text:
Presented at the Society for Academic Emergency Medicine annual meeting, Washington, DC, May 29–June 1, 2008.
Screening Adolescents in the Emergency Department for Weapon Carriage
Version of Record online: 27 JAN 2010
DOI: 10.1111/j.1553-2712.2009.00639.x
© 2010 by the Society for Academic Emergency Medicine
Academic Emergency Medicine
Volume 17, Issue 2, pages 168–176, February 2010
Additional Information
How to Cite
Cunningham, R. M., Resko, S. M., Harrison, S. R., Zimmerman, M., Stanley, R., Chermack, S. T. and Walton, M. A. (2010), Screening Adolescents in the Emergency Department for Weapon Carriage. Academic Emergency Medicine, 17: 168–176. doi: 10.1111/j.1553-2712.2009.00639.x
Dr. Cunningham had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. This project was supported by a grant (014889) from the National Institute on Alcohol Abuse and Alcoholism (NIAAA).
Publication History
- Issue online: 27 JAN 2010
- Version of Record online: 27 JAN 2010
- Received June 2, 2009; revisions received July 9 and August 14, 2009; accepted August 27, 2009.
- Abstract
- Article
- References
- Cited By
- weapon;
- adolescents;
- violence;
- emergency department
Objectives: The objective was to describe the prevalence and correlates of past-year weapon involvement among adolescents seeking care in an inner-city emergency department (ED).
Methods: This cross-sectional study administered a computerized survey to all eligible adolescents (age 14–18 years), 7 days a week, who were seeking care over an 18-month period at an inner-city Level 1 ED. Validated measures were administered, including measures of demographics, sexual activity, substance use, injury, violent behavior, weapon carriage, and/or weapon use. Zero-inflated Poisson (ZIP) regression models were used to identify correlates of the occurrence and past-year frequency of these weapons variables.
Results: Adolescents (n = 2069, 86% response rate) completed the computerized survey. Fifty-five percent were female; 56.5% were African American. In the past year, 20% of adolescents reported knife or razor carriage, 7% reported gun carriage, and 6% pulled a knife or gun on someone. Although gun carriage was more frequent among males, females were as likely to carry a knife or pull a weapon in the past year.
Conclusions: One-fifth of all adolescents seeking care in this inner-city ED have carried a weapon. Understanding weapon carriage among teens seeking ED care is a critical first step to future ED-based injury prevention initiatives.
ACADEMIC EMERGENCY MEDICINE 2010; 17:168–176 © 2010 by the Society for Academic Emergency Medicine
Youth violence is a significant public health problem that accounts for much of the morbidity and mortality among adolescents in the United States. Homicide is the leading cause of death for African American adolescents and the second leading cause of death for white adolescents.1 Firearms are the most common mechanism of homicide mortality among adolescents, accounting for 83% of all homicides.1 Focusing on homicides alone, however, underestimates the scale of this public health problem among adolescents. In 2005, the ratio of nonfatal intentional injuries to homicides among adolescents was 101:1, suggesting that the impact of violence on injury is far more substantial.2 Research indicates that fight-related injuries among adolescents carrying a knife occur at nearly twice the rate of injuries among adolescents who do not carry a weapon.3 Illicit gun and knife carriage are potent risk factors for violence and violent injury among adolescents,3–8 and illicit gun carriage has been significantly associated with serious injury and death for both the carrier and the others among adolescents.3,4,9,10
National medical organizations have recognized that firearm-related injuries and deaths affect the pediatric population and have urged physicians to incorporate violence prevention into adolescent medical practice.11–15 Identification of teens who carry weapons, specifically guns, is an important component of violence prevention. As a group, adolescents who present to the emergency department (ED) may differ from teens that attend school16 and have been shown to have elevated rates of risk behaviors.17
To the best of our knowledge, previous research has not described weapon-related behavior among a comprehensive sample of teens seeking ED care, regardless of presenting complaint. In addition, the adolescent literature has not described an analysis evaluating how risk factors relate to whether a teen has ever carried a weapon or how often a teen has carried. Weapon-related risk factors were selected for this current study based on theoretical models of youth violence and weapon carriage18–20 and prior research3,5,6,21–24 and included demographics (age, minority status, sex), prior injury and fighting, and other multiple risk behaviors such as substance use and sexual activity. The main objective of this study was to describe the prevalence of weapon carriage among adolescents seeking care in an inner-city ED.
Study Design
This was an observational cross-sectional survey study. Patient assent and parental consent were obtained for youths under age 18 years. Study procedures were approved by the appropriate institutional review boards (IRBs). A certificate of confidentiality was obtained from the National Institutes of Health (NIH).
Study Setting and Population
The study site was an inner-city Level 1 trauma center ED in Flint, Michigan, with an annual ED census of approximately 75,000 patients per year (25,000 pediatric patients).The pediatric ED is a separate clinical area, adjacent to the adult ED (across the hall). Hurley Medical Center is the only public hospital in the city. Flint is comparable in terms of poverty and crime to the other urban centers such as Detroit, Michigan; Hartford, Connecticut; Camden, New Jersey; St. Louis, Missouri; and Oakland, California.25 The population of Flint is 50% African American.26
Patients were identified from electronic tracking logs and were approached by trained, bachelor, or master's-level research assistants (RAs) in waiting rooms or treatment spaces. A consecutive sample of adolescents (ages 14–18 years) presenting to the ED for either medical illness or injury was approached by research staff to participate in this computerized survey during the afternoon and evening shifts (∼12pm–11pm), 7 days/week from September 2006 through June 2008. Patients were excluded if they were being treated for sexual assault or acute suicidal ideation or had abnormal vital signs (Figure 1).
Study Protocol
Consenting participants self-administered an audio computer-assisted self-interview on a tablet laptop computer, with touch screen and audio via headphones. The survey administered was the screening portion of a larger randomized controlled trial.27 Participants received a token $1.00 gift (e.g., notebook, pens). The survey was in English only (consistent with the study site population, and no participants were excluded for language restrictions). RA staff paused the computer when the medical staff was present or if the participant went to testing (x-ray, etc.). Family or friends accompanying an adolescent, if in the room, were not permitted to be in a physical position where they could view the questions in the computer. This was enforced by the RA in the room. If adolescents completed the screen more than once due to repeat ED visits over the recruitment period, only the first screening completed was included in the data.
Demographic information (age, race, ethnicity, sex, employment, school grades, and receipt of public assistance) was collected using items from the National Study of Adolescent Health.28 Weapon-related behaviors were assessed using three questions from the Youth Risk Behavior Survey (YRBS),29 which has established reliability.30,31 Participants were asked, during the past 3 months and past year, how often they carried a knife or razor, carried a gun, and pulled a knife or gun on someone. Past-year carriage was the primary outcome variable. The response scale was: never, one time, two times, three to five times, six to 10 times, 11–20 times, and more than 20 times, For analysis purposes, past-year carriage was the variable of interest; values used were the midpoints (i.e., for the range of three to five times response, four times was used) as is commonly done in the broader violence literature.32 Sexual activity was assessed by a question (yes/no) regarding lifetime sexual activity from the YRBS,29"Have you ever had sexual intercourse?"
To assess substance use, participants were asked to indicate whether they had consumed alcohol more than two or three times in the past year.28 Frequency, quantity, and heavy alcohol consumption were assessed with the Alcohol Use Disorders Identification Test (AUDIT-C).33,34 Binge drinking was assessed using the AUDIT-C;33 however, as recommended by Chung et al.,34 for application among adolescents, binge drinking quantity was lowered from the original "six or more …" to "five or more drinks on one occasion." Responses for binge drinking were dichotomized (yes/no) for analysis. Past year cigarette35 and marijuana use29 were assessed using dichotomous measures indicating if the substance was used (yes or no).
Past-year injury from a physical fight or a gun was assessed with the Adolescent Injury Checklist.36 Patients indicated if injuries required treatment by a doctor or nurse. These were dichotomized (yes/no).
Two items from Add Health28 assessed how often the teens self-report they were in a "serious physical fight" and "took part in a fight where a group of my friends was against another group." Consistent with the Add Health survey, these behaviors were not further defined. Responses were dichotomized (yes/no).
Data Analysis
Descriptive statistics were computed for demographic and behavioral characteristics of the sample, and three outcome variables (knife or razor carriage, gun carriage, pulled a knife or gun). Bivariate analyses were performed using chi-square test of independence. Zero-inflated Poisson (ZIP) regression models were then used to predict both the past-year occurrence and the past-year frequency of the three outcomes listed above. ZIP regression is indicated when there is a high likelihood that there will be multiple scores of zero.37 ZIP regression was chosen here as it allows for two types of predictions: whether or not a behavior occurred (e.g., gun carriage), where associations are interpreted with odds ratios (OR) for predicting "zero" for the outcome (e.g., no gun carriage) and appear in the "zero-inflation" column, and for those who reported the occurrence of a given behavior, how often it occurred (e.g., how often carried a weapon), for which associations are interpreted with a relative risk ratio, and are reported in the "incident count" column. This analysis thus provides novel information on gun carriage among adolescents in general and specifically in this ED sample. The Vuong statistic38 (z = 13.43, p < 0.0001 for knife carriage; z = 4.93, p < 0.0001 for gun carriage; and z = 5.61, p < 0.0001 for pulling a weapon) was used to confirm that the ZIP regression models were the most appropriate regression models to use given the distribution of the variable.
Independent variables were retained in the final regression models based on theory18–20 and significance in the bivariate analysis. All demographic factors (i.e., age, race, sex, and receipt of public assistance) were associated with at least one of the three weapon-related behaviors in the bivariate analysis, and given the theoretically grounded importance of controlling for these variables, all demographic variables were retained in all multivariate models. Substance use variables (cigarette use, marijuana use, alcohol use, and binge drinking) were highly correlated. To account for this, marijuana use and binge drinking were retained in the final model (dropping cigarette and alcohol use) as those variables had the strongest bivariate association with weapon behaviors. Multicollinearity diagnostics were calculated on all variables retained in final regressions, and there was no evidence of multicollinearity.
Among 2,785 potentially eligible patients who presented during the recruitment period, 2,387 (86%) were approached, and 398 (14.3%) were missed by the RA (Figure 1). Among eligible patients who were approached, 2,069 completed the survey (86.7% participation, 13.3% refusal rate), and therefore 74.2% of the focus population was included in the survey. Comparisons between the screening sample and refusals indicated the groups were similar by sex (χ2 = 2.09, p = 0.15) and race (χ2 = 1.15, p = 0.56). Due to IRB restrictions, no other data were collected on refusals without informed assent or consent. Among the sample, 55.1% were female, 56.5% were African American, 34.6% were white, and 8.8% were of other races (Table 1). In regard to ethnicity, 6.0% of teens identified as Hispanic or Latino ethnicity. Consistent with national trends,39 40% of participants presented to the ED seeking care for an injury. The median screen time was 12 minutes (interquartile range [IQR] = 8.8–17.6).
|n (%)
|Age (16 yr and older)
|1,270 (61.4)
|Race (African American)
|1,170 (56.5)
|Sex (male)
|929 (44.9)
|Failing grades in school
|652 (31.5)
|522 (25.2)
|Public assistance
|1,104 (53.4)
|Past-year substance use
|Any alcohol use
|585 (28.3)
|Binge drinking
|302 (14.6)
|Cigarette use
|546 (26.4)
|Marijuana use
|593 (28.7)
|Past-year injury
|Injured in a physical fight
|336 (16.2)
|Injured in a physical fight and treated by doctor/nurse
|89 (4.3)
|Injured by a gun
|165 (8.0)
|Violent behavior
|Serious physical fight
|807 (39.0)
|Group fighting
|438 (21.2)
|Sexual activity (yes)
|1,254 (60.6)
Prevalence of Weapon-related Behaviors
One-fifth of all teens (n = 414; 20.0%) reported knife or razor carriage (21.9% of those with a medical complaint and 16.7% of those with injury); 7% of all teens (n = 144) reported past-year gun carriage (6.2% of those with a medical complaint and 7.0% of those with an injury) (Table 2). Of teens who reported carrying a gun, most (n = 98; 68%) had done so in the past 3 months. Only 3.1% of teens (65/2069) reported carrying both a gun and a knife. Nearly half (42%; 61/144) of teens who carried a gun reported that this occurred at least three times. Of teens who carried a gun, 39% (n = 56) pulled a weapon; of those who carried a knife, 21% (n = 86) reported pulling weapon.
