text: Manaslu Circuit Trek NHT Manaslu Circuit Trek – An Inexpensive Trek "Adventure around world eight highest peaks with awesome views and Buddhist culture" Trip Highlights: "Sweeping panorama views of Ganesh and Manaslu range of mountains An adventure around world 8th highest Manaslu with scenic high Larkya-La pass trekking along high mountains above Manaslu valley within ancient Buddhist culture, Pristine alpine forest lined with beautiful rhododendron, magnolia and pine trees exploring traditional highland villages of Gorkha areas to Manang region" Introduction: Manaslu Circuit Trek an overwhelming adventure pact with over dose of beautiful and sweeping views of high mountain range where you can overlook worlds 08th highest Mt. Manaslu at 8,163 m, 10th highest Annapurna I (8,091m / 26,545ft) Annapurna South (7,219m-23,693ft), Gangapurna (7,455m-24,457ft) and Annapurna III (7,555m-24,787ft) with massive range of peaks of Ganesh Himal of above 7,405 m, includes many peaks along the walk as the adventure leads to high Larkya-la pass which lies on route Tibet border and Manang areas. Beside range of mountain views local ethnic culturally of Manaslu circuit trek is more fascinating exploring hidden lovely villages of Dyang-Logaon –Samagaon, Samdo and Dharmasala till Dharapani on famous popular route of Annapurna circuit. Upper Manaslu Trek is also a caravan trade route to Tibet, where people of higher Manaslu still trades with Tibet across the border, Manaslu walk leads through traditional villages of old Buddhist culture of Tibetan origin in custom-religion and way of life. Starting with an interesting drive to reach our trekking point at Arughat , Soti-Khola and Machha khola located in Gorkha district of Nepal Mid West, and then heading higher on leaving the warm paddy areas for alpine cool temperature with pristine forest of rhododendron-pines and fir tree lines, and as the walk progress where vegetation fades to arid and barren mountain landscapes reaching above at Larkya-la pass which separates Gorkha and Manang areas, a great downhill walk leads to follow a scenic trail to a road head at Dharapani and Chamje for the drive back to Kathmandu. Our fabulous Manaslu Circuit Trek concludes in Kathmandu after a memorable and enjoyable walk within high mountains of Nepal Mid West Himalaya. Manaslu region is specially restricted area as third popular trekking route in Nepal after Everest base camp trek and Annapurna base camp trek. Trip Profile: Mode of Trekking: On hotels & Lodges basis Trekking Grade: Moderate & Adventurous Highest elevation: At Larkya-La 5,135 m high. Trekking: 14 nights and 15 days (With both way overland drive) Total Trip: 17 nights and 18 days ( Kathmandu to Kathmandu) Season: April to June and September to November. Outline Itinerary: Day 01: Reach Kathmandu via respective airlines and transfer to hotel. Day 02: In Kathmandu sightseeing tour at places of interest. Day 03: Drive to Soti Khola 730 m – 05hrs Day 04: Trek to Machha khola 930m – 06 hrs Day 05: Trek to Jagat 1,410m – 06 hrs Day 06: Trek to Dyang 1,800 m – 06 hrs Day 07: Trek to Ghap 2,160 m – 04 hrs Day 08: Trek to Lo-Gaon 3,180 m – 06 hrs Day 09: Trek to Samagaon 3,530 m – 05 hrs Day 10: Rest day at Samagaon for acclimatization. Day 11: Trek to Samdo 3,860 m – 05 hrs Day 12: Trek to Dharamsala / Larkya phedi 4,460 m – 04 hrs Day 13: Cross Larkya la 5,135 m and to Bimthang 3,720 m – 08 hrs. Day 14: Trek to Gho 2,560 m – 05 hrs Day 15: Trek to Dharapani 1,860 m – 06 hrs. Day 16: Trek to Chamje village 1,360 m – 05 hrs. Day 17: Drive back to Kathmandu via Bhesisar – 07 hrs. Day 18: International departure homeward bound. Details Itinerary Details Cost Term & Condition Trip Booking Day 01: Reach Kathmandu and transfer to hotel. On reaching Kathmandu International Airport received by our staff and guide with warm welcome then a short drive to your hotel in the main areas of Kathmandu city, here joining with other members of Manaslu Circuit Trek, our guide will brief with full information about the trek - hotels-culture with do's and don'ts, include welcome dinner in a nice Nepali restaurant with folk programs. Day 02: In Kathmandu with sightseeing tour at places of interest. As per the given time for sightseeing tour around Kathmandu, after breakfast our city and tour guide will pick you with short interesting drive for an impressive and exciting tour, Kathmandu although a metropolitan city retaining its ancient culture and traditions, where most of the World Heritage Sites are located for your interest, includes medieval period custom and culture as it was for hundreds of centuries, Kathmandu valley a blend of Buddhism and Hinduism in perfect harmony, after an interesting tour afternoon free preparation for Manaslu Circuit Trek. Day 03: Drive to Soti Khola 730 m via Arughat 600m - 07 hrs journeys. Manaslu Circuit Trek starts with an exciting overland drive to Soti Khola past Arughat village around Dhading and Gorkha district of Mid West Nepal Himalaya, drive leads to warmer area passing many farm villages and towns following Trisuli river for few hours, and as the drive leads further Arughat village and taking another four wheel drive to reach at Soti Khola for overnight stop, a small farm village by the stream called Soti Khola where it joins with raging Buri-Gandaki river. Day 04: Trek to Machha khola 930m - 06 hrs. From this small interesting farm village, walk leads on nice trail following upstream of Buri Gandaki River through many farm fields and villages, as the walk reach at Nuali khola with views of beautiful waterfalls, from here on stone steps crossing a stream to Machha Khola for overnight stop. This village named as Machha Khola means Fishing streams. Day 05: Trek to Jagat 1,410m - 06 hrs. After a overnight at Macha Khola morning leads Buri Gandaki River upstream, to reach at Khorla Beshi a small farm village from here on pleasant winding path to reach Tatopani "Hot Spring," here with wonderful opportunity for hot bathe time permitting, after a nice break with rest walk carry's on to Yaruphant, following the river to reach Jagat village, after crossing a short suspension bridge, this is a moderate sized farm villages with shops and stores. Day 06: Trek to Dyang 1,800 m - 06 hrs. From Jagat, journey continues to higher encountering many small farm villages of Sidibas Bazaar, which is pretty village, after rest then a short climb with downhill crossing over suspension bridge to reach at Nagjet, then climb up to Philim, a large village with scattered farm houses, from Philim trek onwards through farm terraces of golden fields of wheat's and barley, then a climb on rocky ridge top into bamboo forest area to our overnight stop at Dyang village. Day 07: Trek to Ghap 2,160 m - 04 hrs Dyang onwards into cooler area where one can feel the altitude, entering Himalayan alpine region, morning walk continues with a descend towards a river side to reach Bihi Bazaar a small village near river side, the area from here onwards of more Tibetan influence with Tibetan culture, walk leads on gentle trail with few short ups and downs till Ghap village is reached for overnight stop. Day 08: Trek to Lo-Gaon 3,180 m - 06 hrs. From Ghap village with pleasant walk along Budhi Gandaki River, crossing the river through scattered small farm villages and cultivated farm fields of barley, wheat and millets then reaching at Numrung village with super views of Mt. Manaslu North Face with adjoining peaks, walk continues passing few villages of Banjham, Lhi and Sho, then with an altitude gain, an hour up to Shrip village and then reaching our overnight stop at Lo Gaon. Day 09: Trek to Samagaon 3,530 m - 05 hrs After Lo Goan, feel the altitude gain with much cooler temperature, from here tree lines fades for few short juniper bushes and willow trees, walking gradually on a nice trail with views of snow capped peaks and finally reaching Samagaon a large mountain village located on the route Manaslu base camp and Larkya-la pass including way to Tibet border. Day 10: Rest day in Samagaon for acclimatization. An important rest or free day for good acclimatization before heading high areas and to Larkya-la pass, on this free day explores the villages with short hike around. Day 11: Trek to Samdo 3,860 m - 05 hrs Today walk for about 5 hours, heading towards last village at Samdo which is close to Tibet border, the locals have long traditions trading with Tibet where you can find many Chinese goods. Morning walk leads with gradual climb into dry barren country with views of snowcapped peaks and then finally ending the day walk at Samdo village for overnight stop. Day 12: Trek to Dharamsala / Larkya phedi 4,460 m - 04 hrs A short day to Larkya phedi or Dharmasala, after a nice stop at Samdo village, crossing an icy stream then heading towards more dry barren area, trek today is not that hard except for rapid altitude gain and then with few short ups and downs to complete the morning walk at Larkya phedi, meaning base of the hill or pass, afternoon free at leisure for short hike. Day 13: Cross Larkya la 5,135m and to Bimthang 3,720 m - 08 hrs. Starting early morning to reach at the top of Larkya-la pass at 5,135 m, strenuous and long climb overlooking awesome scenery of surrounding hills and valley with Mt. Manaslu, Larkya peak, Bouddha Himal, Himalchuli and of Peak 29, after a steep climb reaching top of the pass, festooned with Buddhist prayer flags and stunning views, after a rest enjoying the scenery, a long descend reaching forested area to Bimthang for overnight stop after a hard day walk. Day 14: Trek to Gho 2,560 m - 05 hrs After a tough walk on Larkya-la pass, today will be a pleasant walk on gradual downhill to reach our overnight stop at Gho, located in forest surrounding, from Bimthang walk enters through pristine woodlands full of rhododendron, pines and oaks tree lines passing several farm shades to reach at Gho a small settlement with few lodges for overnight stop. Day 15: Trek to Dharapani 1,860 m - 06 hrs. From Gho morning walk is much easier on downhill path most of the way to Manang area at Telje village by the Marysangdi River, after this village an hour climb brings you at Dharapani a large village with many fine lodges on Annapurna Circuit trekking trail. Day 16: Trek to Chamje village 1,360 m - 05 hrs. With enjoyable stop in Dharapani village with nice and cozy lodge, our last day walk of this great wonderful adventure leads downhill to cross over Marysangdi River and towards Talbesi which is a lovely village and end of Manang area. From here walking on gradual path for few hours crossing over Marysangdi River to Chamje village, situated in Lamjung district area. At Chamje with last final overnight stop on the high hills of North Mid West Himalaya of Lamjung district, here like Dharapani with fine nice lodge. Day 17: Drive back to Kathmandu via Bhesisar - 07 hrs. Morning an overland drive back to Kathmandu from Chamje village, after completing an exciting adventure on Manaslu Circuit trekking, after breakfast drive leads past Himalayan countryside villages of Jagat, Syange, Nagdi, Bulbule following Marysangdi River all the way to Bhesisar a large town and a headquarter of Lamjung district. From here a few hours' drive brings at Dumre on Pokhara /Kathmandu highway and then another 3-4 hours drive brings you back in Kathmandu, after a wonderful time around Manaslu. Day 18: International departure for home ward bound. Your last day in Nepal, amazing country of Himalayan wonders, as per your flight time leaving your hotel where our staff transfers you to airport, after a great memorable adventure with enjoyable time on Manaslu Circuit Trek. Cost Include : Airport Pick up drop (Airport /Hotel/Airport) by private car. Hotel In Kathmandu: Two night's standard Hotel in Katmandu. During the trek three times meal (Breakfast, lunch and Dinner) Trekking permit: 'Trekkers' Information Management System (TIMS) Permit.Manaslu special permit and ACAP permit. All necessary paper works. Kathmandu sightseeing by tour guide,syambhu,Bouda,pashipatinath. Kathmandu to Arughat ,Besi sahar to Kathmandu by private vehicle. Four times tea or coffee During the trek fresh fruit. Government register expert and knowledgeable trekking Guide One porter for two guest to carry belongings And Their well-paid Salary, Food, Drinks, Accommodation, Transportation and Insurance for the Guide and Porter. Adventure Certificate of Nepal High Trek. Nepal High Trek's down jacket and sleeping bags (if you needed) Arrangement of Emergency Helicopter service which will be paid by your Travel insurance company. Medical supplies (first aid kit will be available). All government taxes. Trekking map and poles Welcome and farewell Dinner. Cost Excluded: Nepal entry visa fee (you may easily issue the visa upon your arrival at Tribhuwan International Airport – Kathmandu). Your Travel and rescue insurance. International airfare and airport departure tax. All the Food in Kathmandu. Also in the case of early return from mountain (due to any reason) Than the scheduled Itinerary. All the expenses in mountain over than scheduled itinerary (due to strike, delay or canceled flight) Extra night Hotel in Kathmandu if arrive early or late departure than schedule Itinerary. All the Bar bills and personal expenses (phone call, laundry service, battery recharge, bottle of water, hot water, shower.. Tips for the guide and porter. Term and Condition: Nepal High Trek Pvt. Ltd (NHT) is a well – known Government Register Trekking Agency in Nepal. We are trustworthy and fully committed to give you the best service. We accept your bookings under the following terms and conditions.Q. Will somebody come to pick me up at the airport upon my arrival? A. Absolutely! Our Airport Representative will come to the airport to pick you up. Outside of Terminal Hall, he will be displaying a play card of Nepal Everest Base Camp Treks with your name on it. Q. What type of accommodation do I expect while I am in Kathmandu & Mountain? A. Excellent!! Our company will provide you five star category hotels in Kathmandu Radission Hotel and Del' Annapurna or similar category with inclusive breakfast & best available accommodation duration the trekking as per your programs. Q. What type of shape do I need to be for this trip? A. This is suitable for average people who are good health & moderately fit, thus no previous experience is required however to get condition for this trip, some physical fitness programs such as running, swimming, hiking is recommended before you embark on journey. Person who is suffering from pre-existing diseases must seek medical advice with your doctor before considering the any trekking in Nepal. Whilst on the trek, it is common to experience some discomfort before being fully acclimatized. Q. What is the best time for Trek? A. We recommend you anytime between 15th February to 15th June in spring & 15th September to 10th December in autumn and spring season is the best time for trek, however, rest of the months are okay and trekking can be done but not as much as nice comparing those season due to winter & raining respectably.But when you will be get leisure time that we can provide prime and suitable trip for you. Q. Is the food/water safe to drink during the trek? A. During in mountain, your expert guide will advise you on what you should and shouldn't eat and drink. The food at the places you will be staying is all safe to eat. Water you can buy bottled or bring along purification tablets. Every lodges/guest house also serve both boiled and filtered water on cheaper price for you to treat accordingly. Q. I am alone ! Can I join in group? A. Excellent! If you are not interesting travel alone, we do have several joining trip on every different route, please choose your suitable departure date. Q. Do you offer Tailor-made Trip? A. Yes, we do offer tailor-made trip, if our set itinerary is does not perfect for your holidays in any case, please kindly drop a Message. Q. Can I charge camera batteries along the trek? and how much? A. Yes, Most of the guest houses you can recharge your camera batteries along the trek approximately cost you USD 2-3 per hour. Q. What is the weather & temperature like in mountain? A. Weather in the mountains is notoriously difficult to predict. At night it is generally cooler the days are generally warm. There will be snow during the month of December and February. It is important to make sure that you can stay warm and dry in just about any conditions. Expect the unexpected! The temperature could be as high as 21 deg C to -10 deg C low. Q. How long have you been in business? A. We have been serving in this field for over a decade and are trustworthy and government registered trekking agency.Q. How much should I plan on spending for each meal not included in Kathmandu? A. In Kathmandu, you can allocate US$ 15 – 20 per meal. Q. Do you offer a luggage storage facility? A. of-course ! Nepal High Trek will provide you luggage storage service and as well as every hotel in Kathmandu they have safe luggage storage service on free of cost. Q. Do I need travel insurance? A. It is compulsory !! Nepal High Trek Pvt. Ltd. cannot be held responsible or liable for loss, damage, or theft of personal luggage and belongings, nor can they be held liable for personal injury, accident or illness. Please ensure that you have yourself and your belongings adequately insured before your departure. If you do not possess a policy, we can issue insurance at competitive rates, however it would be better to purchase your policy locally as this will cover you for repatriation back to your home country. Q. Can I extend my holiday? 1.There are many options and choices to extend your holiday before or after your main trip, in following are are suggested.3 nights pokhara , 3 days Chitwan Jungle Safari2 Days Trusuli river Rafting2 night Dhulikhel Balthli village HikingEverest mountain View Flight3 Days Nagarkot trek2 Days home stay in bandipur5 Days local Tawal cultural trek Q. How can I book this trip? A. When you confirmed your trip, we need photo copy of your passport and 20% down payment of the total amount in advance for arrangements such flight tickets, hotel booking and permit process and the balance you can make us upon your arrival in Kathmandu, for details information "Booking Trip" Trip to Book Your Name : Your Email : Telephone No : Country : Subject : Your Message :


