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The efficacy of cognitive behavioral therapy for insomnia (CBT-I) has been suggested for insomnia concomitant with depression, but its impact on quality of life (QoL) has not been adequately evaluated. The study aimed to determine which aspects of QoL could be affected by CBT-I and how any changes in QoL were mediated by changes in insomnia and depression.
We conducted a 4-week randomized controlled trial with 4-week follow-up in outpatient clinics in Japan. Thirty-seven patients with DSM-IV diagnosis of major depressive disorder concomitant with chronic insomnia were randomly assigned to the treatment-as-usual (TAU) alone arm or the TAU with brief behavioral therapy for insomnia (TAU plus psychotherapy) arm using modified CBT-I consisting of 4 weekly individual sessions. We evaluated QoL using norm-based scoring of the Short Form-36 at baseline and at 8 weeks. We also examined associations between QoL subscales and remission in insomnia or depression while controlling for baseline scores of the entire sample.
We tested group effects while controlling for baseline scores. TAU plus psychotherapy resulted in significantly better scores on physical functioning (p = 0.006), social functioning (p = 0.002), and mental health (p = 0.041) subscales than TAU alone at 8 weeks. Patients with either remitted insomnia or depression showed higher QoL scores than non-remitted patients; scores approximated those within the normal range.
For patients with insomnia in depression, adding CBT-I to TAU can produce substantive benefits in some aspects of QoL.
ClinicalTrials.gov Identifier: NCT00610259, http://www.clinicaltrials.gov/
Shimodera S; Watanabe N; Furukawa TA; Katsuki F; Fujita H; Sasaki M; Perlis ML. Change in quality of life after brief behavioral therapy for insomnia in concurrent depression: analysis of the effects of a randomized controlled trial. J Clin Sleep Med 2014;10(4):433-439.
Insomnia occurs comorbidly with many, if not most, Axis I disorders. Estimated concordance rates for depression are as high as 80% to 90% in untreated patients.1,2 Even after achieving remission from depression, half of these patients still suffer from residual insomnia.3 Moreover, persistent insomnia might be a risk factor for depression relapse.4
Insomnia is not only associated with difficulty initiating and maintaining sleep, but also a variety of daytime sequelae including fatigue, sleepiness, poor concentration and memory, mood disturbance, and impaired interpersonal functioning and work performance, all of which lead to deterioration in quality of life (QoL). QoL refers to both subjective life satisfaction and objective indicators such as health status and external life situations.5 Assessment of QoL is important for any psychiatric or medical disorder because impaired QoL is typically cited as the impetus for seeking treatment.6 QoL is severely impaired in patients with depression, as well as in those with comorbid insomnia.7 According to a study on QoL outcomes, insomnia in depression is associated with increasing problems with daily living and role functioning.8
Current Knowledge/Study Rationale: The efficacy of cognitive behavioral therapy for insomnia (CBT-I) has been suggested for insomnia concomitant with depression. However, its impact on quality of life (QoL) has not been adequately evaluated.
Study Impact: For patients with insomnia in depression, adding CBT-I to TAU can produce substantive benefits in some aspects of QoL. Patients with either remitted insomnia or depression showed higher QoL scores than non-remitted patients.
Pharmacological and psychological therapies have been used in the treatment of insomnia. Although benzodiazepines have not been formally studied for their impact on QoL,7 benzodiazepine receptor agonists (BZRAs) appear to be efficacious for patients with primary insomnia given the QoL outcomes of previous randomized controlled trials (RCTs).9,10 In addition, several RCTs have investigated the QoL outcomes of psychotherapy for primary insomnia. Various psychotherapy interventions have been tested including problem-solving therapy,11 but cognitive behavioral therapy for insomnia (CBT-I) has been a frequently selected intervention strategy, with reported post-intervention improvements in not only sleep quality but also QoL outcomes.12
In regard to insomnia concurrent with depression specifically, QoL outcomes from RCTs employing BZRAs in combination with antidepressants have been reported.13,14 As for psychotherapy, several previous trials including ours have confirmed the efficacy of CBT-I in insomnia in depression.15,16 However, to the best of our knowledge, no previous trials on psychotherapy for insomnia in depression have reported QoL outcomes, and which aspects of QoL can be changed by psychotherapy are as yet unknown. Moreover, even if QoL outcomes were found to be improved after psychotherapy, questions would still remain as to whether improvement in insomnia or improvement in depression led to better QoL.
Against this background, this study aimed to examine which aspects of QoL changed among patients with insomnia in depression treated with psychotherapy. To do so, we analyzed data obtained in an RCT on brief behavioral therapy for insomnia in depression, using a modified standardized form of CBT-I consisting of 4 weekly individual sessions.16 We also explored the degree to which changes in depression and sleep outcomes contributed to changes on the QoL subscales.
We recruited patients from February 18, 2008, to April 9, 2009, at 3 psychiatric outpatient departments in Japan. The entry criteria were as follows: (1) refractory depression, defined as currently partially remitted, mild, or moderate major depressive disorder (diagnosed with DSM-IV), even after being on maximum doses of 2 types of antidepressants ≥ 4 weeks each for the index episode; (2) chronic comorbid insomnia; (3) a score between 8 and 23 on the 17-item GRID-HAMD17; and (4) a score ≥ 8 on the Insomnia Severity Index (ISI).18–20 Patients were allowed to continue any psychotropic medications other than methylphenidate or modafinil (due to their probable stimulating effects), including antidepressants and hypnotics and prescriptions for medical conditions.
Participants were individually randomized to 2 arms: treatment-as-usual (TAU) alone (control) and TAU plus brief behavioral therapy for insomnia (TAU plus psychotherapy). The psychotherapy, based on CBT-I, consisted of 4 weekly individual sessions of approximately 50 min each.21 Although the number of sessions in this study were fewer than the 6 to 8 offered in traditional CBT-I, previous trials have indicated the efficacy of brief versions of CBT-I in patients with primary insomnia, older adults with chronic insomnia, and patients with alcoholism and insomnia.22–26 The treatment regimen was highly structured and included modules on sleep hygiene education, an introduction to the behavioral model of insomnia, sleep restriction, stimulus control, sleep titration, and relapse prevention.16 Five psychiatrists and a psychiatric nurse provided the psychotherapy, and they received a written manual describing the regimen. Before the study began, they participated in a 2-day intensive training course on the psychotherapy, and thereafter received ongoing monthly supervision. Patients assigned to TAU plus psychotherapy arm were asked to self-administer these skills after intervention sessions ended at 4 weeks until the final assessment conducted at 8 weeks.
In the TAU-alone sessions, patients met individually with a psychiatrist once every 2 weeks to discuss their depressive symptoms and insomnia and to obtain medication. Each session typically lasted 10 minutes. We prohibited changes in type and dosage of medication during the first 4 weeks of the study unless depression rapidly worsened. Physicians were allowed to discuss sleep hygiene (as defined in the study handout) with the patients but not sleep restriction or stimulus control for insomnia.
We assessed patients at baseline and at 4 and 8 weeks, but collected QoL data only at baseline and at 8 weeks. Patients who discontinued the intervention were still asked to complete the assessments.
We evaluated QoL using Short Form 36 (SF-36), which consists of 8 subscales (physical functioning, role limitations due to physical health problems [role physical], bodily pain, general health perception, vitality, social functioning, role limitations due to emotional health problems [role emotional], and mental health).27,28 We did not calculate 2 global scales (mental health and physical health subscales), based on research that QoL assessment should comprise at least the following 4 domains: physical functional status, disease and treatment-related physical symptoms, psychological functioning, and social functioning.29 For all the SF-36 subscales, we used norm-based scoring for the general Japanese population (mean, 50; SD, 10). The scale has no units, and scores can theoretically range from 0 to 100. Higher scores indicate better health. We assessed insomnia using the ISI. For depression, the GRID-HAMD was evaluated through face-to-face semi-structured interviews by raters at each assessment. For these 2 variables, higher scores indicated worse status. Patients were considered insomnia remitters when their ISI score was < 8, and depression remitters when their 17-item HAMD score was < 8.30,31
