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Anemia is common among patients hospitalized with acute myocardial infarction (AMI), and is associated with poor outcomes. Less is known about the incidence, correlates, and prognostic implications of acute, hospital-acquired anemia (HAA).
We identified 2909 patients with AMI who had normal hemoglobin (Hgb) on admission in the multi-center TRIUMPH registry. We used hierarchical Poisson regression to identify independent correlates of HAA, and multivariable proportional hazards regression to identify the association of HAA with mortality and health status. At discharge, 1321 (45.4%) patients had HAA, of whom 348 (26.3%) developed moderate-severe anemia (Hgb 9.1–11). The incidence of HAA varied substantially across hospitals (range: 33.3% to 69.2%, median rate ratio for HAA development 1.13 (95% CI 1.07–1.23) controlling for patient characteristics). Although documented bleeding was more frequent with more severe HAA, fewer than half of patients with moderate-severe HAA had any documented bleeding. Independent correlates of HAA included age, female gender, white race, chronic kidney disease, ST segment elevation MI, acute renal failure, use of glycoprotein IIb/IIIa inhibitors, in-hospital complications (cardiogenic shock, bleeding and bleeding severity), and length of stay. After adjustment for GRACE score and bleeding, patients with moderate-severe HAA had higher mortality (HR 1.82 (95% CI 1.11–2.98) vs. no HAA), as well as poorer health status at 1-year.
HAA develops in nearly half of AMI hospitalizations, commonly in the absence of documented bleeding, and is associated with worse mortality and health status. Better understanding of how HAA can be prevented, and whether its prevention can improve patient outcomes is needed.
Anemia is common in patients hospitalized with acute myocardial infarction (AMI) and is associated with increased mortality,1–4 higher hospitalization rates,5 and worse health-related quality of life.6 However, most prior studies of anemia in the setting of AMI have evaluated chronic anemia (present at admission), or short-term changes in hemoglobin during hospitalization.7 Little research has focused on hospital-acquired anemia (HAA), which develops acutely during AMI admission in those with normal baseline hemoglobin (Hgb). Although the etiology of HAA, an acute phenomenon, is likely to be different from that of chronic anemia, its risk factors and prognostic implications have not been explored.
Chronic anemia is often due to nutritional deficiencies, chronic inflammation, as well as renal and bone marrow disorders, and can be difficult to manage. In contrast, HAA may be more likely to result from in-hospital treatments and processes of care. If associated with adverse outcomes, HAA may be preventable and could represent an actionable target for hospital-based quality improvement efforts. Potential benefits of preventing HAA may include reducing patients' exposure to the risks from acute anemia treatments such as blood transfusion,8 improving clinical outcomes, and reducing costs. However, before resources are directed to HAA prevention, it is necessary to better understand the incidence and predictors of HAA, and its association with clinically relevant outcomes.
To address these gaps in knowledge, we sought to describe the incidence and predictors of HAA, the variation in HAA prevalence between hospitals, and its relationship with subsequent mortality and health status outcomes in the Translational Research Investigating Underlying disparities in acute Myocardial infarction Patients' Health Status study (TRIUMPH); a prospective 24-center observational registry of AMI treatment and outcomes. TRIUMPH provided an ideal opportunity to address these important questions, as it collected detailed patient data on in-hospital hemoglobin, hospital-based treatments, complications and processes of care, as well as serial assessments of patient outcomes after discharge.
A total of 4340 patients were enrolled in TRIUMPH between April, 11 2005 and December 31, 2008. Patients were ≥18 years of age, with elevated cardiac biomarkers (troponin or creatine kinase-MB fraction assessed within 24 hours of admission), and supporting evidence of AMI (electrocardiographic ST-segment changes or prolonged ischemic signs/symptoms). Participants were required to either present to the enrolling institution or to have been transferred within 24 hours of symptom onset so that the primary clinical decision making occurred at the enrolling center. Patients with elevated cardiac biomarkers resulting from an elective coronary revascularization were excluded. Trained data collectors performed detailed baseline chart abstractions to document patients' medical history, the processes of inpatient care, laboratory results and treatments. Each patient underwent a standardized interview by research staff to document sociodemographic and clinical data. Patients were contacted for follow-up interviews at 1, 6 and 12-months after AMI. All patients signed an informed consent approved by the participating institution and Institutional Review Board approval was obtained at each participating center.
The goals of this study were to describe the incidence, correlates and outcomes of HAA in patients surviving AMI hospitalization. To identify patients who developed HAA from the full TRIUMPH cohort (n=4340), we excluded patients who underwent coronary artery bypass surgery during the index admission (n=405), since anemia is an expected result to the surgery itself and accordingly these patients represent a clinically distinct population.
In addition, we then also excluded patients who did not survive to hospital discharge (n=17) and those with chronic anemia at admission (n=950) because our principal focus was development of HAA and it's impact on post-discharge outcomes. Additionally, there were missing admission and/or discharge hemoglobin levels for 59 patients, resulting in a final population of 2909 patients. To contrast the outcomes of HAA with chronic anemia, we included the 950 patients with baseline chronic anemia in our outcomes analyses. Vital status data at 12-months was available for the vast majority of patients (3837 of 3859, 99.4%); SF-12 PCS scores were available for 1880 patients at 1-month, 1714 at 6-months and 1664 at 12-months.
Hemoglobin values were abstracted by trained data collectors at each center. Admission hemoglobin was defined as the first in-hospital hemoglobin (g/dl) value available for each patient. If a patient was transferred to a TRIUMPH center from another hospital, the initial hemoglobin at the transferring facility was obtained and used as the admission value. Discharge hemoglobin was defined as the last hemoglobin value obtained within 48 hours of discharge from the hospital. HAA was defined as absence of anemia on admission, but development of anemia at discharge. For our primary analyses, anemia was defined using age, gender, and race specific criteria was described by Beutler and Waalen as a hemoglobin value less than 13.7 g/dl for white men aged 20 to 59, 13.2 g/dl for white men ≥ 60 years, 12.9 g/dl for black men aged 20–59, 12.7 g/dl for black men ≥ 60 years, 12.2 g/dl for white women and 11.5 g/dl for black women. This classification has been previously shown to be more accurate than the World Health Organization definition (WHO).9 In light of its common use in prior cardiovascular literature, we also conducted sensitivity analyses using WHO diagnostic criteria for anemia (Hgb < 13.0 g/dl in men, Hgb < 12.0 g/dl in women).10 HAA was defined as absence of anemia on admission, but development of anemia at discharge using these criteria. Anemia was further categorized as severe (Hgb ≤9.0 g/dl), moderate (Hgb 9.1 to 11.0 g/dl) or mild (Hgb > 11.0 g/dl).6 Since using discharge hemoglobin to define anemia severity could result in misclassification of a patients' anemia severity among those who received a blood transfusion while hospitalized, we subtracted the number of units transfused (1 g/dl Hgb per unit transfused) from the discharge hemoglobin and used this derived value to assign patients to the appropriate anemia severity category.
Bleeding episodes were recorded by data abstracters using the Thrombolysis In Myocardial Infarction (TIMI) classification.11 TIMI major bleeding was defined as intracranial hemorrhage, retroperitoneal hemorrhage, or a Hgb decline ≥ 5 g/dl. TIMI minor bleeding was assigned if the drop in Hgb was 3 to 5 g/dl in the setting of observed bleeding. Any bleeding episode with a decline in Hgb < 3 g/dl was classified as TIMI minimal bleeding. All TIMI categories accounted for blood transfusion, with adjustment of Hgb values by 1 g/dl per unit transfused. Bleeding site was recorded as cardiac catheterization site, gastrointestinal, retroperitoneal, or other.
Health status was assessed using the Short Form-12 Physical Component Summary score (SF-12 PCS). The SF-12 is a valid and reliable instrument with scores ranging from 0–100, with higher scores representing better health status.12 A score of 50 is normalized to the mean health status of the US population and each 10 points represents 1 standard deviation from that mean.
Baseline characteristics, in-hospital treatments, in-hospital complications, and lab values of patients who developed HAA were compared to those who did not have anemia at either admission or discharge. We also compared the frequency of in-hospital bleeding among those with and without HAA, as well as within categories of HAA severity. For the 12-month outcome analyses, we divided HAA into mild and moderate-severe anemia, comparing each HAA category to a reference category of no anemia. We also included patients with chronic anemia at admission in outcome analyses, comparing them to those without anemia. For descriptive purposes, we present categorical data as frequencies and differences between groups were compared using chi-square or Fisher's exact tests, as appropriate. Continuous variables were reported as the mean ± standard deviation and differences were compared using independent t-tests. The Wilcoxon rank-sum test was used to compare patients' length of stay due to its skewed distribution, and results are reported as the median and interquartile range.
We used hierarchical modified Poisson regression within hospital site to identify patient characteristics independently associated with HAA. Variables included in the model were either identified a priori as clinically important or differed between the groups in bivariate comparisons (p<0.05). These included enrolling hospital, age, gender, race (white vs. other), diabetes, hypertension, chronic kidney disease, history of chronic heart failure, left ventricular ejection fraction less than 40%, prior coronary artery bypass grafting, pre-hospital use of aspirin or clopidogrel, acute non-cardiac condition on arrival, in-hospital acute renal failure, MI type (ST segment elevation vs. non-ST segment elevation), in hospital percutaneous coronary intervention, in hospital treatment with GP IIb/IIIa inhibitor, antiplatelet agents, or anticoagulants, cardiogenic shock, in hospital bleeding in each TIMI category and length of stay. Additionally, these models were repeated after including baseline Hgb as a continuous variable to understand the influence of initial Hgb on identification of independent correlates of anemia.
Variation in HAA rates across hospitals was quantified by the median rate ratio, the median value of the relative risk for HAA development for two patients with identical characteristics admitted to two randomly selected hospitals.13
Finally, to evaluate the association between HAA and long-term outcomes, we used log-rank tests and generated Kaplan-Meier curves for crude morality analyses and compared crude SF-12 PCS scores using 1-way ANOVA. To better understand the contribution of in-hospital bleeding on HAA-associated mortality risk, Kaplan-Meier curves were also generated for the subgroups of patients with HAA who did and did not have documented bleeding, and their 12-month mortality was compared using log-rank test. We then used multivariable proportional hazards regression models for 12-month mortality and multivariable repeated measures regression with autoregressive covariance structure for Short Form-12 physical component scores (SF-12 PCS) that incorporated 1-, 6-, and 12-month health status assessments. These models were adjusted for hospital site and the GRACE discharge to 6-month mortality risk score,14 which is strongly predictive of long-term mortality and incorporates important potential confounders. Variables included in GRACE score are age, heart rate, systolic blood pressure, creatinine, history of CHF, prior MI, in hospital PCI or CABG, ST-segment depression on the initial electrocardiogram and elevated cardiac biomarkers). Presence and severity of bleeding were also included in the models, using dummy variables for TIMI major, minor and minimal bleeding to understand whether the prognostic impact of HAA is independent of bleeding presence and severity. The models evaluating the relationship between SF-12 PCS scores and HAA also adjusted for baseline SF-12 PCS. Finally, several additional sensitivity analyses were conducted. First, models were repeated using the WHO definition of anemia. Second, analyses were repeated after excluding patients who received blood transfusion. Finally, we examined the association between HAA and 12-month mortality after adjusting for baseline Hgb. All analyses were conducted with SAS version 9.1.3 (SAS Institute, Cary, NC) and R version 2.7.2 (R Development Core Team (2006) – R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. ISBN 3-900051-07-0, http://www.R-project.org).
