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"What do you mean you're not coming?" Barney cries in outrage into his cell phone as he rides in the back of a cab on the way to MacLaren's. "Of course you're coming. And you're suiting up!"
"Barney," Ted petulantly protests as he picks at his fried potatoes at the diner down the street from the apartment where he sought refuge after Marshall wanted him to clear out for the night. "Did you not hear me? Marshall is getting engaged tonight. That's game changing."
"Why?" Barney questions in exasperation. "Marshall and Lily have been attached at the hip for the past nine years. Why should this change anything?"
"Because it's marriage, Barney. Even you have to admit that's a big deal."
"It's a big mistake," he corrects, "but go on."
"Like I said….it's a wakeup call. They're going to get engaged tonight and before you know it their wedding will be here. Where is this going to leave me? Sharing an apartment with a married couple?" Ted speculates. "Being the pathetic, eternally single and depressed live-in nanny when their first kid arrives? This whole thing has made me re-examine my own life. I've got to get it together. I've got to stop fooling around with you and find myself a wife too."
"Seriously, Ted? You think you can just order up a wife the way you order a burger? Even I know it doesn't work like that," Barney says, throwing Ted's words back at him.
"Well it will for me," Ted proclaims, refusing to accept anything else. "It will because I want it to. I'm using the Think System."
"Okay, Professor Hill."
"Hey, being a professor would be awesome."
"No, it wouldn't; that's lame," Barney dismisses. "And you are aware the Think System was a load of crap, right? He just made it up so he could swindle the town and screw the librarian. Mad props to that last part, but the system didn't actually work. And besides, if you're gonna use tricks and schemes to get a woman into bed you've gotta make them up yourself, or at least give credit where credit's due. That's just etiquette – nay, bretiquette. It's basic Bro Code. But no worries. I've brought my travel size copy of the Playbook for you tonight," he assures him, patting his breast pocket. "Phone five!....You didn't do it, did you, Ted? I can tell when you don't do it."
From there it spirals into more and more of Ted's whining about how he needs to get married and find "the One". Barney tunes most of it out, hearing nothing but a low garbled droning, until Ted says, "Marshall's planning out the rest of his life, and what am I doing? Hanging out with Barney Stinson – the biggest, shallowest womanizer in the city – all in the hopes of picking up a bunch of nameless women at best and getting drinks thrown in my face at worst. I'm not going, Barney."
Barney can't pretend it doesn't hurt to hear his self-proclaimed best friend talk about him that way, but then again Ted doesn't know the truth about his past the way that James does. None of them do – not Marshall, Lily or Ted – just like none of them know what he really does for a living. Still, you'd think after all these years Ted would be able to recognize at the very least that he isn't "the shallowest guy in the city" and that he does in fact care deeply about his friends and shows them great loyalty. But Barney brushes those hurt feelings away into that same dark corner where he locks up all of his unspoken pain and he chooses to be awesome instead. It's just what he does. "Yes, you are coming to the bar, Ted…..Alright, I can give on the suiting up part. But it's gonna be your loss. You'll have to take a 5 instead of 6."
"No," Ted laughs in an annoying I'm-humoring-you-because-I'm-above-it-al
"You act like hanging out with me is the worst thing, like you're doing me some kind of favor, but you love it and we both know it. Marshall getting engaged doesn't magically change that no matter what you want to think now." When Barney's spot-on assessment is still met with silence, he lays out some more brutal honesty. "Tell me this: what else are you doing tonight, Ted? Hanging out at an all-night diner till 2 a.m.?"
"Okay fine. I'll come to MacLaren's. I've got to meet my wife somewhere."
Barney chooses to ignore Ted's continued harping on the wife thing and merely focuses on the first part. "Sweet. I'll be there in ten." Anyway, he can change Ted's mind once he gets him in the bar within range of all those tasty cutlets.
A half an hour later, Barney's standing at the bar scanning the room, scotch in hand, next to Ted who is sipping his beer morosely in between complaining.
"I'm never going to find her."
Barney rolls his eyes. "You just started looking twenty minutes ago. And in that time you've talked to all of one woman – who happened to be Carl's girlfriend." Sadly, he'd been very wrong about being able to shake Ted out of this whole marriage business as soon as he got him to the bar. The past twenty minutes have, however, taught him what a whining bummer his friend can be.
"But that lone woman should have been the One," Ted laments. "All it takes is just one. And that's how I want it to be. I don't want an endless cycle of pointless dating to search her out. I just want to find her – right now. It should be fate and kismet and all that stuff you see in a movie."
Barney rolls his eyes again, sighing deeply. Ted has been playing this same pity party/tears and violins routine since he got here. Hoping to snap him out of it, he'd promised to be Ted's dedicated wingman tonight, his sole focus devoted exclusively to getting Ted a woman before he so much as set his eyes on anyone for himself. Either Ted goes home with someone first or they both strike out. Unfortunately it's becoming pretty clear that means they're both going home alone, and Barney takes a slug of his scotch to mourn all the sex he won't be having tonight.
Ted earlier criticized that no good ever comes from hanging out with him, and the self-loathing part of Barney that's disgusted by his own behavior – that part James was talking about earlier – in his rare, dark moments is secretly inclined to agree. But another part of Barney – the bitterest, most self-aware part – wonders if the same critique might be applied to Ted. Sometimes the two of them have great fun together, because after all nothing is truly legendary unless your friends are there to see it and experience it with you. But other times – like now – Ted can have this condescending way of treating him like he's the scum of the earth despite the fact that he too often engages in the very same behavior and enjoys it. That's the whole reason they became friends in the first place shortly after Barney took the job at GNB. By then James was fully out and while that meant they could rock a bar or a club from both ways and totally clean house sometimes Barney still had that yearning to 'troll for women', as Ted put it, with someone who could high five over an amazing rack and actually appreciate it. It's the same reason James sometimes goes to gay bars with his other friends who can similarly get excited for how well hung the guy in the corner appears to be. But after losing Dwayne, Barney no longer had any such person to fill that role in his life – and then he met Ted at the urinal and it all fell into place.
The trouble is Ted has developed that tendency to look down on him. Barney knows he doesn't really mean the little insults he makes, and he knows the whole looking down on him thing derives from Ted resenting the parts of Barney that he too possess but wishes weren't there so he could just happily settle into a life mirroring Marshall's. Barney knows all this, but it doesn't mean those insults still can't sting.
And especially now that Ted's gotten on this marriage kick he seems to blame his entire state of being single on him, as if it's somehow his fault that Ted would rather casually bang chicks than settle down with just one. Ted finds too many faults in women anyway. The kind of perfect wife he'd be looking for doesn't even exist. And if she did, she'd bore the hell of most men – she's certainly bore the hell out of Barney.
"Maybe Marshall was right to find someone straightaway in college," Ted ponders.
"Ted, will you just give it a rest. The world isn't going to implode and you're not going to die alone just because Marshall is getting engaged tonight and you're still single. Now look over by the far wall," Barney instructs, drawing Ted's attention to the front corner of the bar beyond their usual booth and just to the right of the door to the kitchen. "There's a Lebanese chick over there. I'll let you have her," he entices. "What do I always say about Lebanese chicks?"
"You're always saying something about one group of women or the other. You have way too many rules. I'm not even sure you keep them all straight."
"Fine. Desperate times call for desperate measures." Barney pulls his travel size manual out of his coat pocket. "I'll take you deep into The Playbook. I doubt you're ready for it, but these advanced plays when performed correctly get results 83% of the time – and then 'results' again a second and maybe even a third time before you've climbed out her window." He mulls it over, flipping through the book. "How about "The Two Can Play At That Game"?"
Ted ignores him in favor of continuing with his Marshall-fueled, soul-mate-lacking rant. "I finally know what I want. Everything's fallen into place, but it's like 'Here I am, ready to get married'." He stretches his hands out to the bar desperately. "Now where is – " Before he can finish that sentence his phone rings in his pocket. Knowing it can't be Barney, Ted figures it must be a serious call, perhaps even work, and he rushes to answer right away. "Ted speaking."
"Hey, Ted. It's Marshall. Don't freak out, but I'm calling from the emergency room."
"What?" Ted asks, doing exactly that. He slides the phone away from his mouth, telling Barney, "Marshall's calling from emergency."
"What happened?" Barney wants to know, concerned for their friend.
"I don't know."
"Well ask him," Barney says at the same time that Ted says, "We need to head over there."
"Oh, okay, yeah. I'll ask him first," Ted resolves.
"Put him on speaker," Barney instructs. Once Ted does, Barney asks into the phone, "Marshall, what happened? Are you okay?"
"I'm fine. It's not me; it's Lily. She's gonna be alright but we had a little accident."
