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Table of Contents
Research and general acceptance
A low protein diet, a diet in which people are required to reduce their intake of protein, is used by persons with abnormal kidney or liver function to prevent worsening of their disease.
The low protein diet was developed by dietitians and nutritionists in response to adverse effects that protein can have on persons with kidney or liver disease. Proteins are required for growth, upkeep, and repair of body tissues. They also help the body fight infections and heal wounds. Protein contains 16% nitrogen, which the body eliminates in the urine as urea. In cases where liver or kidney function is impaired, urea, ammonia or other toxic nitrogen metabolites may build up in the blood. The low protein diet is designed to reduce these nitrogen metabolites and ammonia in individuals with liver disease or kidney failure and to reduce the workload on the kidney or liver. If the kidneys, which are responsible for excretion of urea, are not functioning properly (renal failure), or if high levels of protein are continually present in the diet, urea and other toxic nitrogen compounds build up in the bloodstream, causing loss of appetite, nausea, headaches, bad taste in the mouth, and fatigue as well as possibly further adversely affecting the kidney or liver.
The low protein diet focuses on obtaining most of a person's daily calories from complex carbohydrates rather than from proteins. There are two main sources of protein in the diet: higher levels are found in animal products, including fish, poultry, eggs, meat, and dairy products), while lower levels are found in vegetable products (breads, cereals, rice, pasta, and dried beans). Generally foods in the high protein food group contains about 8 grams of protein per serving. Cereals and grains have about 2 grams of protein in 1/2 cup or 1 slice. Vegetables have about 1 gram of protein in 1/2 cup, while fruits have only a trace amount of protein in 1/2 cup. To control protein intake, foods such as starches, sugars, grains, fruits, vegetables, fats, and oils should be eaten at levels sufficient to meet daily energy needs. If a person has diabetes, the diet must also be designed to control blood sugar.
Protein should never be completely eliminated from the diet. The amount of protein that can be
included in the diet depends on the degree of kidney or liver damage and the amount of protein needed for an individual to maintain good health. Laboratory tests are used to determine the amount of protein and protein waste breakdown products in the blood. A suggested acceptable level of protein in a low-protein diet is about 0.6g/kg of body weight per day, or about 40 to 50 grams per day. A person suffering from a kidney disease such as nephrotic syndrome, where large amounts of protein is lost in the urine, should ingest moderate levels of protein (0.8 kg per kg of body weight per day).
A sample menu for one day might include:
Breakfast: 1 orange, 1 egg or egg substitute, 1/2 cup rice or creamed cereal, 1 slice whole wheat bread (toasted), 1/2 tablespoon margarine or butter, 1/2 cup whole milk, hot, non-caloric beverage, 1 tablespoon sugar (optional).
Lunch: 1 ounce sliced turkey breast, 1/2 cup steamed broccoli, 1 slice whole wheat bread, 1/2 tablespoon margarine or butter, 1 apple, 1/2 cup gelatin dessert, 1 cup grape juice, hot, non-caloric beverage, 1 tablespoon sugar (optional).
Mid-Afternoon Snack: 6 squares salt-free soda crackers, 1/2 tablespoon margarine or butter, 1 to 2 tablespoons jelly, 1/2 cup apple juice.
Dinner: 1/2 cup tomato juice, 1 ounce beef, 1 baked potato, 1 teaspoon margarine or butter (optional), 1/2 cup steamed spinach, 1 slice whole wheat bread, 1/3 cup sherbet, 4 apricot halves, hot, non-caloric beverage.
Evening Snack: 1 banana.
This sample menu contains about 1850 calories, with a protein content of 8%.
Special, low protein products, especially breads and pastas, are available from various food manufacturers for persons who need to follow a low protein diet. Specific information on the protein content of foods can be found on food labels. Books that list protein contents of various foods as well as low protein cookbooks are also available.
In addition, it is recommended that fat calories be obtained from monounsaturated and polyunsaturated fats. In order to be effective, some persons may also be required to reduce their sodium and potassium ingestion in foods. Sodium restriction improves the ability to control blood pressure and body fluid build-up as well as to avoid congestive heart failure. Foods with high sodium contents, such as processed, convenience and fast foods, salty snacks, and salty seasonings, should be avoided. Potassium is necessary for nerve and muscle health. Dietary potassium restriction is required if potassium is not excreted and builds to high levels in the blood, which may result in dangerous heart rhythms. At very high levels, potassium can even cause the heart to stop beating.
As kidney function decreases, the kidneys may reduce their production of urine, and the body can become overloaded with fluids. This fluid accumulation can result in swelling of legs, hands and face, high blood pressure, and shortness of breath. To relieve these symptoms, restriction of fluids, including water, soup, juice, milk, popsicles, and gelatin, should be incorporated into the low protein diet. Liver disease may also require dietary fluid restrictions.
Tyrosinemia is a rare but serious inherited disease that may also require the use of a low-protein diet. Tyrosinemia is an inborn error of metabolism in which the body can not effectively break down the amino acid tyrosine.
The purpose of a low protein diet is to prevent worsening of kidney or liver disease. The diet is effective because it decreases the stress on the kidney or liver.
Protein restriction lessens the protein load on the kidney or liver, which slows down the continued development of disease.
A person requiring a low protein diet should consult a dietitian familiar with liver or kidney diseases to provide guidance on developing an appropriate diet as well as to learn how to follow the diet effectively. The diet must meet the person's nutritional needs, cut down the work load on the kidneys or liver, help maintain the kidney or liver function that is left, control the build-up of waste products, and reduce symptoms of the kidney or liver disease. Strict adherence to the diet can be difficult, especially for children. Small amounts of protein-containing food combined with larger amounts of low or no-protein foods can be used to make the diet more acceptable. Some persons eliminate meat, eggs, and cheese from their diets rather than measure the amounts of protein from these foods. However, care must be taken to make sure that adequate protein is included in a vegetarian diet to provide for growth and development, including building muscles and repairing wounds. Another approach, since it is difficult to manage portion sizes of foods other than milk, is to omit meats, fish, and chicken from the diet and use milk as the primary source of protein.
A person with both kidney disease and diabetes must be careful to eat only low-to-moderate amounts of carbohydrates along with monounsaturated and polyunsaturated fats.
The human body reacts to protein deficiency by taking amino acids (the building blocks of proteins) away from muscle tissue and other areas of the body. The process, in which the body basically metabolizes itself, is called catabolism and leads to muscle loss and weakness. The use of exercise and strength training is recommended to counter the effects of muscle loss.
The levels of calcium and phosphorus must be monitored closely, for in persons with kidney disease, phosphorus levels can become too high, while levels of calcium can become too low. Monitoring of these two minerals may require an adjustment in dietary intakes of these minerals. Phosphorus is a mineral that helps to keep bones strong. Too much phosphorus, however, may cause itchy skin or painful joints. Calcium is required to maintain bone density and vitamin D is
necessary to control the balance of calcium and phosphorus. If changes to add these nutrients to the diet are not adequate, then supplements and medications may be required. If phosphorus levels are too high, a person may have to take phosphorus binders that reduce the amount of phosphorus that enters the blood stream from the intestine. Dairy products as well as seeds, nuts, dried peas, beans, and processed bran cereals, are high in phosphorus, so the use of these food sources may need to be limited.
A low protein diet may also be deficient in some of essential amino acids (which are the building blocks of protein), the vitamins niacin, thiamine, and riboflavin, and the mineral iron (most people with advanced kidney disease have severe anemia). Vitamin supplementation is dependent on the amount of protein restriction, the extent of kidney damage, and the vitamin content of food that is eaten. A person with kidney failure may have decreased urine output. The amount of fluids a person needs to drink is based on the amount of urine produced daily, the amount of fluid being retained, the amount of sodium in the diet, the use of diuretics, and whether the person has congestive heart failure.
In persons with advanced kidney disease, a low protein diet may lead to malnutrition. The person may lose muscle and weight, lack energy, and have difficulty fighting infections. Daily calorie intake is dependent on the amount needed to prevent breakdown of body tissues. Body weight and protein status should be monitored periodically, which in some cases may be daily. Extra calories can be added to the diet by increasing the use of heart-healthy fats, eating candy and other sweet foods, such as canned or frozen fruits in heavy syrup.
Research and general acceptance
However, it is known that although the low-protein diet may help those with chronic kidney or liver disease, the diet is also known to lead to muscle loss. In 2004 researchers in the Nutrition, Exercise Physiology, and Sarcopenia Laboratory of the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University (HNRCA) in Boston, Massachusetts, reported on a study involving a group of volunteers with chronic kidney disease who consumed a low protein diet. About half the group engaged in resistance training, while the other half served as a control group. Among the strength-trained participants who exercised for 45 minutes (including warm-up and cool-down) three times per week for 12 weeks, measurements showed that, on average, total muscle fiber increased by 32 percent, and muscle strength increased by 30 percent. Those who did not exercise lost on average about 3% of their body weight, or about 9 pounds.
Researchers studying a group of vegetarians who had maintained a diet relatively low in protein and calories found that they had lower blood levels of several hormones and other substances that have been tied to certain cancers. Additionally it has been shown that a low protein diet protects against gout, which is caused by too much uric acid in the blood. The excess uric acid forms crystal deposits in joints, particularly in the big toe, feet and ankles, resulting in episodes of pain.
A low protein diet has also been shown to help persons with Parkinson's disease. In this disease, dop-amine-secreting neurons in the brain die-off, leading to tremors, slowness, and rigidity. The most common treatment is a dopamine precursor called levodopa. However, the effects of this drug can decrease over time, resulting in 'on' periods when the person exhibits few symptoms and other 'off' periods when the person suffers from high and often debilitating symptoms. A research team in Italy showed that lowering the protein content of the diet can improve levodopa therapy and reduce the number and length of the "off periods." Additional studies are needed to confirm these results.
Harum, Peggy. Marina Del Ray, CA: R & D Laboratories, Inc., 1999. .
The Cleveland Clinic Foundation Creative Cooking for Renal Diets Willoughby, OH: Senay Publishing, Inc., 2006. .
Walser, Mackenzie. Coping with Kidney Disease: A 12-Step Treatment Program to Help You Avoid Dialysis Hoboken, NJ: John Wiley and Sons, Inc., 2004.
National Kidney Foundation, 30 East 33rd Street New York, NY 10016. Telephone: 800-622-9010. Website: kidney.org
American Liver Foundation, 75 Maiden Lane, Suite 603, New York, NY 10038. Telephone: 800-465-4837 Email: email@example.com Website: www.liverfoundation.org.
Tish Davidson, A.M.