Before the study began, we calculated the number of patients who should be included in the study based on a power analysis conducted on the ISI scores.16 The dependent outcomes of this study were the 8 SF-36 subscales. For all these subscales, we used analysis of covariance to test group effects between TAU plus psychotherapy and TAU alone while controlling for baseline scores. Moreover, we tested mean differences in QoL subscales between non-remitters (no remission in either insomnia or depression) and remitters (remission in insomnia and/or depression) while controlling for baseline scores of the entire sample. For subscales where significant superiorities were observed in remitters, we used a multiple linear regression model to determine if changes in the ISI and HAMD scores (baseline to 8 weeks) mediated changes in the QoL subscales by entering both scores into the model. We set a p-value < 0.05 to test the null hypothesis without correcting for multiple tests to avoid β (type II) rather than α (type I) errors because this was the first study to investigate QoL outcomes in psychotherapy for insomnia concomitant with depression. To avoid multiple tests, we did not conduct statistical tests to detect baseline differences between the two arms. Also, our decision to adjust for baseline data in RCTs should not depend upon statistical significance of baseline differences.32 We computed inferential statistics using SPSS for Windows 21.0.
The ethics committees of all the recruiting centers approved the protocol in this study. Study staff introduced the purpose, procedures, and potential risks or discomforts of the study to those who satisfied eligibility criteria by using the standard informed consent form which emphasized that all potential participants who declined to participate or otherwise did not participate were eligible for usual treatment, and were not disadvantaged in any other way by not participating in the study. Following this explanation, all participants in the study provided written informed consent.
Thirty-seven patients satisfied the eligibility criteria, among whom 20 were randomly assigned to TAU plus psychotherapy arm and 17 to TAU alone arm. Table 1 summarizes the participants' clinical characteristics at baseline. During the study, antidepressant dosage was changed for 2 participants in each of the 2 groups. Hypnotic dosage was changed for 2 participants in TAU plus psychotherapy group, and none in the TAU alone group. We observed no statistically significant between-group differences in defined daily doses33 of either drug for either class of medication. One subject in TAU plus psychotherapy arm and one in TAU alone arm were admitted to the hospital due to exacerbation of depression. Nevertheless, no data were missing because all participants completed all the study assessments at 8 weeks.
Clinical characteristics of participants at baseline
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Although we did not intend to perform any statistical tests to compare pre- and post-scores, data for all subjects were available at baseline and at 8 weeks. Mean scores of all SF-36 subscales increased in the psychotherapy plus TAU group at the 8-week follow-up, whereas mean scores in 3 subscales decreased in the TAU alone group: physical functioning, role physical, and social functioning. At 8 weeks, psychotherapy plus TAU resulted in significantly higher subscale scores for physical functioning (p = 0.006), social functioning (p = 0.002), and mental health (p = 0.041) than TAU alone (Figure 1). The other subscales tended to favor the psychotherapy plus TAU arm, but differences were not statistically significant.
*p < 0.05. A bar and an error bar indicate a mean and a standard deviation, respectively. bBTi, brief behavioral therapy for insomnia; BP, bodily pain; GH, general health perception; MH, mental health; PF, physical functioning; RE, role emotional: RP, role physical; SF, social functioning; TAU, treatment as usual; VT, vitality
SF-36 Norm-Based Subscales and Allocation Status at 8 weeks. *p
Among all 37 participants, 13 remitted at 8 weeks (2 [10%] in the psychotherapy plus TAU group and 0 in the TAU alone group for insomnia only, 2 [10%] and 1 [6%] for depression only, and 8 [40%] and 0 for both insomnia and depression, respectively). Aggregated remitters in insomnia and/or depression showed significantly higher QoL subscale scores for physical functioning (p = 0.033), role physical (p = 0.003), general health perception (p = 0.008), vitality (p = 0.001), social functioning (p < 0.0005), role emotional (p = 0.027), and mental health (p = 0.005) than those in non-remitters, except the bodily pain subscale (p = 0.067) (Figure 2). Mean scores of all QoL subscales in remitters were around 50 (equivalent to mean scores of a normal sample in Japan). In analyses exploring mediation of insomnia and depression symptoms to QoL, changes in ISI scores contributed to changes on the vitality subscale (p = 0.027), and changes in HAMD scores contributed to changes on subscales for role emotional (p = 0.031) and mental health (p = 0.021) (Table 2). No other changes in insomnia or depression outcomes contributed to the significant changes on these subscales.
A bar indicates a mean.
SF-36 Norm-Based Subscales and Remission Status at 8 weeks. A bar indicates a mean.
SF-36 subscales and regression coefficients for insomnia and depression variables
To our knowledge, this study is the first to report QoL outcomes based on an RCT with CBT-I in treatment refractory patients with depression. We found that, although not all SF-36 components were affected, insomnia treatment improved functioning in both physical and social situations and mental health status. Associations between remission and QoL subscales in the entire sample (N = 37) indicated significantly better QoL scores in remitters than those in non-remitters, and were within the normal range on almost all subscales. The bodily pain subscale revealed no significant difference because the mean score even at baseline was most likely not far from the normal range in both arms. For some of QoL, improvement was associated with improvement in insomnia or in depression. These aspects included vitality associated with insomnia, and role emotional and mental health with depression.
As for primary insomnia, a previous trial12 investigated changes in various QoL aspects by examining the efficacy of CBT-I in patients with primary insomnia and long-term hypnotic drug use, and found that those treated with CBT-I had better outcomes than those without this additional treatment in SF-36 dimensions of vitality at 3 months and physical functioning and mental health at 6 months. For pharmacotherapy, patients treated with BZRAs had significantly better QoL scores than those with placebo at 6 months in SF-36 domains of role physical, bodily pain, general health perception, vitality, and social functioning.10 Similarly, the same drug led to better QoL scores than a placebo during a 2-week study on the domains of the 16-item Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q),34 including physical health, mood, household activities, leisure time activities, and medication.9 As mentioned above, no psychotherapy trials reported QoL outcomes for insomnia concomitant with depression. The efficacy of pharmacotherapy on QoL outcomes remains controversial, given that one trial has been for BZRAs and antidepressants13 and the other against them.14 Our results and those of previous studies lead us to conclude that adding psychotherapy to usual clinical care could produce statistically significant and clinically substantive added benefits in some aspects of QoL in patients with insomnia in depression, as shown in previous trials on primary insomnia. Above all, the present study is the first randomized trial investigating the efficacy of CBT-I in Japan. We believe our results will contribute to further dissemination of the therapy in Japan.
As for associations between QoL improvements in insomnia and depression, the recovery process was initially hypothesized to occur in the following order: (1) psychotherapy alleviated insomnia, (2) better sleep reduced severity of depression, and (3) better mood improved physical and mental functioning in daily life. Behind these assumptions, we speculated that improvement in QoL was better explained by changes in depression severity, and that a time lag might exist between improvements in insomnia or depression and improvements in QoL. However, considering the results of the present study and of our previous study on insomnia and depression outcomes,16 it now seems more likely that insomnia, depression and QoL almost simultaneously improve to a normal range when a patient responds successfully to treatment.
