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Janet Smith of Cold Spring holds a photo of herself and husband Hobert, 72, who is in an Ohio nursing home. The Enquirer/Patrick Reddy
Senior citizens from Northern Kentucky are increasingly being forced into nursing homes in Southwest Ohio, leading to a stream of loved ones and federal money crossing the river, an Enquirer investigation has discovered.
Wife can't find nearby care home for her husband
This results in Ohio taxpayers picking up nearly half the costs and many of the displaced Kentuckians getting fewer visits from relatives forced to make long drives.
Boone, Campbell and Kenton counties have fewer than 1,500 nursing home beds certified for Medicaid/Medicare patients, an offshoot of what some say is an outdated nursing home certification process by the state. The situation is even worse for patients with conditions such as dementia and Alzheimer�s, with only a handful of qualified spots for such patients in Northern Kentucky.
That contrasts sharply with the four main Ohio counties of Greater Cincinnati, which have a large surplus of nursing home facilities and nearly 12,000 certified beds, including several specializing in patients with declining mental health.
So even though these individuals may have spent their entire lives in Northern Kentucky, Ohio is picking up the bill � at least for Medicaid patients. Nearly 90 Medicaid patients from Boone, Campbell and Kenton counties had to leave the region to find a bed in 2011, a number that has climbed over the last two years, according to experts. And that number does not include the many patients on the federally supported senior health care system Medicare heading across the river to find a nursing home bed.
�I deal with up to 100 families a month, and I would say that between 10-20 percent wind up going across the river,� said Ron Culyer, president of Fort Thomas-based CarePatrol of Northern Kentucky, a nursing home referral and placement service.
Exact numbers on the cost aren�t available, but by some calculations, Ohio is paying more than $6 million annually for Kentucky Medicaid patients (with about 60 percent of that coming from federal funds and the rest from state coffers). That�s money Ohio shells out based on the average daily allotment given nursing homes.
Beyond the money involved, many Kentucky families drive for hours to tend to their loved ones across the river, meaning patients may not get as many visits as normal.
For Paul Smith of Taylor Mill, it means he can make the two-hour round trip to see his father at a Mount Healthy nursing home only about once a week.
�I would be there every day if I could,� said Smith, whose father suffers from dementia and Parkinson�s disease.
Aging advocates say the shortage is �a huge issue.�
�The best nursing home is the one that makes it easier for families to visit their loved ones, and right now, the system certainly makes this hard,� said Ken Rechtin, executive director of Senior Services of Northern Kentucky, a Covington-based nonprofit assisting the low-income elderly.
The lack of beds is especially pressing in Boone and Campbell counties, two of the state�s fastest-growing areas. Boone County has only 26 certified beds per 1,000 residents older than 65, and the number in Campbell is 34 per 1,000, according to Miami University�s Scripps Gerontology Center. The national average is 42 per 1,000, and the statewide average in Kentucky is 44. Center officials say a good standard is at least 40 beds per 1,000.
Meanwhile, Butler, Clermont, Hamilton, and Warren counties in Ohio all have more than 60 certified beds per 1,000 residents over 65. The four counties have nearly 12,000 certified beds, according to the Ohio Department of Aging. Many of the recently constructed �assisted living� facilities are taking in Medicaid patients from wherever they can get them, and some Ohio facilities actively market their openings to customers in Northern Kentucky.
Unlike Ohio, Kentucky requires potential nursing home operators to go through a �certificate of need� process, which officials say keeps Medicaid costs down and makes sure supply meets demand.
�If you wanted to be cynical, you could also say that Kentucky probably doesn�t mind very much that people are leaving the state, because then they don�t have to pay for those patients,� said Robert Applebaum, director of the long-term care research project at the Scripps Center.
Kentucky officials deny they keep the number of beds artificially low to rely on Ohio�s oversupply.
But Eric Friedlander, deputy secretary for the Cabinet for Health and Family Services, acknowledges that the state seeks to control costs. �There�s no delicate way to put it,� he said. �The more beds that are certified for Medicaid there are out there, the more costs there are to the state. That�s why the certificate of need system was created.�
The most recent survey of nursing home beds released in September 2012 based on 2011 data found a surplus of 50 beds for the Northern Kentucky area, with nursing homes only 93 percent full for the entire Northern Kentucky region (including Grant, Pendleton and Owen and two other counties outside of Boone, Campbell and Kenton). But others challenge those statistics, saying that the region�s nursing homes are fuller than the state�s statistics indicate.
The state calculates the need for beds by comparing how many patients had to move to a non-adjacent Kentucky county for care to empty beds in a particular county and the counties next to it � population counts or demographics are not considered. Patients who move out of state aren�t part of the formula because the state doesn�t track such movements.
According to the available state statistics, 85 Medicaid patients from Boone, Kenton or Campbell counties left the region in 2011. If that same number were to leave for Ohio, that�s more than $6.2 million in Medicaid expenses flowing from Kentucky into Ohio given an average reimbursement rate of about $200 a day and assuming the patients stay for a full year. Ohio gets 60 percent of that back in federal money but pays the rest out of its own budget.
Ohio also does not track the movement between states, with officials there saying that once a patient enrolls in Medicaid in a nursing home in that state, they become Ohio residents eligible for the state�s Medicaid program. Officials also downplay the potential added expense. �The health care delivery system in the Cincinnati/Northern Kentucky region is integrated without regard to state borders,� said Ohio Department of Medicaid spokesman Samuel Rossi.
Kentucky health cabinet officials this year supported the move of beds certified for Campbell County into Boone County by Carespring, a Loveland-based nursing home operator with nine facilities in Ohio and Northern Kentucky. In 2008, that company bought the defunct Lakeside Place nursing home in Campbell County and took control of its 286 unused but certified beds. Carespring then applied to move half the beds from Campbell into Boone, and it is building a new smaller nursing home to replace Lakeside in Cold Spring.
But the process is being held up in court by a lawsuit from Baptist Life Communities, which operates nursing homes in Newport and Erlanger. That organization claims existing rules are being short-circuited and that the state formula should continue to be followed. That case is pending before the state Supreme Court.
One state lawmaker says Kentucky�s certificate of need process is a major reason for the bed shortage in Northern Kentucky, as well as causing the Carespring/Baptist conflict.
�We really need to look at how we�re doing things,� said state Sen. John Schickel, R-Union.
Cabinet officials are studying the certificate of need process, which applies to hospitals and other health care facilities. Results are due sometime this fall, Friedlander says.
Administrators with the area�s largest hospitals, who normally help oversee finding beds for elderly patients when they are ready to be discharged, acknowledge the shortage.
Officials with St. Elizabeth Health Care, Northern Kentucky�s largest hospital network, agree that the shortage is especially acute for patients needing special care or on Medicaid. Northern Kentucky nursing home operators say it�s difficult to take in new patients, whether on Medicaid or Medicare (the former being for low-income individuals and the latter being the federal health care program available to all seniors).
�The reality is that we have to also take in some private-pay customers and Medicare customers to make sure we stay profitable and in business to fulfill our mission,� said Carespring vice president of operations John Muller.
The average reimbursement per day for a Medicaid patient is about $200, while someone using private funds might pay twice that for care. Nursing home experts say it costs at least between $250 to $300 per patient for a good standard of care.
That includes Baptist Life, which has nearly 250 beds at its two homes. Officials there say that they work hard to fill their beds, although they are also selective, denying patients who are obese or who have mental health issues due to the lack of proper equipment and personnel. �We have the highest occupancy rates in the region, but we work like the dickens to keep our beds full,� said chief executive officer Robert H. Long
Even the new Carespring home in Cold Spring set to open next year is unlikely to reverse the shortage.
�Right now I tell people that the waiting list is at least three months for a bed in Northern Kentucky for Medicaid or Medicare, and there are several places where it�s longer,� says Covington-based elder law attorney Matthew Darpel. �And I don�t see that changing any time soon.� ⬛
I dig deep to find the story behind the story for my beloved adopted home of Northern Kentucky and all of Greater Cincinnati. Email: firstname.lastname@example.com.