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Merlin's weekly podcast with Dan Benjamin. We talk about creativity, independence, and making things you love.
Merlin's weekly podcast with Dan Benjamin. We talk about creativity, independence, and making things you love.
"What's 43 Folders?"
43Folders.com is Merlin Mann's website about finding the time and attention to do your best creative work.
Un-alarming timers for meditation and the (10+2)*5 hack
Merlin Mann | Nov 21 2005
If you're a beginning meditator, you may share my distraction of sometimes wondering "How long have I been doing this?" It's easy (and desirable) to lose track of time, but it can be worrisome if you need to be someplace later and are nervous about falling sleep or the like.
Commentor Ruth recently pointed us to Zencast, a site that does podcasts on Meditation, including an introduction to meditation series. Haven't listened to any of these yet, but I was pleased to notice that their first three shows of the podcast are just "timers" for meditating.
Each is an MP3 of 10, 20, or 30 minutes in length, and they each consist of a "Music for Airports"-like wash of ambient music at the beginning and end of the session and just silence in-between. The 20- and 30-minute versions also feature unobtrusive tones at 10 and 15 minutes respectively. Handy way to get time off your mind (a meditation hack?).
In a similar vein, don't miss Hernick's alarm-free MP3 for running the (10+2)*5 hack. As he says over on the board:
Both the mediation timers and the Dash tune are clever ways of having alarms without actually having alarms.
Thanks! I find tools...
Submitted by Jeremy (not verified) on November 21, 2005 - 7:46pm.
Thanks! I find tools like these necessary if I'm going to have any success at a lenghty time of meditation.
|EXPLORE 43Folders

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The BBA's Public Service blog, Beyond the Billable is your one stop shop for everything Public Service at the BBA. Check it out here.
In December of 2011, John Halamka's wife visited a suburban community hospital for a diagnostic mammogram. The study was highly suggestive of a tumor and she wanted to follow-up with a treatment team of oncologists, surgeons, and radiation oncologists at a downtown academic medical center. She was told that there is an information superhighway in Massachusetts - the Mass Pike. For 25 cents a page she could get a copy of her medical records on paper and then drive them into Boston.
In September of 2012, John's mother broke her hip and because the hospital had no access to her outpatient records, she was placed on 22 different medications based on pill bottles John's father collected. She takes only 2 medications, which are clearly documented in her primary care physician's electronic health records.
Both of these scenarios illustrate that we do not have a healthcare system in the United States. Rather, we have a disconnected set of information silos - hospitals, clinics, labs, and pharmacies - that lead to redundant, unnecessary and error prone care.
But there is hope.
On October 16, 2012 at 11:35am Governor Deval Patrick officially "flipped the switch" on the Massachusetts state Healthcare Information Exchange, called the HIWay, enabling electronic records to be sent from provider to provider throughout the Commonwealth with patient consent.
This event, held in the Ether Dome of the Massachusetts General Hospital, was the culmination of years of hard work by many stakeholders and experts in the Commonwealth. Here is their story.
Historical Efforts:
In 1995, Massachusetts stakeholders convened through the Massachusetts Health Data Consortium (MHDC) to found the Chief Information Officer (CIO) Forum. The CIOs from payers, providers, and employer groups, agreed to meet on a monthly basis to discuss the use of IT to streamline health care commerce, reduce costs, and enhance care delivery processes. Early work included common privacy/security guidelines, common data sets for describing clinical encounters, and early discussions of how organizations could collectively address HIPAA compliance issues as a region rather than a series of disjoined efforts.
In 1997, at an MHDC-sponsored security conference, several CIOs of the payers and providers of Massachusetts gathered at dinner to discuss the creation of a network for the exchange of claims, referrals, and benefits/eligibility transactions in Massachusetts. The group named the effort the New England Healthcare Electronic Data Interchange Network or NEHEN.
Three provider organizations (Partners Healthcare, CareGroup, and Lifespan) and two payer organizations (Tufts Health Plan and Harvard Pilgrim Health Care) worked together to formally create NEHEN LLC as an independent organization. Computer Sciences Corporation (CSC) was hired to manage a region-wide administrative data exchange effort, and by October 1998, with prior patient consent, eligibility data began flowing among these early NEHEN members. Boston Medical Center joined in December 1999. University of Massachusetts Memorial and Boston Children's Hospital joined in February 2000. As of 2012, more than 100 million administrative health care transactions in Massachusetts flow over the collaborative NEHEN network annually.
This early work on transaction exchange built trust among the CIOs and established a business model that all could understand — cost avoidance. Before NEHEN, administrative transactions such as claims cost $5.00 each in labor to submit via paper, fax, phone and e-mail. After NEHEN, these transactions could be exchanged electronically for pennies apiece. The payers and providers in the Commonwealth recognized that IT collaboration reduced costs for everyone.
Over the past 5 years, NEHEN added e-prescribing and clinical data exchange functionality, enabling data to flow among more than 60 institutions in the commonwealth.
Over the same time period, advances in technology and incentives from the American Recovery and Reinvestment Act funded Meaningful Use stimulus program encouraged practices of all sizes to install electronic health records. NEHEN was optimized for larger organizations with significant IT resources and was generally perceived as too expensive for small practices and providers in the rural parts of the Commonwealth. Additionally, State government was not involved with NEHEN as officials feared conflicts of interest while serving as a board member of a private multi-stakeholder organization. NEHEN needed to evolve into a state-wide, low cost, government engaged model.
Creating the Massachusetts HIWay:
In September of 2011, the Secretary of Health and Human Services Dr. JudyAnn Bigby created the HIE-HIT Advisory Committee as a mechanism to channel advice and recommendations to the HIT Council, the healthcare information technology governance body established by Chapter 305 of the Acts of 2008. Comprising 24 public and private sector experts from a broad range of perspectives, and 92 individuals in its working groups, the Advisory Committee has provided substantive advice to the HIT Council in a wide variety of areas, including architecture, phasing, technical specifications, consumer priorities and concerns, provider adoption, financing of the statewide HIE, and legal/policy considerations.
The 5 working groups were as follows:
• Consumer & Public Engagement Work Group – To raise awareness of the HIT-HIE program among consumers, to engage consumers in the program, and to ensure that consumer input is considered for all critical recommendations and Advisory Committee decisions.
• Provider Engagement & Adoption Work Group – To raise awareness of the HIT-HIE program among providers, to encourage adoption of HIT-HIE among providers, and to ensure that provider input is considered for all critical recommendations and Advisory Committee decisions.
• Technology & Implementation Work Group – To plan and develop technical and operational requirements and approaches for statewide HIE activity conducted through publicly-funded or -supported programs. To develop strategies, standards, and requirements for an enhanced statewide HIE architecture that leverages existing networks, shared services, and standardized regional services to enable broad adoption and use of statewide HIE services
• Finance & Sustainability Work Group – To recommend financing and business models for implementing and sustaining statewide HIE infrastructure and services.
• Legal & Policy Work Group – To plan and develop a governance model and legal and policy framework for statewide HIE activity conducted through publicly-funded or -supported programs.
Many people put in many hours in September 2011 to engage stakeholders, create a unified statewide HIE plan, suggest a funding model, define requirements, and broadly communicate the strategy.
In October of 2011, three of us that had worked with these early efforts - Manu Tandon (the CIO of the Executive Office of Health and Human Services), Micky Tripathi (the CEO of the Massachusetts eHeath Collaborative), and John Halamka (CIO of Beth Israel Deaconess Medical Center) visited CMS to discuss a powerful idea. We proposed a single state operated infrastructure connecting all payers, providers, and patients using national standards at low cost. In Massachusetts, where 100% of the hospitals serve Medicaid patients and 80% of the ambulatory providers serve Medicaid patients, development of this infrastructure could be a game-changer. Medicaid 90/10 matching funds could be applied for the first time to the construction of a statewide health information exchange. The state would contribute $5 million and Medicaid would match it with $45 million to create an infrastructure that all stakeholders could use. The private sector would pay its fair share and every stakeholder would pay a subscription fee that related to the value they derived from healthcare information exchange and their ability to pay.
CMS was impressed by the core elements of the proposed strategy that included:
• Three-phase HIE plan beginning with creating the statewide Information Highway as a foundation for richer applications and services from 2012-2014.
• Alignment with national interoperability standards and emerging Meaningful Use (MU) stage 2 requirements[1]
• Maximization of Medicaid SMHP/Medicaid Management Information System (MMIS) 90/10 Federal Finance Participation (FFP) funding
In January of 2012, CMS approved the funding and work began on the Requests for Proposal to support an open, transparent, competitive bidding process for vendors to provide the products and services needed by the HIE.
The Plan:
The three phase plan was based on stakeholder requirements, the maturity of available technology, and the likelihood that the needed policies would be supported by payers and providers.
The first phase leverages existing workflow and processes used to release medical records today. In a paper-based healthcare world, patients request/consent that their information be disclosed to another party and then the information is sent (we use the term "pushed" to another organization). Information would continue to be "pushed" from one organization to another, but we would replace all these paper flows with secure, fully electronic ones. Such a workflow supports coordination of care between primary care givers and specialists; hospitals and primary givers; providers and payers.
The second phase uses this new "push" technology to send data from provider offices and hospitals to registries and data warehouses for quality measurement and population health analytics.
The third phase envisions a solution for the "unconscious in the Emergency Department" problem. You arrive in the Emergency Department with only a wallet and no ability to communicate. Using only your name, gender, and date of birth, information from clinician offices and hospitals where you have previously consented to disclose your data make that information available to the emergency physician.
The Technology:
These three phases require an array of technology components and policies. For the first phase, we implemented 5 components.
All of these were competitively bid and procured from a single vendor (Orion) and then, implemented over the Summer of 2012.
In 2014, we will complete a statewide consent repository. Each institution will record opt-in consent for disclosure of that institution's data and that consent will be forwarded to a statewide registry, which will store patients' consent preferences. At any time a patient may opt-out of disclosing data from an institution. To support stored consent function, we will need a secure, statewide citizen index. We will also need this index to support patient-matching of medical records across organizations. For other phases in the future, we will need other additional components.
The Policies:
Before we could send patient identified data between organizations over this infrastructure, we needed policies to delineate roles/responsibilities, support business associate agreements, and ensure patient consent is obtained and patient privacy preferences are respected.
We assigned roles and responsibilities as follows:
EOHHS created a single participation agreement that included business associate language. Each stakeholder that wants to use the state HIE must first sign this common participation agreement. The Participation Agreement defines key aspects of roles and responsibilities of EOHHS and participants, especially those relating to maintaining patient privacy and technical data security, including audits and investigations of suspected incidents or breaches.
Highlights of this Phase 1 (pushing of information only) Participation Agreement include:
As noted above, standard practice is that health records are only disclosed from one organization to another when the patient has signed his or her written consent to such a release. We adopted the same approval to disclose (oral, written) that is in place in healthcare workflows today. All that changes is that phone, fax, email, and paper is replaced by secure electronic transmission.
The end result of obtaining common participation agreements among all the providers in the Commonwealth over a single secure infrastructure governed by the underlying principle of achieving patient consent to disclose before transmission creates a fabric of trust that protects patient privacy.
Acquiring Customers:
With policies in place and technologies under construction, we could begin acquiring customers. In the Summer of 2012 the Advisory Committee supported efforts to recruit and prepare early adopters to go live with the statewide HIE on its launch date or "Golden Spike" event. A large number of early adopter organizations have come forward to participate including Atrius Healthcare, Baystate Healthcare, Beth Israel Deaconess Medical Center, Boston Children's Hospital, Greg Harris MD, Holyoke Medical Center, Network Health Plan, Partners, Tufts Medical Center, and Vanguard Health Systems representing a significant portion the Commonwealth's active providers.
The "Golden Spike Group" began meeting in August to review, react to, and help refine the statewide HIE participation agreements, pricing, and technical interfacing requirements.
The Go Live:
In front of the press and leaders of Massachusetts, I accessed my wife's actual hospital records, with her consent, and sent them electronically to her actual doctor's office, a payer, a private primary care provider affiliated with another hospital, and the Massachusetts eHealth Collaborative (a quality measurement and analytics service provider). We broke down silos, demonstrating that care coordination, population health, and quality analytics based on healthcare information exchange is now possible in Massachusetts. The electronic records involved included an institution's home-grown electronic medical record, eClincialWorks, a custom payer system, and self built analytic applications.
Other transactions followed.
With patient consent, Tufts New England Medical Center sent patient-identified summaries to and received summaries from Vanguard Health Systems New England illustrating a primary care physician-to-specialist closed loop workflow. EHRs included Siemens Soarian and Meditech.
Also with patient consent, Boston Children's sent pediatric patient-identified summaries to Atrius Healthcare, a multi-specialty group, illustrating tertiary hospital-to-primary care giver coordination.
All were successful and were documented in real time on the Twitter stream.
The Governor distributed golden spikes made from actual railroad spikes salvaged from rail near Promontory Point, Utah, the site of the original transcontinental railroad connection.
Just as the original Golden Spike in 1869 issued in a new era of connectedness, so does the Massachusetts healthcare information exchange change business as usual in Massachusetts. Over the next year, we will be building new "bridges," ensuring that every payer, provider, and payer can send transition of care summaries with patient consent.
This achievement, although conceived in Fall of 2011 and completed in the Fall of 2012, builds upon over 15 years of trust building, early experiences with healthcare information exchange, and an array of public/private investments along the way.
Simple policies - a common participation agreement and consent to disclose complemented by simple technologies - gateways that support secure transmission, a provider directory, and a digital certificate infrastructure, funded by both Medicaid funds and private sector contributions, make the Massachusetts a first-in- the-country model for the rest of the U.S. We look forward to breaking down healthcare information silos over the coming months. Never again will issues such as those which affected John's wife and mother be caused by the lack of healthcare information superhighway in Massachusetts.
John D. Halamka MD, CIO Beth Israel Deaconess Medical Center
Manu Tandon, CIO EOHHS
Micky Tripathi, CEO, Massachusetts eHealth Collaborative
Laurance Stuntz, Director, Massachusetts eHealth Institute
[1] Medicare and Medicaid Programs; Electronic Health Record Incentive Program—Stage 2, 77 Fed. Reg. 53,968 (September 4, 2012).
To view the original post and the Fall/Winter 2012 Health Law Reporter Preview, please click here.