What Barney can grasp from Marshall's overly-detailed story – along with frequent interruptions from Ted – is that Lily had a bad day at work. Some kid touched her butt during finger-painting hour and ruined her favorite skirt as well as put a serious damper on art time, Lily's favorite portion of the day, so she was already in a frazzled mood by the time she got to the apartment. She'd started to cook them some gourmet frou-frou dinner, and to get her back into a fully positive and happy mood again Marshall thought he'd ease her nerves with a little pre-celebration champagne. But, as usual, the guy was afraid to open it. They'd started bickering about that and Marshall didn't want to propose in the middle of a fight or when she was annoyed with him, so he decided to just man up and open the bottle himself like she wanted. But apparently he was correct about his incompetence because in the process he hit Lily with the champagne cork directly in the eye, thus their trip to the emergency room.
"Now she's got a scratched cornea and they're making her wear an eye patch," Marshall informs them. "Needless to say, the proposal is off for now, so don't mention it to Lily. I want it to be perfect for her, which means it'll just have to wait till some other time. I want to marry Lily more than anything but I guess there's no real hurry. We've already been together for almost a decade. What's a little while longer before we get engaged?"
After assuring Ted there's no point in him coming down to the ER since as soon as the doctor's finished patching Lily up – an unintentional pun that makes both Barney and Marshall crack up – they'll be heading back home themselves, they end the call.
"Huh, what d'ya know?" Barney chuckles to himself. "Maybe Marshall will hit her in the kneecap next time he tries to open a bottle and then we can get her a peg leg too!" He looks to Ted who's staring off into space, failing to appreciate his joke. "I know, I know," Barney sighs. "Where is your wife?"
"No," Ted answers slowly. "I was thinking just the opposite: I've been panicking over nothing. Marshall's right; there's no hurry…..And you know something? Hearing that Marshal isn't getting engaged tonight or maybe even at all in the upcoming weeks, I'm actually relieved that things can stay the same and I don't have to rush."
"And do you suppose that means you weren't really ready to settle down yet in the first place?" Barney points out.
"You're probably right. Why should I rush things? What's that you always say about getting married?"
"'Never get married until you're at least thirty', and I stand by that."
"That means I've still got almost a solid year before I even need to start worrying about finding the One," Ted reasons.
"YES!" Barney cheers. "So let's get you laid." He takes a moment to scope out the bar for any new talent that came in while they were busy on the phone or in the few minutes before that when he was drying Ted's tears. While his eyes sweep right, Ted's go left, and in seconds Ted is elbowing him.
"Whoa, Barney. See that girl over there."
Barney directs his attention over to where Ted is staring, and after just one look at her Barney feels everything settle down low and warm in his groin. This mysterious brunette in the green turtleneck is easily the hottest woman he's ever laid eyes on. The lack of skin on display only makes him want to peel away that shirt privately. Already he's imagined having her in at least ten different positions. And more than just physical beauty, she has a sharpness in her expression that tells him this woman isn't the typical attractive dullard he usually beds. No, this girl's got brains too. Even better, he can recognize the little twinkle in her eyes as she notices them noticing her that tells him she's a wildcat in the sack who wants her sex just as wild and kinky as he prefers his. "Oh yeah," Barney sighs, almost a groan. "You just know she likes it dirty."
She must have just gotten here while they were on the phone or he would have noticed her the second she walked in. But now Ted's seen her first and that means by all Bro Code laws he has implied first dibs should he choose to exercise them. And what idiot wouldn't? "So go say hi," Barney encourages, because at least someone should get to experience being with her. "She is hot," he reiterates as he takes yet another look.
But none of the salience is there for Ted anymore. Despite seeing her across the room, he's no longer obsessed with fate and the idea of a meet cute from an old movie because the need to keep up and find a woman as quickly as possible so he too can get married like Marshall doesn't exist anymore. And with that objective removed, Barney's right; what he needs is to get laid. It's been a month and a half and ol' Mosby needs some. But this girl, beautiful as she is, appears to be a little too much for what he's after tonight. He'd like to cut to the chase and just get to it. That means he needs a far easier target.
"Nah, she looks busy," Ted decides. "She's with a group of women – which is always a challenge – and, even worse, one of them is crying in the corner. I don't want to get in the middle of that. Not when there are other hot girls in the bar."
"God bless you, Ted. You've been reading my blog!" Barney enthuses. "It looks like I've taught you a thing or three over the years after all."
"That's not from you, Barney. That's just Guy 101….Oh hey, what about her?" he points out a different woman sitting at the other side of the bar who's already giving them the eye. "You've got to admit she's a 10."
Barney gives this new blonde a onceover. "Meh, she's a 7 at most. But that makes her perfect for you." And before Ted can say anything further and Ted-out about the situation, Barney is already playing his favorite game, tapping the blonde on her shoulder and arranging an introduction. "Excuse me, haaave you met Ted?"
Now that his mind is no longer preoccupied with what plans Marshall's making, Ted makes quick work of it. Barney stands back and watches proudly as, within ten minutes, Ted takes off with the 7 to a second location.
All alone and having now fulfilled his wingman duties, Barney focuses on finding himself a little fun for the night. And he immediately turns his sights back to the girl Ted wouldn't say hi to. Ted's loss is his good fortune because the dibs are all his now. Ted couldn't handle that anyway. This woman isn't just a mere 10. She's something like a 20. Far too much for Ted.
A 20. Even he's never been with a 20…..But he has a feeling he's about to scale that mountain.
---------------------------------------- --------------------------------
AN: Some of you may be wondering when we'll hear from Robin but I wanted to establish Barney and his world in the story first since it's there that the very important difference occurs setting them all off on different paths than what we see in the "Pilot". Next chapter will give us Robin's (slightly altered) backstory and from then on we'll start seeing her side of things too.
Also, the very perceptive may have noticed I made Ted slightly older here. I'm fiddling with all of their ages a bit because I didn't really want to start this thing back in 2005 or have it span 8 years, so they're all going to be aged slightly differently. In this AU, Robin, Lily, Marshall, and Ted will all start out the same age, 29, and Barney is 32.
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The WFU OAIC Leadership and Administrative Core (LAC) sets the scientific direction, optimizes administrative and fiscal operations, and ensures the scientific integrity of the WFU OAIC. LAC co-leaders, Drs. Kritchevsky and Kitzman, will utilize a proven collaborative leadership model that fosters operational efficiency, high productivity, and innovative translational and multidisciplinary research focused on our theme, "Integrating pathways affecting physical function for new approaches to disability treatment and prevention".
The Specific Aims of the Core are to: 1. Provide overall scientific leadership and direction for the WFU OAiC; 2. Efficiently manage the resources of the WFU OAIC in compliance with applicable institutional and NIA/NIH policies;and 3. Increase the WFU OAlC's impact by attracting new investigators, capturing new resources, and translating findings beyond traditional research settings. The LAC co-leaders will synthesize information regarding the local and national research environment with input from the OAIC Executive Committee, the OAIC External Advisory Committee, and WFU's senior administrative leadership to guide the direction of the OAIC. The LAC will: 1) provide administrative and budgetary support to the WFU OAIC according to OAIC priorities;2) seek additional institutional resources to extend the scope of its activities;3) arrange for the scientific review of pilot and research development projects and candidates seeking RCDC support;4) monitor all OAIC activities for timely completion and achievement of targeted goals and milestones and intervene to remove roadblocks or, if necessary, redirect resources;and 5) assure all OAlC-supported activities follow federal and institutional rules, regulations and guidelines. It will also promote the NlA's goals for the OAIC program by translating its research to affect the clinical care of older adults, the education of health professionals, and the health and well-being of older adults in the community.
Under the Direction of Drs. Kritchevsky and Kitzman, the WFU OAIC Leadership and Administrative Core (LAC) sets the scientific direction, optimizes administrative and fiscal operations, and ensures the scientific integrity of the WFU OAIC to fulfill its mission to promote the health and independence of older adults.