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See the online vehicle inventories of Laurence Harbor Daewoo dealers at the Autobytel.com website. Search for new or used cars in a variety of different ways including by: year, make, fuel economy, price, or location. Find Daewoo dealers in Laurence Harbor with ease. Choosing what car to buy can be tough. Do some legwork by studying all the various options to get the most out of your investment. See the inventory Laurence Harbor Daewoo dealers currently have on-hand.
Over the past few years, more and more people have decided to research vehicles on the Internet. Driving around to each Daewoo dealer Laurence Harbor can be a real hassle. Rather; see the entire vehicle inventories of Daewoo dealers in Laurence Harbor from the comfort of your own home at the Autobytel.com website. Plus you can find so much information in one easy to reference location. Consider a couple of cars at the same time with our vehicle competitor tool. And see the MSRP of a new or preowned car. This is just the tip of the iceberg. The Autobytel website is packed with additional information. Find the technical specs of a car, crash test results, entertainment options, and engine details just to name a few. Pinpoint Laurence Harbor Daewoo dealers that are near to your location in no time.
A Daewoo dealer Laurence Harbor can do more than just sell you a car. Laurence Harbor Daewoo dealerships should have a leasing branch too. There will be a massive amount of factory car parts on-hand at a Laurence Harbor Daewoo dealer. Free maintenance is offered on some new car purchases. And most Daewoo dealers in Laurence Harbor will service your automobile for free if covered. Laurence Harbor Daewoo dealers have certified mechanics that can fix any automobile even if the car is out-of-production. A Daewoo dealer Laurence Harbor can provide so much more including service coupons, special maintenance offers, incentives, and rebates.
Its easy to leave your comments about Laurence Harbor Daewoo dealerships at the Autobytel website. Is the dealership reliable and trustworthy or do people have a bad experience there? You can find this information by reading consumer reviews. After all would you really buy a car from a Laurence Harbor Daewoo dealer if they had nothing but negative reviews. Exploring all that Daewoo dealers in Laurence Harbor have to offer is a solid game plan. Use the online resources at Autobytel.com to locate the perfect vehicle. You may even save hundreds if not thousands by looking at incentives and rebates before going out to buy a vehicle.


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|Website start date (on-line):
|September 15, 2006
|The website was last updated on:
|November 29 2015
|The number of single ships listed is currently:
|The number of searchable index entries is currently:
|Newbuildings are presently listed to:
|September 30, 2015
WELCOME TO THE MIRAMAR SHIP INDEX, the most comprehensive index to ships and their histories, covering iron & steel sailing ships, powered merchant ships (over 100grt) and warships, since the early 19th century. The Index is privately operated and funded entirely by members' subscriptions.
WEEKLY UPDATES. All data tables are updated weekly.
ACCESS to the website beyond the 7-day free trial period costs 20 US dollars for 12 months subscription. The decision to subscribe beyond the trial period always remains with the customer.
CONTACT for Miramar by email is to either email@example.com or email@example.com.
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Press-Gazette Media is highlighting Northeastern Wisconsin companies nominated for Wisconsin Manufacturer of the Year.
Eleven companies from the region were among 58 nominated statewide. The awards recognize Wisconsin companies that demonstrate a commitment to business excellence. Program sponsors are Michael Best & Friedrich; Baker Tilly, and Wisconsin Manufacturers and Commerce.
A black-tie ...


text: To borrow BMW's "ultimate driving machine" tagline, the world of exotic cars is getting quite competitive in the last few years. Where there were only 2 staples, Ferrari and Lamborghini, with the occasional British-borne entries of Aston Martin and Jaguar. Now, there is no less than 10 in the same product segment with over half of them from car makers that didn't exist 20 years ago. Seen its market share slowly devoured by new competitors like PAGANI C9 Huayra and Bugatti Veyron, Lamborghini unleashed the Lamborghini Aventador LP700-4 during this year's Geneva Motor Show. Followed the lineage of a 1993 fighting bull of the same name from Spain's Saragossa Arena, the Aventador is just a silver of its predecessor, the Murciélago. With 6.5-liter V12 under the hood, 690-horsepower is able to throttle the 3.500-pound vehicle from 0-60 mph in under 2.9 seconds. But what is speed if there is no control? To resolve this, engineers added the Haldex IV 4WD transmission. To help potential buyers better visualize the agility of this monster, Lamborghini created a near epic scenario as the Aventador LP700-4 out maneuvered everything, even earthquakes…? via: Autoblog


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Remember when there were no commercial developments north of Northfield Boulevard? Former City Councilman and Mayor Richard Reeves took a pioneering step and moved his drug store off the Public Square to the outskirts of town.
Clearly, it paid off, and now that stretch of Memorial is a bustling retail sector.
Now comes a rezoning proposal for 90 acres farther north on the west side of Memorial Boulevard across from State Farm near the Palmer Heights neighborhood that is causing trepidation among neighbors. ...


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NEWTOWN, Conn. - Police say 27 people were killed in the shooting at a Connecticut elementary school, including the gunman, and one person died at another scene.
The dead at the school include 18 children. Two other children died at the hospital. Six adults also died at the school.
The mother of the shooter was killed at her home, according to an NBC report.
The gunman opened fire Friday morning inside Sandy Hook Elementary School where his mother worked.
He blasted his way through the building as young students watched helplessly in classrooms while their teachers and classmates were shot. The gunman then killed himself.
Young students crying and looking frightened were escorted by adults through a parking lot in a line after the shots rang out in Newtown, 60 miles northeast of New York City.
A law enforcement official says the suspect in the Connecticut school shootings is 20-year-old Adam Lanza, the son of Nancy Lanza.
According to an NBC report, Adam Lanza's older brother, 24-year-old Ryan, of Hoboken, N.J., was mistakenly identified as the shooter after an old ID of his was found on the shooter.
Witnesses describe the gunman firing dozens, if not hundreds of rounds in the massacre.
Officials are identifying the principal as one of the victims.
Gerald Stomski is the first selectman of Woodbury, Conn. He says police told him that Sandy Hook Elementary Principal Dawn Hochsprung was among the 26 people the gunman shot to death at the school Friday.
He says she was a principal in Woodbury until a few years ago. He says residents were mourning her death.
Stomski says she had "an extremely likable style."
Hochsprung had been principal at Sandy Hook Elementary since 2010. Hochsprung had frequently tweeted photos from her job and wrote upbeat tweets about what was going on at the school.
More hauntingly, several publications report she wrote a letter before the school year outlining new safety measures including locked doors during school hours.
A law enforcement official on the scene says two 9mm handguns were recovered on the scene.
State police say reported the mass shooting at the K-4th grade school at around 9:40 a.m. eastern time.
Newtown Police requested help from the Connecticut State Police and additional departments. Officers swarmed into the school and began both searching for the shooter and carrying out the safe evacuation of students and staff.
Ambulances surrounded the school in western Connecticut and parents were running toward the building as a helicopter flew overhead.
As a father, President Barack Obama says, he's grieving for the victims of today's school shooting in Connecticut.
His remarks to the nation from the White House were emotional ones, as Obama wiped his eyes and had to pause for several seconds to keep his composure.
He said, "Our hearts are broken today." Obama said the victims were "beautiful, little kids" who "had their entire lives ahead of them" -- and he recited future milestones lost: "birthdays, graduations, weddings, kids of their own."
Obama called for "meaningful action" to prevent such shootings, but he did not say what that action should be. He ordered U.S. flags be flown at half-staff through Tuesday.
As he spoke, two senior aides standing nearby cried and held hands.
Obama, who began his comments with no greeting, ended them with words of Scripture, and walked away in silence.
The White House says the FBI is supporting state and local law enforcement officials in Connecticut as they respond to and investigate the incident.
(Copyright 2012 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.)