|All Teens, N = 2,069
|Male,*n = 929
|Female,*n = 1,140
|Median (IQR)
|Median (IQR)
|Median (IQR)
|Knife/razor carriage
|3.0 (1.0–6.0)
|3.0 (1.0–6.0)
|3.0 (1.0–5.0)
|Handgun carriage
|2.0 (1.0–3.0)
|2.0 (1.0–3.0)
|2.0 (1.0–3.0)
|Pulled knife or gun
|1.0 (1.0–2.0)
|2.0 (1.0–3.0)
|1.0 (1.0–2.0)
Sex and Weapon-related Behaviors
Males were more likely than females to report gun carriage (12.7% vs. 2.3%, OR = 6.2, 95% CI = 4.0 to 9.6). Rates of knife or razor carriage or pulling a weapon did not differ significantly between sexes. The majority (96.2%) of females reporting weapon carriage also carried a knife. Males who carried were divided in terms of weapon type: 46.1% (118/256) reporting carrying a gun, and 72.7% (186/256) reporting carrying a knife. Only 18.8% (48/256) males reported carrying both types of weapons over the past year.
ZIP Regression: Knife/Razor Carriage
ZIP regression models (Table 3) were overall significant for each of the three outcomes. Non-African American race, failing grades, marijuana use, and sexual activity were not only related to the occurrence of knife or razor carriage, but were also associated with an increased frequency of past-year carriage. Past-year injury by a gun, serious physical fighting, and group fighting were associated with knife or razor carriage, but not with the frequency of knife carriage. Older age and employment status were associated only with more frequent knife carriage among teens who carried, but were not associated with occurrence of any knife/razor carriage.
|Knife or Razor Carriage (n = 272)
|Handgun Carriage (n = 144)
|Pulled a Knife, Razor, or Gun (n = 131)
|Zero-inflation, OR (95% CI)
|Incident Count, RR (95% CI)
|Zero-inflation, OR (95% CI)
|Incident Count, RR (95% CI)
|Zero-inflation, OR (95% CI)
|Incident Count, RR (95% CI)
|Age (16 yr and older)
|0.92 (0.69–1.20)
|1.49 (1.37–1.61)*
|0.75 (0.47–1.20)
|1.30 (1.08–1.56)*
|0.74 (0.43–1.25)
|1.79 (1.39–2.57)*
|Race (African American)
|0.64 (0.50–0.83)*
|0.60 (0.55–0.64)*
|2.44 (1.54–4.00)*
|1.06 (0.95–1.26)
|1.89 (1.16–3.03)*
|0.95 (0.72–1.27)
|Sex (male)
|0.85 (0.67–1.09)
|1.23 (1.14–1.32)*
|7.14 (4.35–11.1)*
|1.29 (1.06–1.59)*
|1.28 (0.82–1.96)
|1.63 (1.25–2.14)*
|Failing grades in school
|1.30 (1.02–1.67)*
|1.13 (1.06–1.21)*
|1.52 (1.01–2.27)*
|1.58 (1.35–1.85)*
|0.94 (0.61–1.47)
|1.72 (1.31–2.27)*
|1.09 (0.83–1.41)
|1.13 (1.05–1.21)*
|0.73 (0.45–1.19)
|1.35 (1.14–1.59)*
|0.98 (0.58–1.64)
|1.53 (1.11–2.11)*
|Public assistance
|0.98 (0.76–1.23)
|0.99 (0.93–1.07)
|0.82 (0.54–1.23)
|1.82 (1.59–2.13)*
|1.43 (0.92–2.22)
|1.96 (1.54–2.50)*
|Past-year substance use
|Marijuana use
|2.27 (1.72–3.03)*
|1.32 (1.22–1.42)*
|3.33 (2.13–5.26)*
|1.00 (0.84–1.19)
|2.38 (1.45–4.00)*
|1.28 (0.94–1.73)
|Binge drinking
|1.09 (0.78–1.49)
|0.98 (0.91–1.06)
|1.54 (0.93–2.56)
|1.33 (1.12–1.59)*
|2.27 (1.33–3.85)*
|0.78 (0.58–1.05)
|Past-year injury
|Injured in a physical fight
|1.09 (0.65–1.79)
|1.06 (0.82–1.08)
|1.79 (0.83–3.85)
|1.82 (1.29–2.59)*
|1.47 (0.70–3.03)
|1.16 (1.11–1.84)*
|Injured by a gun
|1.67 (1.15–2.44)*
|0.95 (0.86–1.04)
|1.89 (1.12–3.23)*
|1.19 (1.01–1.41)*
|1.09 (0.61–1.92)
|1.65 (1.25–2.18)*
|Violent behavior
|Serious physical fight
|1.92 (1.47–2.50)*
|0.95 (0.87–1.02)
|1.61 (1.02–2.56)*
|1.33 (1.12–1.59)*
|1.61 (0.92–2.86)
|2.14 (1.39–3.29)*
|Group fighting
|1.92 (1.47–2.56)*
|1.12 (1.02–1.23)*
|3.33 (2.13–5.00)*
|1.64 (1.36–1.98)*
|2.78 (1.75–4.55)*
|1.55 (1.11–2.16)*
|Sexual activity (yes)
|1.49 (1.10–2.04)*
|1.12 (1.02–1.23)*
|2.44 (1.32–4.55)*
|1.26 (0.95–1.68)
|0.93 (0.46–1.85)
|1.97 (1.23–3.16)*
ZIP Regression: Gun Carriage
Demographic characteristics of teens who reported any gun carriage differed from those who carried a knife by race; African American teens were more likely to carry guns, while non–African American teens were more likely to carry a knife. Male sex was also related to occurrence and increased frequency of gun carriage. Poverty (as indicated by receipt of public assistance by the teen's family) was not associated with any gun carriage, but was associated with increased past-year frequency of gun carriage among those teens who reported carriage.
Marijuana use and sexual activity were both strongly related to occurrence of gun carriage; however, unlike knife carriage, these behaviors were not related to increased frequency of gun carriage among those who were carrying. Unlike knife carriage, binge drinking, past injury in a physical fight, past injury by a gun, and fighting (both serious fight and group fights) were all associated with increased frequency of gun carriage.
ZIP Regression: Pulling a Weapon
Overall, we found fewer correlates of pulling a weapon than weapon carriage. African American participants and those who reported marijuana use, binge drinking, and group fighting were associated with any pulling of a weapon. Binge drinking was the only correlate associated with frequency of pulling a weapon that was not also associated with knife or gun carriage. The correlates of frequency of pulling a weapon were very similar to those reporting increased frequency of gun carriage.
This study fills a gap in the literature by providing a comprehensive analysis of rates and correlates of both occurrence and frequency of past-year weapon carriage and use ("pulled a knife or gun on someone"), in a large systematic sample of teens seeking care in an inner-city ED. Although weapon carriage has been studied in prior school-based and community samples, this study is among the first to inform ED clinicians on the prevalence of weapon-related behaviors in a general sample of teens seeking ED care, a critical step toward ED-based youth violence prevention initiatives.
One-fifth of teens in this ED sample reported knife or razor carriage, and 7% reported gun carriage in the past year. Clinicians should consider these rates of weapon involvement when discharging patients from the ED, particularly those with assault-related injury at risk for participation in retaliatory violence or those with psychosocial issues that may threaten the safety of themselves and others, such as depression or aggressive behavior. Many (39%) of the teens who carried a gun also pulled out a weapon (implicitly to threaten or use), highlighting the importance of intervening with teens who report carriage. Although this study did not examine the context and outcome of the weapon-related situation, the act of pulling a weapon out during an altercation can exacerbate the probability of serious injury to self or others regardless of initial intent.40,41 While "protection" or "self-defense" are often the most common reasons adolescents report for carrying a weapon,42–44 any illicit weapon involvement during adolescence places teens at greater risk for injury and death relative to other forms of youth violence.3,21
Consistent with prior research, gun carriage was predominantly, although not exclusively, a male activity.45 Knife carriage, however, was similar among males and females; females were as likely to have pulled a weapon out as their male peers. These results suggest that injury prevention efforts that include weapon carriage may need to include both sexes, although role plays and discussions with female teens may be more salient if focused on knife carriage. Weapon type also varied according to race. African American teens were more likely than non–African Americans to carry a gun. However, non–African American teens were more likely than African Americans to carry a knife. Weapon choice among adolescents likely has multiple determinants, including access, socioeconomic factors, neighborhood characteristics, peer-group activities, and motivation for carrying a weapon.46 Understanding racial and sex differences related to weapon type may help inform and tailor future behavioral interventions focused on decreasing illicit weapon carriage and related injury.
One-third of the study sample had failing grades, which in other studies was associated with both knife and gun carriage.6,47 Teens with failing grades may be underrepresented in school-based studies, highlighting the importance of understanding the unique characteristics of ED samples to more finely direct future intervention research intended for ED settings. Receipt of public assistance by the teen's family did not predict gun carriage, but among youth who carried a gun, public assistance was associated with increased frequency of carriage.
Consistent with many prior studies on clustering of risk behaviors and youth delinquency,18,48–52 substance use, sexual activity, and group fighting were all related to gun and knife carriage. This study adds to the broader literature on weapon carriage by analysis of both the presence of and frequency of risk domains in relation to weapon involvement. Prior research has demonstrated a pathway between marijuana use among African Americans and weapon carriage.53,54 Yet, our data revealed that although these high-risk behaviors cluster together (e.g., marijuana use and sexual activity), they were not related to how often teens carried a gun in the past year. These findings may suggest that although these risk behaviors commonly co-occur within youth, they are not driving the frequency of the behavior.
In contrast, past-year serious physical fighting, group fighting, fight-related injury, or injury by a gun were all related to how often a teen carried a gun or pulled a weapon. In this cross-sectional study, causality cannot be inferred; therefore, it is unclear if teens carry and pull a gun because of prior injury and thus the perceived need for self-protection or if gun carriage or use caused or indirectly led to the injury. In either case, these findings in an ED sample mirror findings from other disciplines in the strong association between prior assault- or gun-related injury with gun carriage3,4,6–8,55 and should be considered clinically when treating teens in the ED who are the victims of an assault- or gun-related violence.
The relationship between alcohol use and violence is well-established, and alcohol use by underage teens has been associated with weapon-related behavior in prior studies.6–8,23,47,56–59 These data are the first to report that binge drinking was related to increased frequency of carriage among teens that are carrying, as well as to the often impulsive behavior of pulling a weapon. Future studies are needed to determine whether this relationship reflects acute intoxication effects in which inebriated teens may impulsively carry or pull an illicit weapon or simply reflects the clustering of risk behaviors. Clinically, these findings suggest that substance use interventions addressing binge drinking among high-risk teens may also be effective in reducing frequency of gun carriage and perhaps the likelihood that a teen will pull out a gun in an altercation.
This study was limited by its cross-sectional design, and therefore causal connections about gun carriage could not be made, and the context of weapon carriage or use was not assessed. Prospective studies testing the predictive validity of the screening tool are necessary in a separate data set. Teens presenting with acute suicidal ideation or attempt were also excluded from the study, and therefore the rates presented may be an underestimate of rates of weapon-related behaviors. The behaviors are self-reported; however, recent reviews among adolescents and young adults have concluded that reliability and validity of risk behaviors such as self-reported alcohol, tobacco, and other drug use is high.60–64 Adolescents and young adults are more likely to report risky behaviors using computerized surveys, and when privacy/confidentiality is assured, as was done with an NIH certificate of confidentiality in this study.64–68 These data reflect a single site, with predominantly African American and white youth and low numbers of Hispanic youth (consistent with the local population). No patients were excluded due to being non–English speaking. In addition, youth presenting on the overnight shift were not sampled in this study. Finally, although a strength of this study is its focus on an inner-city ED, a logical focus for future violence prevention initiatives, the findings may not generalize to non–inner-city, urban, suburban, or rural EDs.
To the best of our knowledge, this study is the first to describe rates and correlates of weapon carriage among more than 2,000 adolescents seeking ED care, who were systematically approached and screened over 18 months in an inner city ED. One-fifth of teens surveyed reported weapon carriage, and 6% had pulled out a weapon in the past year. Female teens reported similar rates of knife carriage compared to their male peers, and this should be accounted for in future injury prevention strategies. We found that being male, having been involved in a group fight or a serious fight, having been injured by a weapon, binge drinking, marijuana use, and being sexually active were all risk factors positively associated with gun carriage. Violent injury has been shown to be a preventable public health problem.69 Understanding weapon carriage among teens seeking ED care is a critical first step to future ED-based injury prevention initiatives.
We thank the project staff (Bianca Burch, Yvonne Madden, Tiffany Phelps, Carrie Smolenski, and Annette Solomon) and also Pat Bergeron for administrative assistance and Linping Duan for statistical support. Finally, special thanks are owed to the patients and medical staff at Hurley Medical Center for their support of this project.
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- 26Michigan Department of Community Health. Census 2000 Data for the State of Michigan. Available at: http://www.census.gov/census2000/states/mi.html. Accessed Nov 6, 2009.
- 27Three-month follow-up of brief computerized and therapist interventions for alcohol and violence among teens. Acad Emerg Med. 2009; 16:1193–207., , , et al.
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- 69Center for the Study and Prevention of Violence. Blueprints for violence prevention. University of Colorado at Boulder Web site. Available at: http://www.colorado.edu/cspv/blueprints/. Accessed Nov 6, 2009.