Although the findings of this study are very promising, there were some methodological limitations. First, sample sizes were small enough to raise concerns about the generalizability of the results. Moreover, long-term consequences remain unclear because we evaluated patients for no more than 8 weeks. Further replication studies with a larger sample and longer follow-up period are needed to evaluate outcomes with more confidence. Second, we cannot state whether psychotherapy itself or careful patient monitoring was responsible for improvement in QoL outcomes. However, our aim was to examine the added value of psychotherapy to usual clinical care, not the efficacy of psychotherapy itself. Third, we set a significance level of p-values at 0.05, although this definition was applied many times during analysis and might have led to errors in multiple comparisons. Although we did this to avoid β (type II) rather than α (type I) errors, again, a further replication study with a larger sample and an appropriate threshold for statistical significance is needed.
On the other hand, the strengths of our study include our patient follow-ups in which there were no missing data, which produced robust results. Moreover, we reported eight subdomains of QoL even though previous reports often aggregated QoL into one13 or two scales (mental health and physical health subscales).35 Studies have indicated that QoL assessments should comprise at least four domains, as we stated in the Methods section.29 We believe that our decision to employ eight subdomains is in line with this recommendation. All of these strengths should contribute to the greater applicability and feasibility of our findings.
In conclusion, adding psychotherapy to usual clinical care can produce clinically substantive benefits in some aspects of QoL in treating patients with insomnia in depression.
This was not an industry supported study. Shinji Shimodera and Norio Watanabe contributed equally to this work as the first authors. This study was funded by a Grant-in-Aid for Scientific Research (No. 19230201) from the Ministry of Health, Labor and Welfare, Japan, and Intramural Research Grant (25-8) for Neurological and Psychiatric Disorders of National Center of Neurology and Psychiatry, Japan. The funding organizations had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript. The work for this study was performed at Nagoya City University Graduate School of Medical Science, Kochi University, and National Center of Neurology & Psychiatry. All institutions are located in Japan. Dr. Shimodera has received research funds from the Japanese Ministry of Education, Science, and Technology. He has also received speaking fees from Asahi Kasei, Dai-Nippon Sumitomo, Glaxo-SmithKline, Astellas, Eli Lilly, Janssen, Meiji, Otsuka, Pfizer, and Schering-Plough. Dr. Watanabe has research funds from the Japanese Ministry of Health Labor and Welfare and the Japanese Ministry of Education, Science, and Technology. He has also received speaking fees and research support from Asahi Kasei, Dai-Nippon Sumitomo, Eli Lilly, GlaxoSmithKline, Janssen, Otsuka, Pfizer and Schering-Plough. Dr. Furukawa has received honoraria for speaking at CME meetings sponsored by Astellas, Dai-Nippon Sumitomo, Eli Lilly, GlaxoSmithKline, Janssen, Kyorin, MDS, Meiji, Otsuka, Pfizer, Shionogi and Yoshitomi. He is on advisory board for Sekisui Chemicals and Takeda Science Foundation. He has received royalties from Igaku-Shoin, Seiwa-Shoten, Nihon Bunka Kagaku-sha and American Psychiatric Publication. The Japanese Ministry of Education, Science, and Technology and the Japanese Ministry of Health, Labor and Welfare have funded his research. The other authors have indicated no financial conflicts of interest.
The authors thank all the assessors and the therapists (Nao Shiraishi, M.D., Yoshie Murata, MSc, Jun Mayumi, M.D., Mako Morikawa, M.D., Yumi Nakano, M.D., Ph.D. at Nagoya City University Graduate School of Medical Sciences, and Ryosuke Fujito, M.D. at Kochi Medical School) and the administrative staff (Kozue Maki at Nagoya City University Graduate School of Medical Sciences) for their contribution to this study. We also thank Mitsuhiko Yamada, M.D., Ph.D., Naohiro Yonemoto, MSc, Masatoshi Inagaki, M.D., Ph.D., at National Center of Neurology and Psychiatry, Japan, for their advice regarding the design and statistical issues, and Izuru Miyoshi, M.D., Ph.D. at National Center of Neurology and Psychiatry, for providing the central allocation.
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C162 - Coding 101: E&M, Basic Procedures, Non Face-to-Face, and New Codes
|Event Time:
|Tuesday May 7, 2019 3:30 pm to 5:30 pm
|Practice, Policy, and Ethics, Academic, Career Essentials, Business of Neurology
|Bruce Cohen MD, FAAN
|This course is designed for those neurologists and advance practice providers as an introduction to Current Procedural Terminology (CPT) coding. In such, residents and new clinicans in practice will find the material in this course useful. In many circumstances, clinicans have not made themselves fluent in coding and may wish to take this course as a refresher. Finally, department chairman and administrators may find this information useful in terms of their team's compliance with coding issues. Most patients' visits with their physician are classified as Evaluation and Management (E/M) services. As cognitive specialists, much of the care rendered by neurologists falls under E&M services. Congress mandated a system to categorize these visits and design regulations that included documentation for these services, which are contained in the AMA - CPT publication, which issues annual updates. This syllabus will focus on the rules issued as part of the single system examination, described in 1997. These rules benefit Neurology with the implementation of a neurological single system examination. In addition to the E/M codes, many neurologists continue to perform procedures, which include EEG, EMG/NCV, neurodenervation and neurostimulation. The basic procedural codes will be discussed. Please note, at the time this course is being planned, there are two issues that may require us to alter the content of this course. We are awaiting a new payment model proposal from The Center of Medicare and Medicaid Services (CMS) by November 1, 2018, which could alter the payment model for many of the E/M services, although not necessarily altering the current E/M system itself. In addition, and partially in response to the proposed rule change by CMS, there are active discussions involving changing the code structure of E/M. The actual course will reflect any changes that occur between the submission of this program and the course itself. Depending on the regulations in place on the date of the course, we will adjust the material to provide the most current and practical information for the clinician and neurology adminstrator for the use of these basic E/M and procedural codes.
|Completion Message:
|Participants will have an understanding of the proper use of E/M coding for face-to-face ambulatory visits and hospital visits, for both new patient, consultation and established patient visits; the proper use of the basic codes for ambulatory EEG, the use of long-term EEG monitoring codes, EMG/NCV coding, chemodenervation, and neurostimulation codes; the proper use of the new and newer non face-to-face codes that have been developed to assist in proper billing for extended care, care outside of the typical office setting, codes useful for transition of care from the inpatient to ambulatory setting, codes useful for transitioning of patients from pediatic neurology to adult neurology providers, and long-term coordination of care codes; and any new codes or changes in the rules of how coding can be used to care for patients will be presented, which could include any changes in the rules implemented by CMS.
|CME Credits:
|Core Competencies:
|Professionalism, Systems-based Practice
|Start/End Time
|Coding 101: Introduction and Comments About CPT Coding
|Bruce H. Cohen MD, FAAN
|Basic E&M Coding for Face-to-Face Care
|Raissa Villanueva MD, FAAN
|Coding for Non Face-to-Face and New Codes
|Bruce H. Cohen MD, FAAN
|Discussion and Questions and Answers
|Bruce H. Cohen, MD, FAAN
|Dr. Cohen has received personal compensation for consulting, serving on a scientific advisory board, speaking, or other activities with Stealth Biotheraputics, Modis (aka Meves) Pharmaceuticals, NeuroVive, MitoBridge, AAN for CPT Consulting and Educational Activities. Dr. Cohen has received research support from Dr. Cohen has received research support from Stealth Biotherapeutics, BioElectron Technologies.
|Raissa Villanueva, MD, FAAN
|Dr. Villanueva has nothing to disclose.

