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Seeking Answers To Cellulite Issues? Read This Article
Lots of folks are looking for answers to their cellulite dilemma, but few are finding solutions. If you're looking for ways to deal with your cellulite once and for all, you've landed on the right page. Keep reading for more ways to get rid of cellulite.
Green tea is a great option to battle cellulite. Green teas are full of great components for helping the body process fats better. This also means less cellulite. You can also go with green tea pills that work much better, if it's something that you prefer.
Only use plastic surgery to fix your cellulite as your last possible resort. This procedure is dangerous, and there are many other treatments available to treat cellulite. You should only get surgery if you have tried everything else and there has been no improvement.
If you think you're always battling with cellulite, you have to drink more water. However, it works best when it is done as a preventative measure. You need water to hydrate your skin. Staying hydrated also allows your body to purge cellulite-causing toxins from your body. Try to drink at a minimum of 6 glasses every day.
Make sure you stay hydrated, and get foods in your diet that are rich in healthy oils. Why is this a must? Simply due to the fact that well-hydrated skin evidences far less of the kind of dimpling that comes with cellulite. Your skin is actually fuller and helps to mask the indentations. This is a simple way of dealing with cellulite.
Eating proper nutrition can greatly prevent and reduce cellulite. Lecithin-rich foods are great at eradicating cellulite. Spinach, peanuts and lettuce are examples of foods with a lot of lecithin. Don't eat junk food with lots of fat.
If you are someone that smokes, you need to work on quitting. Smoking simply exacerbates an existing cellulite problem. Damaging toxins enter the body, and that makes skin more tough. This will just make your cellulite even worse. Aging-related problems such as wrinkles will follow. If you can't seem to quit, talk to a doctor to find out if you can get help.
A better diet can help you in your battle with cellulite. Enjoy lots of healthy vegetables and more fresh fruit. They leave an alkaline ash behind that can help make sure your body looks its best. Juicing is another way to help improve your skin.
Reduce your stress levels. Stress can cause cellulite. Stress facilitates the production of cortisol, a hormone that makes the body store fat and thins the skin. Do some yoga or try to meditate. Go for a relaxing walk. Find an activity that calms you, and ensure you are getting enough rest nightly.
You must understand that cellulite alone does not necessarily evidence an unhealthy weight or lifestyle. A lot of women have cellulite, including famous people, and there isn't much to do to rid your body of it. Remember, you aren't the only person with cellulite. Try not to let it affect your self-image.
To reduce cellulite, reduce your everyday stress level. Stress causes real chemical changes in your brain and body. It can cause the body to hold onto fats that are not helpful. Reducing stress will lead to a healthier, better-looking you.
Eat healthy foods, omega-3 oils and drink a lot of water during the day. Why you may ask? Because hydrated bodies make the effect of dimpling less noticeable when you have cellulite. Given the proper kind of hydration, the skin looks plumper and less dimpled. It's a simple way to get rid of cellulite.
Want long lasting results that make your cellulite disappear? Getting a massage can tighten up the bumps in your thighs. Whether you go out to the spa or have a loved one rub you, you can see results quickly.
As you can see from the above article, all it takes are a few solid tips about dealing with cellulite to put you on the right tract to take care of the problem. Cellulite should not control your whole life. Use these tips to get rid of your cellulite and get on with your life.


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Neumann beats Keystone to win fifth Colonial States Athletic championship
ASTON, Pa. -- Top-seeded Neumann defeated Keystone 14-6 to win its fifth Colonial States Athletic Conference championship on Saturday at Bruder Field.
Neumann took an early 1-0 lead in the bottom of the second before the Giants scored three runs in the top of the third. The Knights stormed back, scoring three runs in the third and four runs in the fourth to take an 8-3 lead. The Giants pushed two runs across in the fifth.
Keystone added another run in the fifth to cut the deficit to 8-6. Neumann added one run in the fifth and then five in the sixth in a six-inning game.
Callie Emel led Neumann with four hits and two RBIs while Jackie Herrington had three hits and two RBIs. Megan Williams, Danielle Grayson, Allyson Parris and Mariah Ripken all had two hits apiece.
Abby Cohen led the Giants with four hits and one RBI while Lisa Ostrander had two hits and two RBIs.
Lauren Wilke worked 4.1 innings for the Knights (29-14), allowing three runs on seven hits while striking out three. Kristin Beaty came in and pitched 1.2 innings, giving up three hits and two runs while striking out two.
Ripken was named the championship MVP.

subset: commoncrawl


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Duc de (b 1733; d 1824). French inventor of hard-paste porcelain, using kaolin from Alençon; he made a small number of pieces from 1763–8, most of which are in the ...
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5 March 2003
Kynn Bartlett wrote in our comments that Geek Cruises are too expensive. Here's my response:
Too expensive has to be seen in the light of, too expensive compared to what?
Here's a quick comparison of MacMania to Macworld NY, which isn't an exact equivalent, but it's close. I've left off airfare, because airfare from CA to NY is approximately that of airfare from CA to Hawaii.
Macworld NYC
Platinum Pass: $1500 (Note: 2002 cost, may be more in 2003)
Hotel (6 nights @ $150/night): $900
Transportation and food (7 days @ $50/day): $350
Total: $2750
Conference fee: $1000
Inside cabin: $1050
Total: $2050
Now you say: but the NYC conference includes lodging for two, and on the cruise you have to share a room. Okay, here's the numbers for a couple looking to go to both:
Macworld NYC
Platinum Passes (2 @ $1500): $3000
Hotel (6 nights @ $150/night): $900
Transportation and food (7 days @ $100/day): $700
Total: $4600
Conference fee (2 @ $1000): $2000
Inside cabin: $2100
Total: $4100
which is still considerably cheaper. Of course, I've listed only the cheapest class of lodging in both cases; obviously, it's easy to upgrade your room at a higher rate for both conferences. The same goes for the quality and quantity of food.
Of course, what's most important is the value of what you get for that dollar. Like a lot of frequent conference attendees, I think that the most valuable part of any conference isn't the seminars, but the interaction between the attendees and each other, and between the attendees and the speakers.
Given this criterion, MacMania blows away just about any other conference I've ever been to. Attendees don't have a choice about interacting with each other and with speakers. That's who you have three meals a day with, that's who you hang out at the pool with, and that's who you see in the evening. The classes themselves end up being a very small part of the overall conference value in comparison to, say, getting Sal Soghoian to debug your AppleScripts over after-dinner drinks.
I've worked for both conferences in the past, and I hope to again in the future. But strictly in terms of conference value per dollar, I think that MacMania comes out way ahead. And I believe that the MacMania numbers can be extrapolated to those of the Geek Cruises overall.


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Half Wolf
by Aimee Easterling
series Alpha Underground #1
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Absolutely entertaining 😊Fen . . . Fen . . . Fen . . . swoosh went the sword that Wolfe gifted, now she must move on. Bloodlings, Halfies now pure breeds, together as one, watching, protecting devoted to each other. Enters a masculine domineering hulk of a man powers to stop you in place voted 'nay or yay.' Cowboy looks suave persona, voted 'yay' now things turn around and action begins. I was fooled and deceived which absolutely caught me by surprise. Halfies hunted and halfie she is, Fen will defend and others will too. Ginger is flippant funny, strong opinionated and soooooo promiscuous. Not what you think, okay maybe a little. I was floored by Ginger's actions, I laughed so hard that it wasn't funny, nah . . . it was and still is funny. Hunter caught on but Fen didn't, still a low growl emitted the air. Oh, forgot to mention Glenn got me curious, low key but followed Fen to protect her, hmm . . . Aimee what about Glenn? The author wrote with such vigor of fluidity that each scene danced around my mind, either I was left laughing, or getting angry at Fen's stupid 'oops,' I mean stupor wolf or angry at the other characters. I had to constrain myself from saying a lot of things , it will behoove you to get the book and read it for yourself. Intrigue holds the cards here and when it does show its hand, you will be stupefied like how I felt after reading this story. Did I like this story? You betcha, I was floored, I was entertained. Thank you to the author who provided me with a free digital download in exchange for an honest review and this is my honest review. Thank you, Darlene Cruzby Darlene on March 16, 2017
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Great story!Good story. Fen was whiny and refused to see her wolf's strength and her own weakness. But with head held high, she tries her best to lead a small pack without relying on her wolf. There is a lot of action as things get difficult for them. Plus she tries to come to terms with her mate being who he is. The book was well written and am looking forward to see where Fen goes from here.by Gay C. on March 16, 2017
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AMAZINGThis book is absolutely riveting, I can't wait to continue reading the series!by Jessy on December 26, 2017
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Half WolfI really enjoyed the book. Nice to have a different approach to the wolf/human scenario. Being half wolf can take you anywhere you want to go in a story or your imagination because there are no set of rules for them. A true werewolf comes with rules on what they are supposed to be able to do. So great job on creating a great character.by Biffany on January 02, 2018
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I love this writerI was so excited after reading the new Alpha Underground Series Book-Half Wolf novel by Aimee Easterling, that I wrote this review. I received it for free in exchange for a review, but I love this genre, this writer and her characters. Another truly riveting story of an underdog coming of age. I usually read these books without interruption, but was unable to this time. I could not wait to get back to the story. What would the main character, Fen, do next? How would she solve the next big problem in her fledgling pack? How would she come to terms with her personal feelings versus her pack loyalties? You'll have to find out for yourself as you read the book.by Elizabeth M M. on March 16, 2017
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by Aimee Easterling
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Half Wolf
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by on August 21, 2018
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Top Ten Ways to Get Rid of Your Farrier
- Have your horse shod once a year, then complain to everyone you know 'the shoes just fell off!'
- Do not handle your horses feet at all. Especially the young ones.
- Make sure your horses are loose in the pasture when the farrier arrives. The larger the pasture, the better.
- Read horse magazines so that you can instruct your farrier on the latest shoeing techniques.
- Fill the shoeing area with as many obstructions as possible. Dogs and children count extra.
- Be sure and feed the other horses while the farrier is working.
- Lead the horses through mud before bringing them to be trimmed or shod.
- Don't clean your stalls and don't use fly spray.
- Complain about the bill shortly after pointing out and discussing the huge price of your new truck, daughter's horse, boat, etc.
- Always wait until the last minute to schedule your appointments, insist that the farrier come right away. Then, avoid paying the bill as long as possible.
How many of these are you guilty of? Have any you could add?