text: The Stuka Sdkz 251/1 Ausfd. At the bottom is a comparison shot of the Warlord Games 1/56 halftrack. I have placed some of their 28mm commandos next to both. As you can see the commandos next to the Warlord Games halftrack are almost as tall as the vehicle itself. In addition you can see the three figures cramped in the back. Whereas the 1/48 scale to Tamiya halftrack gives much better proportions where you could easily sit about six figures in the back area.

subset: commoncrawl


text:
RememberSet a Reminder for the Anniversary
Anthony King
- June 2, 1961 - March 12, 2017
- Sanford, North Carolina
of Anthony's Passing
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Anthony was born on June 2, 1961 and passed away on Sunday, March 12, 2017.
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Arrangements By: Knotts Funeral Home, Sanford, NC.


text:
500 things I love for my 500th post on Overlap
1. Getting an idea for a new blogpost
2. Pressing the publish button
3. Reading Kelle Hampton's blog and looking at pictures of Nella and Lainey
4. Quilt weekends at my house with Sar
5. Sleeping in on Saturday mornings with no alarm
6. Playgrounds with spinny seats of doom
7. Vera Bradley tote bags
8. Starting the camp cookie co. with Arielle when we were this small and still being best friends today
9. Climbing trees
10. Paint squares
11. My North Face backpack
12. Getting excited to watch movies like Justin Bieber or Inception or Breaking Dawn just because everyone else in the world is excited too
13. Following @camptproblems and @irvingspeaks on Twitter
14. Actually making the things you've pinned on Pinterest
15. Seeing Grace Currie in her Noodle Intensity videos
16. Weekend reunions with McS, Emily, Kath, Rach and Lil
17. My camp staff sweatpants
18. A bowl of blue pennies
19. My purple 80s prom dress that I try to wear as often as possible
20. Doing the Bernie... everywhere... even in overalls and a onesie
21. The anticipation of reunions
22. When Christa emails me the list of who has signed up so far and I add more names to the list
23. "Kittens, Inspired by Kittens!"
24. Counselor clipboards
25. The way CILT girls take over Theta Kappa Lambda and get so excited about writing love tanks and just spending time together
26. Getting a text from someone you're thinking about
27. When someone writes you a prayer
28. FFT emails with Sar
29. The friendship bracelet keychain Molly Brunner made me
30. Group photos that contain so much energy and so many people you love
31. Olive Garden salad and how it reminds me of going to dinner there with my family almost every week growing up
32. Putting up the Christmas tree in November
33. Not taking down the Christmas tree till February
34. Midnight donut runs with Ruthie
35. When Ruthie and Jenna and Fezzey laugh so hard they pee their pants... well at least Ruthie pees her pants
36. Sitting in the pews of Dimnent during chapel
37. Sitting in the rows of benches of the Green Cathedral during chapel
38. Singing in the rows of chairs at Common Ground on Sunday morning
39. Having devotions on the stage of the Lake Village chapel under the stars
40. The SIB cottage at Hope
41. The window room that Casey, Krissy and I all lived in our Junior Year
42. Stopping at Big Apple Bagel on the way to Mars Hill when I'm back visiting Holland
43. Leadership at Tom's house on Mondays at 6
44. Camp Tecumseh sunglasses in every Unit's color
45. The rainbow parade of Unit t-shirts on the way to closing campfire
46. Watching Braves get up the courage to jump off the high-dive
47. Showing up to things like Molly's show choir performances or Alli Kenney's plays
48. Speaking in a British accent
49. When someone asks if you're actually British
50. Speaking in a New Jersey accent with the Session 2 girls
51. Talking in a Southern accent for country-hoe down night
52. The pearl earrings I got on my 21st birthday
53. Plastic watches
54. Fridges covered in pictures and colorful magnets
55. The chalkboard in my classroom that I call the "Refrigerator Door" and fill with pictures of my students and Friendship Bracelet Club girls
56. The piles of quilts in our living room that Mom has made
57. Counselor get-to-know-me signs that hang in every cabin
58. Sperry's- sequined ones, high-top ones, boys that wear Sperry's, corduroy ones
59. Peppermint ice-cream at Christmas
60. The rule that the loser gets a cookie when playing 5 Crowns
61. Never having a dull moment when hanging out with Ellyn Hessong
62. The "My name is Elly, E-L-L-Y-N" song
63. Making crafts with Ellyn that involves hot gluing random things onto trophies and frames
64. Ellyn's obsession with Will Smith, bracelets, and camp
65. Staying up late talking on porches with counselors after nights off
66. Staying up late talking on porches with CILT girls after devotions67. Sweatshirt blankets
68. Mickey Mouse ice-cream bars at Disney World
69. Splash Mountain and the "laughing place" part way through the ride
70. Seeing all the characters in the parade and finding the perfect spot to watch on the curb
71. Space Mountain
72. Memories of running around the Magic Kingdom all day with My sister and my cousins Eric and Kevin
73. Old favorite movies like While You Were Sleeping, Serendipity, You've Got Mail and Runaway Bride
74. My parents Beth and Dave, easily the best parents in the world
75. Growing up with Camp Tecumseh in my backyard
76. Writing stories about camp
77. Reading about Libby's life on Don't Waste Your Cancer
78. People that get so excited to talk about Hunger Games or the Maze Runner
79. The Baby-Sitter's Club series
80. Being a part of YL team that continues to be about community, acceptance and following Christ even as we gain new leaders and say good-bye to other ones
81. Meeting in the guest room during Campaigners
82. Tyler Bender leading worship at the beginning of the night
83. Passing around the group journal
84. Saying highs and lows at the end of the day... or texting them
85. White v-neck collections
86. Staff quarter-zip sweatshirts
87. A rainbow collection of Nike shorts to wear all summer long
88. A stack of friendship bracelets that make you think of all the people that made them
89. Vintage table clothes
90. Teaching kids to do the hardcore on bracelets
91. Friendship bracelet tan lines
92. Blueberry muffins
93. Coffee during periods 1, 2 and 3
94. Diet Coke during periods 6 and 7
95. Running on the Monon trail in Indy
96. Watching little kids ride their bikes on the Monon
97. Rollerblading with Taylor and Dom
98. Running into people you know on the Monon
99. Maddy Wilson's hipster style
100. The bond between every girl who has ever lived in Teton. Hoo-rah
101. This mantra:
102. Writing with side-walk chalk
103. Just about everything at Anthropologie
104. Olivia's curly hair
105. Taking walks with good friends
106. Messy buns
107. Molly Brunner's side ponytail
108. How Mary Brody and Emily Westervelt spend all day at camp in just their swimsuit
109. Mystery trips and taking these girls to camp
110. When YL people talk about how they've experienced God while on Wilderness
111. Bandanna headbands
112. My teacher pearls
113. Camp Tecumseh tye-dye t-shirts
114. Qdoba chicken burritos
115. Going to Einstein with Mom and getting cranberry bagels and coffee
116. The card section at Von's
117. Sleeping out on the Suspension Bridge
118. Quotable Quotes and Curly Girl cards
119. Always writing in blue pen because of the SIBs
120. Giant SIB trad sweatshirts
121. Saving letters to read till right before I go to sleep
122. When you get to the point that you can recognize your friend's hand-writing
123. Having a 10 o'clock curfew in our apartment
124. Adventures with Taylor Porter liking riding bikes all the way downtown to the monument
125. Reading the blogs of camp friends
126. Post Secret
127. Picture books
128. The "Puppy" and "Swimming" chapters of Cold Tangerines
129. Tye-dying with Emily Westcott and Steph
130. The way Emily cares so much about her friends
131. Pizza dinners at Bella before Campaigners with some of the Senior girls
132. J. Crew and how the Ardery sisters call it the Crizz
133. Having a haircut like Kit
134. Waking up to "This Side" everyday at camp
135. My family
136. Having Katie live in Michigan and only being 4 hours away
137. Being friends with my sister
138. How Holland still feels like home
139. Choosing JPs over Lemonjellos
140. When the carnies come to town for Tulip Time
141. How people's faces light up when they laugh
142. Getting to spend time with people you really, really love
143. How Kaya, Olivia, and Oksana still act so goofy and aren't trying to grow up too fast
144. Getting to be Darian's mentor for confirmation
145. When people realize who they really want to be
146. When David gets in a really goofy mood and does his running into the door routine
147. They way Jake leads and makes everyone feel heard and included
148. When old Superchic[k] songs come on shuffle
149. Campaigners with this group of girls every week
150. Having conversations about things that really matter
151. When people choose to be honest
152. Having the guts to repair an old friendship
153. Walls of brown paper bag love tanks
154. When Natalie comes to Young Life things
155. Having countdowns to see friends
156. Blog hops with camp girls
157. Cracking up whenever I'm with Les Kes
158. How Dom never smiles normally in pictures
159. Olivia and Ellie's friendship that is so strong despite the distance
160. Team CILT group posts over a year after they've left camp
161. When someone is really listening and you know they care
162. My pink Hope sweatshirt
163. 8th grade girls bible study on Friday mornings
164. Getting to know these girls as more than just my old students
165. Road signs of camp cabins
166. When people ask for the help they need
167. Infinity scarves
168. The Gold Dolphin soccer team (splash on!)
169. Walks around the Main Camp loop
170. Rest hour naps
171. Going to yonder with Dom, Allison and Taylor aka Fred, Dancing Tulip and Brown Bear
172. Speaking in British Pirate voices
173. Life stories at Young Life camp
174. The opera club and dance party
175. The Wicked soundtrack
176. Playing the iPod shuffle game on buses
177. Signs that kids have drawn that decorate the wall by my desk
178. Listening to hip-hop clinic songs and doing the routine in my head
179. The rock devotion
180. Praying by the river
181. When campers decided to trust their cabin mates and really be friends
182. My flower chair
183. Getting to live with Shan aka Supa Fly for two summers in a row
184. Yelling "PARTNER" across Main Field to Shan when she drives by on the golf cart
185. YL ski weekends in MI
186. Having two lodges full of Carmel families at Timber Wolf Lodge
187. Bananagram tournaments
188. Waiting for critical mass before Club and then everyone running in when the music blares
189. Sleeping in a bunk room of 15 people
190. Sharing "top 10 ways I saw God today" lists with Taylor Porter
191. Going to the adult guest lodge on Saturday night to watch all the parents play the Newlywed game
192. Grocery shopping with Sar and Jon and filling 6 grocery carts
193. Knowing without a shadow of a doubt that God exists
194. Finding the perfect Goodwill find
195. Perfectly worn in sweatshirts
196. The Chief Noonway headdress
197. Harry Potter glasses
198. When dance parties get to the part when everyone starts creating new dance moves
199. Arby's curly fries
200. Jamocha shakes
201. Being an aunt
202. Holding Lincoln and singing to him
203. Seeing Nick and Katie become parents
204. Their new farm house
205. Stacks of beautiful fabric just waiting to become a quilt
206. When Mom gives quilts to people she cares about
207. The TLC day during CILTs when they attempt to conquer the wall
208. The airport waiting game
209. Getting to go back to Hope to reunite with friends like Krissy and Casey
210. "Trendy outfits" that Molls picks out for me
211. When Rach's hair is real curly
212. Artwork from Casey
213. Seeing people commit to things they're passionate about
214. Spending weekends with Sarah Briggs now that she lives far away
215. The way Sarah loves her YL girls and friends so well
216. Getting a text from Fitz, "Can't talk right now. I'm on a stakeout. What's up?"
217. Patagonia fleeces
218. Dinner dates with Alli and Molly
219. When people get used to me constantly taking pictures of them
220. Documenting life
221. "Don't be wishing you are someplace else or with someone else. Where you are right now is God's place for you. Live, obey, love and believe right here." Ephesians 7:17
222. Getting to wear jeans two days a week at school
223. Young Life Thanksgiving dinners in months other than November
224. Popcorn during movies
225. Green bean casserole
226. Challah bread (hollah at your bread)
227. White board walls
228. Playing the "what baby names do you like" game
229. Capture the Flag in Main Field with the Blazers
230. Reuniting with a friend and falling right back into place
231. Contagious laughter
232. When the saying good-bye process takes a really long time
233. Chips and salsa after school
234. Coloring on envelopes
235. Sitting on my stool in the hallway during passing period
236. Colleen's dance moves
237. Made for TV Disney and ABC family movies
238. All the Mary-Kate and Ashley movies like the classic Winning London
239. People who embrace being nerdy
240. Trying to say Hi to every kid I know
241. When the kid says Hi first
242. Having camp friends live in Indy
243. People who embrace being weird
244. Quotes from the beginning of Grey's Anatomy
245. Screaming Taylor Swift songs in the car
246. Especially Mean, Sparks Fly, and Love Story
247. Baby Lincoln. Cutest baby ever.
248. Tye-dye baby clothes
249. Teachers that figure out how to make the classroom fun and interactive
250. Craft rooms
251. When really little kids know how to play instruments well
252. Getting to hang out with Kath, Maddie and Erin
253. Singing Friday at the end of dinner every Friday night in the River
