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Treatment methods for kidney failure: kidney transplantation.
When Your Kidneys Fail
How Transplantation Works
The Transplant Process
Posttransplant Care
Financial Issues
Organ Donation
Hope Through Research
About the Kidney Failure Series
If you have advanced and permanent kidney failure, kidney transplantation may be the treatment option that allows you to live much like you lived before your kidneys failed. Since the 1950s, when the first kidney transplants were performed, we've learned much about how to prevent rejection and minimize the side effects of medicines.
But transplantation is not a cure; it's an ongoing treatment that requires you to take medicines for the rest of your life. And the wait for a donated
kidney can be years long.
A successful transplant takes a coordinated effort from your whole health care team, including your nephrologist, transplant surgeon, transplant coordinator, pharmacist, dietitian, and social worker. But the most important members of your health care team are you and your family. By learning about your treatment, you can work with your health care team to give yourself the best possible results, and you can lead a full, active life.
When Your Kidneys Fail
Healthy kidneys clean your blood by removing excess fluid, minerals, and wastes. They also make hormones that keep your bones strong and your blood healthy. When your kidneys fail, harmful wastes build up in your body, your blood pressure may rise, and your body may retain excess fluid and not make enough red blood cells. When this happens, you need treatment to replace the work of your failed kidneys.
How Transplantation Works
Kidney transplantation is a procedure that places a healthy kidney from another person into your body. This one new kidney takes over the work of your two failed kidneys.
A surgeon places the new kidney inside your lower abdomen and connects the artery and vein of the new kidney to your artery and vein. Your blood flows through the new kidney, which makes urine, just like your own kidneys did when they were healthy. Unless they are causing infection or high blood pressure, your own kidneys are left in place.
The Transplant Process
Your Doctor's Recommendation
The transplantation process begins when you learn that your kidneys are failing and you must start to consider your treatment options. Whether transplantation is to be among your options will depend on your specific situation. Transplantation isn't for everyone. Your doctor may tell you that you have a condition that would make transplantation dangerous or unlikely to succeed.
Medical Evaluation at a Transplant Center
If your doctor sees transplantation as an option, the next step is a thorough medical evaluation at a transplant hospital. The pretransplant evaluation may require several visits over the course of several weeks or even months. You'll need to have blood drawn and x rays taken. You'll be tested for blood type and other matching factors that determine whether your body will accept an available kidney.
The medical team will want to see whether you're healthy enough for surgery. Cancer, a serious infection, or significant cardiovascular disease would make transplantation unlikely to succeed. In addition, the medical team will want to make sure that you can understand and follow the schedule for taking medicines.
If a family member or friend wants to donate a kidney, he or she will need to be evaluated for general health and to see whether the kidney is a good match. (See the "Organ Donation" section.)
Placement on the Waiting List
If the medical evaluation shows that you're a good candidate for a transplant but you don't have a family member or friend who can donate a kidney, you'll be put on the transplant program's waiting list to receive a kidney from someone who has just died. You may hear your health care team refer to this as a cadaveric kidney.
Every person waiting for a cadaveric organ is registered with the Organ Procurement and Transplantation Network (OPTN), which maintains a centralized computer network linking all regional organ gathering organizations (known as organ procurement organizations, or OPOs) and transplant centers. The United Network for Organ Sharing (UNOS), a private nonprofit organization, administers OPTN under a contract with the Federal Government. (See the "Resources" section.)
UNOS rules allow patients to register with multiple transplant centers. Each transplant center will probably require a separate medical evaluation, even if a patient is already registered at another center.
Some observers of OPTN operations have raised the concern that people in some parts of the country have to wait longer than others because allocation policies for some organs give preference to patients within the donor's region. Kidneys, however, are assigned to the best match regardless of geographic region. The Federal Government continues to monitor policies and regulations to ensure that every person waiting for an organ has a fair chance. Everyone agrees that the key to making waiting times shorter is to increase the number of donated organs.
Waiting Period
How long you'll have to wait depends on many things but is primarily determined by the degree of matching between you and the donor. Some people wait several years for a good match, while others get matched within a few months.
While you're on the waiting list, notify the transplant center of any changes in your health. Also, let the transplant center know if you move or change telephone numbers. The center will need to find you immediately when a kidney becomes available.
OPOs are responsible for identifying potential organs for transplant and coordinating with the national network. The 69 regional OPOs are all UNOS members. When a cadaveric kidney becomes available, the OPO notifies UNOS, and a computer-generated list of suitable recipients is created. Suitability is initially based on two factors:
* Blood type. Your blood type (A, B, AB, or O) must be compatible with the donor's blood type.
* HLA factors. HLA stands for human leukocyte antigen, a genetic marker located on the surface of your white blood cells. You inherit a set of three antigens from your mother and three from your father. A higher number of matching antigens increases the chances that your kidney will last for a long time.
If you're selected on the basis of the first two factors, a third is evaluated:
* Antibodies. Your immune system may produce antibodies that act specifically against something in the donor's tissues. To see whether this is the case, a small sample of your blood will be mixed with a small sample of the donor's blood in a tube. If no reaction occurs, you should be able to accept the kidney. Your transplant team might use the term negative cross-match to describe this lack of reaction.
Transplant Operation
If you have a living donor, you'll schedule the operation in advance. You and your donor will be operated on at the same time, usually in side-by-side rooms. One team of surgeons will perform the nephrectomy--that is, the removal of the kidney from the donor--while another prepares the recipient for placement of the donated kidney.
If you're on a waiting list for a cadaveric kidney, you must be ready to hurry to the hospital as soon as a kidney becomes available. Once there, you'll give a blood sample for the antibody cross-match test. If you have a negative cross-match, it means that your antibodies don't react and the transplantation can proceed.
You'll be given a general anesthetic to make you sleep during the operation, which usually takes 3 or 4 hours. The surgeon will make a small cut in your lower abdomen. The artery and vein from the new kidney will be attached to your artery and vein. The ureter from the new kidney will be connected to your bladder.
Often, the new kidney will start making urine as soon as your blood starts flowing through it, but sometimes a few weeks pass before it starts working.
Recovery From Surgery
As after any major surgery, you'll probably feel sore and groggy when you wake up. However, many transplant recipients report feeling much better immediately after surgery. Even if you wake up feeling great, you'll need to stay in the hospital for about a week to recover from surgery, and longer if you have any complications.
Posttransplant Care
Your body's immune system is designed to keep you healthy by sensing "foreign invaders," such as bacteria, and rejecting them. But your immune system will also sense that your new kidney is foreign. To keep your body from rejecting it, you'll have to take drugs that turn off, or suppress, your immune response. You may have to take two or more of these immunosuppressant medicines, as well as other medications to treat other health problems. Your health care team will help you learn what each pill is for and when to take it. Be sure that you understand the instructions for taking your medicines before you leave the hospital.
If you've been on hemodialysis, you'll find that your posttransplant diet is much less restrictive. You can drink more fluids and eat many of the fruits and vegetables you were previously told to avoid. You may even need to gain a little weight, but be careful not to gain too much weight too quickly and avoid salty foods that can lead to high blood pressure. Work with your clinic's dietitian to make sure you're following a healthy eating plan.
You can help prevent rejection by taking your medicines and following your diet, but watching for signs of rejection--like fever or soreness in the area of the new kidney or a change in the amount of urine you make--is important. Report any such changes to your health care team.
Even if you do everything you're supposed to do, your body may still reject the new kidney and you may need to go back on dialysis. Unless your health care team determines that you're no longer a good candidate for transplantation, you can go back on the waiting list for another kidney.
Side Effects of Immunosuppressants
Immunosuppressants can weaken your immune system, which can lead to infections. Some drugs may also change your appearance. Your face may get fuller; you may gain weight or develop acne or facial hair. Not all patients have these problems, though, and diet and makeup can help.
Immunosuppressants work by diminishing the ability of immune cells to function. In some patients, over long periods of time, this diminished immunity can increase the risk of developing cancer.
Some immunosuppressants cause cataracts, diabetes, extra stomach acid, high blood pressure, and bone disease. When used over time, these drags may also cause liver or kidney damage in a few patients.
Financial Issues
Treatment for kidney failure is expensive, but Federal health insurance plans pay much of the cost, usually up to 80 percent. Often, private insurance or State programs pay the rest. Your social worker can help you locate resources for financial assistance. For more information, see the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) fact sheet Financial Help for Treatment of Kidney Failure.
Patient Assistance Programs From Prescription Drug Companies The immunosuppressants and other drugs you must take after your transplant will be a large part of your medical expenses. Most drug manufacturers have patient assistance programs giving discounts to patients who can show that they can't afford the cost of their prescribed medications. The Pharmaceutical Research and Manufacturers of America publishes the Directory of Prescription Drug Patient Assistance Programs, which is available at www.phrma.org/searchcures/dpdpap on the Internet. To request a directory through the mail, write to Pharmaceutical Research and Manufacturers of America 1100 Fifteenth Street, NW Washington, DC 20005 An organization called the Medicine Program offers help in finding and applying for free medicines supplied by pharmaceutical companies. To request assistance, obtain an application form, available on the website or through the mail, and list the medicines you need. Send the application back with a $5 processing fee for each medicine you request. If the Medicine Program fails to qualify you to receive the medicine, your processing fee will be returned. The Medicine Program P.O. Box 515 Doniphan, MO 63935-0515 Phone: (573) 996-7300 Internet: www.themedicineprogram.com
Additional Patient Assistance Programs
UNOS publishes a list of organizations that provide financial assistance to transplant patients as part of its online course, "Transplant 101." The list can be found at www.patients. unos.org/101_finance_directory.htm on the Internet. Additional information about UNOS appears in the "Resources" section of this publication.
Organ Donation
Cadaveric Donation
Most transplanted kidneys come from people who have died. However, the number of people waiting for kidneys has increased in recent years, while the number of available cadaveric kidneys has remained constant. The result is a shortage of kidneys and a longer waiting time for people with kidney failure.
Many suitable kidneys go unused because family members of potential donors don't know their loved one's wishes. People who wish to donate their organs should talk about this issue with their families. Several organizations, including UNOS and the National Kidney Foundation (see the "Resources" section), provide organ donor cards for people who wish to make this life-preserving gift when they die. A properly completed organ donor card notifies medical officials that you've decided to donate your organs. In most States, you can indicate your desire to be an organ donor on your driver's license.
Living Donation
A growing number of transplanted kidneys are donated by living family members or friends. Potential donors need to be tested to make sure that donating a kidney won't endanger their health, as well as for matching factors. Most people, however, can donate a kidney with little risk.
A kidney from a living donor often has advantages over a cadaveric kidney:
* People who receive a kidney from a family member or friend don't have to wait until a kidney becomes available. Living donation allows for greater preparation and for the operation to be scheduled at a convenient time.
* Kidneys from family members are more likely to be good matches, although there's no guarantee.
* Kidneys from living donors don't need to be transported from one site to another, so the kidney is in better condition when it's transplanted.
* Living donation helps people waiting for cadaveric kidneys by lowering the number of people on the waiting list.
Minority Donation
Diseases of the kidney are found more frequently in racial and ethnic minority populations in the United States than in the general population. African Americans, Asian Americans, Hispanic Americans, and Pacific Islander Americans are three times more likely to suffer from kidney failure than Americans of European descent. Successful transplantation is often enhanced if organs are matched between members of the same ethnic and racial group. A shortage of organs donated by minorities can contribute to longer waiting periods for transplants for minorities.
The National Minority Organ/Tissue Transplant Education Program (MOTTEP), with the support of the National Institutes of Health's (NIH's) Office of Research on Minority Health and NIDDK, is the first national program to empower minority communities to promote minority donation and transplantation, as well as good health habits. In turn, this effort should improve the chances for a well-matched organ among all those waiting for a transplant.
Hope Through Research
NIDDK, through its Division of Kidney, Urologic, and Hematologic Diseases, supports several programs and studies devoted to improving treatment for patients with progressive kidney disease and permanent kidney failure, including patients who receive a transplanted kidney.
* The End-Stage Renal Disease Program promotes research to reduce medical problems from bone, blood, nervous system, metabolic, gastrointestinal, cardiovascular, and endocrine abnormalities in kidney failure and to improve the effectiveness of dialysis and transplantation. The program seeks to increase kidney graft and patient survival and to maximize quality of life.
* The NIH Organ/Tissue Transplant Center, located at the NIH Clinical Center in Bethesda, MD, is a collaborative project of NIH, the Walter Reed Army Medical Center, the Naval Medical Research Center, and the Diabetes Research Institute at the University of Miami. The site includes a state-of-the-art clinical transplant ward, operating facility, and outpatient clinic designed for the study of new drugs or techniques that may improve the success of organ and tissue transplants.
* The U.S. Renal Data System (USRDS) collects, analyzes, and distributes information about the use of dialysis and transplantation to treat kidney failure in the United States. The USRDS is funded directly by NIDDK in conjunction with the Health Care Financing Administration. The USRDS publishes an Annual Data Report, which characterizes the total population of people being treated for kidney failure; reports on incidence, prevalence, mortality rates, and trends over time; and develops data on the effects of various treatment modalities. The report also helps identify problems and opportunities for more focused special studies of renal research issues.
Government Agencies
A number of Federal agencies are involved in various aspects of transplantation, including financing, procurement regulation and oversight, allocation policy development, donation promotion, and biomedical research.
The Health Care Financing Administration runs the Medicare and Medicaid programs. You can apply for Medicare through your local Social Security office. The national phone number for the Social Security Administration is 1-800-772-1213, and you can get additional information about Medicare health plans by calling 1-800-633-4227 (1-800-MEDICARE). The official U.S. Government web site for Medicare information can be found at www.medicare.gov on the Internet.
The U.S. Department of Health and Human Services coordinates organ procurement and allocation activities through its Health Resources and Services Administration (HRSA).
Health Resources and Services Administration Division of Transplantation 5600 Fishers Lane, Room 4-81 Rockville, MD 20857 Phone: (301) 443-7577 Fax: (301) 594-6095 Internet: www.hrsa.gov
HRSA also maintains a web site devoted to organ donation at www.organdonor.gov on the Internet.
HRSA's Division of Transplantation administers the OPTN through a contract with UNOS, whose web site can be found at www.unos.org on the Internet. You can request a packet of information about kidney transplantation by calling UNOS at 1-888-894-6361 (1-888-TXINFO1).
Nongovernment Organizations
Many national organizations--including Government agencies, private foundations, and commercial industries--have joined the Coalition on Donation to promote organ and tissue donation through educational programs and campaigns conducted nationally and at the local level.
Coalition on Donation 1100 Boulders Parkway Suite 500 Richmond, VA 23225-8770 Phone: (804) 330-8620 Fax: (804) 323-7343 Internet: www.shareyourlife.org
Trans Web: All About Transplantation and Donation is a nonprofit educational web site (www.transweb.org) containing answers to frequently asked questions, donor memorials, patient experiences, and a reference section.
Additional Organizations That Can Help
American Association of Kidney Patients 100 South Ashley Drive Suite 280 Tampa, FL 33602 Phone: 1-800-749-2257 or (813) 223-7099 Email: firstname.lastname@example.com Internet: www.aakp.org American Kidney Fund 6110 Executive Boulevard Suite 1010 Rockville, MD 20852 Phone: 1-800-638-8299 or (301) 881-3052 Email: email@example.com Internet: www.akfinc.org Life Options Rehabilitation Program 603 Science Drive Madison, WI 53711-1074 Phone: 1-800-468-7777 or (608) 232-2333 Email: email@example.com Internet: www.lifeoptions.org National Kidney Foundation, Inc. 30 East 33rd Street New York, NY 10016 Phone: 1-800-622-9010 or (212) 889-2210 Email: firstname.lastname@example.com Internet: www.kidney.org
Additional Reading
If you would like to learn more about kidney failure and its treatment, you may be interested in reading
AAKP Patient Plan
This is a series of booklets and newsletters that cover the different phases of learning about kidney failure, choosing a treatment, and adjusting to changes.
American Association of Kidney Patients 100 South Ashley Drive Suite 280 Tampa, FL 33602 Phone: 1-800-749-2257 or (813) 223-7099 Email: firstname.lastname@example.com Internet: www.aakp.org Financing Transplantation: What Every Patient Needs To Know, 2nd edition, 1996 United Network for Organ Sharing 1100 Boulders Parkway Suite 500 P.O. Box 13770 Richmond, VA 23225-8770 Phone: 1-888-894-6361 to order single copies (804) 330-8541 to order bulk copies Internet: www.unos.org Kidney Disease: A Guide for Patients and Their Families American Kidney Fund 6110 Executive Boulevard Suite 1010 Rockville, MD 20852 Phone: 1-800-638-8299 or (301) 881-3052 Email: firstname.lastname@example.com Internet: www.akfinc.org Medicare Coverage of Kidney Dialysis and Kidney Transplant Services: A Supplement to Your Medicare Handbook Publication Number HCFA-10128 U.S. Department of Health and Human Services Health Care Financing Administration 7500 Security Boulevard Baltimore, MD 21244-1850 Phone: 1-800-MEDICARE (1-800-633-4227) TDD: 1-877-486-2048 Internet: http://www.medicare.gov/publications/pubs/pdf/esrdcoverage.pdf What Every Patient Needs To Know, 1997 United Network for Organ Sharing 1100 Boulders Parkway Suite 500 P.O. Box 13770 Richmond, VA 23225-8770 Phone: 1-888-894-6361 to order single copies (804) 330-8541 to order bulk copies Internet: www.unos.org Newsletters and Magazines Family Focus Newsletter (published quarterly) National Kidney Foundation, Inc. 30 East 33rd Street New York, NY 10016 Phone: 1-800-622-9010 or (212) 889-2210 Email: email@example.com Internet: www.kidney.org For Patients Only (published six times a year) ATTN: Subscription Department 18 East 41st Street 20th Floor New York, NY 10017-6222 Renalife (published quarterly) American Association of Kidney Patients 100 South Ashley Drive Suite 280 Tampa, FL 33602 Phone: 1-800-749-2257 or (813) 223-7099 Email: firstname.lastname@example.com Internet: www.aakp.org
The National Institute of Diabetes and Digestive and Kidney Diseases thanks these dedicated health professionals for their careful review of this publication.
Donald E. Hricik, M.D. University Hospitals of Cleveland Christopher Y. Lu, M.D. University of Texas Southwestern Medical Center
The individuals listed here facilitated field testing for this publication. NIDDK thanks them for their contribution.
Kim Bayer, M.A., R.D., L.D. BMA Dialysis Bethesda, MD Cora Benedicto, R.N. Clinic Director Gambro Health Care N Street Clinic Washington, DC
The U.S. Government does not endorse or favor any specific commercial product or company. Trade, proprietary, or company names appearing in this document are used only because they are considered necessary in the context of the information provided. If a product is not mentioned, this does not mean or imply that the product is unsatisfactory.
About the Kidney Failure Series
You and your doctor will work together to choose a treatment that's best for you. The booklets and fact sheets of the NIDDK Kidney Failure Series can help inform you about the specific issues you will face.
* Kidney Failure: Choosing a Treatment That's Right for You
* Treatment Methods for Kidney Failure: Hemodialysis
* Treatment Methods for Kidney Failure: Peritoneal Dialysis
* Treatment Methods for Kidney Failure: Transplantation
* Eat Right To Feel Right on Hemodialysis
* Kidney Failure Glossary
Fact Sheets
* Vascular Access for Hemodialysis
* Hemodialysis Dose and Adequacy
* Peritoneal Dialysis Dose and Adequacy
* Amyloidosis and Kidney Disease
* Anemia in Kidney Disease and Dialysis
* Renal Osteodystrophy
* Financial Help for Treatment of Kidney Failure
Learning as much as you can about your treatment will help make you an important member of your health care team.
NIDDK will develop additional materials for this series as needed. Please address any comments about this series and requests for copies to the National Kidney and Urologic Diseases Information Clearinghouse. Descriptions of the publications in this series are available at www.niddk.nih.gov/health/kidney/pubs/kidney-failure/index.htm on the Internet.
National Kidney and Urologic Diseases Information Clearinghouse
3 Information Way Bethesda, MD 20892-3580 Email: firstname.lastname@example.com
The National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC) is a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The NIDDK is part of the National Institutes of Health under the U.S. Department of Health and Human Services. Established in 1987, the clearinghouse provides information about diseases of the kidneys and urologic system to people with kidney and urologic disorders and to their families, health care professionals, and the public. NKUDIC answers inquiries, develops and distributes publications, and works closely with professional and patient organizations and Government agencies to coordinate resources about kidney and urologic diseases.
Publications produced by the clearinghouse are carefully reviewed by both NIDDK scientists and outside experts.
This e-text is not copyrighted. The clearinghouse encourages users of this e-pub to duplicate and distribute as many copies as desired.
NIH Publication No. 01-4687 April 2001 Posted: May 2001
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Gite Reves du Monde (Bierges Walloon brabant)
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Old farmhouse / country stone cottage on the edge of the field at the end of a private road in a valley placed, close to beautiful walks and forest. Distribution: lounge, ... Read more
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Five Things You Didn't Know About Future
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Posted by Editor on 02/7/10
Former Italian road pro Franco Ballerini died earlier today after an automobile accident during his participation in a car rally event in northern Italy. Ballerini is survived by his wife Sabrina and their two children.
The 45 year old rider rode in the professional peloton for 16 years, winning the classic Paris-Roubaix race twice (1995 and 1998), as well as Paris-Brussels (1990) and Omloop Het Volk (1995), before retiring in 2001. After his retirement he became the coach of the national professional men's road team, and was instrumental in the Italian squad becoming a constant favourite at the world championships. Under his guidance, the team took four men's world road titles in the past nine years (Cipollini in 2002, Bettini in 2006 and 2007, and Ballan in 2008). Bettini also won the Olympic gold medal in 2004 under Ballerini's management.
Ballerini visited Hamilton in 2002, to check out the course and facilities for the Road Worlds the following year, and we spoke briefly with him at that time: Daily News: November 6/02 5:06 am - Interview with Hamilton Worlds COO, Franco Ballerini Interview
Franco Ballerini during a site visit in Hamilton in 2002, prior to the 2003 Worlds.
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Orion | Elegant portfolio Template
This is where elegance meet simplicity. This is a full 5 page html/css template for your portfolio. business site. Comes with many custom features and many cool web 2.0 looks
- 5 Page full site
- Valid XHTML 1.0 Strict and CSS 2.1
- Works in all major Browsers ( IE6, IE7, IE8, Safari, Chrome, Firefox 2 and 3
- jQuery powered featured section and portfolio page
- Working contact form
- Extensive in depth help files
Fonts used
Tahoma for paragraphs, Georgia for Heading tags and Quicksand for logo. (Link provided in help file for location of download)
All images were taken screenshots of various Envato sites
Thank you and remember if you buy please rate, it's great appreciated to see how I've done
Note: In IE7 an 8, the site is aligned to the left because of security encryption but I assure you that it is centered in the actual files.
While you're here, check out some of my other works