text:
L'agriculture grecque : multifonctionnalité, politique agricole et réseaux sociaux informels
[eng] Greek agriculture: multifunctionauty, agricultural policy and social informal networks - Greek agriculture seems to follow a different evolution compared with the other countries of the eu. It is sustainable because it is already multifunctional. Its productive structure reflects and maintains the logic of the Greek agricultural family's functioning and of the social informal networks into which it is integrated. In fact, these networks have been reinforced by the CAP's implementation. [fre] L'agriculture grecque semble évoluer différemment des autres pays de l'Union européenne. Elle est durable car elle est déjà multifonction- nelle. Sa structure productive reflète et entretient la logique de fonctionnement de la famille agricole grecque ainsi que des réseaux sociaux informels dans lesquels elle s'insère. En fait, ces réseaux sont réactivés par la mise en œuvre de la PAC.
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Volume (Year): 273 (2003)
Issue (Month): 1 ()
Pages: 184-194
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| Web page: http://www.persee.fr/collection/ecoru
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subset: commoncrawl


text:
- Grouping and Descriptive Categories (10)
- Linux (10)
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- Other Operating Systems (10)
- Windows (10)
- Modern (5)
- Embedded Operating Systems (1)
System Administration Software
- Hardware
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- Networking
- Systems Administration
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Hot topics in System Administration Softwarecitylan web nmap computer hardware and software inventory system network mapper network map
phpNMAP is a webased front end for nmap, the worlds best network mapper/scanner. phpNMAP was written with security in mind. It allows you to scan from any platform with a web browser and access to a server hosting phpNMAP.4 weekly downloads
AWBot is an easy to use tool to test a web site.: AWbot connects to your web site and make URL requests like any other visitors. AWBot is not a web indexing robot but a web client tool that emulate some visitors browsing on your site to test its reliab3 weekly downloads
Software Component Integration ML
Framework for software component integration, interoperability and adoptability through a XML based vocabulary: Software Component Integration Mark-up Language (SCIML)2 weekly downloads
Allo stato attuale Internet non sara totalmente libera fintantochč non saranno completamente libere ed accessibili le strutture fisiche che lo trasportano.CityLAN vuole essere il manifesto di questa libertŕ...1 weekly downloads
Revival/2k is a modular BBS/suite of internet servers and a web-site management system. It consists of multiple web applications (forums, mail, login, etc), internet servers (NNTP, POP3, etc) and a Telegard/Renegade styled telnet server all interacting1 weekly downloads
Invisionix Roaming System Remote metasys
Your own portable PC system built by integrating existing Open Source components. This mobile metasystem utilizes the internet's web hosting resources and is accessed via any web browser enabled appliance from your home, work, school, library, cafes, etc.1 weekly downloads
Java P2P Tools
The goal of this project is to create a new peer-to-peer system that is capable of supporting instant messaging, encryption, and secure sharing.
Perl WebHost Control Panel
Perl WebHost Control Panel is a control panel programmed in perl that will allow administration of domain, server, and server farm for ISP/ASP businesses and to end users. Proposed end user features at final relase is 350 features.
Quazaa is a cross platform multi-network peer-to-peer (P2P) file-sharing client based on Shareaza which will support Gnutella2, Ares, eDonkey2000 (eMule), HTTP, FTP, and BitTorrent. Using the QT software development kit.
Seguro Distributor
Seguro Distributor aims the design of an efficient algorithm that allows the safe distribution of public files, i.g., executables and source code. Files are decryptable with a public key, which is generated by a private key.