254. Mailing around the new journal to counselors
255. Letters from Grace McGill, Sarah Scott, and Margaret Connelly that allow me a really honest glimpse into their lives
256. How no matter where we are when Rachel, Coll, Chrissy and Mar are together they always end up piling up on top of each other on a couch
257. Listening to songs like We R Who We R on repeat with Sar
258. The new Glee Adele Mashup
259. Funfetti cupcakes and hanging out with Maddie Mahoney
258. Playing Just Dance 2, especially dominating at "Girlfriend"
259. Sardines in the TLC
260. Running the trails at Camp T
261. Hearing Dom and Allison's stories about becoming YL leaders
262. Vanilla lattes on Friday mornings
263. Eating school lunch
264. Eating lunch in the cafeteria with my students. I just did it for the first time Friday, but I think it'll happen again because it was so fun.
265. My Young Life team and that we go so hard at dance parties that we change the color of our clothes with our sweat
266. "Daisy's Lullaby"that tells the story of Great Gatsby
267. "Friendship is acting out God's love in tangible ways." -Shauna Niequist
268. Living with Coll and Emel and loving to get to hang out with them at the end of everyday
269. Chick Flick Sunday movie nights
270. Colleen Kelley's laugh because of the way she takes really deep breaths
271. Making up National Friendship Bracelet Club days
272. Writing messages on the white board in the hall everyday
273. Really enthusiastically cheering on friends in their sporting events like Kath in soccer
274. Doing camp cheers in public
275. Revealing a new CILT cheer
276. When Braves learn all the words to the CILT cheers
277. Melting crayon crafts
278. When crafts catch on and everyone makes their own version
279. First Friday art exhibits
280. Long road-trips with friends
281. Life stories
282. Top 10 lists
283. When people understand that its more important to just be there than to have all the right answers
284. "Beauty is fleeting and charm is deceptive but a woman who fears the Lord is to be praised." Proverbs 31:30
285. the Yurt
286. The way Lani is so good at celebrating her friends achievements and mourning for their losses
287. Occasionally wearing dresses
288. Gap commercials
289. Broken yolk sandwich breakfasts at Patachou
290. Commitment to what really matters
291. Nights spent just hanging out in the Houghton's kitchen with no agenda
292. The way we admire Jon & Annie and Jack & Linda's marriages
293. How much Maddy loves her cousin Nick
294. The Longhouse
295. Spontaneously starting Stomp during lunch in the River Village
296. Bright feathers in Junior High girls' hair
297. Standing up for what you believe in
298. Getting to be pen-pals even when modern technology may be more convenient
299. Defending a friend no matter what the cost
300. How refreshing it is to be around positive, joyful people
301. Taking a nap on a Sunday afternoon
302. Skype sessions with Annie and Mags that make me feel like I'm actually hanging out with them
303. Listening to Adventure's In Odyssey stories
304. Reading old journal entries
305. Getting to be a YL leader for Hannah, Heather, Steph and Emily
306. The colors blue and green together on almost anything
307. Planning CILT reunions
308. Friendship Bracelet Club sweatshirts
309. The phenomena that is potholder headbands
310. Pesto Cavattapi at Noodles
311. When really odd things become popular
312. My teacher corner... and my whole classroom
313. Yellow straw that Noodles used to have
314. My old American Girl Dolls
315. Singing TV theme songs with Katie
316. Camp kids like Shay and Reagan who are now living the dream
317. The times before first clinic and lunch when all of camp just gets to hang out
318. The ultimate challenge game
319. FBC student leaders
320. When the HS girls come running in screaming to FBC every week and are so excited to be back in Junior High
321. Getting to be like a camp counselor at school
322. Gloves made from old sweaters
323. Wolf Shirt Wednesdays HSJH style
324. 8th grade girls that sign out for SLT
325. Talk to Grace everyday before lunch when she drops her books off in my classroom
326. How Mikaela still talks about things being so precious and tells people she loves them so much all the time
327. Pepperoni pizza. Amen.
328. Going to Mellow Mushroom with camp girls and always sitting in the same booth
329. "For I know the plans I have for you declares the Lord. Plans to prosper you and not to harm you. Plans to give you a hope and a future." Jeremiah 29:11
330. Making crafts like this fabric lamp with Sarah Briggs
331. How many wall posts everyone gets on their birthday
332. YL worship night
333. Wyld Life food wars
334. Bouquets of friendship bracelet string
335. Finishing the last knot on a friendship bracelet
336. When people have really great reactions to receiving a new bracelet
337. Boys that are ok with learning how to craft
338. Purple corduroy pants
339. Getting to still be great friends with Sarah Fitz years after our time at camp together is over
340. Having Sarah Fitz as a tour guide
341. Finding spots where your favorite movies have been filmed
342. Hanging out on the Houghton's porch in the Spring
343. Jake Ousley songs and performances
344. My North Face vest
345. Mulching weekends with Young Life
346. YL boys like Riley and Charlie and Ben that love it so much
347. Sitting at circle tables so everyone can be part of the conversation during dinner
348. Flannel shirts and overalls
349. Wooden nametags and friendship bracelet lanyards
350. Seeing Brave boys go crazy with jelly-fish yo-yos
351. Show choir clinic performances at closing campfire
352. Porch swings
353. That Molly is always up for anything i.e. waking up absurdly early just to go cheer people on in the Indy Mini Marathon
354. The Sisterhood of the Traveling Pants books and movies
355. "Good Day" and "There's Your Trouble"
356. Teaching country line dancing with Molly and Mary
357. Finishing each clinic by sitting in a circle and talking about life
358. All of these friends on my YL team
359. Any movie that involves a choreographed dance number
360. Getting to do things, like run a 5k, with my students
362. "Blessed Be Your Name" and "Mighty to Save"
363. Ugly Christmas sweaters
364. People watching in airports
365. Watching the mentor girls grow up
366. Memories from my trips to Tanzania and the Dominican Republic
367. Team CILT party tanks
368. The staff training dance party
369. The Women's Journey
370. Getting to hang out with all of the Indy CILT girls and seeing different sessions become friends
371. This advice:
372. My Camelback water bottle
373. Love Wins stickers
374. Jumping pictures
375. Weekends with the YL team and the McKenzies lake house
376. Blue staff polos and skirts on check-in days
377. Finding something you thought you'd lost
378. Writing with these pens:
379. Visiting grandma at Kendall at Hanover
380. Creative counseling
381. The talent show at the end of the year
382. This decision and realizing it really is possible:
383. Tire swings
384. When Taylor Porter leaves me voicemails and it has to go into two messages
385. Quilts from my mom. Especially this one:
386. Paint wars and getting to hang out with Ellyn and Keef
387. Living in community with all of these friends
388. Teaching hip-hop clinic with Kraft
389. How David hugs peoples' heads when he hugs them
390. Jake's love for books
391. Playing Dominican Chaos
392. The earthquake pattern
393. Rows of spools of friendship bracelet string
394. Hannah Montana old school hits
395. The promise of God's grace and forgiveness
396. Walls of framed photos
397. Tall trees
398. Getting to meet Shauna Niequist
399. Sitting and talking to her and Colleen Kelley like we were all real friends
400. Having her sign the copy of Cold Tangerines I've been reading in my cabin for years
401. The Young Life service weekend downtown
402. Seeing kids get out of their comfort zone in order to learn about themselves
403. Staying in touch with Taylor and Allison and being confident that I want to be friends with them for life
404. The camp version of songs like Love Story, Blink, If I Die Young and This Side
405. Hanging out with the Hot Chocolate Club at Mother/Daughter Quilt Camp
406. The Amazing Race at the end of Quilt Camp
407. Living a life of celebration
408. When Soaps makes up a new song for every camp related event
409. Investing in people
410. When Arielle and I sing songs with our cabin and then discuss the intended message of the lyrics
411. How the CILT girls take over Whitetail during the CILT reunion and stay up late talking to old and new friends
412. Feeling like Molls is a mix of a best friend, camper, and little sister
413. My green YL v-neck t-shirt
414. The process of collaging when all the pieces are laid out all over the floor
415. Christmas gift exchanges
416. Watching fireworks from the Lake hill every summer but never actually on the 4th of July
417. Breakfast sandwiches from Starbucks
418. Starting off the year with the best day ever
419. When Sarah Briggs takes pictures in a photo-shoot of friends
420. Generally, people named Sarah
421. Playing "Avocado is the name of the game..." with Kraft, Mel and Arielle
422. Playing the "hiding somewhere at camp" game via Skype with Ellie and Maggie
423. Sharing your heart with people you really trust
424. The excitement of the first snow of the winter
425. How wonderful it is to be able to stop wearing a coat in the Spring
426. Friends that plan to visit and then actually make it happen
427. I got to be partners at camp with Eric for 3 summers in a row and learned so much about being a counselor and friend from him
428. Grey's Anatomy and Private Practice
429. How excited avid watchers get to talk about Pretty Little Liars
430. Moleskine journals
431. Funfetti cake and friends that make your birthday really special
432. Letters from kids that include a lot of drawings
433. Videos for CILT reunions that make you simultaneously laugh out loud and cry because you want to go back
434. Frozen yogurt from Orange Leaf or Huddles #addiction
435. That I stuck with YL even when it was really hard and that it has become such a blessing in my life
436. When God uses you in unexpected ways
437. Having a whole Saturday to lay around and do anything you want
438. When mom makes waffles for breakfast when I'm home
439. Jump-rope before lunch
440. Calling camp and hearing the voice of Christa, Bonnie, or Kathy whom are all so happy
441. Growing from a seedling during the "Neath these tall green trees"grace
442. The talent show at the end of the school year
443. Waving good-bye to the buses on the last day of school
444. The walk back to River after Lake time
445. Panera broccoli and cheddar soup in a bread bowl
446. The blog project in English Comp
447. This picture, howling on Wolf Shirt Wednesday, making super strange things become trendy, Arielle's ability to make me laugh
448. Watching my old campers become counselors
449. Getting so excited on Sunday to see old campers return and know that you have a whole week to play with them
450. Dance parties in Main Field
451. Hammocks
452. The "What Would Billy Clark Do?" game
453. Playin' Sports!
454. The CILT Session Newlywed game at the CILT reunion
455. Listening to a sermon that totally connects to your heart and what is going on in your life
456. When you can see how much a camper adores their counselor and the counselor never stops loving them back
457. Finding out someone's hidden talent that they're so good at but don't like to brag about
458. Getting to work with Evan, Arielle, Mel and Kraft this past summer
459. The question devotion
460. The room chapel
461. Tyler Bender's zombie music video
462. Rock stacking. But really.
463. Staying after chapel to keep singing all the way though dismissal
464. Going to St. E during CILTs for the service project and always hanging out with my friend Ruth
465. My wooden bowl and scarf from Africa
466. The teachers I eat lunch with everyday
467. That Sarah Briggs comes to visit me at camp because she knows it's so important to me
469. How excited Ellie and Olivia are to be CILTs this coming summer
470. Waiting for the release of a book and then not being able to put it down until you finish it
471. Words commonly used by certain groups that are nonsense everywhere else i.e. sevies, tebow, nubbin or jernie
472. CILT girl serenades from the Longhouse porch after lunch
473. Hip-hop clinic performances at closing campfire
474. Getting letters from students at the end of the semester
475. CILT girl photo shoots
476. Polka-dot socks
477. Bike parades
478. Finally getting to be counselor partners with Arielle
479. Mash-ups
480. When you turn on Lovesick at camp and all the girls know all of the words
481. Having Kraft live in Indy this year and getting to be Young Life leaders and real life friends together
482. How close you get to campers when you live with them for two weeks
483. Modern Family, Gilmore Girls and Say Yes to the Dress
484. When life is too busy and you're having to much fun to have time for TV
485. Watching two of my favorite people get married
486. Having devotions with counselors
487. Secret handshake and friendship sign with Mags
488. Figuring out your priorities and what you want to be about
489. That Mags and Annie continually inspire me, love me, teach me, and show up in my life even though we're so far away
490. Diet Coke, you can never have too much
491. Thinking of Session 1 2008 every time I see the time 5:34
492. Taking pictures with this expression
493. Writing down my highs of the day and trading them with Annie all summer long
494. Hearing Mags sing "Drop In the Ocean"
495. Being real friends with the other Carmel leaders
496. Playing the question game off the diving board
497. Cranium, scavenger hunts and obstacle courses
498. Orchestrating friendships between campers
499. People who took the time to read this entire list- I'm impressed
500. Getting to 500 posts with a list of 500 things I'm thankful for