text: Harold GordonNew comment in article Resolving the China-Japan Conflict Over the Senkaku/Diaoyu Islands 日中尖閣諸島問題解決へ向けて話し合いを Name:Harold Gordon Email Address: firstname.lastname@example.com Honorary Professor Yabuki Jin of the Yokohama University is a well-known Japanese scholar on China. Recently, regarding the Senkaku Islands crisis, Professor Yabuki Jin wrote a new book. The title of this book is "the Core Issues of Senkaku", subtitled "What will Happen to Japan-China Relations". Experts think this book is more impartial, more thorough exposition of Japan and China, and the stance of the United States on Senkaku Islands / Diaoyu Islands dispute. Here are some key points written by others, maybe over-simplified, from the book: 1. Japan's current position on the Senkaku Islands / Diaoyu Islands issue in several respects is UNTENABLE. The most fundamental point is that JAPAN'S UNCONDITIONAL ACCEPTANCE OF THE POTSDAM PROCLAMATION - The notice asked Japan to return all stolen Chinese territories back to China. 2. Potsdam Proclamation covers the following scenarios which INVALIDATED the following acts: a. the annexation of the islands of the Ryukyu Islands and the Senkaku/Diayu Islands in January, 1895 by the Meijin Government; b. the ceding of Taiwan and the Penhu Islands in the Treaty of Shimonoseki signed by Qing Government and the Meijin Government several months later in 1895. These islands in the past are clearly part of Taiwan, and that Taiwan continues to use and occupies the islands are all reasonable requests. 3. The main reason Japanese believes Senkaku Islands / Diaoyu Islands are Japanese territory is because in the 1971 Agreement with the United States, Okinawa was returned to Japan. However, this position is inconsistent with the facts that the U.S. only gave the ADMINISTRATIVE jurisdiction of the island, rather than SOVEREIGNTY. 4. Japan's policy has been based on the ERRONEOUS ASSERTION in the testimony before Congress by Foreign Minister Takeo Fukuda in December 15th, 1971. He said, based on the agreement with the U.S., Okinawa was returned and its sovereignty was restored to Japan. It is not clear, however, whether Fukuda clearly MISUNDERSTOOD this issue, or he DELIBERATELY DECEIVED the Japanese people. 5. Prior to Japan's implementation of the "nationalization" of the Senkaku Islands / Diaoyu Islands, the position that China's handling of this territorial issue was based on the consensus reached between Kakuei Prime Minister and Premier Zhou Enlai in 1972 – to "SET ASIDE" and to POSTPONE TO RESOLVE the territory dispute issue. 6. Yabuki Jin invoked the point of view of his own research, and third-party authoritative figures, that in the official record of the meeting that reached the clear understanding and accepted by both Prime Minister Tanaka of Japan and Premier Zhou of China, the transcripts regarding the two sides agreed to "set aside" and to postpone to resolve [the territorial dispute] were DELETED, and that later on, the Japanese government has FRAUDULENTLY claimed that this issue was NOT discussed at the time. 7. Given the above scenarios, the "nationalization" decision made by Noda government is a serious provocation to fundamentally change the status quo. From China's point of view, such act equals to the aggression and violence to the annexation of Chinese territory. It's inevitable that China had a strong reaction. What worries Yabuki Susumu the most is that Japan did NOT notice or PAY ATTENTION to many signals from China.


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Acadian Middle School Principal Linda Nance has made a compelling case for reconstituting her struggling school. She seems to have convinced Superintendent Pat Cooper. Now, she has to convince the school board to approve her plan.
Any time a principal asks for such a serious measure, it should be considered. It is not a request she would make lightly.
Reconstitution is a process by which a failing school can be revamped head-to-toe. Faculty and staff members all hand in their resignations and reapply for their jobs. Some are accepted. Some are not.
The goal is to find a new approach that will help not only bring up test scores but also truly reach students who are not learning.
It is clear that something needs to be done to help the near-failing school. Nance pointed out at the recent Lafayette School Board meeting that Acadian most recently received a D letter grade from the Louisiana Department of Education.
There is a multitude of problems at the beleaguered school.
Of its 600-or-so students, 113 are over-age. There have been more than 1,400 discipline referrals so far this school year. There have also been 2,300 unexcused student absences and 274 absences of faculty members, with 31 percent of the teachers having more than eight absences.
Nance said that while there are many good teachers at Acadian Middle, many are not trained to teach poor children, who come to school with their own set of problems.
"Kids who come from poverty need to learn by doing," Nance told The Daily Advertiser on Tuesday.
The reconstitution plan Nance submitted outlined several potential approaches, including turning Acadian Middle into a "teaming" school, in which teachers collaborate to develop lesson plans and monitor kids' progress.
There are some challenges inherent in implementing a reconstitution. For one thing, there's the additional cost.
For another, there is the question of where the teachers displaced by the new plan will go.
Policy dictates that they may fill open positions around the district. But if there are no open positions, they are allowed to displace a teacher with less tenure. And that doesn't seem fair - especially if a promising young teacher were to be displaced by one who has had more than eight absences in seven months.
In addition, some have questioned why Acadian should be reconstituted, rather than the schools that feed into it, such as Evangeline Elementary.
The answer, as we see it, is that Acadian Middle has the most urgent need.
Nance said that about 100 students have fallen so far behind that without immediate intervention, they won't make it into high school. Not next year or the next. Maybe not at all.
Reconstitution doesn't come with a guarantee.
It worked well at Northside High School, but not at Alice Boucher Elementary, which continues to struggle, even after reconstitution.
Acadian Middle and its students are in crisis and something has to be done.
To stand by and do nothing while a D school slips a few points to an F school is unacceptable.
Even though we understand it's a risk that could have serious ramifications, the best interests of the children should be the priority. And we urge the board to give serious consideration to Nance's request and take prompt action.


