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Baseline characteristics
-value denotes differences between those with and without AMI. angiotensin converting enzyme inhibitor or angiotensin receptor blockers, body mass index, coronary artery bypass graft, high-density lipoprotein, low-density lipoprotein, left ventricular ejection fraction, myocardial infarction.
Differential expression according to coronary artery disease status. (A,B) PC3 scores by disease classification in the two phases of transcriptome profiling. -values from ANOVA with three degrees of freedom for group effect, implying replicated differential expression between individuals presenting with AMI and those with NO CAD, CAD and OLD MI, which are not consistently divergent. (C,D) Volcano plots of significance against difference in expression in log2 units of SNM-normalized data with genes upregulated in patients with AMI to the left, and genes downregulated in AMI to the right. Colored transcripts are significant at < 10 in phase 2. Almost all of these are differentially expressed in the same direction in phase 1, which, however, showed much less evidence for significant differential expression in the total sample (possibly reflecting lower technical quality, or unknown covariates biasing against the AMI association). (E) Volcano plot of differential expression between non-AMI individuals who have had an MI on follow-up (n = 11) and the remainder, all in phase 1.
The differential expression in the AMI samples is shown in the volcano plots in Figure
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C,D. The effect of AMI is stronger in the replication phase, but the vast majority of the genes showing highly significant differential expression in either direction in the replication phase (red or blue spots highlighted in Figure 1 D) showed the same direction of effect in the discovery phase (Figure 1 C), indicating replication of the AMI effect. Remarkably, differential gene expression in 11 individuals who had an MI during the follow-up period for the discovery sample also tends to be in the same direction (Figure 1 E; insufficient sample size for replication phase). Furthermore, Kiliszek et al . [ 13 ] reported 24 genes that were differentially expressed in a set of 28 patients experiencing AMI relative to controls, as well as at 6 months follow-up, and although these genes are not the most significant in our list, PC1 for their 24 genes is significantly associated with AMI in our cohort (one-tailed t -test, P = 5 × 10 -5 ) and corresponds very closely to the major component of AMI-associated gene expression in our study. This differential ranking of top genes is to be expected as the most significant transcripts in any particular sample will be influenced by sampling variance.
Different landowners decided to introduce the improvements that required clearance at different times and for different reasons. The common drivers of clearance are as follows:
Replacement of the old-style peasant farming with a small number of well-capitalised sheep farmers allowed land to be let at much higher rents. It also had the advantage, for the landowner, that there were fewer tenants to collect rent from, thus reducing the administrative burden of the estate.
In some areas, land remained in arable use after clearance but was farmed with more intensive modern methods. Some of the earliest clearances had been to introduce large-scale cattle production. Some later clearances replaced agriculture with sporting estates stocked with deer. There were instances of an estate being first cleared for sheep and later being cleared again for deer. The major transition, however, was to pastoral agriculture based on sheep.
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: 4,24
The most productive sheep were the
, allowing their owners to pay twice as much rent as if they had stocked with
. The Cheviot's disadvantage was that it was less hardy and needed low-level land on which to overwinter. This was usually the old arable land of the evicted population, so the choice of sheep breed dictated the totality of clearance in any particular Highland location.
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: 32–53 [18] : 176
Some of those carrying out clearances believed that this was for the benefit of those affected.
Patrick Sellar
, the factor (agent) of the
Countess of Sutherland
, was descended from a paternal grandfather who had been a cottar in
and had been cleared by an improving landlord. For the Sellars, this initiated a process of upward mobility (Patrick Sellar was a lawyer and a graduate of Edinburgh University), which Sellar took to be a moral tale that demonstrated the benefits to those forced to make a new start after eviction.
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( p20 )
The provision of new accommodation for cleared tenants was often part of a planned piece of social engineering; a large example of this was the Sutherland Clearances, in which farming tenants in the interior were moved to crofts in coastal regions. [13] : 36–37 The intent was that the land allotted to them would not be enough to provide all of their needs, and they would need to seek employment in industries like fishing or as seasonal itinerant farm labourers. The loss of status from tenant farmer to crofter was one of the reasons for the resentment of the Clearances. [12] : 403
You are currently accessing Global Investigations Review via your firmwide account.
If you would like to login via a personal account, please use the link below. Log in
- The law and practice of international investigations
Munich prosecutors have been given the green light to examine documents seized from Jones Day as part of an investigation into the Volkswagen emissions scandal.
Within an increasingly fractious civil dispute in London, Dechert has alleged that its former client ENRC bribed senior government officials and paid millions to a sanctioned Israeli billionaire.
A barrister acting for the SFO has warned that "the careful balance of public interests struck by English law" in relation to legal professional privilege will be completely undermined if the Court of Appeal adopts mining company ENRC's wide interpretation of the principle.
Lawyers with monitorship experience shared their thoughts on how companies can avoid "obscene expensing" during monitorships at GIR's first-ever Women in Investigations conference.
Trevor Wiles has joined FRA as a partner in the firm's forensic accounting leadership team in London.
ENRC's counsel has argued that a May 2017 decision that saw the mining company ordered to hand over large swathes of documents to the UK SFO "unduly confines litigation privilege to impermissibly narrow grounds".
A Miami federal judge granted a former PetroEcuador official a sentence reduction after the defendant recounted meeting with a priest who persuaded him to donate bribe money to charity.
A former Aruban telecoms manager received a three year prison sentence after his counsel told the judge of the "good" done with the money he obtained from a bribery scheme.
More Just Anti-Corruption
The US Supreme Court's failure to address whether or not SEC judges can be fired in line with the law means the constitutionality of in-house judges remains a "live issue", lawyers say.
This part of the proposal basically deals with proving to the client that the person writing and submitting the proposal is capable of doing the job. Everyone that contributed to the making of the proposal is mentioned, including their achievements.
Usually, a proposal uses persuasion to get its audience to buy into their idea. One example is when a proposal tries to persuade one or more sponsors to invest in a project. Another example of using a proposal to persuade a client is when the company writing the proposal is asking for a grant.
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The categories that can involve grants include social services, health care, religions, philanthropy, economic development, government, and education. [10] Persuasion can only work when these components are involved; sponsor values, applicant credibility, proposal logics, and proposal psychologics. Another way to make proposals persuasive is to connect the ideas of a project to the sponsor's values or problems of interest.
Sponsors or grantmakers main focuses include any specific dilemma, inequities or injustices. Their mission is to fill in the space between the categories of "what is" and "what ought to be." One example is an organization trying to prevent child abuse called The Prevent Abuse Foundation. Their activities include giving support to families and children and teaching about the abuse and how to eliminate it. In addition to this, the foundation serves grass roots, community-based groups with technical and professional assistance, sharing the best program practices and evaluation techniques. [11]
An applicant's job is to authorize organizational, individual, and project credibility. When an organization is proposing an idea to be presented by a project director, it is important for them to have credibility. Being persuasive is also one of the keys to success. An organization would try to convince its target of how different and unique it is from any other company. One example is a biology department at a university asking for money to do research in genetics. The department may go on to say that it has had 30 years of medical studies in biology and that their research inspects both hormonal and genetic elements that causes gene regulation. [11]
This basically deals with the making of proposal elements that illustrates an identified gap, an improved situation, and resulting benefits to the intended population. Benefits serve as the good things that will happen by completing the objectives that are presented. The components must reflect a relationship between the sponsor values and the project that is being proposed. An exact description of the problem or need is required along with the purpose of the organization, funds and how to complete the objections. It also includes a timeline and a summarization of the intended audience. [11]


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Travel Guide of Palm Beach, Florida for: Four Seasons Resort, Palm BeachPalm Beach, Florida, United States
Palm Beach Summary
- Wide, uncrowded beaches -- broad stretches of pristine, untouched ocean shore
- Beautiful oceanfront mansions and boutiques along Worth Avenue (equivalent to Beverly Hills' Rodeo Drive)
- Most beaches are private (a con for some!), so fewer crowds and more beach for you
- Cultural attractions like the Henry Morrison Flagler Museum, Henry Flagler's 73-room mansion with original furnishings and art
- Plenty of outdoor spots for recreation, like Lake Trail, R. G. Kreusler Park, and Phipps Ocean Park
- Elegant restaurants as well as (surprisingly) affordable and casual waterfront eateries
- Social scene on Clematis Street, which lies not on the isle of Palm Beach, but just across the bridge in West Palm Beach (just a few minutes away)
- Lack of public beaches (a pro for some), so not so easy to try out different beaches
- Almost nothing to do besides spend money and lounge at resort beaches
- Little nightlife (Palm Beach attracts an older crowd)
What It's Like
An enclave of the uber-rich, Palm Beach caters to a well-established, traditionally upper-class crowd. Between Donald Trump's exclusive spa, "Mar-a-Lago," and the ritzy Worth Avenue, it's safe to say that visitors need to be ready to shell out some serious green while vacationing here.
Palm Beach offers a mixture of old money and new-age sophistication, with an abundance of sunshine, grade-A golf courses, clean beaches, and even some cultural and historical exhibits.
This golden stretch of coast does offer some alternatives to fancy-pants places to wine and dine -- you just have to look for them. Tom's Place, a laid-back barbecue shack, offers some of the region's most delicious comfort foods, like black-eyed peas, cornbread, and pulled pork. And, of course, high-end dining won't be hard to find.
Where To Stay
Lodging options are limited in Palm Beach. There are the famous, high-end hotels like Breakers and The Brazilian Court Hotel, and then there are a few smaller options speckling the tiny sliver of sand. Budget travelers, beware. If you're looking for a lower-priced option, head across the bridge to West Palm Beach.