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Use the arrows to manually scroll through, or click the play button to start the slideshow.
If you are viewing this in a reader, you may need to visit the blog to see the video and slideshow.
I would like to start by thanking everyone who was able to stop by my show earlier this month, and also everyone who was not able to make it, or just didn't want to. You are reading my blog now, so I thank you for that. Also a very big thank you to Publicis for hosting! Especially Wade, Carrie, and Lauren. I had a great time.
It's an exciting thing to see your own work printed large, or at least larger than a portfolio. I felt like I was seeing the images for the first time in a way. Since the show is no longer open to the public, I thought I would share some pictures and a video from the party (above). Below are the images that are on display, along with the titles and descriptions. Email me at firstname.lastname@example.com if you are interested in purchasing a print. I am also selling prints in different sizes than the ones at the show.
Hopefully this will be the first of many shows to come.
Albert And The Eggplant – 18×24
Personal Work, 2004. An afternoon with Albert is like no other afternoon you could imagine. Albert has a unique way of doing just about everything, including cooking an eggplant. It involves making a big mess and cleaning up with a spoon and a bowl.
Albert In The Basement – 24×36
Personal Work, 2004. Albert lives in Bellevue with his wife, and he marches to his own drum beat.
Rolloff Twins – 18×24
Zach and Jeremy Roloff are twins, although not identical. I have been photographing the Roloff family for The Discovery Channel for the past couple of years. They are the family on the TV show Little People Big World.
Street Youth: The Christmas Bunny – 18×24
In 2008 I set up a studio at a Christmas party for street youth in Seattle's University District. Not a Halloween, or costume party, but a regular Christmas party. This guy arrived wearing a small bunny costume, and it very well could have been everyday outfit for all I know.
Street Youth: Fuzzy Hood – 18×24
Portraits are a luxury for street youth, and I know it meant a lot to them to be photographed.
The Writer – 24×36
Every once in a while, when I am least expecting it, things just seem to fall into place and something exciting presents itself. That was what happened when I photographed Josh Hornbeck in 2007.
Greg Lundgren – 24×36
Greg Lundgren is a business owner and a prank artist. This is a portrait of Greg conducting business.
The Nun – 18×24
Personal Work, 2009. Inspired by actual events which never happened and a love for classic paintings.
Annie Leibovitz – 18×24
This is my portrait of Annie Leibovitz, recently selected for the American Photography 25 contest which is one of the greatest honors in photography.
Dr. John Perkins – 18×24
I felt compelled to photograph Dr. John Perkins after hearing him speak in 2007. His life story and message of love and redemption struck a chord with me. John is the author of several books, including "Let Justice Roll Down".
Buster Brown – 18×24
Personal Work, 2007. Bus is a close family friend and a farmer who lives in Woodinville with his wife Ida May. This portrait was taken on their property just before fresh strawberries and ice cream was served.
Ida May Brown – 18×24
Personal Work, 2007. Ida May is the wife of Bus. They live in Woodinville where they still have many acres of land.
Jeff and Karl – 24×32
Personal Work, 2009. The first in a series of many yet to be completed works.
RSS Subscription – Click to subscribe to John Keatley Blog via RSS in a reader.
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Bloomberg Businessweek's analytical dissection of Apple post-iPhone 5 launch is mostly full of things we already knew: Tim Cook is different than Steve Jobs. Apple is still doing really, really, phenomenally well. Everyone hates Apple Maps. But one thing that stood out was the fact that Steve Jobs was so incensed with Google that he not only wanted to remove Maps from iOS, but also Google search. Whoa.
In discussing the assembling of Scott Forstall's Apple Maps team, Businessweek had the following to say:
At the time of his death, Jobs had come to loathe Google, which he felt was copying features of the iPhone while withholding a key feature of Google Maps that allows smartphones to dictate turn-by-turn directions aloud. Jobs also discussed pulling Google search from the iPhone, but figured that customers would reject that move, according to two former Apple executives.
It's probably safe to assume that the motivation to remove the YouTube app came from a similar place.
But that's not the only juicy piece of info: Apparently, Apple is shelling out $2 million a month to keep its Senior Vice President of Hardware Bob Mansfeld around as an advisor. Mansfeld was ready for retirement, but rumblings of internal strife with Mansfeld's successor, Mark Riccio, caused Cook to re-evaluate plans. Hardware is Apple's cash cow, after all.
For the rest of the story, head over to [Bloomberg Businessweek]