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January 29, 2014
Subaru of America Inc. has released a new and improved version of its popular EyeSight driver assistance system. The system now features color stereo cameras that deliver an approximately 40% longer and wider detection range, brake light detection and can fully function when the speed differential between the Eyesight-equipped car and another vehicle is up to 30 miles per hour — up from 19 miles per hour.
The current generation Eyesight system earned the highest rating given by the Insurance Institute of Highway Safety (IIHS) when the IIHS conducted its first test of accident avoidance technology last year, according to Subaru.
Mounted inside the car on the upper edge of the windshield, housing for the new Eyesight system is 15% smaller, says Subaru. The system processes stereo images to identify obstacles, traffic lanes and other items. When the video information is transmitted to the EyeSight computer, it is also networked with the car's braking system and electronic throttle control.
In addition, EyeSight can detect pedestrians in the vehicle's path. If the driver has not applied the brakes, the system can slow the vehicle or bring it to a full stop to help avoid a potential collision, says Subaru.
Blind spot detection, lane change assist and rear-cross traffic alert are also debuting in Subaru models later this year, says Subaru.
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Video FC Porto 2 - 2 Braga full Match highlights all goals, Liga Sagres Highlights 22/05/2016 Video FC Porto vs Braga, See FC Porto and Braga Goals Highlights at 22/05/2016, Replay highlights goals Video FC Porto vs Braga and Downloads at Liga Sagres.
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video highlights e gol FC Porto vs Braga, Liga Sagres, 22/05/2016.
Played on May 22, 2016
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text:
Investment magazine
Rowley has written about institutional investment in the UK and Australia for 14 years. Prior to joining Investment Magazine, he spent five years with Pensions Week in London, where he also regularly contributed to the Financial Times' weekly fund management section. He joined Investment Magazine in March 2013. In his role he is also in charge of creating the agenda for the biannual Fiduciary Investors Symposium, and annual the Fixed Income Forum, the Absolute Returns Conference.
Dan Purves worked as the head of news, sport and journalistic programming operations at Demon Media winning two national awards. Prior to this the stories he broke regularly made the front page of both The Patriot (USA) and The Demon (UK). He has also worked for the independent documentary company GRACE Productions.
Renewable energy infrastructure is an immature market and needs an accepted definition of equity risk, according to Jim Barry, global head of Blackrock Infrastructure Investment Group. This lack of a common language means investors need to be very clear on what risk exposure they are looking for and where they "play" in renewable energy.
Speaking at the Fiduciary Investors Symposium in Chicago, Barry said that the debt side, which is newer, is much "safer" because they have a language of risk – which is credit rating.
"I am a person on a mission on definition of equity risk. This is an immature industry as we have no definition. On the debt side you can define what you want and get it. But if you put 20 investors in a room and ask them for a definition of core, you'll get 20 different definitions – there is no common language."
As a result investors need to closely examine the risk-factor exposure of potential investors.
"If you buy a wind farm in the US with an investment-grade utility… and it's an operating asset – that is clearly a core low-end risk. If you buy a platform with development exposure as well as operating assets across multiple jurisdictions … it may be on the spectrum, and that's private equity risk in renewable power infrastructure."
Investors need to think very clearly on how they want to play in this space and what equity risk exposure they are looking for.
Investing in renewable power projects is relatively new for many investors compared with investing in more traditional energy and infrastructure.
Five years ago, investments in this area would have been considered niche, but it has grown very quickly.
Now, 20 per cent of the market for infrastructure is in renewable power assets, with growth driven by fundamental secular shifts. And coal is the loser.
"Coal is frankly dead – if you're taking a 20 to 30-year perspective, it is dead," Barry says, "and that is driving a response to the other technologies."
"I'm not saying there isn't money to be paid in the short term from coal in terms of tactical plays. But there is no new coal being built in the US today because no utility is taking on a 30-year contingent liability on carbon dioxide."
Blackrock Infrastructure has no coal investments.
Barry says gas is a big winner, particularly in North America where shale gas is increasing. But nuclear is challenged.
"Renewables is a go-to for just a need for power, before we even get to climate," he said.
Barry says that renewables are all about the resource; it is a fixed-cost asset and something like 70 to 85 per cent over 30 years in the capital cost. So if you get more wind or sun per site you'll get a cheaper cost of electricity.
He says the US has the cheapest renewables in the world, citing the contract price for wind in the mid-west as somewhere between $0.025–$0.03 per kilowatt hour fixed price for 20 years.
"It's like power for nothing for utilities," he says.
But, he warns, these are complex transactions with unique circumstances market by market, with credit risk on the price, and regulatory risk.