subset: commoncrawl


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Christmas In The Park
Name: Christmas In The Park
Date: November 28, 2017
Time: 6:00 PM - 9:00 PM CST
Website: http://www.arab-chamber.org
Event Description:
Visit Arab City Park to enjoy more than 2 million holiday lights in one of North Alabama's largest Christmas light displays. Includes animated displays.
Walking tour only


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repeatFriday, May 13, 2011
Shoot! Did anyone else on blogger lose their last post? Poof. There one day, gone the next.
18 comments
They said everything will come back- just might take a while.ReplyDelete
Cracks me up that you were in the m.s. bathroom taking pics!:)
Have a great weekend!
My last two were gone. Fortunately, they're still in Google Reader (um, is it weird that I subscribe to my own feed?), so I just reposted them, easy! If the first copies come back, I'll delete the replacements.ReplyDelete
I missed Blogger yesterday. So glad to have it back!
lost mine and lost comments on posts close to that date. just poof, there gone. life goes on , bigger things thatn that to worry over.ReplyDelete
you have to be the most stylish middle school mom around. ruby + bag + you= perfect!ReplyDelete
Love ruby! And yes, had issues with blogger...in love the color of ruby with that bag you're carrying there too!ReplyDelete
I didnt lose any posts, but I did go away for 3 days to come back to publish my comments that were sent to me over those days to find that they were gone. I hope there are no more blogger issues.ReplyDelete
Yes, i have 2 blogs one on blogspot and the other one on wordpress. On my blogspot blog my last post, made 2 days ago, disappeared. I don`t know why is that happening and i don`t have any solution.ReplyDelete


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Mashable - The U.S. will argue before the World Trade Organization (WTO) that China's limitations on its rare earth mineral exports are unfair, President Obama announced Tuesday. The hard-to-find minerals are used in the production of high-tech equipment such as smartphones and hybrid cars.
I guess minerals belongs to china and we don't have to right to tell them to share.Only thing can do is spend more time on investing in other locations
F<3<3<3 Iran. You'll see the next big war will involve the US vs. China.
it SHOULD hoard them.. it makes most of the worlds electronics..
how bout if US will ban everything from china and moved all US based factories in south america and other parts of asia like thailand,malaysia, philipines. and then pressure the allies to do the same..that will surely hurt.


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Cheers to all who've been with me, both new and old - been an excelent journey. (SawxBlog Photo)
"If you want a happy ending, that depends, of course, on where you stop your story."
-Orson Welles
I type this final post through a haze of tears. Ending SawxBlog, something I've put so much of myself into, is not an easy decision. I'm confident in my choice to retire the site, but this confidence makes typing these words more hard than easy - and at times, impossible. SawxBlog has assisted in chronicling a personal journey for the better part of a decade, using baseball as a vehicle to touch on things greater than the greatest game. So much has happened since its inception on December 29, 2004: Eight very long years ago.
I've felt this way before, the first time being in the winter of 1997. The final buzzer resounded through a half-full High School Gym as a basketball shiftlessly bounced towards an unmanned corner. With that push of a button, a period was placed on the last sentence of my basketball career, and as the buzzing ascended towards the rafters, I walked to the end of our bench, placed my head in my hands, and cried - knowing a page had been turned. The second time was four years later in the Spring of 2001 while DJ-ing my last Radio show in college. I played "Good Night" by The Beatles, the final song off my favorite album, and again, this time on FM radio - I shed a tear, realizing another Chapter was over.
It doesn't surprise me that again I'm emotional - I've always been this way, the difference between then and now is that it's my choice this time, and frankly, that's empowering. I've been wrestling with doing this for some time now, but what really pushed me was an article I read regarding Jason Varitek and his future with the Red Sox and baseball.
Like any true Sox fan, I love Tek. He was the heart and soul of the Red Sox as they elevated from lovable losers, to perennial contenders. He had all the intangibles that made those Teams who they were. He hit, he caught, called a great game, led, and fought. But even wearing the rosiest colored glasses you couldn't deny his decline, and while flashes of Tek are there, he just isn't the same anymore. Father Time is relentless and cruel like that. The hardest thing for athletes to do is stop playing. Some have to in High School because their skill isn't there. Some throw in the towel because of an injury. Others simply quit because their time is up, and Tek's time is up, as is mine.
Comparing the writer of a blog to a professional athlete may seem ridiculous, but the analogy works for me. My passion isn't there on the day-to-day anymore, and I don't want to cheapen what I've worked so hard to build. Everything runs its course in life. I'm proud as hell of everything accomplished with SawxBlog, and appreciate the help and support I've received from everyone. It's given me more opportunities than I could have ever dreamed of. I was allowed to peak behind Oz's curtain, and the memories will be with me until my last breath.
I find the timing appropriate. Only David Ortiz, Kevin Youkilis, and the Red Sox Ownership are the same since when I began. The 2012 Red Sox are at the beginning of a new Chapter, which is why I think it's best to step aside.
During my time writing this blog I've gained friends and lost others. I went from dating a girl I liked, to marrying the woman I love. Have seen my Mother pass away far too early, and seen my family evolve as a result. This was a blog before most people even knew what that word meant. I've been able to take batting practice in Fenway, attend special events, meet Heroes and Mentors, and announce for the Jimmy Fund. I've been interviewed on ESPNews, Radio Stations, and televisions shows, while also being mentioned in the New York Times, Boston Globe, and USA Today. I've achieved dreams while realizing others, and through it all stayed true to myself.
Now it's time for my next chapter, whatever that may be. But know this, I'll be rooting as hard as ever for the Red Sox, and will also be sticking around on Twitter for a bit. There's obviously so much more than this game in life, but that makes it none-the-less beautiful, it truly is the Greatest Game. So as the SawxBlog buzzer sounds through the corners of my mind, I'm the one who's writing the final sentence, and I'd have it no other way.
Thank you for reading. Happy New Year. Go Red Sox, and see you at Fenway.
Good night Good night Everybody
Everybody everywhere
Good night.
The Beatles - "Good Night"


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Oklahoma Christian University Campus Police
The Oklahoma Christian University Campus Police Department has been designated as the department responsible for compiling and publishing the university's Annual Campus Security and Fire Safety Report. This document is intended to serve as the Annual Security and Fire Safety Report, as required by the Higher Education Opportunity Act and the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act. The purpose of the report is to provide information about security on campus, to include: campus community crime statistics, fire statistics and safety information, policy information, safety tips, resource phone numbers and a brief overview of the many services the university provides.
Information for this report is compiled by the Oklahoma Christian University Campus Police Department, from reports provided by campus security authorities including, but not limited to, OC Campus Police, the Dean of Student Life office, the Residence Life office, and Title IX reporting office. Statistics are also compiled from the Oklahoma City Police Department and Edmond Police Department that relate to Oklahoma Christian University. Individuals who want to report crimes for inclusion in the Annual Security Report, or for the purpose of making timely warning reports, should report them to the Oklahoma Christian University Campus Police Department.
Oklahoma Christian is committed to providing the members of the campus community and visitors with the safest and most secure environment possible. However, even the most extensive initiatives cannot succeed without the awareness and cooperation of the community members who work, study, and live on campus.
Oklahoma Christian University Campus Police Department
The Oklahoma Christian University CAMPUS POLICE DEPARTMENT is the law enforcement division authorized by State Statute, Title 74, SS 306.11, in 1963 which gave the Board of Regents authority to appoint peace officers.
The CAMPUS POLICE DEPARTMENT provides the same services one would expect from any city, county or state law enforcement agency, and is responsible for enforcement of all state laws as well as rules and regulations of Oklahoma Christian University. CAMPUS POLICE officers have the legal authority to make arrests, issue traffic citations, conduct criminal investigations, serve warrants, and issue summons for parking violations.
The CAMPUS POLICE DEPARTMENT provides a sensitive, meaningful, measured approach to situations which require police assistance, while at the same time maintaining the autonomy of the University.
Overview of the Campus
The Oklahoma Christian University campus consists of more than 265 acres and 40 permanent buildings; all of which are protected by the CAMPUS POLICE DEPARTMENT. The department consists of commissioned police officers and an administrative assistant. The CAMPUS POLICE Department has the responsibility for the protection of persons and property of approximately 2,424 students, 391 faculty and staff members, and many visitors that frequent the campus each year.
Oklahoma Christian CAMPUS POLICE have complete police authority to apprehend and arrest anyone involved in illegal acts on-campus and areas immediately adjacent to the campus. If minor offenses involving University rules and regulations are committed by a University student, the campus police may also refer the individual to the Vice-President, Dean of Student Life.
Major offenses such as rape, murder, aggravated assault, robbery, and auto theft are reported to local police. The City of Oklahoma City Police Department and OSBI are deployed to solve serious felony crimes. The prosecution of all criminal offenses, both felony and misdemeanor, are conducted at either Municipal, or Oklahoma County District Attorney's Office.
CAMPUS POLICE DEPARTMENT personnel work closely with local, county, state, and federal police agencies. Oklahoma Christian University's CAMPUS POLICE DEPARTMENT is also a part of the Oklahoma County 911 Emergency System. Through coordination with local law enforcement agencies, any criminal activity engaged in by students at off-campus locations of student organizations, is monitored and recorded. This information is provided to the VP, Dean of Students Life for any action or follow-up that may be required.