|Tyrrell, Daniel J; Bharadwaj, Manish S; Van Horn, Cynthia G et al. (2015) Respirometric Profiling of Muscle Mitochondria and Blood Cells Are Associated With Differences in Gait Speed Among Community-Dwelling Older Adults. J Gerontol A Biol Sci Med Sci 70:1394-9
|Wrights, Abbie P; Fain, Christie W; Miller, Michael E et al. (2015) Assessing physical and cognitive function of older adults in continuing care retirement communities: who are we recruiting? Contemp Clin Trials 40:159-65
|Beavers, K M; Beavers, D P; Newman, J J et al. (2015) Effects of total and regional fat loss on plasma CRP and IL-6 in overweight and obese, older adults with knee osteoarthritis. Osteoarthritis Cartilage 23:249-56
|Murphy, Rachel A; Reinders, Ilse; Register, Thomas C et al. (2014) Associations of BMI and adipose tissue area and density with incident mobility limitation and poor performance in older adults. Am J Clin Nutr 99:1059-65
|Buford, Thomas W; Hsu, Fang-Chi; Brinkley, Tina E et al. (2014) Genetic influence on exercise-induced changes in physical function among mobility-limited older adults. Physiol Genomics 46:149-58
|Pamukoff, Derek N; Haakonssen, Eric C; Zaccaria, Joseph A et al. (2014) The effects of strength and power training on single-step balance recovery in older adults: a preliminary study. Clin Interv Aging 9:697-704
|Kitzman, Dalane W; Nicklas, Barbara; Kraus, William E et al. (2014) Skeletal muscle abnormalities and exercise intolerance in older patients with heart failure and preserved ejection fraction. Am J Physiol Heart Circ Physiol 306:H1364-70
|Klepin, Heidi D; Geiger, Ann M; Bandos, Hanna et al. (2014) Cognitive factors associated with adherence to oral antiestrogen therapy: results from the cognition in the study of tamoxifen and raloxifene (Co-STAR) study. Cancer Prev Res (Phila) 7:161-8
|Groban, Leanne; Kitzman, Dalane W; Register, Thomas C et al. (2014) Effect of depression and sertraline treatment on cardiac function in female nonhuman primates. Psychosom Med 76:137-46
|Grosicki, Gregory J; Miller, Michael E; Marsh, Anthony P (2014) Resistance exercise performance variability at submaximal intensities in older and younger adults. Clin Interv Aging 9:209-18
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The Cambridge Housing Authority (CHA) has used MTW to modernize its public housing stock, serve more households, develop new affordable housing units, enact policy reforms that reduce costs and increase households' ability to earn and save, and implement energy efficient strategies.
CHA currently has approximately 2,000 public housing and administers a Section 8 program of 2,500 units. In addition, it operates a state-assisted public housing program of 785 units and a state leased-housing program of 340 units.
More info at: http://www.cambridge-housing.org
CHA first became part of the MTW demonstration in 1999 as one of the original MTW agencies. CHA signed the MTW Standard Agreement in 2009, extending its participation in MTW until the end of its 2018 fiscal year.


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The Choctaw were the largest tribe along the Old Trace and share a history with it that continues to this day. Historically, when travelers left Natchez, they knew they would soon be passing the through the heart of Choctaw territory. The Choctaw were known to be excellent farmers and often provided food to early Europeans in the area. Politically, the Choctaw allied with the French and against the Chickasaw and English during the many military conflicts that arose from the 1720s until American Independence in 1783. As the United States expanded westward, pressure mounted to secure land from the Choctaw for U.S. settlement. Choctaw lands continued to shrink through a series of land cession treaties. In 1830, the Treaty of Dancing Rabbit Creek forcibly removed most Choctaw to land west of the Mississippi River, to the present state of Oklahoma. Some Choctaw remained in Mississippi, some returned, and today are known as the Mississippi Band of Choctaw Indians, located in Choctaw, Mississippi, near Philadelphia, approximately 25 miles east of the Parkway at Milepost 160.
Contact Us
Contact the Park
Mailing Address:
2680 Natchez Trace Parkway
Tupelo, MS 38804
(800) 305-7417
Please call the Natchez Trace Parkway Visitor Center at 1-800-305-7417. The Parkway Visitor Center is open everyday from 8:00 am to 5:00 pm (Central Time) except December 25. To contact the park's headquarters, call 662-680-4025 during regular business hours, Monday to Friday, 8:00 am to 4:30 pm (Central Time).


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The Minnesota Vikings have released photos of their new stadium that will open in for the 2016 season. This is certainly one of the most original stadium designs I've ever seen. I really like it.
The Vikings will have the play outside for the couple of seasons at the University of Minnesota's football stadium.


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DismantledView in iTunes
To preview a song, mouse over the title and click Play. Open iTunes to buy and download music.
Gary Zon, the man who is Dismantled in total, didn't care at all for electronic music until he heard Front Line Assembly and their unique brand of aggressive synthetics. In his native Russia, Zon was classically trained on piano from an early age. A move to America introduced him to his beloved Front Line Assembly, and Zon started working on his own music. When his tracks created a buzz on www.MP3.com, Zon received offers from two of electro-industrial biggest labels, Germany's Dependent and America's Metropolis. Dismantled tracks were featured on compilations like Dependent's Septic, Vol. 2 and Dystopian's Resist the Command, Vol. 2, while a competition-winning remix of :wumpscut:'s "Wreath of Barbs" appeared on a single. Dismantled's self-titled full-length debut appeared in 2002, followed by a tour in 2003. Zon later released his bootleg mixes of Madonna and Nine Inch Nails through his website and Dismantled's sophomore effort, Post Nuclear, arrived in early 2004. ~ David Jeffries
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Pond Program
This event has already taken place. Click here for the latest events.Add to Calendar 09-03-2013 09-03-2013 15 Pond Program Learn all about pond animals. Look for frogs at every stage of their life cycle, and see what other types of pond life can be found. http://www.nymetroparents.com/2015neweventinfo.cfm?id=126426 Friends of Rye Nature Center true DD/MM/YYYY
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We invite you to spend a day on the William Penn campus in Oskaloosa, and we'll plan a visit tailored to your needs and interests. 2016–17 Campus Visit Days
Call 800-779-7366 to set up a time that is convenient for you to visit or e-mail email@example.com.
The William Penn University Student Ambassadors is a volunteer organization dedicated to providing prospective students and their families with campus tours while visiting the Oskaloosa campus. These students maintain high GPA standards and are often involved in many other organizations and activities, giving them a well-rounded knowledge of William Penn University and the overall college experience.
The Office of Admissions is located at the northeast corner of the Penn Activity Center in Room 203. Elevators are located inside the northwest door for your convenience.Contact our Admissions Team today to get started on the application process, schedule a campus visit, or to find out more about William Penn University and what we can offer you. We look forward to hearing from you!


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3 Months Post-op + Cheek Lift Q&A
Ridge Line Lump on Cheek After a Neck and Cheek Lift
I have a ridge line/lumps on my cheek after a neck and cheek lift 3 months ago. I have been told that this is the suture line and it will go away.... READ MORE
Lump Under Lip After Midface Lift and Nasolabial Folds Fat Transfer? (photo)
3 months after mid face lift and nasolabial folds fat transfer I have developed a lump right under my lip about 1/2 inch round on the right hand side.... READ MORE
My face is wider after a Cheek Lift. Any suggestions?
I had a cheeklift and canthoplasty 2.5 months ago. My face seems much wider to me and my smile is unnatural. Is this permanent or could there still be... READ MORE
2.5 months post op Lateral canthoplasty/ Cheeklift, will the swelling improve?
I had a cheek lift with lateral canthoplasty 2.5 months ago. I feel that my upper face is way too wide now and my lower face is now to skinny. This... READ MORE


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Logo and banner design for website
- Status Completed
- Budget €30 - €250 EUR
- Total Bids 25
Project Description
Logo design and banner needed for greek website with news about energy. Designer will be given a description about the business.
Logo requirements: It must include the name Ενεργειακά in greek text, and have some graphic about energy. Maybe a wind turbine or something. I'm not sure about the color, i would like to see some green color like green energy, but i'm open minded to every other color or grey tone.
Please review the screenshot from draft website
Banner requirements: I need one banner 300x250 pixels to promote the same website. Include the same name as logo Ενεργειακά and the phrase
Η έγκυρη πηγή ενημέρωσης για την ενέργεια
I'm looking for original creative work. Thank you.
- Don't need to see your previous samples. However, only those who provide a draft concept (drawing, sketch, text description) will be considered. IF YOU ARE NOT THE WINNER, NO PART OF YOUR CONCEPT WILL BE USED.
important: winner need to delivery logo as a vector image.
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For this video, I give you the rundown on Smurrf's first major issue so far with ownership that has caused my move to ATL to be one pain in the butt. Thanks for watching! Subscribe to my channel!: http://bit.ly/1FLCPRT Social stuff, Tshirts, and more below! My Social Stuff! Instagram/Twitter-Thatdudeinblue Like the Facebook!-https://www.facebook.com/thatdudeinblue Decals and Stickers!- http://spinnywhoosh.com/thatdudeinblue/?wpam_id=3 T-Shirts!-http://thatdudeinblue.spreadshirt.com Twitch!- https://www.twitch.tv/thatdudeinblue Get some delicious JerkyXP powers here! COUPON CODE- Thatdudeinblue https://jerkyxp.com/JerkyTeamMember/16/ Outro Song- Lana Del Rey - Ultraviolence (Matstubs Remix)
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On April 7th, 2016, two idiots in Los Angeles stole a convertible Ford Mustang and led the cops on a chase that lasted over an hour. However, the only thing more insane than the chase was the hilarious live news commentary. I can't even right now, you guys. Original video: https://www.youtube.com/watch?v=QYe8ZuF8A2I&nohtml5=False Subscribe to Fox 10 Phoenix: https://www.youtube.com/watch?v=5aJyn8R8b64&nohtml5=False Follow Kinsey Schofield: https://twitter.com/KinseyFox10 Follow Kari Lake: https://twitter.com/KariLakeFox10 SHORTCUT is a series of short videos that don't fit anywhere else on the channel.