subset: commoncrawl


text:
|Head Coach
|(916) 278-4479
|Previous College:
|Oregon, '02
Head coach Jamie Craighead
completed her fourth season at the helm of the Sacramento State
women's basketball program in 2012-13. The young coach has
turned the Hornets into one of the most explosive teams in the
nation as her fast break, uptempo offense led the Big Sky
Conference in scoring the last four seasons.
Craighead's fast-paced style is based on the press and run - playing full-court defense to create turnovers that result in open shots and quick baskets. In 2012-13 Sacramento State led the Big Sky in points per game, 3-pointers per game, and assists on the offensive end and had league best totals in steals and blocks defensively.
Last season the Hornets advanced to the Big Sky Championship for the second consecutive season and earned the program's second all-time postseason win with a 73-60 quarterfinal victory over Idaho State, the defending conference champion. The team went 13-7 in Big Sky play and entered the conference tournament as the No. 5 seed before upending the No. 4 Bengals and advancing to the conference semifinals. With a 19-12 record the Hornets equalled the 1990-91 squad for the most wins in a season in program-history while also recording program best season totals in field goals made (842), assists (523), blocked shots (185), and fewest turnovers (499). During the year senior Kylie Kuhns became the program and Big Sky all-time leader in career rebounds while also ending her Hornet career first all-time in steals and third in points and earning All-Big Sky First Team honors. Senior Megan broke the Big Sky single-season record with 111 blocks, the fourth best blocks total in the NCAA, while junior Alle Moreno led the conference in 3-pointers and broke the Big Sky record in single-season 3-point attempts. Moreno and sophomore Fantasia Hilliard, who led the Big Sky and set the program record for single-season assists, garnered All-Big Sky honorable mention awards.
Craighead guided the Hornets to their fifth appearance in the Big Sky Tournament in program history in 2011-12, but more importantly, Craighead and the Hornets won a game in the tournament for the first time in school history when they upset Eastern Washington, 71-61, in the quarterfinals. Sacramento State won four straight games to close out the regular season led by guard Alle Moreno, who averaged a team-best 15.8 points per game in Big Sky play. While Moreno was lighting it up from the perimeter, forward Kylie Kuhns anchored the middle and led the league in rebounds for the second straight year while ranking No. 3 in the NCAA with 21 double-doubles. Craighead also molded local product Fantasia Hilliard (Sacramento HS) into the Big Sky Freshman of the Year last season, as the first-year point guard became the fifth player in school history to dish out 150 assists.
In 2010-11, Craighead gave major
minutes to five freshmen and three sophomores as the Hornets had to
rebuild following the successful 2009-10 campaign. The development
of young players was most obvious with then-sophomore Kuhns, who
was a revelation during a trying season. Kuhns ranked No. 1 in the
Big Sky Conference and No. 12 in the nation in rebounds, averaging
11.1 boards per game, and she set the single-game school record
with 23 rebounds against San Francisco. The Salem, Ore. native also
ranked No. 3 in the Big Sky Conference in scoring (15.9), No. 2 in
field goal percentage (.497) and No. 3 in blocks (1.2 per
In 2009-10, her first full season as head coach, Craighead led the Hornets to a 15-15 overall record and 10-6 mark in Big Sky Conference play - the most league wins in school history.
Craighead helped turn seniors Charday Hunt and Erika Edwards into arguably the conference's top 1-2 scoring punch that season. Hunt and Edwards combined to average 28.5 points per game and knocked down 121 3-point baskets. Hunt earned first-team all-Big Sky Conference honors for her efforts while Edwards was named second team all-conference. It was the first time in school history that Sacramento State placed a player on both the all-league first and second teams in the same season.
Craighead was named the Hornets' head coach on May 1, 2009, and was the youngest Division I head coach in her first season. She spent the 2007-08 season as the team's top assistant, before being promoted to associate head coach by former head coach Dan Muscatell in the summer of 2008.
Prior to her time in the Green and Gold, Craighead spent two years as an assistant at Portland State. She served as the Vikings' recruiting coordinator and also worked with the post players.
Before she coached at Portland State, Craighead was an assistant at Div. II powerhouse Seattle Pacific under the guidance of two-time NCAA Division II Coach of the Year Gordy Presnell. Craighead served as Presnell's top assistant for two seasons, and coached Seattle Pacific to a 99-75 win over Alaska Fairbanks on Dec. 4, 2004, while Presnell was on leave. Seattle Pacific finished the 2004-05 season ranked No. 2 in the nation.
Craighead played collegiately at the University of Oregon, helping the Ducks to three NCAA Tournament appearances in her freshman, sophomore and junior seasons before she led the Ducks to the 2002 WNIT championship as a senior. She finished her career second on the school's career list for 3-point field goals with 182 and ranked No. 7 in 3-point field goal percentage at 36.9 percent.
Craighead was an honorable mention academic all-Pac 10 selection in 2002. She graduated from Oregon with a bachelor's degree in educational studies.
A native of Elma, Wash., Craighead attended Elma High School, where she was the Washington 2A Player of the Year and a four-time all-league selection. She finished her career setting school records for points (1,669), assists (653), steals (405) and blocked shots (168).


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The London Organising Committee of the Olympic and Paralympic Games (LOCOG) today confirmed all the communities through which the Olympic Flame will be carried by Torchbearers during the London 2012 Olympic Torch Relay.
An astounding 1,018 villages, towns and cities on the route means the Olympic Flame will be within 10 miles of 95% of the population! The street by street detail of the route will be confirmed next year, but in the meantime take a look at this nifty interactive map: www.london2012.com/olympictorchrelaymap
Travelling by different methods of transport including horseback, bicycle, tram and steam-train, the Olympic Torch Relay will also include exciting moments with extreme heights, high speeds and breath-taking spectacles.
Every county in England and every Local Authority area in Scotland, Northern Ireland and Wales will host the Olympic Flame, with it reaching as far north as Lerwick in Scotland to St Helier in the south, Lowestoft in the east and Enniskillen in the west passing well known landmarks including Snowdon, Stormont, Loch Ness and the iconic locations pictured here on route. Be here to welcome it too!


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OK, so Star Trek Enterprise seasons has packed up and warped its way on home, and we're all left with a near-universal bad taste in
our mouths. I've slogged through enough harsh criticism (pretty much all of it warranted) for now and I think
maybe we should scrap together the good stuff that we'll remember about a show that perhaps we liked to
criticize more than rave about (again, it was mostly warranted). I mean, hey, I thought it was kind of a silly
show in comparison to other Treks, but I enjoyed it on a simple level and came to anticipate new episodes quite
a bit toward the end, actually.
Having said that, let's list our favorite episodes (and our reasons for ranking them as such so this doesn't
become an inane list thread) of Enterprise. I'll go first:
1. In a Mirror, Darkly - I'm counting this as one episode even though it was a two-parter. This was hands-down
the most imaginative and fun thing Enterprise did during its four-year run, and seeing everyone acting all
eeeee-vil was a hoot. It was far more of a "fan valentine" than the series finale, with the tie-ins to TOS and
the ridiculous but actually somewhat plausible explanation of the Mirror Universe's origin and the Terran
Empire's early history. Plus we got an awesome opening sequence for a chance... and Hoshi kicked ass! What's not
to love?
2. Twilight - Even though it was basically a "reset button" episode, this one was high on the "whoa factor" for
me. Right from the scene where Earth blew up, I was riveted. OK, so the idea of the temporal virus or whatever
the hell it was being destroyed for all time when it was destroyed in the future was kind of a deus ex machina
solution. But the depiction of the future crew was much more convincing than it was in the finale, and the way
Archer kept forgetting stuff gave me fond memories of that Voyager episode where Kes experienced everything
backward. This was good drama even if I knew everything would be reset later on. It gave a chilling glimpse into
a possible future (one we didn't know would actually happen, but still it established the threat of the Xindi)
and made the stakes higher than they usually are on the average Trek episode.
Star Trek Enterprise DVD and Star Trek Voyager DVD r my favs
All-Time Favorite Enterprise Episodes
Talk about movies, television shows and music!
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Dick Gordon traveled to Baghdad in 2003. His translator and fixer was an Iraqi artist named Ahmed.
Dick checks in with Ahmed for the first time since then and finds out how he and his family have fared in the war.
The first episode of The Story was produced in Feb 2006 never aired widely. Our founding Senior Producer Greg Kelly sent us an e-mail recently to reflect on that show. "Dick and I had been puzzling for weeks on the show's DNA. I was the Senior Producer and was...
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Read the Stories that make up our best work.
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We can use the present tense to talk about the past- we do it in narratives and suchlike to make things seem more alive and closer. We can also use now with the past tense in a similar way. However, you have not given the whole context- what was the time of the escape relative to the president's statement? If it's a TV news story, then it sounds fine, but if the escape happened last week, then it doesn't work.
English Teacher