text:
Back To The Bins – Episode 99 and 9/17
Disenfranchised by the modern comics industry, Paul Spataro, Scott Gardner and Michael Bailey (of "View From The Longbox" and "From Crisis To Crisis: A Superman Podcast" fame) now ply the timestream in a never-ending quest to re-discover and re-connect with that unique brand of fun and excitement that can only truly be found in good ol' fashioned randomly-selected Comic Book back issues!! Journey with them now...back...Back To The Bins!!
"...this show is too good not to listen to." -- Luke Jaconetti, Being Carter Hall and El Jacone's Comic Book Bunker
Two True Freaks! is a proud member of BOTH the Comics Podcast Network (http://www.comicspodcasts.com/) and the League of Comic Book Podcasts (http://www.comicbooknoise.com/league/)!!
Feedback for the show can be sent to us at firstname.lastname@example.com
You can now follow Scott on Twitter at http://twitter.com/NewFun6 and "Friend" him on Facebook!
THANK YOU for listening to Two True Freaks!!_________________________________________________________ CLICK HERE TO GET YOUR EXCLUSIVE "TWO TRUE FREAKS!" T-SHIRT! _________________________________________________________
Filed under: Two True Freaks!
Tags: Batman, best comic book podcast, blue beetle, Captain Canuck, charlton, Comics, Dan Reed, DC, Dick Dillin, fantastic four, Inhumans, john byrne, Marvel, Mike's Amazing World, Murphy Anderson, Nick Cardy, songpop, Superman, Supersons, the question, world's finest


text:
Exploration of an early prototype logo. Trying to morph an ampersand with the letter "Q". I think it has a very unique look about it. Thoughts?
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Show and tell for designers
What are you working on? Dribbble is a community of designers sharing screenshots of their work, process, and projects.
Copyright © 2009–2016 Dribbble LLC. All screenshots © their respective owners. Shipped from Salem, Mass. USA.


text:
Re: Inactive time for logout ??
pizzadude wrote:
Before the recent upgrade to MyFICO, I believe that you could be inactive for 2 hours before the site would automatically log out. Now it seems to be reduced to 1 hour or maybe less.
Can this be reset back to 2 hours ? Thanks !
I've been told that it might be that your computer has an old cookie and you should try cleaning your cache and cookies. Please let me know if this helps.
(1,023 Views)


text: Posted December 11, 2009 No, like a Mach 3. My dad walks into the bathroom, picks up a razor and goes to town. No shower. No steam. No shaving cream. Nothing. And most times it's a dull razor he's used a few times. That's not a straight razor then. I shave the same way as your dad when I do it myself. Share this post Link to post Share on other sites


text: two balls masses 0.80kg and 0.5kg roll towards each other in the same line with velocities of 2m/s and 3.4m/s respectively. after collision the first ball is observed to have a speed of 1.5m/s in the opposite direction. (i) what is the speed of the second ball after collision? (ii) what was the impulse between them?


text:
Kendall and Kylie Jenner launched their holiday collection with PacSun today in Glendale, while Niall Horan became a godfather in Ireland.
Heidi Klum can finally slip into her Cleopatra costume.
One month after Hurricane Sandy hit the east coast — prompting Klum to cancel her annual charity bash — the model and TV personality is ready to have some belated Halloween fun.
On Saturday, the 39-year-old and her beau Martin Kristen were…


text:
Lochte Scores in Soggy Tropical Turf 'Cap
Since moving down to Florida in September, Crossed Sabres Farm's Lochte has been unbeatable. He continued his streak Nov. 21 at Gulfstream Park West, claiming the $100,000 Tropical Turf Handicap (gr. IIIT).
Since moving down to Florida in September, Crossed Sabres Farm's Lochte has been unbeatable. He continued his streak Nov. 21 at Gulfstream Park West, claiming the $100,000 Tropical Turf Handicap (gr. IIIT).
Crossed Sabres Farm's Lochte, upset winner of the 2014 Gulfstream Park Turf Handicap (gr. IT), tops the field for the $100,000 Tropical Turf Handicap (gr. IIIT) at Gulfstream Park West Nov. 21.
Former claimer Royal Posse will try for his second straight stakes win against other New York-breds and third victory overall when he faces an expected eight rivals in the $300,000 Empire Classic Handicap.
The 11th installment in the rivalry between New York-breds Lubash and Kharafa was staged Sept. 20 at Belmont Park, where Kharafa easily got past his opponent in the stretch and went on victory.
With one of his familiar rivals looking to play spoiler, Lubash will try to win $125,000 Ashley T. Cole Stakes for New York-bred 3-year-olds and older a second straight year and third time overall Sept. 29 at Belmont Park.
The Aug. 28 card at Saratoga Race Course, on the eve of Travers Stakes (gr. I) Day, will feature six New York-bred stakes worth $1.15 million, highlighted by a showdown of older turf runners in the $150,000 West Point.
Crossed Sabres Farm's Lochte hopes to get back on the winning track as the 5-year-old gelded son of Medaglia d'Oro tops the field for the $150,000 Oceanport Stakes (gr. III) Aug. 2 at Monmouth Park.
After cruising to victory in an allowance/optional claiming race May 2 at Belmont Park, stakes winner Ostrolenka appears ready to deliver a top effort in the $125,000 Mike Lee Stakes for New York-bred 3-year-olds May 25.
Graded/group winner Speaking of Which has arrived in India, where he will begin his stallion career at Usha Stud Farm when the breeding season begins Feb. 15.
Lady Sheila Stable's La Verdad found her way back to the Belmont Park winner's circle Oct. 18, landing the $150,000 Iroquois on Empire Showcase Day for her fifth stakes score of the year.
Discreet Marq, a New York-bred who has competed primarily in grade I company since winning the 2013 Del Mar Oaks (gr. IT), tops the oversubscribed field of fillies and mares entered in the Oct. 18 Ticonderoga Stakes.
Walter Swinburn's Legendary (GB) attended the pace in the $200,000 Knickerbocker Stakes (gr. IIIT) and kicked clear to hold off 2-1 favorite Up With the Birds Oct. 11 at Belmont Park, collecting his first graded score.
Multiple grade III winner Za Approval will try to win a second straight edition of the $200,000 Knickerbocker Stakes (gr. IIIT) when he starts in the 1 1/8-mile turf race Oct. 11 at Belmont Park.
Winning Cause, getting an ideal stalking trip from jockey Eddie Castro, staved off odds-on choice Big Blue Kitten to win the Cliff Hanger Stakes (gr. IIIT) Aug. 24 on turf at Monmouth Park, halting a 10-race losing skid.
Ken and Sarah Ramsey's two-time grade I winner Big Blue Kitten was guided out of a pocket in the stretch and completed a last-to-first rally in the $100,000 Lure Stakes in his 2014 debut Aug. 2 at Saratoga Race Course.
Dayatthespa and Big Blue Kitten, two familiar faces from the barn of trainer Chad Brown, head the respective fields for the De La Rose and the Lure, two $100,000 turf races on the Whitney undercard Aug. 2 at Saratoga.
Front-running Sayaad, making his first appearance in more than eight months, drew away from favored Kharafa in the stretch to capture the $147,000 Forbidden Apple Stakes on a yielding turf July 4 at Belmont Park.
Moyglare Stud's homebred wins his third graded stakes on the turf June 8 in New Jersey.
Kharafa had a an ideal trip to comfortably win the $125,000 Kingston Stakes from familiar rival Lubash May 31 at Belmont Park.
Za Approval, runner-up to Wise Dan in last year's Breeders' Cup Mile (gr. IT), tops the seven-horse field that will contest the Poker Stakes (gr. IIIT) on the May 26 Memorial Day card at Belmont Park.
Standing in the winner's circle following the win by Little Mike in the $90,000 Flying Pidgeon Stakes at Gulfstream Park, trainer Carlo Vaccarezza admitted he was relieved by the solid return of his multiple grade I winner.
Irish Mission and Orion Moon, both from the barn of trainer Christophe Clement, face off at Belmont Park in the $150,000 Beaugay (gr. IIIT), one of two graded turf stakes on the New York track's May 3 Kentucky Derby card.
Although he figures to be challenged early in the Appleton Stakes (gr. IIIT) March 29 at Gulfstream Park, Mr. Online is the 5-2 morning-line choice to return to his winning ways in the one-mile turf race.
Long River and Romansh face five opponents in the 1 1/8-mile test for older horses at Aqueduct March 22.
The New York Racing Association, which has touted claims of transparency since it was taken over by the state, approved no items at its Feb. 26 board of directors meeting before quickly going into executive session.
|Breeder / Owner
|Thomas Albertrani
|John C. Kimmel
|Clear Attempt
|William I. Mott
|Compliance Officer
|Bruce R. Brown
|Don Dulce
|Bruce N. Levine
|Michael J. Trombetta
|Timothy A. Hills
|Saint Pierre
|Kelly Rubley
|Speaking of Which (IRE)
|Christophe Clement
|Arapahoe Debutante S.
|Minnesota Oaks
|Minnesota Derby
|Clement L. Hirsch S. (gr. I)
|Muscogee (Creek) Nation S.