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Showing 1-24 of 164 items found in Shopping
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A Step Above Antiques
A unique shop filled with antiques, gifts, collectibles and crafts. Wide variety of limited edition collectibles including Santas, angels and other figurines.
All Seasons Apple Orchard
Take a wagon ride to the orchard where you will be surrounded by thousands of apples trees and 12 varieties of apples and pears. Enjoy seasonal activities like pumpkin picking and the corn maze. There is also a cow train, goat bridge, corn crib, giant swings, a spider web, jumping pillow and a petting zoo. The weekends even have pig races and a magic show for the kids. Take your whole family down for some apple picking and make sure to stick around for the many other activities.
Alpine Accessories
Paddle-board lessons and rentals are provided by Alpine Accessories at Three Oaks Recreation Area. Make reservations by calling 847-854-4754 or online. Walk ups on availability.
CITY:Lake in the Hills
Anderson Candy Shop
Simply the best chocolates you can get anywhere! Consumers Digest says "One of the best kept secrets in North America!" It's cooked in copper kettles and individually hand-dipped as it has been since 1919. Locally owned family shop.
Antiques & Porcelain by G.K
The only antique shop in Glenview. Fine art, estate jewelry, pottery, porcelain, furniture, ivory, oriental works of art. Specializing in Meissen, KPM and much more. Cash for gold and silver consignments wanted. We are always interested in buying.
Antiques on Broadway
Over 7,000 square feet of fine refinished furniture, including dining room sets, bedroom sets and accessories. Also an extensive inventory of architectural items from building salvage projects.
Arlington Heights Downtown Business Association
Stroll through our 8-block Downtown Business Association and find a great array of shops, many of which have provided quality services to our community for decades. The Downtown Business Association is home to a pharmacy and grocery store, to jewelry stores and art galleries, to clothing stories and home décor boutiques. Transportation services are also available if you wish to take in other Chicagoland sites.
CITY:Arlington Heights
Arlington Heights Farmers Market
Enjoy fresh produce, flowers, cheeses, bakery good, jams, jellies, and more from local farmers. Open June through October.
CITY:Arlington Heights
Around the Corner Candy
Old-fashioned neighborhood candy store.
CITY:West Dundee
Artistic Florals by Michelle
Florals and custom made silks.
CITY:East Dundee
ASHA Salon Spa
An Aveda lifestyle salon spa catering to individual lifestyle needs. We thoroughly nurture your mind, body, and soul with lively haircuts, soothing face and body treatments or enlightening workshops.
Barrington Ice House Village Mall Shops and Restaurants
Explore this historic mall, built in 1904, featuring more than 20 specialty shops and Chessie's, an authentic 1915 train station restaurant with its own railroad car.
Bass Pro Shops Outdoor World
Bass Pro Shops has established itself as the prime destination for all your outdoor needs. Gorgeous waterfalls, giant aquariums, incredible wildlife mounts and more make Bass Pro Shops a must-see attraction for families around the world. For the best selection in hunting, fishing, camping, boating, archery, footwear and family clothing be sure to visit Bass Pro sporting goods store. Check out the boat and ATV showrooms or come in for a variety of outdoor skill workshops, including fly fishing and hunting. Enjoy kids and family events held throughout the year! Make Bass Pro your one stop place to shop!
Becky & Me Toys
Toys, dolls, games, books, crafts and more for infants to pre-teens. Our carefully-chosen toys encourage active, creative, open-ended play. Our knowledgeable staff can help you select perfect gifts for your special kids and for the kid in you.
Blue Eagle Pottery
"Our work embodies skill, insight, and respect for both the material and process. It is useful in the kitchen, on the table, or as an accent to decor. The warmth and beauty crafted into each pot will touch those who use it. Its artistry functions best through daily use, through intimate acquaintance."
Blue Violet BodyworksSpa
Facials, manicures, pedicures, body polish, haircuts, massage and more.
Blue Wind Gallery & Annex 4121
Furniture, collectibles, comics, militaria, railroad memorabilia, original landscape and wildlife paintings.
CITY:Crystal Lake
Books at Sunset
New and gently read books, books on tape, gift items, cappuccino, biscotti and even "tea for two."
The 185,000-square-foot retail showroom is an educational and entertainment attraction, featuring a décor of museum-quality animal displays, huge aquariums and trophy animals interacting in realistic re-creations of their natural habitats.
CITY:Hoffman Estates
Castle Gardens
Garden decorations, lawn furniture, plants, flowers, shrubs and trees. Come see our selection and find just what you're looking for!
Celtic Home and Hearth
Celtic Home & Hearth offers unique selections of Celtic and Renaissance inspired and imported items all specially chosen for their quality and appeal.
Chicago Botanic Garden Farmer's Market
First and third Sundays of the month from May until October (9 a.m. to 3 p.m.) Gather seasonal produce, flowers, herbs, and other local, sustainable products at this bimonthly Garden event that is held rain or shine. Talk with vendors and sample fresh fare. Visitors may purchase a special market bag from the Garden Shop to carry their purchases home. Free admission; $25 per car (includes tax) .
Chicago Botanic Gardens Farmers' Market
The Garden welcomes local, sustainable farmers and producers to this public farmers' market on the first and third Sundays of the month from June through October. Admission to the market is free to Garden visitors and will be held rain or shine. Visitors may purchase a special market bag from the Garden Shop to carry their purchases home.
Lincolnshire's place for dining, shopping, entertainment and work. Enjoy unique boutiques, the 20-theatre Regal Cinema and IMAX, glow-in-the-dark miniature golf, ceramic painting, outdoor summer concerts and a variety of restaurants.


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Pets Barn provides a dedicated veterinary service for the pets of Gloucestershire and surrounding areas. We believe in compassionate care, quality of service and value for money. Our aim is to provide the best possible medical and surgical pet healthcare with a professional and caring attitude at all times. We aim to completely fulfil client requirements and expectations so they need not go anywhere else for their pets' needs. All our three practices are fully equipped with good car parking.
There may be other vet practices in the area that are not listed here, if you can not find what you are looking for please try the Any UK Vet vet practice directory


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Hit Komiker takes three nods for Swiss film awards
Box-office hit Komiker took three nominations including Best Feature Film for the annual Swiss Film Award, which will be announced during on January 24.
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Leaders of the charity Help Hospitalized Veterans will pay back to the charity $2.5 million in restitution and $1 million in legal fees under a settlement reached with the California attorney general.
The agreement also forces the charitys leaders to resign, including current president Mike Lynch and four of the five remaining members of the board of directors. Lynch and the others have agreed that they will not serve as a director, officer or trustee of any California charity for the rest of their lives.
Most of the restitution $2 million and the $1 million in legal fees come from the estate of HHVs founder and former president, Roger Chapin, who died in August as the agreement was being finalized. He retired in 2009.
Veterans face many challenges when they return home. Its unconscionable that Help Hospitalized Veterans officials misused charitable money intended for those who served and have sacrificed for our country, California Attorney General Kamala Harris said in a statement. I am pleased this settlement forces these officials to resign, in addition to paying restitution.
But an attorney for the charity sees the agreement as a tremendous victory for veterans and their families.
The attorney generals complaint and the subsequent litigation damaged HHVs ability to help veterans, Hugh Quinn said.
Quinn said the attorney generals office has agreed to contact the Veterans Affairs Department to strongly encourage it to begin working with HHV as it had been doing before the complaint was filed.
HHV is grateful for the attorney generals understanding of the need to help our nations veterans and her willingness to quickly reach out to the VA so that [the work of HHV] can get back up to speed, he said.
Since 1971, Help Hospitalized Veterans has provided more than 28 million therapeutic craft kits for hospitalized veteran and military patients worldwide.
The settlement does not constitute an admission or finding of any wrongdoing, fault, violation of law, or liability of any of the defendants.
Harris sued the charitys leadership in August 2012, seeking the return of more than $4.3 million that was allegedly misused. Harris alleged that Chapin, the charitys former president, received more than $2.3 million in excessive compensation over the last seven years of his tenure.
Prosecutors alleged that the board unlawfully approved retroactive salary increases for Chapin, spiking his salary for calculating his pension benefits a lump sum of nearly $2 million when he left in 2009. The lawsuit also alleged the charity spent more than $80,000 for memberships at local golf clubs and bought a condominium in Virginia.
Board members Thomas Arnold, Robert Beckley, Gorham Black III and Leonard Rogers will pay $450,000 in restitution to the charity. Lynch has agreed to decrease his retirement benefit from the charity to no more than $160,000 a year. The lawsuit alleged he had received excessive compensation of more than $900,000.
The charitys fundraising practices and expenditures were the subject of hearings by the House Oversight and Government Reform Committee in 2007. The nonprofit Charity Watch has consistently given HHV a grade of F for more than a decade because of its low percentage of revenue spent on actual program services for veterans.
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Hard work gets Louisville's Antonita Slaughter a starting spot
Christian Academy grad finds hard work pays off
3:00 AM, Jan. 25, 2013
Louisville, Kentucky • Southern Indiana
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Her scoring is up. Her rebounding is up. Her confidence is up. Antonita Slaughter is eager and willing to become a leader for the University of Louisville women's basketball team. Slaughter, a 6-foot-
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Ridgedale no-hit the Irish in a first round Division IV Central District tournament upset Monday. No. 2 Fisher Catholic received a strong outing from pitcher Matt Leckrone, who threw a complete game and allowed two hits and one run. With the loss, the Irish finish the season 17-10.