Corvette Vs. 2010 Camaro SS
LS2 Vette vs. 2010 Camaro SS LS3
Mach 1 having some fun with a R1 and 350z
Fun times with a Mach 1, R1, and 350z. The z has full bolt ons and Nitrous; the Mach has a 2.1L KB at 9ibs, full Exhaust, and a poorly geared viper 6 speed transmission.


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a person who was born in, or is a citizen of, the same country as somebody else synonym countryman He played against one of his compatriots in the semi-final. Word Origin late 16th cent.: from French compatriote, from late Latin compatriota (translating Greek sumpatriōtēs), from com-nounjump to other results
BrE BrE//kəmˈpætriət//; NAmE NAmE//kəmˈpeɪtriət//
Check pronunciation: compatriot


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Check out our comprehensive pages to help keep your home free these pests.
This website is based on journalist reporting. The information it contains is meant as general guidance and is not to be interpreted as diagnosis and treatment of individual patient conditions. For such specific medical advice, visit an allergist or pulmonologist.
© Copyright 2017 AGW Publishing Inc.
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Tropical Fish Keeping - Aquarium fish care and resources (http://www.tropicalfishkeeping.com/forum.php)
- Catfish (http://www.tropicalfishkeeping.com/catfish/)
- - need info on tank sizes have a 75 right now! (http://www.tropicalfishkeeping.com/catfish/need-info-tank-sizes-have-75-a-93811/)
need info on tank sizes have a 75 right now!
im looking for a new tank i have 5 fish that are about 1' long mosty catfish i wana get a decent size tank like a 500? if anyone can help me that would be great https://www.facebook.com/media/set/?...9027080&type=3
We will need to know which specific fish you have in order to be able to suggest a suitably-sized aquarium.
all my fish are allmost 1' long ( Asian red tail catfish, tiger shovel nose catfish,hybrid catfish,peacock bass, Florida gar,) they are in a 75 gallon right now https://www.facebook.com/media/set/?...9027080&type=3
i want a tank like that id have to get it custom made? than the filter i would need? lol pool filer
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Nausicaä of the Valley of the Wind (GN 6 of 7)
Title: Nausicaä of the Valley of the Wind
Volume: GN 6 / 7
Pages: 168
Distributor: Viz Media
Release date: 2004-08-10
Suggested retail price: $9.95
Age rating: 13+
Nausicaa embarks on an inner, spiritual journey to the heart of the Sea of Corruption, where she discovers its surprising secret. She returns to the land of the living, compelled to share her discovery, but she accidentally awakens a God Warrior - a biotechnological abomination of the war known as the Seven Days of Fire - from its stasis. And now the monstrous yet childlike God Warrior thinks Nausicaa is its mother!
**Note: Contains the same material as found on the "Nausicaa: Perfect Collections, now in a smaller, shorter format with the content distributed over a larger number of volumes and in an original Japanese right-to-left format.
Story and art by Hayao Miyazaki.
(added on 2009-10-24, modified on 2009-10-24)
- Encyclopedia information about Nausicaä of the Valley of the Wind (manga)


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Lyrics Depot is your source of lyrics to Lord Of Light by Hawkwind. Please check back for more Hawkwind lyrics.
Lord Of Light Lyrics
Artist: Hawkwind
Album: Doremi Fasol Latido
The elements that gather here upon this hill
shall cast no fear
Of lines that match across the world for travel
which no man has ever heard
The moon that shines its beam so bright
of stones that measure the silvery light
of energy that travels here
it happens on the seventh year.
A day shall come, we shall be as one
Perhaps the Dying has begun
From the realms beyond the sun
here our lifetime has begun
Hawkwind Lyrics
Hawkwind Doremi Fasol Latido Lyrics
More Hawkwind Music Lyrics:
Hawkwind - Angels Of Death Lyrics
Hawkwind - Choose Your Masques Lyrics
Hawkwind - Fahrenheit 451 Lyrics
Hawkwind - Psychosis Lyrics
Hawkwind - Psychosonia Lyrics
Hawkwind - PXR5 Lyrics
Hawkwind - The Phenomenon Of Luminosity Lyrics
Hawkwind - You Shouldn't Do That Lyrics


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New Catholic era dawns with first pope from Latin America
Vatican City - With a puff of white smoke from the chimney of the Sistine Chapel and to the cheers of thousands of rain-soaked faithful, Roman Catholic cardinals on Wednesday chose Cardinal Jorge Mario Bergoglio from Argentina to be the first pope from the Americas.
Bergoglio (pronounced Ber-GOAL-io) will be called Francis, the 266th pontiff of the Roman Catholic Church. He is the first Pope Francis, the first member of the Jesuit order to lead the church and the first non-European pope in more than 1,200 years. The last non-European pope was Syria's Gregory III from 731 to 741.
In choosing Bergoglio, 76, who had been the archbishop of Buenos Aires, the cardinals sent a powerful message that the future of the church lies in the global south, home to the bulk of the world's Catholics.
"I would like to thank you for your embrace," the new pope, dressed in white, said from the white balcony on St. Peter's Basilica as thousands cheered joyously below. "My brother cardinals have chosen one who is from far away, but here I am."
Speaking in Italian as he blessed the faithful, Francis asked the audience to "pray for me, and we'll see each other soon."
"Good night, and have a good rest," he concluded, in a grandfatherly, almost casual tone.
"Habemus papam! (We have a pope!)," members of the crowd shouted in Latin, waving umbrellas and flags.
"It was like waiting for the birth of a baby, only better," said a Roman man, Giuliano Uncini. A child sitting atop his father's shoulders waved a crucifix.
"I came straight from work because I didn't want to miss the smoke," said Gabriele Nicoli, 26, a trainee in a Roman law firm. "I wanted to show the new pope all my love, spiritual presence and prayers. He bowed to his people. Can you imagine a more humble gesture?
Indeed, Francis is known as a humble man who spoke out for the poor and led an austere life in Buenos Aires. He was born to Italian immigrant parents and was raised in the Argentine capital.
A Vatican spokesman, the Rev. Frederico Lombardi, who also is a Jesuit, said he was particularly stunned by Francis' election given that Jesuits typically shun positions of authority in the church, instead offering their work in service to those in power. But Lombardi said that in accepting the election, Francis must have felt it "a strong call to service," an antidote to all those who speculated that the papacy was about a search for power.
Francis spoke by telephone on Wednesday evening with his predecessor, Benedict XVI, who has been living at the papal retreat in Castel Gandolfo, Lombardi said, calling it "an act of great significance and pastorality" that Francis' first act as pope was to offer a prayer for his predecessor.
Benedict abruptly ended his eight-year papacy last month, announcing that he was no longer up to the rigors of the job. He became the first pontiff in 598 years to resign.
The 115 cardinals who are younger than 80 and eligible to vote chose their new leader after two days of voting.
Francis' election elated Latin Americans, who number 42% of the world's 1.2 billion Catholics compared with Europe's 25%, but have long been underrepresented in the church leadership. On Wednesday, drivers honked their horns in the streets of Buenos Aires and television announcers screamed with elation at the news.
"It's a huge gift for all of Latin America. We waited 20 centuries. It was worth the wait," said Jose Antonio Cruz, a Franciscan friar at the St. Francis of Assisi church in the colonial Old San Juan district in Puerto Rico. "Everyone from Canada down to Patagonia is going to feel blessed."
In Brazil, the secretary-general of that country's Conference of Bishops praised the choice, extolling Bergoglio's commitment to fighting poverty and social injustice. "It's a great surprise, and a pleasant surprise," Leonardo Steiner told O Globo, Rio de Janeiro's largest daily newspaper.
President Barack Obama was among the first world leaders to congratulate Francis in a message that emphasized the pope's humble roots and New World background. "As a champion of the poor and the most vulnerable among us, he carries forth the message of love and compassion that has inspired the world for more than 2,000 years - that in each other we see the face of God," he said in the message released by the White House. "As the first pope from the Americas, his selection also speaks to the strength and vitality of a region that is increasingly shaping our world, and alongside millions of Hispanic Americans, those of us in the United States share the joy of this historic day."
Francis will celebrate his first Mass as pope in the Sistine Chapel on Thursday and will be installed officially on Tuesday, Lombardi said. One of his first foreign trips is expected to be World Youth Day in Rio de Janeiro in July, an event that will likely energize the continent given that its native son will be presiding.
The new pope inherits a church wrestling with an array of challenges that intensified under Benedict including a shortage of priests, growing competition from evangelical churches in the Southern Hemisphere, a sexual abuse crisis that has undermined the church's moral authority in the West and difficulties governing the Vatican itself.
