text: U.S. Postal Service Columbus Ranked 8th For Dog Attacks On Letter Carriers By Jim Letizia • May 13, 2016 latimes.com The U.S. Postal Service's annual report says Columbus is one of the worst cities for dog attacks on mail carriers. Former Springfield U.S. Postal Worker Pleads Not Guilty To Theft By Associated Press • Apr 4, 2016 A former U.S. Postal Service worker in Springfield has denied accusations that she stole items from several packages by stuffing them into her sweatpants. Former U.S. Postal Official Pleads Guilty To Theft By Jim Letizia • Mar 7, 2016 The former U.S. postmaster in Groveport has agreed to plead guilty to charges of stealing more than 160 thousand dollars from the Postal Service. National "Stamp Out Hunger" Food Drive Happening Saturday By Jim Letizia • May 8, 2015 This Saturday is the national "Stamp Out Hunger" food drive, conducted by the union representing U.S. Postal Service letter carriers. Whitehall Post Office Gutted By Fire By Jim Letizia • Dec 18, 2014 People with packages at the fire-gutted Whitehall post office will be able to pick them up soon. USPS Carrier Facing Theft And Other Charges By Jim Letizia • Aug 29, 2014 A U.S. Postal Service letter carrier pleaded not guilty Thursday to charges of stealing mail and using stolen credit cards from that mail. Local Postal Worker Charged With Stealing Or Destroying Mail By Jim Letizia • Jul 17, 2014 U.S. Postal Service officials say a central Ohio letter carrier has been indicted on charges of stockpiling other people's mail. Columbus Ranked Ninth For Dog Attacks On Letter Carriers By Jim Letizia • May 16, 2014 The U.S. Postal Service say Columbus is the nation's ninth-worst city for dog attacks on letter carriers. Bexley And Eastmoor Residents Report Postal Delivery Problems By Jim Letizia • Dec 5, 2013 The U.S. Postal Service is investigating delivery delays in Bexley and Eastmoor. Letter Carrier Facing Charges For Hoarding Mail By Jim Letizia • Aug 8, 2013 Thousands of pieces of mail are being delivered to two Columbus neighborhoods after being found in a letter carrier's home. "Stamp Out Hunger" Drive This Saturday By Jim Letizia • May 9, 2013 This Saturday, U.S. Postal Service carriers will collect donations of food to help feed hungry Central Ohioans. Postal Worker Pleads Guilty To Theft And Assault By Jim Letizia & Associated Press • Dec 21, 2012 A former U.S. Postal Service worker in Columbus has pleaded guilty to charges of stealing cash and gift cards from mail at a processing center and assaulting officers. Postal Worker Faces Theft, Assault Charges By Jim Letizia & Associated Press • Dec 7, 2012 A U.S. Postal Service worker will plead guilty to 71 charges accusing him of stealing cash and gift cards from mail at a Central Ohio processing center and assaulting officers.


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Bollywood actress Bhagyashree who debut opposite Salman Khan in the 1989 super-hit movie 'Maine Pyar Kiya' is enjoying vacation in London and Greece with her husband Himalay Dasani. The beautiful actress stole a million hearts with her role of the simple girl 'Suman' in the film and her ch
Marathi Bana-Jai Maharashtra (AbhimaanGeet)
The History of the Maratha Clan. en.wikipedia.org Lyrics: Suresh Bhatt Music: Kaushal Inamdar Singers: Ravindra Sathe, Ashwini Bhide-Deshpande, Suresh Wadkar, Ashok Patki, Asha Khadilkar, Padmaja Phenani-Joglekar, HariHaran, Aarti Ankelakar Tikekar, Pt. Satyashil Deshpande, Shridhar Phadke, Sadhna Sargam, Shaunak Abhishekhi, Sanjeev Chimalgi, Onkar Dadarkar, Savni Shende, Swapnil Bandodkar, Bela Shende, Avdhoot Gupte, Seema Deshmukh, Madhurani Gokhle, Sunil Barve, Sumeet Raghavan, Shailesh Datar, Prasad Oak, Swanand Kirkire, Lokshahir Vitthal Umap, Devki Pandit, Uttara Kelkar, Ranjana Joglekar, Sharad Jambhekar, Ravindra Bijur, Mahesh mutalik, Aniruddha Joshi, Salil Kulkarni, Madhuri Karmarkar, Mrudula Joshi, Madhav Bhagwat, Suchitra bhagwat, Anagha Pendse, Varsha Bhave, Bhagyashree mule, Sangeeta Chitle, Anuja vartak, Madhura Kumbhar Anandi Joshi, Sayli Oak , Anagha Dhomse, mahalakshmi Iyer, Milind Ingle, Achyut Thakur, Ashok hande, Udesh-Sandesh-Adesh Umap, vaishali Samant, Ajay-Atul, Shankar Mahadevan, hansika Iyer, Nihira Joshi, Ajit Parab, Hrushikesh Kamerkar, Amol Bavdekar, Sanjivani Bhelande, Amruta natu, Madhura Datar, Vibhavari Apte, Yogita Pathak, Nilesh Mohrir, Milind Joshi, Manisha Joshi, Yogita Chitle, Kalyani-Pande Salunkhe, Pt. Raja Kale, Ram Deshpande, Anand Sawant, Abhijit rane, Mandar Apte, Jeetendra Abhayankar, Hrushikesh Ranade, Neha Rajpal, Sonali Karnik, Swapnaja Lele, Shilpa Patil , Jhanvi Prabhu-Arora, Vinay rajwade, MithileshPatankar, manoj Desai ...
Superstar Salman Khan, who will be next seen in Sooraj Barjaty's family drama 'Prem Ratan Dhan Payo', will soon hold a special screening of the movie for Madhuri Dixit and Bhagyashree. After playing Chulbul Pandey, Devil and Pawan Chaturvedi in 'Dabangg', 'Kick' and 'Bajrangi Bhaijaan' Sal
Superstar Salman Khan's co-star Bhagyashree from his 1989 blockbuster 'Maine Pyar Kiya' said she liked the actor's latest film 'Bajrangi Bhaijaan' and applauded him for his emotional "avatar." "I really liked the film. I even told Salman that he came across in a completely new avatar. And
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World Wide Pest Elimination
commercial pest control, Termite Services, Termite and Pest Control
One Time Service
Our special one time service includes a complete interior & exterior treatment for pests such as ants, spiders, cockroaches, silverfish, crickets, earwigs, spiders as well as web removal from house walls, windows and accessible eaves.
Premium Bi-Monthly Service
This great service will include everything in the One Time Service plus the addition of rat & mouse trapping/baiting as well as complete wasp removal. Because this service is performed on a bi-monthly basis, treatments are generally targeted towards the exterior. However, if you ever need any interior pest control just say the word and we will take care of it, free of charge! In addition to our great treatment and service, we guarantee our work for up to 60 days!
The Process
We will come in and inject an organic dust into your walls by going behind your power outlets and in any plumbing areas. This helps treat for many pests that are lurking in the walls. If you are having active pests in your home, we can lightly treat along the baseboards with a liquid treatment which has a low odor.
The next barrier is right around the exterior of your home. Your technician applies this with a power-sprayer where he uses at least 6 gallons. This barrier is designed to keep pests from getting back into the walls of your home. We wipe spider webs off your home to prevent spiders from nesting. To prevent spiders from returning we treat your eves 18′up with a micro-encapsulated material.
The third and most important barrier is the perimeter of your home. We will treat along the sidewalks, driveway, yard, and fence line. This is where spiders, earwigs, crickets, ants, & other invaders come from.
We will continue to service the 2 exterior barriers for maximum protection. We will always re-service inside and outside between visits free of charge. To learn more about our residential services, please Contact Us using our form.
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One Time Service Our special one time service includes a complete interior & exterior treatment for pests such as ants,
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Jamal has had many different levels of riders on him and he is turning into a very promising youth or petite lady/ youth, competitive trail and endurance…$3,000
Homozygous PATN1 black filly. Foundation bred Ulrich bloodlines PM for more info and pics registered name HRA Zen at Sunrise located in Iowa$3,000
Four Alarm (Periaptor x RHR Fury's Wild Flame) is a gorgeous American Saddlebred gelding. He stands at 16hh. He is an all-around easy going guy. He loves…$4,000
Dam is a daughter of Misters Premonition, with 108 halter points. Sire is Mochas Gold Fella, son of The Finest Mocha and a daughter of Mr Yella Fella.…$600
Dam is a point earner and producer by Mr Touchdown Kid. Sire Acoolest Touchdown is a World Champion producer. This mare was shown as a weanling and yearling…$600
ROM broodmare with 108 halter points. Has produced Futurity winner and halter point earners. Mare is easy to get along with. UTD on shots and worming…$500
6 year old halter gelding. Sired by Imagine Me At Last, Congress Champion and Reserve World Champion. Dam is by Classical Skipper, with Windchester and…$1,000
Double registered AQHA and PHBA. Sired by Kids Classic Shadow by Kids Classic Style, top 10 at the AQHA World Show. Dam is Obvious Legacy by Obvious Conclusion…$1,500