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Welcome to Hyperion Records, an independent British classical label devoted to presenting high-quality recordings of music of all styles and from all periods from the twelfth century to the twenty-first.
Hyperion offers both CDs, and downloads in a number of formats. The site is also available in several languages.
Please use the dropdown buttons to set your preferred options, or use the checkbox to accept the defaults.
from notes by Walter Aaron Clark © 2012
author of Enrique Granados: Poet of the Piano (Oxford, 2006/2011)
extrait des notes rédigées par Walter Aaron Clark © 2012
Français: Hypérion
aus dem Begleittext von Walter Aaron Clark © 2012
Deutsch: Viola Scheffel
|Granados: Goyescas & other piano music
A major new recording of one of the masterpieces of the 20th-century piano repertoire from American pianist Garrick Ohlsson. Granados's Goyescas, a series of six tone-poems celebrating his fellow Spaniard, the painter Goya, has long been revered b ...» More


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Kickstarter has birthed a number of different Apple cases and accessories with varying degrees of success, but a new aluminum iPhone bumper project is already successfully funded and there are still 40 days to go.
It's called the AL13. You no doubt remember the plastic iPhone bumpers that Apple gave away for free to placate people who complained about the iPhone 4's antenna. The AL13 is a similar product for your iPhone 5, except it's made out of "aerospace aluminum."
A bumper seems to be an ideal compromise for someone who hates cases but still wants some protection for his phone, so we're not surprised to see this raising so much money.
Click here to see more great iPhone cases you can buy right now >
If you want to pre-order one, you can do so for $55 through the Kickstarter page. Check out the pitch video below:


text: Home»Kitchen»Kitchen Furniture Cabinets Kitchen Furniture Cabinets By admin In Kitchen | No Comments Find the best 24 Images of the Kitchen Furniture Cabinets in our site. You can access from here! This image is provided only for personal use. If you found any images copyrighted to yours, please contact us and we will remove it. We don't intend to display any copyright protected images. Share This: tweet You may also like Kitchen Chairs Furniture Kitchen Island Furniture Style Furniture For The Kitchen Wood Kitchen Furniture Kitchen Furniture Designs For Small Kitchen Best Kitchen Furniture White Kitchen Furniture Sets « PREVIOUS Previous post link Best Kitchen Furniture Design NEXT »Oak Bathroom Furniture Next post link