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INGREDIENTS: Dried chickpeas, gelatin, glycerin, powdered cellulose, dried potato, water, lecithin, potato protein, natural poultry flavour, minerals (dicalcium phosphate, calcium carbonate, potassium chloride, magnesium amino acid chelate, zinc amino acid chelate, iron amino acid chelate, copper amino acid chelate, manganese amino acid chelate, potassium iodide), choline chloride, dried apple pomace, fruit juice colour, vitamins ( dl-alpha tocopherol acetate [source of vitamin E], vitamin B12 supplement, d-calcium pantothenate [vitamin B5], niacin supplement, vitamin A supplement, riboflavin supplement [vitamin B2], vitamin D3 supplement, biotin, pyridoxine hydrochloride [vitamin B6], thiamine mononitrate [vitamin B1], folic acid), turmeric colour.
Crude Protein Min. 23.0%
Crude Fat Min. 4.0%
Crude Fat Max. 7.0%
Crude Fibre Max. 11.0%
Moisture Max. 15.0%
Calcium Min. 0.5%
Phosphorus Min. 0.4%
Riboflavin Min. 3 mg/kg
Niacin Min. 20 mg/kg
Feed 1 GREENIES® dental chew per day. For dogs 50 - 100 lbs. Not suitable for dogs less than 5 lbs, or dogs less than 6 months of age. Fresh drinking water should always be available. ATTENTION: As with any edible product, monitor your dog to ensure the treat is adequately chewed. Gulping any item can be harmful or even fatal to a dog.


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This video features a mothers group in our project in Santo Domingo, Dominican Republic.
The narrator in the video, Altagracia Flores, is a charismatic social worker in the Santo Domingo project. She and other CFCA staff members work closely with mothers of sponsored children who want to start or improve their livelihood or business.
They can access small loans from the group fund, which consists of the mothersí individual contributions and a CFCA matching amount.
Altagracia shares with us the example of two mothers who have succeeded in improving their small businesses and their families' living conditions.
[vimeo=http://vimeo.com/23386333 w=600&h=400]


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W+K's Team Wales is this morning back in the office after our latest adventure to shoot in, err, Wales. We sped around 6 locations, over 5 days, experiencing all 4 seasons. We felt the true warmth of the Welsh welcome from Holyhead to Abergwesyn, Brecon to Cardiff, Laugharne to Saundersfoot and Narberth. Thanks to everyone we met, who featured and who helped us on the way.
There were many highlights to the trip; here are just three…
The sunset at South Stack:
The view from the top of Pen-Y-Fan in the Brecon Beacons (from l-r our lovely client Sam, Ali, Michelle, Alex and Benny):
And the brilliant sunshine by St Brides spa:
It was a poignant time to be in Wales as the search continued for Machynlleth's April Jones. Now we're all safely back in our homes, we hope to hear news that the same will soon be true of little April as well.
Watch the blog for updates on the new spots due out in early 2013.