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|Authored By: Polly Pitchford, Full Spectrum Health
|A much lighter, fresher version.
|Diet Type: Vegetarian
|Serves: 4
|Cooking Time: Under 30 minutes
|In a large skillet, heat 2 tablespoons olive oil over medium heat and sauté the onions with the salt for about 5 minutes. Set aside. In a small bowl, combine the garlic with the remaining 2 tablespoons of olive oil and the rosemary. Top pizza crust of choice with tomatoes, overlapping slightly, then spread on the onions, olives and Feta Cheese. Pour or spoon the rosemary/garlic mixture on top. Bake as directed for crust. One large whole wheat pizza crust used in nutrition analysis.
|Printable Version
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Quality Hearing Aid Center has been a local staple of Eastern Suffolk County on Long Island since 1985, providing the highest quality of hearing and hearing aid care for all patients.
What sets Quality Hearing apart from other hearing clinics? We specialize in the latest digital hearing aid devices and technology for all types of hearing loss. Hearing problems can be difficult to deal with and understand. That's why we are here to help.
We offer a wide variety of brands and have a strong sense of pride in our customer service practices and availability for patients. Plus, we offer a two-week trial on all hearing aids.
Now under new ownership, Quality Hearing has two convenient office locations in both Riverhead and Southold.


text:
Nutrition Facts
Ingredients and Preparation
- Preheat oven to 425˚ F.
- Combine zucchini, squash, and green beans with 2 teaspoons olive oil and distribute evenly on a nonstick baking sheet. Sprinkle with 1/8 teaspoon salt and freshly ground pepper to taste. Roast in the oven for 10-15 minutes, tossing half way through.
- Combine roasted vegetables, beans, red onion, feta, lemon juice, and remaining olive oil in a medium bowl. Season with remaining 1/8 teaspoon salt and freshly ground pepper to taste.


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Of all the surprises delivered by Sunday night's Primetime Emmy Awards, the announcement of the best comedy and drama series winners rated low on the OMG spectrum thanks to Will Ferrell's upstaging, and a slew of recipients nabbing awards out of left field.
Ultimately, AMC's "Breaking Bad" took the statuette for drama for the show's penultimate series - the highly-anticipated final episode airs Sept. 27. "Bad" beat out last year's recipient "Homeland" and other favorites "Mad Men," "Game of Thrones" and "House of Cards."
"Modern Family's" fourth consecutive win for best comedy series placed it alongside other four-timers "All in the Family" and "Cheers." The only program to go one higher is "Frazier," which recorded five wins during its 11 season run. The ABC comedy hit about an extended family of misfits also took the best directing prize for Gail Manusco.
U.S. & World
"No one in America is winning their office pool," joked host Neil Patrick Harris as the show headed into its third hour on CBS.
Harris, whose loose, free-wheeling approach added an overall lightness to the proceedings was spot-on with his humorous assessment. On a night that was touted to be a showdown between digital upstart "House of Cards" and established cable and broadcast fare such as "Homeland," Mad Men" and "Downton Abbey," it soon became apparent that expecting the unexpected was the better bet.
Throughout his too rare appearances, Harris touched on the inclusion of digital streaming service Netflix among the night's nominees ("Tonight we celebrate the best of television, for the younger folks that's the thing you watch on your phones") and his own camp appeal as host (he participated in a tongue-in-cheek musical extravaganza midway through appropriately titled "The Number in the Middle of the Show"). The opening act comedy skit saw him sparring onstage with past Emmy emcees Jane Lynch, Jimmy Fallon, Conan O'Brien and Jimmy Kimmell, and tackling front-row hecklers Amy Poehler and Tina Fey who demanded he remove his pants.
"I come to awards shows for the twerking," shouted Fey through a mouthful of popcorn.
Merritt Wever was the first big surprise of the night when she was named outstanding supporting actress in a comedy series for "Nurse Jackie." Wever revealed her shock by delivering one of the shortest acceptance speeches in Emmy history.
HBO's "Veep" was an early leader with Julia Louis-Dreyfus receiving her fourth Emmy award for lead actress in a comedy series. "I'm very grateful for the opportunity to make people laugh," Louis-Dreyfus said. "It's a joyful way to make a living." Tony Hale, who plays the long-suffering assistant to Louis-Dreyfus' Vice President Selena Kyle on "Veep" had only moments before exited the stage after winning for supporting actor in a comedy series. Hale joined his TV boss onstage to whisper parts of her acceptance speech in her ear, a riff on their fictitious, and now award-winning characters.
Marking his third win in the category, Jim Parsons took lead actor in a comedy series for his role of Dr. Sheldon Cooper on "The Big Bang Theory," beating out favorites such as Louis C.K. and Alec Baldwin, who was coming off the strong final season of "30 Rock."
Baldwin's "30 Rock" costar Fey later accept the comedy writing award for the NBC series alongside her cowriter Tracey Wigfield.
It was third time lucky for Claire Danes, too, who accepted the lead actress in a drama series for her work on the Showtime espionage drama "Homeland." In her speech, Danes drew attention to the late writer Henry Bromell, who died in March of a heart attack and earlier in the evening had been awarded the outstanding writing for a drama series Emmy. "We think of him everday as we continue to work on this show he helped define," said Danes.
Also surprising was Jeff Daniels' win in the lead actor in a drama series for the Aaron Sorkin/HBO dramedy, "The Newsroom." "Well crap, I didn't expect this," said Daniels. "The last thing I won was a few years ago for 'Squid and the Whale' for best actor over 50 from the AARP. No offense to the AARP, but this is better."
For his win for outstanding writing for a variety series, "The Colbert Report's" Stephen Colbert thanked the program that gave him his start - "The Daily Show." Colbert was awarded the chance to pay double homage to "The Daily Show" and its host Jon Stewart when he returned to the podium to accept the variety series Emmy for his namesake show.
Naming Stewart as "my friend and my brother," Colbert went on to proudly describe his early introduction to the "Daily Show" as a time when Stewart gave "me all the stupidest things to say."
"Breaking Bad" added another notch to their Emmy belt when Anna Gunn was handed the award for outstanding supporting actress in a drama series. Bobby Cannavale took home the male equivalent for his portrayal of gangster Gyp Rosetti in the Atlantic City set HBO drama "Boardwalk Empire."
Knocking the "The Amazing Race" off the outstanding reality-competition series pedestal (the global phenomenon from CBS has won the category nine times since 2001) was "The Voice." A reality juggernaut, the talent show with the big red chairs and superstar coaches is coming off its fourth ratings-winning season and returns Monday night.
With the inclusion of the much-binged on Netflix original series "House of Cards," the stage had been set for a showdown never before witnessed at the annual television love fest. The limited-episode series chronicling the voracious ambition of a Washington D.C. power couple played by Kevin Spacey and Robin Wright garnered nine nominations in total, including acting nods for both leads. But it failed to get the majority votes on the night, though David Fincher walked away with the outstanding directing for a drama series Emmy.
"Behind the Candelabra," the movie chronicling the later life of Liberace went in with 15 nominations and garnered two notable wins on the night: the first for director Steven Soderbergh, and one for star Michael Douglas, who portrayed the flamboyant entertainer in the HBO special.
Douglas couldn't help himself when it came to double entendres in his acceptance speech. He thanked his costar Matt Damon after using the phrase "two-hander," and then continued to raise eyebrows and laughs when he offered Damon half the award, asking, "Do you want the bottom or top?"
The 68-year-old actor also thanked his currently estranged wife, Catherine Zeta-Jones, for all her support. Zeta-Jones was noticeably absent from the awards ceremony.