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จองโรงแรม อพาร์ทเมนต์ Apartment Bulgaria
And as soon as you step outside you're only minutes walk from the museums, monuments, bridges, cinemas, city parks, Samovodska Charshia Square, restaurants and cafes, night clubs - how much time have you got? Conveniently, all major banks, ATMs and government offices are also extremely close by. Apartment Bulgaria 4 hotel rooms Estimated guest capacity 1-9 guests We offer you Bulgaria hotel apartment, that is designed in order to satisfy the highest demands for lodging and business meetings. The apartment is being let out by a leading rental firm that offers other apartments as well. The tourists and guests of Veliko Tarnovo will have a well-trained and qualified stuff at their service. Address: 14 Vassil LevskiStr, entr. B The best valued, cleanest and cheapest hostel in in the absolute heart of Veliko Tarnovo. Other hostels claim many things but we actually deliver. We will match or beat any Veliko Tarnovo hostel price Bulgaria hotel apartment consists of 4 elegantly furnished rooms, 2 of which are bedrooms and have their own bathrooms, while the other two have 2 beds each and a shared bathroom. An extra guest can be accommodated in each of the rooms. The apartment can be used by correspondent student and town guests. For longer than 5 days periods, the price is 15 lv. / person. The daily household linen change and apartment cleaning are included in the price.
- ที่จอดรถ
- free
- ภัตตาคาร/คาเฟ่
- บาร์
- เคาท์เตอร์บริการเปิด 24 ชม.
- อนุญาติให้นำสัตว์เลี้ยงเข้ามา
- เครื่องปรับอากาศ
- ทีวี
- มินิบาร์
- ฝักบัว


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Andrew J. Rosenthal necesitaba un nuevo diseño de otro y lanzó un concurso de diseño en 99designs.
Un ganador ha sido elegido entre 58 diseños de 24 diseñadores freelance.
happier.com: live better
happier.com is the leading source of science-backed self-help on the web. With tools and tests to let you measure, track and improve your happiness online, we help people "live better." We are very focused on our ties to leading researchers, and the company is focused on science-backed self improvement.
Our site is growing quickly, but we have not done much online display advertising. We want to try out the format, but first, we need creative options. We are looking to get a number of submissions (multiple prizes) and to get multiple sizes within each submission. Then, we'll run some optimized trials and see what works.
Our target audience is women, mostly US-based, who buy self-help books but like and trust science.
Our audience responds well to these (text) ads, and the banners should be based on any three these five phrase sets -- (headline and then supporting text). Choose whichever three you want to work with and then build the banners around those.
"Stop Being So Negative" " You Can Control Thoughts & Emotions with Positive Psychology Tools."
"Go get happier" "Don't Wait! You Can't Afford to Be Miserable"
The Science Of Happiness
Learn What Positive Psychologists
Know About Achieving Happiness.
Positive Psychology Works
You'll Learn So Much About Yourself
With Our Tests & Assessments.
You Can Be Happy
Don't Wait For Happiness to Find You.
Go Get it At happier.com
Each finished submission needs to have ads in these sizes. OK for all the ads to be similar within the submission. Ads need to be ready to run. Format needs to be
Leaderboard (728 x 90)
Small Square (200 x 200)
Square (250 x 250)
Wide Skyscraper (160 x 600)
Large Rectangle (336 x 280)
Color palette should be:
We don't generally like big smiley faces.
Use either this logo: http://web50958.aiso.net/wp-content…white1.jpg
or this logo:


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- What is this document? Why does it matter? What happens to my personal data on this Site?
This privacy policy ("Privacy Policy") applies to the website http://www.Repairs By Post.com (the "Site") and describes all the processing activities that may be performed through this Site by EWRC Ltd & Repairs By Post Ltd – REPAIRS BY POST (RBP) Division ("REPAIRS BY POST"), who owns and operates the Site.
Your personal data will be processed by REPAIRS BY POST when you visit the Site and interact with the services and functionalities offered by the Site. This Privacy Policy has been drafted in accordance with the Recommendation n. 2/2001, adopted on 31st August 2015 by Article 29 Data Protection Working Party in relation to the minimum requirements for the collection of data on-line within the European Union and also represents information statement to the data subjects according to England, Scotland & Wales law and to the European Union privacy law rules and principles (the "Privacy Law"), with which the processing carried out by REPAIRS BY POST complies.
The Privacy Policy specifies the identity of the data Controller that controls and manages the personal data collected and processed through the Site, specifies what is the personal information collected, the data processing purposes and conditions, the extent of personal data communication to third parties, the data security measures adopted in order to protect and safeguard data and the ways in which you may verify the processing of data relating to you and enforce your rights as recognised under the Privacy Law.
- Who controls the processing of my personal data? Who is accountable for it?
The Controller of the personal data processing is: Repairs By Post Limited, 1 Stand Lane, Radcliffe, Manchester, M26 1NW [contact us]
EWRC Ltd & Repairs By Post Ltd, with registered office is at 1 Stand Lane, Radcliffe, Manchester, M26 1NW is acting as the representative of EWRC Ltd & Repairs By Post Ltd for purposes of personal data protection compliance in the European Union, as well as Data Processor on behalf and under the instructions of RBP for the activities of managing the customer support and the RBP customer services.
- What personal data are processed? For what purposes?
In general, the visit and consultation of the Site does not imply collection and processing of your personal data. The processing of your personal data when you merely visit and consult the Site is limited to the so-named surfing data, namely the data whose transmission to the Site is implicit in the functioning of the systems in charge of the managing of the Site and in the communications protocols peculiar to the Internet. Surfing data are, for example, the IP addresses of the devices you use to connect to the Site and other parameters relating to your device and operating system. Surfing data, such as these above specified, and for example the number of visits and the time spent on the Site, are collected and processed by REPAIRS BY POST exclusively for statistical purposes and in anonymous form for purposes of measuring and enhancing the functioning of the Site. Due to the nature itself of surfing data, these data may lead to identification of users if they are associated with data held by third parties; however, REPAIRS BY POST does not collect surfing data in order to associate them with identified users. Surfing data are deleted after being processed in anonymous form; said data may be used for purposes of assessing possible responsibilities in case of information crimes realized against the Site or through the Site. With the exception of the aforementioned circumstance, REPAIRS BY POST keeps surfing data only for the maximum period of time allowed under applicable laws and in anonymous form.
Furthermore, REPAIRS BY POST collects and processes personal data voluntarily provided by you when you interact with the Site functionalities and request the services offered by the Site, for example upon opening of an account, or upload of user-generated content on the Site; subscription to REPAIRS BY POST newsletter or mailing list; purchase of products through the Site, which includes all activities relating to the purchase of goods, such as for example delivery of goods, billing issues, returning and exchanging of goods, receiving refunds, purchase and use of gift cards and e-gift cards, as applicable, payment related activities, including fraud prevention, and customer support and interaction with our call centre; participation to promotions and other initiatives realised or communicated through the Site such as for example loyalty programs, contests and sweepstake's, request of information to REPAIRS BY POST or sending to REPAIRS BY POST a question, communication or feedback through traditional mail or through the Site. We will process personal data also to comply with the Privacy Law and to assess and defend a legal right. We may process personal data also when you contact our customer support and call centre, which may communicate with you and thus process your personal data through e-mail, chat and telephone. The call centre will also register your phone number for purpose of call-back and back-office services in order to provide you with the requested support and information. In some cases, for purposes of internal training, quality control and verification, the call may be recorded and the e-mails may be saved to the extent not prohibited by the Privacy Law. You will always be informed in advance of the recording of the communication, and you will have the opportunity to object to such recording, save when this is necessary for verification purposes in relation to your purchase or other reasons, as allowed under applicable laws.
With your consent, that is optional, REPAIRS BY POST may further process your personal data for survey purposes; for marketing purposes, that is for sending, also through e-mail or other electronic communications means such as SMS, MMS, fax, etc., promotional information and material on products and services of REPAIRS BY POST, on special initiatives on prices and promotions and on initiatives such as loyalty programs, events, exhibitions and fairs organised by the RBP and associated companies (to which REPAIRS BY POST belongs) or to which the RBP and associated companies takes part; and for profiling purposes. For the marketing and profiling activities above defined, personal data may also be shared with other companies of the RBP and associated companies. You will always have the opportunity to object, at any time and for free, to the processing of your personal data for the sending of promotional information and material; in each communication there will be a specific section in which are specified the conditions (easy to perform and free of charge) of revoking the consent. Personal data that REPAIRS BY POST collects and processes include name, and contact details such as street address, telephone number, e-mail address and further possible information of an optional nature provided by you. When requested under the Privacy Law, REPAIRS BY POST requires your consent before proceeding to processing your personal data.
Where you have provided us with personal data about another person, (for example when using the function e-mail to a friend, gift card functionalities or other purposes) to the extent permitted by applicable laws you hereby confirm that said communication and further processing by us as set out in this Privacy Policy complies with applicable privacy laws, so for example you should inform said person and as requested obtain his/her consent to the processing of his/her personal data for the purposes set out in this Privacy Policy.
- Where will my personal data be stored?
Personal data collected through the Site will be processed and stored by REPAIRS BY POST; the company UK FAST (UKFast.Net Limited, Registered in England, Company Registration Number 03845616, Registered Office: UKFast Campus, Birley Fields, Manchester, England, M15 5QJ) provides for REPAIRS BY POST hosting services for the web site and related database, so certain personal data processed through electronic means might be stored by such third-party company. In any event, personal data are processed only through specifically authorised staff designated to access and process the data, including staff designated for performance of non-routine maintenance operations of the Site.
- Does this website use cookies? What are they for?
Our Website uses cookies.
Cookies are small text files sent to your device by the Site. Cookies are uploaded onto your device, thus allowing the Site to recognise you and store certain information concerning you, in order to permit or improve the service offered.
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"Functional" cookies provide more advanced functions, such as remembering log-in details, remembering what is in your shopping cart and remembering your preferences such as language and country, analysing sit usage to measure and improve performance. Also these cookies do not collect information that can identify users. These cookies can be disabled.
"Advertising" cookies may be finally used to keep record of certain behaviours or preferences expressed by you, so as to present content that is more relevant to your interests, in compliance with the applicable privacy laws and upon collection of your express consent if required by law. These cookies may also enable you to share some Site content through social networks such as Facebook and Twitter. To review the respective privacy policies cookies, you can visit the social networks websites. In the case of Facebook and Twitter please visit https://www.facebook.com/help/cookies and https://twitter.com/privacy. These cookies can be disabled.
In any case, our cookies do not run programs on users' device nor upload viruses on it, and that do not allow any kind of control over the device. REPAIRS BY POST does not use cookies to monitor users' activities or device.
Please click here to set your preferences regarding receipt of cookies from our Site.
Once you have accepted the use of cookies on the Site, your preferences with regard to the use of cookies will be saved in the form of a cookie for your future visits to the Site for as long as you do not remove the cookies stored on your device. If you disable the cookies that we use, some parts of the Site may not work properly, depending on the type of cookie you have disabled.
- How are personal data processed by REPAIRS BY POST?
Personal data collected by REPAIRS BY POST are mainly processed through electronic and automated means but also without the same (paper processing), under procedures and logics that comply with the data processing purposes as herein specified. Personal data are processed according to applicable privacy laws, including security and confidentiality issues, and are kept only for the time strictly functional to achieve the specific data processing purpose from time to time pursued and according to the Privacy Law.
- Are personal data safe in the hands of REPAIRS BY POST? Can I update my personal data?
REPAIRS BY POST is committed to protect security of personal data. Personal data are processed by REPAIRS BY POST in compliance with the security provisions as set forth by applicable laws in order to prevent loss and destruction, even accidental, of data, unauthorised access to data, unlawful or unfair use of data. Moreover, information systems and software programs are configured so that personal and identification data are used only when necessary to achieve the specific processing purpose from time to time sought.
REPAIRS BY POST deploys a variety of advanced security technologies and procedures to help protection of personal data against the risks above outlined. For example, personal data provided by users are stored on secured servers placed in controlled locations. Moreover, for the transmission of some data through the Internet are deployed encryption techniques such as the Secure Socket Layer (SSL) protocol.
You may help REPAIRS BY POST to update and maintain accuracy of the personal data you provided to REPAIRS BY POST by notifying REPAIRS BY POST of any amendment relating to your address, title, telephone number or electronic mail (e-mail) address. If you opened a REPAIRS BY POST account, you can perform such updates on-line, following the instructions reported on your account pages.
- Does REPAIRS BY POST communicate the personal data collected? To whom? For what purposes?
REPAIRS BY POST communicates personal data within the limits and under the circumstances specified in this Privacy Policy, in any case in full compliance with the consents given by users upon collection of data, when required by the Privacy Law. Personal data will be accessible within REPAIRS BY POST organisation by the internal and external personnel that need to access them because of their duties in relation to the processing purposes herein specified, and by any appointed Processor. The updated list of Processors and of the subjects to which data may be communicated will remain at users' disposal free of charge upon request at REPAIRS BY POST.
Personal data may be communicated to institutions, authorities, public entities, banks and financial institutions, professionals, independent consultants, also in associate form, business partners and third party service providers to which REPAIRS BY POST may revert to for performance of professional, technical and organisational services functional to the managing of the Site and the activities therein performed, such as for example the sales of goods and related activities, the managing of functionalities offered by the Site and of the initiatives and services that users may subscribe to and require through the Site, and for services strictly functional to achievement of the other processing purposes herein specified. For purposes functional to the managing of the Site and related activities, for example for the purchase of goods through the Site, personal data may be also communicated to other companies of the RBP and associated companies within the European Economic Area, that will process them according to applicable privacy laws for the purposes above specified, including marketing and profiling activities. For closing purchase transactions and payment processing through our e-commerce platform we revert to third party service providers. These service providers are bound by contract obligations so that they will implement adequate security measures to protect security and confidentiality of personal data and credit card information.
Personal data may also be communicated to third parties in case of mergers, acquisitions, transfer of any of our assets, products, websites or operations. These third parties will be provided only with the information necessary to performance of their respective functions; they agree to use the information received only for the processing purposes above specified, to keep it confidential and secure and to comply with applicable law and the instructions received by REPAIRS BY POST.
Except for the foregoing, personal data will not be shared with third parties, natural persons or legal entities, that are unrelated to, or that do not perform a business, professional or technical function for REPAIRS BY POST. Personal data may further be communicated to whomever is the legitimate addressee of communications as provided by applicable laws and regulations, thus for example in case of judicial processes, request by competent courts and authorities or other legal obligation, to protect and defend the rights and property of REPAIRS BY POST and the Site. Personal data will not be communicated to third parties for their own marketing purposes.
- Am I obliged to provide my personal data? What are the consequences if I refuse to provide them?
Except for the foregoing description in relation to the surfing data (please refer to the above section "The nature and kind of data processed"), providing of personal data may be necessary for the performance of certain services and functionalities offered by the Site and required, such as subscription to the Site, subscription to REPAIRS BY POST's newsletter, the purchase of Products through the Site, the management of participation to loyalty programs, promotions and other initiatives communicated through the Site, replying to and managing of request of information, questions, communication or feedback to REPAIRS BY POST. Providing of personal data for the activities necessary to comply with applicable legislation is mandatory. In the above referenced circumstances, denial of providing personal data would make it impossible for REPAIRS BY POST to comply with contractual obligations or to provide the requested services, products or information as above specified.
Providing of data for survey, marketing and profiling purposes as above specified is optional; denial of providing personal data in said circumstances will have no consequences on compliance by REPAIRS BY POST with its contractual obligations and on the provision of the services, products or information requested as above specified.
- Does the site contain elements controlled by third parties? Is REPAIRS BY POST liable for them?
The Site may contain links to other sites, as well as objects or elements controlled by third parties.
An example are plug-ins that may connect our Site to social networks like Facebook or Twitter ("social plug-in") and that are usually identified by the relevant social network's logo. If you find and interact with a social plug-in on our Site, your browser may send such social network certain data relating to you, such as you user ID, information on the Site, date and time, and other browser-related info. Such information would be processed by the social networks, owned and operated by third parties, according o their privacy policies.
REPAIRS BY POST has no access or control over elements, objects, plug-ins, cookies, web beacon and other items or tracking technologies owned and operated by third parties, available on our Site or on the relevant third-party site, which users may access on or from the Site, and over the relevant methods of processing of personal data through such elements or sites; so REPAIRS BY POST disclaims any responsibility for such sites. Users should check the privacy policy of third party websites and elements accessed from the Site to learn about the conditions applicable to the processing of personal data since this Privacy Policy apply only to this Site.
- What are my rights as regards my personal data collected and processed by REPAIRS BY POST?
You are entitled at any moment to enforce the rights as provided by the Privacy Law, including but not limited to the right to obtain at any moment confirmation that your personal data exist or do not exist, verify their content, origin and accuracy, ask for their integration, updating, amendment, deletion, and you may oppose for legitimate reason the data processing (including objecting, at any time and for free, to the processing of your personal data for direct marketing purposes).
For any query or request relating to the personal data processing by RBP and to enforce the rights under the Privacy Law, you may contact EWRC Ltd & Repairs By Post Ltd, acting as data Processor of RBP, as follows: "EWRC Ltd & Repairs By Post Ltd – REPAIRS BY POST Bury New Road Prestwich, Manchester, Greater Manchester M25 0JW, United Kingdom". Full contact details are provided at our Contact Us page.
This Privacy Policy is subject to updating and amendment by REPAIRS BY POST. The version published on the Site is the version actually in force. If REPAIRS BY POST changes this Privacy Policy, REPAIRS BY POST will notify users of such changes by posting a link on the home page of the Site to the amended privacy policy that reads "Newly Revised Privacy Policy". REPAIRS BY POST invites users to periodically review the Privacy Policy in order to be informed of any relevant change


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ROCHESTER — The Homemakers Health Services has been named to the 2012 HomeCare Elite, a compilation of the most successful Medicare-certified home health care providers in the United States.
Now in its seventh year, the HomeCare Elite identifies the top 25 percent of Medicare-certified agencies and further highlights the top 100 and top 500 agencies overall. Winners are ranked by an analysis of publicly available performance measures in quality outcomes, process measure implementation, patient experience (Home health CAHPS), quality improvement and financial performance.
"The 2012 HomeCare Elite winners demonstrate a commitment to providing patient-centered care and serving as leaders in the home health community. Their success offers data-driven proof of being well-managed and high quality care providers to hospitals, managed care organizations, ACOs and other potential referral partners across the healthcare continuum," said Susan L. Henricks, president and COO of National Research Corporation, the parent company of OCS HomeCare. "Again this year, we updated our methodology to reflect the rapidly evolving quality-focused healthcare landscape and national value-based purchasing trends. We congratulate The Homemakers Health Services as being recognized as a top home-care agency."
Linda Howard, chief executive officer of The Homemakers Health Services, credits the Agency's commitment to excellence, development of high tech home health services and dedicated visiting nurses, physical and occupational therapist and other professional health care team members with the organization's success in ranking as one of the Home Care Elite.
"Achieving the best outcomes for our clients is out number one priority. Out committed staff, as well as he patients and physicians who place their trust in us, make The Homemakers Health Services a truly outstanding community asset," said Howard. "We are honored to be recognized as one of the national's best home care companies in the nation,"
"Home Care Elite recognition continues to gain importance given the increased regulatory mandates and the threat of shrinking reimbursement revenue. Home health agencies that have earned recognition among the Home Care Elite demonstrated that they not only can adapt to an evolving marketplace, but continue to excel in clinical, patient experience, quality improvement and financial outcomes," said Marci Heydt, product manager for the post-acute care business group of Decision Health.
The Homemakers Health Services named as Top Agency of the 2012 HomeCare Elite
ROCHESTER — The Homemakers Health Services has been named to the 2012 HomeCare Elite, a compilation of the most successful Medicare-certified home health care providers in the United States.