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This cemetery which sits on a knoll overlooking Ft. Apache and the surrounding valley could be a really beautiful cemetery if not for the lack of upkeep. It is still a delightful visit and easily accessible.
It is located just off Arizona Hwy 73 on Fort Apache Road. The entrance is approximately 6 tenths of a mile east of the Ft. Apache Museum entrance.
I endeavored to take a photo of each plot, but that turned out not to be practical because of the large number of identical graves marked as UNKNOWN, many of which were infants. Several graves were marked with wooden markers with the markings no longer visible. And several graves were totally unmarked, but obvious.
During the active period of Ft. Apache this cemetery was the burial place for soldiers and their families as well as the Apache scouts and their families. Civilian employees were also buried here.
After the deactivation of the fort in 1922, the remains of most non-Apaches were moved to the federal cemetery in Santa Fe, New Mexico without disturbing the Apache burials.
The cemetery continues to be occasionally used by the local communities. On some of the headstones you will notice small, round rocks known as "Apache Tears".
Contributed on 3/9/09 by goldwing.traveler
Email This Contributor
Record #: 66304
On this site you can upload gravestone photos, locate ancestors and perform genealogy research. If you have a relative buried in Arizona, we encourage you to upload a digital image using our Submit a Photo page. Contributing to this genealogy archive helps family historians and genealogy researchers locate their relatives and complete their family tree.
Submitted: 3/9/09 • Approved: 3/10/09 • Last Updated: 3/24/18 • R66304-G0-S3


text:
What would you like to do now?
Bedrooms: 2
Bathrooms: 2
Sq Feet: 2,323
City: Buckeye
Zip: 85396
Sub Division: Sun City Festival Parcel B1
To start a new search please click: Start New Search
Property Description
PRICED TO SELL!! ESTATE Sale forces this Beautiful Fiesta Model to be priced below market value and loaded with Extras! Situated on a corner lot with no neighbors to the East and open views of the Golf course to the West, positioned perfectly in the ball free zone. Kitchen is a cooks delight, with lots of counter and cabinet space, warm Hickory raised panel, staggered cabinets. Granite counter tops with kitchen island. Built in microwave & oven, electric cooktop or gas stub for easy conversion to gas range. 10ft ceilings and 8ft doors through out. Den/Office off of great room. Bath 2 is a Jack -n- Jill with guest room so your guest can have direct access to their own bath room.
General Information
School Information
Community Information
Lot Information
- Directions:
- West on Bell Rd 10 miles past Surprise (turns into Sun Valley PKWY) Right onto Canyon Springs Blvd, Left onto W Tonopah, Right onto 262nd, Left onto Runion Ln
- Cross-Streets:
- Sun Valley Parkway X Canyon Springs Blvd


text:
Tensions In and Out of School
For today's session we had to take 2 pictures representing a specific tension in school. Then, using Pixlr we were asked to upload them and overlay one on top of the other and create one single image.
I took a picture of a locker and a door. What they had in common was that they both have a handle to open and a lock. This to me represents the general situation in many schools in Mexico public and private. Teachers are asked to integrate technology into their pedagogy, but sometimes the infrastructure of a school is not equipped for it, or teachers are not taught how to use these technological apparatus and/or softwares.
The door is there to be opened, but at the same time they close it. Technological Pedagogical Content Knowledge (TPACK) is not easy to master. Not every teacher has the opportunity as I am to study a Masters in Educational Technology, and not knowing how to include technology in a meaningful way is also closing the door.