text:
The Leon Show
Leon Fontaine hosts this award-winning daily talk show that explores relevant topics with world-renowned guests such as Franklin Graham, Duck Dynasty's Al & Lisa Roberson, Max Lucado, Dr. Don Colbert, Darlene Zschech and many others.
Currently heading into its 6th season (fall 2015), The Leon Show is produced at Miracle Channel studios and is made available to more than 5.1 million households in Canada. Across the USA, The Leon Show averages between 25 thousand and 27 thousand viewers each day. The Leon Show also enjoys broad distribution around the world, and averages over 100K hits each month on its Video on Demand.
Welcoming guests from all walks of life, Leon has a unique way of getting great interviews. The Leon Show explores matters of faith, health, relationships and personal growth in a fun, welcoming atmosphere. This must-see program offers viewers spiritual inspiration and practical advice for life.
I've watched Leon on TV for many years. He always has such great guests on. I think he's a wonderful teacher and Pastor too.
What I love about The Leon Show is that it is professional and spiritual. Leon and his guests never fail to point people back to the Word of God.
What an amazing interview with Darren Wilson! I am so excited for his new film. I encouraged everyone I know to watch his interviews on The Leon Show.
I love your Wellness Wednesdays series. It's so informative and interesting. I've encouraged all my friends to check it out.
Al and Lisa Robertson were amazing guests. Hearing their perspective on family was interesting and humorous.
I love being a Leon Show audience member because it's honestly the coolest thing to be part of a TV show! The guests actually interact with the audience, making it more relational.
Thanks for producing this awesome show! The message of love, salvation and grace is going worldwide.
I love joining the Leon Show live audience. It is so much more in-depth than watching the show on TV, I feel like I am part of the conversation.
Wow, what a fascinating interview with Sandra McCollom! I loved what she had to say about grace. I encourage anyone with a busy lifestyle to watch this program. It really helped me take control of my own stress.
The thing I love most about being part of The LEON Show audience is the relaxed, yet totally professional atmosphere. The quality of guests is excellent!
I never want to miss an episode because of the timely messages. They are exactly what I need to hear for that particular day.
The Telly Awards has named The Leon Show as a Bronze winner in the 36th Annual Telly Awards. With nearly 12,000 entries from the U.S., Canada and numerous other countries, this is truly an honour. The Telly Awards was founded in 1979 to honour the very best film and video productions, ground breaking online video content, and outstanding local, regional, and cable TV commercials and programs.
The Leon Show won 'Gold' in Season 2 in the category of Religious Education.
The Aurora Awards is an international competition designed to recognize excellence in the film and video industries.
The Leon Show also picked up an Accolade Global Film Award of Excellence in the category of Talk Show. The Accolade Global Film Competition is an avant-garde worldwide competition that discovers and honours the achievements of filmmakers who produce high quality shorts and new media. Many Accolade talented award winners have gone on to win Oscars, Emmys, Tellys and other awards.


text:
Come Friday, you'll be able to escape speeding tickets twice as often, sell junk food to raise money for school programs, and be able to hide your big Lottery win from friends and families, at least for awhile.Read More »
Winners and losers: Who benefited most and least from this year's session
Some individuals and groups did better than others in the just completed legislative session. We take a closer look, but remembering that one person's victory could be considered another person's loss:Read More »
New TPT law takes effect, but changes are likely
How much headache can a barrel of screws create? A lot – if you bought them before Jan. 1, 2015, and you happened to be a subcontractor.Read More »
New laws take effect on everything from microbreweries to animal fighting
More than 160 new laws took effect on Sept. 30, the general effective date for legislation passed during the 2009 regular session. Many of the laws are technical changes to existing law. Others have more far-reaching impacts on the daily lives of Arizona residents.Read More »
10 new laws that got lost in the shuffle
The 2009 legislative session started out slowly in terms of bill advancement, but it ended in a flurry that left even some lawmakers wondering what all they had voted on. When the Legislature adjourned sine die on July 1, lawmakers had sponsored 1,133 bills during the 2009 regular session. A total of 213 made the cut and were passed by the Legislature. And 191 bills were signed into law.Read More »


text:
Easy Apple Cobbler
Total Time
Prep 5 mins
Cook 20 mins
Fast, easy fruit cobbler with minimal work - I found this on another website a while back and we make it all the time. You can use any canned fruit, like peaches (omit extra liquid) or canned pie filling. The dry cake mix soaks up the liquid from the fruit and the butter to make a yummy cobbler-like crust. It's a crowd pleaser right out of the oven with ice cream.
Ingredients Nutrition
- 2 (21 ounce) cans apple pie filling
- 1⁄4 cup water (approx) or 1⁄4 cup apple juice (approx)
- 1 (18 1/2 ounce) box yellow cake mix (dry) or 1 (18 1/2 ounce) box white cake mix (dry)
- 1⁄2 cup butter (melted)
- Preheat oven to 350 degrees.
- Pour fruit (do not drain) into ungreased 8 x 8 baking pan.
- Add juice or water to fruit (only if using pie filling instead of canned fruit in syrup).
- Pour dry cake mix on top of fruit.
- Top with melted butter.
- Bake approx 20 - 30 minutes uncovered until golden brown.
Most Helpful
This was good but very sweet for me. I followed the recipe and used the water. I also topped mine with cinnamon. It took a half and hour to bake in my oven.
I can't believe I haven't rated this one! I found this recipe a while back and have made it SEVERAL times! My dad and brother request it every chance they get. As a matter of fact, my dad asked for this instead of a cake for his birthday this year! The only change I make is to add quite a bit of cinnamon to the apples. Thanks for an awesomely easy and delicious recipe!
I made this tonight and it was a huge hit! Everyone had seconds and there's not much left :-) Thanks for an easy to assemble take on an old favorite.


text:
New House GOP ad: "Do You Feel Safer?"
posted at 5:43 pm on April 30, 2009 by Allahpundit
Politico's astounded that a shot of the Pentagon on fire on 9/11 would appear — for a fraction of a second — in a video about counterterrorism. Follow the link for the boilerplate denunciation from Steny Hoyer's spokesman about "fear tactics," which must have been written in between press releases about how the economy's going to crash if we don't pass every spending program and bailout that Obama demands.
If you're wondering why Boehner and crew are hitting him on foreign policy instead of on the economy, your guess is as good as mine. Maybe they think the country's attention is about to shift that way? There's good reason to believe that it might. Or maybe they're grooving on that Rasmussen poll from last week showing that 58 percent believe releasing the torture memos endangered national security. If that's the case, fair enough, but this issue ain't going to win back Congress if the economy starts to recover. Especially when, as of three weeks ago, 72 percent of the public — and 70 percent of independents — say they don't think they're less safe under Obama than under Bush.
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- Obama's M.O. with Americans who disagree with him: ridicule - Saul Alinsky anyone? « Jim Blazsik
- New House GOP ad and the politics of fear | The American Pundit
- New GOP ad: "Do You Feel Safer?"
- Wintery Knight Blog
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- Friday, May 1, 2009: Daily Handpicked Headlines :: Daily Uprising :: Join the Conservative Counter-Revolution!


text:
Program Snapshot
As biomedical tools and technologies rapidly improve, researchers are producing and analyzing an ever-expanding amount of complex biological data called 'Big Data'. As one component of the NIH-wide strategy, the Common Fund is supporting the Big Data to Knowledge (BD2K) program, which aims to facilitate broad use of biomedical big data, develop and disseminate analysis methods and software, enhance training for disciplines relevant for large-scale data analysis, and establish centers of excellence for biomedical big data.
BD2K Mission Statement
BD2K is a trans-NIH initiative established to enable biomedical research as a digital research enterprise, to facilitate discovery and support new knowledge, and to maximize community engagement. The BD2K initiative addresses four major aims that, in combination, are meant to enhance the utility of biomedical Big Data:
- To facilitate broad use of biomedical digital assets by making them discoverable, accessible, and citable.
- To conduct research and develop the methods, software, and tools needed to analyze biomedical Big Data.
- To enhance training in the development and use of methods and tools necessary for biomedical Big Data science.
- To support a data ecosystem that accelerates discovery as part of a digital enterprise.
Overall, the focus of the BD2K program is to support the research and development of innovative and transformative approaches and tools to maximize the integration of Big Data and data science into biomedical research.
Joint Funding Opportunity on Quantitative Approaches to Biomedical Big Data. The NIH BD2K initiative signed on to the multi-agency funding opportunity: Quantitative Approaches to Biomedical Big Data (QuBBD). Applications will be accepted by the National Science Foundation (NSF). Learn more about this unique opportunity to advance biomedical data science. Applications due September 28, 2016.
NIH announces an opportunity to provide feedback on a prototype biomedical Data Discovery Index (DDI) called DataMed. Developed through the BD2K biomedical and healthCAre Data Discovery Indexing Ecosystem project (bioCADDIE), the prototype allows users to find and access biomedical datasets from multiple sources based on key attributes. The bioCADDIE development team welcomes your feedback on the DataMed prototype!
Announcing the Connectivity Map Challenge. The Common Fund-supported LINCS Center for Transcriptomics, in partnership with the Crowd Innovation Lab at Harvard Business School, is launching its first challenge, "Infer the Transcriptome." Contestants will compete to develop the most accurate gene-expression inference model trained on a ~100,000 gene expression profile dataset. Monetary prizes will go to the winners. The challenge begins June 28th. Learn more about the challenge.
Multiple Funding Opportunities in Biomedical Data Science Training are currently open! See BD2K Funding Opportunities for details.
Input | Output, a News and Discussion Forum for the Biomedical Data Science Community. This new blog is maintained by the NIH Office of the Associate Director for Data Science (ADDS) and will serve as a news and discussion vehicle for the overall community. Visit the Input | Output Blog.


