Magic in walnut brown, maple brown, pink, iced green, and white.
Is It Fun?
With the Dream Bakery Petite Treats set, kids can use their imaginations to make various pretend desserts out of the easy-to-use Model Magic. This set lets kids emulate bakers they see on TV or at home. Kids will like creating and decorating their own original pretend treats.
Who It's For
Dream Bakery Petite Treats is for ages 6 and up.
What To Be Aware Of
There are a variety of accessory packs sold separately that allow kids to make even more Model Magic treats, such as cakes, donuts, and cookies. The accessory packs range in price from $4.99–$6.99.
Store all unused Model Magic in a re-sealable plastic storage container, which is not included.
Protect your work surface before starting. Model Magic may stain.
It is recommended that you wash and dry hands before use.
Model Magic does not contain wheat.
Animal Friends Discovery Car
from Fisher-Price
Bloomers Small LolliPOT Vegetable Growing Kits Swiss Chard
from Joint Merchant
Bloomers Small LolliPOT Vegetable Growing Kits Summer Squash
from Joint Merchant
Bloomers Small LolliPOT Vegetable Growing Kits Cherry Tomato
from Joint Merchant
Bloomers Small LolliPOT Vegetable Growing Kits Crunchy Carrot
from Joint Merchant
Bloomers Small LolliPOT Vegetable Growing Kits Crisp Radish
from Joint Merchant
Bloomers Small LolliPOT Vegetable Growing Kits Bush Beans
from Joint Merchant
Laugh & Learn Talk 'n Teach Puppy & Giraffe
from Fisher-Price
Laugh & Learn Talk 'n Teach Monkey & Lion
from Fisher-Price
Yummy Nummies Magic Bakery Donut Delights Maker
from Blip Toys


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According to the Miami Herald, free agent fullback Vonta Leach isn't expected to sign with a team before Sunday.
Everything's come to stop around July 4 holiday as regards fullback Vonta Leach while the significant parties are out of the office, doing that Rest of Their Lives thing. Sunday is the earliest anything's expected to happen.
With each passing week, Leach's deadline keeps getting pushed back. Would love to know what the hold up is.


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Reviews - Mercure Sheffield Parkway hotel3
Britannia Way, Catcliffe, SHEFFIELD, S60 5BD
Price FromView Rooms
Customer Reviews
Our reviews are from genuine LateRooms.com customers. We verify that the customer has stayed before leaving a review.
Very Good
93% would recommend it to a friend
Customer service
Food quality
Room quality
1st class hotel.
We stayed herefor one night and we extremely happy with everything about the hotel, from the time we arrived the staff were very welcoming and very helpful nothing was too much trouble.
The room wad an absolute pleasure to stay in, very nicely furnished and the bed was very comfortable. The room was spotlessly clean and excellent value also the staff are so good. I would definitely stay here again and also recommend it as excellent value and I give it full marks.
Read More Less
rays weekend away
Staff helpful to a fault hotel clean and tidy
Good Stay
Staff were polite and helpful.Room large and comfy.Good evening meal in restaurant but just a little expensive.Noisy idiots trying to kick next doors door off at 3am,but this was not the hotels fault and was dealt with after a call to reception.
Would definitely stay again
We enjoyed our stay,no complaints about anything.
Mercure Sheffield Parkway is a little gem just off the M1, going into Sheffield.
The hotel is to a high standard, evident from the foyer, the dining area and the newly decorated rooms. I thoroughtly recommend this hotel and would happily stay there again.
Read More Less
Perfect for a nights stay. Clean and friendly, would defiantly stay again.
Only complaint was that the Wi Fi was hit and miss.
Read More Less
Comfy hotel, great staff
The hotel was clean, well organised and the staffw ere very helpful with any reuqests.
Great value - would stay here again!
Spacious room with a very comfortable bed.
Very quiet with little or no outside noise. Good location within 5 minutes of the M1 motorway. Staff were pleasant and helpful. We would have preferred brighter lighting in the room as it was quite dim.
Read More Less
Great hotel, just off the M1 and not too far in a taxi into Sheffield


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Giclee prints of any image in my Gallery are available by e-mailing me at email@example.com.