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Ashley Nicole - posted on 02/04/2014 ( no moms have responded yet )
My marriage is in trouble, my husband doesn't want to talk to me and doesn't support my choices to go to school.
I have been married to my husband for 8 years and we have been together for 10 years. We have two beautiful children our son Caden who is 8 and our daughter Michalea who is 5. I am on my 4th year of school to obtain my bachelors in psychology, I only have 6 classes left and I am set to graduate in September. He is an electrician and has been for 10+ years. This past 6 months has been taxing. He has been increasingly mean about me going to school but I think it may be the one thing he can insult me with and he knows that it hurts me. Here lately he has had shorter hours at work due to the weather, so hes been at home a little more. When he's at home he never talks to me whether the conversation is why is the sky blue to what interesting things our kids are doing. I will talk to him until I am blue in the face and I never get anything more than an "I don't know" to everything, because its easier to say idk because that means you don't want to put any effort in the conversation.
Well back to the school issue he has been recently telling me that I am selfish for going to school because I take time away from him! I go to school online and work on it during the day and at night, usually 3-4 days out of the week during the day while the kids re gone and 2-3 days during the night when he is home. I am only 26 I got pregnant with my son when I was 17 and had him when I was 18 and he has high functioning autism, and ADHD and many other various medical conditions and our daughter has ADD. We have had a lot more complications than most homes with two children having to juggle IEP's and constant school visits, dr visits and such also neither of my children are medicated for their attention disorders, so our house is a little louder than most. Also let me add that my husband has ADHD and was medicated for most his school aged years. I came from a horrible background with two drug addicted parents, my dad was in and out of jail and still has an addiction problem my mom has been recovered for about 3-4 years now, and I have also spend some of my childhood years in foster homes. Needless to say I have been through hell! To almost have my bachelors degree from the background I come from is huge and I feel like he should be proud of me! Instead he throws in my face that I should have gone to school sooner, I would have but my son was so sick the first few years of his life I couldn't go 3 weeks without going to the dr or hospital and he just recently was hospitalized for a week about 2 months ago for medical issues. We have been through so much!
Back to more recent issues when he's home he's usually standing near our French doors waiting for his friends that live across the street to walk outside, He's constantly playing on his phone, and he's just not here mentally. I will say he's usually a sweet man, he is a good father, we never get violent or call each other names but I am so lonely! I feel like he is there more for his friends than he is for our family. He is always at their becking call, and with me and the kids its just like were last on his list. I was just writing I wanted to talk to other mommies out there and this is my first time writing, any advice would be great!


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Children as combatants
Promoting violence for children
Palestinian children wear "explosive belts" and hold toy guns and RPGs in procession celebrating Fatah's 51st aniversary
Official PA daily, Al-Hayat Al-Jadida - Jan. 8, 2016
(Pictures from Ma'an, independent Palestinian news agency, Jan. 7, 2016)
"Fatah marked the anniversary of the Launch in Bethlehem"
"The Fatah movement in Bethlehem marked the 51st anniversary of the Launch (
) with a huge ceremony in the Deheisheh refugee camp yesterday [Jan. 7, 2015]. Thousands set out from three [different] places in processions that passed through a number of streets in the district and met at the Martyr's Tower in the Deheisheh refugee camp, where a speech rally was held in the presence of Fatah Central Committee member Mahmoud Al-Aloul, Head of the General Intelligence Services Majed Faraj, Minister of Tourism and Antiquities Rula Ma'ay'a and dozens of the movement's leaders in the district. At the head of the procession, which began at the President [Yasser Arafat]'s Airstrip at the top of the Zaher Hill in the Deheisheh refugee camp, stood masked men, and behind them walked children who wore black shirts with pictures of the deceased president Yasser Arafat and Martyr (
) Jihad Al-Ja'afari, called 'Gaddafi', under the name 'death squads.' Likewise, children were seen carrying models of RPGs (i.e., rocket projected grenades) and explosive belts, and they all walked through the alleys of the refugee camp in the procession, during which the sound of songs of the national revolution were heard."
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- "The Launch" of Fatah on Jan. 1, 1965, when it carried out its first terror attack against Israel, attempting to bomb Israel's National Water Carrier
Jihad Al-Ja'afari ("Gaddafi")
- 19-year-old Palestinian who threw a Molotov cocktail and was then injured by Israeli soldiers' gunfire during confrontations in the Deheisheh refugee camp in Bethlehem on Feb. 24, 2015. Al-Ja'afari later died of his wounds.
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Facebook has decided to upgrade its 'Community Standard' policies, loosening them to allow graphic content like nudity or violence if they carry historical significance or newsworthy.
Facebook has noted that with continued feedback and inputs from its partners and community regarding the display of graphical content on the social media website, the company has decided to tackle the complex task of understanding what is offensive material should be allowed to be displayed on the website.
"In the weeks ahead, we're going to begin allowing more items that people find newsworthy, significant, or important to the public interest — even if they might otherwise violate our standards. We will work with our community and partners to explore exactly how to do this, both through new tools and approaches to enforcement. Our intent is to allow more images and stories without posing safety risks or showing graphic images to minors and others who do not want to see them," said Facebook in an online post.
Facebook plans to work closely with law enforcement officials, journalists, publishers, photographers and safety advocates 'to channel our community's values, and to make sure our policies reflect our community's interests.'
Read: In Kashmir, Facebook faces criticism for blocking profiles, removing posts
Back in July Facebook faced allegations of censoring the content of Kashmiri users. Facebook allegedly disabled the accounts of users for posting 'pro-Kashmir' pictures and updates. Users whose accounts were disabled received messages from Facebook, saying that their posts were removed for violating the 'Community Standards' of the website.
For all the latest Technology News, download Indian Express App


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Laughlin Constable's super creative and controversial campaign for Lung Cancer Alliance consisted of a 'tease and reveal' poster advertising initiatives to advance the cause of lung cancer awareness.
The 'tease' version of the posters and projection solely stated that certain types of consumers (i.e. Smug, Hipster, Privileged, Aunts, etc.) deserve to die while the 'reveal' explained that consumers afflicted with lung cancer are also classified and discriminated against in the same manner.
The wild postings were placed in over a dozen US markets including Boston, Philadelphia, San Francisco, Los Angeles, Washington DC and Chicago.
ALT TERRAIN handled wild posting advertising initiative planning, printing, placement, management and reporting.


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Far and away, the best thing about landing pages – whether you already have them or are just getting started – is their ability to help you convert more leads without increasing traffic by a single website visitor. Consider that in most cases, increasing your website's conversion rate by a measly 1% will improve your bottom line more than doubling your website's traffic numbers. Continue reading
Tag Archives: Websites
5 Profit Pulling Analytics Reports to Regularly Review
Web analytics tools collect and report data on how people interact and engage with your website. Understand these metrics will enable you to identify your most effective marketing channels and help you to gain a competitive advantage.
Reviewing the following 5 analytics reports will enable you to improve your overall customer experience, and increase sales.
1. Referring Sites Report
Knowing which websites and search engines refer traffic to you and what pages of your website they link to, will enable you to guide your content marketing strategy. It will also help you to allocate your ad budget effectively.
2. Content Engagement Report
Measuring visitor engagement is key to turning website visitors into leads. Knowing which topics and articles command the most attention and social shares, will give you direction for achieving your content creation objectives. Continue reading
Why eCommerce? A Multichannel Selling Revolution
Electronic commerce, or eCommerce as it's more commonly known is the process of selling goods or services online utilising digital payment and a website with a shopping cart. The rise of eCommerce has allowed small businesses to compete with global brands and reach customers half a world away. A virtual shop requires far less initial investment and on-going maintenance than a bricks and mortar location whilst offering almost infinite space for products. Just as in the offline world a business may choose to sell their products not only in their own 'store' but in multiple larger stores, this is where eCommerce becomes a multichannel selling revolution. A business can sell their products on a dozen of their own eCommerce websites, a dozen marketplaces like Amazon, Ebay or Etsy and also offline in shops or at trade shows.
7 Key Steps of Website Development
Many business know they need a new or updated website but struggle to articulate what they need from that new website. Pointing out what's wrong with the current website is a useful start but simply fixing what is wrong with an old website won't lead to the best possible new website. In order to make creating a new website as simple as possible we've simplified the process into the 7 key steps of website development.


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So on Friday night, I sat down and reorganized my markers, taking out all the retiring colours, putting my new marker colours and insert into my marker case. Seeing the words "30 colours are retiring" sounds big... but SEEING all the colours piled up - markers, ink pads, etc.... it looks so much BIGGER!!
But that means there is more for YOU!! More to sell in the yardsale, kijiji, online, and ready for NEW new NEW accessories and colours and stuff!!!
Time to pass on the beauty to other folks :)
I do hope to create today, but am aiming on getting some class kits by mail put together and mailed out this evening, and doing some more purging today too!! :)
Have a happy day!
See ya!
Monday, 14 June 2010
Scrapbook Yardsale - THE GREAT PURGE!
Posted by Kristi-Anna at 08:59
5 comments:
- Lizzy Simpson said...
Ooooh! Look at all the yummies! When and where is your garage sale?
- 14 June 2010 at 09:07
- terriavidreader (IN-USA) said...
Oh, I hope you mean a garage sale online since I don't live near you!! I'd love to have some of these - please consider some blog candy instead!
- 14 June 2010 at 09:22
Can you send me a list of the ink pads you are getting rid of and the price you are asking? I would be interested in any I don't already have...
- 14 June 2010 at 10:27
- Isaac said...
You should list your stuff for sale online. There are several sites that will allow you to do so. I recommend www.privategaragesale.com because it's great and totally free.
- 14 June 2010 at 16:37
Wow - that is a huge pile. I can't imagine purging it all. Aren't there some sets that you just love and can't say farewell to?! Wow. You have much more bravado than me. :)
- 15 June 2010 at 12:51
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The Delinquent Solution (Routledge Revivals): A Study in Subcultural Theory
- Edition: 1st
- Format: Hardcover
- Copyright: 04/11/2013
- Publisher: Routledge
Note: Not guaranteed to come with supplemental materials (access cards, study guides, lab manuals, CDs, etc.)
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First published in 1966, The Delinquent Solution presents a study of crime associated with the nature of subcultures. The book discusses issues such as the concept and theory of subcultures, the life of delinquent gangs, and the English experience of delinquent subcultures. It also takes an in-depth look at the Stepney and Poplar survey on crime from 1960, analysing both statistical data and more informal observations. Although the book was written over forty years ago, the issues discussed remain relevant and strong areas of interest.