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Friday, September 27, 2013
Run Raises Hope for Kids' Cancer
From Left: Bill Taylor, David Ryan, MD, Howard Weinstein, MD, and Shayna Seymour.
Bill Taylor, former MGHfC patient Lily, and Shayna Seymour rally the runners.
A record number of participants joined the annual Four Seasons Run of Hope on September 8th to raise awareness for pediatric cancer care and research at MassGeneral Hospital for Children. The Run of Hope is an annual 5k Run and 2k Walk hosted by the Four Seasons Hotel Boston, and through our partnership with the Four Seasons, we've raised over $1 million for the childhood cancer program at MGHfC. This year, 581 walkers, runners and volunteers gathered to raise awareness and hope for kids' cancer.
Shayna Seymour of WCVB TV, Bill Taylor, Regional Vice President and General Manager of the Four Seasons Boston, Chief of Hematology Oncology at Mass General and Clinical Director of the Mass General Hospital Cancer Center David Ryan, MD, and Chief of Pediatric Hematology-Oncology at MGHfC Howard Weinstein, MD gave remarks, and Dr. Weinstein's former patient Lily was featured. The festivities included a pancake breakfast, raffle and a kid's 50 yard dash prior to the run/walk.
Browse the Entire Newsroom Archive


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HONG KONG — Asian stock markets sank in erratic trade Tuesday as investors waited to see how the U.S. will boost its economy with a massive stimulus package and reshape its program to bail out banks.
Markets across the region were largely directionless after solid gains last week on hopes the U.S. stimulus measures will speed recovery in the world's largest economy. An $838 billion economic stimulus bill survived a key test vote in the Senate Monday, setting up a final vote Tuesday.
Investors also are anticipating more details about how the Obama administration plans to retool the government's $700 billion program to bail out financial institutions reeling from bad assets. Later Tuesday, Treasury Secretary Timothy Geithner is to unveil new rules for the program, which has been heavily criticized for doling out hundreds of billions of dollars to banks with few conditions on how the money is spent.
"People are waiting to see what happens in the U.S.," said Conita Hung, head of equity markets with Delta Asia Financial Group in Hong Kong. "People aren't going to inject a lot more money in the market with this kind of uncertainty."
Japan's Nikkei 225 stock average was down 35.21 points, or 0.4 percent, at 7,933.82, Hong Kong's Hang Seng lost 51.56 points, or 0.4 percent, to 13,717.50 and South Korea's Kospi was off 6.26 points, or 0.5 percent, at 1,196.43. All three markets earlier had fluctuated in and out of positive territory.
In mainland China, Shanghai's key index — which had surged about 12 percent over the last six trading days — declined 0.8 percent even as figures showed the country's inflation eased to just 1 percent in January. That's seen as giving Beijing more leeway to carry out its own economic stimulus plan without igniting new price rises.
Benchmarks in Australia and Singapore also fell, while those in Taiwan and India gained modestly.
Asian trade matched a listless session in the U.S., where markets wavered ahead of announcements from Washington.
The Dow Jones industrial average fell 9.72, or 0.12 percent, to 8,270.87. The blue chips fluctuated between gains and losses 49 times during the session. The Standard & Poor's 500 index rose 1.29, or 0.15 percent, to 869.89.
After the market's close, President Barack Obama pressed his case for a stimulus package, warning that failing to act swiftly and boldly "could turn a crisis into a catastrophe."
After he spoke, Dow Jones industrial futures were down 103 points, or 1.25 percent, at 8,115. Standard & Poor's 500 futures were down 13.2, or 1.5 percent, at 851.9.
Oil prices edged higher, with light, sweet crude for March delivery up 35 cents to $39.91 a barrel in Asian trade on the New York Mercantile Exchange. The contract fell 61 cents overnight to settle at $39.56.
In currencies, the dollar weakened to 91.29 yen, compared to 91.36 yen. The euro tumbled to $1.2818 from $1.2974.


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The Sports Xchange
Bengals blister Vikings, 42-14
CINCINNATI -- The Cincinnati Bengals were in the postseason the last two seasons. They want more than just a playoff appearance this time around.
The Bengals topped the 40-point mark for the fourth consecutive home game and earned their third consecutive postseason berth with a 42-14 win over the Minnesota Vikings Sunday at Paul Brown Stadium.
Cincinnati (10-5) clinched at least a wild-card berth when Buffalo defeated Miami 19-0 a few minutes after the final gun sounded in Cincinnati. The Bengals can win the AFC North with a Baltimore loss to New England on Sunday or by beating the Ravens next Sunday in the regular-season finale. They are still battling New England for the No. 2 seed in the AFC and a first-round bye in the playoffs.
"Making it to the playoffs is a blessing," said Bengals safety Reggie Nelson. "We've made it the last two years and it's not too often that you make it to the playoffs. You can't take it for granted."
Minnesota (4-10-1) was held to 209 yards of total offense one week after putting up 455 yards against the Philadelphia Eagles. It was the second-lowest total of the season for the Vikings.
Minnesota was 0 for 9 on third down and failed to convert either of its two fourth-down attempts while managing just 10 first downs. All-Pro running back Adrian Peterson started the game despite being limited in practice this week with a bad foot but was held to 45 yards on 11 carries.
Peterson was pulled in the second half when the score got out of hand.
"I didn't think it was wise to keep playing him," said Minnesota head coach Leslie Frazier. "We'll see how he is this week, but it just wasn't the right thing to do to keep him in there today."
Bengals quarterback Andy Dalton finished 27 of 38 for 366 yards, four touchdowns and a passer rating of 136.5, while wide receiver A.J. Green caught seven passes for 97 yards and two touchdowns to give him 10 touchdowns for the season. The Bengals had 429 total yards of offense. It was the seventh time this season the Bengals topped 400 yards in a game.
Cincinnati is now 7-0 at home this season and has won by an average score of 43.5-17.8 in its last four home games.
"It's tough to play on the road, so when you're home you're familiar with everything," said Dalton. "We're here every day and the fans are getting into it. It's great to not have to worry about crowd noise and have the fans on your side during the game. We come out and play well. One of our goals coming into this season was to be undefeated at home and we've got one more to accomplish that."
Wide receiver Cordarrelle Patterson returned the opening kickoff 48 yards to the Cincinnati 49 for the Vikings but it was the Bengals who scored first. Cincinnati linebacker Vinny Rey sacked quarterback Matt Cassel and forced a fumble that defensive end Carlos Dunlap picked up and returned 42 yards to the Minnesota 4. BenJarvus Green-Ellis scored his seventh rushing touchdown of the season two plays later to give Cincinnati a 7-0 lead.
Minnesota capitalized on a fumble by Bengals tight end Jermaine Gresham to tie the score. The Vikings needed just four plays to go 54 yards, the final 36 yards coming on a touchdown pass from Cassel to Jarius Wright on an out-and-up double move that burned cornerback Dre Kirkpatrick and safety George Iloka with 10:02 left in the first quarter.
Cincinnati scored the next 35 points. Dalton threw touchdown passes of 29 and 2 yards to Green and scores of 16 yards Gresham and 7 yards to wide receiver Mohamed Sanu, while Rey turned his second interception of the season into a 25-yard return for a touchdown in the second quarter that gave the Bengals a 21-7 lead.
Cassel threw for 385 yards last week against Philadelphia in Minnesota's 48-30 win. He was just 13 of 26 for 114 yards, one touchdown and three interceptions against Cincinnati on Sunday. The Bengals came into the game ranked seventh in the NFL in pass defense.
"Obviously today was a bad day at the office," said Cassel. "That's playoff-caliber team. It's a tough team to play at home with the mistakes that I made and the inconsistencies throughout the day - that makes it a lot tougher."
NOTES: Andy Dalton became just the second Bengals quarterback to surpass 30 touchdown passes in a season. He has 31 touchdowns, one behind Carson Palmer's franchise record of 32 touchdown passes in 2005. ... LB James Harrison (concussion) and CB Terence Newman (knee) were inactive for the Bengals. ... Bengals RT Andre Smith left the game in the third quarter with a sprained ankle. ... Cincinnati coach Marvin Lewis lost a challenge for the first time this season when officials upheld their initial ruling of a runner down by contact before a fumble. Lewis had won his first six challenges. ... Minnesota WR Greg Jennings made his 100th career start. ... WR Cordarrelle Patterson had 143 yards on four kickoff returns for Minnesota, leaving him four yards shy of Buster Rhymes' franchise record of 1,345 yards set in 1985. ... CB Shaun Prater, a fifth-round pick by Cincinnati in 2012, started his second consecutive game for Minnesota in place of Xavier Rhodes.