Among 2909 AMI patients without anemia at admission, 1321 (45.4%) developed HAA. Baseline demographics, co-morbidities, in-hospital characteristics and treatments of patients with and without HAA are compared in Table 1. Hemoglobin at admission, discharge and change during hospitalization are presented in Table 2. Hgb declined by a mean of 2.6±1.4 g/dl during hospitalization among patients with HAA, but also declined modestly (by 1.0±1.3 g/dl) in those who did not develop HAA (p<0.001). The majority of cases of HAA were mild (973, 73.7%), while 292 (22.1%) had moderate anemia and 56 (4.24%) had severe anemia.
While documented in-hospital bleeding was more common in patients with vs. without HAA, the majority (1143 of 1321 patients, 86.5%) of patients with HAA did not have any documented in-hospital bleeding (Table 3). The mean hemoglobin decline in patients with recorded bleeding was 3.1±1.9 g/dl, as compared with 1.6±1.4 in those who did not have a bleeding episode. As the severity of HAA increased among patients with documented bleeding, a greater proportion of bleeding events were classified as TIMI major and TIMI minor bleeds. Although in-hospital bleeding was significantly more common in patients with severe HAA than those with less severe or no HAA, nearly half of patients with severe HAA still had no recorded bleeding episode.
Independent correlates of HAA are presented in Figure 1. In-hospital bleeding was associated with a greater likelihood of developing HAA (TIMI minimal bleeding: RR of 1.36 (95% confidence interval (CI) 1.25–1.48); TIMI minor: RR 1.72 (95% CI 1.39–2.13); TIMI major bleeding RR 1.72 (95% CI 1.46–2.02). Additional patient characteristics associated with developing HAA included age, female gender, white race and chronic kidney disease as well as development of cardiogenic shock, acute renal failure, and presentation withSTEMI.and treatment with glycoprotein IIb/IIIa inhibitors. Longer length of stay was also associated with HAA.
We also ran this model with the addition of baseline Hgb. Baseline Hgb value was also a strong correlate of HAA (RR 0.70 (95% CI 0.66–0.75) per 1 g/dl increase in baseline Hgb). Since we used diagnostic thresholds for anemia that were age, gender and race specific and thus accounted for the lower normal Hgb values in African Americans, older patients and women, the inclusion of baseline Hgb in the models artificially altered the point estimates for these demographic variables as predictors of HAA (e.g., female gender was associated with less risk of HAA while white race was more strongly associated with HAA after inclusion of baseline Hgb). The addition of baseline Hgb to the model did not substantially alter point estimates for any other HAA correlates.
The incidence of HAA across all participating TRIUMPH sites enrolling more than 20 patients ranged from 33.3 to 69.2% (Figure 2). The median rate ratio for site was 1.13 (95% CI 1.07–1.23), indicating that two patients with identical demographic and clinical characteristics presenting to two randomly selected hospitals can be 13% more or less likely to develop HAA.
To assess the prognostic significance of HAA, we compared outcomes across the different severities of HAA and among those with chronic anemia on admission. Important differences in 12-month survival were associated with the development and severity of HAA. Mortality was lowest in those without HAA (40 of 1581, 2.6%), rising progressively in those with mild HAA (34 of 966, 3.6%), moderate-severe HAA (29 of 345, 8.4%) and chronic anemia (117 of 945, 12.6%) (p<0.001; Figure 3a). Among patients who developed HAA, survival did not differ based on presence or absence of documented bleeding (Figure 3b).
Using no anemia as the reference group, there was no unadjusted or multivariable-adjusted association between mild HAA and mortality (Figure 4). In contrast, moderate-severe HAA and chronic anemia were strongly associated with mortality. Even after adjusting for GRACE 6-month mortality score and the presence and severity of bleeding, patients with moderate-severe HAA was associated with an increased risk of death in comparison to those without anemia (HR 1.82 (95% CI 1.11–2.98) Similarly, chronic anemia was strongly and independently associated with 12-month mortality (HR 2.31 (95% CI 1.57–3.40).
At baseline, the SF-12 PCS scores were higher in those without anemia and in patients with mild HAA, and lower in those with moderate-severe HAA and chronic anemia (no anemia: 44.9 ± 11.6, mild HAA: 44.2 ± 11.6, moderate-severe HAA: 40.1 ± 12.6, chronic anemia: 37.3 ± 12.8; p<0.001). Adjusting for baseline health status and incorporating 1, 6 and 12-month SF-12 scores, follow up SF-12 PCS scores were lower in those with chronic anemia with a trend toward lower scores in those with moderate-severe HAA in comparison to those without anemia (Figure 5). Patients with mild HAA and no anemia had similar SF-12 PCS scores.
We conducted sensitivity analyses includingusing the WHO definition of anemia, excluding patients who received blood transfusion, and adjusting outcomes models for baseline Hgb; none of these resulted in significantly different study findings (data not shown).
We found that almost half of patients who had normal hemoglobin at admission developed anemia by hospital discharge in this large, prospective, multi-center AMI cohort. Although inpatient bleeding was a strong independent predictor of HAA, most patients with HAA did not have a documented bleeding event during hospitalization, suggesting that HAA is not simply a surrogate for in-hospital bleeding events. Importantly, moderate-severe HAA was associated with increased long-term mortality independent of AMI severity, and regardless of presence and extent of bleeding, suggesting that HAA is prognostically important in its own right and may represent a target for prevention efforts. Supporting that there is opportunity to minimize the risk of developing HAA, we observed substantial variability in incidence of HAA across hospital sites.
Prior studies have established the short and long-term prognostic significance of chronic anemia,2–5 and more recent reports have examined the association between changes in Hgb during hospitalization and outcomes.7 Aronson and colleagues found that declines in Hgb during AMI hospitalization were independently associated with mortality, however, their analyses included both patients with baseline anemia and new-onset anemia during hospitalization.7 Since patients with chronic anemia presumably have poorer hematopoetic reserve or greater baseline co-morbidity, potentially predisposing them to large Hgb declines, it unclear from these data whether the relationship between inpatient Hgb decline and survival is present among those with normal baseline Hgb. Our work extends these insights by defining a population with acute anemia, a potentially preventable condition, and observing that moderate-severe HAA is associated with an increased risk of mortality of similar magnitude to those with chronic anemia, even after adjustment for the presence and severity of bleeding. Our findings also extend prior observations by Sattur and colleagues who reported, in a single-center study, that incident anemia in PCI patients was independently associated with long-term mortality.15 The anemia threshold used in that study (Hgb <10 g/dl) was relatively low, potentially leading to over-estimation of the association between anemia and outcomes. Our study provides new insights by examining a large, contemporary, multi-center cohort, focusing on patients with AMI, and using standard definitions of anemia. Moreover, our analyses include a broad range of outcomes (including health status), and provide important new data about the variability of HAA across hospitals.
Our findings have important clinical implications. Several of the correlates of HAA are also associated with chronic anemia and bleeding in AMI patients (such as age, female gender, acute heart failure and chronic kidney disease),2, 7, 16, 17 and likely identify a high risk population with poor hematopoetic reserve. On the other hand, some independent correlates are hospital-based variables (use of glycoprotein IIb/IIIa inhibitors and bleeding) – and could be targets for prevention efforts. Several of these variables are associated with bleeding,16–18 and the use of bleeding avoidance measures, such as radial artery access for PCI, smaller sheaths, or alternative antithrombotic agents such as bivalirudin in place of heparin and a glycoprotein IIb/IIIa inhibtor, present potential opportunities for improvement.19–22 Additionally, the strong association between moderate-severe HAA and 12-month mortality, even after adjusting for the presence and severity of bleeding, indicates that HAA is distinct from bleeding and is clinically important in its own right. Although the major causes of HAA among those without documented bleeding remain unclear, it is possible that it is related to subclinical blood loss (such as frequent phlebotomy), undetected bleeding, minor periprocedural bleeding, inadequate hematopoietic response or a combination of processes. Our findings indicate that additional emphasis on prevention of HAA, a process distinct from overt bleeding in many cases, could be just as important as prevention of bleeding. Further studies are needed to define specific causes of HAA and determine whether HAA prevention is feasible and improves patient outcomes.
Our findings should be interpreted in the context of their potential limitations. We used discharge hemoglobin values to define HAA as nadir hemoglobin values were not available. This approach may underestimate the prevalence of HAA; however, given the relatively short duration of hospitalization (median 3.0 days, (IQR) 2.0 – 4.0) it is unlikely that a substantial proportion of HAA cases were missed. More importantly, our goal was to examine prognosis after discharge, and discharge Hgb is the most accurate assessment of patients' anemia status at that time. It is also possible that undetected, mild bleeding episodes were not detected despite careful prospective collection of bleeding data. Even if this were the case, however, the association between bleeding and adverse outcomes has only been demonstrated for more severe categories of bleeding. Accordingly, our data could be viewed s providing novel insights that indicate further investigation of the outcomes associated with mild bleeding are need. Another possible limitation is that some misclassification of anemia severity occurred in patients with in HAA who received blood transfusions before discharge hemoglobin assessment. However, we adjusted the discharge hemoglobin values for in-hospital blood transfusion to minimize this issue and performed sensitivity analyses excluding patients who received a blood transfusion. Our definition of chronic anemia was any anemia present at admission, which could have captured sub-acute cases in addition to those with long term anemia. Finally, these observational data do not allow us to draw conclusions about causal relationships between HAA and mortality and it remains unclear whether HAA is a marker for, or a mediator of, poor outcomes.
In conclusion, we found that HAA is common in patients hospitalized with AMI and varies substantially across hospitals. Development of moderate-severe HAA is associated with higher mortality and worse health status in the first year after AMI, independent of documented in-hospital bleeding. Better understanding of whether prevention of HAA is feasible and can improve patient outcomes is needed.
Dr. Salisbury is funded, in part, by the American Heart Association-PRT Outcomes Research Fellowship Program.
PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the National Research Council's national science library in cooperation with the National Center for Biotechnology Information at the U.S. National Library of Medicine(NCBI/NLM). It includes content provided to the PubMed Central International archive by participating publishers.