Watercolors are now available for sale at my Watercolor Page
Discontinued Poser items can be viewed at http://www.byrontaylor.com/poser/download.html and ordered directly from me by e-mailing firstname.lastname@example.com
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So you've just received orders, and you're due to deploy. Before you go, there are a number of steps you should take to protect your family and financial future.
Know your rights.
The federal Servicemembers Civil Relief Act provides protection for active military servicemembers. The law's purpose is to postpone or suspend certain civil obligations so active duty members of the Armed Forces can focus their full attention on their military responsibilities without adverse consequences for them or their families. Continue Reading >
To help celebrate the second annual MCPD, MilitarySaves, the Department of Defense, the Consumer Financial Protection Bureau and the Federal Trade Commission will host a town hall/Twitter chat at 2 p.m. EST, July 16. To join the conversation, which is focused on identity theft and credit-related issues, submit questions using the hashtag #MCPD2014.
MCPD is part of Military Consumer, a year-round campaign to empower and engage servicemembers, veterans and their families with information related to pocketbook issues. Continue Reading >
The FTC is going to sunny California!
If you are near Los Angeles July 19 – 22, visit the FTC booth at the National Council of La Raza (NCLR) annual conference! I'll be there, with other bilingual staffers, to answer your questions relating to frauds and scams, as well as how to file a complaint. Continue Reading >
Frequent relocation, separation from family and friends, the stresses of deployment and a steady paycheck from Uncle Sam can make military households an attractive target for scam artists. That's why the Department of Defense, the Federal Trade Commission, the Consumer Financial Protection Bureau's Office of Servicemember Affairs, and Military Saves have joined to sponsor Military Consumer — a campaign to empower military and veteran communities with tips and tools to be informed consumers. Continue Reading >
With the average price of a new car idling at over $31,000, you might be thinking about buying used. After all, the average price for a used car from a dealership is about $18,000. Continue Reading >
How does a fixed rate mortgage compare to a variable rate mortgage?What can you do about a store that doesn't honor its refund policy? What if you have a complaint about an insurance company?
The world can be a tricky place for consumers. It takes time and energy to research companies, compare products, and stay up-to-date on the latest scams. At times, it might feel like a full time job. The 2014 Consumer Action Handbook can help, and it's now available to order or download for free. Continue Reading >
Scammers have found yet another way to exploit people who need money fast, including cash-strapped college students: Pay them to open wireless contracts that include new smart phones, tablets and other mobile devices. The scammers target people to act as "credit mules." That's when a scammer uses someone else's identity, personal information and credit to get something of value. In this case, it's a wireless device. Continue Reading >
Talk about a bumpy ride for consumers! Continue Reading >
When someone is diagnosed with Alzheimer's disease or another serious illness, it is important to update financial, legal, and health care arrangements as soon as possible. Continue Reading >
Getting a low interest rate on your mortgage can make a big difference in your household finances, and the internet can be a good way to compare the rates offered by various lenders. The FTC's case against GoLoansOnline.com shows the value of shopping around and checking multiple sources of information. Continue Reading >
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I too would suspect mice. The places they can reach are incredible - they are quite amazing little acrobats!
Tomatoes are self-pollinating but you can help by gently brushing you hand over the flowers or shaking/tapping the stems. Insects can help of course but they aren't crucial.
No problem, OL.
Usually, the biggest problem with courgette Defender is picking them quick enough before they turn into marrows! Crown Prince can be a bit reluctant to set fruit and you have to hope there is a male flower available when a female is open. I use a very soft makeup brush to gently transfer pollen from the male to the females. You have to be very careful as any damage at all to the centre part (stigma) of the female flower will cause the whole flower to drop off after a few days. If a male flower appears and no female, you can pick it off and keep it in the fridge for a few days to increase your chances.
Hand pollination is best done early in the morning, as soon as the female flower opens.
It could be Pear Leaf Blister Mite. If so, there's not much you can do but it is said to not significantly affect the health or fruiting ability of the tree.