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Harvest Chicken with Walnut Gremolata
Total TimePrep: 25 min. Cook: 5-1/4 hours
Makes6 servings
- 1 medium butternut squash (about 3 pounds), peeled and cubed
- 1 can (14-1/2 ounces) diced tomatoes, drained
- 1 medium onion, chopped
- 1 celery rib, chopped
- 1/2 cup reduced-sodium chicken broth
- 1/4 cup white wine or additional reduced-sodium chicken broth
- 1 garlic clove, minced
- 1 teaspoon Italian seasoning
- 1/4 teaspoon coarsely ground pepper, divided
- 1/4 cup all-purpose flour
- 1 teaspoon seasoned salt
- 6 chicken drumsticks, skin removed
- 1 cup uncooked orzo pasta
- 2 tablespoons finely chopped walnuts
- 2 tablespoons minced fresh parsley
- 1 garlic clove, minced
- 1 teaspoon grated lemon zest
- In a 5-qt. slow cooker, combine the squash, tomatoes, onion, celery, broth, wine, garlic, Italian seasoning and 1/8 teaspoon pepper.
- In a large resealable plastic bag, combine the flour, seasoned salt and remaining pepper. Add chicken, a few pieces at a time, and shake to coat. Place chicken on top of vegetables. Cover and cook on low for 5 hours or until a meat is tender. Remove chicken and keep warm.
- Stir orzo into vegetable mixture; cover and cook 15-20 minutes longer or until orzo is tender. Meanwhile, combine gremolata ingredients.
- Transfer vegetable mixture to a serving platter; top with chicken. Sprinkle with gremolata.
Nutrition Facts1 each: 343 calories, 5g fat (1g saturated fat), 40mg cholesterol, 252mg sodium, 55g carbohydrate (10g sugars, 9g fiber), 21g protein.
Recommended Video
Nov 4, 2017
My family really liked this. I used halved chicken breast and couscous because I didn't have any orzo. I also used Greek seasoning because I didn't have seasoned salt. It turned out really well. The couscous soaked up the liquid and was thick and comforting. Next time I think I'll brown the chicken and saute the onions and celery as someone suggested.
Feb 16, 2010
Looked great until I added the orzo, it soaked up all the liquid and was mushy.
Nov 21, 2009
I really enjoyed this recipe due to the sweet yet savory flavor of the "squash stew" that results in the bottom of the pan. I think it would be better with chicken breast - the dark meat doesn't contribute greatly to the flavor and the drumstick is a little "soggy".
Oct 27, 2009
I found this recipe to be bland, despite having added salt and even hard Italian cheese as a last resort. The presentation wasn't very nice, either. The butternut squash was too soft and turned into more of a porridge. The overall result was not appetizing. I made this recipe to the exact specifications; perhaps the reviewer's additions would have rescued it.
Feb 10, 2009
Since I am the creator of this recipe, I thank you for your comment. Try it again sometime with the orzo -you will love it! - Pat
Sep 29, 2008
This was delicious, and definitely dressier than the average slow cooker meal. I first browned the chicken (I used thighs instead of drumsticks), then sauteed the onion and celery briefly in the drippings for more flavor. We were out of orzo, so I drained off a cup of the cooking juices, added a cup of chicken broth and used the combined liquid to make rice pilaf. The gremolata added just the right touch to blend the flavors & unite the whole dish. Absolutely delicious--this is a definite keeper. Thanks!


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Knitwear Lycra pattern - Cytrynki
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It is characterized by high elongation. Is exceptionally soft and feels great. Made of high quality yarn. Print high quality, certified by Oeko Tex Standard 100
Price for knitted fabrics with a length of 1 meter and includes VAT
Buying a few pieces you will get always in one piece
Specifications/Technical Data
- Composition: 85% Polyester 15% elastane
- Width: 155 cm (+/-5%)
- Weight: 210 g/m2
- Type of printing: digital
- Certificate: Print with a certificate of Oeko-Tex Standard 100
The Use Of Lycra Knitted Fabric:
- Jumpers
- Swimwear
- Leggings
- Dance costumes
- Sportswear
- Blouses
- T-shirts
Provision of washing Knit elastic Lycra:
- Wash at 40 deg C to
- Do not tumble dry automatically
- Dry in an upright position
- Not may chlorinate
- Do not dry clean
There is currently no comments or ratings for this product.


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Just Shades
$ 60.00
Type: Finials
Vendor: Just Shades
$ 19.00
Acrylic Cylinder Finial. 2.5". Fits most harps.
View full product details »
$ 17.00
Antique Brass Beaded Ball Finial. This finial is 25mm in diameter, with a brushed brass...
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Antique Brass Beaded Knob Finial. Fits most harps.
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text:
Because Brentwood school staff and administrators ignored state reporting requirements after a teacher pulled a 5-year-old student from his chair and kicked him as he lay on the ground, his parents unwittingly sent their fearful son back into his abuser's classroom.
Teacher Dina Holder eventually pleaded no contest to misdemeanor child abuse. But left to district personnel, the case might never have reached the legal system.
Staff members reported the incident up the chain of command, but failed to notify outside authorities. Top administrators wrongly decided to first investigate rather than alerting police or child welfare workers trained to probe criminal matters. Assistant Superintendent Margaret Kruse regarded the case an employee discipline matter and said she never considered whether a crime was committed.
It was the student's upset parents who notified police when they finally learned of the incident a week after it occurred. Only then did they understand why their special-needs child had a purple lower-back bruise and was saying "no, no" as they approached school the day after the abuse.
Some 2½ years later, Superintendent Merrill Grant on Wednesday defended the notification delay, saying the principal needed to first establish the veracity of the allegations.
That's wrong, says attorney William Grimm of the National Center for Youth Law in Oakland. Unfortunately, it's a common misconception among educators. "They think somehow they need to investigate, to conduct some sort of inquiry. People need to be trained to understand that's not your job."
A San Jose principal, who botched her own investigation of a sexual-abuse incident involving a teacher, was convicted last year of a misdemeanor for failing to alert authorities. In Moraga, the district faces multi-million-dollar lawsuits filed by three former students who say administrators failed to report complaints of teachers who sexually abused them.
The law is clear. Each school worker must "immediately" report knowledge of "any reasonable suspicion" of abuse. If two or more people know, they may agree to designate one to notify authorities.
The Brentwood procedural breakdown is revealed in hundreds of pages of deposition transcripts from the parents' civil lawsuit against the district, Holder and Principal Lauri James. This month's settlement forces the district to pay $950,000 and finally removes Holder from the classroom.
From the onset, this case clearly met the "reasonable suspicion" notification standard. Instructional aides directly witnessed the abuse. However, they misunderstood the law and believed they only had to notify superiors.
That set off a five-person communication chain, in which no one called authorities, before word reached James. One veteran teacher directed witnesses to take their concerns back to the abuser.
Rather than calling police or county Child Protective Services, James launched her own investigation. She had never dealt with such a situation before and didn't know whether Holder's actions, if true, might be criminal.
While tied up in meetings, James directed the school psychologist to collect written statements from witnesses. But James didn't talk to them before she contacted the abuser.
The abuse occurred on a Tuesday. James learned about it on Wednesday afternoon. It wasn't until Friday night that she and Kruse determined they should notify Child Protective Services.
What happened next depends on whom you believe. James testified that a CPS worker told her that the district should handle the matter internally.
"That's not something we do," CPS spokeswoman Lauren Brosnan said Thursday. She couldn't discuss this case because of confidentiality rules. But she said licensed social workers who take the calls about abuse are well-trained. The agency handles allegations of abuse within families and refers other reports to police, she said.
James' account is more troubling because the school psychologist, Samantha Sheldon, gave a different version. She testified that James told her she was instructed by CPS to call police. That never happened.
Ironically, James reprimanded some of her staff, not for failing to properly report the incident to authorities, but for failing to report it to her. "Under SOP (standing operation procedure)," she testified, "anything that you see or hear out of the ordinary needs to be reported to me."
Clearly, remedial training is urgently needed.
Daniel Borenstein is a staff columnist and editorial writer. Contact him at 925-943-8248 email@example.com. Follow him at Twitter.com/borensteindan.


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Vitreous Enamelled Flue Pipe 8" (Length 900mm)
Estimated Delivery Up To 5 Working Days
No need to create an account to get delivery costs.
For a full delivery quote to your address, add the products you require to your basket and click the 'View Contents' button to see a full list of delivery options and costs for your entire order.
Technical Data
For Connecting Stove Pipe to the Stove. You will note that there are two holes in the spigot end of the pipe. Please note that these holes are used during the manufacturing process and are not in any way used for installation purposes.
Vitreous stove pipe should be fitted with the socket uppermost, small end downward. Ideally the spigot end should sit inside the spigot outlet from the stove. Thus, no condensate can escape to spoil the appearance of the finished installation, and any tar deposits remain inside the stove pipe at all times and drop back inside the stove.
- Can be cut down: No
- Connection: Male & Female Connection (Push Fit)
- Distance to Combustibles: 300mm (12")
- Distance to Non-Combustibles: 150mm (6")
- Thickness of Steel: 1.2mm
- Finish: Matt or Gloss Black
- Internal Diameter: 200mm (8")
- Access Door: No
- Length: 900mm
- Insulated: No
- Quality Assured: BS6461 P2, BS6999:1989, BS1344 P1 P3 P7


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A small, but perfectly formed group of PEM Friends braved the floods in the UK on Monday 26th November 2012 to have a sociable lunch together and share their experiences of Pemphigus and Pemphigoid. Even though it was a low turnout of just seven patients, there was a wide diversity of the diseases represented and a great deal of empathy and common interest.
People came from as far away as Leicestershire and Suffolk. We met in the self-service restaurant of Peter Jones in Sloane Square, London.
We were joined by Dr. Jane Setterfield, a Consultant Dermatologist with a great wealth of knowledge in the field of blistering diseases, particularly when there is oral involvement. Dr. Setterfield was able to answer our many questions and suggest possible actions for those attending.
Some of the particularly helpful sources of further information that Dr. Setterfield guided the group to were:-
It was a very enjoyable and useful event.