A doctrinal conservative, Francis has opposed liberation theology, abortion, gay marriage and the ordination of women, standing with his predecessor in holding largely traditional views.
As archbishop of Buenos Aires beginning in 1998 and a cardinal since 2001, he frequently tangled with Argentina's governments over social issues. In 2010, for example, he castigated a government-supported law to legalize marriage and adoption by same-sex couples as "a war against God."
He has been less energetic, however, in urging the Argentine church to examine its own behavior during the 1970s, when the country was consumed by a conflict between right and left. In what became known as the Dirty War, as many as 30,000 people disappeared, were tortured or killed by a military dictatorship that seized power in March 1976.
In the conclave, Francis was chosen with relative speed, indicating that support quickly coalesced behind him. He was chosen on just the fifth ballot. In the past century, only Benedict, John Paul I in 1978 and Pius XII in 1939 were faster.


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guy drains his main vein.4.21 / 5.00 1,819 Views
( Original ) Nesia Legend of Cosieda Episode 1
The first episode of my original anime4.13 / 5.00 294 Views
Godians Fight
Two Men Fight to the Death!4.13 / 5.00 738 Views
lol. that was great
the action was awsome and pretty funny as well, the music was great but im not quite sure what song it is from (i think final fantasy 8...)? ah well good job that was awsome and you should make a series on this if you havent yet
I really liked the movie for 2 reasons
The Sephiroth Song ( sephiroth is my favorite hero)
The whole movie looks like Evangelion add knowing you thats what you probably wanted to potraie
goood job
It is nice
It could be a lot better if the the "HANUKIA" (the jewish robot) won. It isn't logical' the jewish was about to win' he even shot at the tree a beam or something.
Well never mind
Go Israel
That was funny as hell, made me chuckle, i love the part when the thingie is coming down haha, and good different view shots to make it like a real movie haha, anyways nice work, keep it up...
holly mac and chees
well iv seid this befor about other flash vids but i take it all back ...... THIS IS THE BEST VID I HAVE EVER SEEN !!!!!. sure there is a slight bit of rasisom but who am i to yalk that was awsom please reply and i want to see more like this from u i look at awe
thanks, it was fun to make.But I just thought it was funny, i didnt mean It to be racist! anyway im gonna sumbit this...awsome...movie soon, about a vampire hunter. im halfway done, and i actually know how to use the program this time so its just gonna rock.I also have tons of ideas for a squel to this movie, but its gonna be real long, and and all action. I have this idea that the governemnt builds a giant pilotable robot from the remains of the menorah. and it ends up teaming up with the christmas tree against this awsome mutating holloween monster. wow...It would be amazing. I may even throw Kwanzaa in there. anyway, its just an idea.


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Apple has today announced the name of its spaceship-shaped campus, which is nearing completion in Cupertino, California. The new 175-acre campus, which will be open for employees to start using in April, will be called Apple Park. Over a period of 6 months, more than 12,000 people will be moved into the campus, with building work still set to continue throughout the summer.
Apple says that Apple Park was "envisioned by Steve Jobs as a center for creativity and collaboration," and in honour of Jobs's vision, Apple also revealed that the new theater at Apple Park will be named the Steve Jobs Theater. The theater sits on top of a hill that is actually one of the highest points in Apple Park. It's entrance is a 20-foot-tall glass cylinder.
Apple Park's famous ring-shaped, 2.8-million-square-foot main building is covered by the world's largest panels of curved glass.
MacRumors reports that according to the latest adoption rate data revealed by Apple today, some 5 months after iOS 10 was released it is now installed on 79% of active iOS devices. iOS 9 is still installed on 16% of active iOS devices, and 5% of devices have older versions of iOS installed.
Judging by these figures, the iOS 10 adoption rate seems to be a little ahead of the iOS 9 adoption rate over the same length of time, with iOS 9 sticking at 77% of active devices for a short time back in February 2016.
The already impressive iOS 10 adoption rate is set to increase even further very soon with the release of iOS 10.3, which is currently still in beta. The update's key new features include "Find My AirPods" and also the new Apple File System (APFS).
iOS 10 adoption rates are way ahead of those of Android, of course, with Android's latest OS, Nougat, currently installed by just 1.2% of active Android devices.
Source: iOS 10 Now Installed on Nearly 80% of Active iOS Devices
According to a new report from MacOtakara, via MacRumors, Apple has plans to announce several new products at a special event this March, including four new iPad Pro models, as well as a 128 GB iPhone SE and red versions of the iPhone 7 and iPhone 7 Plus.
Starting with the iPad Pro, MacOtakara says that the four models to be announced in March will be 7.9-inch, 9.7-inch, 10.5-inch, and 12.9-inch verrsions. The 10.5-inch model is not expected to launch until May, but the three other models will launch in March, according to MacOtakara's sources. The 10.5-inch model is also said to have an edge-to-edge screen with no home button, which could be why the release date of that particular model is later than than the others.
The 7.9-inch "Mini" iPad Pro will have a Smart Connector, True Tone display, four speakers, and a 12-megapixel rear-facing iSight camera with True Tone flash. All of the four new iPad Pro models will also have quad microphones.
As well as the new iPad Pro range, MacOtakara's source also says that Apple will be launching a 128 GB iPhone SE, and red iPhone 7 and iPhone 7 Plus variants.
Source: Apple Said to Debut New iPad Pro Lineup, 128GB iPhone SE, and Red iPhone 7 and 7 Plus at March Event
9to5 Mac reports today on an inventive and quirky new iPad Pro ad campaign from Apple that is somewhat reminiscent of the famous "I'm a Mac and I'm a PC" ads. The adverts feature tweets from PC owners about the iPad Pro such as "An iPad Pro is not even close to being a computer," or other tweets about problems the user is having with their laptop, such as "My laptop has the nastiest virus and I'm terrified." In each of the video spots the PC user's worries and anxieties are soothed by a perky voiceover that tells them that an iPad Pro doesn't get PC viruses, for example, "so relax, there's nothing to be afraid of…" The ad spots are also very humorous in tone, with each vignette ending with a joke or two.
In all of the videos, the iPad Pro is shown being used much more like a laptop, complete with Smart Keyboard and Apple Pencil, rather than being used like a traditional tablet. Using the iPad Pro instead of a laptop or desktop is something that Apple has been touting for several years now.
AppleInsider reports that Apple has announced that it will be returning to San Jose for this year's Worldwide Developer Conference (WWDC), which will be running from June 5-9 at the San Jose McEnery Convention Center, with registration starting on March 27. The news came via The Loop's Jim Dalrymple, who got the chance to speak to Apple marketing chief Phil Schiller and San Jose Mayor Sam Liccardo, with Schiller revealing the date and location for the conference.
For the past 13 years Apple has held its annual WWDC in San Francisco, but the newly announced San Jose venue in which the 28th annual WWDC will be held is much closer to Apple's Cupertino headquarters.
It's likely that Apple will be launching iOS 11 and macOS 10.13 during the WWDC's opening keynote presentation, as the company traditionally uses the keynote to make such announcements.
Schiller said that despite being at a different venue, WWDC 2017 will be roughly the same size as the previous conferences, with 5,000 developers attending and 1,000 engineers.
"We look forward to working with Apple to create a special experience for the thousands of attendees who will visit San Jose for this marquee event," said Mayor Liccardo. "And on behalf of our entire city, I'd like to extend a warm invitation to Apple developers, partners and enthusiasts from around the world to join us in Downtown San Jose as Apple unveils its latest innovations.
Source: Apple's WWDC 2017 returns to San Jose June 5-9, registration begins March 27
MacRumors reports that Apple's Siri is featured in the LEGO Batman movie that was released last Friday, in the role of Batman's personal assistant. Aside from seeing the movie, you can also actually have fun with Siri on your Apple device by simply saying "Hey 'puter," just like Batman does in the movie. She'll then answer you in a number of humorous ways.
Just some of the many replies you can expect from Siri when you say "hey 'puter" include "I am at your service, Lego Batman sir"; "Welcome home, sir. I have your rom coms queued up, sorted by decade"; "Welcome home, sir. FYI, Robin is trying on costumes in the Batcave again. He's doing some pirouettes in Batryshnikov"; and "You have a message from the Condiment King. It says 'Pbbbfffttt!'"
And if all that Siri sillyness has got you wanting even more LEGO Batman goodness, there's also a free companion app to the game to download here: The LEGO® Batman Movie Game on the App Store
Source: https://www.macrumors.com/2017/02/14/siri-the-lego-batman-movie-promo/
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Michael Faradays Mental ExercisesLiverpool University Press 2008; US$ 85.00
In 1818 Michael Faraday and a handful of other London artisans formed a self-help group with the aim of teaching themselves to write like gentlemen. For a year and a half Faradays essay-circle met regularly to read aloud and criticise one anothers writings. The Mental Exercises they produced are a record of the life, literary... more...