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COTTONWOOD HEIGHTS, Utah - Thomas Cobb, his family and his collection of more than 25 boa constrictors can now live in peace after moving from their suburban Utah neighborhood where controversy over the exotic pets became downright venomous.
'I left because of the harassment, the scrutiny, the threats. It was just an uncontrolled situation,' Cobb says of the Cottonwood Heights, Utah, neighborhood where he grew up. 'People of influence made minimal effort to protect my family from individuals that were forcing their opinion upon us, judging us for something they don't understand.'
Beginning last May, concerned residents brought their complaints to the city council, along with a petition signed by several dozen neighbors seeking strict limits on the number of snakes and other exotic pets that could be legally maintained in a home.
Complaints ranged from health and safety to property values.
'[Cobb] has created an uncomfortable environment in the neighborhood and it's not fair,' resident Tobi Paulos, who started the petition, said in an interview with ABC4 news at the time. 'We're concerned about our property values decreasing. I mean that's a reality - we now have the stigma of the snake neighborhood.'
Paulos and others pressed the city council to adopt an ordinance making it clear a homeowner was allowed to have just one exotic pet.
Paulos did not respond to requests for comment this week by The Tribune.
Cobb has moved out of the city with his large collection of snakes, but the controversy he touched off is still reverberating in Cottonwood Heights City Hall.
This week city council members decided to move forward on a proposed ordinance that would limit the number of exotic pets allowed a homeowner - five without a permit and up to 25 with a permit. A vote is scheduled for Jan. 28.
Councilman Mike Peterson, who represents the neighborhood, said many residents there have grown so emotionally involved that they are no longer objective on the issue. However, he said residents outside the area are also concerned.
Experts from Weber State University have told the city that anywhere between 20 and 50 animals would be acceptable in a home from a health and safety standpoint. The council appears to have settled on 25 as a compromise.
Mayor Kelvyn Cullimore Jr. does not agree with the restriction, but he is willing to pass the ordinance in deference to resident concerns.
'I would be happy with 25 just to get this thing done and moving on,' Cullimore told the council. 'My personal opinion is I think we're overreaching. We're overreaching into people's private lives as government because we've got some people who are being irrational about their fear of snakes.'
Cullimore said whether the number is 25 or 50, some residents will never be happy with the ordinance.
'All they're going to do is criticize us for not just saying no to all of it,'' the mayor said at the meeting.
Councilman Michael Shelton is concerned that this ordinance infringes on the rights of private property holders. He said as long as the pets are safe and do not have an impact on the neighborhood the government should stay out of it. He noted that there are dangerous possessions, such as guns, that people can have as many of as they want in their homes regardless whether they make neighbors nervous.
Cobb couldn't agree more.
'I think it's very important that individuals maintain their personal right to do what makes them happy as long as it has no effect upon anybody else and that regardless of situation the pursuit of happiness reigns supreme,' Cobb says. He maintains his boas are safely maintained in separate enclosures inside his home and endanger no one.
'I'm a law abiding citizen,' Cobb told The Tribune in a telephone interview. 'I'm not going to break the law because I want to do something. I'll go to someplace where I can do what I was doing without being judged.'
He said things are working out fine in his new neighborhood. But Cobb, who has privacy concerns, would not say where he lives.


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|Thyroid Cancer Survivor Reggie Deal is Blind
From his seat in an upper-reserved section of Rangers Ballpark on Sunday night, Reggie Deal couldn't see the ballgame the Rangers and Rays were playing. But he could hear it, he could smell it, he could sense it. For Deal, baseball provides a pull that goes beyond the boundaries of the blindness he's been inflicted with virtually all of his 39 years. Baseball is his passion, if not his outright obsession.
"There are a lot of things you're able to experience," he said, "when your faculties take over and supplement what's not there." Simply being there -- in the stands, with the game playing out in front of him, his fellow fans beside him and the sounds of the sport surrounding him -- is an experience that means a lot to Deal.And that's why Sunday was the start of something special.
In the span of 30 days, Deal is going to visit each of the Major Leagues' 30 ballparks. He'll traverse the country, mostly on his own, via bus and plane, taxi and train, all with an end goal of fulfilling a lifelong dream while simultaneously showing others his is a life without all the perceived limits.
Crazy? Sure, it's a little crazy.
But having survived a thyroid-cancer scare a few years back, having married a woman who's a big believer in scratching items off life's "bucket list" and having spent weeks poring over team schedules and laboring over the logistics, Deal, an Afton, Wyo., resident, realized this little dream of his was just crazy enough to come true.
"I want people to have a different visual of what blindness entails," he said. "People get caught up in the negative, but there are ways to work around it."
Deal has had to work around it essentially from the beginning. He was born prematurely in 1973, and doctors told his parents his odds of survival were one in four. He was placed in an incubator that helped his lung tissues develop and heal, but the environment was 90 percent pure oxygen, or roughly 4 1/2 times the typical atmospheric setting. The prolonged exposure caused Reggie's retinas to hemorrhage and detach from his eyes, permanently blinding him.
"They're much more watchful for signs of issues now than they were back then," Deal said. "While it's still a threat for kids born that early, it's something they can mitigate now, more than 35-40 years ago."
He's never felt cheated, never felt wronged. His blindness is all that he's known, and it certainly didn't stop him from earning his bachelor's degree in journalism at Texas A&M or his master's in education counseling from Texas State University-San Marcos. Yet it wasn't until the cancer diagnosis four years ago when Deal truly gained perspective on life's fickle and fleeting nature. And that only further fueled his desire to do the 30-in-30 tour.
"I had planned to meet a friend in California, and we were going to go to a Padres game and then an Angels game," he said. "But I had to cancel that at the last minute because I had not been feeling well. Only a couple weeks after that, the doctors noticed I had an enlargement on the thyroid. They said, 'This has got to come out.'"
The cancer diagnosis came in late June of 2008, and the surgery was performed on July 14. One week post-op, Deal met with his doctor and was given a green light to start traveling again. He went straight from the doctor's office to the airport, hopped on a flight to Philadelphia and took a train to New York to see consecutive games at Yankee Stadium and Shea Stadium.
Yep, it's an obsession, all right.
"With everything that went on that summer, baseball was the one distraction that I had," he says. "It kept me halfway sane." And so when Deal, now cancer-free, met his wife, Lorna, through an online dating service in 2010, she quickly caught on that baseball is part of the package. "He picks up on so many aspects of the game," she said. "He can explain to you everything that's happening, and he just has an intense passion."
The passion to experience every park became a little more realistic when Deal left his job in student affairs at a Texas community college to move to Wyoming to be with Lorna, a teacher. He'll be looking for a new job in the fall, but in the meantime, he's taking full advantage of the time off. And when he inherited some money after his father passed away last year, he had funding to apply to the trip.
So Reggie plotted his Major League map as soon as the 2012 schedules came out. His travels will involve some tight turnarounds, late nights and early flights. And though he'll be meeting up with several friends along the way, he'll largely be flying solo.
"It makes me a little bit nervous," said Heather Compton, a friend of Reggie's who accompanied him to the Rangers game, "because it's so easy for somebody to take advantage of him. But he's pretty aware. He's learned how to handle himself, and he's one of those people that it only takes a few minutes to become friends with him. You can be perfect strangers one minute and friends the next."
Deal plans to make many new friends on this trip. At each game, he'll have the local radio broadcast playing in one ear -- loud enough to follow the action but quiet enough to interact with those around him. He'll be recapping his experiences on his MLBlog and on his Facebook page, and he'll also be wearing a wristband and shirt promoting ThyCa (the Thyroid Cancer Survivors' Association) -- a cause that's obviously grown near and dear to his heart.
Why would a blind man go to such great lengths to experience and document something he'll never see? Easy. Because he can, and because he wants you to know he can. "People ask me, 'How can you enjoy the game without seeing it?'" he said. "I say, 'You don't realize how much of the game you can pick up on until you close your eyes.'"
Article by Anthony Castrovince is a reporter for MLB.com. Read his columns and his blog, CastroTurf, and follow him on Twitter at @Castrovince. This story was not subject to the approval of Major League Baseball or its clubs.
WHEre IS REGGIE? 30 PARKS, 30 DAYSA blind fan's journey through the Major Leagues
|April 29: Rangers Ballpark, Arlington
|April 30: Minute Maid Park, Houston
|May 1: Turner Field, Atlanta
|May 2: Busch Stadium, St. Louis
|May 3: Kauffman Stadium, Kansas City
|May 4: Tropicana Field, St. Petersburg
|May 5: Citi Field, New York
|May 6: Nationals Park, Washington, D.C.
|May 7: Oriole Park, Baltimore
|May 8: Citizens Bank Park, Philadelphia
|May 9: Yankee Stadium, New York
|May 10: Fenway Park, Boston
|May 11: Target Field, Minneapolis
|May 12: Chase Field, Phoenix
|May 13: The Coliseum, Oakland
|May 14: AT&T Park, San Francisco
|May 15: Dodger Stadium, Los Angeles
|May 16: Petco Park, San Diego
|May 17: Angel Stadium, Anaheim
|May 18: Rogers Centre, Toronto
|May 19: Comerica Park, Detroit
|May 20: Coors Field, Denver
|May 21: Safeco Field, Seattle
|May 22: Miller Park, Milwaukee
|May 23: Progressive Field, Cleveland
|May 24: Great American Ball Park, Cincinnati
|May 25: PNC Park, Pittsburgh
|May 26: Marlins Park, Miami
|May 27: U.S. Cellular Field, Chicago
|May 28: Wrigley Field, Chicago