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|Automated Female (English)
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|Automated Male (English)
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What does the name Mbombela mean? Find out below.
I do not know how you feel about it, but you were a female in your last earthly incarnation. You were born somewhere around the territory of Spain approximately on 1350. Your profession was banker, usurer, moneylender, and judge.
Your psychological profile shows you had a natural talent of psychologist and knew how to use the opportunities. Cold-blooded and calm in any situation. Your problem - to learn determination and persistency. Every misfortune should crash upon your strong will.


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The Faughan Valley is a unique area, rich in habitats and precious species, and embracing many archaeological and historical features.
The River Faughan and its tributaries have been designated an Area of Special Scientific Interest (ASSI) and a Special Area for Conservation (SAC). A number of significant woodlands in the area, such as Ervey, Ness and Bonds Glen, enjoy ASSI status; while others, such as Oaks Wood and Killaloo Wood, are designated Local Nature Reserves.
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The Lenny Dykstra/Charlie Sheen revival tour can't do nothing but gather steam. Just two days after Dykstra vouched for the coke-fueled genius that is Sheen, they took to the radio waves to "set the record straight on the myriad of exaggerations, misinformation and outright falsehoods about his life that have been whipped up by the establishment media."
Dykstra also used the opportunity to discuss Ryan Howard in a "what he looked like facing Brian Wilson" sense.
I'm sorry Ryan you're the best left-handed hitter in 50 years, but he made him look like an armless child when he backdoor slidered his ass into the World Series.
These words were brought to you by The Alex Jones Show, the host of which takes the position that 9/11 was an inside job. Oh, cool.
This ends nothing but well.
Lenny Dykstra Vouches That Charlie Sheen Is A "Rock Star" And "F-ing Genius" [Deadspin]
(H/T Crossing Broad)
Thank you for your continued support of Deadspin. Maximum Overdrive, represent.


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Aerin Lauder's newest collection for Spring 2014 is a collection of wearable, soft and pretty Rose Balm lipsticks (the rose lip conditioner form the brand is AMAZING, one of my favourites), a Rose Balm which is made up of over 350 Rose Petals, a brush kit and a face palette. I have the palette and a Rose Balm Lipstick to review!
The Aerin collection I feel, very much feels like part of the Estee Lauder brand (that gold!) but with a romantic feel. I have so far liked the products I have tried from Aerin, and they definitely have quite a grown up feel to them.
The Kaleidolight Palette caught my eye with the pretty sunburst layout, consisting of five shades for the face and eyes. My gut instinct said 'soft, wearable, sheer' when in fact, this is pretty pigmented (as in I had a cheek accident the first few times I used it because I underestimated how pigmented it actually is). Do not be fooled!
There is the pretty lavender which works well for colour correct or blended in with the other shades, and of course as a fresh eyeshadow (I love lavender on the eyes) a medium tan, a darker tan, a skin beige on both sides (actually a warm beige I should say) and a pink. Swirled together you can wear this on the cheek, it looks like a rosy tan colour (and I am not kidding – it IS pigmented). The browns and purples aso work well on the eyes, the result is very natural!
The powders are very very soft, like suede to touch which is nice.
I've found the most use for this palette by swirling a large brush over and using it to warm up the face, a job it does very well; on the cheeks, t-zone etc.
The Rose Lipstick smells of Roses (of course) and comes in ten lovely shades (wearable and dramatic colours, all extremely likeable). I have 08 Perfect Nude which is a safe choice for me – and yet it isn't too pale, it's more of a beige brown that looks elegant with no hint of shimmer.
The texture is great – it really does feel like you are applying lip balm; nourishing and creamy with good coverage.
Wearing the lipstick and palette on my cheeks here. Excuse the pained expression.
How badly do I want this lipstick in Wild Lilac (a deep, dark purple!).
Wearable but fun at the same time, Aerin's new collection is definitely worth a look. What I thought would be a slightly boring palette turned out to be a super pigmented all rounder and the lipstick is exquisite and great for dry lips like mine.
You can buy the palette (£40) and lipstick (other shades available – £25 each) here.


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Important Updates from Carers NZ
Important Updates from Carers NZ
Payment for Carers Update
As many of you will be aware, the Government is considering payment options for family carers who support disabled adult children. This is in response to successive court decisions finding that to not pay family carers the same as formal workers for the same work is discriminatory. We are unsure of when any official payment announcement will be made, but we will keep you informed of progress.
We Care Campaign: Add Your Voice To Ours!
With the payment decision imminent, and the start of a fresh new year, now would be a good time for you to visit the We Care! website www.wecare.org.nz We encourage individuals and organisations to take a few moments and send an email to the Prime Minister, John Key (click on 'Email John Key'), or you could have your say visually by creating a simple, powerful photo message (click on 'Photo messages'), adding your voice to ours to call for genuine support, recognition, and good decision-making for carers. Every voice counts so please make sure yours is heard!
New Zealand Rare Disease Day
Supporting the Rare Gems™ in our community, NZORD, the NZ Organisation for Rare Disorders, has gone in to bat for small groups supporting those with very rare conditions for Rare Disease Day on Thursday 28th February. The Rare Gems™ theme recognises the exceptional occurrence of so many different rare diseases, which affect one in many thousands to one in a million in some cases. NZORD is promoting Rare Disease Day as an opportunity for small support groups to raise awareness and fundraise for their own organisations, using resources provided by NZORD through its dedicated website www.rarediseaseday.org.nz Rare diseases may be individually rare, but as there are about 7000 of them they are collectively common, affecting about 8% of the whole population. Visit the Rare Disease Day website where there are posters to download, ideas for events, "how to" guides and more, all designed to make it simple for the smallest group or individual patients or families to get involved.
Free carer infopacks
Carers NZ's infopacks have proved to be a popular resource for both carers and support organisations. Each pack contains a copy of the Government Guide for Carers, the latest issue of Family Care, plus a range of other helpful information we think all carers should know about. Our infopacks are useful for all carers, regardless of the age and health condition of the person/s they are supporting. Individual packs are available free of charge. For organisations that request multiple packs we ask for a koha/donation to help defray our courier costs. Email Sara Rogers firstname.lastname@example.com or phone the National Resource Centre 0800 777 797 during office hours to order your packs.
A Guide for Carers
This free, helpful booklet is available as its own standalone resource and offers information about the various types of publicly funded support available to family carers in NZ. You can find out about needs assessments, respite, Carer Support Subsidy, available financial support, how to access assistance with continence needs, transport, or housing, and much more. We encourage other not for profits and support organisations to request multiple copies of the Guide (they come in boxes of 50) and make them available to families in their networks. There are no costs involved to receive either an individual copy, or multiple copies. Please contact Sara Rogers (via the contact details above) to find out more, or to request your booklets.
Family Care NZ – Autumn Issue
We're currently working on our Autumn issue which will be delivered to individuals and organisations in mid March. Features this time will include advice if you're downsizing or moving to a retirement village; Louise Inglis's in-depth article about toilet training children who have autism (based on her own experiences with her son, Kevin); injury prevention teamwork with your support workers; and a rural health special report in our Support At Home section. To request a free trial copy of the magazine phone the Carer Resource Centre 0800 777 797 during office hours, or send an email to email@example.com
• State of Caregiving Research Study
• Help Improve the Welfare System for Disabled People/People with Health Conditions
• Nationwide Events and Expos
• Alzheimers NZ National Dementia Awareness Campaign
of Caregiving Research Study
We ask family carers to make time to participate in New Zealand's first longitudinal (over time) study about how caring affects New Zealanders providing ongoing support for an ill, disabled, or frail friend or family member. We have partnered with The University of Auckland (Faculty of Medical and Health Sciences) to give carers a stronger voice and greater visibility through The State of Caregiving Study. Please click here to complete the online survey, which will be repeated annually for three years. We have also attached a PDF one page letter (see below) from Tracey-Lee Dalton, the researcher who is leading the study. We hope that hundreds of carers will take part in this research! StateOfCaregivingStudy.pdf(325.89 KB)
Improve the Welfare System for Disabled People/People with
Health Conditions
The Ministry of Social Development (MSD) is talking to stakeholders about how, from July 2013, they can work differently with disabled people and people with health conditions, and help those who can work into work. MSD is inviting anyone with an interest to give their views on how the welfare system needs to change. Several public meetings and workshops have been held; if you missed those, you can still have your say by giving feedback in an online survey at www.msd.govt.nz/healthanddisability before Friday, February 8, 2013.
Nationwide Events and Expos
Show Your Ability Expos Held in five regions from February 19th onwards, Show Your Ability is New Zealand's premier annual equipment show. Each event will showcase all kinds of services and useful things for anyone who has extra needs. Carers NZ is pleased to promote these Expos, and will have a supply of its own resources located near the sign-in desk at each location. Click on the PDF icon to find out more. Show Your Ability 2013.pdf(1,232.61 KB)
The Big Event Disability and Ageing Expo This annual two day event is being held at the ASB Auckland Showgrounds, Greenlane, on Friday 5th and Saturday 6th April. Carers NZ will again be present at the event with its own display stand, along with many other exhibitors showcasing information and equipment of interest to those with health and disability needs. You can learn more about the event at www.thebigevent.org.nz We look forward to seeing you there!
NZ National Dementia Awareness Campaign
Help us raise awareness about dementia! The second phase of the We Can Help Campaign will run from February to June with TV and magazine advertising. There are many ways you can support the campaign, for example, by placing posters in your facilities, and signing the petition. Campaign resources can be downloaded from the 'wecanhelp' website www.wecanhelp.org.nz
CARERS.NET.NZ One in five New Zealanders support someone who is frail, aged, sick, injured, disabled, or experiencing a mental illness.