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Several websites offer 2014 monthly calendars, including CalendarLabs.com, TimeandDate.com and WinCalendar.com. CalendarLabs.com and WinCalendar both offer monthly calendars as Word documents, while TimeandDate.com offers calendars in PDF format.Continue Reading
At CalendarLabs.com, users browse through a variety of 2014 monthly calendar templates, including floral templates and ones with graphics. Users can also download templates with holidays themes and with antique designs. At TimeandDate.com, users fill out a form with the year, month, country, state and language. It is also possible to choose the heading of the calendar. WinCalendar has a list of monthly calendars available in portrait and landscape formats.Learn more about Internet & Networking


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Helen Macadangdang Galiza
Posted On December 9th, 2012 - Honolulu Star-Advertiser
Dec. 2, 2012
Helen Macadangdang Galiza, 43, of Hanamaulu, Kauai, a Walmart Lihue sales associate, died in Wilcox Memorial Hospital. She was born in Bacarra, Ilocos Norte, Philippines. She is survived by husband Willie; mother Damiana Macadangdang; brothers Rolando and Emmanuel Macadangdang, and Federico Macadangdang Jr.; and sisters Lerma and Lilliebeth Dela Cruz, Edna Georghiades, and Priscilla Soriano. Visitation: 8 a.m. Dec. 20 at Immaculate Conception Church. Mass: 10 a.m. Burial to be held in the Philippines.
Posted in Death Notices


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David DeCastro
Sponsored By
Ben Roethlisberger On Future: 'I'm Not Going To Look Past One Year'The season may be over for the Steelers, but The #1 Cochran Ben Roethlisberger Show rolled on for one more week and, as usual, Ben made plenty of headlines.
Antonio Brown Only Unanimous AP All-Pro Selection, 3 Other Steelers Join TeamAntonio Brown is one of four repeaters from last season on The Associated Press 2017 NFL All-Pro Team, and the only unanimous choice.
Roethlisberger: Even Burfict's Teammates 'Can't Stand' The Way He PlaysThe Steelers came out of Cincinnati last week with a big 24-20 victory over the Bengals, but it's not truly a Steelers-Bengals rivalry game without some Vontaze Burfict controversy, and that's where things started on this week's edition of The #1 Cochran Ben Roethlisberger Show.
Steelers Sign Guard David DeCastro To 6-Year DealThe Steelers announced on Thursday that the team signed guard David DeCastro to a six-year deal. Financial terms of the contract were not made public.
Ramon Foster: Multiple Bengals Spit On Steelers, Not Just BurfictSteelers OL Ramon Foster joins The Fan Morning Show
Steelers Making History, Improvements Ahead of Ravens RivalryThe Pittsburgh Steelers are focused on their rematch with the Baltimore Ravens this week while the team rides a wave of positives on offense.
Steelers Roethlisberger, Brown, DeCastro Selected For 2016 Pro BowlThe Pittsburgh Steelers will be represented by three players at this year's Pro Bowl next month in Hawaii.
Dunlap: DeCastro Deserves As Much Credit As BellAre you going to knock me down or am I going to knock you down? The proposition ended up being that simple.
Counting Down The Top 10 Notable Draft Picks Of The Mike Tomlin Era: Number 9Over the next 10 days, Kirk Larrabee of 247Sports.com will be counting down the "Then Draft Picks Of Note" from the Mike Tomlin era.
Report: Steelers Pick Up 5th-Year Option On Guard David DeCastroHaving established himself as a key cog on the Pittsburgh Steelers offensive line, the team has picked up the fifth-year option on guard David DeCastro.
Steelers Rushing Game Relies On Offensive Line IdentityThe Pittsburgh Steelers have watched their rushing offense wax and wane based on the performance and identity of Mike Munchak's offensive line in 2014.
David DeCastro 'Really Likes' No-Huddle OffenseSteelers guard David DeCastro joined The Fan Morning Show Wednesday, and caught up with former teammate Larry Foote.


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Contemporary a cappella is an ensemble art. When you isolate each singer to get the "best" performance, you have just removed one of the most important aspects of a cappella -- the ensemble. There is no longer an integral relationship or interaction between the singers. Additionally, current a cappella studio productions techniques can easily sap the nuances (yes, even imperfections) of pitch and dynamics that give character, power, and individuality to your performance.
If you want an album with energy and emotion, record together as an ensemble. This is standard practice with classical vocal ensembles, and it is also found frequently in the jazz and folk community.
Does the recording actually sound like the you, the Dynamics?


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20 years ago. Wow. I wrote HERE five years ago about my tangential personal connection to the OJ case. A lot has been made over the last week, because of the 20th anniversary today of the white Bronco freeway chase, about how the verdict in his celebrated criminal case split the nation along racial lines at the time. And I suppose that's my memory, too.
But I wonder whether, if the wildly popular CBS television show C.S.I. had aired just a few years earlier than its premier in the year 2000, that verdict might not've been different. I also haven't seen any poll taken today about OJ's guilt or innocence. I suspect strongly that there wouldn't be such a distinct racial divide on this issue now.
Tuesday, June 17, 2014
My "Don't Tell OJ Simpson" Moment From 1989
Posted by Admin at 9:39 PM 3 comments
Labels: Celebrities I've Met
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Image Optimization is another aspect of your onsite SEO that can improve your search engine ranking and drive more traffic to your website. There are some image optimization best practices such as using alt tags and title tags, as well as naming images to help you get the most SEO benefit from your images.
How Google Classifies Your Images
First, let's talk about how Google classifies your images. Google is interested in helping people find the images they are looking for. The first thing Google does is try to identify all the duplicate images and filter them to show the best one. This means that, like content, unique images will win out against images that have a lot of replication. Next, Google results can be filtered, by size, type, and color. The types include news, faces, clip art, line drawings and photos. So these categorizations of your image are important, because people use these filters to narrow their image search, and this gives you an opportunity to position yourself for very specific image search results.
Using Alt Tags
Alt tags are vital for your images. Alt tags are the alternate text that is displayed when the image is not available, and search engines use this text to identify what the image is. For example, the alt tag for a banana would be, (you guessed it) banana. In most cases, the alt tag really is that straight forward.
Using a Title Tag for your Images
While not as important as the alt tag, the title tag is also important. The title tag is the title of the picture, and should describe it accurately. Users will see this title when their mouse hovers over the picture.
Image Captions
Image Captions describe the picture in detail. The more details you provide, the easier it's going to be for the search engines to rank your picture.
Naming Images
Which image name tells you more about the image: tf7g9.jpg or yellow_banana.jpg? Naming your images to reflect the substance of the image is important. This image name also shows up in the URL where the picture is located. So your url would look like this: http://example.com/yellow_banana.jpg This URL, in addition to the alt tag, title tag and caption, helps search engines understand what the picture contained on the page is.
Images Optimization Best Practices
These are some best practices for image optimization according to Google. In general, try to provide the best user experience on the page as a whole. This includes:
- Thinking about what the user is looking for and trying to provide that with your images
- Offering high quality images
- Providing lots of descriptive text
- A good image title
- A strong caption
- Related pictures
- Ability to rate pictures
- Immersing the user into an image centered experience