The advice above is to remove affected leaves and shoots but doing that may cause more harm than good if most of the tree is affected:
Not bad at all Tricia! Here's the annotated photo:
A = Courgette "Defender"
B = Winter squash "Crown Prince"
C = Winter squash "Autumn Crown"
D = Pumpkin "Summer Ball"
E = Cucumber "Bella"
F = Winter squash "Barbara"
G = Winter squash "Harrier"
H = Winter squash "High sugar (mixed)"
They are also rather slow to develop - I sowed two types (Blue Cascade and Crystal Palace) in a heated propagator in early March and transplanted small bunches of them into 7cm pots a couple of weeks ago:
There are also nematodes which you can water on but those are rather expensive. Google "Nemasys No Ants" to have a look at those.
That's a beauty Cody, a very high quality tunnel! I look forward to seeing the results later in the year!
DD, you could try putting them on the birdtable and see what happens but brightly coloured insects are displaying a warning "I taste nasty or am poisonous" so I wouldn't expect them to be taken.
I would pinch the tops out John. Doing that will encourage them to bush out and you'll get more blooms.


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Heel measures approximately 100mm/ 4 inches. Adorned with a bow and embellished with crystals, Giuseppe Zanotti's black twill sandals are a fabulous new-season style. Wear them with bare legs and a lace-trimmed LBD for a glamorous party look. Shown here with a Christian Louboutin clutch, D&G dress, Lee Angel earrings and an Yves Saint Laurent ring.
Black twill sandals with a silver-tipped heel that measures approximately 100mm/ 4 inches. Giuseppe Zanotti sandals have an open round toe, a bow and crystal-embellished T-bar front, and a buckle-fastening ankle strap.
Product code: 101444 - Need help? Contact us


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From inside the book
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THE diary OF THE ROSE Ursula K Le Guin
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SMOE AND THE IMPLICIT CLAY R A Lafferty
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Create a relaxing ambiance with these natural Bamboo Ring Chimes. Crafted from real bamboo and hand-tuned, these wind chimes offer soothing and natural sounds that aren't harsh like traditional metal chimes. These bamboo chimes are finished with a protective stain that's weather resistant, so feel free to put them on the porch, deck or patio.
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Econo Lodge Brossard
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Travel Blogs from Brossard
The event preceding our decision....(backflash)
... this to the end and not getting bored by it, there is still time to book at the same place than us. It is a nice place and very affordable. (look at the site for villa prices: www.pirateland.com)
Follow us on our journey again.
Hope to hear from you if we do not see you there.
P.S. 2: I wrote this at the beginning of the week and since we had snow (20 cm.). If we needed a reason to go south, there it is.
Big Island, Big City
... br> We really enjoyed cycling around the track. Having watched a few F1 races and played a few F1 racing games I was familiar with the circuit. It was a little strange to have unfettered access to an F1 track and we spent some time having a little picnic on the grass area in between the pit straight and the exit to the pit lane. We cycled around the track twice and we took lots of photos so see the pictures below for more.
We have been very lucky ...
Montreal Fun!!
... by the gate to the grounds so we could gaze at the clock and the lovely manicured gardens but we then moved on shortly after. We proceded down Rue Notre Dame Ouest and worked our way through the streets until we reached Palace Royale. This was the spot where the settlers first landed and where they established there first fort, Ville Marie. There was a definate need for a fort in this location when the settlers first arrived due to lengthy and consistent battles with ...
My conclusions but before....
... Pennsylvania gang (2), the New York gang (2), la gang du Lac St-Jean (they really do not speak a lot of English). We did that at a supper at a place called Damon's. Good conversation but the food was average (we have the best ribs up here). the we celebrated with a half price banana split (every Thursday in winter).
March 29:
Well I lied. Sorry. We decide to stay another day. You must dress in ...
Haaa holidays!
Its funny what beach & people can do to you.. I already feel so much better. First day on the island was one of great encounters and fun! C'est pas mal erasmus style but amongst the bunch i seem to always find my way to crazy italians from napoli & sicily the spanish... Such is life! Also always seem ...


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One of worlds greatest and bigger stadiums at 100000+ Room to move and easy to see what is going on as well as feeling you in the action.
There was a game on which meant we couldn't access some areas that are usually visited on the tour. The guide was knowledgeable, and friendly. I wasn't expecting to enjoy the tour, and found it was OK. My father who is a cricket fan was really looking forward to it, but was disappointed.