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MeetZackBlack Hero Friday 28/05/2010, 23:13
Thats good :O but it just gives time-outers or stallers an opportunity to max out their abilities -.-
First and foremost?
Ban CR characters from the Type 1 DT.
From there, a slow move to make overpowered cards into CRs will gradually thin the herd for new players as Jackie, Zatman, and so on are phased into Type 2 only cards.
The game will draw in more players and type 2 gains more 'specialness' as it's where you can go to see the CR people in action.
Hated END_Zack's idea of a 26-28* room, remember the higher gap u have between deck/chars the higher amount of points u get for winning, so yes, i love fighting full 5* decks using my low star ones when trying for the top, the best win (points wise) u can have is probably a full 2-3* vs a max(10 chars) deck with all 5*, and a plus on that is many who make these decks make them using most powerful cards, but not worried with clans, which means most lose the great bonus of many chars giving u an extra chance
UE_cherrkoola Guru Monday 31/05/2010, 20:06
Dont ban crs thats would mess up my montana and upppers deck
PriMinizZzTA Titan TrAitorzZz Wednesday 02/06/2010, 01:06
First of all there is enough penatly for using banned cards in DT already ( type 1 or 2 )
Secondly the use of CR's is not a threatening situation , the best CR's are banned as are the best cards in the game.
Third the stallers , this can be easily tackled , just shorten the time for each round at the beginning of the tournament so the players who actually are running for top 1/3 or top hundred have the least problems then with slowplay, an ocassional slowplayer in the middle isnt nearly as frustrating as one in the beginning, i feel.
Penalty the slowplayer dont reward the person winning with more points since then someone actually learns something when not playing fast. Increase the pace of the rounds when someone takes too much time. and make the 1 credit submissable to the play style , too much slow play , get out without any credit and take your clints , nice pace ? Go ahead you get rewarded for that.
UmExcuseMe Imperator Wednesday 02/06/2010, 18:08
Here's a partial fix for the stallers problem: if a player has only one card and no pillz, the card is played automatically (and immediately) by the game. Doesn't completely solve the problem, but it'll help and should be relatively easy to implement.
I'd like a separate ELO-format DT room that does NOT affect your ELO rating (like the ELO-format Survivor room), which should reduce the number of slow players in that room. It also means that there is a viable DT room where you don't meet Jackie every other game.
As someone based in Asia with a somewhat slow connection, I'm not in favour of arbitrarily shortening the time allowed; as it is, there have been a few occasions where I've made a move with more than half the time bar remaining, but lagged out to incur an undeserved -20 penalty. This has happened to me few enough times that I can accept it as a consequence of unfortunate geography, but if the time allowed is shortened too much, people like me may lag out so often that UR becomes unplayable.


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I have a special treat this morning! Michelle Smart wanted to share an excerpt of her latest release The Rings That Bind. The Rings That Bind is available now in both print and digital.
Excerpt for The Rings That Bind by Michelle Smart
"I've been looking on the internet and we can sort the divorce out ourselves."
"What are you talking about?"
"Our divorce," she said evenly. "There's no point in us appointing lawyers. I don't want anything from you and unless you want something from me…"
"I don't recall agreeing to any divorce," he cut in, the grip on his glass tightening.
She had it all figured out. She seriously thought she could tell him she wanted a divorce and then waltz off into the moonlight.
The nausea rolled up into his throat and lodged there, burning his vocal cords.
She seriously thought he would let her go.
Her warm eyes chilled and narrowed. "Actually, you did. When we married. Remember?"
He forced his throat to work. "That was eleven months ago. My feelings on the matter have changed." Hell could freeze over before he let her leave.
"Well mine haven't. As far as I'm concerned, my feelings on divorce are the same as they were then." She got to her feet and stood as tall as her short, curvy frame would allow. "I'm sorry if my decision somehow inconveniences you – I had assumed you wouldn't be bothered – and I'm sorry if somehow I have disappointed you but Nicolai, I can't stay in this sham of a marriage for a second longer."
Sadness rang in her eyes before she turned and headed for the door.
"Where do you think you're going?"
The Rings That Bind is out now! If you enjoyed the excerpt, please click the link below to order a copy of the book.
About the book:
On his terms only…
The day Rosa agreed to wear Nicolai Baranski's ring she wasn't so foolish as to expect love. Yet nothing could have prepared her for the aching loneliness of her husband's constant indifference—an indifference that proved too much to bear.
Nico is furious—no one turns their back on a Baranski. Rosa has some nerve if she thinks he will just let her walk away. He'll use every sensual trick at his disposal to bring her back, begging for more. And once he's got her where he wants her? He'll let her go. But only when he's ready!
You can learn more about Michelle by visiting her website.


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This item is so popular, it has sold out. You're in luck! It'll be back soon. Please enter your email and we'll notify you as soon as it returns.
The Zica table - contemporary small, circular side table suitable for indoors and out. Composed of a tripod metal base and table-top woven with vinyl cord. Coordinates well with our many vinyl cord chairs. The galvanized steel is rust resistant and the very durable yet flexible, UV protected vinyl will stay colorfast for years. This table is weatherproof, easy to clean, and available in everybody's favorite color. A great, modern design for commercial and residential applications. Pretty good innit (tempered glass top not included).
See final product image for measurements


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Council Member Directories
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Council members may view an enhanced listing of all members. You must be logged on to view the full membership directory.
Nonmembers may view a listing of all members and their websites.
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The Council highly values the integrity and privacy of our members. Before accessing the membership directory, please review our policy on appropriate use.