text: home Wrinkles - Personal Experience Discuss your personal experience with wrinkles. Where on your face and at what age did they first appear? Share your story with others: MedicineNet appreciates your comment. Your comment may be displayed on the site and will always be published anonymously. Enter your Comment Tell us a bit about your background to make your comments more useful to other MedicineNet users. (Optional) Screen Name: * Gender of Patient: Male Female Age Range of Patient: Choose One 0-2 3-6 7-12 13-18 19-24 25-34 35-44 45-54 55-64 65-74 75 or over I am a: Patient Caregiver * Screen Name will appear next to the published comment. Please do not include your full name or email address. By submitting your comment, and other materials (collectively referred to as a "Submission") to MedicineNet, you grant MedicineNet permission to use, copy, transmit, publish, display, edit and modify your Submission in connection with its Web site. MedicineNet will not pay you for your Submission. You represent that you have all rights necessary for MedicineNet to use your Submission as set forth above. Please keep these guidelines in mind when writing your comment: Please make sure you address the question asked. Due to the overwhelming number of comments received, not all comments will be published. When selecting comments to publish, our staff will choose those that are educational and complement the topic. Please try to stay on topic. Your comment may be edited. We would typically edit comments to make them clearer and more readable. We will remove personal information such as last names, email and web addresses, and other potentially harmful information. We will not notify you if your comment has been published. We suggest that you check back on the topic article regularly. We do not provide medical or healthcare advice, treatment, or diagnosis. Thank you for participating! I have read and agree to abide by the MedicineNet Terms and Conditions and the MedicineNet Privacy Policy (required). To prevent our systems from spam, please complete the following prior to submitting your comment. Please select the white triangle: Wrinkles factsOne of the most reliable signs of aged skin is an increase in the number and depth of wrinkles. Other signs include irregular pigmentation, skin thinning, and laxity.Many of the changes found in older skin, but not all, are due to the exposure to ultraviolet light.Wrinkles can be divided into two functional categories: fine surface lines (caused by ultraviolet light) and deep furrows (caused by muscle contraction). Wrinkle treatments are in general much more effective for fine lines. Deeper creases may require more aggressive techniques.Environmental factors that promote wrinkling include smoking, degree of pigmentation, heredity (some families wrinkle more), and most important, occupational and recreational sun exposure over the course of many years.Treatments available for wrinkles include topical medical treatments (such as vitamin A acid, alpha hydroxy acids, antioxidants, and moisturizer) and more invasive procedures (such as glycolic acids peels, deep peels, dermabrasion, laser resurfacing, surgical procedures, and Botox). Return to Wrinkles STAY INFORMED Get the latest health and medical information delivered direct to your inbox!


text:
In the News
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Submit Photo Requests to HMS
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text:
Plantin. Blank back, so I can write whatever information the recipient might need, adding that personal touch. Also, because it's kinda cool having cards with nothing apart from my name on them.
keyboard shortcuts:
L or F like
post comment
Show and tell for designers
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text:
Separate names with a comma.
Your welcome. Happy to help
I recently setup an iPhone for a client I am certain it is the same setting. We used mobile.charter.net as incoming and outgoing server....
Here is a link to install Ice cream Sandwich and Rom Links
I agree. I have not seen a phone that wants me to upgrade yet either. Unless HTC Evo 3D came to Verizon
So if you can't flash it how do you install it?
HAHA I love this comment..
:icon_ banana:
I had this issue, then I did the overclock to 600Mhz and issues were resolved....
My battery only lasts 4-6 hours also. maybe I will /uninstall Dolphin and see if that resolves the issue. Of course I do stream a lot of music...


text:
VIDEO: Jamar Taylor and Rishard Matthews Fight at Training Camp
Lazor: Ryan Tannehill is 'Mastering' The Playbook
Suh: It's My Job to Dominate Turner, Thomas in Practice
McCain: Our Defensive Line Can Be No. 1 in NFL
'You're G*d Damn Right' Stephen Ross is Getting Antsy
Philbin: Ross 'Sensed a Little Different Buzz' This Year
Ross: 'I Have A Lot of Confidence' in Roger Goodell
Dolphins 2015 Training Camp: Quick Facts & Things To KnowThe Miami Dolphins are set to begin their 2015 Training Camp later this week, with all players reporting to the team's practice facility in Davie on Wednesday, July 29th.
Dwork On Sports: Sky's The Limit For Dolphins New-Look OffenseThe Miami Dolphins passing game is going to look a lot different in 2015 after a major overhaul to the receiving corps by the front office.
Miami Dolphins Announce Training Camp Schedule
Fins On 4: Training Camp RemixThe Miami Dolphins are just a day away from their preseason home opener against the Dallas Cowboys at Sun Life Stadium. As far as preseason games go, it's an important one.
5 Athletes Who Have Had A Worse Hair Day Than YouYou would think they could afford a stylist...


text:
Kyudos wrote: multi-touch
devvvy wrote: trend now
Mycroft Holmes wrote:50 shades of grey is more my style
Mycroft Holmes wrote:See what it gets you, wishy washy pastels. I'm with MM on this one it feels so gay. If this is the design trend for this decade I quit, I'll go back to battleshit grey.
Roger Wright wrote: the mauve decade
Mycroft Holmes wrote:battleshit grey.
General News Suggestion Question Bug Answer Joke Praise Rant Admin
Use Ctrl+Left/Right to switch messages, Ctrl+Up/Down to switch threads, Ctrl+Shift+Left/Right to switch pages.


text:
Christopher L. Herre, A.I.A.
Bachelor of Architecture and Environmental Design
University of Kansas
Lawrence, KS
Registered Architect in:
• Kansas
• Missouri
• Colorado
• Oklahoma
Professional Organizations:
American Institute of Architects
Kansas Society of Architects
Missouri Council of Architects
Board Memeber Wyandotte Economic Development Council
Community Involvement:
Advisory Board of Directors in Johnson County for Commerce Bank
University of Kansas Alumni Association
Past Member Bonner Springs City Council
Past Member Bonner Springs Planning Commission
Project Experience:
Century Concrete Kansas City, Kansas Food Service Specialists Olathe, KS TradeNet Publishing Gardner, KS DMG Mori Lenexa, KS RedBridge Animal Clinic Kansas City, MO Logic Inc. Olathe, KS Sir Speedy Olathe, KS OlatheT-Shirt Olathe, KS Kraft tank Corporation Kansas City, KS Head & Neck Surgery Associates Overland Park, KS Olathe Animal Hospital Olathe, KS * ABC Excellence in Construction Recipient * National Merit Awards as one of twelve "Hospitals of the Year" Gardner Animal Hospital Gardner, KS Vermeer Sales Oklahoma City, OK Russell Hampton New Century, KS Luminous Neon Olathe, KS Western Extralite Olathe, KS Phenix Label Co. Olathe, KS KCRoad Business Park Olathe, KS Rosehill Executive Business Park
Lenexa, KS
Parkside Business Center Olathe, KS Langley empire Candle Company Kansas City, KS Heritage Electric Olathe, KS Gill Studios Lenexa, KS Hodgdon Powder Company Shawnee Mission, KS Bob Sight Ford Lee's Summit, MO Elecsys Corporation Olathe, KS
Christopher L. Herre
Christopher L. Herre, AIA, as been with Rose Design Build for more than 31 years and brings a total of 35 years of experience in planning, programming, architectural design, and construction administration on numerous project types and sizes.
Prior to becoming the President for Rose Design Build, Chris gained experience with Fullerton, Cary and Oman Architects, The Ramos Group Architects, and Devine, James, Labinski, Meyers Architects where he was responsible for planning, design, and construction document delivery on numerous project types and sizes.
Chris is in charge of overseeing the company marketing efforts, initial client relations, project implementation for all design/build construction contracts, and the development and architectural arms of Rose Companies.
Morgan Rose
Business Administration
Kansas State University
Manhattan, KS
Professional Registrations:
Johnson County Contractor License
Kansas Real Estate Commission License
Helzberg Entrepreneurial Mentoring Program
Associated Builders and Contractors
Kansas State University Alumni Association
Phi Delta Theta Alumni Association
Project Experience:
Heritage Electric Olathe, KS Bob Sight Ford Lee's Summit, MO Paramount Landscape Kansas City, KS Southland Enterprises Shawnee, KS Heartland Precision Fasteners New Century, KS OlatheT-Shirt Olathe, KS G & B Tractor Boyz Louisburg, KS GardnerAnimalHospital Gardner, KS Wall Ties and Forms Bonner Springs, KS GCI Bonner Springs, KS Miss Maria's Dance Studio Lenexa, KS Western Extralite Lee's Summit, MO Midwest Bus Sales Bonner Springs, KS Electronic Controls Additions Olathe, KS Expressions Embroidery Olathe, KS Mar-Beck Appliance Parts and Service Co. Precision Printing Lenexa, KS Ryfam, Inc. Olathe, KS The Winning Team Mission, KS Country Kids Day Care Lenexa, KS G & S Partnership (Signature Landscape) Olathe, KS Prairie Brooke Arts Overland Park, KS Metal by the Foot Kansas City, MO Pizza Maker Lenexa, KS Burge Fence Company Overland Park, KS Central Repair Services Olathe, KS General Plaza Retail Shopping Center KansasCity, MO Tompkins Industries, Inc. Olathe, KS Wintrax Car Wash Systems Mission, KS Bearden's Stained Glass Overland Park, KS RMI Media Productions, Inc. Olathe, KS
Morgan D. Rose
Morgan D. Rose has been with Rose Design Build, Inc. for 24 years and brings a wealth of project planning, cost estimating, construction management, and business administration experience to the company.
Morgan oversees Rose Design Build's finances and human resources, as well as managing construction projects. Morgan's project management experience includes a wide variety of building types and structures such as manufacturing, distribution, and industrial structures; retail buildings; churches; and aircraft hangar facilities.
Morgan is the third generation of the Rose family in management at Rose Design Build.
Chris Bell
Senior Project Architect
Bachelor of Architecture
Kansas State University
Manhattan, KS
Bachelor of Science in Biology
Baker University
Baldwin, KS
Registered Architect in:
• Missouri
• Kentucky
Professional Organizations:
American Institute of Architects
Community Involvement:
Countryside Baptist Church
Project Impact Service Projects
Kansas State Alumni Association
Project Experience:
Tuileries Plaza Kansas City, MO Security Bank Shawnee, KS ScriptPro: 4-Tier Crossover Parking Structure Mission, KS Terracon Corporate Headquarters Lenexa, KS Life Church Olathe, KS Penny's Concrete Batch Plant New Century, KS Watson's Pool & Spa Olathe, KS Deer Creek Commons: Thomasville Overland Park, KS Logic, Inc. Olathe, KS Belfonte Kansas City, MO Woof's Play and Stay Olathe, KS UMB Bank Overland Park, KS Courtyard Assisted Living Overland Park, KS Dekalb Nursing Home Dekalb, IL Crown Cinema Lawrence, KS Countryside Baptist Church Olathe, KS Clubhouse on Baltimore Kansas City, MO Majestic Pointe Condominiums Lake of the Ozarks, MO Coleman Equipment Co., Inc. Bonner Springs, KS Van Wall Dealership Olathe, KS Hodgdon Powder Co. Shawnee, KS Miss Maria's Dance Studio Addition Lenexa, KS Head & Neck Surgery Assoc. Overland Park, KS Delka Designs, Inc. Olathe, KS
Christopher R. Bell, A.I.A.
Chris Bell joined Rose Design Build, Inc. in the summer of 2007. As an architect, Chris is a vital design/build team member, dedicated to meeting client needs from design conception through the end of construction. He brings with him a wealth of experience as he has been involved in the architectural and construction administration phases of projects since 1979.