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Brown still flying
[youtube]http://www.youtube.com/watch?v=K2QpIfgUtcg[/youtube]INGLEWOOD -- Two days later, Shannon Brown's dunk over Mikki Moore of the Warriors on Wednesday was still generating discussion. And Web hits.
"You guys know how high tech I am," Lakers Coach Phil Jackson said Friday before the same two teams met at the Forum. "On YouTube, I noticed there were 70,000 views of that, so that means something to somebody."
At last check of the Web site, the total views had grown to more than 150,000 of the various versions of Brown's slam.
"To me, it's still two points," said Jackson, an old fuddy-duddy. "It does send a message. The message simply is we're gonna come to the basket."
And make guys like Mikki Moore look like Mikki Less.
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Is Yu Jung Restaurant incorrect or missing key business information? Update your Hotfrog listing today.
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Hotfrog NewZealand provides information regarding Yu Jung Restaurant in Auckland. Yu Jung Restaurant is located at 873 Dominion Road, Auckland Auckland 1041 and provides Food and Dining services. Contact them on 09-620 9293.
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Greg found the original recipe for this potent punch in a local Episcopal Church cookbook and later learned that it was included as a joke. He tinkered with the proportions, and the punch is now a staple at the party.
Makes 32 cups
Recipe Time
Prep: 20 Minutes
2 liters whiskey or bourbon
1/2 liter dark rum
1 1/4 cups sugar
7 cups strong-brewed tea
3 1/2 cups fresh lemon juice or 4 (7.5-ounce) bottles frozen lemon juice, thawed
2 quarts orange juice
Stir together all ingredients in a large crock or food-safe container. Cover mixture, and chill up to 3 days before serving.
Note: For strong-brewed tea, pour 5 cups boiling water over 2 family-size tea bags; cover and steep 5 minutes. Remove tea bags from water, squeezing gently. Add 2 cups cold water.
November 2005


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Eccommerce app button
This project received 3 bids from talented freelancers with an average bid price of $500 USD.Get free quotes for a project like this
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I would like to have developed a very simple app for both apple products & smart phone devices (eg androids etc.).
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Beginning a design career for the likes of Gucci and Prada and later establishing his own label, UK-born designer Neil Barrett presents his 2013 spring/summer collection. This visibly uniform choice of tones accompanied by a generally slim-cut tailoring aesthetic defines an increasingly ambitious approach from the British label. Prominent navy and brown shades punctuated by stylized white stripes are included alongside seasonally appropriate bottoms and an outstanding selection of coat and jacket options.


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building was wonderful."
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A great stay at Matumi Golf Lodge in Nelspruit can include a round of golf at the 18-hole course. You can take a dip in the outdoor pool, then indulge in deep-tissue massages, body wraps, or aromatherapy. A bar/lounge and an outdoor tennis court are other highlights, and rooms at this luxurious bed & breakfast offer refrigerators and premium bedding.


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|De Molen Heinde & Verre
|De Molen Hel & Verdoemenis Bruichladdich BA
|De Molen Cedar-Wood Infused Quad
Lebesgue (9) , France | July 28, 2012
Nice place in Paris to drink beers. I discovered a lot of beers thanks to the owner who gladly share his passion with customers and provide some good advice.
ben_p (11) , France | December 14, 2011| Updated December 22, 2011
The lady was right. tonight I drunk lagunitas IPA, Dogfish head Midas Touch and Smuttynose IPA. . Eating a good ham&cheese breztel. A wonderful moment
LiaAustra (2) , France | March 14, 2016
Une cave ou lon trouve son bonheur assurément grâce a un large choix de bières. Une joie !
syverey (3) , France | October 23, 2014
Great place to buy beers (in bottle). Pretty good selection of american beers (which is not so common). Lots of scandinavian also, english, belgian... and french and even parisian ! overall something like 400 beers. Possibility to drink there, the terrasse is very enjoyable, particularly under the late afternoon sun. The owners are quite knowledgeable and its a pleasure to exchange opinions with them. They actually have some merit to take time to discuss with the customers while serving ! I spend a lot of evenings sitting at the bar talking with them and their regular customers. The place recently expanded as a bar on the other side of the street. Possibility there to try on tap some of beers sold in the shop. See you soon guys :)
bklynbrewer (4) , Thailand | May 16, 2011
While you cant get food at La Cave a Bulles, Cecile at Brewberry makes up for it with a nice relaxed atmosphere and a huge selection. She knows her beer and is happy to make recommendations and suggest flights for tastings. It is in a great neighborhood, around the corner from my favorite crepe place on R. Moufftard.
dudebun (36) , Germany | May 23, 2013
Great place in the 5th. Amazing selection, amazing service. Drink in or take-away, pay by credit card. Amazing selection of beer, cute spot, outdoor seating. A great beer bar if it was in any city, even more amazing that its in Paris. Definitely worth a visit. Worth reserving a table if youre going at primetime (18:30 or so).
undercurrent25 (169) Barnton, England | November 19, 2013
Small bar cum bottle shop in the Latin quarter. Very small inside so hard to find seating when its busy. The couple that run it were very friendly and helpful. The beer selection was excellent, all in bottles, when we mentioned we had just got engaged they gave us a free beer each as an engagement present, will definately go back here when we return
Tonnerre2Brest (2) , | February 3, 2015
Very good place to discover beer ! A lot of different beers, and advices from the team is always good. I recommend also the Brewberry Bar across the street, wher you can chose between 24 different draft beers !! Dont hesitate, you wont regret it...
Lele (49) Padova, Italy | December 30, 2015
Beer shop veramente sensazionale. Non solo vi sono tantissime birre, ma sono tutte di altissimo livello. Lambiente è molto carino. Sono due locali, uno di fronte allaltro. Uno è un bar, laltro è un beer shop nel quale è anche possibile fare degustazione di birre. Veramente in assoluto uno dei migliori beer shop in cui sono andato.
BMMillsy (120) Florida | August 30, 2014
Stopped in here on my last day in Paris and it was packed. Did carryout (10% discount) and if my wife was not with me I may have gone broke. Cantillon bottles included Gueuze, Kriek, Rose, Iris, Mamouche, Vigneronne, Cuvee, St. Lam, and LP Kriek, there were a couple Black damnation 750s hanging out, lots of De Molen, plenty of Alamanac to my surprise, Bruery, AleSmith, Jester King, Lost Abbey, Port Brewing, 3F including Golden Blend, other American stuff, and a few bottles of Armand4 Herfst (there was one fewer when I left, of course). Very nice service and they threw in a free beer (a De Molen brewed especially for Brewberry). All in all this seems like the place to go in Paris for a beer bar feel and some bottles to go.