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Tue., Sept. 25, 2012, 5:29 a.m.
If you were ever a boy of a certain age
You might remember when a fairly detailed awareness of the new car models -- which started appearing at about this time of year -- was a basic part of your knowledge base.
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subset: commoncrawl


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2 Min Read
LOS ANGELES (Hollywood Reporter) - Rival studios are doging the extra-dimensional buzz saw of "Saw 3D" at the North American box office this weekend.
Halloween crowds have been titillated by a new "Saw" picture annually since 2004, but the Lionsgate torture series has been losing its edge in recent years.
Bolstered by premium-priced 3D engagements, the new film is expected to earn more than $20 million during its first three days through Sunday. That will be a vast improvement on last year's "Saw VI," which launched with a disappointing $14.1 million en route to a $27.9 million total.
"Saw III" holds the franchise record for the best debut, earning $33.6 million in 2006; it finished up with $80.3 million, just short of the record $87 million collected a year earlier by "Saw II" after a $31 million start.
Meanwhile, Paramount's haunted-house picture "Paranormal Activity 2" -- last weekend's No. 1 movie with a $40.7 million opening -- is expected to suffer a big decline. But even a 60% slide would yield $16 million for the weekend and likely the weekend's silver medal.
"In a perfect world, it would be great if there was no direct competition," Lionsgate executive vp distribution David Spitz said. "But 'Saw 3D' is tracking really well, and we think it's going to have a good weekend."
The session's sole wide opener, "Saw 3D" is also the most expensive production in the franchise with production costs estimated at less than $20 million.