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November 29, 2015
It's the first year for the stuff the bus campaign put on by Easy Rider. It's pretty simple, give any nonperishable and get a free ride.
Even if you don't ride the bus you can donate food to the drive. It's all going back to help old man rivers.
Officials with Easy Rider say it's important for them to give back to the community.
"We feel as a transit authority we would like to give back to the community for the less fortunate and the people that may need it over the holiday season," says General Manager Tim Thomas.
The final day for donations is Friday. Officials with the transit authority say they haven't gotten quite as much as they hoped for, definitely not enough to stuff an entire bus, but hope you'll help them round out the week on a high note by giving what you can.
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Russell Westbrook recorded a triple-double in Wednesday's win over the Clippers with 31 points, 10 rebounds, 10 assists, and three steals.
Jared Dudley came off of the bench and scored 19 points (5-9 FGA, 6-7 FTA) with five rebounds, one assist, and two blocks over 30 minutes on Friday.
John Wall scored 10 points (4-11 FGA, 2-3 FTA) with six assists and four rebounds over 29 minutes on Friday.
Bradley Beal scored 16 (7-14 FGA, 1-1 FTA) with two assists, three rebounds, one steal, and one block over 33 minutes on Friday.
Avery Bradley scored 16 points (6-12 FGA, 2-2 FTA) with three assists, two rebounds, and three steals over 31 minutes on Friday.
Jae Crowder scored 17 points (4-8 FGA, 6-6 FTA) with five rebounds and three assists over 30 minutes on Friday.
Jared Sullinger scored 18 points (8-12 FGA, 0-2 FTA) with 15 rebounds, three assists, and two blocks over 24 minutes on Friday.
Isaiah Thomas scored 21 points (9-21 FGA) with three assists, four rebounds, two steals over 31 minutes on Friday.
Will Barton came off the bench to score 12 points (5-10 FGA, 1-2 FTA), while going 1-for-3 from three-point range with nine rebounds, two assists and two steals over 29 minutes in the Nuggets 91-80 loss to the Spurs on Friday.
Danilo Gallinari registered a double-double on Friday, scoring 16 points (5-15 FGA, 4-4 FTA), while going 2-for-4 from three-point range with 10 rebounds and two assists over 35 minutes in the Nuggets 91-80 loss to the Spurs.
Tony Parker scored 13 points (6-7 FGA, 0-2 FTA), while going 1-for-1 from three-point range with one rebound, five assists and one block over 25 minutes in the Spurs 91-80 win over the Nuggets on Friday.
Kawhi Leonard scored 25 points (11-18 FGA, 1-1 FTA), while going 2-for-4 from three-point range with seven rebounds, six assists, four steals and five blocks over 32 minutes in the Spurs 91-80 win over the Nuggets on Friday.
Update: Anthony Davis suffered a right knee contusion when colliding with Chris Paul and he is questionable to return.
Reggie Jackson scored 15 points (4-16 FGA, 5-6 FTA), while going 2-for-6 from three-point range with five rebounds, four assists and two steals over 27 minutes in the Pistons 103-87 loss to the Thunder on Friday.
Andre Drummond scored 15 points (7-16 FGA, 1-2 FTA) with seven rebounds, two assists and one steal over 32 minutes in the Pistons 103-87 loss to the Thunder on Friday.
Marcus Morris scored 17 points (5-13 FGA, 5-6 FTA) while going 2-for-4 from three-point range with four rebounds and one steal over 40 minutes in the Pistons 103-87 loss to the Thunder on Friday.
Todd Zola explores the best positions where you can save on pricing heading into Week 12, most notably at running back and tight end.
Jerry Colvin gets you set for the NBA action tonight with an in-depth look at each position.
Michael A. Stein reviews fantasy football injuries heading into Week 12.
Nick Berns and his team present the Fantasy Alarm College Football DFS Playbook for Week 13: Saturday, November 28.
Mark Kaplan drops some knowledge about the best plays in daily fantasy hoops for Friday night.
Whatever we are doing with pitchers isn't working. They are all hurt, all the time. What can we do to improve the health of pitchers? Bill James presents a radical idea on how to fix the epidemic of pitching injury.
Brett Talley pours over all of the statistics, splits and matchups to uncover the very best DFS NHL players for today's contests
Dom Murtha takes a detailed look at several NFL running back situations around the league as we head into Week 12.
Colby Conway helps you with all of those tough fantasy football lineup decisions in Week 12


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Milwaukee, WI (SportsNetwork.com) - The Indiana Pacers' starters will be well rested for Friday's upcoming showdown against the Miami Heat.
First things first.
Chris Copeland's go-ahead floater with 1.2 seconds remaining lifted the Pacers to a 104-102 win over the Milwaukee Bucks on Wednesday night.
Indiana is one-half game ahead of Miami for the top seed in the Eastern Conference after the Heat fell at Memphis, 107-102.
Head coach Frank Vogel announced during Wednesday's shootaround that he would sit his entire starting five against the NBA-worst Bucks after his team had dropped eight of its last 11 coming in.
"It was very cool for us to get out there and get a win and show the starters that we've got their backs when they need rest," Copeland said.
Milwaukee's Khris Middleton was fouled while attempting a potentially game- tying 3-pointer with 4.9 seconds left and sunk all three bonus shots to knot the game at 102-102.
Following a timeout, Copeland got the ball at the top of the arc, drove down the right side of the lane and got his floater to drop to put Indiana in front.
Luis Scola had 24 points and nine rebounds, while Evan Turner added 23 points, nine assists and seven boards. Donald Sloan was the other starter alongside Turner in the backcourt and Rasual Butler and Ian Mahinmi joined Scola in the frontcourt.
Copeland finished with 18 points off the bench.
Brandon Knight tallied 25 points and 10 assists and Jeff Adrien provided 13 points and 17 rebounds for the Bucks, who have dropped 14 of their last 15 tilts.
"It was kind of like a smack in our face," Adrien said of Indiana sitting all of its starters.
Indiana led 51-48 at the break after the game was tied 25-25 following a quarter of play. The Pacers outscored Milwaukee 19-17 in the third and took a 72-67 cushion into the fourth.
A Copeland triple staked the Pacers to a 90-83 lead midway through the fourth before Adrien capped an 8-0 Bucks flurry to put them ahead, 91-90, with 4:16 to go.
Indiana shot 48.2 percent (41-of-85) from the floor and 45.8 percent (11-
of-24) from beyond the arc ... Middleton had 16 points and seven rebounds ...
Milwaukee shot 43.7 percent (38-of-87) from the field.