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It's Classical Night! Because I am uncultured, I will not enjoy this as much as Motown Night, but I will definitely like it better than Personal Story Night. Anyway, we open with someone who's probably famous for playing the violin, and he's playing the violin! And then the troupe is all dancing while dressed up like extras from Amadeus, but with shorter skirts somehow. I should watch Amadeus again. Whatever happened to Tom Hulce anyway? He did Animal House and Amadeus and then he played the black sheep in the movie Parenthood (a role taken on by Dax Shepard in the TV show) and then what? I looked him up and it seems that he's largely been involved in producing Broadway shows. So good for him.
Anyway, it's Classical Night! After the individual dances, there will be the season's first team dances. And the first couple to dance tonight will be Katherine and Mark. They have the rumba, and they'll be dancing to "Canon in D." Is that Pachelbel's Canon? Like the wedding processional one? Katherine feels unsure about doing a sexy rumba with classical music. Mark points out that you can't spell classical without ass, and I think Mark just made me laugh for the first time EVER.
They are dressed as Ancient Greeks, I guess? Katherine looks like Helen. I think Mark is supposed to be a Gladiator, which seems more Roman, so maybe they're Roman. Like they did historical research. Mark whips his shirt off and about five women cheer. Don't encourage him, people. It is really, really weird to see a rumba to this music. Also, there is no percussion, so it must be hard to keep the beat. They do a fine job, I guess. It's flowing and there is lots of hip action. It's all just weird. And they definitely kissed at the end, for anyone who cares about such things.


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The Classically Forgotten Collaborative Reading Series
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The Bent Quill Players cordially invite you to the inaugural meeting of the Classically Forgotten Collaborative Reading Series In honor of any wandering hearts this Valentine's we will be reading... The Rover by Aphra Behn In the throes of Carnival masks and mistaken identities rule. Helena, on leave from the convent where she was raised, is determined to have a last hurrah. Florinda is trying her best to escape marriage to Don Antonio via the arms of her lover, Belville. Angellica Bianca's services are up for sale, and the bidding war is on. And Blunt...Blunt's just looking for love in all the wrong places. When the Rover blows into town broken hearts and mayhem are sure to follow. First performed in 1677 The Rover is one of the better known works of Aphra Behn, generally regarded as the first woman to earn her living by writing plays. February 16 Shetler Studios Penthouse 2 7:30pm, Free Admission Light refreshments will be served If you would like to read a part (no preparation is necessary) please arrive at 6:30 and see any of the Bent Quill company members. No RSVP necessary, just show up.
At The Classically Forgotten Collaborative Reading Series, The Bent Quill Players stage extemporaneous readings of little performed plays from the classic period. Those who want to can show up early on the day and claim a part to perform during the reading. We'll be foot loose and rehearsal free for this six reading series. Join us to meet new friends, mingle, and nibble on refreshments while enjoying some impromptu live theater.
This event has already taken place. Click here for the latest events.


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Coalition for Engaged Education
About us
Coalition for Engaged Education, a 501 (c) (3), seeks to empower system involved transitional aged youth to develop positive and self-sustaining lives by providing access to education that engages their passions; and to serve as a model for systemic change in schools and the juvenile justice system.
Contact information
Government ID number: 95-4515019
Email: Log in to view email addresses.
c-youth.org/ facebook.com/coalitionforengagededucation
Phone: 424-272-9900
Fax: 424-272-9901
3131 Olympic Boulevard, Santa Monica, CA, 90404, US


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Pine-Sol Multi-Surface CleanerMultipurpose Cleaners
60 oz Size - Liquid - Pine Scent - 1 Each - View Complete Details
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Pine-Sol Multi-Surface Cleaner - Clean, deodorize and disinfect with the power of Pine-Sol®. Cuts through tough grease and grime fast while leaving behind a clean scent. No sticky residue. Use on a wide variety of tough jobs and surfaces including floors, counters and sinks. Perfect for use in offices, day care centers, restaurants, schools and other commercial facilities.
- Cuts through tough grease and grime fast.
- Deodorizes and wipes out odor-causing bacteria, leaving behind a fresh, clean scent.
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2014 Cadillac CTS first drive | Consumer Reports
Redesigned for 2014, the Cadillac CTS is longer yet lighter. Forget about Cadillac's old-school image. This is a very enjoyable car to drive, especially in V Sport trim. Too bad the Cue controls are frustrating and distracting. Watch more free luxury sedan videos: http://bit.ly/STPeqr
The 2014 Most Reliable Sedans | Consumer Reports
Consumer Reports examined thousands of responses from readers about their cars to determine the most reliable sedans. High on the list are two Japanese models and one German car. Is your car reliable? Let us know.
2013 Ford Taurus SHO first drive | Consumer Reports
The sporty Ford Taurus SHO packs a twin-turbo punch and has different suspension tuning than the regular Taurus. Too bad it suffers from Taurus shortcomings, with a cramped interior and complicated controls.
Audi A8 review | Consumer Reports
Satisfying to drive, the A8 combines a luxurious interior, sure-footed handling, and high-tech features. Fuel economy is surprisingly good. Free Fuel Economy Guide: http://bit.ly/MFvMbL