Space and the 'March of Mind'OUP Oxford 2007; US$ 79.99
This book is about the idea of space in the nineteenth century. It uses contemporary poetry, essays, and fiction as well as scientific papers, textbooks, and journalism to examine literature's relationship with science. In particular it brings the physical sciences more accessibly and fully into the arena of literary criticism than ever before. more...
Michael Faraday's Mental ExercisesLiverpool University Press 2008; US$ 72.99
In 1818 Michael Faraday and a handful of other London artisans formed a self-help group with the aim of teaching themselves to write like gentlemen. For a year and a half Faraday's essay-circle met regularly to read aloud and criticise one another's writings. The 'Mental Exercises' they produced are a record of the life, literary tastes and social... more...
Rereading Victorian FictionPalgrave Macmillan 1999; US$ 42.00
This book offers a collection of essays on novels and short stories from the beginning of Victoria's reign through to the end of the nineteenth century and into our own times. The essays represent a wide range of critical and theoretical viewpoints on fiction, and they deal with a number of lesser-known Victorian Works as well as with some of the most... more...
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8 / 7 / 2015
Quick-when was the last time you thought twice about a ramp outside a public building? How about a wheelchair-accessible bathroom? Do you even blink when you see a closed-captioning enabled TV? Most of these things are so common today that we barely remember how much has changed in the past 25 years. Read the rest of this op-ed on the 25th anniversary of the Americans with Disabilities Act written by William Daroff, JFNA's Senior Vice President for Public Policy and Director of the Washington Office here.
ADA Disabilities Law: A Dream Worth Celebrating, But Not Fully Realized, August 5, 2015 the algemeiner, by William Daroff
8 / 7 / 2015
The new reforms proposed by the U.S. Department of Labor concerning overtime are meant to address issues for all employers-but nonprofits have to remember that they too are affected, and they ought to be prepared to weigh in or adjust. The new proposed DOL regulations expand overtime protections by doubling the minimum salary of white collar workers before they would be considered exempt from being paid time-and-a-half wages for working in excess of 40 hours, raising the minimum from $23,660 (or $455 a week) to $50,400 ($970 a week).
The Debate over Reforming Overtime Regulations, July 29, 2015, Nonprofit Quarterly, by Rick Cohen
8 / 7 / 2015
This month has been a whirlwind of exciting activity and announcements for the Administration on Aging and the Administration for Community Living as a whole. We celebrated the 50th anniversaries of the Older Americans Act and Medicare and Medicaid and the 25th anniversary of the Americans with Disabilities Act, which together with Social Security (which will celebrate its 80th anniversary in August), help enable older adults to live their later years in the homes and communities they choose.
This month, we also celebrated the 40th anniversary of the Area Agency on Aging network at the annual conference of the National Association of Area Agencies on Aging. And, of course, July included the sixth White House Conference on Aging, which brought together an unprecedented number of older adults, aging advocates, state and federal partners, community organizations, foundations, and private companies to address the needs of seniors and their families today and into the future. The conference, along with the Healthy Aging Summit earlier this week, also gave us the chance to share updates on a number of programs with our partners in the aging network. Learn more here.
Recap: WHCOA, Healthy Aging Summit, July 31, 2015, Administration for Community Living


text: Australian Officials Are Still Searching for Craig Wright Kate Knibbs1/20/16 4:29pmFiled to: Craig WrightMysteriesBitcoinWhere the fuck is he thoughAustraliaSatoshi26EditPromoteShare to KinjaToggle Conversation toolsGo to permalink Australian businessman Craig Wright has been missing since Gizmodo and Wired published parallel investigations into his potential involvement with the creation of Bitcoin—and police raided his home. While the news cycle has moved on, the Australian Taxation Office certainly hasn't. Advertisement The Australian reports that the ATO and the Australian Federal Police "have intensified their investigation in recent weeks." While they believe that Wright is now based in Britain, they continue to pursue him: The team has been interviewing Mr Wright's former business associates in Sydney about tax claims he made through businesses and as an individual, while the ATO has been questioning former associates on supposed deals done through Mr Wright's network of companies that claim to have about $300 million in market capitalisation backed through Bitcoin.One aim of the investigation is to establish what holdings of Bitcoin Mr Wright possessed and whether they mirrored claims made in tax receipts.According to The Australian, officials believe Wright "is not the creator of Bitcoin and that he may have created the hoax to distract from his tax issues." Advertisement Whether or not Wright had a damn thing to do with the invention of Bitcoin, the question remains: Where the hell is he? [The Australian] Reply2 repliesLeave a reply


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Sorry Kids! Say Bye to Nasal Flu SprayHealth officials are urging youngsters to roll up their sleeves for a shot.
Study Finds New Missouri Moms Breastfeed More Than IllinoisNew Missouri moms are doing a bit better job of breastfeeding their newborn babies than Illinois moms.
Pediatric Academy Urges Doctors to Screen for PovertyThe goal is to screen for poverty issues, which has been called one of the most widespread and persistent health risks facing children.
Pediatricians Recommend Boys Get the HPV vaccineThe infection usually doesn't cause any symptoms and goes away on its own. But certain types of the virus may cause genital warts and in some cases cancer.
Sex-Changing Treatment For Kids: It's On The RiseIt's an issue that raises ethical questions, and some experts are urging caution.
Guidelines Set For Student Sports SafetyThe guidelines say kids need hydration, rest while playing in hot weather.


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The Associated Press
The Indianapolis Colts won with a few of their biggest playmakers on the sidelines.
Eight-time Pro Bowl wide receiver Marvin Harrison bruised a knee and running back Joseph Addai injured a shoulder during the Colts' 38-20 victory over Denver on Sunday, a big day for injuries among big-name players in the NFL.
Among those also injured were: San Francisco quarterback Alex Smith (separated shoulder), Tampa Bay running back Carnell "Cadillac" Williams (knee), Oakland running back LaMont Jordan (back), Pittsburgh safety Troy Polamalu (abdomen) and St. Louis wide receiver Isaac Bruce (hamstring).
At Indianapolis, Harrison was hurt when two players ran into him while he was blocking for Addai late in the first quarter. Harrison limped off the field, missed one play, then caught his first pass. He remained on the field for the final four plays of Indy's first touchdown drive. After coming off following the drive, he consulted with team doctors and went to the locker room.
Addai, who had 136 yards on 19 carries, didn't play after hurting his shoulder in the second half. He was replaced by Kenton Keith, who had 80 yards on 10 carries.
Colts linebacker Rob Morris, who missed the last two games with an abdominal strain, was carted off the field after injuring his left knee. Denver tight end Daniel Graham was blocking him on a running play when Morris crumpled to the ground, took off his helmet and put his hands on his face before being helped onto a golf cart and taken off the field.
Colts Pro Bowl safety Bob Sanders missed most of the second half with a rib injury.
Denver was without receiver Javon Walker, who didn't play because of swelling in his right knee. Safeties John Lynch (groin) and Hamza Abdullah (hip), and running back Mike Bell (concussion) were also inactive.
At San Francisco, Smith was driven hard to the ground on a sack by Seattle's Rocky Bernard on the 49ers' first drive and didn't return.
"It's frustrating," Smith said. "I came out here to win the game. I prepared all week and I couldn't be out there."
Coach Mike Nolan said it was unlikely he would be able to play next week against Baltimore. Smith was expected to undergo an MRI on Monday to determine the degree of separation in the shoulder.
Smith was replaced by Trent Dilfer, who went 13-of-33 for 128 yards and two interceptions.
"It's hard," Dilfer said. "It's like seeing your little brother go down. I feel badly for him. But at the same time, there's really no time for sympathy in this league."
In Charlotte, Williams was carted off the field late in the first quarter after he took a hit from safety Chris Harris following an 18-yard gain. The blow forced Williams backward as his right leg bent under him awkwardly, and Williams immediately clutched the knee as he lay on the ground after the play.
"He will be missed," quarterback Jeff Garcia said. "But like Coach said, we need to find a way to regroup and move on. He'll be with us in spirit and support. We'll be supporting him through this rehab process."
Left tackle Luke Petitgout limped off early in the second quarter after defensive tackle Kris Jenkins fell into his leg at the line. He missed the rest of the game, and coach Jon Gruden said he didn't know the severity of the injuries.
At Miami, Jordan was hurt when he was tackled following a 7-yard reception shortly before halftime of Oakland's 35-17 win. He was helped off the field, then went to the locker room sitting up on a cart.
Bruce strained his left hamstring, and the Rams also lost linebacker Raonall Smith, defensive end Leonard Little and offensive guard Adam Goldberg to sprained knees in their 35-7 loss at Dallas.
Starting safety Corey Chavous left in the fourth quarter with a strained left pectoral muscle.