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Death Note - Favorite Character(s) Poll - Final Take
Welcome to the thread where you can adorn your favorite character by voting for him or her! This is the third and last character poll about Death Note, which means that all the major characters will be included.
You can vote for multiple characters all at once in this poll. Your vote is final once you click on the "vote now" tab. You won't be able to comeback and vote a second time for another character. Choose wisely!
The poll is public which means the votes will be visible to everyone!
Thread Rules
Yeah, first to post !
I will say, after 37 episodes, Light and L are my favorite Death Note characters. Their mental showdown was just magnificent : Light is a demonic genius and L is a cute genius with very strange methods.
In the first part, I truly admired Light, but in the second part, I though he became a pure larva, a bastard corrupt by his power who no longer has the same noble ideals he had in the first part. But in the ending, he really realised that his perfect world collapsed and those noble ideals came back...
L was a very complex characters. He was fun, funny, adorable, kind of weird, but always heartwarming and fresh. But in the end, was made him so different from Near is that Near would follow a hypothetical way, while L wanted proofs and concreet facts. In other words, L was just... too intelligent Oo
+1 for A LOT of cult quotes from him :
"Even though I eat so much, my brain cells consume everything and I can keep a 50 kilos weight."
"When I sit properly, my reasoning capacities decrease by 50%."
I love him, simply.
I voted for L, he will always be my first choice, no question about it.
Aside from his stunning intelligence and deductive skills, he has an odd aura of charisma to him.
He's horrendously attractive, I scare myself even thinking about him. His peculiar habits are all too adorable. It is safe to say that I was awestruck the first time I heard him confront Kira.
I could go on and on, but I'm sure there's another topic where this is more suitable.
However, since this was multiple choice, I also opted to include Mikami. His sense of justice was very distinct, and seemed stronger and more pure than the ideals Light kept, at least before acquiring his Death Note.
He did stray from his path and enter a psychotic dementia after being appointed the duty of executioner, but that did not diminish my fondness for the character.
The look in his eyes when he was performing his lord's work reminded me of Alucard's bloodthirsty eyes, which also sold me over.
I could easily have added Light as well, as I do like, and even agree with, most of his actions. However, I just could not accept the way he treated Misa throughout the series.
She offered him nothing but absolute devotion and love, and he sought to end her life as soon as he lay eyes upon her. As I'm sure you all know how it turned out, you'll understand why I cannot include Light. Edit: The death of Naomi Misora was also one of pure evil, "go somewhere where your body won't be found and kill yourself."
Synopsis: I love L
L and Light because theyre pretty much awesome in the beginning when they are outwitting each other, and Mikami just cuz he was the definition of awesomeness from beginning to end.
Light is #1 without doubt. His choice to become Kira instead of having a long, prosperous normal life was enough to buy me out. But of course becoming the god is impossible for a human. He went quite far, though, was indeed able to change the world a little, and will be remembered for a long time even after his death. I doubt that Light regretted his choice even in his last moments.
Mikami's #2, he's simply awesome. He did everything with style and shares Light's zeal. The way he lost his death note was stupid though and that's the reason he's second to Light.
Matsuda. Funny i was the only one who voted for him last time round. :)
L is my favorite anime character of all time, so yeah he gets my vote. He has everything, he is unique, charismatic, intelligent, funny and despite his oddness and unrealistic and exaggerated character design, still comes off as a very human character, which is where Near failed.
I also really liked Light... never bothered to think about whether his actions and methods were morally and politically right or wrong, regardless of that, he is still a fascinating character.
Mello is awesome too, ambitious, reckless and hardcore, when he appeared you knew you were gonna get something good. Plus his fashion sense is the best in the show, god those were some awesome coats he had. :D
Those are my top 3 in the Death Note, but I still like some others... Ryuk is entretaining (which is funny, because all he wanted was to be entretained), Matsuda is mostly comic relief but still manages to make me root for him, plus he has that badass moment in the final episode, and Misa is a good character too, interesting contrast to have a dumb blonde (well she still has her smart moments though) in the middle of those two geniuses. :heh:
Biggest disappoint to me was Mikami, awesome when he first showed up, loved his backstory and his "Sakujo" and "Kami!", but in the last couple of episodes he went too psychotic for my taste.
Light. Reason being that this is the only anime I really like, since we actually have the evil guy as a main character.
Second is L for his personallity.
L - I like simple characters that does'nt have that much detail, but has THAT appeal and character development plus the way he acts is weird, but hey it's funny and stunning at the same time. 1st time I saw him was the Live Action then the manga then the anime. I really like his design and that even made me buy an L cap.
N(Neer) - one reason a silly little boy that is L's counter part. Ever since L died I hated DN for killing such a cool character, good thing L's replacement N was good enough of a character to be almost in his level.
L will always be my fav character from DN but I still voted for Raito and Rem since I voted for them the first time around too. Rem is still my fav shinigami :D
Mello, Matt (though I was very disappointed in his lack of screen time) and Mikami also got my votes. I liked anime!mello alot more then manga!mello and Mikami + Death Note = love!! Ive never seen someone love their job that much :heh:
L is a unique character. he amaze me everytime I watch DN. Also in live version, he looks exactly the same. I voted for him.
I Voted For L Cause He So KEWL and strange
Voted for
L: Because he is an unique, adorable and genius character, he cute!
M: He is so different with L & N, I like his style and I like chocolate too :D
N: He cute!!(I love shota!)
Ryuk: Most Unique character indeed, I like his personality.
I accidentally voted for Takada(I want voted for Matt too) T_T
i voted for L first and foremost because i love the character, really this anime quickly became one of my all time favorites because of the interaction of L and light...
i also voted for Mello and Near, Mello simply didnt get enough love in the anime...and near is just awesome...
matt needed more love too
and yeah i voted for ryuk too...i dont know why, he just always made me laugh
Yagami Light :), and Mikami Teru xDDD
misa Deserves more love Y'all
She really doesn't. I mean, she's cute, but also where her list of favorable characteristics ends.
She's selfish, childish, and actually fairly evil.
*sheds a tear for L* L was awsome i think...
Spoiler for L and his motives:
but omg poor misa she got my vote because at end light dies and that would break her heart witch would break mine *sniff* (she is so cute). i would have like to what happen next episode or even movie lick with FMA but instead they just made...
Spoiler for death note movie:
L rules XD
i voted L.
from the very beginning i was rooting for L
i liked Light at first, but after a while he became a psycho
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text:
Sewamono, or "talk of the town", was one of the two major types of Kabuki plays. [1]
Sewamono characters were often being played by women, and were much more sensitive, restrained and romantic in feel then the jidaimono style plays. One large category of sewamono plays dealt with double suicides, and it was in these pieces that the Sewamono style was seen to their best advantage, since the portrayal of intense emotion exemplifies this style of entertainment. [citation needed]
In sewamono, the characters were merchants, prostitutes, shopkeepers, firemen and so on, the lowest level of society, and the plays often revolved around a conflict between duty to one's family or group, and human emotions, which may be a forbidden love which causes a dramatic climax. [citation needed]
- ↑ Way of the Crane, p. 64
|This article is a stub. That means that it has been started, but is incomplete. You can help by adding to the information here.


text:
Mini Cooper Repair and Maintenance Costs
A guide to repairs, service, and maintenance costs for your Mini Cooper
The national average repair and maintenance cost for a Mini Cooper is between $748 and $914 per year. Repair and maintenance costs vary depending on age, mileage, location and service provider.
Repair Cost Index Score
Mini Cooperscores in the middle range of all car models for average repair and maintenance costs
- average of all models
What does this score mean?
Annual Repair Cost
on average
Clutch Replacement
$1,349 to $2,502
Brake Pad Replacement
$166 to $353
Head Gasket Replacement
$1,085 to $2,767
Alternator Replacement
$439 to $1,232
Spark Plug Replacement
$116 to $216
Minis have an electric power steering pump that is prone to failure. When replacing the pump, our technicians advise inspecting the cooling fan because it is often the cause of the failure of the p...
Failure of the automatic transmission is common. Even though the automatic transmission is advertised as "sealed for life," our technicians recommend the automatic transmission fluid be replaced ev...
I have to add oil once a month. I had it checked and there is not a leak.
My convertible top does not open all the way. What is the cost to replace the switch function
My recent purchase of used car. When I release accelerator my car slows down and at acceleration ...
BMW of North America, LLC (BMW) is recalling certain 2016-2017 MINI Cooper Clubman, Cooper S Club...
BMW of North America, LLC (BMW) is recalling certain model year 2017 BMW 640i, 640i xDrive, 650i,...
BMW of North America, LLC (BMW) is recalling one model year 2016 MINI Cooper Hardtop 2 Door vehic...
Overall Score (11 Reviews)
June 08, 2013
2008 Mini Cooper
I have had catastrophic failures before 45,000miles. I have brought it to the MINI service center for these failures, including: replacing spark plugs, faulty coil pack, catalytic converter failur...
April 16, 2013
2004 Mini Cooper
I have a Sept. 2004 model Mini Cooper S and have now driven (as at April 16 2013) 278,000 kilometres throughout Australia. I spend a lot a time on the road, western highways and up the Pacific Coas...
August 06, 2012
2003 Mini Cooper
How do you fix the rear seat releases? Should be a recall on these. Please help