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If you having an apple device? So you must know about iTunes iOS 9.0.2 software. But we can introduce about this managing software for new download clients. This is authorized tool from apple for connect your device with PC and arrange device like own. Apple devices was also accept only apple devices for inter data transfer, sometimes Bluetooth or infrared. Other than you can transfer your data using computer. You have to download iTunes software and install that on your PC. Because you cannot connect apple devices with computer like other portable device connecting. Apples have some creative and settable ways also. After the iOS 9 version released iTunes developers is upgrade their software tool and they released latest v12.3 version for community. You can use now this software tool with extra compatible after install latest version. You can download iOS 9 iTunes update click with we putted download direct links.
Download itunes for iOS 9 firmware
Why did you install iOS 9 iTunes tool
Because iTunes is selected apple device developers, they said that this tool is most compatible and suitable tool to manage your apple device and exports import all data among PC and apple device. Other than is you can download this tool with no any cost. Direct links is process speed download for you. You have to after the download, install iTunes for iOS 9 on PC and complete your mind with connecting device with computer. You can use this tool for
- Backup device.
- Import export media files among PC and apple device with automatic converting.
- Store any details in this software tool.
- Backup iCloud details on iTunes.
And you can see many more features after installing. Other than is we can preset to you v12.3 version for suitable with windows 7 and 8 46bit completing. Follow this few step for begin process.
How to download and install iOS 9.0.2 iTunes v12.3
- Download software folder using download links.
- After the download you can run exe file.
- Start the installing process and wait few seconds for completing.
- Finishing the process you can connect your apple device and you can continue forward your working with iTunes.
Before the iOS 9 jailbreak process you must have to backup device to another location. So we this, iTunes is greatest way to transfer your personal details in instant.


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RAHWAY — Students from Kathleen Harris' pre-kindergarten class at Franklin School in Rahway presented a gift to their new superintendent, Edward Yergalonis. The students gave him an American flag made by the previous year's class using their handprints in red, white and blue. The 2010-11 pre-kindergarten students made the presentation during their first day of school. (Photo courtesy of Franklin School)
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Loved by Fred Olsen's staff and guests alike, beautiful Boudicca oozes a sense of class, style and elegance not seen or experienced on modern megaships and floating theme parks. On board Boudicca, like on all Fred Olsen ships, the emphasis is on providing an intimate and more traditional cruise experience, ensuring our guests disembark after their relaxing holiday as friends, not just customers.
Up to 880 guests can cruise in pure comfort on board Boudicca, enjoying ample space and fantastic restaurants, lounges, bars and facilities. Indulge yourself with delicious dinners in the Four Seasons, Tintagel or the Heligan Room restaurants; take a dip in one of the three heated pools; watch a show in the Neptune Lounge; simply relax on the Sun Deck; enjoy al fresco dining at The Grill and much more without ever feeling overcrowded. Cruising alongside hundreds, not thousands of like-minded travellers also ensures that staff on board Boudicca can provide Fred's renowned personal, attentive service, catering to your every want and need.
Boudicca offers plenty of opportunities to enjoy unforgettable sights and experiences as you cruise the worlds most spectacular waterways to a string of stunning destinations.


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Main menu:
About Us
Coast To Coast FM wants to come with a new concept!
We are one of the most listened Radiostations, with listeners from all over the world.
Since 27. November 2010 we play the best Hip-Hop and have a growing fan community.
The aim behind Coast To Coast FM is to offer a pure Hip-Hop Radiostation with a special selection of tracks for all Hip-Hop fans.
If you have any questions or ideas just drop us an e-mail.
Demos and Advertising
You are a professional R'n'B artist, label, DJ or producer and want your Song played on Coast To Coast FM?
Drop us a email with your Track and all necessary information.
Note: We only accept professional high quality material in mp3.
Bitrate should be at least 192kbps.
And all licensing/copyright rights should be on you.
Send your demos to: firstname.lastname@example.com
Our Program
with: Baby J , DJ Still, Lexic , Chellwu , DJ Mr. President


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In the wake of this month's marijuana legalization victories in Colorado and Washington, legislators in New England are ramping up efforts to be the next state to legalize. Lawmakers in Massachusetts, Maine, Rhode Island, and Vermont have all signaled they will be filing legalization bills next year.
"Last week, Washington and Colorado replaced their states' prohibitions on marijuana with a system of regulation and taxation," said Robert Capecchi, a legislative analyst with the Marijuana Policy Project, which organized a press conference with legislators last week.
"Both measures passed with roughly 55% voting in favor," Capecchi noted. "Gallup found 50% support for making marijuana legal last year, and that support has risen over the years. We are passing the tipping point when it comes to this issue. Unfortunately, lawmakers have traditionally been behind public opinion when it comes to marijuana policy reform. With these thoughtful legislators in at least four states planning on introducing sensible proposals to remove criminal penalties and regulate marijuana in their states, it's clear that ending marijuana prohibition is gaining momentum."
At the press conference, Rhode Island state Rep. Edith Ajello (D-Providence), who introduced legalization bills in 2010 and 2011, said she would do so again. "Our prohibition has failed," she said. "I think legalizing and taxing it, just as we did to alcohol, is the way to do it."
Maine state Rep. Diane Russell (D-Portland) said
Article source: http://www.thedailychronic.net/2012/13336/new-england-marijuana-legalization-bills-coming-in-2013/


text: Pink magazine - 6 August 1977 £14.99 Pink magazine - 6 August 1977 (Issue 225) Fair to good condition - magazine has been read - light cover wear - yellowing to page edges due to age BIKINIS - 2 page fashion photo shoot TURN-ONS AND TURN-OFFS - How do you know how to turn a fella on or off? Find out half-page feature (Plus star turn-ons and turn-offs. Small quotes from: David Soul, The Fonz, Robbie (The Dead End Kids) PAT McGLYNN - Reveals his secret fear half-page feature MARC HARRISON - double page poster [bare chest photo] DEREK PASCOE - rear cover poster Plus stories, problem page and more


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What scope for certifying forest ecosystem services?
Document Type
Publication details
Meijaard, E, Wunder, S, Guariguata, MR & Sheil, D 2014, 'What scope for certifying forest ecosystem services?', Ecosystem Services, vol. 7, pp. 160-166.
Published version available from:
Peer Reviewed
Ecosystem services have rapidly moved to the mainstream of environmental policies. Certification has for decades been a market-based tool for sustainability. Here, we assess whether certification of ecosystem services supports forest management and conservation. We look at forest ecosystem services, such as water regulation, carbon sequestration, and pollination provision, and evaluate the opportunities and constraints for developing systems to certify them. We discuss a series of challenges, and suggest that caution is needed: insufficient demand for multiple services, high biophysical service complexity, and elevated monitoring costs all indicate that opportunities for large-scale commercial viability of certified forest ecosystem services are limited. While some certification already exists for forest carbon services, we expect the certification of other services to remain a minor niche that seldom justifies major subsidies.


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From Edgewood, Kentucky, USA:
My five year old nephew, diagnosed with type 1 diabetes a few months ago, has just started first grade, and his mother gave the school nurse and his teacher her written instructions. On the first day of school, he was sent home with a high blood sugar level, and his mother is uncomfortable with leaving him at school all day because it does not seem as though anyone is working to control his blood sugar levels. The district has one nurse who travels between schools so there is not always a nurse present. This means that there is more than likely not going to be a nurse there to give a shot if needed. It seems as if he will be missing a lot of school. Is the school required to accommodate by hiring a full time nurse? Also, he is not allowed to ride the school bus. Is this legal?
The written instructions for the school should ideally be in the form of a 504 plan which outlines your nephew's diabetes requirement while at school along with both the parents' and school's responsibilities. This document is signed by the child's physician (essentially constituting doctor's orders), the parents and school personnel.
By law, if your nephew's doctors states that insulin is to be administered at school, the school cannot waive this responsibility. While the district cannot be mandated to hire a nurse, they must provide reasonable accommodations. In this instance, they would have to designate and train another school employee to administer insulin.
The same premise holds true for the school bus. If the district is unwilling to allow your nephew to ride with the other children, they must provide alternative transportation. They cannot mandate that parents be responsible for transporting him. The laws stipulate that a child with diabetes is entitled to the equal access to all school functions, including extracurricular activities and that reasonable accommodations must be made to assure this access. See The Law, Schools, and Your Child with Diabetes.
Additional comments from David S. Holtzman, Esq.:I agree the school district is not living up to its responsibilities. I would seek assistance from the State Board of Education to learn your rights and responsibilities. Explain what the situation is and where you think the school district is falling short.
Original posting 9 Sep 2002
Posted to School and Daycare
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The Blast is in trouble. That much is evident. That much Ron Newman and Kenny Cooper agree on.
"A couple of their boys weren't happy with the ball out there," said Newman, coach of the San Diego Sockers. "I could see it, and if I know one thing it is that it is very hard to fight through it.
"Their trouble now is confidence and Coops has a major job on his hands to turn it around."
Not surprisingly, Cooper, the Blast coach whose principal rival is Newman, sees it differently.
"I think the fact that we had been beaten badly by Wichita [9-2] Friday, were down 6-3 in the first half to San Diego Saturday and still fought back to have a chance to win shows we're a team that is sticking together and a team whose confidence is not the major problem."