Arizona's Anquan Boldin (hip) and Pittsburgh's Hines Ward (knee) were inactive with injuries, and the Steelers lost defensive starters Troy Polamalu (abdomen) and Casey Hampton (hamstring) early in the third quarter of the Cardinals' 21-14 victory.
Philadelphia played the New York Giants without halfback Brian Westbrook, who was sidelined with a pulled abdominal muscle and did not practice this week. Offensive tackle William Thomas, cornerback Lito Sheppard and safety Brian Dawkins were also inactive.
Buffalo, ravaged by injuries this season, had three more in its 17-14 win over the New York Jets. Cornerback Ashton Youboty's status is uncertain after he twisted his ankle, linebacker Kevin Harrison limped off with an undisclosed knee injury and free safety Jim Leonhard injured a calf.
Other players injured Sunday included: Minnesota defensive end Ray Edwards (bruised hip); Green Bay defensive backs Nick Collins (knee) and Al Harris (hand); Carolina kick returner Nick Goings (concussion); and Chicago safety Kevin Payne (arm) and offensive lineman John Tait (ankle).
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text:
Intensive care acquired infection is an independent risk factor for hospital mortality: a prospective cohort study
DOI: 10.1186/cc4902
© Ylipalosaari et al., licensee BioMed Central Ltd. 2006
Received: 14 December 2005
Accepted: 23 March 2006
Published: 20 April 2006
The aim of this study was to elucidate the impact of intensive care unit (ICU)-acquired infection on hospital mortality.
Patients with a longer than 48 hour stay in a mixed 10 bed ICU in a tertiary-level teaching hospital were prospectively enrolled between May 2002 and June 2003. Risk factors for hospital mortality were analyzed with a logistic regression model.
Of 335 patients, 80 developed ICU-acquired infection. Among the patients with ICU-acquired infections, hospital mortality was always higher, regardless of whether or not the patients had had infection on admission (infection on admission group (IAG), 35.6% versus 17%, p = 0.008; and no-IAG, 25.7% versus 6.1%, p = 0.023). In IAG (n = 251), hospital stay was also longer in the presence of ICU-acquired infection (median 31 versus 16 days, p < 0.001), whereas in no-IAG (n = 84), hospital stay was almost identical with and without the presence of ICU-acquired infection (18 versus 17 days). In univariate analysis, the significant risk factors for hospital mortality were: Acute Physiology and Chronic Health Evaluation (APACHE) II score >20, sequential organ failure assessment (SOFA) score >8, ICU-acquired infection, age ≥ 65, community-acquired pneumonia, malignancy or immunosuppressive medication, and ICU length of stay >5 days. In multivariate logistic regression analysis, ICU-acquired infection remained an independent risk factor for hospital mortality after adjustment for APACHE II score and age (odds ratio (OR) 4.0 (95% confidence interval (CI): 2.0–7.9)) and SOFA score and age (OR 2.7 (95% CI: 2.9–7.6)).
ICU-acquired infection was an independent risk factor for hospital mortality even after adjustment for the APACHE II or SOFA scores and age.
Patients admitted into intensive care units (ICUs) are at great risk for acquiring nosocomial infections. They are susceptible to infection because of their underlying diseases or conditions associated with impaired immunity as well as several violations of their immune system or risks of aseptic mistakes in patient management during invasive monitoring and they are prone to secondary infections after exposure to broad-spectrum antimicrobials [1].
Prevalence or prospective cohort studies have earlier shown ICU-acquired infections to be associated with high mortality, excessive length of ICU and hospital stay, and high hospital costs [2–5]. However, the significance of ICU-acquired infection for patient outcome is controversial. In one earlier case-control study, after adjustment for risk factors, ICU-acquired catheter-related infection was not a significant risk factor for mortality [6]. In other studies on catheter-related infections, the patients with infection had longer hospital stays than the controls, with no difference in mortality [7]. In studies based on large sets of register data [8] and a case-control design [9], ventilator-associated pneumonia (VAP) was associated with longer hospital stay but no effect on mortality. A recent meta-analysis of VAP, however, showed that the cases with VAP had a two fold mortality rate compared to matched controls [10]. Increased mortality has also been reported among ICU patients with Gram-negative bacteremia [11, 12] or intra-abdominal infections [13].
We were interested in whether ICU-acquired infections had an impact on the outcome in our severely ill mixed medical-surgical ICU patient population. For this prospective analysis, we included each patient who stayed in our ICU for more than 48 hours during a 14 month study period.
Materials and methods
Study location and patients
This study was conducted at Oulu University Hospital, which is a 900-bed tertiary-level university hospital. The mixed medical-surgical ICU is a 10-bed unit with one 6-bed, one 2-bed, and two single-bed rooms. This ICU has 700 to 750 annual admissions, and 49% of the admissions are surgical, 41% medical and 10% from other specialties. All patients admitted into the ICU for more than 48 hours during the study period from May 2002 to June 2003 were included in the study. They were prospectively followed up until discharge from hospital or death. The Hospital Ethics Committee approved the study design. Because the study was epidemiological without any interventions the informed consent was waived.
Study parameters
The following information was collected for all study patients: age, gender, cause of admission, severity of underlying diseases, and organ dysfunction on admission as assessed by means of the Acute Physiology and Chronic Health Evaluation (APACHE) II index [14] and the Sequential Organ Failure Assessment (SOFA) score [15], Glasgow Coma Scale, smoking habits, alcohol or drug abuse, presence of ischemic heart disease, chronic obstructive pulmonary disease, asthma, diabetes mellitus, chronic renal or hepatic failure, underlying malignancy, recent use of immunosuppressive therapy, elective or emergency operations during the preceding 14 days, infection on admission, and previous antimicrobial therapy. The intensity of treatment was recorded by the Therapeutic Intervention Scoring System (TISS) score [16].
Urine bacterial culture was routinely performed on admission. Microbiological samples of blood, urine, tracheobronchial secretions, and any suspected infection focus were always obtained when a new infection was suspected. The length of stay (LOS) in the ICU and at hospital were recorded, as were ICU and hospital deaths.
Classification of infection
Infections present on admission into the ICU were considered community-acquired if they were already manifested on admission into hospital. An infection manifested >48 hours after admission was defined as hospital acquired. Infections that developed 48 hours after admission into the ICU were considered ICU acquired. The presence and criteria of infection were assessed daily on the ward round together with an infectious disease specialist and the ICU physicians.
The definitions of infections were based on the definitions proposed by the Centers for Disease Control and Prevention with the following modification [17, 18]: a catheter-related infection was diagnosed when the same strains of bacteria were isolated in blood cultures and in semi-quantitative catheter tip cultures, when no other site of infection was present. A catheter-related infection was also diagnosed if the patient had a positive semi-quantitative catheter tip culture while blood cultures showed no growth or were not done, clinical signs of infection without other sites of infection, and a favorable response to antimicrobial therapy.
Data registration and statistical analysis
Data were collected daily by one of the authors (PY) and entered into an SPSS database (SPSS Data Entry, version 2.0, SPSS Inc., Chicago, IL, USA). Summary statistics for continuous or ordinal variables were expressed as the median with 25th and 75th percentiles. The analyses of the differences between the infection and no-infection groups were performed by Student's t test or Mann-Whitney U test (the latter in the case of non-normally distributed data). Kruskal-Wallis test was used for continuous variables in comparisons of several groups. Categorical variables were analyzed by Pearson Chi-square test or Fisher's exact test. Predicted mortality with a 95% confidence interval (CI) was calculated according to the APACHE II risk score [14]. Logistic regression analysis was used to evaluate the odds ratios (ORs) with 95% CI. Two parallel multivariable models were built: an APACHE score and age-adjusted model; and a SOFA score and age-adjusted model. All potentially significant (p ≤ 0.20) variables were entered into both models. Possible interactions between ICU-acquired infection and other variables in the final models were analyzed. The linearity assumption of continuous variables (APACHE II and SOFA scores and age) was checked by creating a design variable based on quartiles. Goodness-of-fit was evaluated by Hosmer-Lemeshow test. Two-tailed p values are reported, and the analyses were performed using SPSS software (version 12.0.1, SPSS Inc., Chicago, IL, USA).
Characteristics of ICU admissions
The total number of patients admitted during the study period was 817, of whom 429 (52.5%) had an ICU LOS >48 hours. The study population has been described in more detail elsewhere [19]. Briefly, 94 patients were excluded: 27 patients with ICU readmissions, 23 patients due to incomplete data, and 44 patients with an ICU-acquired infection on admission, having been transferred from another ICU. Thus, the final study population comprised 335 patients; 23.9% (n = 80) of the patients developed a total of 107 ICU-acquired infections during their ICU stay. The following infections were seen in a descending order of frequency: VAP (n = 27), surgical site infections (21), lower respiratory tract infection (16), intra-abdominal infections (15), sinusitis (11), soft tissue or skin infections (6), primary or catheter-associated bacteremia (5), secondary bacteremia (4) and urinary tract infection (1).