text:
Influenza Outbreak Continues Deadly Surge With Latinos at Higher Risk
The nationwide flu outbreak has hit Boston hard as the state declares a public health emergency.
Wednesday the state announced that the outbreak has led the city to offer free flu vaccines along with setting up more places where people can get vaccinated. And for the city's Latino population, this is especially important as they tend to be more reluctant to get flu shots to begin with.
"The best thing you can do to protect yourself and your family is to get the flu shot," said Boston Mayor Thomas Menino.
According to the Centers for Disease Control and Prevention, in the last flu season only 39.1 percent of Latino adults received the shot, compared to 49.1 percent of non-Hispanic Whites.
Since the unofficial start of the flu season Oct. 1, four flu-related deaths,all elderly residents, have been reported in Boston with 18 deaths statewide.
The city is experiencing its worst flu season since at least 2009, Menino said, with about 700 confirmed cases of the flu, compared with 70 all of last season.
Massachusetts was just one of 29 states reporting high levels of "influenza-like illness," according to the most recent weekly flu advisory issued by the CDC.
The CDC said the proportion of people visiting health care providers with flu-like symptoms climbed from 2.8 percent to 5.6 percent in four weeks. By contrast, the rate peaked at only 2.2 percent during the relatively mild 2011-12 flu season.
The estimated rate of flu-related hospitalizations in the U.S. was 8.1 per 100,000 people, which is high for this time of year, according to Dr. Joe Bresee, chief of the epidemiology and prevention branch of the CDC's influenza division.
Barbara Ferrer, director of the Boston public health commission, said the emergency was declared in part to get residents' attention. She said that the 700 confirmed cases represent only those reported to the city and that thousands of other people may be ill.
Boston hospitals had counted about 1,500 emergency room visits since December by people with flu-like symptoms. Menino said people with symptoms shouldn't go to work or school.
City, state and federal officials have all identified a Type A influenza known as H3N2 as the predominant strain reported so far this season. The strain, historically associated with more serious illnesses, is among those covered by the current vaccine.
"No vaccine is 100 percent effective," cautioned Kevin Cranston, head of the state bureau of infectious diseases. Some people, for example, might be vaccinated but get the flu in the 10 days to two weeks it takes for the immunity to take hold.
"There are any number of reasons why people could have done all the right things and still get the flu," he said.
High flu rates were being reported all over Massachusetts, Cranston said, and while he didn't have specifics on the 18 statewide deaths, he noted that the flu is most dangerous for the young, the elderly and people with other chronic health conditions.
The CDC said 18 children have died from the flu so far this season. While the CDC doesn't keep a tab of deaths overall from the flu, it estimates that 24,000 Americans die each year.
Based on reporting by The Associated Press.
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Discover Istanbul
Whether you are interested in seeing the sights, exploring the shops or discovering more about the past, Istanbul has plenty to offer. With a rich and ancient past, Istanbul is well known for its famous Blue Mosque, the Dolmabahce Palace and a fascinating collection of museums.
Shoppers will delight in the many malls and traditional markets, while leisure seekers will enjoy a relaxed cruise along the Bosphorus. For exciting entertainment, Taksim Square is a must-see during your stay at Mövenpick Hotel Istanbul.
Plan your city break 2 months in advance and get 30% off with our Early Saver promotion!
The incredible city of Istanbul hosts many cultural events, festivals, art exhibitions and concerts throughout the year.
Enjoy the sights and sounds of Istanbul, the only city in the world bridging two continents of Europe and Asia.
The legendary city of Istanbul is a shopping paradise that combines mega malls in fashionable shopping districts with traditional markets in atmospheric settings.
Istanbul is a city with a modern heart and an ancient soul, offering plenty of things to do.


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All I could see from where I stood
Am I kin to Sorrow
Curse thee, Life, I will live with thee no more!
Death, I say, my heart is bowed
First rose on my rose-tree, The
Hard seeds of hate I planted
I cannot but remember
If I should learn, in some quite casual way
I knew her for a little ghost
Ill keep a little tavern
I said,for Love was laggard, O, Love was slow to come
I Will be the gladdest thing
Love has gone and left me and the days are all alike
Love, if I weep it will not matter
Mindful of you the sodden earth in spring
Not in this chamber only at my birth
O World, I cannot hold thee close enough!
Room is full of you, The
She is neither pink nor pale
Sorrow like a ceaseless rain
This door you might not open, and you did
Thou art not lovelier than lilacs,no
Time does not bring relief; you all have lied


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The Process of Successby GDN Shared Post April 25, 2010
Every business across every industry has one thing in common: a business process. Understanding your business processes and the value they can bring to your organisation can mean the difference between providing a service and adding value that your clients can see. A business process can seem complicated, but it doesn't have to be. A business process is made out of all the steps it takes to produce your goods or services. Discovering where you strengths and weaknesses are can provide your company with substantial savings and can empower your staff to take ownership of the products and services you provide.
Where Should I Start?
• Indentify your key business functions.
• Use a critical eye to evaluate how to meet the needs of these functions.
• Consider any available alternatives and then ask yourself why you aren't using them.
What Should A Process Show?
• When the activity starts and stops.
• What staff members or department is responsible for each part of the process.
• Where and how your suppliers and vendors affect product or service delivery.
• All of the supervisor/manager contact points.
What Does an Efficient Process Look Like?
• Consolidated tasks.
• Staff empowered to make and enforce decisions.
• Tasks occurring in a natural and logical order.
• Minimal waste.
While this is not an exhaustive list, it is a starting point that will help you make the most of your business.


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Boating Accidents Lawyers in New York
More Personal Injury Areas
- Motor Vehicle Accidents
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- Motorcycle Accidents
- Commercial Truck Accidents
- Medical Malpractice
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- Insurance Bad Faith
- Wrongful Death
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- Drug Litigation
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- Nursing Home Abuse
- Spinal Cord Injuries
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By County
Showing attorneys 1–15 out of 500 attorneys available for your search query.
Joseph E O'Connor845-340-4878
Joseph E. O'Connor, Esq. resides in New Paltz, New York with his wife, Olana and their daughter, Sophia. Joseph is a Partner in the law firm of Mainetti, Mainetti & O'Connor, P.C. and graduated from St. John's Law... » Read more
Anthony M. LaPinta631-231-1199
Anthony M. La Pinta is one of Long Island's most accomplished and respected trial attorneys. Practicing law for over 26 years, he specializes in all phases of federal and state criminal defense and plaintiff'... » Read more
Alfred B Mainetti845-331-9434
Alfred Mainetti, is the senior partner of Mainetti, Mainetti & O'Connor, P.C., a practice which primarily represents clients who have sustained serious injuries. Al attended Monmouth College in Monmouth, Illinois and pa... » Read more
Daniel C Minc212-697-9280
Our New York City personal injury law firm was founded in 1922 by trial attorney Gustave G. Rosenberg. Since then, we have grown to include many excellent trial attorneys. Although we have grown in numbers over the years, our... » Read more
Christopher Gorayeb212-267-9222
Chris Gorayeb is a personal injury and trial lawyer at Gorayeb & Associates focusing on construction accident, negligence, malpractice, product liability, and car accident cases.
Gary Certain212-687-7800
Gary Certain is a partner at the personal injury and civil rights law firm of Certain & Zilberg, PLLC. During his two decades of practice, Mr. Certain has tried over a hundred cases and has obtained numerous six-figure... » Read more
Salvatore L Marino516-292-4700
Salvatore Marino is a founding member of the firm and has been the managing partner since its inception in 1996. He has 17 years of experience in litigating all types of personal injury matters. Since 1996, Mr. Marino has f... » Read more
Seth Milbauer800-842-8462
At Greenstein & Milbauer, LLP, we believe you deserve nothing less than the highest quality client service. The partners at our law firm have more than 15 years of experience proving fault, even when liability was initial... » Read more
Joseph G Macaluso718-364-4000
Bronx injury lawyer Joseph G. Macaluso is a graduate of Brooklyn Law School. He has been in the private practice of law in the fields of personal injury and medical malpractice since 1990. Upon graduation from Law School, ... » Read more
Stephanie Ovadia516-307-8301
Stephanie Ovadia is a personal injury and entertainment lawyer licensed to practice in New York. She founded the Law Office of Stephanie G. Ovadia in 1993 to provide quality legal representations for New York individuals an... » Read more
Marie E. Napoli212-397-1000
Marie has been an attorney for over twenty-three years. She has experience handling personal injury, medical malpractice, employment discrimination, civil rights and mass tort matters. Marie earned her J.D. from St. John�... » Read more
Steven J. Palermo Mr.631-621-6183
I am the managing partner of the law firm, Palermo Tuohy Bruno, P.L.L.C. We are a plaintiff's personal injury law firm located on Long Island. I focus my practice entirely on representing victims of personal injury. I h... » Read more
James E. Monroe845-551-6704
James E. Monroe is a partner at Dupée & Monroe. P.C. where he devotes his practice to representing injured plaintiffs in personal injury litigation including auto accidents, construction accidents, products liability, an... » Read more
James W. Bacher646-481-8846
James Bacher is a Lead Counsel Rated New York Trial Attorney who represents clients throughout New York City and the 5 Boroughs. In addition to being a Trial Attorney, Bacher is also a Professor of Political Science and Con... » Read more
Adam M. Thompson212-267-2424
I have over 25 years of courtroom and trial experience. I am a well respected litigator who fights hard for every client. I bring enormous energy, unmatched determination and contagious enthusiasm into every case. It shows in... » Read more
National Association of Criminal Defense Lawyers
Adam M. Thompson