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There isn't anything good that can be said about smoking. It's bad for your health and the health of those around you. Now on a positive note, do you know how much money you could save if you quit smoking today?
Average monthly subtotal:
Yearly total:
These figures are based on 20 cigarettes in each pack of cigarettes.
On average, your smoking costs are per month (30 days) and per year (365 days).
Smoking causes breathing problems, heart disease, and cancer or makes them worse.
Cigarette smoke contains more than 7,000 chemicals, and at least 69 of them cause cancer. Smoking is linked to lung cancer, and cancers of the mouth, nose, throat, larynx, esophagus, cervix, pancreas, kidney, and bladder. It also leads to cancers of the stomach, liver, colon, rectum, blood, and bone marrow. Smoking accounts for a third of all cancer deaths in this country and about 90% of all lung cancers.
Smoking harms the lungs so they cannot clean themselves. This makes you more likely to get pneumonia. Smoking causes bronchitis and emphysema. Together these are called chronic obstructive pulmonary disease (COPD). In 2013 these diseases became the third leading cause of death in the U.S. By 2030 the World Health Organization predicts that COPD will be the third leading cause of death worldwide.
Smoking raises the risk for heart disease, the leading cause of death in the U.S. Smoking causes cholesterol to collect in blood vessels, making them narrower. It causes blood to clot more easily. This can lead to blood clots that block the flow of blood or travel to organs such as the lungs or to the brain. Cigarette smoke can damage the heart at much lower levels than those that lead to lung disease.
Smoking affects not only you, the smoker, but also those around you who are exposed to your smoke. Children exposed to secondhand smoke are more likely to have bronchitis, pneumonia, and ear infections.
Smokers miss more days of work than people who don't smoke because of tobacco-related health problems.
This information is not to replace your health care provider's advice.


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Repair of Vesico-Vaginal Fistula
- Home
- Health Information
- Repair of Vesico-Vaginal Fistula
|The Urinary Tract
|Copyright © Nucleus Medical Media, Inc.
Reasons for Procedure
- Injury to the urinary tract, which may occur during childbirth, surgery, or radiation therapy
- Tumor
- Certain chronic conditions, such as Crohn's disease
- Impaired blood flow
Possible Complications
- Urinary tract infection or other infections
- Irritation or inflammation of the vulva (the opening of the vagina)
- Injury to bladder, vagina, or urethra (the tube that carries urine outside of the body from the bladder)
- Bleeding
- Adverse reaction to anesthesia
- Smoking
- Drinking
- Chronic disease such as diabetes or obesity
- Taking blood-thinning medications
- Having a fistula that is large or complex
What to Expect
Prior to Procedure
- Do a physical exam
- Order blood and urine tests
- Order imaging tests
- Do a cystoscopy
- Talk to you about the type of anesthesia that will be used and the potential risks
- Arrange for a ride home from the hospital.
- If instructed by your doctor, avoid food or drinks for 6-8 hours before the procedure.
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- 1-2 days for a simple repair
- 3-5 days for a complex repair
Post-procedure Care
- Monitor you while you recover from the anesthesia.
- Help you gradually begin to eat and move around.
- Give you pain medication.
- Take care of your catheter. The catheter will likely be in place for several weeks.
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incisions
Call Your Doctor
- Increasing pressure or pain
- Redness, soreness, bleeding, or discharge at or around the incision site
- Changes in frequency, odor, appearance, or amount of urine
- Inability to urinate
- Signs of infection, including fever or chills
- Excess blood in urine
American Congress of Obstetricians and Gynecologists http://www.acog.org
Family Doctor—American Academy of Family Physicians http://www.familydoctor.org
Health Canada http://www.hc-sc.gc.ca
The Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org
Jatoi N, Jatoi N, Shaikh F, Ssirichand P. Key to successful vesico-vaginal fistula repair: an experience of urogenital fistula surgeries and outcome at gynecological surgical camp 2005. Ayub Medical College website. Available at: http://www.ayubmed.edu.pk/JAMC/PAST/20-2/Nasreen.pdf . Accessed October 7, 2015.
Rizvi S, Gupta R, Patel S, Trevidi A, Trevidi P, Modi P. Modified laparoscopic abdominal vesico-vaginal fistula repair. J Laparoendoscopic and Advanced Surg. 2010;20(1):13-15.
Revision Information
- Reviewer: Andrea Chisholm
- Review Date: 09/2015 -
- Update Date: 01/28/2014 -


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State Sen. Debbie Smith sits at her desk in the Senate Chambers on Feb. 4.
- Filed Under
State Sen. Debbie Smith, D-Sparks, has taken the lead on many education issues that affect parents, students and employers in Washoe County, and she is at the forefront again as the major sponsor of a bill that would give Washoe County School Board trustees authority to raise property taxes.
Smith has grown into leadership positions and wields quite a bit of clout on behalf of Washoe County residents at the 2013 Legislature. She is the assistant majority leader and serves as chairwoman of the powerful Senate Finance Committee, which controls money and funding in the upper house.
As the ...


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A stream of fans uses the crowwover on the fairway of hole 6 during the second round of the Wegmans LPGA Championship in Pittsford on June 8. The Rochester area will host the LPGA Championship and PGA Championship in 2013.
- Filed Under
The summer of 2013 will be a major deal in Rochester - times two.
LPGA officials announced Tuesday that the LPGA Championship will be played at Locust Hill Country Club for the fourth consecutive year. Tournament dates are June 3-9; Wegmans will remain the title sponsor and proceeds will continue to benefit the United Way's Graduation is the Goal Fund.
Oak Hill Country Club will host the 95th PGA Championship Aug. 5-11. This marks the first time the LPGA Championship and a men's major golf championship will be hosted by the same community in the same year. ...