I attended the cricket One Day International, Australia v Sri Lanka at the MCG in mid January so my review is simply from watching a match there and getting there.From the city centre (Flinders Street station/Federation Square) it is a nice 10/15 minute walk by the river or various trams will take you there. You get a great view of the ground from Princes Bridge, next to the station. It is perectly safe in my opinion to walk back into town after a match when dark if you are in the match crowds. I have done it enough times from the adjacent Rod Laver arena during the Australian Open tennis.If you want a good view at an International match go for seat in the area behind the bowlers arm. It will cost you more but you will be much closer to the action. For most matches, the ground will not be full so you can wander round to most stands which I did. I was quite surprised that many seats are an awfully long way from the playing area and that is something worth considering if you are attending a popular match.One of the iconic sports venues in Australia and very easy to get to and every sports fan should try and take in a match of some sort at the MCG.
The MCG is picture perfect. Its a national iconic stadium as well as having fabulous function facilities & conference rooms. It gives me chills everytime I go here. Its just massive & the atmosphere is fabulous for a cricket or footy match. If you can get to Melbourne whilst something is on here you wont regret it
If you are visiting Melbourne and love sports then this is a must do tour. MCG is a multi-purpose ground with the ground used for cricket in the summers and football in winters. It has also been used for some Olympic and commonwealth game events.The tour is a great way to see the ground and learn about its history and the sporting greats who have played at the grounds. We had a great time on the tour which lasted for about 1 hr and 15 mins. The tour guide took us to the ground, the various stands, locker rooms, press room, the long room etc while giving us interesting snippets and statistics about the grounds. The guide also showed us some interesting landmarks around the MCG which could be seen from the grounds. The visit to the sports museum was also very interesting; it has a lot of details and mementos about Australian sports history. You are given a headphone which gives a verbal commentary about the various items in the museum. One of the most fascinating things about the museum is a 10 min 3D show of Shane Warne - Australia's cricketing legend. There is also a separate area for the cricket museum. An interactive sports area in the Museum, allows you to try your hands at various sports like cricket, football, archery, basketball, soccer etc. We loved spending time in this area. The staff at the Museum is very friendly and helpful and would be happy to answer any questions you might have about the museum or the history of sports.The tour alone costs A$20 per adult and an additional A$10 if you want to visit the sports museum as well.
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Respond to Review of Delhi Sweets
by enRoute
Review: small, humble little place just a couple of doors down from Herwin's Cafe. the best way to find it would be to go to Herwin's website and follow that simple map. not too much stock that I saw other than some nice samosas and Indian sweets. good option if you arrive (like I did!) at Herwin's on a Monday or Tuesday when they're closed.
Posted by JohnnySensible on Friday, February 22, 2013
Herwin's moved a few months ago to - 293/32 Soi Kamchai Iamsuri (10500) (opposite Bangkok Gem & Jewelry Tower on Suriwong Rd)
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Dr. Etcheverry's Experience
- Achilles Tenotomy
- Ankle Arthroscopy
- Dressing and-or Debridement of Wound, Infection, or Burn (incl. Negative Pressure Wound Therapy)
- Excision of Tarsal or Metatarsal
- Foot and Ankle DislocationTreatment, Open
- Foot and Ankle Fracture and Dislocation Treatment
- Foot and Ankle Fracture Treatment, Closed
- Foot and Ankle Fracture Treatment, Open
- Foot and Ankle Ligament and Tendon Repair
- Foot and Ankle Reconstruction
- Foot and Ankle Surgery
- Joint Drainage
- Knee and Leg Fracture and Dislocation Treatment
- Knee and Lower Leg Fracture Treatment, Closed
- Knee and Lower Leg Fracture Treatment, Open
- Myofascial Trigger Point Injection
- Resection or Ablation of Bone Tumor, Partial or Complete Resection of Bone, Debridement of Bone
- Steroid Injection
- Viscosupplementation With Hyaluronate
- Achilles Tendinitis
- Adhesive Capsulitis
- Ankle and Foot Instability or Derangement
- Ankle Fracture
- Ankle Sprain and Achilles Tendon Sprain or Rupture