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Today, I went to my friend's house. While she went to the kitchen, I noticed a little pink pastry on her desk. It looked really good, so I decided to take a bite before she got back. As I bit into it, a sizzling noise started, and foam overflowed in my mouth. It was a bath bomb. FML
Not specified
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The thumb strikes backYou have left your thumbprint on 2500 comments.0%
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By skywayavenue - / Thursday 19 March 2009 05:09 / Canada
Today, without even trying, I convinced my 17-year-old daughter that blueberries are just peas holding their breath. I have raised a complete airhead. FML
By parentfail - / Saturday 11 December 2010 14:44 / United Kingdom
Today, I got hit in the mouth with a hockey stick and lost four teeth. Yesterday I got my braces of six years removed. FML
By Anonymous / Tuesday 30 November 2010 19:10 / Ireland
Today, I found out that my boyfriend has been cheating on me by finding orange panties in my closet. His excuse was "they're a Christmas gift." Thanks honey, I get panties that won't fit, and have little brown streaks. FML
By Anonymous / Monday 29 November 2010 15:16 / Canada
Today, a woman laughed after hearing my voice for the first time. This happens whenever I meet someone new, without fail. FML
By Username / Monday 29 November 2010 14:22 /


text:
MTTC Emotional Impairment 59 eBook
Prepare for the challenges and rewards of working with emotionally impaired students using this digital study guide for the MTTC Emotional Impairment certification exam. From improving students transition to adult life roles and effective communication with school personnel to various behavior management strategies, this guide provides a detailed overview of the competencies and skills you'll find on the certification exam. Assess your knowledge with 150 sample test questions and comprehensive answer rationales. Available for immediate download and use, this electronic study guide is formatted for comfortable onscreen reading.
XAMonline eBooks are viewed exclusively using FREE Adobe Digital Editions software. You can only use this eBook on devices that support Adobe Digital Editions software.


text:
irwintwo Review
Deluxe Blue Wardrobe
I wish I had purchased on much stronger than this one. Granted winter clothes are heavier, but I feel tey could have made the pole hanger stronger.
- How accurate was the sizing? Sizing was accurate
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- Was the product free of any manufacturer defects? Yes
Was This Review Helpful?


text:
Nathan Deal on Welfare & Poverty
Republican Governor; previously Representative (GA-10)
Proponent's argument to vote Yes:Sen. BARBARA MIKULSKI (D, MD): [In developing national service over many years] we were not in the business of creating another new social program. What we were in the business of was creating a new social invention. What do I mean by that? In our country, we are known for our technological inventions. But also often overlooked, and sometimes undervalued, is our social inventions.
We created national service to let young people find opportunity to be of service and also to make an important contribution. But not all was rosy. In 2003, when I was the ranking member on the appropriations subcommittee funding national service, they created a debacle. One of their most colossal errors was that they enrolled over 20,000 volunteers and could not afford to pay for it. That is how sloppy they were in their accounting. I called them the "Enron of nonprofits."
And they worked on it. But all that is history. We are going to expand AmeriCorps activity into specialized corps. One, an education corps; another, a health futures corps; another, a veterans corps; and another called opportunity corps. These are not outside of AmeriCorps. They will be subsets because we find this is where compelling human need is and at the same time offers great opportunity for volunteers to do it.
Opponent's argument to vote No:No senators spoke against the amendment.
|Other governors on Welfare & Poverty:
|Nathan Deal on other issues:
GA Gubernatorial:
Andrew Hunt
Jason Carter
Sonny Perdue
Tom Price
GA Senatorial:
Amanda Swafford
David Perdue
Jack Kingston
Karen Handel
Michelle Nunn
Paul Broun
Phil Gingrey
Gubernatorial Debates 2017:
NJ: Fulop(D) vs.Lesniak(D) vs.Wisniewski(D) vs.Ciattarelli(R) vs.Guadagno(R) vs.Rullo(R)
VA: Gillespie(R) vs.Wittman(R) vs.Wagner(R) vs.Northam(D) vs.Perriello(D)
Gubernatorial Debates 2018:
AK: Walker(i) vs.(no opponent yet)
AL: (no candidate yet)
AR: Hutchinson(R) vs.(no opponent yet)
AZ: Ducey(R) vs.(no opponent yet)
CA: Newsom(D) vs.Chiang(D) vs.Istvan(I) vs.Villaraigosa(D)
CO: Johnston(D) vs.(no opponent yet)
CT: Malloy(D) vs.(no opponent yet)
FL: (no candidate yet)
GA: (no candidate yet)
HI: Ige(D) vs.(no opponent yet)
IA: Kim_Reynolds(R) vs.(no opponent yet)
ID: Little(R) vs.Fulcher(R)
IL: Rauner(R) vs.Kennedy(D) vs.Pawar(D)
KS: (no candidate yet)
MA: Baker(R) vs.(no opponent yet)
MD: Hogan(R) vs.(no opponent yet)
ME: (no candidate yet)
MI: Whitmer(R) vs.(no opponent yet)
MN: Coleman(D) vs.Murphy(D) vs.Otto(D)
NE: Ricketts(R) vs.(no opponent yet)
NH: Sununu(R) vs.(no opponent yet)
NM: Grisham(D) vs.(no opponent yet)
NV: (no candidate yet)
NY: Cuomo(R) vs.(no opponent yet)
OH: DeWine(R) vs.(no opponent yet)
OK: (no candidate yet)
OR: Brown(D) vs.(no opponent yet)
PA: Wolf(D) vs.Wagner(R)
RI: Raimondo(D) vs.(no opponent yet)
SC: McMaster(R) vs.(no opponent yet)
SD: Noem(R) vs.(no opponent yet)
TN: Green(R) vs.(no opponent yet)
TX: Abbott(R) vs.(no opponent yet)
VT: Scott(R) vs.(no opponent yet)
WI: Walker(R) vs.(no opponent yet)
WY: (no candidate yet)
Newly-elected governors (first seated in Jan. 2017):
DE-D: Carney
IN-R: Holcomb
MO-R: Greitens
NH-R: Sununu
NC-D: Cooper
ND-R: Burgum
VT-R: Scott
WV-D: Justice
Retiring 2017-18:
AL-R: Robert Bentley(R)
(term-limited 2018)
CA-D: Jerry Brown
(term-limited 2018)
CO-D: John Hickenlooper
(term-limited 2018)
FL-R: Rick Scott
(term-limited 2018)
GA-R: Nathan Deal
(term-limited 2018)
IA-R: Terry Branstad
(appointed ambassador, 2017)
ID-R: Butch Otter
(retiring 2018)
KS-R: Sam Brownback
(term-limited 2018)
ME-R: Paul LePage
(term-limited 2018)
MI-R: Rick Snyder
(term-limited 2018)
MN-D: Mark Dayton
(retiring 2018)
NM-R: Susana Martinez
(term-limited 2018)
OH-R: John Kasich
(term-limited 2018)
OK-R: Mary Fallin
(term-limited 2018)
SC-R: Nikki Haley
(appointed ambassador, 2017)
SD-R: Dennis Daugaard
(term-limited 2018)
TN-R: Bill Haslam
(term-limited 2018)
WY-R: Matt Mead
(term-limited 2018)
Civil Rights
Foreign Policy
Free Trade
Govt. Reform
Gun Control
Health Care
Homeland Security
Local Issues
Social Security
Tax Reform
Contact info:
Email for constituents only