text:
I'm new to WooCommerce and I have a client who wants their users to be able to associate photo's with a particular product.
For example, the user selects "T Shirt", chooses variations of "Size" and "Color". But before they click "Add to Cart" they see another option that says "Select the photo(s) you would like added (printed on) to this product..." and there is some sort of interface for viewing a gallery of photo's which can be individually selected or filtered by their category.
I know this is niche, but I'm hoping someone can explain how I might achieve it. Thanks!


text:
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hourstracker hd
Today's apps gone free: InstaPlace, DMD Clone, Freezit and more
Today's AGF list includes a social networking app, a cloning app, and a productivity app.
Tyler Tschida
| August 3
Today's Apps Gone Free: Chicken Raid, Facts For Kids, HoursTracker HD And More
Today's AGF list includes a physics puzzler, an education app, and a business app.
Tyler Tschida
| October 9


text:
- Destinations
- Hotels
- Vacations
- Tours & Activities
- Special Offers
- Cruise Vacations
Concordia Hotel
Hotel Ratings
Based ontraveler reviews
Insider Tip
- Considered the most important art museum in Venice, the Accademia art gallery is just 250 m (273 yd) from the hotel. The museum houses an impressive collection of Venetian paintings including masterpieces by Giovanni and Gentile Bellini, Carpaccio, Lorenzo Lotto, Giorgione, Titian, and Francesco Guardi.
Hotel Overview
What to Expect:
- Decorated in a classic Venetian style, this family-run boutique hotel has a warm and inviting ambiance. With a prime location next to St. Mark's Square, the hotel appeals to business executives and leisure travelers seeking an upscale Italy vacation.
Amenity Highlights:
- A complimentary buffet breakfast is provided each morning and room service is available. Hotel amenities include concierge services, complimentary wireless Internet access, and dry cleaning service.
San Marco 367
Venice, 30124
- East of San Marco
Airport:Venice Marco Polo Airport VCE
The Hotel Concordia, in the heart of Venice, is the only Hotel overlooking Piazza San Marco. The Beggiato Family has been running the hotel for four generations as their own home, giving the place a warm atmosphere and distinguished elegance. The 51 rooms are all furnished with original antique furniture, Murano chandeliers, marble bathrooms or precious Venetian mosaics. All rooms are equipped with all the best modern technologies in order to satisfy the most demanding requirements. Most of the rooms offer a breathtaking view over the spires and the mosaics of the Basilica and over Piazza San Marco. The Wedding Junior Suite and the San Marco Suite are enriched by the tempting 'altana', a lovely private terrace where the Guests can experience an exquisite breakfast in the morning, or even more, a candlelit dinner in the intimacy of their own room. As a Canaletto painting, the San Marco Basilica is the background of the exclusive restaurant "La Piazzetta", the ideal setting to experience the delight of local cuisine and enjoy a drink in the charming elegant bar lounge.
Room Amenities:
- Air conditioning
- Bathrobes
- Bidet
- Blackout drapes
- Cable/satellite TV
- Child care (in room, surcharge)
- Climate control
- Clock radio
- Complimentary toiletries
- Cribs (infant beds) available
- Desk
- Direct-dial phone
- Extra towels/bedding in room
- Hair dryer
- Handheld shower
- Housekeeping
- In-room safe
- Internet access - complimentary
- Internet access - wireless
- Jetted tub
- Makeup mirror
- Massage - available in room
- Minibar
- Rollaway beds
- Sewing kit
- Slippers
- Smoking rooms
- Turndown service
- Umbrella
- Wake-up calls
- Welcome amenities
- Window opens
Property Amenities
Overlooking St. Mark's Square, this boutique Italy hotel is located 150 m (164 yd) from Doge's Palace and 400 m (437 yd) from the Grand Canal. Guests can relax with complimentary daily newspapers in the elegant 18th-century lounge, and spend evenings unwinding in the bar. Multilingual staff at the 24-hour front desk can provide currency exchange and assist guests with sightseeing arrangements and restaurant bookings. Business clients have the use of a meeting room, and complimentary wireless Internet access is available throughout the hotel.
The amenities listed below are available on site; fees may apply:
- 24-hour front desk
- Air-conditioned public areas
- Audio-visual equipment
- Babysitting/Childcare
- Banquet facilities
- Bar/lounge
- Complimentary breakfast
- Computer rental
- Concierge desk
- Concierge services
- Currency exchange
- Doorman/doorwoman
- Dry cleaning service
- Elevator/lift
- Fireplace in lobby
- Free newspapers in lobby
- Internet access in public areas - complimentary
- Internet access in public areas - high speed
- Internet access in public areas - wireless
- Laundry facilities
- Medical assistance available
- Meeting room(s) (small groups)
- Multilingual staff
- Room service (limited hours)
- Safe-deposit box - front desk
- Television in lobby
- Tour assistance
Number of floors:
- 4
Number of rooms:
- 51
Extra person charges may apply and vary depending on hotel policy.
There are no room charges for children 6 and younger when staying in the same room as their parents or guardians.
Rollaway beds and cribs (infant beds) may be available and should be requested at the time of booking; fees may apply.
Photo identification and credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in, cannot be guaranteed, and may incur additional charges.
- Pets accepted
Check-in time:
Check-out time:
A complimentary buffet breakfast is provided each morning.
Restaurant à la Carte and American Cocktail Bar 'La Piazzetta'As a Canaletto painting the St. Mark's Basilica is the background of the exclusive Restaurant 'La Piazzetta', the ideal setting to experience the delights of local cuisine and enjoy a drink in the charming elegant bar lounge.
Check Hotel Availability
How many adults (over 18)?
How many children (0-18)?
Infant Airline Seating
Call 1-800-221-3949 to book a seat for a child under 2
How many nights?
Select your check in date on the calendar
Want to add a flight?
Enter departing airport
Enter departing airport


text: Office Live recommends SharePoint Designer as the premier development tool for building composite applications and enhancements to the Office Live Business Applications. I think I've mentioned that here before. Well, our friends on the SPD team have created several useful training videos that you should check out. There are 6 of them. I think 5 of them are fully relevant to Office Live. The 6th one regarding the Visual Studio add-ins is not relevant to Office Live because you cannot upload your own custom code.


text:
ODT Online
ODT /directory
The British Home Office has updated its 2007 handbook, Life
In The UK, and subsequent exam, shifting the focus to cover
events and people "who have contributed to making Britain
The profile of former prime minister Margaret Thatcher has
been given a boost.
Described in the last edition as a "divisive" figure who
caused "massive industrial decline", the Iron Lady is held in
high regard in the new handbook.
Stars of the London Olympics also feature in the latest
citizenship guide, with heptathlon gold medallist Jessica
Ennis among those named.
Along with politics and sport, the 45-minute citizenship test
will also touch on the arts, science, history, inventions,
landmarks and a section titled "unique", which features
comedy group Monty Python and aims to highlight the British
sense of humour.
"The new book rightly focuses on values and principles at the
heart of being British," Immigration Minister Mark Harper
told British tabloid the Daily Express.
"We have stripped out mundane information about water meters,
how to find train timetables, and using the internet."
Previously migrants were not tested on British history.
Questions about public transport, credit cards and job
interviews will be removed from the new publication, which is
already on sale and will form the basis for exams from March.
In 2012 some 150,000 people sat the citizenship test hoping
to secure a British passport.
A name, residential address, and (preferably residential) telephone number is required from readers who comment on ODT Online. These details will not be visible to site visitors.
Login or Register
to add your business to the ODT/directory. Quick link to
Submit your news & photos - Login or
Opinion? Have your say - Login or Register
Submit your
event or notice
Add a photo
Bookmark ODT
Make ODT my
Otago Daily Times print and digital edition, The
Star - Dunedin, The News - Central Otago, The
Ensign - Gore, Southland Express -
Invercargill, Southern Rural Life - Otago and
Southland, The Courier - Timaru, Courier Country - Canterbury and
West Coast, Queenstown Times - Queenstown, Mountain Scene -
Queenstown, The Oamaru Mail - Oamaru, The
Greymouth Star - Greymouth, Hokitika Guardian - Hokitika,
West Coast Messenger - West Coast, The Ashburton Courier -
Ashburton, The News - North Canterbury, Extra! schools
publication, Property
Times South Canterbury