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Brushstone Staircase Waterfall 1 Gallery Wrapped Canvas Wall Art
Brushstone Staircase Waterfall 1 Gallery Wrapped Canvas Wall Art
Product Description
Staircase Waterfall 1 is a beautiful reproduction featuring a breath-taking staircase waterfall. A wonderful piece to compliment any home or office.
- Features: Fade Resistant
- Measurements: 36 Width/Inches, 24 Height/Inches
- Weight (lb.): 6 Lb
- Base Material: 80% Cotton, 20% Wood
- Care: Wipe Clean
- Country of Origin: Made in US
webID: 4989365
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Springfield Commercial Division
Whether you are moving to a new neighborhood, a different state or making an international move, Murney Associates has the agents, relocation department and tools necessary to make the transition smooth. Contact a Murney Agent today to get started.
Mark Kerivan
417-823-2300 |Springfield Commercial Division
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It's Clone Trooper Hevy! He's got padded armor, a cool helmet, and a big gun. Should you get him? I think so. Read on!
It's Clone Trooper Draa! He was on Geonisis, is green, and has a lot of non-firing accessories. For this, he is awesome. Read on!
Another IG-86? The time fo The Clone Wars was lousy with them, and each figure is just a little different. If you love droids, maybe you'll want this Vulture's Claw version. Read on!
The second wave of Movie Heroes has less re-issue more new sculpt with action feature. More focused on play than display, they're still very displayable unlike the old action feature laden figures of old. A new iteration of Queen Amidala in Theed Palace battle outfit is most welcomed since we haven't had a version since 1999 and it badly needed an updated. How does she measure up?
We second our dose of pasty white, angry, former padawans turned gun for hire with the all new Aurra Sing from the Discover The Force Walmart exclusive wave of figures. Twelve years is a long time to upgrade from the almost pre-posed Power of the Jedi figure, but it's a worthy and even definitive effort.
Another Rebel Trooper from the opening of the saga! It's not exactly amazing, but it's notable if you need a bunch of slightly-different guys to fill a scene out. Read on!
The 2005 version was excellent, but Hasbro reinvented the AT-RT Driver last year and it's pretty good. Just like the old one. Is it worth shelling out for another, similar figure? Read on!
Hasbro has officially released their Toy Fair presentation to fan media and we have uploaded it to our Image Bank for your viewing pleasure.
Both Entertainment Earth and Diamond put up some new Star Wars items today, including swell new Vintage Collection and Clone Wars action figure cases. (And Transformers Bot Shots, which if you like Battle Beasts, you're probably going to love.) Want to know more? Check it out after the jump.
Check out Mace Windu, a retooled Vintage figure from early last year. It's different, but is it different enough? That's why we're here. Read on!
Hasbro posts the second short of their web exclusive Fighter Podcasts featuring one Sith playing a prank on another.
Check out another Clone Trooper! This one is yellow with blast damage, and was exclusive to Entertainment Earth in 2005. Is it good? Read on!
We have to get our information somewhere, and if it can't be from Hasbro, why not the Germans? After Hasbro decided not to release the Toy Fair 2012 Powerpoint Presentation to collector media last month for some odd reason, we finally get to see it courtesy of Figuren.com of Germany.
OK, so we just posted a gallery-- but don't you want to read more about the Mon Calamari Rebel Pilot? If you do, today's Figure of the Day is for you! The good news: he can sit in some A-Wings. The bad? Not well. Read on!
We normally like our Calamari lightly breaded, sauteed in garlic butter, with spicy cherry peppers, then pan fried to a golden crisp. But this new Mon Calamari A-Wing Pilot from the ROTJ Blu-Ray Deleted Scene is the business.


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Future directions for C# and Visual Basic
> While the lack of generic support for numeric types isn't a great thing, this is definitely not a performance issue.
Agreed. It's a nasty papercut. But issues like these really do put off native developers. I can't say that this alone had anything to do with the move back to C++, but well who knows.
>"B) they realized that native level performance really matters on mobile, and so does C and C++."
Java is pretty damn successful on Android.
Yes, and so is C++.
Lots of native apps are written on android, including Mono. Mono is also native on Android via C++. And mono can also run native on android.
> I guess the outside communication was "we don't use it due to performance issues", but as I said, just watch as they are now opening to Javascript and the excuses will change, just the real intention won't.
i don't know anything about the internal politics of MS, but I actually do think that the internal teams would probably have preferred to use C# for both Windows components and Office.
>"Interoperability with C / C++ / headers"
I can't really comment on it, but doubt this one is gonna happen, this would mean that the future characteristics of C++ (partially) define the future characteristics of C#, and would stop C# from being an independent language.
Mono will be addC++ interop in an upcoming release (at least they've blogged about it). Their interop uses a C++ compiler to automatically generate interop assembly code that can be directly consumed from C#.
>"Optimized Code Generation"
No, the code generated by the jitter is not well optimized, simply because there is no time to optimize it. .NET's jitter does not do hotspot optimization, and NGEN does not optimize.
Mono compiles AOT using LLVM, which is apple's optimizing C++ compiler backend.
> Anyways, in C#, features that support manageability and extensibility of large code bases will always be favored over ones that improve performance but lower the first two. Performance is the secondary goal.
Well, that's too bad for Microsoft's .NET I guess. I wonder how having to move the Windows 8 platform to C++ and javascript will help managability and extensibility?
Future directions for C# and Visual Basic
I'll also point out that the above list looks very different for Mono, proving that "it didn't have to be this way".
Future directions for C# and Visual Basic
Here is a comparison of iOS/Objective C and .NET in terms of what Objective-C supports that .NET does not that makes it work for Apple -> in the primary dev language role -- the role that .NET has largely been a failure for at Microsoft.
Interoperability with C ObjC/Yes .NET/PInvoke
Interoperability with C++ ObjC/Yes .NET/No(very difficult)
Interoperability with C/C++ headers ObjC/Yes .NET/No
Cost of call to native code ObjC/None .NET/Thunk
Optimized Code Generation ObjC/Yes .NET/No
CPU Vector Instructions ObjC/Yes .NET/No
CPU Auto Vectorization ObjC/Yes .NET/No
Management of large/complex Memory/Heap Objects ObjC/Yes .NET/No
GC, ref counting, and manual mm. ObjC/Yes .NET/GC only.
Direct marshalling of Memory Bufs to Heap Objects ObjC/Yes .NET/No (Ever wonder why it takes so long for game levels to load in .NET?)
Control of memory alignment ObjC/Yes .NET/No
Support for numeric generics ObjC/Yes(C++) .NET/No
Macro/practical metaprogramming ObjC/Yes(C preprocessor) .NET/No
Large working set sizes ObjC/No .NET/Yes
Slow startup time ObjC/No .NET/Yes
This is a very long list of very important missing features in .NET vs. Objective-C. This doesn't mean that .NET isn't useful as a high level application platform (like Java), but it does mean that it simply can't fill the role that Objective-C fills for OSX/iOS as the primary dev platform for Windows 8 or Win Mobile. This is the reason for the resurgence of C++ at Microsoft for WinRT and mobile.
Future directions for C# and Visual Basic
"Yep, with a lot of work, that few percent performance overhead C# currently has over C++ could have been almost completely removed. They chose to improve other areas that they considered more important."
@niall I understand where you're coming from, and trust me we're on the same side as far as preferring the 3-10% loss in performance vs. native. Unfortunately there's quite a bit of native code out there, and actually native performance and native interoperability does really matter.
Imagine if you were an Office programmer with 2-3 million lines of C/C++ code and you were told that over the next 3 years the team would be moving exclusively to C#. Would that make sense? If you understand why it doesn't, you'll understand where .NET went wrong during Vista and the continuing problems with where it is now.
Future directions for C# and Visual Basic
@rab36: I agree. Microsoft has pulled off unifying it's previously fractured platform again with WinRT, and looks to have positioned itself well into the future. Unfortunately for .NET that unification revolves around native code and C++, and not .NET. Sure there is nothing preventing anyone from writing apps in .NET, but it is not at the core of the platform, and it will not offer either the performance, nor easy interoperability with traditional C++ libraries. The platform is built on C++. The reason for this is simple: performance and interoperability with existing C and C++ code.
As a comparison, take a look at the iOS/OSX platform, which revolves around Objective C. Objective C is somewhat hobbled by it's reliance on selectors, which use a form of optimized dynamic dispatch. However Objective C actually "is" C and C++. C and C++ code can be intermixed freely in Objective C, you do not pay a penalty for JIT compilation, and code that does not use Objective C selectors runs with the same performance as any C/C++ function, and there is no GC penalty.
Contrast the strategy. In the mid 200x's Microsoft introduced Win/FX with WPF, WCF, and other major .NET based replacements for the native level Windows platform. Apple introduced Cocoa and the other NS based "kit" libraries for OSX. The .NET Windows platform is now deprecated on on it's way out in favor of the native Win 8 platform, while Cocoa became the standard platform across all apple devices.
Native performance and tight interop with C and C++ won on both platforms. Java has been deprecated on iOS, and .NET has been put in 2nd place (though certainly it is NOT deprecated) on Windows 8.
My post and original point was that it really didn't have to be this way.
Future directions for C# and Visual Basic
That, and I suspect that the Core desktop and application (Office) teams also put their collective feet down and insisted that the future platform not sacrifice native level performance
There's really so much that could be done to improve managed performance. Eliminating some of the thunking overhead by re-engineering the native compilers to be more managed friendly. Moving operations that would require native/managed interop into C#/VB. The biggest optimization that was never done was to AOT/NGEN managed code and add it to the cache using an optimizing compiler. Mono has done this for mobile platforms with LLVM, not microsoft. I really don't understand what the benefit is of running the JIT on all code each time it's run.. it slows performance and disallows serious optimiztion.
There's also the issue of a very poor interop experience with C and C++ code from managed code. PInvoke worked for C code but required transliteration of anything in the header files, but never for C++, and that put most C++ library access out of reach for managed code. No effort has really been put forward to solving these issues, or even admitting that they exist.
In any case, it's really a lost opportunity to push what is really a better platform towards covering more of the development stack, at least down into large complex applications, scientific work, or games. Instead the core and app teams decided to fix the module and platform issues with C++ and move forward.
Future directions for C# and Visual Basic
I spent a bit of time hovering over the keyboard before clicking "Comment", even returned a while later to re-read the post, and decided to leave the post as is. It just needed to be said.
If you check Microsoft Connect, you'll see that there are quite a few outstanding issues related to performance and access to the CPU and GPU. These issues date from as long ago as 2004 (lack of support for numerical operations in generics). There is still really no way to fully or easily access the power of either the CPU or GPU through .NET without dropping into native code, and even there you're dealing with thunking issues. This matters because .NET is the primary development platform for mobile devices, and these devices are underpowered relative to the desktop.
I fully appreciate that the old C/C++ infrastructure for the VB/C# compiler needs to be replaced, and that there is a nice upside to this in that it simplifies support for refactoring and other IDE features. However it's simply far more important to address the performance issues with the platform as a whole, and to recognize that it's primary use is no longer necessarily on desktops with desktop level cpu power, and not necessarily being used to write desktop web or LOB apps.
Future directions for C# and Visual Basic
So, essentially what the .NET team has been working on for the last four years is async (yes. absolutely amazing stuff) and then to follow that up.. wait for it.. a Microsoft version of Resharper?(!!!)
Seriously.. C# vNext is going to be nothing more than access to the compiler so that we can build our own refactorings for visual studio? Who really needs that?
In the mean time, Herb Sutter and the rest of the Windows core group have realized that performance actually matters and fixed C++. Do we have access to the fully power of the CPU or GPU in .NET? No. Do we have auto-vectorization in the .net runtime? Do we have access to vector instructions in any form? Do we have proper numeric generic support for games or scientific computing? Has anyone spent any time whatsoever on narrowing the gap between native and managed? How about something on the order of Mono's LLVM optimizing native AOT compiler???
F# at least has type providers.. which are modestly useful to somebody.
Honestly.. what the hell have you guys been doing?
Respectfully.. Benjamin Cooley