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Aver Family Vineyards LLC
Gilroy, CA 95020
United States View map
In 2005 we were fortunate to find a magical 8.25 acre vineyard located in the beautiful Uvas Valley, located at the southern edge of Santa Clara Valley in northern California. It was originally named by the Spaniards for the wild grapes that thrived in the area. Nestled on the eastern slopes of the valley, we have a warming south-western exposure to ripen our grapes. In the evenings the cool coastal breezes and fog come over the southern Santa Cruz mountain range to cool the vineyard down. This allows for a long growing season with plenty of time for our grapes to fully develop their deep intense flavors. As a family-owned winery, our company mission is both personal and professional. We utilize sustainable, environmentally-friendly farming practices to grow outstanding grapes. Then, with our remarkable winemaker, we carefully bring out the most intricate tastes and aromas our fruit can convey. Throughout the lengthy winemaking process we rely on the support of our family and friends who encourage us Read more »
Varietals Produced by Aver Family Vineyards LLC View all
Cabernet Sauvignon
"King of the Red Wine Grapes." The colonizer of the vineyards, pushing native wine grapes into its shadows. The Caber...
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History of the grape: Petite Syrah is often confused with its parent grape, Syrah, but it has been identified as a se...
The irony here is that Syrah's origins could give Carmen Sandiego a run for her international wallet. Syrah's deepest...
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Joint Pathology
The flashcards below were created by user
FreezingBlue Flashcards
True or false: the synovial membrane is epithelium?
False - epithelium lies on a basement membrane but the synovial membrane does not. Therefore the synovial membrane is better described as a specialised connective tissue with secretory capacity.
What two primary cell types are present on the synovial membrane?
Macrophages and fibroblasts
What is the main cell type found in a normal joint sample?
Describe the formation of synovial fluid
Plasma dialysate (fluid passed through a membrane) which is modified by secretion from cells in and around the joint and contains a small number of cells e.g. lymphocytes, monocytes and neutrophils.
What are the main functions of synovial fluid?
Lubrication - boundary lubrication of both of the synovial membrane and articular cartilage
Nutrient transport - as articular cartilage is avascular most of it is in close apposition to a synovial membrane which produces synovial fluid. This synovial fluid helps to 'fill the gaps' where nutrients cannot be transported directly from tissue to tissue.
List some indications for arthrocentesis
Joint effusion
Suspect infection - sudden onset, pain, pyrexia, surgery
Multiple joints
Pyrexia of unknown origin
True or false: arthrocentesis can be performed on a conscious animal?
False - it should be done under GA or sedation. After radiography is a good time to perform arthrocentesis.
What type of needle/syringe should you use for arthrocentesis in small animals?
Blue (23g 0.6mm) or green (21g 0.8mm). Length depends on the size of the joint.
Dog - 2 or 5ml, Cat - 1 or 2ml
Which joint is the easiest to take a sample from?
The stifle joint
What tube do you put your arthrocentesis sample in if you wish to run cytology?
What should you do if you do not get a lot of fluid in your sample?
Make an air dried smear
What can you put your sample in if you suspect infection?
Blood culture bottles - they provide bacteria with a friendly environment so they can be cultured and possibly identified
How do you tell the difference between iatrogenic and pathological bleeding in a joint sample?
When the sample is still in the syringe barrel, if there is iatrogenic blood there will be distinct separation between blood and synovial fluid. Whereas, if it is a pathological cause the blood will be mixed with the joint fluid and it will have a homogenous appearance.
What is the normal volume of joint fluid samples in cats and dogs?
Cats = 0-1ml
Dogs = 0.1-1ml
The amount of fluid you can take for a sample will increase/decrease in diseased joints?
What does normal joint fluid look like?
Clear/egg white in colour and it will form a gel in the sample tube.
What does joint fluid look like in a) DJD b) inflammatory disease c) septic joints?
a) clear to pale yellow
b) the turbidity of the fluid increases
c) very abnormal in colour, blood is often present, often have a bad smell
What is the viscosity of normal joint fluid?
Viscosity will be increased/reduced in inflammatory disease?
Reduced - normal joint fluid should not be watery
How do you prepare a synovial smear?
Put a small drop of synovial fluid on your slide. Take another slide and place it on top of your sample. Do not apply pressure - you just want to sit the two plates on top of each other or you will squash all the cells. Swipe the top plate steadily across the bottom plate to evenly spread the sample. The smear should be air dried very quickly to preserve all the cells. The slide can be stained using Diff Quik, any standard Romanowsky stain or any routine haematology stain.
What should you be assessing when looking at cytology of a synovial smear?
Always eyeball the smear before putting it under the microscope
First examine the background - the polysaccharides should be a pink haze
Assess the amount of red cells - high number indicates iatrogenic or pathological bleeding
Platelet clumps will occur if there is bleeding at the time of sampling
Count numbers of large mononuclear cells, lymphocytes, neutrophils and eosinophils.
Finally assess the nucleated cell count
What will be seen on cytology if there has been acute haemarthrosis/longstanding haemorrhage?
Acute haemorrhage - platelets
Longstanding haemorrhage - no platelets, increased numbers of white cells, erythrophagocytosis, haematoidin crystals within macrophages and haemosiderin deposits within macrophages
What do the following changes in biochemistry indicate about a joint sample? a) Increase in total proteins b) Reduction in glucose levels
a) Inflammatory arthropathies
b) Bacterial infective arthritis
Card Set:
Joint Pathology
2014-12-21 13:58:19
Joint Pathology
Vet Med - Module 7
Show Answers:


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Foreign Direct Investment in Less Developed Countries : The Role of ICSID and MIGA
James C. BakerISBN: 1567203124;
The International Centre for Settlement of Investment Disputes (ICSID) and the Multilateral Investment Guarantee Agency (MIGA) are two of the more significant international agencies whose objective is to promote foreign direct investment in less developed countries (LDCs). This is the first detailed treatment of their establishment, the history of their operations, and an evaluation of these operations. Drawing on cases, Baker shows how the functions of these two agencies have encouraged a significant amount of foreign investment in LDCs and how the operations of these two agencies continue to grow in importance. Scholars, professionals, and policy makers will find this to be the most comprehensive description available of these important agencies.
- OZON.ru 12570


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Ledelle Dining Room Server
Hot Sale Ledelle Dining Room Server
Hot Sale Ledelle Dining Room Server
With the rich Old World beauty of serpentine flowing curves and elaborately moulded ornate detailing all bathed in a dark cherry stain finish, the "Ledelle" dining collection flawlessly transforms the décor of any dining a with a sophisticated atmosphere that is sure to enhance any dining experience. Elaborately moulded ornamentation throughout China is lighted with mirrored back Chair seats upholstered in a burgundy and gold toned small lattice textured fabric D705-03, -03A chair has round back D705-50B needs the D100-50T Beveled Gl Table Top. Harmonization Code 9403608081 Style Old World Product Height 60.75 Product Width 41.25 Product Length 23.5


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The Extra Man. Kevin Kline as I've missed seeing him for years. I sort of want to punch Paul Dano in the face, but he's really excellent, too.
Just brilliant. And quite possibly the most quotable movie I've seen in 10 years.
I go everywhere in my Electra! I drive all around Manhattan looking for "it." And I mean "it" in the Kerouac sense.
No! Go back! Back to your room! I don't like you lurking there in the shadows. I can't be seen while I'm dancing. I forgot you were here. Next time I'm exercising I'll wait until you're gone. Sometimes the need is too great. I must keep in shape. I try to move whatever I think is rotting.


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Eric Schmidt moderates a discussion with Thomas Friedman about the then-current book, "The World is Flat." This Talk was recorded in 2005.
Robin Williams also took the stage during the Q&A.
You can find more books by Thomas Friedman at https://goo.gl/R7FphC .
This is the earliest-known footage from a Talks at Google event.


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Slope Field PlotterThe Science Library and the Clapp Library are each equipped with Large Format Plotter Printers. HP Mobile Printing¹ allows you to easily integrate with your other office devices. I have used the Serial Plotter in my Tweeting Weather Station to visualize the reading of the various sensors on the Weather Station. I called one repair company, who promised to make a house call and then later stated that due to insurance reasons (whatever that means), I could bring my 70 pound printer to them, but they could not come to me.
The researchers, from the Fraunhofer Wilhelm Klauditz Institute (WKI) in Braunschweig, Germany, and Queensland University of Technology (QUT) in Brisbane, Australia, have found that laser naprawa ploterow release hardly any toner particles into the air. We've got our own in house Makerspace with seven 3D printers running around the clock. Revenue from Xerox's document technology business, which includes printers and copiers, fell nearly 7 percent but the decline slowed from 10-13 percent in the prior four quarters.
Sublimation Inks were developed for Ink Jet Printers after 2000, and at the same time the 'Cool Dry' Sports material was developed using 100% polyester. Followed Richard Fitzwater's fix to uninstall the ABBY FineReader app, which comes bundled with my ancient Epson NX125 Printer. These issues should be considered for selecting the best among all printers available in the market.
It is accomplished stroke by stroke with a real pen at certain angle to the paper but just by a robotic arm, which moves in a steady programmed way. Also, the quality produced by laser printers is very book-like, and hence they can also be misused. A few printers connect using a serial port or small computer system interface (SCSI) port. naprawa ploterów HP accept every single color you choose as long as it is in the CMYK range.
Inkjet printers at Staples are typically lower priced than laser printers and are often smaller in size. You'll probably want the original HP 7475A documentation from the (unofficial) HP Computer Museum before digging in. Not mentioned anywhere: the two washers at the rear edge of the case are not identical. Please note that if you have a ZP 450, GK420d or any other 4 x 6 printer, the Zebra LP 2844 4 x 6 setting in eBay will work with your printer.
In recent years the use of cutting plotters (generally called die-cut machines ) has become popular with home enthusiasts of paper crafts such as cardmaking and scrapbooking Such tools serwis ploterow w Poznaniu allow desired card shapes to be cut out very precisely, and repeated perfectly identically. Buy your toner off of eBay and refill the Brother cartridge that came with the printer.
Laser naprawa ploterow are suited to regular use and printing in high volume thanks to large capacity toners and far quicker print speeds. Post corrected to note that these are not new printers but are getting new firmware; also corrected reference to hacktivation process. It's important to understand that there are two ways to do this in Unlike other plotter emulators, supports both host-requested and device-initiated plotting operations.