text:
Lyrics Depot is your source of lyrics to Midnight Train To Georgia by Human Nature. Please check back for more Human Nature lyrics.
Midnight Train To Georgia Lyrics
Artist: Human Nature
Album: Dancing In The Street: The Songs Of Motown II
Ooh, LA, it proved too much for the girl
(Too much for the girl)
She couldn't make it (Oooh)
Now she's leaving her life that she's come to know
She's leaving (Leaving, Ooh)
On a midnight train to Georgia
(Leaving on a midnight train to Georgia)
I said she's goin'
She's goin' back to find a simpler place in time
(A simpler place in time, goin' now to stay right by her side)
Now I'll be with her
On that midnight train to Georgia
(Leaving on a midnight train to Georgia)
I'd rather live in her world
Than live without her in mine
(Her world is his, his and her's alone)
(wap-do-do-do, do do)
(shoo-wap, do-do-do, do-do-dooo)
Human Nature Lyrics
Human Nature Dancing In The Street: The Songs Of Motown II Lyrics
More Human Nature Music Lyrics:
Human Nature - 7 Lonely Days Lyrics
Human Nature - Got It Goin' On Lyrics
Human Nature - Mary's Garden Lyrics
Human Nature - My Girl Lyrics
Human Nature - Raining In California Lyrics
Human Nature - When We Were Young Lyrics
Human Nature - Whisper Your Name Lyrics
Human Nature - You Are Everything Lyrics


text:
Gyakusatsu Kikan is a manga written by Itou Keikaku and illustrated by Asou Gatou.
The war on terror exploded, literally, the day Sarajevo was destroyed by a homemade nuclear device. The leading democracies transformed into total surveillance states, and the developing world has drowned under a wave of genocides. The mysterious American John Paul seems to be behind the collapse of the world system, and it's up to intelligence agent Clavis Shepherd to track John Paul across the wreckage of civilizations and to find the true heart of darkness—a genocidal organ.
External LinksEdit
Other SourcesEdit
Other WikisEdit


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Birthday wish video for our friend gopal who is celebrating his 23rd birthday. Done by Paul and Anto Supported by all friends and family.
WERF 10th Annual Paul L. Busch Award -- Part 1 MP3
2010 Paul L. Busch Award recipient Kartik Chandran, Ph.D., an associate professor at Columbia University, describes his winning research project in New ...
Sreeragamo - Deepak Chandran - Moodtapes - Kappa TV MP3
Sreeragamo by Deepak Chandran Producer: Liju Thomas Camera: Mahesh S R, Aneesh Chandran Edit: Janson P Paul A Mathrubhumi Kappa TV Production.
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WERF 10th Annual Paul L. Busch Award -- Part 2 MP3
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Composed and arranged by Santhosh Chandran Lyrics - Manoj Kumar Guitars - Santhosh Chandran Keyboards - Ciliston Stephen Bass - Samuel Jacob ...
SCORE || Malayalam Comedy Short Film 2015 MP3
SCORE Super Climax with subtitles Malayalam Comedy Short Film 2015 Editing & Direction : Sajin Chandran https://www.facebook.com/sajin.chandran2 ...
Chandran + Nanthini-Indian Dinner Reception by Grey's Studio MP3
very recent work of ours taken at PGRM.do drop your comments ppl.
Arun chandran chettan's B'day celebration @ startUp Village 04/12/2015 MP3
Arun chandran chettan's B'day celebration @ startUp Village 04/12/2015.
Chandran at Kayal Movie Audio Launch MP3
http://www.tamilstar.com Kayal Movie Audio Launch held on 13th Nov 2014 at Sathyam Cinemas, Chennai. Arya, Sivakarthikeyan, D.Imman, Amala Paul, Anjali, ...
Kartik Chandran - TEDxColumbiaEngineering - 11/29/11 MP3
"Sewage Fed Biorefineries—A Foundation for Urban Sustainability" Filmed November 29, 2011 - Miller Theatre, Columbia University, NYC Kartik Chandran is ...
Nattuvishesham | Sreeraman & Prathapa Chandran Fight Scene MP3
Nattuvishesham | Sreeraman & Prathapa Chandran Fight Scene.Director Paul Njarackel,Stars Mukesh,Siddique.
Sewage Fed Biorefineries: Kartik Chandran at TEDxColumbiaEngineering MP3
Sewage Fed Biorefineries: A Foundation for Urban Sustainability Kartik Chandran is an Environmental Engineer. He is currently Associate Professor of Earth ...
Kayal Hero (Chandran) speaks about Kayal Movie | Kayal Press Meet & Audio Launch MP3
Kayal Hero (Chandran) speaks about Kayal Movie | Kayal Press Meet & Audio Launch Kayal Very Important movie for our team | D Imman Speech | Kayal Audio ...
1983 Full Length Malayalam Movie [Outside India Viewers Only] MP3
1983 is an Indian 2014 Malayalam coming-of-age sports drama film directed by fashion photographer Abrid Shine, who has written the story and co-written the ...
Paul Cookson Poetry MP3


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I'm trying to image a Optiplex 990 through FOG, but I'm having a problem. I'm able to PXE boot into FOG with any other machine, but when I try to do it with this one I'm getting a "No DHCP or ProxyDHCP offers received" error before it can boot into the FOG menu. It then proceeds to boot into Windows.
I've seen this thread: http://community.spiceworks.com/topic/106884-fog-error
And tried the suggestion there to no luck. Both the DHCP server and FOG server are running and everything's on the same subnet. I'm able to PXE boot other computers, but not this one.
If it matters, in our building, all our computers get their IP addresses through DHCP reservation, only computers we want to connect to the network get an IP. I set this computer to an unused IP manually through Windows to see if that could be the problem, but it's still getting the same error.
Any help would be greatly appreciated!
Jul 17, 2011 at 3:05 UTC
Setting the IP in windows will not work. If I understand your setup correctly you will need to give it an IP via the DHCP server.
5 Replies
Jul 15, 2011 at 2:18 UTC
Remove the DHCP option configured for PXE that is option 60
Jul 15, 2011 at 2:19 UTC
It seems your pc is trying to boot from a network card, try disabling that in the bios then setting the cdrom as 1st boot option, make sure you Save when exiting.
Jul 15, 2011 at 2:55 UTC
I want it to boot from the network card first so that it will PXE boot. Otherwise it won't PXE boot and I can't use FOG.
My DHCP server doesn't have an option 60. I set option 66 Boot Server Host Name and option 67 Bootfile Name. Do you want me to do anything with those?
Jul 17, 2011 at 3:05 UTC
Setting the IP in windows will not work. If I understand your setup correctly you will need to give it an IP via the DHCP server.
Jul 18, 2011 at 10:11 UTC
That got it. Thanks for your help!
This discussion has been inactive for over a year.
You may get a better answer to your question by starting a new discussion.


text:
2 Kanedai Japan Canyon Pine Lugged Soup Bowl 7 5/8
- Sold for: Start Free Trial or Sign In to see what it's worth.
- Item Category: -
- Source: eBay
- Sold Date: May 25, 2009
- Channel: Auction House
2 Kanedai Japan Canyon Pine Lugged Soup Bowl 7 5/8"
Canyon Pine by KANEDAI JAPANHand-Painted I offer for auction two Canyon Pine lugged soup bowls measuring 7 5/8". One has a chip on the top edge as shown, both have the shine worn on the inside bottom from use. I see no other chips or cracks.