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Bring a large pot of generously salted water to a boil, add the pasta and cook until very al dente, about 9 minutes. Reserve 1/2 cup of the pasta water and drain the pasta.
Combine the ricotta, lemon zest and a few grinds of black pepper in small bowl and set aside.
Melt the butter in a large skillet over medium-high heat. Once the butter begins to foam, add the fiddleheads and sprinkle with pepper and 3/4 teaspoon of salt. Cook, stirring gently, until the fiddleheads are crisp-tender and caramelized, 3 to 4 minutes.
Remove the skillet from the heat and transfer the fiddleheads to a bowl. Add the lemon juice, cooked pasta and reserved water to the skillet and return to medium-high heat. Bring to a simmer and cook until the sauce thickens slightly and the pasta is al dente. Add the ricotta mixture and lightly toss until the pasta is just coated.
Divide the pasta among 4 bowls and top with the fiddleheads and a few grinds of black pepper.
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At AX Tactical LLC of Central New York, we take shooting sports to a new level. We cater to hunters, target shooters, competition shooters, and all those who take their shooting seriously. In addition, we supply law enforcement with firearms, LE supplies, and related services. AX Tactical has knowledgeable staff on hand to serve everyone from beginners to those with advanced experience. We will provide unmatched customer service. No matter your location, we will be happy to help you find the product or products you need. Stop in or call to check us out.
AX Tactical LLC provides custom weaponry and accessories to civilians, sportsmen, law enforcement, military, and competition shooters. We specialize in tactical weapon platforms and accessories, with the ability to produce the optimal solution to meet your needs. AX Tactical was formed by a group of defense contractors in the aerospace industry. High quality engineering and design is what we do. Working with experienced tactical operators, gunsmiths, and competitive shooters, we have developed a team that can provide you with the optimal tactical system. Whether you are operating in Afghanistan, plinking at the range, patrolling the streets of Central New York, or a fierce competition shooter, AX Tactical has all the weapons and accessories to fit your needs.
We also provide firearm transfers and sales, as well as all your tactical gear, clothing, ammunition, and accessories.


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A Forum for Engagement
The Forum will be an important new space where scholars and thought leaders from every field share ideas.
The gateway to the new Manhattanville campus, The Forum is a multipurpose venue on the bustling corner of 125th and Broadway. The Forum will host academic conferences, meetings and symposia, providing an important new space where scholars and thought leaders from many fields can come together to share ideas.
Multipurpose Meeting Space
The Forum features a state-of-the-art 430-seat auditorium, providing the kind of generous shared meeting space that Columbia has historically lacked. The 2,000-square-foot lobby in the building's ground floor urban layer provides flexible space for a range of activities, from pop-up exhibits to University events and other public functions. The building also boasts meeting rooms, faculty offices and open gathering spaces.
The Forum was designed by Renzo Piano Building Workshop, with Dattner Architects as executive architect and Caples Jefferson Architects, a certified Minority Business Enterprise (MBE), as associate architect. It will have three levels and a below grade space totaling approximately 56,000 square feet, with a main lobby and retail space at the street level "Urban Layer." The building's functions dictate its exterior and shape, while echoing elements of the Jerome L. Greene Science Center and Lenfest Center for the Arts. The auditorium, whose function requires opaqueness, is expressed with a prefabricated concrete skin, whereas the offices, which require daylight, have a glazed façade, and the transparent ground floor is both conceptually and physically open to the public.


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Reviewed By Charlie M (Burnsville, MN) Reviewed for a 2014 Ford Flex —6/19/2017 7:05 AM
We got these for my wife's 2014 Ford Flex and we couldn't be happier. They fit perfectly around everything, cover more area, contour to the floor and stay put with the little nubs on the bottom. I do have weather tech in my F350 and I would trade them in a second for the husky liners. The weather tech is stiffer unlike the softer more pliable rubber the Huskies have. Totally unbiased opinion here. I have both and am very happy with the Husky liners


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Pet of the Week: Jordy
I'd like to introduce you to our Pomeranian, Jordy. He was adopted from a rescue group at three-years-old after being re-homed several times through no fault of his own. That was three years ago and, after a lot of love, reassurance and consistency, he's a happy, energetic and well-adapted little guy. It's hard to say "no" to that loveable smile!
Thanks to Keria-Anne for sharing this adorable face with us! Jordy looks like such a sweetheart. 🙂
You can nominate your pet for Pet of the Week by reviewing these requirements!