- Arm Fracture (incl. Elbow and Shoulder)
- Ataxia
- Back Pain
- Baker's Cyst
- Bunion
- Bursitis
- Carpal Tunnel Syndrome
- Chondromalacia of the Patella (Runner's Knee)
- Complications of Joint Prosthesis
- Degenerative Disc Disease
- Elbow Or Upper Arm Arthritis
- Enthesopathy of Hip (incl. Trochanteric Bursitis)
- Foot and Ankle Injuries
- Fracture of Hand (incl. Fingers)
- Ganglion Cyst
- Gout
- Hammer Toe
- Hand Fracture
- Heel Spur
- Internal Derangement of Knee
- Intervertebral Disc Herniation
- Knee Dislocation (incl. Meniscal Tear)
- Knee Sprain
- Leg Fracture Above Knee (incl. Hip)
- Leg Fracture Below Knee (incl. Ankle)
- Low Back Pain
- Lumbar Spine Fracture
- Medial Collateral Ligament (MCL) Tear
- Morton's Neuroma
- Non-Unions and Malunions of Fractures
- Osteoarthritis
- Osteoarthritis of Ankle and Foot
- Osteoarthritis of Hand or Wrist
- Osteoarthritis of Hands
- Osteoarthritis of Hip
- Osteoarthritis of Hip and Thigh
- Osteoarthritis of Knee
- Osteoarthritis of Shoulder
- Osteochondritis Dissecans
- Osteopenia
- Patellofemoral Pain Syndrome or Knee Pain
- Peripheral Nerve Disorders
- Plantar Fasciitis
- Pseudoarthrosis
- Radiculopathy (Not Due to Disc Displacement)
- Rheumatoid Arthritis
- Rotator Cuff Tear
- Sciatica (Not Due to Disc Displacement)
- Sever's Disease
- Spine Fractures, Traumatic
- Spondylolisthesis
- Sprains and Strains (incl. Muscle Tear)
- Stress Fracture of Foot
- Systemic Chondromalacia
- Tibia and Fibula Fractures
- Tibia or Fibula Stress Fracture
Background Check for Dr. Etcheverry
0 Malpractice Claims
- No malpractice history found for California.
- No sanctions history found for the years that Healthgrades collects data.
0 Board Actions
- No board actions found for the years that Healthgrades collects data.
Education & Training
Medical School
- California College of Podiatric Medicine
Undergraduate Schools
- Saint Mary's College Of California
Languages Spoken by Dr. Etcheverry & Staff
- English
10 Steps to Pick the Right Doctor
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PetcoRead MoreWhen the temperature drops, pick up a new sweater or coat from Petco in Tustin and keep your furry friend warm. Make sure your pet has a comfortable place to call home. Check out Petco's large selection of pet apparel and pet toys. When it comes to keeping your pets well-fed, they have all the supplies you need. Stock up on bowls and other feeders here. When was the last time you had your pet's health checked? Petco offers top-notch health services as well, including healthcare. Give your pet an amazing new toy from Petco! They have a wide variety of entertainment items, such as pet apparel and pet toys. If you just added a new addition to your family, you can pick some basic pet supplies such as carriers here. The parking options near Petco are quick and painless. If you're running low on pet supplies, swing by Petco in Tustin and stock up on your weekly necessities.13942 Newport AveTustin, CA US
The SpawRead MoreA beauty shop meets hotel meets daycare for dogs, The Spaw offers its fun-loving clientele plenty of supervised, yet cage-free space to romp around. The staff babysits daycare dogs as they socialize with one another inside the 2,000 square-foot daycare. As the sun sets, a maximum of 15 dogs can stay the night, ensuring that the night staff can give each pup ample attention. In the beauty parlor, both short- and long-haired breeds receive baths, nail trimming, and teeth cleaning, while long-haired pooches might also enjoy a haircut to keep fur from growing over their eyes or overshadowing their mustaches. Dog owners can also arrange for extra-special spaw package to ease offensive breath, eliminate fleas, and even sooth sore muscles and dry, itchy skin.14712 Franklin AvenueTustin, CA US
Saddleback Animal HospitalRead MoreA stop at Saddleback Animal Hospital in Tustin has you leaving with quality pet supplies and possibly even a new cute pet. Score a close parking spot at Saddleback Animal Hospital. Truly, a happy pup is just a hop, skip, and a jump to Saddleback Animal Hospital's pet store in Tustin. It's about time you stopped by.1082 Bryan AveTustin, CA US
Coral GazersRead MoreCoral Gazers has everything you need to give your pet all the comforts and safety of a home. Check out their wide selection of. Heading to Coral Gazers? Take your vehicle for a spin and park it with ease at one of the nearby parking choices.15461 Red Hill AvenueTustin, CA US