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|Message view
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|Anurag Shekhar <Anurag.Shek...@Sun.COM>
|Re: [jira] Commented: (DERBY-819) Provide JDBC4 SQLException subclasses support in Embedded driver
|Tue, 14 Feb 2006 19:31:36 GMT
> What's the benefit of having the embedded driver not call the > Util.notImplemented() method and thus increasing the footprint for no value? > > Wouldn't fixing the client's use first make sense? Then the > Util.notImplemented() method could remain. > > Dan. > > I have added a new issue and attached a path to remove the reference of engine class in network client. In jdbc40 the exception thrown depends on the SQLState but in prior versions its only SQLException. So it needs two difference classes to construct exception (for jdbc4.0 and prior). Probably NOT_IMPLEMENTED is an exception case where the at the time of construction itself we know that it doesn't needs any jdbc4.0 classes. But won't it be appropriate to keep all the methods creating exception in one place ? anurag
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Browse other items in the Accessories collection from Wayside Furniture in the Akron, Cleveland, Canton, Medina, Youngstown, Ohio area.
Formed In Cast Iron And Hand Finished In Metallic Gold Leaf, Resting On A Black Marbled Base With Heavy White Veining.
The Accessories Gallop Gold Horse Sculpture by Uttermost from Wayside Furniture. We proudly serve the Akron, Cleveland, Canton, Medina, Youngstown, Ohio area. Product availability may vary. Contact us for the most current availability on this product.
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My 1998 Supra Story
19,000 miles on the clock, this car is a little out of my wheel house. Let me show you the history of the car from when I bought it to present day. Next move for this car is to likely sell it at a collector car auction, you can follow along with the process and see what goes into prepping and selling a collector car. My driving of this car has totaled roughly a few hundred miles over 7 years of care taking. To answer your question now, I will be replacing it with a higher mileage driver supra. For DVDs and Merchandise http://www.superspeeders.com Vimeo Downloads and Rentals https://vimeo.com/superspeeders/vod_pages Facebook https://www.facebook.com/superspeeders https://www.facebook.com/Super-Speeders-204571479556925/ Instagram - robferretti Twitter - @robferretti
1100HP TRC Supra Best of 2015 - Real Street
Happy New Year to our fans! We put together the best moments in 2015 of the TRC Supra. Hope you enjoy this closing video as we gear up for bigger and better things for 2016!
SRT8s Charger Srt8 vs Ram Srt10 vs 300 Srt8
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Toyota Supra MK4 Turbo Sound Compilation
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June 1, 2010
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A good way to up your income without actually raising prices is to have a list of a la carte options in your service arsenal, says Kelley Killop-Marble of Opalized Designs Studio Salon in Shelby Township, Mich. "I'm not talking about having a bare-bones menu and nickel and diming folks ... that is just plain aggravating," she says. What she is talking about is differentiating yourself by giving true personal services.
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Performance improvement CME in psychiatry: implementing black box warning informed consent
David Mintz1, Henry Tulgan2, Mikaela Mintz3 and Danna G. Muir4
1Psychiatric Education, Austen Riggs Center, Stockbridge, MA, USA
2Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA
3Austen Riggs Center, Stockbridge, MA, USA
4Department of Continuing Medical Education, Harvard Medical School, Boston, MA, USA
Objective. Performance improvement continuing medical education (PI CME) is a recent educational methodology designed better to link educational content and outcomes in the context of limitations in the effectiveness of traditional CME. This study examines the ease of use and effectiveness of psychiatric CME in a small hospital. Methods. All staff psychopharmacologists assessed their performance in providing informed consent of black box risks of prescribed psychiatric medications in a 3-month period. Staff were educated regarding black box risks of all commonly prescribed psychiatric medications, and their performance in the following quarter was reassessed. Significance of change following the educational intervention at 3 and 6 months was determined by Chi square analysis. Results. PI CME was clearly successful in supporting behaviour change, χ2(1, N=60) =20.86, p=0.000, far outstripping traditional CME efforts. Changes in behaviour persisted over time, χ2(1, N=61)=4.04, p=0.044. This PI CME event received the highest possible rating by CME participants, and took few staff resources to implement. Conclusions. PI CME is an educational technology that can be carried out, without significant burdens to participants or educators, in psychiatric departments of small hospitals. PI CME can be much more effective than traditional CME in bringing about desired behaviour change in psychiatrist behaviours. Hospital-based PI CME may have other benefits, such as meeting criteria for Maintenance of Certification.
Keywords: Performance improvement, continuing medical education, informed consent, black box warning, psychiatry
Received: 31 March 2014 Accepted: 6 June 2014 Published online: 27 June 2014
Journal of European CME (JECME) 2014. © 2014 David Mintz et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 Unported (CC BY 4.0) License (http://creativecommons.org/licenses/by/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.
Citation: Journal of European CME 2014, 3: 24501 - http://dx.doi.org/10.3402/jecme.v3.24501
Since 2000, a series of reports from the Institute of Medicine (IoM) have called into question the traditional principles that physicians have traditionally relied on in pursuit of continued competency.1–4 Though physicians now have a nearly endless supply of information at their fingertips through the Internet, the sheer volume of information and the rapidity of change have complicated the dissemination of new knowledge and adoption of new practices. A "quality chasm"2 has emerged, where average clinical practice does not meet its potential based on available knowledge and technologies.
One remedy is the development of greater linkages among education, accreditation, certification, and licensure.3 In addition, policy initiatives are increasingly promoting models of education that are not knowledge-centred, but rather focused on competencies or clinical outcomes.5,6 To this end, new educational formats have been developed and approved for continuing medical education (CME).7,8 Internet point-of-care models allow physicians to receive educational credit for learning "just in time" to provide competent and appropriate care. This focused learning contrasts with more traditional models of "just in case" learning where large amounts of information are learned and stored for possible future use. Integration of performance improvement (PI) with CME is another strategy for linking education directly with outcomes.
This study reports on one small institution's efforts to educate staff, promote behaviour change, and foster patient-centred care through PI CME focused on the enhanced provision of informed consent. Educational results show that PI CME can be easy to implement, effective where other educational interventions have failed, and highly appreciated by psychiatric learners.
Performance improvement and continuing medical education
CME has long been deemed a core element in ensuring on-going competency in the practice of physicians. In order to promote competent care that integrates new knowledge and contemporary standards of care, physician participation in CME has become a requirement of most state licensing boards for continued licensure. Likewise, specialty boards establish CME requirements as prerequisites for Maintenance of Certification (MOC). However, as educational and research technology has advanced, it has become apparent that the most prevalent methodologies for providing CME do not effectively achieve the most fundamental goals of CME. While commonly applied didactic learning formats (e.g., lectures) may help physicians achieve personal goals of accumulating required CME credits, there is mounting evidence that such passive learning formats do little to change medical behaviours.9–11
Following the recommendation of two national task forces promoting more effective CME, the American Medical Association recognised, in 2005, a novel learning format: performance improvement CME (PI CME).7 PI CME is an effort explicitly to join CME with measures of change in performance and with the American Medical Association Physician's Recognition Award (AMA PRA) Category 1 Credit system. PI CME represents a shift from the traditional time-based credit to a model of value-based credit.12 In recognition of the potential superiority of this type of educational activity and in order to further promote implementation of this learning format, the AMA structured the credit system such that completion of accredited PI CME events would earn 20 Category 1 credits, though time spent in the CME activity could be substantially less than 20 hours.
PI CME, as defined by the AMA PRA system, is a three-part educational event that involves elements of performance assessment coupled with education intended to promote positive change in physician behaviours. Stage 1 entails learning from a performance assessment of current practice. Stage 2 entails learning from the application of PI to patient care. In Stage 3 of PI CME, learning is consolidated by follow-up performance assessment to evaluate changes in practice as a result of the PI CME event.
PI CME and psychiatry
There is, in psychiatry, as in other medical fields, a need to integrate quality improvement into individual practice and systems of care.13 In 2010, the American Board of Psychiatry and Neurology responded to these needs by revising its requirements for MOC for psychiatrists who were certified after 1 October 1994.14 Beginning in 2013, psychiatrists who wish to maintain board certification must complete three Performance-in-Practice (PIP) Clinical Modules every 10 years, which involves assessing practice in some important clinical domain, and reassessing practice for evidence of improvement. PI CME also carries the potential benefit of meeting board re-certification criteria for PIP.
Medical institutions that offer CME credits can support the educational and professional needs of physicians in those systems by incorporating PI CME into the range of learning formats that are offered. PI CME programmes also benefit patients by enhancing positive outcomes and/or reducing negative outcomes. Health care systems that join PI and CME are benefited by enhanced outcomes, reduced medico-legal risk, and satisfying requirements of regulatory bodies (e.g., JCAHO).15 To date, however, there are no articles in the peer-reviewed medical literature that describe institutional implementation of psychiatric PI CME programmes. A search on PubMed for "Performance Improvement CME" and "psychiatry" yields only six results,16–21 all of which are themselves journal-based PI CME for individual practitioners.
Despite the myriad benefits of integrating PI with CME, there is a perception of significant impediments to implementation of PI CME. Already overburdened physicians may prefer passive learning, and may balk in relation to the perception that PI is an onerous mandate. Physicians may also demur from the experience of being evaluated. CME providers, too, may be slow to adopt this new learning model because of the perception that planning PI CME is more labour-intensive than planning other CME,15 and that "PI CME required unprecedented collaboration between CME planners and QI stakeholders to enable change of clinical practice."22
These impediments may exist more in anticipation than in actual practice. The authors describe briefly the implementation of a PI CME programme at a small psychiatric hospital. The results of this study suggest that not only is PI CME a superior modality for effecting behaviour change in physicians, but it is also relatively easy to implement and highly appreciated by staff.
Informed consent: a case study of PI CME
Informed consent is a basic procedure in the practice of medicine. Ethically, it is important that patients be empowered to weigh the potential risks against potential benefits when choosing among treatment options. Informed consent is a key element in providing patient centred care, and has become a current IoM focus,23 given evidence that as few as 9% of patients are provided adequate informed consent for treatment.24 Beyond this, there are also important clinical reasons for providing thorough informed consent. There is mounting evidence that aspects of the doctor–patient relationship such as "good communication" can promote improved medication outcomes.25 Careful and thorough disclosure of risks, contrary to common perception, appears to promote medication adherence.26 Such alliance-based interventions may be especially important in patients who present with a history of "treatment-resistance."27,28
The Austen Riggs Center (ARC) is a small, not-for-profit psychiatric facility specialising in the care of complexly co-morbid patients often labelled as treatment resistant. With an overarching psychodynamic orientation, alliance-based interventions and strategies aimed at maximising the authority of patients are often at the core of efforts to address treatment resistance, including pharmacologic treatment resistance.
A system-based practice gap was identified in relation to informed consent regarding black box warnings for psychiatric medications. In 2004, the U.S. Food and Drug Administration (FDA) extended its black box warnings to all antidepressant agents.29 This was the beginning of a proliferation of warnings associated with psychiatric drugs. A review of practice patterns at the ARC revealed that informed consent about black box risks was not documented in a majority of cases for patients newly admitted (already on those drugs) or newly prescribed drugs associated with black box warnings. Consultation with the facility's insurer confirmed that failure to provide informed consent is a significant source of successful lawsuits against psychiatrists. Given an institutional commitment to fully authorising patients as partners in medical decision-making, enhancing informed consent was a natural target for PI.
More traditional efforts to affect behaviour change produced no significant improvement. These efforts included education about medico-legal risks of failure to provide informed consent, regular reminders at pharmacology staff meetings and reviews of the overall compliance of pharmacology staff. A prompt was also built into the digital medication ordering system, identifying medications associated with a black box warning. This also did not produce significant improvement in performance by physicians.
The Director of Medical (Psychiatric) Education (DME), in conjunction with the Center's PI Committee, determined that PI CME could be a more effective approach to improve the response for this identified practice gap while also serving to provide the prescribers with education that could satisfy state requirements for Maintenance of Licensure, (MOL) and fulfil criteria for MOC.
The DME and the Education Committee at ARC reviewed patient records following traditional education activities and confirmed that the gap between the actual and ideal practice of provision of informed consent was still present. This was sufficient to identify the learning need as both a performance and a patient outcome issue. Subjects consisted of all 10 of the Center's credentialed psychopharmacologists. Following AMA guidelines, an educational activity was devised which included an assessment by each participant of his or her performance in documenting informed consent about black box warnings for psychiatric medications. They subsequently participated in a lecture format educational session followed by an evaluation by each participant of his or her performance. Reluctances to engage were ameliorated by a firewall between these performance assessments, done for educational purposes, and performance measures that might affect professional standing within the organisation.