text:
|Message view
|« Date » · « Thread »
|« Date » · « Thread »
|Jochen Kuhnle

|RE: [RFE] Some enhancements to XSP
|Fri, 27 May 2005 13:02:18 GMT
"Nathaniel Alfred" <email@example.com> wrote on 26.05.2005 16:34:13: > > I think I was too terse to make myself understand. With "in-text replacement" > I meant > >
Hello {username}
 > > as shortcut for > >
Hello <xsp:expr>username</xsp:expr>
 > > I am against that because it risks to break too many existing XSP containing > curlies for whatever reason in text nodes. I am also -1 on activating that > feature on a per-page. Whilst I am all for improving XSPs I would want to > avoid creating a second dialect. (Of course a temporary safeguard as in [1], > with the intention to make it the default later, is okay.) > I'd rather go for a conservative approach here. We shouldn't risk breaking even one existing deployed XSP. How about turning it off by default, but issuing a warning in the log if the page doesn't specify whether it wants attribute expansion or not. This can be done either by processing instruction or xsp:page attribute. After some time, we then can deprecate the not-expanding variant. We could also have the "in-text-replacement" variant, because we wouldn't have to worry about breaking anyting (I rather got used to it from JXTG...). > > I was just thinking of XSP as staging ground for code which later might be > moved to a logicsheet. One can move a sniplet like > >  > <xsp:attribute name="src"><xsp:expr>source</xsp:expr></xsp:attribute> >  > > unchanged from XSP and logicsheet whilst  needs to > be adaption. > > But I had the misconception that there was the danger that in the logicsheet > it would silently generate . However, XSLT will signal"source" > as invalid expression to catch the error at compile time. > > So I changed my mind and now, I am in favor of it. > If we filter the logic sheets, too, we can still move code back and forth between XSP and logic sheet. There is one problem, though: since XSL uses curlies, too, you have to escape them even more, and "if(expr) {{{{code}}}}" really starts to look bad. In this case, I would rather go for a new syntax. Something like "~{expression}~" or more esoteric quotes, like the single characters << and >>, or ` and ´. Any suggestions welcome... > > Shall we add it then? > Here's my +1. > > Cheers, Alfred. > > >[1] http://marc.theaimsgroup.com/?l=xml-cocoon-dev&m=105783302326147 Regards, Jochen
|View raw message


text:
From Wikipedia, the free encyclopedia
Willowdale may refer to:
- Willowdale (Painter, Virginia), added to the National Register of Historic Places in 2007
- The neighbourhood of Willowdale, Toronto in Toronto, Ontario, Canada
- The Canadian federal electoral district Willowdale in Toronto
- The Rural municipality of Willowdale No. 153 in Saskatchewan
- The coterminus provincial electoral district Willowdale
- Willowdale, Kansas
- The small town of Willowdale, Pennsylvania
- The neighborhood of Willowdale, New Jersey
- Willowdale, Nova Scotia (disambiguation)
- Willowdale, Halifax, Nova Scotia
- Willowdale, Pictou, Nova Scotia
- Willowdale, West Virginia
- Willowdale Airfield, located in Willowdale, Toronto, Ontario near Finch Avenue and Senlac. Like many of the small aerodromes in Toronto, it disappeared before World War II. In 1948, the former airfield became part of what is now York Cemetery
- Willowdale Elementary School, an elementary school in west Omaha, Nebraska. Willowdale is part of the Millard Public School District. It has about 405 students in grades K–5. Willowdale's website is called WillowWeb and features blogs, photos, announcements, etc
See also[edit]
|This disambiguation page lists articles associated with the title Willowdale.
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I opted to repost this entry from last year, in honor of today being the anniversary of 9/11. True, that freedom is not free. May this be a gentle urge to remember the fallen and appreciate the many blessings we have been gifted.
* * * * * * * * * * *
We Came Home
...the two of us did,
along with many others on a Tuesday Delta flight.
I'd been away for a bit over a week, working,
and was returning fatigued but full of ideas.
As the plane pressed on,
I could feel the weight of the "catching up"
that would follow my arrival.
Going through mail, lining up calendars, answering messages,
laundry, lawn, coordinating schedules and reaching even keel
with elementary school work.
I chatted casually with the woman next to me
and we spoke of our children, of our jobs and the states
of our lives-
Our banter was soft and steady,
and I looked occasionally out at the cloud carpet below.
He, on the other hand, was sleeping.
He'd been away far longer than I had,
had been further from home,
and was returning that night to a family worn by waiting.
His presence was such that we didn't know he was there.
No one would have known, in fact, had the captain not
introduced him at the end of the flight
as we pulled quietly up to our gate.
as we pulled quietly up to our gate.
We hushed as the words fell low from the
static and crackle of the speaker system.
In the following moments of that sacred space,
a quiet silence, a breath,
and then a single meeting of palms.
It was soft, the rhythm of awe, but it built impact by impact,
until the scattering of echoes that followed it soon erupted
into a wondrous thundering of applause, from forward to aft,
as we rose to our feet and the tears fell.
We watched his exit through our windows from where we stood.
He was the first off the plane that night,
entering the rain of Raleigh beneath a moonless sky.
His light, however, reflected off the faces of us all,
and he carried his own stars, and they enveloped him.
I thought of him into the early morning hours,
and yesterday, and today... as I will tomorrow.
The remembrance of his family there, arms open and hands
hugging stripes, the mix of salt and freshwater
converging on cheekbones.
I will never forget the sight.
I will never forget the gratitude.
I will never forget the gratitude.
We came home, the two of us did, along with
many others on that Tuesday Delta flight.
He was sleeping...
and it woke me up.


text:
So my friend told this guy I liked him and then he asked me if I did and I said I didn't my friend wasn't telling the truth so I'm guessing he got confused and stuff but now he's not replying back to my messages anymore and it says seen. He used to always reply back till it got kinda awkward after he found out I liked him, I'm pretty sure that's why he doesn't wanna talk anymore. Should I just tell him I don't like him that way? So he could talk to me again
What to do if a guy stops talking to you?
Have an opinion?
What Guys Said 0
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What Girls Said 1
I think you can directly ask him if there's something wrong.
And if the reason he's no longer talking to you were because he knows you like him, why would you want to keep talking to him?00|00|0
Okay well I was thinking about saying "okay I'll be honest with you I used to like you but not anymore after what my friend told me you said so now i only like you as a friend" how does that sound?
It's not really feasible that a person stops liking another one overnight. But feel free to say whatever you need or want.
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- Water pillar
- Water pillar Wa"ter pil"lar A waterspout. [Obs.] [1913 Webster]
The Collaborative International Dictionary of English. 2000.
The Collaborative International Dictionary of English. 2000.
PILLAR — (Heb. עַמּוּד; from the root ʿmd, to stand ), a column that stands perpendicular to the ground and generally serves to support the beams of a roof. In this article no distinction will be made between pillar, column, and post. The pillar is used… … Encyclopedia of Judaism
Pillar (Lake District) — Infobox Mountain Name = Pillar Photo = Pillar lake district.jpg Caption = Pillar (left), from the top of Steeple Elevation = 892 m (2927 ft) Location = Cumbria, ENG Range = Lake District, Western Fells Prominence = 348 m Parent peak = Great Gable … Wikipedia
pillar — n. 1 a a usu. slender vertical structure of wood, metal, or esp. stone used as a support for a roof etc. b a similar structure used for ornament. c a post supporting a structure. 2 a person regarded as a mainstay or support (a pillar of the… … Useful english dictionary
pillar — 1. Remnant of bedrock joining the cave floor and ceiling. Not to be confused with a column, which is a calcite deposit. Pillars are common in phreatic caves, formed by complexly looping ground water flow, but may also be left as small oxbow… … Lexicon of Cave and Karst Terminology
pillar — Synonyms and related words: antenna tower, arcade, arch, atlas, backbone, baluster, balustrade, banister, barbican, barrel, barrow, base, bedrock, belfry, bell tower, bole, boundary stone, brass, bust, cairn, campanile, caryatid, cask, cenotaph,… … Moby Thesaurus
pillar cock — /ˈpɪlə kɒk/ (say piluh kok) noun a faucet or tap in which the pipe carrying the water supply is vertical and the nozzle horizontal to it … Australian English dictionary
Clear Water Academy — A building in what was CFB Calgary, which is used by Clear Water Academy (March 24, 2007) Clear Water Academy is a private university preparatory school located in Calgary, Alberta. It is one of the few private Catholic schools in Alberta, and is … Wikipedia
Deep water coral — Table coral, which can live in deep water (in this picture, it is in shallow, warm water) The habitat of deep water corals, also known as cold water corals, extends to deeper, darker parts of the oceans than tropical corals, ranging from near the … Wikipedia
Crummock Water — from Rannerdale Knotts … Wikipedia
Ennerdale Water — Bild gesucht BW Geographische Lage Cumbria, England Zuflüsse … Deutsch Wikipedia


text:
We welcome original articles devoted to a variety of issues of American and British cultural studies. Articles must not have been previously published and must not be under consideration for publication elsewhere. All articles selected as appropriate will be anonymously peer-reviewed by experts in the author's field of study.
Citations style: Manuscripts must be submitted in English in accordance with the Chicago Style of citations (footnotes and bibliography).
General requirements: Authors are responsible for the adequate and correct language usage. Papers should be submitted with minimum amount of formatting. Each submission should contain an abstract outlining the article's argument and significance (200 words), keywords and short biographical information about the author. All the author-identifying information will be removed prior to the reviewing process.
Please submit your articles by 31st May in an electronic form as Word document to firstname.lastname@example.com
Submissions failing to comply with Chicago Style of citations and the required extent (4000-7000 words) will be returned to authors prior to the reviewing process.