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Iraqi army armored vehicles patrol a street in Baghdad's commercial district of Karrada on Aug. 11 as security measures have been reinforced across the capital after Iraq's prime minister said he would sue the president in a desperate bid to cling to his job. Retired U.S. Adm. James Stavridis thinks that 'many more' Special Forces advisers are needed to provide direct assistance to Iraqi and Kurdish troops. (Sabah Arar/AFP/Getty Images)
- Filed Under
Crisis in Iraq
Read all of our coverage of Iraq news here.
Videos show airstrikes and humanitarian airdrops
Related Links
The former NATO chief commander and military leader in Europe says he thinks the U.S. needs to put boots on the ground to fight with Iraqi and Kurdish troops against the Islamic State.
Currently, about 250 U.S. troops are assessing Iraqi and Kurdish forces capabilities and share some intelligence with them, according to the U.S. military. Retired Adm. James Stavridis thinks that many more Special Forces advisers are needed to provide direct assistance to Iraqi and Kurdish troops.
I think we probably need triple that with some enablers and conventional protective mechanisms around them, said Stavridis, now dean of the Fletcher School of Law and Diplomacy at Tufts University. Those enablers should include aircraft, medical support and intelligence, and cyber support, he said.
Last week, the U.S. began launching airstrikes against the Islamic State. While manned aircraft can attack enemy vehicles and troop formations and unmanned aircraft can attack enemy leaders, air power also has its limitations, he said.
You cannot hold territory; you cannot provide advice; you cant do reconnoitering at ground level a drone is a wonderful high level view, but it doesnt have the feel and the granularity of an observer of the ground, Stavridis said. You cannot provide significant defensive positions, you can only knock down incoming offensive capability.
Meanwhile, the Iraqi government is in turmoil. The Iraqi parliament has selected a new prime minister, but current Prime Minister Nouri al-Maliki has refused to step aside and security forces loyal to him have reportedly taken up positions at strategic locations in Baghdad.
Another complicating factor is the Iraqi government has turned to Shiite militias and Iran for help against the Islamic State. Despite the presence of these adversaries, Stavridis believes it is critical that U.S. Special Forces advisers work with Iraqi troops.
I think weve got to pull with the Iraqi government as imperfect as it is, Stavridis said. Weve got to operate alongside Iranian forces, if necessary, because the greater threat to the United States is the rise of a caliphate, and one that has already sworn to fly its flag over the White House thats extremely concerning.
However, Stavridis is not advocating that U.S. troops fight with Iranian forces. Rather, the two countries need to be aware of where their troops are to avoid getting into a cross-fire situation, he said.
Were not going to be Irans allies in this particular case, we have some common interests. Were going to operate in the same battlespace, Stavridis said. Therefore, it would behoove us to have at least a minimum of coordination, probably via the Iraqi government and the Iraqi armed forces.
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I have been a resident of Granville for only three of my five Pelotonia riding years. Without qualification, I was completely overwhelmed by the support of the Granville family when I rode Broadway through downtown on Aug. 10. To feel such pride and the emotional impact it had on me was phenomenal. My good friend Tom Lenox, Director of Pelotonia, said to me at dinner in Gambier, that he was so overcome with emotion that his eyes welled-up as he come over the rise on Broadway into downtown. Truly, there was no city that was more complimented than Granville in the 180 mile ride. When Granville represents, it does it with amazing conviction and enthusiasm. Thank you again, to all of you who came out for Team Granville and all the Pelotonia riders. If not us, who? If not now, when? We all have one goal to cure cancer and thank you to everyone for your support!
Paul Kosling


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A team of neurologists, psychiatrists, neuropsychologists, and other health-care professionals specially trained in diagnosing and treating memory disorders will perform evaluations for patients experiencing memory loss. The memory work up may consist of an MRI of the Brain, laboratory tests and neuropsychological testing. However, each patient is treated individually and medical work ups will vary depending on the patient's past medical history and clinical presentation. Once the evaluation for the patient has been completed, this multidisciplinary team will discuss the findings with the patient and/or family and formulate a treatment and management plan. Patients will continue to be followed on a regular basis in the clinic based on their condition, clinical need, and their participation in research studies.
The team offers participation in a variety of research studies. These include investigational treatment studies for mild cognitive impairment and Alzheimer's disease, brain imaging studies utilizing MRI and PET scanning with state-of-the-art techniques and new radioactive tracers, genetic and family studies involving specific risk factors, and new approaches to make an early diagnosis of Alzheimer's disease. The Memory Disorders Center is the main clinical component of the Columbia University Alzheimer's Disease Research Center (ADRC), and is one of 28 specialized ADRCs funded by the National Institute on Aging, which is part of the National Institutes of Health (NIH).
Luisa Gomez Chan: 646-774-8665
New York State Psychiatric Institute
1051 Riverside Drive, Room 1501, First Floor
New York City, NY 10032
Upper Manhattan - Washington Heights.
Richard Mayeux, MD
Gregory Pelton, M.D.
Assistant Professor of Clinical Psychiatry
Gertrude H. Sergievsky
Professor of Neurology, Psychiatry & Epidemiology
Dr. Nikolaos Scarmeas, MD
Assistant Professor of Clinical Neurology
D.P. Devanand, MD
Professor of Clinical Psychiatry and Neurology
Yaakov Stern, PhD
Professor of Clinical Neuropsychology
A telephone screening will determine if a patient is eligible for an evaluation, however, all patients must be over the age of 55.
Family members, friends, and physicians may refer patients to the Center.
Although the evaluation by the physician and neuropsychologist are free of charge, the medical work-up is the financial responsibility of the patient (i.e. medical insurance).


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In the urban village of Rosslyn, Le Méridien Arlington is centrally located among top destinations in the Washington, D.C. region. This stylish boutique hotel is also close to numerous restaurants, shopping options, and corporate offices. Amuse boasts innovative Italian cuisine as well as an inviting terrace with close views of the Potomac River. Meanwhile, Amuse Bar is a sophisticated setting for lounging and enjoying signature cocktails and renowned wines. Our 154 engaging guest rooms and suites provide ample space for your itinerary—business, leisure, or an intersection of the two. Some rooms are distinguished by inspiring views of Georgetown, on the other side of the river across the Key Bridge.
This facility meets ADA Accessibility Guidelines for wheelchair accessibility, including an accessible entrance,
access to goods and services, usability of rest rooms and accessible parking and drop-off areas. For additional
details, please see the ADA website.
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WASHINGTON (AP) - U.S. employers added 96,000 jobs last month, a weak figure that could slow any momentum President Barack Obama hoped to gain from his speech to the Democratic National Convention.
The unemployment rate fell to 8.1 percent from 8.3 percent in July, but only because more people gave up looking for work. The government only counts people as unemployed if they are actively searching.
The Labor Department also says 41,000 fewer jobs were created in July and June than first estimated. The economy has added just 139,000 jobs a month since the beginning of the year, below 2011's average of 153,000.
The bleak report comes just two months before Election Day, and the economy is the top issue on most voters' minds.
Copyright 2015 Associated Press. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.