For Stage A, the DME devised a simple algorithm within the electronic medical record for identifying patients prescribed medications associated with black box warnings within the preceding 3 months. Less than 2 hours of DME time was spent on developing the search algorithm.
During a regular pharmacology staff meeting, prescribers were instructed in this procedure and were also provided a hand-out identifying all black box warning associated with commonly prescribed psychiatric drugs, and a data collection sheet to assess their performance on this measure. A regular meeting time was used both because it was easiest to gather all the prescribers at this time, and because this format did not require any additional time commitment on the part of the prescribers. Participants were able to identify all applicable patients, review their pharmacology notes for clear documentation of informed consent, and record performance within the one hour allotted for the pharmacology staff meeting. For this activity, participants were awarded five CME credits for their completion of Stage A.
Stage B consisted of a one-hour multimedia presentation reviewing black box warning associated with psychiatric medications and ethical and medico-legal implications of failure to provide informed consent. Research and preparation for this presentation required less than 6 hours of DME time.
Stage C occurring 3 months after Stage B used a procedure identical to Stage A. Prescribers assessed their performance on providing and documenting informed consent and compared their pre-and post-CME performance for evidence of behaviour. Stage C required no additional DME time and 1 hour of regularly scheduled meeting time on the part of each participating physician. Participants who completed all three stages earned a total of 20 CME credits.
The protocol was reviewed and approved by the Center's Institutional Review Board.
After data collection by participants, the Center's PI Committee and Education Committee gathered data for subsequent analysis. Pre and post-CME data were subjected to statistical analysis (Chi square) in SPSS, to determine whether this intervention effected significant change. Measures were taken again at the end of the subsequent quarter to determine whether the PI CME event produced changes that persisted over time. The DME and Center's Education Committee collected participant ratings of this educational event for routine assessment. Participant ratings for this event were compared to participant ratings of every CME event in the same academic year, with means and standard deviations calculated in SPSS.
In the 6 months prior to the PI CME intervention, average compliance with documenting informed consent about black box warnings was only 11.6%, despite staff education regarding black box warnings associated with common psychiatric medications, and repeated reminders to prescribing staff of the importance of documenting informed consent. In the following quarter, average compliance rose to 70.6%. PI CME was clearly much more successful in supporting behaviour change than traditional CME efforts, χ2(1, N=60)=20.86, p=0.000. Average compliance as measured at 6 months following the intervention had fallen to 55%, though this still represented a significant change with regard to the period prior to the PI CME event efforts, χ2(1, N=61)=4.04, p=0.044. This suggests that significant change from PI CME can be sustained over time.
Analysis of participant ratings (n=6) of the educational event revealed that this PI CME event was highly rated, with an average overall rating of 5.0 (on a scale of 1 to 5, with 5 indicating highest marks). The average overall score for this CME provider was 4.55 (SD=0.36), suggesting that this form of CME was easily palatable, and likely preferable, for its intended audience.
The demonstrated success of this activity was presented within the intrastate re-accreditation survey of the Center in January 2011 by The Massachusetts Medical Society (MMS) Committee on Accreditation Review, and recognised as a potential model of PI CME within the state.
PI CME holds promise as an innovative educational technology which can promote effective improvements in clinician behaviours in ways that are unparalleled by more traditional CME methodologies. This study provides further support for the rationale behind PI CME: this intervention, embedded in a PI CME learning format, successfully closed a specific learner gap when other traditional educational methods proved ineffective. PI CME was clearly more effective than traditional formats at bringing about and sustaining desired behaviour change.
Since the incorporation of PI CME into the AMA credit system, there have been several reports of successful institutional examples which include, among others, primary care,21 cardiology,30 and gynaecology.31 However, in the psychiatric literature, published examples have been limited to online CME.16–21 This study is, to our knowledge, the only contribution thus far to the peer-reviewed literature on implementing local institutional PI CME in psychiatry. The general paucity of examples of institutional PI CME may reflect resistances to integrating new educational models, particularly when there are concerns that these new models will impose added burdens on DMEs and educational participants alike.
This study shows that PI CME can be implemented without imposing significant burdens on planners or participants. From start to finish, this event required fewer than 8 hours of DME time. Participants spent 3 hours each on the activity, but this was during time that was already committed to regularly scheduled meetings. It is likely, in fact, that this methodology will prove to be a significant time-saver for most physicians. Given the increasing complexity of health care systems and regulatory requirements, PI CME may integrate, into a single event, processes that satisfy requirements for MOL, MOC, and credentialing.12
In addition to the 20 Category 1 credits awarded for participation in this activity, participants reaped numerous other rewards. At the conclusion of this event, participants carried less medico legal exposure in relation to failure to document informed consent discussions. Institutions providing PI CME support their physicians in other important ways. Participants in this educational event benefited by participation in PIP self-assessments, potentially meeting state board requirements for MOL. This format also has the potential to help participants meet board requirements for MOC. Far from finding the process onerous, participants rated the event very highly.
Patients also benefited by becoming more informed participants in medical decision making. Though no specific effort was made to correlate this study with broader outcome measures, it is likely that this intervention also enhanced clinical outcomes in a population that was generally treatment refractory. This activity addressed a number of factors in the doctor-patient relationship and prescribing process that are IoM priorities and which are known to enhance pharmacologic treatment outcomes. These factors include involvement in medical decision making,32–34 good communication,35–37 and providing information about side effects.26
There are a number of potential limitations with regard to this research. Most significantly, the setting, as a small, long-term psychoanalytic hospital, is generally unique. The combination of small size and treatment philosophy based on communication and patient authority may limit the generalisability of these results to other settings. This event looked only at documentation of informed consent. There was no assessment of the effectiveness of the informed consent itself (i.e., evidence that the patients understood and made use of the information provided to them).
PI CME is an educational technology whose time has come. It may be particularly effective in ameliorating practice gaps when more traditional CME has failed to bring about adequate behaviour change. In the context of increasing requirements for PIP assessments in the field of psychiatry, there will likely soon be a proliferation of vendors with a national scope who offer PI CME as an aspect of PIP and MOC. PI CME need not be complicated, however, and can easily be implemented by small intrastate accredited providers in ways that address local practice gaps or which focus on unique institutional concerns while addressing physician need for PIP assessments. PI CME need not strain staff resources, and is rated highly by learners. This PI CME activity designed to increase informed consent regarding black box warnings was highly successful, both in improving physician performance and in regard to overall ratings by participants. The psychiatric literature could benefit from more examples of PI CME, as educational experimentation is undertaken and PI CME begins to enter the mainstream.
The authors would like to thank their colleagues who participated in this study.
Declaration of funding
This study was unfunded, and the authors have no commercial affiliations that could represent a possible conflict of interest.
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- Mintz DL, Belnap BA. What is psychodynamic psychopharmacology? An approach to pharmacological treatment resistance. In: Plakun EM (Ed.), Treatment resistance and patient authority: an Austen Riggs Reader (pp. 42–65). New York: Norton; 2011.
- Leon AC. The revised black box warning for antidepressants sets a public health experiment in motion. J Clin Psychiatry 2007;68:1139–1141. PubMed Abstract | Publisher Full Text
- Cannon CP, Hoekstra JW, Larson DM, Carter RD, Cornish J, Karcher RB. Physician practice patterns in acute coronary syndromes: an initial report of an individual quality improvement program. Crit Pathways Cardiol 2010;9:23–29. Publisher Full Text
- Wachtel MS, Hatley WG, de Riese C. Using Poisson regression to compare rates of unsatisfactory pap smears among gynecologists and to evaluate a performance improvement plan. Acta Cytol 2009;53:160–164. PubMed Abstract | Publisher Full Text
- Loh A, Simon D, Wills CE, Kriston L, Niebling W, Härter M. The effects of a shared decision-making intervention in primary care of depression: a cluster-randomized controlled trial. Patient Edu Counsel 2007;67:324–332. Publisher Full Text
- Woolley SB, Fredman L, Goethe JW, Lincoln AK, Heeren T. Hospital patients' perceptions during treatment and early discontinuation of serotonin selective reuptake inhibitor antidepressants. J Clin Psychopharm 2010;30:716–719. Publisher Full Text
- Clever SL, Ford DE, Rubenstein LV, Rost KM, Meredith LS, Sherbourne CD. Primary care patients' involvement in decision-making is associated with improvement in depression. Med Care 2006;44:398–405. PubMed Abstract | Publisher Full Text
- Lin EH, Von Korff M, Katon W, Bush T, Simon GE, Walker E. The role of the primary care physician in patients' adherence to antidepressant therapy. Med Care 1995;33:67–74. PubMed Abstract | Publisher Full Text
- Bultman DC, Svarstad BL. Effects of physician communication style on client medication beliefs and adherence with antidepressant treatment. Patient Edu Counsel 2000;40:173–185. Publisher Full Text
- Ciechanowski PS, Katon WJ, Russo JE, Walker EA. The patient–provider relationship: attachment theory and adherence to treatment in diabetes. Am J Psychiatry 2001;158:29–35. PubMed Abstract | Publisher Full Text
Correspondence: Dr. David Mintz, Austen Riggs Center, Stockbridge, MA 01262, USA. Tel: +(413) 931 5315. Fax: +(413) 298 4020. E-mail: firstname.lastname@example.com;
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I never will forget, back around 1980, when I took a couple of "urban' people hunting. At dark, we all met back at the truck, and I asked these guys if they even saw anything. One saw only a bunch of squirrels. The other guy said a bunch of buzzards came walking up through the woods. Turkey season was in. ,)
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More information about this newspaper title may be available on the source website.
Source: Chronicling America [US Library of Congress]
Country: United States
State: Pennsylvania
City: Ebensburg, Pa.
Issues of this title available in Elephind: 223
Items (articles and/or pages) from this title available in Elephind: 908
Earliest Date: 12 April 1849
Latest Date: 11 August 1853
Cambria County lies in the Alleghenies, a rugged section of the Appalachian mountain range. The county was formed on March 26, 1804; the name is a variant of an ancient name of Wales (Cumbria), reflecting the region's longtime Welsh presence. Ebensburg, in Cambria's geographical center, became the county seat. Welsh roots here date to 1796, when colonists arrived from Philadelphia led by Congregational Minister Rees Lloyd, who named the settlement after his late son, Eben. In a rich bituminous coal region, Ebensburg thrived on mining and small industries, and it prospered in the late 1800s as a summer mountain resort for wealthy visitors including Andrew Carnegie and the Vanderbilts.
Both the Mountain Sentinel and its successor, the Democrat and Sentinel, were staunchly partisan Democratic newspapers, and their editorials offer interesting insights today into how state and national issues were received and interpreted in a small, remote mountain town. The usual contemporary mixture of fiction, stories reprinted from other newspapers, and local advertising accompanied the political editorials and full-text copies of political speeches and recently enacted state documents.
John G. Given, founding editor of the Mountain Sentinel (motto: "We go where democratic principles point the way; When they cease to lead; we cease to follow.�), launched the paper in 1844. He remained until the outbreak of the Mexican War when he left to serve with the Old Cambria Guards. Daniel C. Zahm then became editor of the Sentinel, publishing substantial war coverage. By this time, the Allegheny Portage Railroad, one of the most astonishing engineering feats of the time, was in full use. Situated about 12 miles east of Ebensburg, it was the first railroad constructed through the Alleghenies, about 36 miles long in a complex series of 10 inclines. The railroad operated from 1834 to 1854. The news stories about transportation activity (and deaths) on the Portage Railroad are intriguing history, as are the controversies over a regional plank road and canal.
Given returned as editor of the Sentinel in 1849 and was then succeeded in February 1851 by Andrew J. (Jack) Rhey. The Mountain Democrat, founded in Ebensburg in 1852 by Richard White, merged with the Mountain Sentinel in August 1853. Handing over editorship to William B. Sipes, Rhey commented, "Often we have thought that one well-conducted Democratic journal at this place was sufficient for the good interests of the party.â€� The new publication's hopeful motto was, "The blessings of government, like the dews of Heaven, shall be distributed alike upon the high and the low, the rich and the poor.â€�Â
Under James S. Todd in 1863, the Democrat and Sentinel displayed Copperhead Democrat tendencies: sympathy toward the South, fierce opposition to abolition, and hatred of Lincoln. After Editor Todd was replaced by Michael Hasson in 1864, the paper's Copperhead leanings lessened. Following Lincoln's assassination, Hasson wrote sadly, "We can badly spare him at this time…He was about to restore peace and concord to a bleeding and distracted country.� After two editors came and went in quick succession, the Democrat and Sentinel folded on December 20, 1866, and the Cambria Freeman soon took its place as the Democratic newspaper in Ebensburg.
Provided by: Penn State University Libraries; University Park, PA