Sanzone School Of Dog TrainingRead MoreWhat services does your business offer and what makes your business stand out from the competition? I will be able to teach you in 4 Clinics how to have your Puppy Potty Trained. In addition, we will cover all the lifestyle changes you need to implement in order to have a Happy and Calm Puppy. The most important part of your puppies life is 8 weeks-23 weeks. I will help you develop your Puppy! What was the inspiration to start or run this business? I love helping people find ways to love their puppies. In addition, you will be able to take my classes at the Cesar Millan's Facility after completing my puppy class. If you start now, I will have you on the right track to creating the perfect puppy. I also offer puppy camp and puppy privates. What do you love most about your job? What I love the most about my job is that this isn't a job, it's a way to help people become better at communicating to their puppies. I will also cover puppy nipping, barking, and leash control. You will also learn how to do Puppy Yoga in order to teach your Dog how to become calm. What is the best reaction you've ever gotten from a customer? The best feedback that I ever received from a customer that I saved their Dog's Life and transformed their's in the process.939 North Santa Fe StreetSanta Ana, CA US
PetcoRead MoreGive your pet the care they deserve with some new food, treats, toys and more from Santa Ana's Petco. Is that old pet toy getting a little worn? Pick up a brand new item that will keep your furry friend entertained for hours, such as pet apparel and pet toys. Make sure your pet has all the food they need to stay healthy and strong by picking up some great feeding supplies from here, such as bowls and other feeders. If you just added a new addition to your family, you can pick some basic pet supplies such as carriers here. Your little guy or gal needs a place to call their own, so be sure to check out the great variety of pet apparel and pet toys. Keep your pet healthy with services such as healthcare. Park your car in one of the many available spots in the surrounding area. So go ahead and treat your pet to a special treat from Petco in Santa Ana and watch the sparkle light up in their eyes.3327 S Bristol StSanta Ana, CA US


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Top Definition
A large Jesus Statue assumed to made out of butter located in Monroe,OH. The giant Jesus has been linked to and increase in accidents in the area.
Look its a giant Butter Jesus...(crash)...
by A-DUB79 January 16, 2009
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Reevoo is an independent, impartial and trustworthy customer reviews service. We use Reevoo to offer our customers the opportunity to provide honest feedback on their holiday, regardless of location, cost or experience. All reviews are completely genuine and have been written by real customers - no fake reviews ever make it online.
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All you need to do is provide us with proof of the lower price you have been quoted by giving us evidence (including the telephone number or the details of the website where the price can be confirmed). We reserve the right to reject claims if reasonable proof is not available or if the holiday accommodation is not the same. The lowest price must be available on the day that you make your booking. If you have written or e-mailed proof of the price, you can just e-mail or fax this to us. If you are sending your proof by post, please send it first class. In all cases, we need proof within 7 days of you making your booking through Hoseasons. Our Lowest Price Guarantee applies to all UK holiday accommodation in this brochure. All terms and conditions continue to apply.
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North Duffield, Nr York
Oakwood Lodges is part of our Autograph Lodge Holidays Collection and is conveniently located amidst the beautiful scenery of the picturesque Yorkshire Wolds. This small collection of stylish lodges provides the perfect escape from the hustle and bustle of modern day living, yet superbly located for exploring the many treasures along the Yorkshire coastline and historic York only a 20 minute drive away.These luxury lodges have been stylishly furnished and all boast the added luxury of a contemporary outdoor decking area with hot tub and great views over either the picturesque small lake or across the lush green meadows. Take advantage of sumptuous in-lodge therapies or treat yourself to one of our pamper packs. Bike hire* is available (*charges apply).There is so much to see and do in and around this popular area, whether it's a visit to the many nearby friendly pubs to sample the flavours of the local cuisine, a trip to the nature reserve to see rare plants and wildlife or for the more active the lodges sit close to the Yorkshire Wolds Way.