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Achieve with us.®
Home ... What We Do ... Public Policy ... Policy Issues ... Long Term Services & Supports Issues ... CFC Option
The Community First Choice (CFC) Option emerged from discussions with Senator Harkin's (D-IA) and Representative Davis' (D-IL) offices in August of 2009 as a way to make progress on home and community-based services and supports under Medicaid and a way to lay the foundation for later enactment of the Community Choice Act. The CFC Option would encourage states to provide home and community based services by providing an increased federal share Medicaid of payments. However, if a state chooses the CFC option, they would have to adhere to its higher standards (no caps on services, no waiting lists, and no geographic restrictions.)
To explain this, we need a very quick overview of how Medicaid works. In order to receive federal matching funds, states must abide by the federal Medicaid law. This law basically defines what states: 1) must do; 2) can choose to do (referred to as an "option"); and 3) cannot do. As long as states comply with the federal law, they are free to set their own guidelines regarding eligibility and services.
However, states can request to do other than that specified in the law by applying for a waiver. There are currently nearly 300 waivers in effect across the country.States that wish to provide most services to people with disabilities in the community instead of institutional settings must apply for a Section 1915(c) Home and Community-Based Services (HCBS) Waiver. While most states have these kinds of waivers, there are problems with them as they allow states to limit eligibility and services.
There are a number of reasons why the CFC option would be better for people with disabilities. The most important ones are outlined in the chart below comparing what states are allowed to do under each.
The other very important benefit is that an HCBS option would provide the legitimacy and prominence that a waiver does not have. For the first time, HCBS would be on the list of what states can chose to do instead of the exception to that list. In other words, the option would help to expedite an end to Medicaid's institutional bias.
No. The 1915(c) waiver will still be allowed. States would simply be allowed to choose the CFC option. However, if a state chooses the CFC option, they would have to adhere to its higher standards (no caps on services, no waiting lists, no geographic restrictions.)
For the detailed provisions of the CFC option, see Section 2401 of the Affordable Care Act (ACA).
The federal government would provide more funding to states that use it. The CFC option provides a 6% increase in the federal medical assistance percentage (FMAP) for home and community based services.
There is no way to know at this point. Now that health care reform has been signed into law, advocates will need to work hard to encourage their states to use the option.
It is worth noting, however, that some states already provide community based services only and serve people with disabilities well despite the low bar set by the 1915(c) waiver. In Vermont, for example, all Medicaid funding goes toward community-based housing and everyone lives in homes with fewer than seven people. Learn more about how state Medicaid HCBS programs rank in UCP's report, "A Case for Inclusion 2010."
The cost estimates for a mandatory CCA program are, in the opinion of Congressional leaders, prohibitive.
Since it was first introduced a decade ago as the Medicaid Community-Based Attendant Services and Supports Act (MiCASSA), the CCA has been hampered by conflicting analyses on the costs of providing community based services instead of institutional care. Having states that chose the CFC option serve as successful test cases could ease the concerns of Members of Congress, governors, and state legislators, among others.
On July 24, 2009 President Obama met with twelve representatives of the disability community, along with Attorney General Holder and Secretary of Labor Solis. Marty Ford participated in the meeting representing The Arc as well as the Consortium for Citizens with Disabilities. A broad range of issues were addressed, including Olmstead enforcement, health care reform, and the need to end the institutional bias in Medicaid.
On August 27, 2009 as a follow-up to the meeting with President Obama and his cabinet heads, a group of advocates for home and community-based long-term services and supports met with Nancy-Ann DeParle, Counselor to the President and Director of the White House Office of Health Reform, and other senior staff at the White House to discuss the Community First Choice Option. The meeting participants had a frank and productive discussion concerning the possible opportunities and barriers of including CFC Option in the final health reform legislation. Once the support of the Administration and several key Members of Congress was obtained, The Arc engaged its grassroots network in helping to ensure enactment.
The Arc, 1825 K Street, NW, Suite 1200, Washington, DC 20006(800) 433-5255, ©2018 All rights reserved.
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Want to donate physical items? Contact a local chapter.


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Sen-Lien Chang Lee, 95, of Oak Ridge, passed away Thursday, Dec. 13, 2012, at Greenfield of Oak Ridge retirement home.
Sen-Lien Chang Lee, 95, of Oak Ridge, passed away Thursday, Dec. 13, 2012, at Greenfield of Oak Ridge retirement home.
She was born Jan. 30, 1917, in Hubei, China, the daughter of Zi-Show Chang and Inn Hwang.
Mrs. Lee received a B.S. degree in statistics from Chongqing University and worked for the Chinese government in the Bureau of Statistics. Later in her life, she was a devoted wife and mother. She enjoyed knitting, reading and gardening.
She was preceded in death by her husband of 64 years, Tseng-Yung Lee.
Mrs. Lee is survived by her son, I-Yang Lee and wife, Eva, of San Francisco; daughters, I-sing Fan and husband, Yung, of Pittsburgh, Pa., and Ida Lee and husband, Ming Shiao, of Oak Ridge; six grandchildren, Helen Lee and husband, Mark Sixta, of Portland, Ore., Haidy Lee and husband, John Wilkinson, of Eugene, Ore., Laurel Fan of Seattle, Wash., Jenifer Fan and husband, Morgan Downey, of New York City, Raymond Fan of Pittsburgh, Pa., and Kenneth Shiao of Oak Ridge; and four great-granddaughters, Evelyn, Elise, and Emma Sixta of Portland, Ore., and Maya Wilkinson of Eugene, Ore.
Private ash scattering services will be held at a later date.
The family asks that any memorials be in the form of contributions in her memory to Greenfield of Oak Ridge, 360 laboratory Road, Oak Ridge, TN 37830.
Weatherford Mortuary is handling the services. An online guest book can be signed at www.weatherfordmortuary.com.


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Head of Interior Design Hassell
Scott Walker is the Head of Interior Design for the international design group HASSELL, operating across 14 studios in Australia, China, South East Asia and the United Kingdom. Scott is actively involved in the design, development and delivery of projects for clients such as Credit Suisse and ANZ. Based in Melbourne, Australia, Scott has over 15 years experience and is acknowledged as an industry leader. His approach is based on developing a deep understanding of client needs. This approach has underpinned Scott's success across a wide range of sectors and design typologies, from small scale cutting edge projects to major commercial and workplace design challenges.


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Translation Disclaimer
Regular Meeting eAgendaJune 25, 2013
Click on the linked agenda item titles below for background materials/reports. Adopted Resolutions and Ordinances (second reading) are available via Records Online (http://www.CityofBerkeley.info/ContentDisplay.aspx?id=4222) as soon as they are finalized.
Resolutions and Ordinances are subject to amendment, rescission or repeal, or readoption in whole or in part. Additional research may be necessary to verify the completeness of the legislative history. To research the Berkeley Municipal Code, visit: http://www.CityofBerkeley.info/BMC
These documents are presented in Adobe Acrobat PDF*, and will open in a new browser window. Some files may exceed 1MB in size. All items are available for review at the City Clerk Department, (510) 981-6900.
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District 1 – Linda Maio
District 5 – Laurie Capitelli
District 2 – Darryl Moore
District 6 – Susan Wengraf
District 3 – Max Anderson
District 7 – Kriss Worthington
District 4 – Jesse Arreguin
District 8 – Gordon Wozniak
This meeting will be conducted in accordance with the Brown Act, Government Code Section 54953. Any member of the public may attend this meeting. Questions regarding this matter may be addressed to Mark Numainville, CMC, City Clerk, 981-6900.
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For items removed from the Consent Calendar to the Action Calendar for additional public comment, at the time the matter is taken up during the Action Calendar, public comment will be limited to persons who have not previously addressed that item during the Consent Calendar related public comment period.
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I hereby certify that the agenda for this meeting of the Berkeley City Council was posted at the display case located near the walkway in front of Council Chambers, 2134 Martin Luther King Jr. Way, as well as on the City's website, on June 13, 2013.
Mark Numainville, City Clerk