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Batman and Robin. The Dynamic Duo. The Caped Crusaders. You can easily have Batman without Robin. The two just go together so well.
We've seen after Jason Todd [originally] died that Batmanneeded a Robin. Having a Robin is what keeps him in check. Over the years we've seen the notion of Robin grow into something bigger. The role of Robin wasn't just to be a comedic sidekick but was now seen as a partner for Batman.
With the recent events and the dangers the role has caused in the past, the question is, should Batman be allowed to haver a Robin? We could debate this but we decided to ask creators this question at Emerald City Comicon. Check out what Joshua Hale Fialkov, Kyle Higgins, Brian Buccellato, James Robinson, Peter Nguyen, James Tynion IV, Matt Fraction, Josh Williamson, Jim McCann and Sam Humphries think about this topic.
Batman should have a Robin but are the risks too great? Is it a matter of child endangerment? Does Batman have the right to encourage kids to take on a dangerous role?


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Welcome to Statfail
This site has gone through several iterations, first as an idea proposed in an Ask Reddit thread.
Original content, limited to the first six posts, remains. These posts, and others to be added, are intended to help visitors (including my students) learn statistical analysis. I will use this site in my online statistics courses, where students develop an understanding of tools for analyzing data, correlation, causation, and application of statistics in data analytics. This site is intended to define statistical analysis by encouraging visitors to ask "what is data analysis," "Why is it important to understand statistical analysis," and "how often is data mis-analyzed?"
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This regiment offer combines the multi-pose flexibility of our superb plastic Celtic Warriors with finely detailed metal and resin components.
The ponies come with the riders' legs attached - all you need to do is choose which upper torso and shield you want to add from the plastic sprue and due to the bowl-joint at the waist you're ready to swivel, tilt and otherwise position your model to your own taste! This gives you a great deal of flexibility and choice for your Celt army.
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Lindsay Lohan Arrested for Assault
Actress Lindsay Lohan was arrested Thursday after police said she hit a woman during an argument at a New York City nightclub. The "Mean Girls" and "Freaky Friday" star was arrested at 4 a.m. and charged with third-degree assault. Photo: AP.
This transcript has been automatically generated and may not be 100% accurate.
I ... the the the the the ... that aside ... I ... I'm ... what ... all ... the the the


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Message Board
Abram Tertz Message Board
Talk about the novels, new and used books that Tertz has written!
Author Tertz's Book Reviews
During the 60's, russian writer Andr� Siniavski secretly published books in the West under the name of Abram Tertz. In GOODNIGHT!, published in 1992, he recalls his 1966 trial when sentenced to a 7 years detention for having published anti-russian books and his life in the camp. The author also remembers moments of his youth, his friendship with a young genius who'll become a stool pigeon of the KGB and his encounter with a french woman who'll help him p...


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Home & Garden
The Home & Garden cleaning equipment range covers machines and accessories which are mainly suitable for domestic use. Our garden watering range includes products which are highly efficient and environmentally friendly. Not only do Kärcher supply Pressure washers, but we also offer many other cleaning equipment in the Home & Garden sector, such as the steam cleaner or the window vacuum.


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Started this discussion. Last reply by Elizabeth Hinson Jul 2, 2012. 4 Replies 0 Likes
I post scientific stuff and some of it is pointing at the absurdity of religious claims/history/geographical errors and other things that are impossible. Not in a mean or cynical way either. They…Continue
Started this discussion. Last reply by Richard K. Emms Nov 29, 2011. 1 Reply 0 Likes
I signed up not long ago. I became a follower of Science and Atheism after a long search for myself. I've never looked back. Just saying hi, add me as a friend if you want. IntoSports (MLB -…Continue
Started this discussion. Last reply by Bob Anderson Feb 6, 2012. 11 Replies 0 Likes
As an atheist I'm very weary of watching tv shows of any kind if they have a strong religious message. I'm wanting to check out Band of Brothers, but have no information if it leans one way or the…Continue
Charles Corey Stewart has not received any gifts yet
You look sad in the photo.
It's great to see another smiling atheist face in TN aka the "buy bull" belt. I think you are gonna like it here! Especially when you are craving intelligent conversation and thought provoking discussions when you are starved for them due to your geography. It's saved my ass many times!! It's food for your brain! Look forward to reading your posts amigo! Welcome :)
Welcome, Charles! Glad you could join us. :D
Please consider joining a group to meet people and talk about anything that's on your mind, Hang With Friends.
Hello Charles and welcome to this rational world of Internet atheism----a haven of truth and peace, far from the superstitions and fictional god of the masses.
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Choosing an Objective for Your Resume
Your resume's objective states what you want to do in a job and the direction in which you're heading. The objective gives your resume immediate focus and is the hub around which all the other information in your resume relates.
Use an objective in your resume under these conditions:
You know the position being offered; make that job title your job objective.
You have a greatly diversified background that may perplex some employers.
You're a new graduate, a career changer, a service member exiting the military, a member of the clergy switching to the secular job market, an educator seeking another career field, or a homemaker reentering the paid workforce. A job objective says what you're looking for.
Advantages of an objective
Most studies show that employers prefer objectives for quick identification purposes. They like to see the name of their job openings at the top of a resume. Because you cite those qualifying achievements that support your objective and forget random experiences, the finished product (when done well) shows that you and the desired job appear to be a well-matched pair.
If you're responding to an advertised job, remember to match the basic qualifications it requires in the body of your resume even if the job seeks a "window pane technician" and your objective says "window pane technician." An objective that echoes the job title in the job ad is merely a first step in showing that you're a great match.
Disadvantages of an objective
Ideally, you will write a customized resume for each position (or career field) for which you apply. You may even write a customized resume for each position for which you apply at the same company. The downside to a narrow job objective is that you may not be considered by the same employer for other open positions that you didn't know about. But if the objective is too broadly focused, your objective statement becomes meaningless.


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Pablo Nunez dies
Academia de las Artes y las Ciencias Cinematograficas de Espana
Pioneer in Spain animated drawing and the most important creator of credit in this country, was a founding member of the Academy, which in 2007 was awarded the Gold Medal
Director, animator, cartoonist and technical visual effects, Pablo Nunez, one of the pioneers in the lively in Spain drawing and the most important creator of credit in this country, died Wednesday in Madrid, at 86 years old.
founding member of the Film Academy, which in 2007 was awarded the Gold Medal, Nunez worked in more than 2400 films; directed 32 short films entertainment and cultural both cartoon and real image with effects, which won numerous awards at national and international festivals; and he was responsible for the credits of masterpieces such as Chimes at Midnight, Tristana and Placido - appropriations latter are a benchmark of modernity and are considered pioneers in the panorama of Spanish- cinema.
Orson Welles, Luis Bunuel, Luis Garcia Berlanga, Jose Maria Forqué, Fernando Fernan Gomez, Carlos Saura, Gonzalo Suarez, Pilar Miró, Antonio Mercero, Mario Camus, Fernando Trueba, Victor Erice, José Luis Borau, Julio Medem, are only a small sample filmmakers with whom he worked veteran coach, who collaborated with Pedro Almodóvar in dark Habits, law of desire, tO tame!, Heels, the flower of my secret and all about my mother.
The spinnaker Spirit of the Beehive, The National Shotgun, The Hive and the south were some of the tapes had the headboard designed by Pablo Nunez, who also signed the credits Barrio, Others, Beach greyhounds and visionaries.
Goya Awards nominated five times (by special effects of A King in Havana Keys of independence and the south of Granada, and directed the short films A ... Praying Mantis and TV), Pablo Nunez he founded the production company Story Film, with which both cartoon and real image, made credits for feature films and TV shows, trailers, optical and digital special effects and commercials for film and television.
Pablo Nunez (Madrid, 1930) studied Fine Arts at the School of Arts and Crafts, published his first cartoon in the children 's magazine "Wonderland" and always alternated his collaborations in various magazines and publications as an artist with his work of director-director and screenwriter animation film advertising and entertainment. His drawings were easily recognizable by their prominent noses and spot color overlays Cubist type, influenced by the style of American animation studio UPA Pictures.
His funeral chapel has been installed in the Morgue of the M-30.
NUNEZ, Pablo
Born: 1930 Madrid, Madrid, Spain
Died: 9/28/2016, Madrid, Madrid, Spain
Pablo Nunez's western – title designer:
Hands of a Gunman - 1965