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Pixologic@siggraph 2012:
Each year at the SIGGRAPH convention, Pixologic brings together an exciting lineup of talented ZBrush artists to present their workflows and techniques. We are pleased to share with you a taste of these exciting presentations in the following movies...
These videos are being released at the rate of one each day beginning Monday, August 27 and continuing through Friday, August 31. Today we will start with:
Movie 1
Illustrating the power of the new retopology features in ZBrush 4R4, including the Retopology Brush and Mesh Replacement.
With Danny Williams from Dreamworks. He's best known here at ZBC as pOiNtPuShEr.
and Scott Spencer, author of "ZBrush Digital Sculpting", "ZBrush Creature Design" and "ZBrush Character Creation".
His ZBC gallery is found as Scott Spencer.
Movie 2
Demonstrating several FiberMesh techniques to create realistic hair.
With Joseph Drust from Ubisoft's Red Storm Entertainment division. On ZBC he is known as Piggyson.
Movie 3
Showing how ZBrush 4R4's new DynaMesh features make it fast and easy to create complex hard surface shapes.
With Joseph Drust.
Movie 4
Demonstrates using the Topology Brush, DynaMesh, Insert Multi-Mesh Brushes and Curves to create form-fitting clothing and armor.
With Kurt Papstien from Turtle Rock Studios. Most of you probably know him as KPtoons here on ZBC.
Movie 5
Mastering the Insert Multi-Mesh Brushes, including how to create your own Tri-Part Brushes.
With Michael Pavlovich from Certain Affinity. He has created five video ZBrush tutorials for Eat 3D and is known at ZBC as Pavlovich.
In addition we also hosted three artists from Industrial Light & Magic at SIGGRAPH: Kris Costa (Antropus), Martin Murphy and Frank Gravatt. They drew a crowd that flooded the aisles as they presented their work on a series of movies including "The Avengers", "Cowboys & Aliens", "Transformers" and "Rango". Unfortunately, due to NDA restrictions we are not at liberty to show their demonstrations. However, you can enjoy the Rango interview that we did with ILM! Click Here


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More Sympathy for Hagel in NY Times; GOP 'Further Strain Partisan Tensions' by Unprecedented (?) Filibuster
Jeremy Peters reported on Friday's front page on the surprise failure to advance the nomination of Obama's nominee for secretary of defense, former Republican Sen. Chuck Hagel: "G.O.P. Blocks Vote on Hagel In the Senate." Once again, the New York Times placed the battle in the context of President Obama being unfairly delayed assembling his national security team while straining "partisan tensions." The paper also downplayed or ignored conservative concerns over Hagel's poor performance in congressional hearings and his hostile comments regarding Israel and the "Jewish lobby."
Senate Republicans on Thursday blocked President Obama's nominee to lead the Pentagon in a defiant move likely to further strain partisan tensions while preventing the White House, at least temporarily, from assembling its second-term national security team.
In a result that broke down almost strictly along party lines, Democratic senators could not muster the support to advance the nomination of Chuck Hagel, a former Republican senator from Nebraska, to a final vote. The vote was 58 to 40, falling short of the 60 that were needed.
Democrats vowed to try again to resuscitate the nomination of Mr. Hagel, a decorated Vietnam veteran, when the Senate returns from recess in 10 days. Several Republicans who voted against Mr. Hagel said they would not block a final vote.
Democrats accused the opponents of mounting the first-ever filibuster against a Pentagon chief for their own political purposes.
"Just when you thought things couldn't get worse, it gets worse," said Senator Harry Reidof Nevada, the majority leader. "I guess to be able to run for the Senate as a Republican in most places of the country, you need to have a résumé that says, 'I helped filibuster one of the president's nominees.' "
Peters went granular to try and represent the Republican action as historically unique.
The vote represented the first time in history that the Senate has required that a nominee for secretary of defense clear the 60-vote hurdle before a final, simple majority vote. Republicans, who took the extraordinary step of rebuffing their former colleague and fellow party member, insisted that Democrats were trying to rush a vote on a crucial cabinet position that deserved more consideration.
Specifying "secretary of defense" and "60-vote hurdle" enables Peters to ignore what Will Bennett in The Hill pointed out: the long history of mostly Democratic-led filibusters against Republican cabinet appointments.
In contrast, the Times' tone was far less hostile to a Democratic-led filibuster against the liberal-loathed John Bolton as U.N. ambassador in June 2005. In that case, Sheryl Gay Stolberg described the back and forth in a neutral way: "For the second time in a month, Senate Democrats blocked a vote on Monday evening on the nomination of John R. Bolton to be ambassador to the United Nations, raising the possibility that President Bush will circumvent the confirmation process and appoint Mr. Bolton when Congress recesses."
Peters appeared to take the White House side that the GOP was being irresponsible.
In a statement after Thursday's vote, the White House accused Republicans of putting "political posturing ahead of our nation's security." It added that there were serious matters at hand: "We have 66,000 men and women deployed in Afghanistan, and we need our new secretary of defense to be a part of significant decisions about how we bring that war to a responsible end."
Senator Barbara Boxer of California, summing up Democrats' frustrations, implored her Republican colleagues, "What more are you trying to get out of this?"


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visualmagic necesitaba un nuevo diseño de logotipo y lanzó un concurso de diseño en 99designs.
Un ganador ha sido elegido entre 30 diseños de 14 diseñadores freelance.
Need 1x logo design that surpasses what the 'local' designer has supplied so far.
Desired Color Scheme:
PMS 323 Green - Primary Yellow
Desired Style:
Corporate - I saw a website with an asbestos logo that used the A as a triangle with an exclamtion mark in it - I dont necessarily want to copy other people but that looked quite good - like, 'alert!' - Asbestos is bad! You know what I'm sayin?
I need for my client a new look logo for their - Queensland Asbestos Management Services - business. The logo has currently got a map of Queensland, Australia in it , that they dont hate, but I think could be more interesting. The agent working between them and me insists that the QAMS acronym should be a part of the logo, but really wants something more original than the supplied versions so far.
I want to be really impressed so that I use this site on a regular basis, hopefully with an increasing amount.
If you want the details on the logo designs that have been rejected, I have them ALL in a jpg format easily emailed to you.
My email is:
Descubre cómo funciona un concurso de diseño u obtén más información sobre nuestros servicios de diseño de logo.


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- Parent Category: News
Springfield – Illinois State Police (ISP) officials statewide are issuing snow travel advisories and are urging motorists to plan ahead and take the necessary safety precautions while traveling on interstates and state roads. Drifting snow, wet and icy road conditions may disrupt travel and motorists should allow extra time when making travel plans.
Winter driving incidents are preventable. Statewide, ISP handled more than 1200 calls for service and motorist assists during the last three day storm. Drivers should plan accordingly and make safety a priority by driving at a safe speed, allowing plenty of distance from other vehicles to safely maneuver, ensuring vehicle lights are functioning properly, watching for snow removal equipment, and exiting the road to a safe location if driving conditions become too hazardous.
Illinois State Police are advising the motoring public to take the necessary safety precautions before getting behind the wheel. Motorists should reduce speeds and drive at safe distances. Unless medical attention is required, any motorists involved in accidents are advised to exchange insurance and driver information to keep drivers and passengers safe and roads clear," said ISP Director Hiram Grau.


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Navigation for Entire University
- ASU Home
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- Map and Locations
- Directory
The quality and focus of these submissions vary considerably. With the exception of those submissions selected as winners or finalists, these documents are unedited and are reproduced in the condition in which they were submitted. They may nevertheless contain useful information or may report innovative projects.
Casper Community Meth Watch Committee, Casper Police Department (WY, US), 2006
Central Casper Weed and Seed Program, Casper Police Department (WY, US), 2011
Hotel-Motel Interdiction Program, Colorado Springs Police Department (CO, US), 1999
Mackinaw River Bridge POP Project, Illinois State Police (IL, US), 2003
Methamphetamine Initiative, Salt Lake City Police Department (UT, US), 2003
Methcathinone, Indiana State Police (IN, US), 1997
Meth Reduction Initiative, Mobile County Sherriff's Office (AL, US), 2011
Narcotic Detection/Criminal Apprehension Through Enforcement and Education, Twin Falls Police Department (ID, US), 1999
Operation Don't Meth Around, Broken Arrow Police Department (OK, US), 2002
You may order free bound copies in any of three ways:
Online: Department of Justice COPS Response Center
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Tag Archives: Easter Sunday
Anatomical theology (for Easter meditation)
Once upon a time there lived a fellow by the name of Ollie. He was just back from attending a Swedenborgian Church for Easter service and was in a contemplative mood. Something miraculous had occurred to the Lord Jesus' physical … Continue reading


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Main features
- 100% cotton jersey
- Short sleeve
- Ribbed crew neck
- Copyright: © Marvel
Made in: India
Product code: 3096C14NO_101
100% Cotton
Clothing care
- Maximum temperature: 30°C. Gentle cycle
- Do not bleach
- Do not tumble dry
- Line dry in shade
- Delicate iron at maximum temperature of 110°C. without steam, which could damage the garment
- Do not dry clean