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The Walrus Says
Band Director Bethany Clarke will lead a program of 15 selections, including pieces played publicly by the band for the first time.
"There are a lot of different and intensive emotions in our new pieces," Bethany said.
Selections will include "Colonel Bogey's March," "Thunderer," "Stars and Stripes Forever," "If
Thou Be Near," "The Duke of Marlborough
Fanfare," "The Lowlands of Scotland," "Sea Songs," "Linden Lea" and more.
Refreshments will be served following the concert. Admission is free, but donations are welcome.
As in the past few years, a mysterious Easter Bunny helper left beautiful pansies on our doorstep Easter morning. They are always the first flowers that we plant in the spring. Thank you again, whoever you are!
Jackson Hawkins, 11, a big Beatles fan, and Susan Rembijas both nailed B.J. Whitehouse's poser. The answer is "Norwegian Wood" subtitled, "This Bird Has Flown," by the Beatles.
The question about the first janitor at the Jamestown School continues as Peter Pemantell writes, "I am older than Clarke Westall and when the new Jamestown School opened, I was in the fourth grade, so it would make it impossible for Clarke to work there at that time. It was Bill Glenn and Dick Hull for sure!"
Nancy O'Brien responded to Peter's teacher question. "The kindergarten teacher when the Carr School closed was Violet Drury. A great teacher."
Nancy asks, "Name a first-grade teacher who went from the Carr School to the new school on Lawn Avenue."
We goofed! The Perez Prado tune played often by the Jamestown Drum & Bugle Corps in the 1950s was "Cherry Pink and Apple Blossom White." We had the title wrong in last week's column.
No one responded to John A. Murphy's doozies. The answers are: First, the soul superstar was Wilson Pickett and the song was "Sugar Sugar" by the Archies. Second, the island musicians were OMZ and the music was "How Bizarre."
*** Who remembers Joe Palooka?
Our annual thanks to the Quononoquott Garden Club for its plantings of daffodils along North Road. They're a "brightener up" in the morning.
*** B.J.'s poser for the week: "He out-bopped the buzzard and the oriole."
The Jamestown Community Theatre's "A Smorgasbord of Acting" will end next week after a series of Wednesday night activities instructing islanders in the fine arts of the theater. Some turned the experience into an opportunity to share the lessons with family members and to be able to do things totally creative together. It seems some learned more than stage techniques.
Mary Haite, Annie McIntyre and Mary Wright combined their theater talents and led the group. Mary Haite said she asked her son, Jan, 14, and daughter, Alexandra, 11, if they wanted to participate. Jan's reaction was, "It doesn't sound cool." But after putting on plays together and acting together with others in big circles in the room, they've been thrilled. Mary said as the classes progress, her children work on their lines and can't wait to go. Alexandra said, "It's really a good place. I don't feel pressured doing the monologues and other things." Jan said he's no longer scared speaking in front of other people. "It allows you to be an extrovert and express yourself fully."
Cynthia Flagg is no stranger to the theater. She has appeared with the R.I. Shakespeare Theatre in Newport and with the East Greenwich Academy Players. "It was one of my interests that is now dormant," she said. She invited her 14-year-old granddaughter, Liza, to take the classes. "I wanted us to do something together. The people in the group are fantastic. It's fun to go back to something you enjoy. We're happy doing it together."
Although John Warner had helped out the JCT with lighting and refreshments, this is the first time he had tried acting. It was also the first time for his daughter, Brooke, 10. Another daughter, Rachel, 12, had appeared in two JCT productions, but only in group scenes. "I'm a behind-the-scenes person. I get nervous; it's different for me standing up in front of others. Each week, it gets better and easier." He said he did it for first-timers Brooke and himself, but added it had to also help Rachel feel more comfortable. He said he's going to audition for the next play. "It's been a fun experience."
Jeff Williams, his son, Erik, 24, and granddaughter, Ivy, 16, are all attending the classes because of their common interest in the theater. Jeff has been involved with the JCT for some 20 years, Erik since he was 7 and Ivy for the past six years. Erik is pursuing theater studies at CCRI and Ivy is active on the stage and in the chorus at North Kingstown High School. Jeff said the classes are a great opportunity to work on the craft together. Ivy said she now feels more comfortable with new people and Erik said it's been fun and he has been surprised by the different experience levels of the participants and what some people are capable of coming up with. Jeff added, "It's been fun to play off each other. Erik has a comedic bend, and Ivy, who has an instinct for the theater, has a classic voice. I do pratfalls, I fall down well."
Tonight at 7:30 in the Jamestown library's meeting hall, author Marie Younkin-Waldman of Narragansett will talk about her book, "To Hear the Birds Sing, Conversations with my Heart" in which she tells of her life's struggles with a progressive hearing loss before and after her cochlear implant at the age of 63.
Moses Brown School's the Quaker Notes Quartet will play a classic repertoire at the library next Sunday afternoon, April 11, at 3 p.m.
A Snapple cap moment: Pistol shrimp can make a noise loud enough to break glass.
*** Be true!
Call in your stuff to 423-0383 or 829-2760, or email us at jtnwalrus@ hotmail.com.


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Thursday, December 6, 4:30 p.m.
The Chair of the Committee, Dr. Haskell, called for general
discussion on the previous topics cancer and mental health.
Mental Health and Quality of Life Indicators
Regarding the mental health presentation a question was asked if quality of
life indicators were from clinical populations? Roughly 80% of the studies for
psychological well being came from medical groups. Studies on sleep were
primarily self-report mechanisms and obesity was not a covariate or a control.
For self-esteem approximately 50% of the studies were of individuals deemed
A question arose whether the current recommendation relative to women who
have lymphedema is not to undertake physical activity. The recommendation from
the National Lymphedema Network is very specific to upper body lymphedema in
that upper body activity is risky. The literature is weak for lower limb
lymphedema. In general, the clinical experience of lymphedema therapists is that
people who have had their lymph nodes removed in the lower extremities are given
the same recommendation as those who have had their lymph nodes removed in the
upper body. Only 4 studies have been done with women with breast cancer that
show upper body aerobic or resistance training does not cause an onset or
worsening of lyphedema. The lack of data and recommendation on individuals with
lower limb lymphedema is frustrating.
Definition of Disabled
One of the limitations in the literature that was reviewed on mental health
with patient groups is that there is a discussion as to what extent is their
condition disabling. For example an individual with a spinal cord injury may be
categorized as disabled but how do you determine which mental health conditions
are disabling. While there are a number of emerging issues it may be enough to
note those in the first iteration of physical activity guidelines but not to
dwell or attempt to tackle those issues in the first round.
Dr. Haskell recessed the meeting and asked members to re-adjourn
Friday morning.
<< Mental Health Subcommittee Report
Table of Contents
Friday, Recap and Review of Agenda >>
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Physical Activity Guidelines
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Last updated: 10/21/2018
This site is coordinated by the Office of Disease Prevention and Health Promotion,
Office of the Assistant Secretary for Health, Office of the Secretary,
U.S. Department of Health and Human Services.
Office of Disease Prevention and Health Promotion


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NetWellness is a global, community service providing quality, unbiased health information from our partners. NetWellness is commercial-free and does not accept advertising.
Monday, January 9, 2017
NetWellness has received many questions regarding prognosis and life expectancy for persons with COPD and emphysema. Although it is not possible to provide specific predictions in a forum such as this, the following guidelines may be helpful in knowing what to expect.
For more specific expectations and suggestions, you may want to contact a pulmonologist. Pulmonologists are physicians who specialize in lung diseases. A pulmonologist can comprehensively evaluate your condition, answer your questions about life expectancy, and ensure that you are being treated in the best manner.
Emphysema, also known as COPD, is a chronic condition with multiple factors that impact survival and life expectancy. Stages of COPD are generally defined using the GOLD criteria (Global Initiative for Chronic Obstructive Lung Disease). It has four levels or stages:
These stages are determined from breathing tests, known as Pulmonary Function Testing (PFTs), which show obstruction (Spriometry-FEV1/FVC ratio of less than 70 percent) and how much air a person can exhale in one second. You can find more information about the stages of COPD at http://www.goldcopd.com/.
Lack of activity tolerance and increasing shortness of breath can be seen in the end stages. Some people lose weight as just the work of breathing burns up all the calories they consume. Most will require oxygen. There may be more potential for developing acute bronchitis or pneumonia; this is why it is so very important that all patients with emphysema have a pneumonia vaccine and a yearly flu shot.
Patients with severe disease frequently develop cough, phlegm production, and shortness of breath. As the disease progresses, these symptoms get worse and patients often develop fatigue and weakness. An acute exacerbation (worsening of above symptoms) can occur with minimal warning. This can be triggered by viral or bacterial lung infections, pollution, or unknown causes.
Generally, when people require oxygen they are classified as Stage 4, which includes chronic respiratory failure. People who have low oxygen levels in the blood and need to wear oxygen usually fall into the category of chronic respiratory failure.
Some information is available on prognosis in COPD patients, but it is limited. Traditionally, prognosis has been reported based on the FEV1, which is a part of PFT. An FEV1 of less than 35 percent of predicted means very severe disease and some studies estimate that more than half of patients with very severe disease may not be expected to survive for four years.
In addition to the FEV1, other factors that predict prognosis are
These factors are called the BODE index and can be used to provide information on prognosis for one-year, two-year, and four-year survival. For example, a person who has lung impairment with an FEV1 of 20%, shortness of breath when getting dressed, and the ability to walk only 500 feet in six minutes has a two year survival rate of 69 percent. Based on studies, 31 out of 100 similar people will not survive two years
Expected survival for individuals cannot be determined in this forum, but important questions to ask your physician or health care provider might include the following:
Smoking cessation is the most important treatment in COPD and improves survival. Oxygen therapy has been shown to improve survival if a patient has low oxygen levels. Pulmonary rehabilitation, while not shown to improve survival overall, does dramatically improve activity tolerance and, therefore, quality of life.
This article is a NetWellness exclusive.
Last Reviewed: Aug 19, 2014
Professor of Clinical Nursing
College of Nursing
The Ohio State University
Clinical Program Manager of Pulmonary, Allergy, Critical Care & Sleep
College of Medicine
The Ohio State University
Nurse Practitioner of Chronic Obstructive Pulmonary Disease
College of Medicine
The Ohio State University


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Anza Knives
Anza Knives are made in the USA. Each is made from a steel file which has been annealed, cold ground and polished. Most handles are made of laminated, plastic impregnated wood. Colors will vary. All knives feature full tang construction and most come with a top grain cowhide belt sheath. Since their start in 1980, Anza has been committed to providing top handmade affordable knives for sportsman and collectors.