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Course Offering
- IT-Training by IT Learning Solution»
- Digital Transformation
- e-Learning
- Training by Technology
- Cloud Computing
- Collaboration
- Data Center
- Enterprise Mobility
- FlexPod
- Internet of Things (IoT)
- IPv6
- Security
- VersaStack
- Virtualization
- Wireshark / Packet Analysis
- Training by Vendor
- Barracuda
- Cisco»
- Cisco Learning Services»
- Cisco Sales & Business
- CompTIA
- Gigamon
- Microsoft»
- NetApp»
- NotSoSecure
- Pivotal / Spring»
- Red Hat Linux / JBoss»
- Progress
- Veritas
- VMware»
- Voss
Progress Sitefinity Overview
Progress Sitefinity is a Content Management System (CMS) that facilitates the creation of personalized, cross-channel customer experiences using predictive analytics. Creating, editing, previewing and publishing content is made easy with Sitefinity's intuitive user interface and inline editing. Sitefinity allows you to embrace a CMS as part of an integrated marketing strategy to get the maximum value from your web assets. IT Learning Solution is proud to have partnered with Progress to be the first to offer developer training on Sitefinity!


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Federation of State Medical Boards Model Policy Guidelines for Social Media
The Federation of State Medical Boards (FSMB) recently released new guidelines for health care providers regarding the use of social media, in the interest of protecting patient privacy and personal boundaries. The guidelines, developed by the FSMB's Special Committee on Ethics and Professionalism, point out that despite the potential of social media for patient care, that potential must be reached within the "proper framework of professional ethics."
The Model Policy Guidelines for the Appropriate Use of Social Media and Social Networking in Medical Practice provide guidance to the FSMB membership with regard to the use of electronic and digital media by physicians (and physician assistants, where appropriate) that may be used to facilitate patient care and nonprofessional interactions. Such electronic and digital media include, but are not limited to, e-mail, texting, blogs and social networks.
These guidelines are meant to be a starting point for the discussion of how physicians should properly communicate with their patients using social media. These guidelines will need to be modified and adapted in future years as technology advances, best practices emerge, and opportunities for additional policy guidance are identified.
QuantiaMD surveyed more than 4,000 physicians and reported in September 2011 that 87 percent use a social media website for personal use and 67 percent use social media for professional purposes. In addition, there is evidence that physicians connect with patients through social media websites. Research indicates that 35 percent of practicing physicians have received friend requests from a patient or a member of their family, and 16 percent of practicing physicians have visited an online profile of a patient or patient's family member.
Social media use presents several challenging questions for administrators and physicians, such as where the boundary of professionalism lies, and whether work experiences can be shared without violating the privacy and confidentiality of patients. One meta-analysis of physician blogs found that nearly 17 percent included enough information about patients for them to be identified.
most physician licensing authorities in the United States have reported incidents of physicians engaging in online professionalism violations, many of which have resulted in serious disciplinary actions. In a 2010 survey of Executive Directors at state medical boards in the United States, 92 percent indicated that violations of online professionalism were reported in their jurisdiction. These violations included Internet use for inappropriate contact with patients (69 percent), inappropriate prescribing (63 percent), and misrepresentation of credentials or clinical outcomes (60 percent). In response to these violations, 71 percent of boards held formal disciplinary proceedings and 40 percent issued informal warnings. Outcomes from the disciplinary proceedings included serious actions such as license limitation (44 percent), suspension (29 percent), or revocation (21 percent) of licensure.
The FSMB has developed this policy to encourage physicians who use social media and social networking to protect themselves from unintended consequences of such practices and to maintain the public trust by:
- Protecting the privacy and confidentiality of their patients
- Avoiding requests for online medical advice
- Acting with professionalism
- Being forthcoming about their employment, credentials and conflicts of interest
- Being aware that information they post online may be available to anyone, and could be misconstrued
Appropriate Physician-Patient Relationship
The physician-patient relationship can begin without a personal encounter, which allows for online interactions to constitute the beginning of the relationship. Physicians should remember that when using electronic communications they may be unable to verify that the person on the other end of the electronic medium is truly the patient; likewise, the patient may not be able to verify that a physician is on the other end of the communication. For that reason, the standards of medical care do not change by virtue of the medium in which physicians and their patients choose to interact.
Even seemingly innocuous online interactions with patients and former patients may violate the boundaries of a proper physician-patient relationship. Physicians should not use their professional position, whether online or in person, to develop personal relationships with patients. The appearance of unprofessionalism may lead patients to question a physician's competency. Physicians should refrain from portraying any unprofessional depictions of themselves on social media and social networking websites.
Parity of Professional and Ethical Standards
To ensure a proper physician-patient relationship, there should be parity of ethical and professional standards applied to all aspects of a physician's practice, including online interactions through social media and social networking sites. Referencing the FSMB House of Delegate's Model Guidelines for the Appropriate Use of the Internet in Medical Practice, adopted in 2002, physicians using social media and social networking sites are expected to observe the following ethical standards:
Candor: Physicians have an obligation to disclose clearly any information (e.g., financial, professional or personal) that could influence patients' understanding or use of the information, products or services offered on any website offering health care services or information.
Privacy: Physicians have an obligation to prevent unauthorized access to, or use of, patient and personal data and to assure that "de-identified" data cannot be linked back to the user or patient.
Integrity: Information contained on websites should be truthful and not misleading or deceptive. It should be accurate and concise, up-to-date, and easy for patients to understand. Physicians using medical websites should strive to ensure that information provided is, whenever possible, supported by current medical peer-reviewed literature, emanates from a recognized body of scientific and clinical knowledge and conforms to minimal standards of care. It should clearly indicate whether it is based upon scientific studies, expert consensus, professional experience or personal opinion.
Guidelines for the Appropriate Use of Social Media and Social Networking in Medical Practice
The following guidelines are recommended for physicians who use social media and social networking in their personal and professional lives.
Interacting with Patients
Physicians are discouraged from interacting with current or past patients on personal social networking sites such as Facebook. Physicians should only have online interaction with patients when discussing the patient's medical treatment within the physician-patient relationship, and these interactions should never occur on personal social networking or social media websites. In addition, physicians need to be mindful that while advanced technologies may facilitate the physician-patient relationship, they can also be a distracter which may lessen the quality of the interactions they have with patients. Such distractions should be minimized whenever possible.
Discussion of Medicine Online
Social networking websites may be useful places for physicians to gather and share their experiences, as well as to discuss areas of medicine and particular treatments. These types of professional interactions with other physicians represent an ancillary and convenient means for peer-to-peer education and dialogue. One current example is Doximity, a professional network with more than 567,000 U.S. physician members in 87 specialties. Using Doximity, physicians are said to be able to exchange HIPAA-compliant messages and images by text or fax and discuss the latest treatment guidelines and medical news in their specialty.
While such networks may be useful, it is the responsibility of the physician to ensure, to the best of his or her ability, that professional networks for physicians are secure and that only verified and registered users have access to the information. These websites should be password protected so that non-physicians do not gain access and view discussions as implying medical advice, which may be counter to the physicians' intent in such discussions. Physicians should also confirm that any medical information from an online discussion that they plan to incorporate into their medical practice is corroborated and supported by current medical research.
Just as in the hospital or ambulatory setting, patient privacy and confidentiality must be protected at all times, especially on social media and social networking websites. These sites have the potential to be viewed by many people and any breaches in confidentiality could be harmful to the patient and in violation of federal privacy laws, such as HIPAA. While physicians may discuss their experiences in non-clinical settings, they should never provide any information that could be used to identify patients. Physicians should never mention patients' room numbers, refer to them by code names, or post their picture. If pictures of patients were to be viewed by others, such an occurrence may constitute a serious HIPAA violation.
At times, physicians may be asked or may choose to write online about their experiences as a health professional, or they may post comments on a website as a physician. When doing so, physicians must reveal any existing conflicts of interest and they should be honest about their credentials as a physician.
Posting Content
Physicians should be aware that any information they post on a social networking site may be disseminated (whether intended or not) to a larger audience, and that what they say may be taken out of context or remain publicly available online in perpetuity. When posting content online, they should always remember that they are representing the medical community.
Physicians should always act professionally and take caution not to post information that is ambiguous or that could be misconstrued or taken out of context. Physician employees of health care institutions should be aware that employers may reserve the right to edit, modify, delete, or review Internet communications. Physician writers assume all risks related to the security, privacy and confidentiality of their posts. When moderating any website, physicians should delete inaccurate information or other's posts that violate the privacy and confidentiality of patients or that are of an unprofessional nature.
To use social media and social networking sites professionally, physicians should also strive to adhere to the following general suggestions:
- Use separate personal and professional social networking sites. For example, use a personal rather than professional e-mail address for logging on to social networking websites for personal use. Others who view a professional e-mail attached to an online profile may misinterpret the physician's actions as representing the medical profession or a particular institution.
- Report any unprofessional behavior that is witnessed to supervisory and/or regulatory authorities.
- Always adhere to the same principles of professionalism online as they would offline.
- Cyber-bullying by a physician towards any individual is inappropriate and unprofessional.
- Refer, as appropriate, to an employer's social media or social networking policy for direction on the proper use of social media and social networking in relation to their employment.
Medical Board Sanctions and Disciplinary Findings
State medical boards have the authority to discipline physicians for unprofessional behavior relating to the inappropriate use of social networking media, such as:
- Inappropriate communication with patients online
- Use of the Internet for unprofessional behavior
- Online misrepresentation of credentials
- Online violations of patient confidentiality
- Failure to reveal conflicts of interest online
- Online derogatory remarks regarding a patient
- Online depiction of intoxication
- Discriminatory language or practices online
State medical boards have the option to discipline physicians for inappropriate or unprofessional conduct while using social media or social networking websites with actions that range from a letter of reprimand to the revocation of a license.
Ryan Greysen, M.D., co-author of a recently published research letter in the Journal of the American Medical Association focusing on the online behavior of doctors, told Slate, however, that following such directions is often easier said than done.
"Like everyone else, doctors sometimes stumble in their online behaviors and make mistakes in judgment about content they post," he said. "They think they're doing nothing wrong, but unfortunately, the disciplinary responses can be a big deal."
FSMB is not the first entity to offer its input on guiding social media use by providers. Earlier this year, the ECRI Institute published a report outlining ways to mitigate social media risk in healthcare. And last fall, legal resource Avvo published a report on social media tactics for physicians