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by Katie Parker, sports information graduate assistant
MILLEDGEVILLE, Ga. – The No. 14 Georgia College & State University men's tennis team (14-5, 6-3 PBC) outlasted No. 12 Lander University (15-5, 5-4 PBC) 5-3 in a six and half hour match Wednesday.
Sophomore Leo Bernardes (Sao Paulo, Brazil) decided the match, playing in the fifth singles position. Finding himself down 4-6 after the first set against Pierre Frances, Bernardes hung on to claim the second set 7-6. In set No. 3, he battled to a much-deserved 6-4 victory.
Doubles action put the Bobcats in front. Georgia College's Jerome Leborgne (Coordimanche, France) and Joao Casagrande (Sao Paulo, Brazil) slid past Lander's Levan Clark and Pierre Frances 9-7. Bobcat seniors Max Beliankou (Minsk, Belarus) and Giovane Nucci (Santa Catarina, Brazil) downed Paul-Henri Arrigoni and Christopher Mattsson 8-4, while Bernardes and Johan Wadstein (Helsingborg, Sweden) repeated those scores against the Bearcats' Gary Bertoldo and Henrik Willers, giving the Bobcats a 3-0 lead.
In singles play, Leborgne held his ground against No. 10 Arrigoni, but the Bobcats eventually fell 6-4, 1-6, 7-6 (7-2). Slotted second, Lander's Clark defeated Wadstein as he fell victim to cramps 6-1, 2-6, 6-3, while No. 49 Beliankou swept Willers in a pair of 6-4 sets. Beliankou improved to 15-3 overall this season, taking 12 of his last 13 matches.
At the fourth position, Nucci lost to the Bearcats' Mattsson 6-7, 6-0 and 6-2. Nucci also cramped up, putting forth a valiant effort. In the sixth spot, Casagrande was down 4-5 against Juan Manrique when Bernardes clinched the fifth Bobcat team point, ending the match.
The Bobcats are back in action Friday, April 16 as they travel to the Peach Belt Conference (PBC) Tournament hosted by Clayton State University. The seedings will be announced later this week.
The GCSU Department of Athletics, winners of the 2008-09 PBC Commissioner's Cup, sponsors 10 varsity athletic programs at the NCAA Division II level. As a Division II program, GCSU prides itself on balancing the life of the student-athlete, evidenced by the Bobcats' multiple appearances in post-season competition as well as documented academic success and community-service involvement. Sign up at Twitter.com username GCSUSID for up-to-the-minute reports, and visit www.GCSUBobcats.com to nominate your favorite former Bobcats and Colonials to the GCSU Athletics Hall of Fame.


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Monster Hunter Tri Dated For US Release
Monster Hunter Tri, which I hear is kind of a big deal in Japan, has been dated for North American release: April 20, 2010.
Available bundled with a black Classic Controller Pro, previously only available in Japan, for $59.99 or as a standalone game for $49.99.
Black or white Classic Controller Pros will be available separately for $19.99, which puts the bundle in a $10 savings.
Nintendo also revealed that the game will be free-to-play online, dropping the monthly fee levied in Japan. The title will also support text chat and Wii Speak owners will enjoy full voice chat support.
The grind-heavy games pit the player against increasingly dangerous (and large) monsters as they explore a vast wilderness. Defeated creatures can be harvested for raw materials, which are used to craft weapons, armor, and items. The game rewards co-operative play and prides itself on delivering a different encounter for each creature, all of them requiring a unique strategy to fell.


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I have been thinking lately, especially with having a presence on the web and Facebook, about Civil War Round Tables. These groups consist of members, who get together on a regular basis and discuss topics relating to the war. They often include a speaker, with question and answer sessions following, as well as dinner. There are several located around the country, but what about those of us (myself included) who do not live near an established round table group? What about creating a virtual Civil War Round Table?
With the ever increasing use of the internet, especially the blogosphere, by historians, I think the time has come to create a virtual Civil War Round Table, where interested parties could come together and discuss the war and present their knowledge at a pre-determined time. Here is what I envision for a virtual round table:
Having found a way to create a way for several people, perhaps dozens or more, to link up on the web via an instant messaging or Twitter type setup, we would allow the keynote "speaker" to post their remarks (either a paper or other prepared text) in the form of a document or podcast. We would read the text, or listen to the podcast, and then post our comments and questions to the "speaker" via the instant messaging format and basically engage in an online discussion on the topic and other items.
There are several benefits to this format. First, this round table would be a mobile entity that would only be limited by a person's ability to access a computer with the necessary components to link to the round table. Second, its mobility would allow the round table to have members from a wide range of places around the nation and world. Third, it would be relatively cheap, if not free, as the only costs incurred would be those possibly needed to create the setup for the round table. Finally, it would hopefully bring about the increased use of the web for discussing and promoting the study of the war.
I would like to gauge the feelings on this idea, so I have added a poll to allow you to vote on the idea. I also welcome your comments and feedback, especially if you would like to help with this project.


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Backup contacts, calendar, tasks and notes from Samsung Wave 723 (GT-S7233)
|Screenshot guide
|From device
|To device
|Samsung Wave 723 (GT-S7233)
|From Samsung Wave 723 (GT-S7233)
|To Samsung Wave 723 (GT-S7233)
|Samsung Wave 723 (GT-S7233) is supported on PhoneCopy.
Please note that following settings may little vary depending on the firmware version.
- contact synchronization
- calendar synchronization
- task synchronization
- note synchronization
- sms backup
- photo synchronization
- video synchronization
- automatic sync
Text guideline - How to backup
With Samsung Wave 723 (GT-S7233)
First go to the phone's Main Menu and then follow these steps:
- Select Settings, then Connectivity.
- Click Synchronise and select Create.
- Configure given fields.
▼ hide fields
- Profile name: write PhoneCopy
- Synchronization category: Select the items you would like to synchronize. All will synchronize all items.
- Contacts
- to remote contacts write contacts, the rest can be left blank.
- Plan
- to remote calendar write calendar, the rest can be left blank.
- Task
- to remote task write tasks, the rest can be left blank.
- Notes
- to remote notes write notes, the rest can be left blank.
- Synchronization type: select Full sync
- Synchronization server:
- Address
- write http://www.phonecopy.com/sync
- Login ID
- your username
- Password
- your password
- Save the data.
- Go to section Synchronise, click on the PhoneCopy profile and select Sync now.
If you need more help with the settings, visit our step by step screenshot guide.
And now please, assign your phone to your PhoneCopy account.
In the case of problems with synchronization, please contact us.