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MPs get secret squirrel dossier of 'lawyers, megabiz hiring hackers'
Light may yet shine on list of firms allegedly using dodgy dicks
Blue-chip firms who allegedly hired private investigators to unlawfully hack systems for personal and sensitive information have been named in a secret list submitted to Parliament.
That's the same sort of alleged skullduggery that ended up bringing down Rupert Murdoch's best-selling Sunday tabloid News of the World.
Law firms, construction companies, insurance companies, management consultants, oil companies, car rental agencies, accountancy firms and venture capitalists appear on an extensive catalogue of organisations and individuals suspected of commissioning corrupt private investigators. The roll call was put together by the UK Serious Organised Crime Agency (SOCA).
None of the entities on the confidential list, supplied to MPs on the powerful Home Affairs Select Committee, is a media organisation, The Independent notes.
Law firms make up the biggest category of businesses featured in the dossier, totally 22, it is understood. The list of alleged clients for dodgy gumshoes also includes 10 insurance businesses, eight financial services firms, four management consultancies and two celebrities.
All those named have thus far escaped either criminal prosecution or censure from Blighty's privacy watchdog over the alleged use of tactics - which include paying police officers for sensitive information, tapping telephone lines using gadgets planted by ex-BT engineers into street cabinets, computer hacking and "blagging", the latter being tricking tax authorities and banks into handing over sensitive information using social engineering tactics.
The Independent claims none of the organisations named have been warned they are on the list.
Labour MP Keith Vaz, chairman of the select committee, was asked by SOCA to withhold publication of the list pending possible civil action by the Information Commissioner or a possible police investigation.
A 'secret squirrel' club
Vaz told the BBC Radio 4's Today programme: "I don't think that Parliament should be part of a 'secret squirrel' club where we are given a list that is important and should be in the public interest and we are not able to publish it.
"The reason that we can't publish it at the moment - though I am consulting with members of the committee and we will come to a view on this - is because we are told that both the Information Commissioner and the Metropolitan Police may be interested in investigating the 94 companies, firms, individuals that are on the second list."
The Home Affairs Select Committee is running an inquiry into private investigators. A final decision on whether or not to name names will be made at the time the committee publishes its report.
The extensive correspondence between Vaz and SOCA that led to the police agency turning over the list to the panel of MPs - bundled in a report titled Private Investigators: The Rogue Element of the Private Investigation Industry and Others Unlawfully Trading in Personal Data - can be found here [PDF].
Initially the police agency wanted to show the list to Vaz alone and supply a redacted report to other committee members - but then the cops agreed to turn over the whole report to MPs, who are putting together proposals for regulating the private investigator industry.
The list of alleged clients of dodgy private investigators was put together as part of SOCA's Project Riverside, which ran between 2006 and 2007, and uncovered evidence of widespread criminal conduct. "This list has been around for a number of years and nobody has done anything about it," Vaz acknowledged.
Scotland Yard told The Independent that its Operation Tuleta inquiry into computer hacking, a parallel inquiry to Operation Weeting probe into alleged voicemail snooping by journalists, was "aware of companies and individuals, outside of the media industry, who are suspected of having committed criminal offences". Operation Tuleta is reportedly not due to conclude until 2015.
A spokesman for the Information Commissioner's Office told El Reg: "We are still awaiting the details of SOCA's investigation. SOCA has confirmed to both the Home Affairs Select Committee and our office that the information will be provided after the conclusion of Operation Tuleta." ®


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This weekend, the IRC/Unity group discovered that access to computers infected by the Fizzer worm is regulated by a three-letter nickname, which is generated by an algorithm that depends on the current date. A person who knows the nickname can issue commands to any computer that's compromised by the virus and listening to the current chat channel.
Several IRC operators have started using the information to command any PC infected with the virus that connects to their network to uninstall itself.
"A lot of networks are actively sending out the command to all IRC Fizzer clients," said McGarrigle. "When they send the uninstall command, it leaves no trace of the bot."
Full article here
Using the bot itself do uninstall it, what a smart idea ....


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No. 2 House Democrat: GOP lawmakers running scared
WASHINGTON (AP) — The No. 2 House Democrat says a key factor extending the government shutdown is fear among moderate Republicans about a tea party challenge.
Maryland's Rep. Steny Hoyer says he believes 140 to 160 of the 232 House Republicans "think what's being done right now is irrational." Hoyer tells MSNBC Monday these lawmakers are "looking over their shoulders" at potential tea party challenges.
Hoyer said GOP friends have told him privately that they don't understand the uncompromising position taken by the more conservative members of their caucus, lawmakers who have fallen into line with Texas Sen. Ted Cruz and others.
Hoyer said the partial government shutdown now in effect is different from past closures "because this is a tactic. This is not a result of the inability to get an agreement."


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23 Tuesday Jul 2013
Posted Fashion Blogin
diana powney Wordpress blog
Stuff and things.
my journey
You'll never believe what just happened.
Just another WordPress.com site
No need to get fancy its just me
An amazing WordPress.com site
a coöperative project
Photography - News - Reportage - Stock Images
a place for snark, observations and snarky observations
Faith, Fashion, & Art with an edge!
I'll never be too old for fairytales.
The public blog of Andrew Turner (a.k.a Luther Spectre)
A blog about men's fashion, personal style, attitude and everyday life!
Fashion * Books * Movies * Music * Food * Do It Yourself * Beauty * Life
Home sweet home - no matter where you are
Creative | Inovative | Elegant
"Traveling MarLa"
Jefre Harwoods & Kaitlin Martin
Writing a blog in order to change...


text: Thank you for your advice and support @llli*mimibrooklyn. I have tried a lemon...just touching it to her lips. She didn't like it. She has a sippy cup with a straw that she drinks water out of. I have tried to sneak other things in there since it a stainless steel cup and she can't see through it. She will try it but not like whatever it is. Of course then I feel bad about tricking her. I got some of those pouch things but she won't put them to her mouth and try to drink out of them. I will have to find some kind of specialist or someone for her to see to make sure something else isn't going on.


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Nella Cutlery have been serving Canada's food industry since 1951. We import, manufacture, and distribute a full line of restaurant equipment and supplies used in supermarkets, delis, convenience stores, restaurants, schools, casinos and more. We carry many top brands and thousands of products available for purchase online or at our stores. Pickup or delivery, our goal is to provide customers with ease and convenience. Feel free to contact us via phone, live chat, or email our friendly staff are always happy to help!
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Mon - Fri 7:30AM - 6:00PM EST
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433 Queen St East
Toronto, Ontario M5A 1T5
Mon - Fri 8:30AM - 5:30PM EST
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Have any suggestions or improvements we could do? Let us know below!


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Make a relief map jigsaw puzzle
Wouldn't it be fun to make your own miniature world, complete with mountains, valleys, rivers, lakes, and volcanoes?
Now what does map-making have to do with space? Excellent question!
Well, where would you have to go for the real world to look like a map? More on that later. Meanwhile . . .
Cut the continents and oceans out of clay or dough, then add the details. Here's how.
What you need:
- Scissors
Clay, self-hardening or oven-fired
Stiff modeling dough, oven-hardening
Whichever you choose, you will need about 3 cups-worth
- Waxed paper (for surface on which to roll out clay)
- Rolling pin
- Dull, thin knife
- Cookie sheet or pizza pan
- Acrylic paints in "earth tones"
Like dirt brown, forest green, mountain purple, ocean blue, snow white, dry grass yellow--or whatever colors you want.
- Paint brush
- Magnifying glass (if you have it)
What to do:
Print out the map pattern. (Of course you don't need to print it in color. You will be painting the finished puzzle your own colors, anyway.) Tape the two pages together down the middle of Africa so you have one big 11-by-17-inch map.
Cut out the puzzle pieces along the white lines.
It's okay to make the edges straighter or to cut in different places. These lines are only suggestions.
If you are using clay, place it on waxed paper. If you are using dough, place it on a lightly floured countertop or table. Use the rolling pin to roll the clay or dough to about one-half a centimeter (or about 1/4 inch) thick all over. You should have enough clay or dough to roll out to at least as big as the map, with a little left over for features like mountains and volcanoes.
Place the paper pattern pieces on the clay or dough and cut around the pattern with the knife. Peel off the paper, and carefully lift the pieces and place them on the cookie sheet.
Make "topographical" features on the surface of your "land masses." Use your fingers, toothpicks, the dull knife, or whatever tools are handy to make shallow dents or cracks for rivers, lakes, or craters. Add bits of clay or dough to fashion mountain ranges, gently rolling hills, volcanoes, forests, cities, or whatever strikes your fancy.
Dry or bake the puzzle pieces, following the directions for the clay or dough you are using. Make sure the puzzle pieces are completely dry before you paint them!
When you pick up ocean pieces or any other smooth pieces from the cookie sheet after they are dry, make a mark (like an "X") on the back so you don't paint the back of the piece by mistake!
Paint the pieces, making the surface features you added look interesting. Use the paper map as a guideline for where to paint the borders of the continents. You can paint in the islands (shown in black on our map pattern) too, if you want.
When the paint is dry, put your puzzle together and admire your beautiful world!
What can we tell about the world from space that we can't tell from the ground?