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Adult Partner
From MeritBadgeDotOrg
The basic element of Tiger Cubs is the Tiger Cub-Adult Partner team. The adult may be a parent, brother, sister, aunt, uncle, or even a neighbor. The requirements are that the adult partner be 18 years of age or older, care about the boy, and be strongly committed to his well-being. The boy and his adult partner join Tiger Cubs together. They do all the family, den, and Go See It activities together. The adult partner is responsible for seeing that the boy is successful with his advancement in Tiger Cubs.
Each boy-adult partner team assumes the responsibility of hosting one or more months of den meetings with the den leader. The host team and the den leader plan the meeting program and the location. Tiger Cub adult partners who wish to become registered leaders must complete an Adult Application and pay the appropriate adult fee prorated to the pack's charter renewal date.
See also
|Cub Scout Leader portal
MeritBadge.Org is your online Scouting University with everything from Getting Started to Bridging.
- Den Meeting Plans: Tiger Cub, Wolf, Bear, Webelos Program: Webelos I, Webelos II
- Leader Awards: Cub Scout Den Leader Award (Tiger/Wolf/Bear/Webelos), Scouter's Training Award (basically all adult leaders but Den Leaders), Scouter's Key (Cubmaster), Den Chief Service Award (Den Chief)
- Program Helps: Recruiting, & CubTrax Spreadsheets
- Activities: Day Camp, Resident Camp, Whittling Chip, Guide to Safe Scouting
- Training: Youth Protection, New Leader, BALOO, Webelos Outdoor, Wood Badge, Philmont, Den Chief Training
- Fundraising, Popcorn, and the importance of Individual Youth Accounts
- Nameplates: Official BSA Name plates for your uniforms
See the Cub Scout Leader Resources for the Pack Organization Chart and much more.
|Cub Scout Resources
|New Leader Brochures:
|Applications & Reports:
|Youth Application
|Adult Leader Application
|Advancement Report
|Online Training:
|New Leader
|Youth Protection Training
|Safe Swim Defense
|Safety Afloat
|Safety Guides:
|Guide to Safe Scouting
|Safe Swim Defense
|Safety Afloat
|Climb On Safely
|Permission Slip
|Medical Exam Forms:
|Annual Health and Medical Record
|Age-Appropriate Guidelines
|More forms…


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Sam Neill pleaded guilty. He promised to pay. But more than a year later, victims of the disbarred Hendersonville attorney who embezzled nearly $3 million from estates and trusts have yet to see a dime.
The fate of what they will receive is tied up in deeds to land yet to be sold, or in at least one case, even put on the market. Depending on their purchase price and payments to others also tied to the properties, Neill's victims may not see the full amount they were once promised … amounts they say would have helped hundreds.
"It's really been heartbreaking. It's sad for our community. It's sad for our donor. It's sad for the law profession. It's sad for a lot of folks all around," said McCray Benson, executive director of the Community Foundation of Henderson County.
The foundation, along with Four Seasons, a local hospice organization, lost a total of $884,000 that was intended for the charities from the Barry E. Clemo trust fund.
Clemo, who volunteered at Four Seasons many years before his death, established the trust in 2007 with the desire for his gift to be split between the organizations.
"The most sadness I feel is for Barry Clemo. He actually had a hope and dreamed what this legacy gift would be doing," Benson said, adding that Clemo had a passion for hospice and health care. "That amount of money could have been giving health care to 60 people a year in this community."
He said the money could have been used to detect cancer at an early stage through breast screenings, or provided mental health treatment for 30 people in need, or helped struggling patients keep their diabetes in check at the Free Clinics.
Chris Comeaux, president and CEO of Four Seasons, estimates that 1,000 patients would have been helped at Hospice with Clemo's gift "over the course of time." The organization lost 2 percent of its funding in the recent sequestration, which will result in the loss of $10 million over the next 10 years, he said.
Neill plans to repay $1.15 million at 8 percent annual interest through a civil settlement agreement, according to Andrew Pappas, special agent with the financial crimes unit of the N.C. State Bureau of Investigation.
The foundation and Four Seasons are not holding their breath. "We're not counting it out, but we can't count on it either," Benson said.
Their restitution hinges on the sale of the old Joy drive-in theater property, now a strip mall, at 814 S. Grove St. The property is shared by Neill and his brother, and therefore any proceeds raised from the liquidation will be split before the trust will have a shot at recuperating its loss. The property has yet to be staked with a "For sale" sign.
Neill is out of jail on a $10,000 unsecured bond. He faces up to three years in prison, a $250,000 fine and no more than three years of supervised release for a federal crime he confessed to in a plea deal with attorneys last April.
He pleaded guilty to one count of federal tax fraud after prosecutors say he "understated" his income for 2008 and 2009 by $1.5 million. He owes the government $511,136 in taxes, according to court records. No date has been set for his sentencing in federal court.
The court has guaranteed the federal government a full reimbursement, ordering Neill to pay "full restitution regardless of resulting loss."
On Sept. 17, Neill pleaded guilty to five state counts of felony embezzlement in Henderson County Superior Court.
Pending his efforts with restitution payments, Neill faces up to 84 years in prison for stealing more than $2.5 million from estates and trusts under his care. Superior Court Judge Lindsay Davis said sentencing on the state matter will occur after the former attorney's federal case is complete.
So far, Neill has paid restitution to one of his victims, according to Pappas. He was accused of taking $55,000 in 2000 and 2001 from the Harold R. Tallmadge Trust and has paid that off, according to Papas, through a surety bond that guaranteed his legal work.
Neill was also accused of taking $247,682 from the Edna A. Davis revocable living trust fund in 2010 and has promised to repay that amount.
Neill owes the Irene F. Meinke estate $442,000 after taking from the fund in 2008, Pappas said. Initially, the indictment showed Neill took $100,000, but the successor added $342,000 to that. Although no indictment was filed because of lack of evidence for the latter amount, Neill promised to pay off the entire amount, Pappas told the court.
That restitution is tied up with the stalled sale of the old Flight Wood Grill property on the corner of Fourth Avenue and Main Street.
Neill was executor of the Ruth D. Danis estate and improperly disbursed $850,000 in 2008 to himself, Pappas said, adding that, as part of restitution, Neill filed a deed of trust and promissory note including 5 percent annual interest.
Reach Weaver at firstname.lastname@example.com or 828-694-7867.
Embezzlement victims yet to be paid back in Neill case
Sam Neill pleaded guilty. He promised to pay. But more than a year later, victims of the disbarred Hendersonville attorney who embezzled nearly $3 million from estates and trusts have yet to see a dime.


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Paul scores 38 as Clips down Wizards, wrap up East Coast trip
Chris Paul called it a "must-win." Blake Griffin deemed it a "Game 7," which, technically, it was.
Like many weary teams before them, the Los Angeles Clippers could have mentally checked out when faced with the final game of a long road trip. Instead, they shared the ball impeccably and wrapped up a tougher-than-it-should've-been East Coast swing Saturday night with a 113-97 win over the Washington Wizards.
"We wanted to try to turn this from an OK trip into a good trip," Paul said. "There was a lot of factors. It's a long flight back home, and we've got a lot of sore losers on this team."
Los Angeles never trailed and had assists on 27 of 39 field goals, including 16 of 21 in the first half. Paul finished with 38 points and 12 assists, and the Clippers shot 56 percent to conclude a 4-3 journey that included games against six Eastern Conference teams, leaving them 6-6 on the season against the pedestrian East and 10-3 against the mighty West.
"This was important to close out," Griffin said. "We kind of looked at it as like a Game 7 for us, being on the road. Game 7, got to win. I thought we responded well."
Griffin had 16 points and nine rebounds and was particularly vocal, keeping his teammates focused on the game at hand. The Clippers, on the road since Dec. 2, had already logged more than 6,000 miles on the trip.
"Blake Griffin, every timeout, kept saying, `No letup. We're the tired team, let's not think about it. Let's keep playing,'" coach Doc Rivers said.
Paul was also at the forefront of the don't-let-up agenda. Sure, he was exaggerating when he called this a must-win in the wake of Thursday's loss at Brooklyn, but sometimes that's what it takes.
"We're going to make him say that every night," Rivers joked.
Paul went 11 for 14 from the field and made all 11 of his free throws. Jamal Crawford played the fifth man instead of the sixth man, making his first start since April 9, 2012, and finished with 17 points.
Jared Dudley, who apologized to fans on Twitter after a 1-for-7 shooting performance against Brooklyn, found his game and carried the Clippers early, going 4 for 5 in the first quarter and finishing with 16 points.
"He's a great shooter," Rivers said. "It's not going away forever. It just went away for a little while, and we wanted it to come back as soon as possible."
John Wall had 24 points and 12 assists for the Wizards, who have lost four straight since reaching .500 for the first time since 2009.
The outcome appeared predetermined when coach Randy Wittman announced before the game that Nene would sit out again because of a foot injury. The Wizards have lost seven in a row when Nene doesn't play and are 3-24 without the Brazilian forward since the beginning of last season.
But even Nene probably wouldn't have made much of a difference against the efficient Clippers.
"You could see there's a difference between the teams, the way they talk to each other, the way they communicate, just basically the rule of winning," Washington center Marcin Gortat said.
Gortat, who went 3 for 10 from the field, also stirred the pot by saying the Wizards aren't using him the right way.
"I don't like the position I play," Gortat said. "I'm constantly drifting more and more away from the basket and quite honestly, that's not my game. … I just think I've got to talk to Coach and just clear things up."
The Clippers were always in control, but a 6-0 run consisting of nothing but dunks — one by Griffin, two by DeAndre Jordan — pushed the lead to 19 in the third quarter and pretty much settled the matter. The Wizards trailed by double digits for the entire second half.
"They got everything they wanted," Washington swingman Trevor Ariza said. "We didn't get any stops."
NOTES: Crawford started ahead of Willie Green because Rivers wanted to see how Green played with Darren Collison on the second unit. Rivers isn't sure if he'll stick with that plan. … Washington's Kevin Seraphin scored a season-high 16 points.