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The Brookings Institution's Senior Fellow Alice Rivlin prepared testimony for the House Committee on the Budget -- one of the centers for entitlement reform and debate. She presented ways to reform Social Security, Medicare, and Medicaid while reducing the federal deficit. The views and options she expressed were the recommendations of the Bipartisan Policy Center's Task Force on Debt Reduction (Domenici-Rivlin). Below, I highlight a few points that particularly struck me.
Medicare: As a member of the President's Debt Commission, she worked with Congressman Paul Ryan (WI-1) to produce the Rivlin-Ryan Plan. Touted by panelists at NTUF's Moving Forward on Entitlements event, Medicare would be remade into a voucher program. After 2020, new enrollees would receive fixed health care-related contributions at a growth rate of GDP plus one percent. Much like Congressman Ryan's Roadmap, the plan would greatly increase Medicare's longevity.
"The Affordable Care Act includes important provisions aimed at improving health outcomes and reducing cost growth: authorizing Medicare to contract with accountable care organizations on the basis of shared savings and value-based payments to providers; pilot projects to try out other payment reforms; ... . However, the impact and timing of these efforts is still uncertain."
The Patient Protection and Affordable Care Act (PPACA), otherwise known as Obamacare, greatly increased the bureaucratic weight on the health care system. To help offset some of the pressure, accountable care organizations -- "a provider organization that takes on responsibility for meeting the health needs of a defined population" a.k.a. HMOs under government control -- are said to save money while increasing health care efficiency. However, this is a very optimistic outlook. To assume a new level of control of care, charged with ensuring quality and lower cost curves, is to institutionalize quality. Ask Medicaid how that turned out.
Pilot programs under PPACA may not have the results many proponents of Obamacare would hope. In improving quality and prices through such programs, many of the factors leading to success are oft times difficult, if not impossible, to replicate in other cities, states, or regions. NCPA's John Goodman has explored pilot programs and their seemingly random success rates. I am not branding pilot programs as useless but they ought to be used in targeted instances with realistic measures of success. The general provisions used in PPACA open a door for pilot programs to become legacy government efforts, not to improve health care.
I agree with many of the reforms Rivlin proposed for Medicaid. Many of the problems occur because the give and take of "dual eligibilities" -- low-income earners receiving both Medicare and Medicaid -- and the shared financing system between state and federal governments. Many states are given larger shares per capita than others because they have learned to game the system. Rivlin goes on to say, "states could be given more leeway to design their own programs, either through block grants… or through waivers under the existing program." By cutting out the federal bureaucracy, states would get medical care funds to those who need it more quickly.
Rivlin's stance on Social Security reform is a mixed bag. She calls for a "change in the calculation of annual cost-of-living adjustments for benefits to more accurately reflect inflation" and to "slightly reduce the growth in benefits… for approximately the top 25 percent of beneficiaries" (otherwise known as means testing). Both measures would bring more accurate cost controls, while maintaining benefits for which the program was originally intended.
However, her last point concerned me the most: "The Task Force plan would cover newly hired state and local government workers under the Social Security system, beginning in 2020, to increase the universality of the program." Certain government employees can opt out of the system in favor of their own group pension plans, which often are more successful than Social Security. By bringing more people into the system, a short-term cash infusion would result but, if no systemic reform occurs, they would end up in precarious situations similar to current beneficiaries.
You can check out Rivlin's testimony here and the entitlement reform efforts of NTU Foundation here.


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New casting rumors suggest Star Wars: Episode VII producers are eyeing Magic Mike star Alex Pettyfer for a role in the new film.
Pettyfer is reportedly meeting with producers to speak about joining the highly-anticipated Star Wars sequel. Which role is anyone's guess, but Latino Review's Kellvin Chavez — who initially reported the rumor — seems to believe he's in talks to play Ben Skywalker, the son of Luke. The role of Skywalker was reportedly offered to Ryan Gosling, who turned it down. It's unclear how large this role is, though if earlier plot rumors are true, it could be a pretty substantial part for Pettyfer who's starred in Magic Mike, the epic flop I Am Number Four and really not much else.
The same source suggests that Rachel Hurd-Wood is very close to securing the part of Jaina Solo, the daughter of Princess Leia and Han Solo. As Latino Review reports:
Our sources told us that she went in for a read and, so far, was the only one that went in for the part. However, there will be other girls going for a read, meaning SHE DOESN'T HAVE THE ROLE YET!! We want to be very clear on that before it gets blown out of context.
Hurd-Wood is best known for playing Wendy Darling in the 2003 film version of Peter Pan. Again, if those earlier rumors about the plot are true, this is, essentially, the film's lead role.
Again, neither of these are confirmed, but Star Wars: Episode VII is supposed to start filming in January, 2014, so we can't bee too far off from some sort of official announcement.