This park has:
Real reviews, from customers like you.
Up to
10th - 26th APRIL
All breaks for all arrivals
The lodge is a perfect location for exploring York and is only 20 mins away from the city. on in spectating the lodge we were fair disappointed with the general maintenance of the lodge the list of things wrong were the steam room aspect of shower didn't work along with the extractor van, endless things were broken such as the toilet roll holder,the shower screen door didn't have a handle so u had to put your little finger in a little circle to open/close the door along with door handle missing and general ware an tear,however the icing on the cake was the patio door didn't shut properly at the bottom so all week I couldn't sleep as I was worried we were gonna get robbed in the end my partner slept on the sofa to put my mind at ease.
The hot was cold when we got there but it was hot by 9pm ,the place was very nice ,not 2 far from york for a day out ,and would book again
One of the most relaxed and enjoyable breaks I have experienced. Middle of nowhere which means you do need a car but obviously it means you get peace and quite as well as privacy. Throughly enjoyable and would deffintly go again.
Not a bad place, needs a bit of upkeep. Nothing to bad just have stayed in better lodge parks and paid less money for it
Me and my boyfriend recently stayed in the Oakwood Lodges and it was amazing. Could not fault the lodge one bit! The hot tub was the best part. The location means having to drive everywhere and the place was not sign posted very well at all but we would definitely go back! Would recommend to anyone. Thank you for a loveky break away!
The lodges are set in a very peaceful location, our lodge was next to the Lake but you couldn't see it as the reeds were very tall surrounding the decking area! One thing the owners need to address is the track leading up to the lodges, it is very rough and narrow for the first half mile. As we arrived we met a car coming the other way and had to dive into the undergrowth, we then has stones coming out from under the car for days which got stuck as we tried to reverse out of the ditch we found ourselves in!! Not a good start, but things did get better!
Good value! Not as nice as Griffon Forest but for the money, you really can't complain.
Really disappointed.
No staff on arrival and no one to check us in, were then told over phone that keys were in door. Lodge was in need of repair, broken glass panes, no lights outside on hot tub which was dangerous. Tired and grotty furniture. Fridge not working so we had to throw a lot of food away. Lodge next door had a party one night and kept everyone up until gone 3am. Lodge manager was called and nothing done. Waste of money and we left 3 days early.
This was our third time staying here and we really enjoy it. The location is great and the Lodges are spot on.
Our only complaint would be that the mattress is desperate for replacement, other than that we were happy with everything.
Lovely stay at a lovely place would recommend for that nice getaway but not that far away thank you
The lodges and hot tubs are excellent. The location is average but you are close to Selby and York which the family enjoyed spending time at. If you are after peace and quiet it's perfect.
Excellent stay, some of the reviews for here are quite scathing, Acorn lodge was lovely, could just perhaps do with some screening between it and the lodge on the left, and for its occupants to keep their language clean (this was during our stay nobody else's)
The lodge was clean, well presented, we were met by a very helpful lady. The bed was v comfy, the settee also. The kitchen area was clean, although someone previously has broken off the bar in the fridge so you can't use the door, minor stuff.
Everything else was great, it was quiet, v quiet (other than language as above). The hot tub was great clean, big, ample for two.
Overall really enjoyed and would go again
No noise relaxing weekend escape would go again.
Had a fantastic week away here. Very good for people who can drive and get about, which was ideal for us as I'm 9 months pregnant and didn't mind going out driving, other wise your looking at about £15 each way into selby or a bit more to the York outlet where you can get a bus into York for the day. Lovely surroundings, nice and peaceful. Was a bit gutted that we didn't get to use the hot tub on The first night as it wasn't hot enough and this was still at 10.30 at night, so we paid for a hot tub and 1 night we didn't get to use it, which is a shame! Cabin is set far back over a farmers field but don't be put off coz soon as you step into the cabin it's lovely and modern and clean. Bathroom could do with updating though. Was an overall lovely holiday and would deff go back.