Baseline demographic and clinical characteristics of patients
No ICU-acquired infection (N = 255)
ICU-acquired infection (N = 80)
P value
Male sex
159 (62.4)
58 (72.5)
Age (years)
59 (47–70)
59.5 (47–69)
APACHE II score on admission
23 (18–28)
22 (18–29)
SOFA score on admission
6 (4–9)
9 (6.8–10)
Impact of ICU-acquired infection on hospital mortality
Risk factors for hospital mortality: univariate analysis
Risk factor
Odds ratio
P value
Age ≥ 65 years
ICU-acquired infection
Immunosuppressive medication or malignancy
History of stroke or TIA
Current smoker
Alcohol abuse
Infection on admission
Community-acquired infection
Community-acquired pneumonia
Hospital-acquired infection
Hospital-acquired pneumonia
Operation <14 days
ICU LOS >5 days
APACHE II and age-adjusted multivariate analysis of risk factors for hospital mortality
P value
ICU-acquired infection
< 0.001
Malignancy or immunosuppressive medication
Community-acquired pneumonia
SOFA score and age-adjusted multivariate analysis for risk factors for hospital mortality
P value
ICU-acquired infection
Malignancy or immunosuppressive medication
Community-acquired pneumonia
Outcome data according to infection status on admission and ICU-acquired infection
No infection on admission, no ICU-acquired infection (N = 49)
No infection on admission, but ICU-acquired infection (N = 35)
Infection on admission, no ICU-acquired infection (N = 206)
Infection on admission, also ICU-acquired infection (N = 45)
P value
Total TISS scorea
170 (130–274)
324 (255–510)
197 (136–278)
668 (397–1,013)
LOS in ICU (days)
3 (2.2–5.3)
7.6 (5.5–11.2)
4 (2.8–5.9)
14 (7–21.6)
LOS in hospital (days)
17 (8–25.5)
18 (12–33)
16 (9–27)
31 (24–43)
ICU mortality
1 (2.0)
3 (8.6)
12 (5.8)
4 (8.9)
Total hospital mortality
3 (6.1)
9 (25.7)
35 (17)
16 (35.6)
Observed/predicted mortalityb
0.15 (0.03–0.44)
0.75 (0.34–1.42)
0.35 (0.25–0.49)
0.70 (0.40–1.13)
Our results show that ICU-acquired infection remained a significant risk factor for hospital mortality even after adjustment for the APACHE II and SOFA scores and age. ICU-acquired infection also increases resource use and the length of hospital treatment.
The impact of ICU infections on hospital mortality is controversial. Prevalence and prospective cohort studies have reported various ICU infections to be independent risk factors for hospital mortality, including pneumonias or bloodstream infections [2, 3, 20], or ICU infections as a whole [5]. Other studies have reported increased mortality without analysis of confounding factors [21, 22]. In contrast, earlier case-control studies have failed to reveal any difference in mortality between patients with ICU infection and their controls [7, 9]. Similarly, in a very recent study, ICU-acquired infection was not an independent risk factor for post-ICU in-hospital mortality [23]. Our results support the findings of ICU-acquired infections increasing hospital mortality: the attributable mortality from ICU-acquired infection was 19.6% in the patients without infection on admission and 18.6% in the patients infected on admission. The impact of ICU infection on hospital mortality was highest among the patients without infection on admission, whose observed/predicted mortality ratio was five fold compared to the patients without ICU infection, which is in harmony with the earlier literature [24].
The groups had different lengths of hospital stay. Among the patients with infection on admission, the excess length of hospital stay was 15 days. Surprisingly, ICU infection increased the hospital stay of the patients without infection on admission by only one day, which may reflect the fact that altogether 25.7% of the patients who acquired an ICU infection died, causing a shorter hospital stay. This is in contrast to an earlier report, where hospital LOS was increased in the presence of an ICU infection irrespective of a patient's infection status on admission [24]. Furthermore, in concordance with an earlier report [25], our patients with ICU-acquired infection needed significantly more resources based on the consumed TISS scores in both groups, which shows that ICU infections are expensive and laborious to treat.
The APACHE II score was initially developed for predicting the risk of death in an ICU population [14]. The relationship between ICU infection and mortality has earlier been reported to be modified by the APACHE II score: the highest influence of nosocomial infection on mortality rate was observed for APACHE II scores of 11 to 30, because patients with high APACHE II scores may die from their underlying disease before they develop an infection [5]. In our series, admission APACHE II scores did not differ between the groups with and without ICU infection. In APACHE and age-adjusted multivariate analysis, ICU-acquired infection remained an independent risk factor for hospital mortality.
The SOFA score was developed to assess organ dysfunction per se independently of the underlying disease [15]. It was noted earlier that a greater degree of organ dysfunction on admission or during the ICU stay was related to subsequent infection during intensive care [21]. Similarly, in our series, SOFA scores were higher on admission among the patients who later developed an ICU-acquired infection. It has also been reported that, in addition to the severity scores recorded on admission, daily increase of the illness severity score within the first four days post-admission was associated with an increased risk of death in the ICU [26]. Even after adjustment for these severity scores, however, late-onset VAP was associated with an increased risk of death. In one case-control study, ICU-acquired catheter-related septicemia was associated with significant attributable mortality after adjustment only for admission severity scores, whereas after adjustment for severity scores at 3 or 7 days before the onset of nosocomial bacteremia, there was only a trend toward catheter-related septicemia-attributable mortality [6]. Our multivariate analysis showed that an ICU-acquired infection remained an independent risk factor for hospital mortality even after adjustment for SOFA score and age. Successive SOFA scores were not available for adjustment in our series.
While infection on admission in general was not a risk factor for hospital mortality in univariate analysis, community-acquired pneumonia was clearly associated with increased mortality. In an earlier retrospective study, community-acquired pneumonia requiring mechanical ventilation was not associated with higher mortality compared to non-community-acquired pneumonia ICU patients [27]. In harmony with the earlier literature, immunosuppressive medication and malignancy were independent risk factors for hospital mortality in our ICU population [20, 28, 29].
Our aim was to evaluate the impact of ICU infections in general on hospital mortality, for which controversial results have been reported earlier. General evaluation is also important for administrative purposes and ICU planning. Although the analysis of specific infections was outside the scope of our interest in this study, univariate analysis showed that the OR of VAP to hospital mortality (OR = 2.5; 95% CI 1.06–5.91) was not higher than the OR of ICU infections as a whole (OR = 2.6; 95% CI 1.45–4.66).
ICU-acquired infection was an independent risk factor of death during the hospital stay even after adjustment for different underlying conditions. It also increased resource use and the length of hospital treatment. The impact on hospital mortality was highest in the patients without infection on admission.
Key messages
ICU-acquired infection was an independent risk factor for hospital mortality even after adjustment for APACHE II or SOFA scores and age.
The impact of an ICU infection on hospital mortality was highest among the patients without infection on ICU admission.
ICU-acquired infection increased resource use and the length of hospital treatment among the patients with infection on admission.
= Acute Physiology and Chronic Health Evaluation
= confidence interval
= intensive care unit
= length of stay
= odds ratio
= Sequential Organ Failure Assessment
= Therapeutic Intensity Scoring System
= ventilator-associated pneumonia.
Authors' Affiliations
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Indian Curry Sauce
|1 , finely chopped
|3 Tablespoon
|Curry powder
|3 Tablespoon
|1 Teaspoon
|1⁄8 Teaspoon
|Cumin seed
|1⁄8 Teaspoon
|Dry mustard
|1⁄8 Teaspoon
|1⁄8 Teaspoon
|1⁄8 Teaspoon
|1⁄8 Teaspoon
|1 Clove (5 gm), crushed
|1⁄4 Cup (4 tbs)
|Tomato sauce
|1 Ounce, can
|1 1⁄2 Cup (24 tbs)
Brown onion in shortening in heavy skillet.
Mix all spices except salt; add 1/4 cup water to make a thin paste.
Add spices to skillet.
Stir constantly to prevent burning but allow mixture to become good and brown.
Add the tomato sauce, 11/2 cup water and salt to the skillet mixture.
Blend until smooth; cover and simmer for about 3/4 hour.
Add a little water occasionally as you will probably be serving the curry with rice.
This is a good recipe to double as it freezes beautifully.
Rate It
Nutrition Rank
Nutrition Facts
Serving size: Complete recipe
Calories 625 Calories from Fat 455
% Daily Value*
Total Fat 52 g79.7%
Saturated Fat 12.4 g61.9%
Trans Fat 5.9 g
Cholesterol 0 mg
Sodium 1975.1 mg82.3%
Total Carbohydrates 44 g14.6%
Dietary Fiber 18.1 g72.2%
Sugars 8.6 g
Protein 8 g16.3%
Vitamin A 13.1% Vitamin C 35%
Calcium 27% Iron 80.5%
*Based on a 2000 Calorie diet