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My God, these family members!! - page 4
They are just killing me. Why is it that so many of them feel so entitled to sit in their aging parents rooms and just boss us nurses to HELL and back, while they sit there, fully able to do much of... Read More
Apr 17, '09I love the HHA clients I had who claimed they had no energy, and they were in pain, but would stand over me like a hawk while I cleaned their house, and one had "glaucoma" but miracously could see 1 piece of lint on the floor I just vacuumed and he would call it "dirty"
Apr 17, '09Quote from diane-rn studentridiculous...customer service should be something you get at a restaurant or a hotel, not a hospital. :angryfire
doesn't it just drive you nuts?? we can thank our "wonderful" hospital admins for it!
[font=book antiqua]i have been having anxiety attacks ever since....
[font=book antiqua]wait! it can get much worse! i know of an hospital where they provide .*.*.*:wshgrt:.*.*.*.(clue: it's pink)
[font=book antiqua](the funniest:angryfire part is how i've learned about it)
~the patient asks her nurse: "when will i be served breakfast?"
... and i am thinking for myself "hellooo..hospital! not hostel!". the nurse turns around and with a big smile and a sweet voice says: "but my dear, you have to call room service to order first ". thinking that she is being sarcastic, i start laughing uncontrollably ....until i notice that the nurse is indeed handing the patient a menu, while both [font=book antiqua]are :angryfire glaring at me. [font=book antiqua]
[font=book antiqua]i almost fell off my chair![font=book antiqua]
[font=book antiqua]the patient is on the phone passing her order for poached eggs, but when she hangs up she looks like someone has just farted under her nose. [font=book antiqua]
[font=book antiqua]i can't help myself but ask why she seem so....heu...upset (???)[font=book antiqua]
[font=book antiqua]god! i should have kept it shut! for the following 2 hours she went on and on like a broken record, repeating again and again : "can you believe this!? they don't have poached eggs!! ! that is incredible!!! it is just unbelievable!! no poached eggs!!!!"[font=book antiqua]
[font=book antiqua][font=book antiqua]
[font=book antiqua]as it turns out, that hospital has hired a well renown hilton (or some other posh hotel) ceo to be the head of the hostelpital!![font=book antiqua]
Apr 20, '09Alot of hospitals in my area are turning to "room service" and one has housekeeping leaving a little card saying "this room was cleaned by ________, if you are dissatisfied please call ext ______"!
Apr 20, '09I absolutely LOVE the idea of hiring "hospitality" staff members. This is exactly what we need. Someone to FETCH the gingerale, the crackers, the water pitchers, and, of course, the coffee -- all day long so NURSES CAN DO THEIR FRICKING WORK. The techs need it, too. They are far too busy doing vitals, turns, accuchecks, baths, etc. They don't have the time either! Family members could go straight to these people with all of their requests and be told that hospitality staff will not be available after 8 p.m.
I spent probably a total of 30 mins to one hour of my shift the other day either taking the coffee request, making the coffee, serving the coffee, running around trying to find supplies, spoons, sugars, etc.; then making more coffee because the first pot was consumed so quickly. Then there was the time spent putting in the diet order so the coffee could be ON THE TRAYS, following up with dietary, making calls, etc, etc. And I will honestly tell you -- I missed a med order -- didn't do it the right way, because, well, you know -- I was so busy making the GD coffee all day long!! And NO, you cannot tell these people NO. THIS is what they want us to do -- deliver on this so customer satisfaction ratings will remain at acceptable levels.
And you can NEVER ask a tech to do any of this. We're not to overburden them. They don't make enough money and are already so physically overworked it's not even funny. We are the nurses. We make the "big bucks," so it's our job.
Meanwhile, our managers will float around filling those coffee requests, oh, maybe once a month to "demonstrate" to us that good old customer service with a smile -- but then will be utterly ABSENT when you're busy with a full load and have a "coffee" requester all day long.
And I could really use a quiet spot to do my charting for at least 10 minutes before I get interruped again for another package of crackers. I'm sorry. I'm treated and held responsible for others lives, expected to BE a professional -- YET, I'm treated like I don't even have a quiet SEAT at my workplace.
I just hope some admin type somewhere reads this post, reads allnurses.com. Do they even know what we're going through?
We have already also instituted the "room service" cards also on the beds. I hear "room service" is also coming. And, to add, our management has just finalized plans to add an extra three pages fo paperwork at discharge so we can be more "jhaco" compliant.
I'm ready to explore jobs at government run hospitals -- hoping to see if it's any different.
Apr 20, '09[quote=hekate;3573547]
[font=book antiqua]wait! it can get much worse! i know of an hospital where they provide .*.*.*:wshgrt:.*.*.*.(clue: it's pink)i have been having anxiety attacks ever since....
[font=book antiqua](the funniest:angryfire part is how i've learned about it)
[font=book antiqua]~the patient asks her nurse: "when will i be served breakfast?"
[font=book antiqua]... and i am thinking for myself "hellooo..hospital! not hostel!". the nurse turns around and with a big smile and a sweet voice says: "but my dear, you have to call room service to order first ". thinking that she is being sarcastic, i start laughing uncontrollably ....until i notice that the nurse is indeed handing the patient a menu, while both [font=book antiqua]are :angryfire glaring at me.
[font=book antiqua]i almost fell off my chair!
[font=book antiqua]the patient is on the phone passing her order for poached eggs, but when she hangs up she looks like someone has just farted under her nose.
[font=book antiqua]i can't help myself but ask why she seem so....heu...upset (???)
[font=book antiqua]god! i should have kept it shut! for the following 2 hours she went on and on like a broken record, repeating again and again : "can you believe this!? they don't have poached eggs!! ! that is incredible!!! it is just unbelievable!! no poached eggs!!!!"
[font=book antiqua]
[font=book antiqua]as it turns out, that hospital has hired a well renown hilton (or some other posh hotel) ceo to be the head of the hostelpital!!
did they tell her why? when i worked food service (many) many years ago......you would need a docs order for them, they werent considered safe.....
Apr 20, '09Amazingly JCAHO hospitals don't all have the same requirements. All those extra questions are just what administration feels needs to be done. I've worked 7 hospitals and it's amazing what is passed off as JCAHO's fault when a hospital up the street is accredited too and has (for example) medications, syringes and needles in every patient room. I'm not kidding, and they were surveyed, and passed, while I worked there. Makes you wonder what it would take to flunk the survey.
Apr 20, '09Quote from SchoolNurseBSNIt KILLS me when a family member comes to the desk asking for the nurse of their loved one and when told that nurse is at lunch they get angry and pitch a fit. i couldnt help myself one day and said "did you eat lunch today? it's 2pm and she is just now eating hers so NO i wont call her to come back to the floor. she'll be back in 30 minutes" (it was NOT an emergency..was something stoopid i cant remember now)Love your way of thinking!
Actually, this is one (of many) reasons I left hospital nursing. It takes a lot of sweat and high level of critical thinking skills to even make it through nursing school. If I wanted to be a waitress .......I would have saved lots of time, money, and heartache and just gotten a job at Chili's!:angryfire
New admits are oriented to how to use their call button.......but very little on when to use it. I understand the need for good customer service. However, I think things have gone a bit too far when we are geeting cussed out over a ginger ale.
Sometimes, I just want to scream "Nurses are humans too! They need to eat, drink fluids, use the restroom, take breaks and they even have feelings too!!!"
Apr 21, '09Will hospitality staff make sure of a patient's dietary restrictions or NPO status if they are there to fetch coffee/drinks/snacks? Will they document what was given to the patient, and if the patient consumed said coffee/drinks/snacks?
We have to be careful not to "deligate" duties that have to be documented.
Apr 21, '09A few thoughts::
* When I worked night shift on a busy Ortho-Neuro-med/surg unit, more often than not, I was thankful to have a family member spend the night. Most of my patients were over 70 years of age and prone to sun-downers/dementia/confusion.
Now, generally speaking as a nurse:
* I have no problems assisting family members. However, I will not compromise "patient care" in order to serve "family care". Family members are more than welcome to raid the vending machines and I'm more than happy to point directions.
* One of the frequent complains I get from irate patients/family members in the Emergency Department is "when am I/pt. getting a room?!" If they're in the hallway, I politely explain that I'll have a room for them in the ED as soon I can. If they're waiting for a bed upstairs, I patiently explain that things are really out of my hands since I'm not in charge of writing orders and assigning beds.
I've had family complain about their relative lying in a stretcher in the hallway - believe me, I understand. Heck, I wouldn't want to lie in a stretcher in the hallway! However, I'm also not averse to pointing out to said family members to look around - "I'm sorry but we're full. As you can see, there are other patients in the hall way too. I'm sorry I don't have a room for the pt. yet but we do not operate under a first come-first served basis. The second a room opens up, I'll move the pt. in. Until then, I'm sorry but my hands are tied."
By the By: I've also noticed that by and large, these kind of complaints generally grow muted and silent when they see EMS wheeling in a patient with CPR in progress....
* I have often informed my patients of where I might be tied up for the next few minutes before I attend to their needs. E.g.: "Hey Mr. Smith. I understand your pain level is increasing and you need some more pain medication. However another patient urgently requires my attention right away. I promise to return ASAP and if I can't I'll get a colleague to talk to the Doctor about more pain medication".
* I make it a firm point of mine to impress upon the family members that they are NOT to give anything to the patient without my consent - be it food, water or medicine. If they break this rule, it goes in the chart. If they repeatedly break this rule, either the doc has a "chat" with them or security 'escorts' family out.
* I'm generally not in favor of family members doing ADLs on my patients. Lay folks don't usually know to see/recognise signs/symptoms of potential complications (e.g.: Syncope. Not every patient complains of "diziness" before passing out etc.) But hey, if family wants to get the pt. an ice pack or a glass of juice etc., feel free by all means!
* There have been numerous ocassions when I've had some family vaccate a patient's room. Our ER rooms are only so big - cramming 6 family members in there only serves to impede my job. One (at the most 2) family members only, please. There's more comfortable seating in the waiting area and you guys are welcome to rotate.
UNLESS, we're talking about a code (or a recent pronouncement) - then it's a case by case basis...
Apr 21, '09They don't put up with crap like that where I work. The DON tells them with a quickness that if we can't meet their needs Mom or Pop can be hauled out of there in a heartbeat. This doesn't mean we nurses have the easy road, we're expected to stay hopping, but not on account of some unreasonable family member.
Apr 21, '09I feel you. For the most part, I just smile and fetch whatever it is that someone wants (cups, juice, crackers, blankets), but then sometimes it is so ridiculous. For instance, I bring a family member in a blanket and as I bring it in, they ask for cups. As I retrieve the cups for them, they remember they want a pillow case. It's like DUDE MAKE A LIST OR SOMETHING!! I don't have time to run around all day being a waitress, but that is unfortunately part of the job it seems.
I actually had an odd experience a few weeks ago. I work on a tele floor, but one week the hospital was full and they needed rooms for hysterectomy patients. So, I had this hysterectomy patient and the gynecologist/surgeon came in to remove the packing. He was an older doctor from Italy. As he was leaving, he said, "Now, I want you to get the tech to do peri care...i don't want YOU TO DO IT, I WANT THE TECH TO DO IT~"
I said, "I can do it, it's not a big deal."
"NO, no, no, no. When I came to America from Italy, i was SHOCKED to see nurses carrying trey's, delivering food, and doing the work of a tech. THAT IS NOT YOUR JOB!"
I told him that I am not above doing anything a tech does. He said I need to be doing other things, like communicating with the doctors and meds, etc. I told him yes, but I don't always have a tech to do some of these things. He was like, "THEN THEY NEED TO HIRE SOME MORE!"
I was just kind of shocked by this since usually it seems a lot of doctors only think of us as the jobs that techs do. It was kind of refreshing, but I was still taken aback by how adamant he was that I DO NOT DO PERI CARE!
Apr 21, '09Quote from Virgo_RNGood point--especially since the behavior might not be baseline. Had a patient who came from ICU on an insulin drip. Dayshift nurse didn't realize he needed Q1H fingersticks, because they weren't ordered. ICU just does them and yells across hall to doc, we usually have a detailed titration order. By the time I came on and got report, pt said he felt hypoglycemic. So I got a fingerstick and his BG was 30. Pt complained because I didn't stop the drip until I had a reading. Well, yeah, he had a point. I could have stopped it, then got the reading, and even if his BG had been 59, or 89, or 312, one minute off the drip wouldn't have killed him. (One minute longer on it didn't kill him, either...but still.)I document this type of behavior, in a completely objective manner, of course, focusing only on observable behaviors and not interpretations of those behaviors, and I use quotes. This speaks to the patient's psychosocial status, which is a part of the holistic aspect of nursing care. We have a spot in the chart for psych/soc aspects of the patient with dropdown boxes such as "demanding", "combative", "hostile", "withdrawn". If I make a narrative note about a patient's pain, blood pressure, wounds, IV site, foley, etc., why would it be inappropriate to chart a narrative about their behavior if their behavior is not appropriate? Being hostile or needy, while it may be baseline for that patient, is not really "normal" per se, so it needs to be documented. Completely objectively, of course.
So, the patient later apologized for getting testy, and all I could say was, I think I might get irritable if my glucose was thirty, too. I don't actual recall irritability being a classic symptom of hypoglycemia, like it is of hypoxia, but it's certainly a classic symptom of feeling crappy, and I hadn't had the guy long enough to know whether he was usually grouchy or it was a mental status change (a little of both, it turns out--we got along great, after that, but he could be a bit demanding from time to time.)
Which doesn't address the OP's concerns, but I do try to consider that people are often not at the best under the stress of a loved-one's hospitalization. A lot of times I'll offer coffee or tea to visitors if they've been there a while. Just feels more hospitable, to me. Or a pillow and blanket if they're sleeping in. I've also had some nightmares like the OP describes, but thankfully not very many. We're only six miles below the Mason-Dixon line, but that's "southern" enough that a lot of people still exhibit "old-fashioned" manners like respect for authority figures (who, me?) and the elderly (well, okay, that may fit me,) and speaking softly. Not meaning any disrespect for y'all Yankees on the board. But I have relatives from Kentucky who couldn't speak up to tell you their bed was on fire, and my overall impression has been that the farther south you go, the less acceptable it is to "cause a commotion." At least until you reach Very South Jersey (aka Florida).
Uh, geez, I'm wandering, again. I've been meaning to ask my MD about a scrip for Arricept, but I keep forgetting to.
Uh, so, two quick points: when management talks customer satisfaction, I talk ratios. Ours is generally 6:1, and pretty acute, so I don't have a lot of time to cater to visitors. Last couple of nights, I only had 4 pts, and I could have gotten in a couple of hands of bridge if anyone had wanted to. At 5:1 and nobody too terribly sick, I can fluff some pillows and fetch some coffee without too much trouble, but if 1 or 2 are "busy," I have to set some limits. Other point: when I am pressed for time, "I'll let your aide know as soon as I can," is one of my favorite replies. Kind of a subtle reminder of why I'm actually there. Also reminding myself that it's okay to delegate (one of my weaknesses when I was very new, but I'm getting over it!) Plus, you know, now they're mad at the aide, instead of me. Cheesy, yes, but we're talking survival, here.
Apr 21, '09Quote from southernbeegirlI have to ask---what did that family member say to that?It KILLS me when a family member comes to the desk asking for the nurse of their loved one and when told that nurse is at lunch they get angry and pitch a fit. i couldnt help myself one day and said "did you eat lunch today? it's 2pm and she is just now eating hers so NO i wont call her to come back to the floor. she'll be back in 30 minutes" (it was NOT an emergency..was something stoopid i cant remember now)