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As a Government policy, Sierra Leone Passports are only issued and renewed by the Immigration Department in Freetown.
Sierra Leoneans wishing to renew their passports can purchase the application form from the Embassy in Washington DC for a fee of US$ 10.00 (Ten United States Dollars).
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Mid Michigan Family Consultation Center Pc is a Psychologist office located in Alma, MI. A psychologist focuses on the evaluation, prevention, diagnosis, and treatment of mental, emotional and behavioral health issues. A clinical psychologist uses psychotherapy and other counseling skills to improve emotional and mental health.
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Breast Cancer 5K Walk
Metroplex Health System Foundation Department
Saturday, October 18, 2014 from 8:00 AM to 11:00 AM (CDT)
Who's Going
San Francisco, California
London, United Kingdom
Florence, Italy
Event Details
The City of Killeen, Metroplex Health System, KXXV News 25, and All American Chevrolet have partnered together to bring awareness to breast cancer to the community for the month of October. The message '12% will get it. 100% will be affected.' lets us all know that breast cancer IS EVERYONE'S FIGHT.
Please join us as we bring awareness with the Breast Cancer 5K on Saturday, October 18th at 8am at the Andy K. Wells Hike & Bike Trail, behind the Killeen Community Center. There will be a survivors lap, as well as the walk. Those wanting to run may do so. Teams are welcomed!
Funds raised for the walk will go towards providing free mammograms at the Greater Killeen Free Clinic.
For more information, please contact TaNeika Driver-Moultrie at 254-501-7815.
When & Where
Killeen Community Center
Andy K. Wells Hike and Bike Trail (Behind Community Center)
2201 E. Veterans Memorial Boulevard
Texas 76541
Saturday, October 18, 2014 from 8:00 AM to 11:00 AM (CDT)
Add to my calendar


text:
H.R. 5297 (111th): Small Business Jobs Act of 2010
An act to create the Small Business Lending Fund Program to direct the Secretary of the Treasury to make capital investments in eligible institutions in order to increase the availability of credit for small businesses, to amend the Internal Revenue Code of 1986 to provide tax incentives for small business job creation, and for other purposes
- Introduced:
May 13, 2010
111th Congress, 2009–2010
- Status:
Enacted — Signed by the President on Sep 27, 2010
This bill was enacted after being signed by the President on September 27, 2010.
- Law:
Pub.L. 111-240
- Sponsor:
Representative for Massachusetts's 4th congressional district
- Text:
Read Text »
Last Updated: Sep 24, 2010
Length: 101 pages
Incorporated Legislation
This bill incorporates provisions from:
S. 3103: Small Business Job Creation Act of 2010
Introduced on Mar 10, 2010. 64% incorporated. (compare text)
H.R. 5302: State Small Business Credit Initiative Act of 2010
Introduced on May 13, 2010. 95% incorporated. (compare text)
H.R. 5832: Small Business Export Enhancement Act of 2010
Introduced on Jul 22, 2010. 94% incorporated. (compare text)
H.R. 4302: Small Business Job Creation and Access to Capital Act of 2009
Introduced on Dec 14, 2009. 99% incorporated. (compare text)
S. 1196: Small Business International Trade Enhancements Act of 2009
Introduced on Jun 8, 2009. 68% incorporated. (compare text)
S. 2780: Small Business Intermediary Lending Pilot Program Act of 2009
Introduced on Nov 17, 2009. 95% incorporated. (compare text)
H.R. 5332: Small Business Intermediary Lending Pilot Program Act of 2010
Introduced on May 18, 2010. 97% incorporated. (compare text)
S. 1832: Small Business Access to Capital Act of 2009
Introduced on Oct 21, 2009. 37% incorporated. (compare text)
S. 1817: Small Business Emergency Loan Relief Act of 2009
Introduced on Oct 20, 2009. 25% incorporated. (compare text)
S. 2918: Helping Small Business Succeed Act of 2009
Introduced on Dec 21, 2009. 24% incorporated. (compare text)
Bills and resolutions are referred to committees which debate the bill before possibly sending it on to the whole chamber.
Ordered Reported
A committee has voted to issue a report to the full chamber recommending that the bill be considered further. Only about 1 in 4 bills are reported out of committee.
Rules Change — Agreed To
This activity took place on a related bill, H.Res. 1436 (111th).
Passed House (Senate next)
The bill was passed in a vote in the House. It goes to the Senate next.
Passed Senate with Changes (back to House)
The Senate passed the bill with changes not in the House version and sent it back to the House to approve the changes.
House Agreed to Changes
The bill was passed by both chambers in identical form. It goes to the President next who may sign or veto the bill.
Enacted — Signed by the President
The President signed the bill and it became law.
H.R. 5297 (111th) was a bill in the United States Congress.
A bill must be passed by both the House and Senate in identical form and then be signed by the President to become law.
This bill was introduced in the 111th Congress, which met from Jan 6, 2009 to Dec 22, 2010. Legislation not enacted by the end of a Congress is cleared from the books.
How to cite this information.
We recommend the following MLA-formatted citation when using the information you see here in academic work:
Civic Impulse. (2017). H.R. 5297 — 111th Congress: Small Business Jobs Act of 2010. Retrieved from https://www.govtrack.us/congress/bills/111/hr5297
"H.R. 5297 — 111th Congress: Small Business Jobs Act of 2010." www.GovTrack.us. 2010. July 23, 2017 <https://www.govtrack.us/congress/bills/111/hr5297>
{{cite web
|title=H.R. 5297 (111th)
|accessdate=July 23, 2017
|author=111th Congress (2010)
|date=May 13, 2010
|quote=Small Business Jobs Act of 2010
- show another citation format:
- Wikipedia Template
Where is this information from?
GovTrack automatically collects legislative information from a variety of governmental and non-governmental sources. This page is sourced primarily from Congress.gov, the official portal of the United States Congress. Congress.gov is generally updated one day after events occur, and so legislative activity shown here may be one day behind. Data via the congress project.


text:
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Genre(s): Action, Biography, Drama
Movie Star Cast: Aamir Khan, Sakshi Tanwar, Fatima Sana Shaikh
Storyline: Biopic of Mahavir Singh Phogat, who instructed wrestling to his little girls Babita Kumari and Geeta Phogat. Geeta Phogat was India's first female wrestler to win at the 2010 Commonwealth Games, where she won the gold award (52 kg) while her sister Babita Kumari won the silver (55 kg). Free Download Dangal (2016) worldfree4u 300mb Full Hindi Movie 300MB HD world4ufree
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David Stasavage Items4 textbooks were found
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BEST WESTERN PLUS Atrea Hotel & Suites3
3635 Crooked Trl, San Antonio, 78227-4360
Price FromView Rooms
This hotel doesn't have any reviews yet.
About the hotel
Welcome to the new BEST WESTERN PLUS Atrea Hotel & Suites located near SeaWorld®, Lackland Air Force Base and Wilford Hall Air Force Hospital. The service is top notch and the accommodations are contemporary and sophisticated. This brand new, upscale San Antonio hotel offers convenient access to many local attractions, shopping and dining options in and around the San Antonio area.
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