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SKF to present application-focused solutions at ConExpo-Con/Agg show
2014 February 25, 14:00 CET
Gothenburg, 25 February 2014: SKF will showcase product innovations and application solutions designed to improve the efficiency, reliability and performance of construction, mining and aggregate equipment at ConExpo-Con/Agg 2014.
Products will be displayed in context of the machine on which they typically would be used, so visitors can focus on specific equipment types. Key product applications for excavators, tunnel boring machines and conveyors will be highlighted, presenting application-specific SKF- and Lincoln-branded product solutions. Other equipment focal points will include road rollers, bulldozers and haul trucks. Experts will be on hand to discuss the benefits received from these solutions using product demonstrations, case studies and presentations.
SKF's global engineering expertise and knowledge of the construction, mining and aggregate equipment market is combined with strategic products that deliver specialized solutions to challenges faced by industry OEMs. These product solutions are designed to increase productivity and to lower total cost of operation, which can be achieved by improved reliability, increased fuel efficiency, reduced environmental impact and increased operator safety.
SKF will present the following new products at ConExpo-Con/Agg:
Lincoln HTL 201US continuous hydraulic lubrication pump
The HTL 201US pump was designed to minimize friction and wear on small and medium series hydraulic hammers from 650 pounds (295 kg). Suitable for additional hydraulic attachments including claws, shears and mini excavators, the compact pump can be mounted directly on the attachment for continuous lubrication while the device is operating.
SKF TLMR automatic lubricant dispenser series
Developed for general machinery applications in heavy industry, the TLMR series of automatic lubricant dispensers is ideal for difficult-to-access or hazardous lubrication points. The lubricators are resistant to water, dust and vibration and provide reliable operation in extreme heat and cold.
Lincoln hydraulic PowerMaster motor
Designed for use with Lincoln's PowerMaster III and PileDriver III pump tubes, the hydraulic PowerMaster motor features a rugged design with minimal moving parts for maximum reliability and durability in heavy-duty applications. Available in two sizes, the motor expands pumping capability to higher pressure and/or higher volume applications and requires no solenoid valves or external pressure or limit switches to complete a cycle.
Lincoln PowerLuber series 1880 grease gun
Powered by an efficient, 20-volt, lithium-ion battery, the PowerLuber series 1880 grease gun features a high-torque powerhead and delivers grease at up 10,000 psi (690 bar) in both high- and low-output settings. The tool utilizes a multifunction liquid crystal display (LCD) to accurately indicate standard readings such as battery level and grease flow. In addition, the LCD's flow meter detects loss of prime, eliminating false readings to help ensure that the equipment being serviced is properly lubricated.
Lincoln PMV runaway controller
Compatible with all Lincoln PMV pumps, the PMV runaway controller prevents pump damage due to high runaway speeds if the lube drum or tank is depleted. The electronic controller shuts off the pump and signals an alarm if the preset cycle rate is exceeded. The unit is easy to install and operates independently of air supply volume and pressure.
SKF also will display recently introduced products specifically designed for off-highway and mining applications:
Off-highway solutions
SKF Extended Life Plain Bearings combine a virtually maintenance-free design with the robust performance of conventional steel/steel spherical plain bearings. Because these bearings do not require re-lubrication, they reduce operating costs and minimize environmental impact.
SKF's comprehensive portfolio of hydraulic seals offers improved hydraulic cylinder performance. Developed to retain hydraulic fluids, exclude contaminants and maintain hydraulic pressure, these sealing solutions include rod and buffer, piston, wiper and static seals, as well as guide and back-up rings.
Mining solutions
As part of the application-focused theme, SKF will feature newer solutions for conveyors, including the three-barrier solution, SE housings, sealed spherical roller bearings (SSRBs) and an idler sound monitor kit.
The three-barrier solution is an environmentally friendly, cost-effective solution that can extend service life without solid lubricants, taconite seals or large quantities of grease. When installed, the solution provides the bearing with three layers of protection during operation.
Featuring high-grade cast and ductile iron materials, large ribs in the base and extra material around attachment holes, SE housings resist shock loads and minimize distortion of the base and bearing seat at high loads.
Suitable for harsh environments, SSRBs feature upgraded steel developed with a new, patented heat treatment process. The result improves wear-resistance up to twice the service life under poor lubrication and contaminated conditions.
The hand-held SKF idler sound monitor kit helps detect early signs of idler roller failure, reduces belt damage and enables more cost-effective maintenance planning.
Held every three years, ConExpo-Con/Agg is the international gathering place for the construction industries, with a focus on construction, aggregates and ready mixed concrete machinery and equipment. The 2014 show is scheduled from March 4-8 at the Las Vegas Convention Center in Las Vegas, Nev. SKF product solutions will be on display in Booth 11621 in the North Hall.
Aktiebolaget SKF
For further information, please contact:
Press Relations: Monique Turner, +1 267 436 6836; +1 215 801 8722 firstname.lastname@example.com
Press Relations: Kenneth Walsh, +1 314 679 4255; +1 314 477 5661 email@example.com
SKF is a leading global supplier of bearings, seals, mechatronics, lubrication systems, and services which include technical support, maintenance and reliability services, engineering consulting and training. SKF is represented in more than 130 countries and has around 15,000 distributor locations worldwide. Annual sales in 2013 were SEK 63,597 million and the number of employees was 48,401. www.skf.com
® SKF is a registered trademark of the SKF Group.


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Your one stop shop for cake decorating supplies
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This Pastel Gold lustre dust colour is perfect for dusting your sugar cake decorations!
Sugarflair Lustre Dusting Colour - Pastel Gold
Pastel Gold edible lustre dust colour, Ideal when decorating your sugar flowers, plaques, models etc.
Edible lustre dusts are intermixable, mix together to create new colours to suit your theme.
Can also be mixed with rejuvenator spirit to create a paint.
Brush on Gildesol as a base to create a bright, and sparkling finish!
Carrier: potassium aluminium silicate E555; titanium dioxide E171; yellow oxide E172.
Allergy Advice:
Suitable for vegetarians & vegans.
Gluten free. Kosher certified.
Sugarflair Colours Ltd, Benfleet, Essex, SS7 4PW


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Commercial, Products, Services
By Staff Writer | October 1, 2009
Send Feedback
The National Civil Aviation Agency (ANAC) in Brazil has issued approval for Kent, Wash.-based Geneva Aviation to install electronic news gathering (ENG) equipment in helicopters registered that country. The certification follows similar action by Transport Canada, and Geneva says that EASA approval is imminent.
Among the equipment cleared for installation are broadcast-quality audio and video systems, custom instrument panel with avionics console, rear communications console, high-definition camera controller, Cineflex HD camera with AirFilm camera mount and Troll antenna, equipment rack, camera control box and microwave radio rack with MRC/LINK radios.
Geneva recently equipped two Eurocopter AS350s with ENG packages for Brazil's TV Globo and one for TV Record. President Steve Joseph explains that the helicopters "are designed to function as flying news studios, with the ability to record, edit, and mix audio and video footage, and then transmit news stories to the broadcast station for distribution."


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Reviewed By Kathleen C (LA GRANGE, IL) Reviewed for a 2007 Chevy Silverado —1/6/2014 8:12 PM
This light is a must have for my snowplow trucks. The price is great and it is super bright, which is great for safety. Would highly recommend this light to anyone loking to keep themselves visible while working. Would buy again for my trucks.


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The U.S. Fish and Wildlife Service has awarded $3 million for land purchases aimed at enhancing the San Diego County Water Authority's habitat conservation plan — with the end goal of helping three endangered or threatened birds.
The money will enable conservation groups to buy parcels of environmentally sensitive land from willing sellers and add that acreage to the area the water authority has already set aside for conservation, said the agency's water resources manager, Larry Purcell.
The water authority previously bought 1,900 acres to compensate for environmental damage from several projects, Purcell said. The additional purchases are targeted for San Vicente Creek, Escondido Creek in the Elfin Forest and the San Luis Rey River.
Agencies that receive money through the federal program must match it by 35 percent.
The $3 million could buy up to 300 acres of habitat used by the endangered southwestern willow flycatcher and least Bell's vireo, as well as the threatened coastal California gnatcatcher, said Jane Hendron, acting branch chief of the Fish and Wildlife Service office in Carlsbad.
The flycatcher and vireo occupy streamside habitat while the gnatcatcher lives in coastal sage scrub, one of the most endangered types of habitat in the country.
The new funding for the water authority is part of $32 million in "cooperative grants" awarded to 20 states in an effort to conserve various imperiled species in the U.S.
The Fish and Wildlife Service also has slated $3 million to enhance the Coachella Valley Multiple Species Habitat Conservation Plan, with up to 3,114 acres for wildlife linkages, sand transport and core habitat for 20 species. And it has awarded $2.7 million to augment the Western Riverside County Multiple Species Habitat Conservation.
"These regional conservation plans are important, they are working and they are doing good things for the long term conservation of our wildlife," Hendron said.