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Do you suffer painful illumination? -- Isaac Newton, "Optics"


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PSA: Rachel Zoe's DreamDry Opens On 57th Street
The blowout salon opens its second Manhattan location.
In New York City, there is no foreseeable end to the blowout trend. Appointments at popular blowout salons like Drybar and Blow are as hard to score as a reservation at ABC Kitchen or a seat at SoulCycle. Just in time for New York Fashion Week, the newest kid on the block, the Rachel Zoe co-founded DreamDry, opens its second location on 57th Street between 8th and 9th Avenues. Each station has mini iPads for magazine browsing and picking out your style of choice (in addition to blowouts, there are several braid, ponytail, and bun options). And the salon uses all Oribe products, which means that your hair will look and smell insanely good. The best part? We were in and out in approximately 40 minutes. Happy good hair days.
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ONE MAN'S SPORTS BOOK READING LIST (TOP TEN)January 28th, 2013
This is the fifth and final in a series of posts about my favorite sports books. Notice the dearth of fiction in this offering. Perhaps that's the nature of sports books, that the best ones describe athletes, games and seasons that are real. But my No. 1 choice is fiction, and, man, you have to read this book.
Keep in mind that I am not necessarily proclaiming these the BEST sports books, though, obviously, I think they're very, very good or they wouldn't be on here.
10—The Boys of Summer, Roger Kahn, non-fiction, baseball
I re-read Kahn's celebrated book a couple of years ago and found his writing more cloyingly sentimental than I remember. But this book is not about style. Its subject matter was so compelling to me personally—a tale of both learning to be a journalist and tracking down the men he had once covered (in Kahn's case, the Brooklyn Dodgers of the late 1940s and early 1950s)—that it couldn't help but be memorable.
9—Big Bill, Frank Deford, non-fiction, tennis
Had Bill Tilden, the greatest player of his time and a closet homosexual, been born in a different era, perhaps his life would not have turned out so sadly. Deford, the king of all Sports Illustrated writers—don't let anyone tell you different—wrote a biography that was born piercingly honest yet sympathetic.
8—The Game They Played, Stanley Cohen, non-fiction, basketball
There is a whole generation—whoops, maybe two generations—of fans who don't know anything about the college basketball fixing scandals of the 1950s. Cohen brings it all to light in a book that, in a way, serves as a useful companion to my No. 5 choice and as a thematic counterpoint to No. 6, a tale told mostly on the grassy campus of Princeton University. Here is a link to a video of Cohen talking at length about The Game They Played.
7—The Breaks of the Game, David Halberstam, non-fiction, basketball
It is axiomatic that Halberstam's book is the best-reported and most complete analysis of one team (the Portland Trail Blazers) in the history of pro basketball … and maybe in the history of sports. Pro basketball couldn't have thanked Halberstam enough for this account of the 1979-80 Bill Walton Blazers. At the time he wrote it, Halberstam had already won a Pulitzer Prize (for his Vietnam reporting), and the NBA was at its lowest point in cultural popularity. The writer was more famous than the game, and the fact that Halberstam took the NBA seriously was a big selling point for the league.
6—A Sense of Where You Are, John McPhee, non-fiction, basketball
Any hophead around my age (north of 60) knows of this seminal 1965 book, in which McPhee, a Pulitzer Prize winner and one of the gods of creative non-fiction (non-gonzo division), wrote about Bill Bradley when Bradley was a Princeton senior. I have a copy, which I've read several times, but couldn't help buying another when I found it on a shelf in a used bookstore in Middlebury, Vermont, standing beside one of my own books. Trust me: Mine was not as well-written as this one by McPhee, which was his first of many.
5—Heaven is a Playground, Rick Telander, non-fiction, basketball
Speaking of hoopheads around my age … if you pooled the writers among us, I would suspect that Rick's book about a summer spent playing (and coaching) pickup ball in Brooklyn would be the one we would want to have written. There have been countless books about inner-city hoops, but Ricky T's is still at the top of the list. Here is Telander's website devoted to the book. http://www.heavenisaplayground.com/
4—Friday Night Lights, Buzz Bissinger, non-fiction, football
Buzz is known for going off the rails a little bit, as in his memorable rant against Internet journalism. But his 1990 classic about Texas high school football is still the model for the I'm-moving-in-and-telling-the-truth-about-your-town-and-I-don't-care-what-you-think-about-it book, and served up enough material (or suggestions for material) to furnish a movie and a TV series. Not incidentally, while a staff writer for the Philadelphia Inquirer in 1987, Bissinger won a Pulitzer for his story on corruption in the Philadelphia court system, and his 1998 Vanity Fair article called "Shattered Glass" (made into a movie of the same name) is one of the most memorable pieces of magazine writing ever.
3—Ball Four, Jim Bouton, non-fiction, baseball
What qualities must be there for a book to be called "landmark?" I suppose it means that nothing like it had been written before, and that a specific genre would never the same after it was published. That is Bouton's 1970 book in a nutshell. Ball Four was revelatory in so many ways, but what I remember about it was its humor, though the baseball establishment, predictably, found nothing funny about it. Its most interesting tidbits involve the Yankees, to the point that one almost forgets it was a diary about Bouton's 1969 season spent with the Seattle Pilots during that franchise's only year of existence.
Here is a clip of Bouton talking the importance of Ball Four to the advent of free agency and another in which he describes his favorite moment as a Yankee teammate of Mickey Mantle.
2—Out of My League, Shadow Box, Paper Lion, George Plimpton, non-fiction, baseball, boxing, football
All right, I cheated here by grouping three of Plimpton's books together. But they were all of a piece—though in no way derivative of each other—and each one was a classic. The most underrated of his books, in my opinion, is Out of My League, Plimpton's first foray into participatory journalism, in this case taking the mound at Yankee Stadium in 1960 to pitch against the American and National League all-star teams. Plimpton somehow gets Willie Mays out, believe it or not, but he makes you feel his flop sweat in this hilarious account of being in over your head.
1—Billy Lynn's Long Halftime Walk, Ben Fountain, fiction, football
I took some liberties here since sports serves as only a backdrop in Fountain's spectacular 2012 novel. It is a work of sheer brilliance, a controlled screed about the senselessness of war and the excesses of our sporting culture. Hint: It decimates the Dallas Cowboys. I'll be reviewing it in full in a future blog.
One Response to "ONE MAN'S SPORTS BOOK READING LIST (TOP TEN)"
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My web blog … century 21 real estate listings