text:
No arrests in alleged Springfield solicitationStaff Report | January 28,2013SPRINGFIELD — There will be no arrests in an alleged solicitation of a young girl in Springfield, according to Springfield Police Chief Doug Johnston.
Police interviewed the alleged victim after the incident but the girl could not recall what the man said to her, Johnston said. The police dropped the case based on lack of information.
"The victim didn't know if he was mumbling or directing something at her, nor did she know whether he was on a phone," Johnston said. "He is very slow and has a mental health issue on that aspect of things. To our knowledge
there is no threat community."
According to the initial police report, the 12-year-old girl was walking home from Riverside Middle School on Jan. 14 when she saw a man and thought he asked for a sexual favor. The man walked behind her for one-tenth of a mile before the child crossed River Street and headed home, the police report said.
Police investigated the complaint after an off-duty state trooper and a group of youths recognized the man that approached the girl, according to Springfield Police Sergeant Robert Simmons.MORE IN This Just InNORTH BENNINGTON Two public meetings, in North Bennington and Shaftsbury, have been set for... Full StoryThe Board of Aldermen has endorsed a major jump in city pension funding. Full StoryHUBBARDTON The annual celebration of Hubbardton has been moved to Sunday due to the weather... Full Story
- Most Popular
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text:
You are using an outdated browser. Please upgrade your browser to improve your experience.
Noteshelf 9.0 features integration with the Livescribe 3 handwriting smart pen
Noteshelf has just been updated to version 9.0 with, most significantly, support with Livescribe 3.
Aldrin Calimlim
| October 15
Noteshelf Finally Gains Retina iPad Graphics Plus Smart Pen Support
The latest update to Noteshelf brings what is probably the most requested feature since the launch of the new iPad.
Aldrin Calimlim
| June 11


text:
From what ive read the WODE doesnt support streaming audio from GC ISO's..I was wondering if this has changed yet? The most current article I could find was from a few months ago..
If not, Is...
Type: Posts; User: frac_king
From what ive read the WODE doesnt support streaming audio from GC ISO's..I was wondering if this has changed yet? The most current article I could find was from a few months ago..
If not, Is...
I hope this is in the right section..
So I followed MFrogs guide to softmod my Wii, Its the American Black version.
I bought the WODE and Installed the WODE.
Now I cant seem to find the...
thanks for your """"""HELP""""""
This may or may not have been answered in the 1000+ pages. But ive read the guide and have a couple ?s
1. It says SDHC cards are not supported, I thought the newer wiis supported SDHC cards? ...
I am softmod'd :) Just the wii I bought was already soft moded and updated so im not sure exactly what it has and doesnt have in terms of security from brickn etc
i have a black wii running 4.3u with homebrew installed. I was wondering what would be the best setup to prevent bricking
awesome guides. you guys rock
alright. your a life..game saver! one more quick question and I will be happy as can be! I read two conflicting posts on the site. one saying soft mods cant be used with hard. and one saying they...
I am reading it thanks..look at the time stamp on comments. I started the other thread in a place where I thought it would be better suited, BEFORE I had a comment on this post. Other whys I...
I have a black wii. Serial LU81394983 Drive chip database says
I was wondering what exactly my wii can and cant do.. Also to play backup copies of my wii and GC games what do I need to do? Is...
Hello and thanks for all the info. Im new to the community and do have a few questions. I will read some of the guides and try to find the answers! Thanks in advance
@ shift_lock
"start with softmods and HBC"
meaning..just follow the guide?
Also..I searched on my wii serial version and it says the chipset is either
There is a 50% chance the chipset is GC2-D4 on a smaller drive board.
And there is also a 50% chance the chipset...
ok quick question. To implement this guide and start from scratch is it a matter of just formatting my SD card? Or is their something else I need to do to delete the previous HBC etc
lol alright thanks
Thanks for your help. Sorry if it was a stupid ?. Im kinda new at it. So is this guide current for my version or should i check towards the end of the comments?
I just bought a black Wii. It has homebrew 1.0.8 on it. And the wii homescreen version is 4.3U I connected to the internet and it wants to update the wii. I was wondering one, if I should. And...
does anyone have this? If so does it allow the wii to play games that you downloaded and copied to an external hard drive via the computer? Also can you play emulated games on the wii with only...
I was wondering if anyone has a external hard drive loaded with 100+ gamecube and or wii games?
o no I havent got a private message. I was wanting to ask someone with many games on a hard drive a tech ? and thought a pm would be easiest.
alright. what do you mean by, if i want to report the PM?
I had a PM question for someone that has a hard drive loaded with 100+ games of either wii,GC or both if their is such a person..THANKS


text:
Sports News
Brandon Putney named first team All-State
Senior Brandon Putney of Middlesex High School has been named to the first unit of the All-State Group A Baseball Team announced this week. Putney made the elite squad as a utility player.
06.18.2010End-of-season Little League celebration
The 2010 Little League program had its first ever closing ceremonies at the Middlesex Sports Complex on Saturday, June 12. The event provided the opportunity to gather everyone to celebrate and recognize the teams and sponsors for the 2010 season.
06.16.2010MHS presents athletic awards
The Middlesex High School athletic awards ceremony was held on June 10. The awards and recipients are as follows:
06.16.2010Deltas down Pirates; host doubleheader Saturday
This Saturday, June 19, the Deltas will host the Peninsula Cardinals (4-2) at Deltaville Ballpark in a doubleheader. The first game is scheduled to start at 6 p.m., with the nightcap starting at about 8 p.m.
More Sports News: page 338 of 464 pages « First < 336 337 338 339 340 > Last »


text:
Dana Lynne Andersen, MA, is a multi-media artist, writer, and playwright with a Masters Degree in Consciousness Studies. She is a gifted teacher acclaimed for her pioneering use of art and creativity as vehicles for shifting consciousness. Dana is currently the Director of the Academy of Art, Creativity & Consciousness in Assisi, Italy.
Dana Andersen


text:
There are a variety of ways to help raise funds for our PTA and school. We have larger fund raising events, such as Unicornucopia, Boosterthon, Family Spirit Nights, etc. We also have smaller fund raisers that can add up to alot! From clipping Box Tops to linking your savings card with your favorite grocery story, every little bit you do can make a difference!
Box Tops for Education & Labels for Education Programs — Check our Facebook page for the latest Box Top promotions.
|General Mills Box Tops for Education Clip Program
|North Ridge ID# 385934
Clip box tops, trim and drop off in the collection box by the front office hall.
Click here for a list of participating products
North Ridge receives $0.10 for each box top received.
|Labels for Education
|Participating Products List
Community Links Program
To make the most of your regular purchases, link your grocery store cards at the beginning of EACH school year. However, linking your cards at any time will support North Ridge. You can link your card yourself next time you are at the store. Or you can complete this Community Link Form and return it to your child's teacher. We will then link your cards for you.
|Harris Teeter: Together In Education (TIE) Program
|North Ridge ID# 1608
Re-link card each year in store around the beginning of the school year.
North Ridge will receive cash awards for participating in this program. Awards dates are December, March and June.
|Target Take Charge of Education Program
|North Ridge ID# 81087
Link your Target Guest Charge Card or Target Visa card at the time of application, by calling 1-800-316-6142 or visit www.target.com.
North Ridge will receive cash awards ~ 1% of Target Store sales and 1/2% of Visa sales elsewhere.
Award Dates - March and September.
|Lowes Foods: Cart to Class Program
|Lowes Foods makes a donation based on the amount of Lowes Foods Private Brand items purchased. Link your card: CLICK HERE (click link for Guests; then click "Enroll
in Cart to Class")
|Two Programs
* Earn money for the school through Community Reward program! Link your card online only HERE. Store brands and name brands earn $!! You can only link to this program by signing up online. You must relink your card each fall.
* Your Kroger card can also earn points for the school to use toward supplies. Sign up for this is in store only—ask clerk to link card to North Ridge Elementary barcode.
|North Ridge ID# 70062213
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Additional Needs & Collection Items
Gently used clothes for our health room, boys and girls, all sizes needed!
School pictures for our yearbook!


text:
Background and Aim: About 40% of older adults in The Netherlands are sedentary according to the ACSM's criteria. It is suggested that the enhancement of physical activity by lifestyle physical activity is an adequate instrument for nonintrinsically motivated sedentary subjects. The purpose of this study was to determine the effects of a pedometer-based lifestyle program with exercise counseling (the COACH program) on daily physical activity in sedentary nonintrinsically motivated older adults in the northern region of The Netherlands.
Methods: A balanced randomized clinical trial (RCT) design was used. Inclusion criteria were being between 50 and 70 years of age and being sedentary and nonintrinsically motivated to enhance physical activity. In this study 473 healthy older adults were enrolled: 292 in the experimental group, 181 in the control group. The experimental group followed a physical activity counseling program with feedback from a pedometer during 11 weeks. One hundred fifty adults participated in an individual counseling program, and 142 subjects had a group counseling program. The outcome measures were daily physical activity (steps/day), physical fitness (Senior Fitness Test), and quality of life (RAND-36).
Results: A MANOVA analysis show a statistical significant group × time effect in physical activity (number of steps; F = 5.88, α = .02, β = 90), leg strength (F = 2.01, α = .04, β = 77), endurance (F = 3.53, α = .03, β = 81), systolic blood pressure (F = 1.96, α = .04, β = 76), physical functioning (F = 3.18, α = .03, β = 82), and vitality (F = 4.18, α = .02, β = 91). The increase in steps show a clinical relevant change (ES .98). No statistically significant effect on physical activity was found between individual and group counseling (F = 0.77, α = .38, β = 83).
Conclusion: This study shows that exercise counseling is an efficacious instrument to enhance daily physical activity, physical fitness (leg strength, endurance, and systolic blood pressure), and quality of life (physical functioning and vitality).