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Dental CBCT—What You Need to Know
It's the beginning of a new year (2015, can you believe it?), and I'm guessing (and I've actually heard from some of my dentist friends) that more clinicians are starting to integrate CBCT into their practices. That got me to thinking about what a challenge it can be to bring a new piece of equipment into a practice…learning curves, training, staff acceptance, and—most important of all—patient experience. All that thinking inevitably lead me to Googling and I came across what appears to me to be a really great resource. At the FDA site, they have a...Read More


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United Nations, Committee on the Elimination of Discrimination against Women (CEDAW): M.C. v. Ecuador
In January 2015, the clinic, in concert with Asylum Access Ecuador (AAE), submitted an initial communication (complaint) before the Committee on the Elimination of Discrimination against Women (CEDAW) on behalf of a female Colombian refugee who fled to Ecuador after suffering years of severe domestic violence at the hands of her ex-husband. Ecuador denied her refugee claim on the basis that the reasons she left her country were not envisaged in the 1951 Convention on the Status of Refugee and its 1967 Protocol as requiring international protection.
The communication to the CEDAW committee alleges that Ecuador has failed to uphold its obligations under the CEDAW Convention to protect against gender discrimination. It also alleges that Ecuador has failed to eradicate such discrimination and traditional forms of gender bias from the public sphere. It seeks to have Ecuador establish gender-sensitive procedures or to train Ecuadorian officials on the nature of domestic violence as a form of gender-based violence that may rise to the level of gender-based persecution.


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08 January 2010
Today, Señor M. filled our Maddie and Riley's reports.
In light of my previous post, I was happy that his comment on Maddie was, "We are making progress in our relationship." Yay!
And it warmed my heart to read what he wrote about Riley: "A really lovely and caring friend."
So sweet!
13 comments:
- Frogs in my formula said...
That's really sweet. What a nice end to the week.
- 18:37
Sounds like a great teacher to me! Have a lovely weekend.
- 18:40
- Elizabeth said...
I love Senor M! Keep dressing up, Snick!
- 18:50
- Keen said...
I think I love Señor M, too.
- 19:09
- daisy said...
Glad the week had a good ending!
- 19:15
- yatima said...
A good friend of mine waited until his son had graduated preschool before he asked the teacher out on a date. Her answer: "Yes of course when?" They're getting married in the spring. Just sayin.
- 20:46
- Amber said...
Cute or not, Senor M sounds like a stand-up guy... and let's face it, no kids can have too much of a great influence like that.
- 20:56
- elderflowerpressee said...
I agree with Elizabeth - be still my beating heart!
- 01:48
Just wanted to say from your previous post that my daughter is only 2, but she has always preferred women. Clearly. And she has an extremely loving daddy who only responds positively when she swats him away when he gets home from work and wants to cuddle into Mommy more. {sigh} I think it's a gender thing.
Can't wait to hear more about Senor M :) You seem to be re-energized, no? Some of those cute outfits you're thinking of shopping for and a touch of makeup can go a long way ;)...
- 08:31
I think that's awesome that you get daily reports. The time and effort it takes really means you've found a great place that will hopefully foster care and respect in all the kids in the class!
- 13:38
- OTRgirl said...
He sounds like a great teacher. I love that he's being patient and letting Maddie keep her boundaries, but continuing to pursue a relationship. Very sweet.
- 08:53
- Mama Mama Quite Contrary said...
I heart Senor M.
- 15:29
Snick, do you know if he's single? Sounds like a total catch!
- 11:17


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|Great white hunter James Honeycutt and proud dad after a day in the field. (Nov/2005)
|C. Royce Honycutt at the firing line showing off.
Marshal Jack Murphy taking care of the mean targets.
"Z" at the firing line taking on those dangerous paper targets.
|Tara Janzen testing Skeeter's Shotgun: A Remington 870 pump action 12 gauge 3-inch marine magnum with TacStar side saddle shotshell carrier, Vang Comp safety, adjustable 6-position AR-15 buttstock with mercury recoil system and a Surefire Tactical light with a forend pressure switch. To find out more about Tara Janzen and this shotgun, visit the Steele Street Armory.


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|High-throughput Sequencing Reveals Suppressors of Vibrio cholerae rpoE Mutations: One Fewer Porin is Enough
Davis, Brigid; Waldor, Matthew K
Note: Order does not necessarily reflect citation order of authors.
|Davis, Brigid M., and Matthew K. Waldor. 2009. High-throughput sequencing reveals suppressors of Vibrio cholerae rpoE mutations: One fewer porin is enough. Nucleic Acids Research 37(17): 5757-5767.
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|Analyses of suppressor mutations have been extremely valuable in understanding gene function. However, techniques for mapping suppressor mutations are not available for most bacterial species. Here, we used high-throughput sequencing technology to identify spontaneously arising suppressor mutations that enabled disruption of rpoE (which encodes σ\(^E\)) in Vibrio cholerae, the agent of cholera. The alternative sigma factor σ\(^E\), which is activated by envelope stress, promotes expression of factors that help preserve and/or restore cell envelope integrity. In Escherichia coli, rpoE is an essential gene that can only be disrupted in the presence of additional suppressor mutations. Among a panel of independent V. cholerae rpoE mutants, more than 75% contain suppressor mutations that reduce production of OmpU, V. cholerae's principal outer membrane porin. OmpU appears to be a key determinant of V. cholerae's requirement for and production of σ\(^E\). Such dependence upon a single factor contrasts markedly with regulation of σ\(^E\) in E. coli, in which numerous factors contribute to its activation and none is dominant. We also identified a suppressor mutation that differs from all previously described suppressors in that it elevates, rather than reduces, σ\(^E\)'s activity. Finally, analyses of a panel of rpoE mutants shed light on the mechanisms by which suppressor mutations may arise in V. cholerae.
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