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The middle east stood at relative peace when Barack Obama inherited the Oval Office in 2008, but much has changed since then due to this president's botched foreign policy. Not only has he emboldened America's enemies in places like Syria and Libya, but Obama has also alienated traditional regional allies, the most important of which is Israel.
Now this administration has gone one step further and is actually funding anti-Israeli terrorists. The United States currently provides hundreds of millions of dollars in foreign aid to the Palestinian Authority, which has recently entered into a unity government with the terrorist group Hamas.
Hamas, an anti-Israel offshoot of the Muslim Brotherhood, is officially designated a terrorist organization by the U.S. and much of the rest of the world, and has recently made headlines as the organization behind the kidnapping and murder of three Jewish high school students in Israel.
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The unity government claims to be "technocratic" and exclusive of Hamas ministers, but many in Congress believe the U.S. is being deceived.
From Al-Monitor:
"The Palestinian leaders know that a unity government would trigger US law to cut off funding, so now they are trying to find loopholes in order to say that they are still abiding by the conditions our law's mandate," Rep. Ileana Ros-Lehtinen, R-Fla., the author of 2006 legislation that bars taxpayer support for a "Hamas-controlled Palestinian Authority," said in a statement.
"The PA deciding to partner with a designated foreign terrorist organization once again reaffirms that Abu Mazen is not a true partner for peace and the US must respond by withholding assistance to any Hamas backed unity government," Ros-Lehtinen said. "The administration must not fall for Abu Mazen's latest ploy and instead enforce US law and cut off funding."
House Foreign Affairs Chairman Ed Royce, R-Calif., expressed similar views.
"While the 'unity government' hides behind the facade of nonpartisan bureaucrats, it was only born out of support from Hamas — a terrorist organization that continues to call for Israel's annihilation," he said in a statement. "Hamas is no partner for peace; nor a legitimate recipient of aid."
The Obama administration has already made it clear that it continues to support the unity government, raising the question of whether this is yet another example of Obama's ignoring laws he swore to uphold or merely more questionable foreign policy from an executive branch increasingly know for its incompetence.
For the families of the three Israelis students, the question is academic. The reason behind the U.S. support of the terrorist group that murdered their children probably isn't the first thing on their minds right now.
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It should, however, be on the minds of American citizens and their elected representatives in Congress. The difference between incompetence and willful unlawfulness on the part of this president could mean the difference between simple impeachment and impeachment followed by prosecution.
Please share this article on Facebook and Twitter if you stand with Israel for peace and security in the middle east.
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Results 1 to 2 of 2
- CrackBerry Abuser
05-03-10, 08:10 PM Thread Author #1
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I am wanting to use Live Tracker but get this message when I send and try to retrieve the info;
LiveTracker - Web
Warning: The requested ID does not exist in our database.
What does 'ID does not exist in database' mean?
This means your mobile phone was not able to send your location to our server yet. Please try to deactivate the BES/BIS autodetection in 'Options' and make sure your BlackBerry has GPS reception. Your ID and GPS location is only sent to our server once the LiveTracker mobile client could obtain a GPS position fix and successfully send it to our server.
Can't find the BES/BIS auto-detection in Options. Can anybody help?
- CrackBerry Addict
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Is that an option in the LiveTracker options? I'm not finding it in the regular BB options.
In Options, Advanced Options, GPS, do you have it set to E911 only or Location on?
Reading http://forums.crackberry.com/f41/liv...e-beta-192080/ it sounds like LiveTracker is not problem free on Storms