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Votre titre Audible gratuit
Dave Barry in Cyberspace
- Winner of Publishers Weekly Listen Up Award: Best Audio of 1996, Humor.
"Whether you're a computer whiz or a computer nerd, this tongue-in-cheek guide to computing...has enough byte to keep you entertained." (Publishers Weekly)
Autres livres audio du même :
Ce que les membres d'Audible en pensent
- Michael
- 24/04/2007
I really have no idea where the other review is coming from! I practically wrecked my car laughing so hard from this book!
What's always so refreshing about Dave Barry is that he always points out things that are so obviously and honestly ridiculous about life. He does the same thing with computers in this book. I mean I love how the guy can just come out of left field sometimes with a quip that leaves you laughing so much you're gasping for air...5 stars.
1 personne a trouvé cela utile
- Alan Rither
- 13/09/2004
Disappointing and Dated
After enjoying other Dave Barry books immensely, I was primed to listen to this with pleasure but was disappointed instead. If you want to remember the days of DOS and all the archane commands, then this is the book for you. Because it was written just after Windows 95 came out and the Internet was just becoming a phenomenon, it was probably hilarious for a few years afterwards. Unfortunately it is about as relevant now as a repair manual for an IBM Selectric typewriter. Dave also attempts some "serious" dramatic writing that falls flat. I hope that some of his other books will restore the joy that I felt before.
4 personnes ont trouvé cela utile
- Hank Kimball's... I can't remember.
- 06/02/2011
Not what I expected
I have been a fan of Dave Barry's for a long time and have read and enjoyed his books and newspaper column. I could not get used to hearing Shadoe Stevens' voice and stopped listening after a few minutes. It just didn't sound right. I'll go back to reading his material myself.
- bailey
- 25/09/2007
Outdated and tired
This book is irrelevant in 2007. So is Dave Barry.


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Ark. attorney general says school must name teachers in gun program
LITTLE ROCK, Ark. – An Arkansas school district that trained more than 20 teachers and staff to carry concealed handguns on campus through a program that faces questions over its legality was wrong to make secret the names of the employees, the state's top attorney said Monday.
Attorney General Dustin McDaniel said in an advisory opinion that the Clarksville School District was incorrect to withhold the names of the employees it had trained to work as volunteer, armed security guards. McDaniel last week said that the state board in charge of regulating private investigators was wrong to license the western Arkansas district as a private security firm under a little-known law the school had used to arm its employees.
In response to KHBS-TV, a northwest Arkansas station that had requested the names of the employees Clarksville had trained for its "Emergency Response Team," McDaniel wrote that the information wasn't exempt from the state's open records law.
"Given the unusual duties and responsibilities the school district intended to assign to the ERT members, I must conclude that knowing the number of ERTS members and their identities would shed great light on the school district's performance of its duties," McDaniel wrote. "In my opinion, though the privacy interest is weighty, the public's interest is at least as weighty, which means that the record must be disclosed."
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David Hopkins, Clarksville's superintendent, said he wanted to discuss the opinion with the district's attorney before deciding whether to release the names. The district approved the program to arm teachers and staff in response to the school shooting in Newtown, Conn., that left 20 children and six teachers dead in December.
Hopkins said the district had decided to withhold the names because of fears that participants in the program would be targeted.
"If someone were trying to put together some sort of plan, they would have a lot of information available to them if they knew who it was and where it was in the building," Hopkins said.
McDaniel told a lawmaker last week in an advisory opinion that the state Board of Private Investigators and Private Security Companies was wrong to issue licenses to Clarksville and 12 other school districts that classified them as private security firms. Arkansas law allows licenses security guards to carry weapons on campus.
The board is scheduled to meet Aug. 14 to discuss the licenses.
Participants in Clarksville's program are given a one-time $1,100 stipend to purchase a handgun and holster. Hopkins said the district is paying about $50,000 for ammunition and for training by Nighthawk Custom Training Academy, a private training facility in northwest Arkansas.
The 53-hour training program included roleplaying drills of school shootings, with teachers and staff using "airsoft" pellet guns, with students wearing protective facemasks and jackets.
McDaniel last week said it's up to prosecutors whether or how to proceed against school employees who are relying on the licenses to carry concealed weapons on campus.


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First prototype in python, work in progress, I should think of more interesting project names.
an algoritmic music generator that interprets cellular automata as notes, its an alsa MIDI device.
Cellular automata rules are described by a simple RAM machine language and are evolved. There are some interesting things about the language itself, I'll post the details later.
Fitness function is a human clicking on "the nice ones".
uses a few of my libs like nodejs-graph, nodejs-subscriptionman, nodejs-validator2 and others
I've implemented some protocols above this, like
I use it for all kinds of things, like
and I've built a few libs on top of this


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I suppose. Thats basically RHG battles right?
so are you going to join dojo duels?
Yeah I joined Dojo.
You join Dojo
Yo Guys, I just Became a member of Hyun's Dojo, I Hope some of you join with me, Of course I'll stay here though, Gonna be in both.
Nice sig! That artist has some awesome talent!
As do I! I'm slowly coming together with her!
SWF Content
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Try this code and remove the "
[swf="Direct Link]"Height=400 "Width=550["/swf]
I really appreciate the help you have me though. And perhaps maybe I did something wrong.
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Putnam school employee, coach arrested on sexual assault of 13-year-old
PUTNAM COUNTY, Fla. – A Putnam County school system employee and volunteer basketball coach has been arrested on a charge of sexual assault of a 13-year-old.
Freddie Taylor, 21, works in the cafeteria at James A. Long Elementary School and volunteers with the Beasley Middle School basketball program.
Putnam County Superintendent Phyllis Criswell said whatever happened did not happen at the school, though it's unclear if the victim is a student.
"Well, at this point, the employee has been suspended with pay," Criswell said. "Legally, that is what we do until a full investigation is completed. Our Sheriff's Department is working on that investigation. Hopefully they will give me a full written report soon."
The Sheriff's Office would not release its report on the arrest or comment, other than to say it's and ongoing case and investigators believe there is only one victim.
Faculty at the elementary school say Taylor is around students, but not all the time. Officials say he does have direct access to students at the middle school as a volunteer coach.
No one was at Taylor's home Friday.
Parents at the schools were reluctant to comment. The superintendent said she is trying to find out more information as well.
"In any situation, the safety of our students is our utmost priority," Criswell said. "That is what we are doing here. I have my entire school safety and security team. We are on this. And until we get something from the sheriff's department, we can't move forward, nor can I comment any further."
Taylor was being held in the Putnam County jail with bail set at $25,004.
Copyright 2013 by News4Jax.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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Stunted by arbitrary Israeli limits and harassment at sea, Gaza's fisheries sector sees its yearly catch drop 30% in a decade
ByMohammed Dahman
- July 9, 2019


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Peter Aldous co-signed a letter with MPs from Suffolk, Norfolk and Cambridgeshire to the Transport Secretary Grant Shapps investment in the A47 to be included in the Road Infrastructure Strategy (RIS2).
Click here to read the letter
Peter holds regular surgeries at various locations in the constituency. Please call 01502 586568 to make an appointment.
Next Surgery:
Saturday 22nd February - Beccles
Click here for the latest Community Newsletter on the Lake Lothing Third Crossing from Suffolk County Council
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Beccles North, Beccles South, Bungay, Carlton, Carlton Colville, Gunton and Corton, Harbour, Kessingland, Kirkley, Lothingland, Normanston, Oulton, Oulton Broad, Pakefield, St Margaret's, The Saints, Wainford, Whitton, Worlingham.
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Rule #1 - Be Patient - Rule #2 - Don't ask when, if you don't contribute - Rule #3 - You have coding skills - LinuxMCE's small brother is available: http://www.agocontrol.com
There is a branch of mythtv-frontend called myth-vid brache that brings full opengl OSD to the frontend. This may be worth looking into.
As far as im concerned TV is one of the most important things of a media center.
So I only really see MythTV as being a replacement PVR - which in a linuxMCE scenario could mean not even having to use the TV button (assuming recording is done via the web based interface).


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John G. Lancaster Park
Lexington Park, Maryland 1 course · 18 holes Driving directions
Course reviews
Most votes | Newest first | Oldest first
+1 votes Dave Cudd › May 3, 2012
The course has some long hole in C pins along with some good doglegs. If you play all the roads as OB it's a challenge and will reduce what looks like open fairways. There is little elevation change across the course.
+0 votes Bryan Grosbach › March 29, 2013
+0 votes Kristen Eberle McIntyre › April 14, 2012
Rough 2nd tee pads have been created, which offer more variety for the course.
+0 votes Ted Van Brunt › March 10, 2012
+0 votes shawn headley › November 4, 2011
+0 votes Donald Allen Jr › November 19, 2011
+0 votes Billy Safford › November 21, 2011
+0 votes Jeremiah Burton › January 18, 2013
Very well kept....
+0 votes LongJon Silverz › May 27, 2014
This was one of the best courses I have ever played, but the tees and basket layouts were very confusing, and hard to find sometimes even with signs. Other than that, this is a great course with a lot of variety. Long holes and short holes, open and lightly forested, and a good mix of left and right hole designs. The rubber tee pads were great. This course is in what seems like an abandoned part of the park with roads no longer in use throughout the course. Despite this, everything seems to be in good shape and well maintained.
+0 votes charles barrie › October 7, 2016
+0 votes Mike "Sully" Sullivan › April 3, 2019
+0 votes Samyo N › August 12, 2015
Signs are clearly marked, tee is marked with a color red (short) and blue (long) at the front of the box. Maintained. Mix of left and right drives, not overly challenging but a great spot to go out and get some experience playing. Free to play.


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Description: Premieres Sun, Oct 26 at 9pm/et. Every city has its secrets. And, you'd be surprised to learn what lies below the surface of some. Turning history upside-down, Don Wildman is back in an all new season of CITIES OF THE UNDERWORLD on History T. Play the Underground Photo Hunt Game and learn more at at http://www.history.com/cities
Genre: History
Studio: History Channel