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MONTARA — A commercial fisherman will pay $12,500 in penalties for catching Dungeness crab in a state marine reserve off the San Mateo County coast.
The San Francisco Chronicle reports (http://bit.ly/U9teaV ) that fisherman Mark Russo was found by state game wardens with five crab pots inside the Montara State Marine Reserve.
San Mateo County prosecutors charged Russo with violating the California Marine Life Protection Act for taking 58 of the crustaceans from the protected waters.
Russo, who owns the vessel Freeland, will pay the penalties and reimburse the costs to law enforcement as part of the judgment.
The Montara reserve is 12-square-miles in size.
Information from: San Francisco Chronicle, http://www.sfgate.com


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Magic Kingdom Park Walt Disney World® Resort
Special Event
- , 2019
When Mickey celebrates the season, Magic Kingdom park lights up with excitement for Guests of all ages. Cinderella Castle shimmers. Joyful music fills the air. Disney Characters don their most festive attire. Favorite attractions take on a holiday theme. And enchanting surprises lie around almost every turn!
Event Times & Dates
Mickey's Very Merry Christmas Party takes place from 7:00 PM to midnight on the following dates in 2019:
During Mickey's Very Merry Christmas Party, you're invited to share hugs, receive autographs and capture photos with over a dozen beloved Disney Characters as they spread holiday cheer around Magic Kingdom park.
Look out for special Character appearances too. In recent years, Guests have encountered such fan favorites as Jack Skellington dressed as Sandy Claws, Scrooge McDuck and Santa Claus himself!
All attractions, experiences and event elements are subject to change without notice.
Though attractions and experiences are subject to change, here are some of the attractions that may be available during this event:
Liberty Square
All attractions and experiences are subject to change without notice.
Please note that alternative healthy and gluten-free options are available upon request. All menus and offerings are subject to change and availability.
To learn more about this and other In-Room Celebrations, please visit Disney Floral and Gifts online or call (407) WDW-GIFT or (407) 939-4438 to speak directly to a Dream Maker. Guests under 18 years of age must have parent or guardian permission to call.
Typical finds include: event apparel, ornaments, trading pins and MagicBands.
Please note: event merchandise available while supplies last.


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Setting Up Your Online StoreMonday, March 17th, 2008
One of the most important factors when planning your e-business strategy is the company or product you choose to help you.. No matter what you sell, however, an e-commerce site must provide the same basic services your customers would expect.
Once you've decided what kind of online business you want to start, it's time to register your domain name, and design a website that will firstly attract customers and also encourage a trustworthy relationship.. If you're a programmer or website designer you could build the site yourself. Alternatively, you could use a HTML editing program to help you build it. There are many designs to choose from out there, and templates can easily be edited in Dreamweaver or Frontpage.
Every online store should be set up for many payment providers, including Paypal. If you decide to buy a shopping cart program, it is worth comparing prices, features, and customer service. If you have friends who engage in ecommerce, you might also get some advice from them.. Some pieces of shopping cart software might seem affordable at first, but you need to be aware that many companies charge extra if you want certain customisations or plug-ins. Here are some tips on how to make your online store attractive to potential customers.
Organize your store properly. You should make it easy for customers to find what they need.
Would you feel satisfied shopping at a store where the products were arranged at random, with no guide as to how you can find the product/ service you are looking for? Of course not, you would leave the store at once without buying a thing.. Yet it is surprising to see a great number of online stores that are not well-structured; that make it nearly impossible for customers to find what they need.
When you decide to set up your store you must have a clear idea about how to arrange your products so as to provide the most seamless shopping experience. Offer customers more than one way to find what they're looking for, provide intuitive links to different product categories and a search function where customers can enter a product name. "Breadcrumb trails" that allow customers to retrace their steps on your website are also effective in helping users to identify where they are located on a website.
Don't frustrate customers with long waiting.
After a customer has selected their product and hit the Buy button , they do not expect to wait for a response — or even worse, get an error message. Order confirmation should be instant. If it is not, your customer will be left feeling frustrated and anxious about the status of their order. Repeat custom is doubtful. The solution to this problem is simple; make sure your software and servers are capable of handling whatever your customers throw at them. If you're using a third-party service, you need to be sure they are using first-rate technology. If you're building your own site from scratch, it means investing in the best possible software and hardware.
Ensure your store has an easy payment system.
Online stores can accept different types of payment: credit cards, electronic cash, purchase orders, or cash and cheques sent via mail. Keep in mind that different types of businesses will need to accept different payment types. The paying system you choose must be easy for every customer, so ensure your e-commerce provider can handle the ones your customers are likely to use.
One more question that still worries customers is security. Even if customers realise that sending a credit card number over the Internet is extremely safe, they can still worry. Online payment systems send sensitive information like credit card numbers via encrypted connections. If your system does this, assure customers that their information is absolutely secure.
Building an online store is an intricate process and every stage, from your choice of ecommerce provider to the initial design process, is of the utmost importance.


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ronald, WA
With case financing from Pre-settlementfunding.com, we are repaid out of the reappearances of your case reward. What measure of does pre settlement claim financing truly undertake upon two things.
Pre settlement financing can essentially be gotten if, in spite of everything that you have the representation of an attorney. Furnished that you are relating to yourself, dreadfully we can't secure you a development against the case.
Pr esettlement financing offers different purposes of venture. As a matter of first vitality, you don't need to pay any charges to get the cash. Rather, most arraignment store companionships finalize up a "No Cost Unless You Win" foundation, which derives that you won't need to pay anything back tolerating that you don't win your case.


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I know I have within me the meditative power to enable me to become master of every circumstance. Paul C. Bragg
July 31, 2012
This Blog is moderated. It is created to be informative, inspiring and uplifting. Our positive philosophy at Bragg is to communicate with love and respect. As Paul and Patricia Bragg teach, in expressing your thoughts and opinions to others, ask yourself: "Is it good, is it kind, is it necessary?" All comments that do not fit this philosophy will not be posted.
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3 max
|Mercedes E class
|One way
180 €
|Round trip
360 €
350 €
(special round trip fare)
5 max
|Luxury Van
|One way
200 €
|Round trip
400 €
390 €
(special round trip fare)
8 max
|Luxury Minibus
|One way
215 €
|Round trip
430 €
420 €
(special round trip fare)
14 max
|Luxury Bus
|One way
325 €
|Round trip
650 €
640 €
(special round trip fare)
Rated 5 / 5 - It was a pleasure traveling with you. The chauffeur was very professional and the tour I organized was exactly what we hopped for. It gave us the opportunity to take pictures and cruise around the most important locations in Prague on a 6 hours service. Very good service. I still got some transfer...
Rated 5 / 5 - Thank you so much for getting my bag back to me safely today, it was a terrible shock as it contained our passports and phones and as you can imagine it was very distesssing. I managed to contact my family in England as I used a friends phone and she rang my mobile phone so the driver could hear it....
Rated 5 / 5 - I had the pleasure to travel with this company 2 times now and each time I was very happy with the service provided by them. The prices are very good and the services are also top quality. I will book again in the future.
Copyright 2005-2019 http://www.airportcitytransfer.com/


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As the University of Pennsylvania Museum of Archaeology and Anthropology (Penn Museum) begins its 125th anniversary, it launches the Penn Museum online Collections Database via www.penn.museum. According to Penn News,
It's a place were scholars can go to get preliminary information on a particular artifact or set of artifacts, teachers and school children can explore a region's cultural materials, and anybody with access to a computer can "curate" their own set of favorite "finds" and share them with friends.
Read the entire article and explore the online Collections Database.


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Thursday, December 13th, 2012
Pediatric Grand Rounds
Cystic Fibrosis: Treatment Strategies for Pulmonary Infection
Internal Medicine Academic Half Day
Patient Controlled Analgesia
Internal Medicine Academic Half Day
Hypertrophic Cardiomyopathy in 2012
Friday, December 14th, 2012
Monday, December 17th, 2012
No events found for Monday, December 17th, 2012.
Tuesday, December 18th, 2012
Radiology Department Meeting
State of Department Talk
Wednesday, December 19th, 2012
Surgery Grand Rounds
Evolving MRI Technology and Applications: Disease Biomarkers
Pediatric Residency Academic Half Day Lectures
Resident Conferences
Formula Class
Board Review
Medicine Grand Rounds
Origin of HIV
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