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Alex Livesay
Hoyas Net First, Second and Third Place Finishes in Head of the Potomac
GU enjoyed success on the Potomac for the second straight year to open the season
Georgetown Crews See Significant Improvement with Wins at GW Invite
Hoyas Battle Tough in Indiana, Fall to Indiana and Kansas
Hoyas Retain Class of 2006 Cup Over North Carolina
Women's Rowing Secures Wins at Oak Ridge Invitational
Junior:2013 Collegiate Rowing Coaches Association Scholar Athlete Award.
Sophomore: Earned third place medal at BIG EAST Championship in V4+. Member of the 2011-2012 BIG EAST All-Academic Team.
Prior to Georgetown:Captain of swim team
More Headlines
Women's Rowing Competes at Head of the Charles Regatta WASHINGTON – Georgetown University's women's rowing team... Women's Rowing Travels to Boston for Head of the Charles WASHINGTON – Coming off of an impressive performance at the Head of the... Women's Rowing Competes at Head of the Potomac WASHINGTON - Georgetown University's women's rowing team opened the 2016-17... Women's Rowing has 31 Named to Patriot League Academic... The Georgetown women's rowing team had 31 student-athletes named to the...


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The Horse Forum (http://www.horseforum.com/forumindex.php)
- Horse Videos (/horse-videos/)
- - Three Day Event - The Toughest Of Sports (http://www.horseforum.com/horse-videos/three-day-event-toughest-sports-37400/)
Three Day Event - The Toughest Of Sports
Interesting cross country clip from the documentary "Riding for America". If its already been posted here, just ignore:)
Interesting video. That white water jump freaked me out.
Me too :-P I did some low-level cross country when I was a kid, but those guys and gals have some major cojones.
Such great footage.
Wish eventing was still like it.
Oh well...
wow! that last one where the horse fell on top of the girl and she almost died was scary! The water jump was wild too!
that was an amazing vid.
she did die. But they revived her.
yea thats why I said almost died, it was almost too painful for me to see someone ACTUALLY die. thankfully she is ok though :(
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Apartment Features: br br Newly renovated featuring bleached-plank hardwood floors, recessed lighting, granite countertops, stainless steel appliances, cherry wood cabinets, crown and baseboard moldings, with marble bathrooms. This unit also has a washer/dryer. br br Call for more info/schedule an appointment!
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help fix bugs with Adobe Flash Builder
This project was successfully completed by hemanshusondhi for €12 EUR / hour in 25 days.Get free quotes for a project like this
Project Budget€12 - €18 EUR / hour
Completed In25 days
Total Bids3
Project Description
We have developed an App using Adobe Flash Builder 4.6 and we can get the app loaded onto an ipad and android phone but we cannot get it to work. We have an email and password login on the homepage, which should link to a SQL Server database online but we cannot get it to work
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Hotel Piedra Paloma, Estepona
- Free WiFi and free parking
Main amenities
- 27 guestrooms
- Near the beach
- Breakfast available
- Bar/lounge
- 24-hour front desk
- Air conditioning
- Daily housekeeping
- Laundry service
- Meeting room
- Concierge services
- Luggage storage
- Tour/ticket assistance
For families
- Cribs/infant beds (surcharge)
- Private bathroom
- Television
- Free toiletries
- Daily housekeeping
- Laundry facilities
What's around
- Dona Julia Golf Club (1.6 mi / 2.6 km)
- Estepona Golf (1.8 mi / 3 km)
- Casares Costa Golf (1.9 mi / 3.1 km)
- Finca Cortesin Golf Club (2.3 mi / 3.7 km)
- La Duquesa Golf Course (3.4 mi / 5.4 km)
More great choices
At a glance
Key facts
Hotel size
- This hotel has 27 rooms
- This hotel is arranged over 3 floors
- Check-in time 12:30 PM-1:00 AM
- Check-out time is noon
Required at check in
- Credit card or cash deposit required
- Government-issued photo ID required
Travelling with others
- Pets not allowed
- Free WiFi in public areas
- Free WiFi in rooms
- Free self parking
Nearby Two Star Estepona hotels
In the hotel
- Continental breakfast (surcharge)
- Bar/lounge
- Coffee shop/café
- Conference space size (feet) - 40
- One meeting room
- 24-hour front desk
- Concierge services
- Tours/ticket assistance
- Dry cleaning/laundry service
- Laundry facilities
- Luggage storage
- Number of buildings/towers - 1
- Year Built 1992
- Elevator/lift
- Accessible bathroom
- In-room accessibility
- Roll-in shower
In the room
- In-room climate control (air conditioning)
- Air conditioning
- Balcony
- Private bathroom
- Free toiletries
- Hair dryer
- Desk
- Free WiFi
- Phone
- Daily housekeeping
Top Estepona hotels
Recently reviewed hotels in Estepona
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"we spent a night in this unconventionnal hotel. Everything was great."Jan 12, 2017
- The Rock HotelFrom
"Very friendly and helpful front desk. Got us a tour of the Rock. Very good. View of the harbor is spectacular. "Jan 11, 2017
- The Caleta HotelFrom
"Very nice and friendly staff. Good hotel for the price. Great that it was away from the noise of the city."Jan 5, 2017
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"Fabulous hotel with excellent service, the club area with access to snacks and drinks all day was excellent! Staff, outside area and breakfast all great. Direct access to the…"Jan 2, 2017
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Also popular with travelers from the USA
Hotel Piedra Paloma, Estepona's small print
Also known as
- Hotel Piedra Paloma
- Hotel Piedra Paloma Estepona
- Piedra Paloma
- Piedra Paloma Estepona
- Hotel Piedra Paloma Estepona, Spain - Costa Del Sol
Cash transactions at this property cannot exceed EUR 2500, due to national regulations. For further details, please contact the property using information in the booking confirmation.
Optional extras
Continental breakfast is offered for an extra charge of EUR 5.50 per person (approximately)
Cribs/Infant beds are available for EUR 15 per night
We have included all charges provided to us by this hotel. However, charges can vary, for example, based on length of stay or the room you book.
Recent reviews
Excellent 4.3 /5 from 30 reviews
This hotel is right on a pretty major road so if you don't have a car this would not be a good option. Front desk staff was very efficient and helpful with restaurant suggestions. Very easy access to the waterfront in Estepona.
I only arrived about 11.30 p.m. but the man on the reception was friendly , helpful and informative . The room was fairly basic but clean and comfortable bed. Air conditioning was functional and QUIET a big plus! Had a nice balcony but it was dark when I got there and dark when I left so didn't experience the view plus everything was closed so only access to drinks and snacks on site was via a vending machine also breakfast only started at 8.30 a.m. which I thought was a bit late and as I had to leave at 7.30 due to work I did not see any of the hotel or its facilities.
Great place to stay
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