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Meritocratic Republic of Trattoria
|Meritocratic Republic of Trattoria
|Tek Level 7
|200 systems, 3 extra-galactic colony systems
|None listed
|Allied Nations
|Third Alliance
|Notable People
|see Trattorian Characters
The Meritocratic Republic of Trattoria, or more tersely known as the Trattorian Empire, is a large empire spanning 200 systems and has the ability to conduct inter-galactic voyages. In fact, 3 systems lie outside this galaxy and supply the attinium needed to make the inter-galactic voyages possible and economical. It also has a huge economy relative to its size, being the third-largest in the brikverse by GDP, and also the most highly advanced science and research communities in the galaxy. The government is officially a democracy, with a three branch USA-style representative democracy. Recently, with the overthrow of the government by Intelligence Director Siri, it has been replaced with an absolute kaiserdom. This was mysteriously reversed in the first days of G.R. 2014, allowing Trattoria to revert to its old system of government and elect President Kuroki.
Trattorians have demonstrated technological prowess in its military forces compared to other star nations, having built SHIPs and SHDTs, along with other classified black-ops projects and more mundane upgrades to the rest of the military. While it does seem to suffer a smaller infantry force than most other nearby empires, it makes up for that with a large amount of vehicles and an extensive navy that puts nearby ones to shame. The best teknology, however, is reserved for the Citizens and the civilian sector.
History of Trattoria
The history of the empire is relatively uninteresting and unchanging. Regardless, the Trattorians know as solid fact that they were space-dropped onto a habitable planet at the fringe of this galaxy, along with blueprints for war-machines and resources, a thousand years ago. They began building, and within a few years, launched a spaceship into the next system. The colonization has been unstoppable for hundreds of years since then, until it stopped at 150 systems due to security concerns. The last five systems colonized, the farthest away, demonstrated these problems as they broke away to form the Paladins against the Peaches.
An intelligence director by the name of Siri overthrew the government of Trattoria and established herself as kaiser. She attempted changing some of Trattoria's policies, making Trattoria a member of the Third Alliance. She established for herself the position of foreign relations and intelligence in the Third Alliance.
Siri was assassinated in early G.R. 2014, reverting Trattoria to its old democratic government and policies.
Policies of Trattoria
Trattoria has become a major player in galactic politics. Currently, it is anti-immortal, anti-Peach (but not genocidal) and a major backer of the Allied Nations.
At the onset of the AN-TA War, Trattoria took an active role in the Allied Nations. Under Siri's coup, Trattoria joined the Third Alliance.
After the assassination of Kaiserin Siri and the overthrow of her government, the new President Kuroki has returned Trattoria to its old partners, the Anti-Immortal Alliance and the Neu-AN.
Although politicians and diplomats are prominent in Trattorian society, the real power rests with the scientists. Prioritizing economic growth over military strength, the scientists have attained a near extra-legal status though their role in shifting the LRAS and increasing the GDP through research and development. At the forefront of the galactic scientific community, the science department of Trattoria has produced such wonders as perfect miracle-cures, galaxy-destroying neutrina bombs, a complete physical Theory of Everything, and deadly chlorine-trifluoride throwers among countless other innovations.
Government of Trattoria
Trattoria possesses democratic institutions but is actually more strongly dominated by meritocracy. Trattoria is a unitary state- the national government retains supreme power and divides the country's 150 home star systems into fifty districts of three star systems each for administrative purposes. The capital is on the homeworld of Trattoria.
Legislative Branch
Two elected Legislators represent each district in the unicameral Legislature, for a total of 100 members. The nonvoting Special Administrator, who represents the fifty systems annexed from Valoros, is also usually present at meetings of the Legislature. The Legislature drafts and votes on laws and is non-partisan (no political parties)- each Legislator stands for him/herself and his/her own platform, although the Legislature is relatively homogeneous in ideology in comparison to other nations' parliaments and congresses. The Legislature is empowered to declare war, pass the budget, and annex and determine the status of new territories. It elects a Speaker of the Legislature from the body to chair meetings and enforce procedure, usually the most senior Legislator. Legislators are paid little but usually own a fortune from a previous occupation. Any Trattorian Citizen may run, but the final candidates list on the ballot is sometimes trimmed with a science/mathematics examination. The votes of Legislative districts are weighted by their economic contribution, with each district's two Legislators splitting equally.
Executive Branch
The executive branch is nominally headed by the President and Vice President, determined by a nationwide popular election with a procedure similar to Legislative elections. Due to the unpredictable nature of democracy, the President possesses little de facto power, which instead rests in the cabinet of merit-selected bureaucrats. The Cabinet consists of six Chief officials heading their respective departments:
- The Economics Department
- The Science Department
- The Foreign Relations Department
- The Legal Department
- The Education Department
- The Armed Forces Department
Each department is led by a Chief official and usually a ruling council: notable ones include the Chief Comptroller and the Board of Governors for the Economics Department, the Chief Scientist and the Council of Scientists for the Science Department, the Chief Ambassador and the ambassadors to the BrikVerse's G8 nations for the Foreign Relations Department, the Chair of the Joint Chiefs of Staff and the Joint Chiefs of Staff for the Armed Forces Department, the Chief Attorney for the Legal Department, and the Chief Chancellor for the Education Department. Each Department usually possesses further subdivisions- the Science Department has Biology, Chemistry, Physics, and Engineering sub-Departments, while the Armed Forces Department has Army, Navy, Fighter Force, and Marine branches. In the event of presidential assassination, the line of succession is the Vice President, the Speaker of the Legislature, and then the Chief cabinet officials in the order introduced above. The executive branch would avoid the last outcome however, as an ambitious Chief cabinet official could abuse the presidency's powers and seize control over the other Departments and Trattoria.
The Armed Forces consist of conscripted sub-citizens. The command structure (aka generals, admirals, air marshals, commandants, etc.) are almost always doled out as political favors to Citizens, with promotions from the ranks done only rarely.
Judicial Branch
Blue collar crime is rare to nonexistent in Trattoria and the robotic police force exists primarily to keep visiting foreigners in line. Crimes against sub-citizens (such as soldiers, test subjects, or subjugated foreigners) committed by Citizens are not prosecuted as sub-citizens possess few or no legal rights. Foreigners guilty of crimes as well as undocumented immigrants are dealt with depending on the power and prominence of their country of origin. White collar crime occurs however, with the Legal Department investigating general white collar crimes committed by Citizens and the Economics Department's Comptrollers specializing in financial crime and economic treason. Citizens are guaranteed a right to fair trial, and Trattorian courts follow typical adversarial format with a judge and jury. Trattorian courts rely more heavily on technology than their counterparts in other countries, including polygraphs and neural scans. Even upon conviction, judges are usually lax in sentencing (a short stay in prison) unless there is something especially offensive about the crime in question (such as Dr. Kruszewski's usage of a Black Box anomaly), in which case execution, citizenship/Ph.D. revocation, or exile may be imposed. Verdicts may be appealed in higher courts, and the Supreme Tribunal (consisting of nine senior justices) has the ultimate say on any legal matter in Trattoria.
Culture of Trattoria
Trattoria highly values intelligence and academic prowess, believing intellectual acuity to be the key to its prosperity. Consequently, Trattorian citizenship requires a Ph. D. that satisfies national education standards, which is most easily achieved through attending a Trattorian university (which are consistently ranked among the highest in the Brikverse, paid for entirely by the government for prospective citizens). After completing such rigorous training, a Trattorian citizen is then entitled to a near-utopian lifestyle free of crime, poverty, sickness, hunger, etc. with a usual median salary of around seven to eight figures. Combined with heavy under-population, plentiful resources, and Level 7 Tek, the Allied Nations consistently ranks Trattoria as having one of the highest qualities of life in the Brikverse.
In exchange, Trattoria lacks or bans many activities that other countries in the Brikverse take for granted. There is no sex, no marriage, no drugs (except for RbT, which has by now been quashed), no metal music, etc., a lifestyle which minifigs outside of Trattoria believe is abhorrent. Reproduction is conducted artificially, with heavy genetic engineering geared towards maximizing intelligence, and marriage is replaced by an 18-year legal contract to raise a child, often assigned via lottery. Trattorians are actually physically incapable of romantic love or sex.
Like many other great nations in the brikverse, Trattoria's prosperity is built upon the backs of slaves. Or in this case, prospective citizens who failed academically and therefore forfeited their right to full citizenship. Those incapable of following Trattoria's rigorous curriculum are usually assigned as conscripts in the military, or even as scientific test subjects in more egregious cases. This attitude extends towards the rest of the Brikverse as well, with the phrase "unenlightened imbeciles" commonly used to refer to foreigners.
Additional Information
A list of some important Trattorians can be found on the Trattorian Characters page.
A list of some important Trattorian star systems and planets can be found on the Trattorian Planets page.


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The Perry County Historical and Cultural Arts Society has announced the formation of the Phil Sheridan Society to help promote an understanding of the many aspects of the Civil War.
The Phil Sheridan Society is dedicated to not only promote the history of the Civil War but to also promote the legacy of Gen. Phil Sheridan. To accomplish this, the society is having a lecture series encompassing many different topics of the Civil War.
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