text:
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Many infected cats live normal lives and never show signs of the disease.
However, once a cat develops symptoms, the odds are that, in spite of our best
care, he will ultimately lose the battle against the disease. Love and
supportive care are the best weapons in our arsenal, but even these cannot
prevent the disease from running its course. Sadly, it is our responsibility as
caretakers to consider what the end should be like. In many cases, these cats
will suffer terribly before the disease itself ends the fight, and humane
euthanasia is often the best option.
It's important to determine ahead of time what the criteria will be for this
decision. These may include: when the cat is not eating or drinking, or is
hiding constantly, taking no interest in surroundings, not responding to
affection—any signs that feel appropriate to you may be your signal that enough
is enough, and it's time for a peaceful and loving release. It is ultimately the
greatest gift of love you can give.
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The information is not intended to be a substitute for visits to your local veterinarian.
Instead, the content offers the reader information and opinions written by our staff,
guest authors, and/or veterinarians concerning animal health issues and animal care
Only Natural Pet LLC - All Rights Reserved
We always offer you the lowest of the sale price, the price with a coupon code discount, or the Auto Delivery price. You can tell which one applies because it will say "Sale Savings:" if the item is on sale and that is the lowest price, "Coupon Savings:" if you have applied a coupon code discount and that is the lowest price, or "Auto Delivery Savings:" if you selected Auto Delivery and that is the lowest price.


text:
The UThink Blog service has been retired. This means that you will no longer be able to access UThink to administer blogs or view blogs. The entire service has been shut down. We are sorry for any inconvenience.
UThink staff still have limited access to blog data and content. By request, a ZIP file copy can be provided of blog content, images, other media, and uploads. In addition, an archive of UThink has been created through the Internet Archive's Archive-It service.
Redirect service is available. To redirect to another platform, users can send the URL of a UThink blog and the URL of the replacement blog to firstname.lastname@example.com.
For more information on web publishing options at the University of Minnesota, please visit the University Libraries Publishing Services or OIT Collaboration & Web Content Services.
If you have any other questions or comments please contact firstname.lastname@example.com.


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WASHINGTON— LA Galaxy Insider Adam Serrano offers his Three Points to LA's clash with D.C. United at RFK Stadium on Saturday afternoon.
Yes, D.C. United boast the league's worst record, but the LA Galaxy would have to show plenty of "stupidity" as Galaxy head coach Bruce Arena said earlier in the week, to overlook United.
It has been a distressing year for Ben Olsen's side as D.C. United have fallen from a playoff team a year ago to holding a league worst 14 points. To put it in perspective, the Galaxy reached 14 points back on April 27 with their 1-0 victory over Real Salt Lake. Despite the record, United boast 2011 MLS MVP Dewayne De Rosario and a plethora of talented youngsters such as Los Angeles native Luis Silva, 2012 MLS Rookie of the Year runner-up Nick DeLeon, and midfielder Chris Pontius, who recently returned from injury. Although there are numerous talented players on the United roster, the team has scored a league-worst 16 goals and conceded 44, which is the second highest mark in MLS behind only Chivas USA.
That being said, Saturday's game is a must win for the Galaxy if they are to keep their hopes of winning the Supporters' Shield alive. Currently five points behind first place Real Salt Lake—a margin, which may grow to eight if they defeat Seattle Sounders FC on Friday—a win over lowly United must be seen as mandatory for a team with aspirations of a third consecutive MLS Cup.
The LA Galaxy were forced to play without four of their biggest guns last week and suffered a 1-0 defeat to the Colorado Rapids as a result. And while those four are all back with the team, the question becomes, just how many will see the field when the Galaxy take on D.C.
Landon Donovan, Omar Gonzalez, Robbie Keane, and Jaime Penedo each took part in the club's training session at American University on Friday, joining their Galaxy teammates on the field for the first time since the 3-0 win over San Jose on August 31. The return of the quartet is expected to be a major boon for the Galaxy, who struggled at times to create offense in last week's defeat. But with the likes of Donovan, Gonzalez and Keane back in the squad, they will be expected to be dangerous going forward against United.
The only true question mark surrounds Donovan, who is still suffering from conjunctivitis on his right eye, which he suffered during his time with the U.S. National Team. The issue hardly slowed down his play in their World Cup qualifying victory against Mexico as he tallied a goal and an assist, but Arena may err on the side of caution with the forward against the league's worst side.
MATCH UP TO WATCH: DEWAYNE DE ROSARIO vs. JUNINHO
The match up that may decide the match will take place between D.C. United's dynamic midfielder Dewayne De Rosario and LA's Brazilian defensive midfielder Juninho.
Despite lining up as a forward for United, De Rosario prefers to wander into the midfield—much like Galaxy forward Robbie Keane— in search of service and attempt to link up with his teammates in the attacking third. Typically, this allows the accomplished attacker to find space to set up the dangerous runs of others or allows him to find space to create his own opportunities. However, this season, he has been unable to enjoy as much success as he's tallied just three goals and two assists in 13 appearances.
The key to keeping De Rosario off the score sheet is to limit his own touches with the ball and prevent him from making darting runs behind the defense. Expect the likes of Juninho and Marcelo Sarvas to limit these outlets when he drifts into midfield while the tandem of Omar Gonzalez and Leonardo must get a handle on the Canadian when he drifts into the penalty area.
Adam Serrano is the LA Galaxy Insider. Read his blog at LAGalaxy.com/insider and contact him at email@example.com


text: September 14, 2018 The Gamer Originally posted 2017-09-30 03:16:13. Related posts:Jeep80sWomen are like police Related This entry was posted in Funny Pictures. « School Test Skeleton » Robert J Turner http://www.robertjturner.com I work for a web hosting company, islandhosting.com. I have a Son and happily married. I enjoy working with Wordpress and Funny Stuff. View more posts from this author


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Rail chief: Don't use 1-person Maine train crews
PORTLAND, Maine (AP) — The Federal Railroad Administration's top official says he's "shocked" a Maine-based rail company is still using one-person crews following a deadly train disaster in Canada.
Canada's government already ordered Montreal, Maine & Atlantic to use at least two crew members for trains operating there. But FRA Administrator Joseph Szabo says the company has continued to use one-person crews in Maine.
The Portland Press Herald newspaper (http://bit.ly/19A34XI ) says he told the railroad the safety procedures used in Canada should be used in Maine.
The company filed for bankruptcy after an unattended train with 72 tankers of crude oil crashed into Lac-Megantic (lak may-gahn-TEEK'), Quebec, killing 47 people and destroying dozens of buildings in the heart of town. The company has blamed the train's operator for failing to set enough hand brakes.
Information from: Portland Press Herald, http://www.pressherald.com


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November 18. 2013 10:30PM
'Nature' draws Cape Cod drug and alcohol treatment center for boys to Warren
By NANCY BEAN FOSTER
Union Leader Correspondent
— A private drug and alcohol treatment center will be temporarily relocated from a remote island off Cape Cod to a facility in New Hampshire.
Beginning Dec. 1, the Penikese School, part of the New Hampshire-based Becket Family of Services, will operate out of the organization's facility at the Baker Valley Treatment Center in Warren, according to Becket CEO Jay Wolter.
The Penikese School was founded in 1973 on a small island off Massachusetts near Cuttyhunk Island. It operated until 2011, when state funding for the program became scarce. Becket Family of Services, a private, nonprofit organization, decided to revive the program to help adolescent boys with substance abuse issues in 2012.
However, licensing for the program on the island, which takes an hour to reach by boat, has taken longer than expected. Wolter said that while that process continues, it was decided to make use of the vacant building in Warren. The building was used by Mount Prospect Academy, another drug and alcohol treatment center, until October.
Perfect outdoor setting
Warren is a perfect setting for the Penikese School, Wolter said, for several reasons. It's close to the Mountain Valley Treatment Center in Haverhill, an affiliate of the Penikese School, so students can make use of the 2,000-acre campus, which has ropes courses, environmental science programs and other opportunities for learning. But the Warren campus also has one of the most important components of Becket's vision for helping youth: Nature.
"We're trying not to be a hospital," said Wolter. "We want to be a place where kids can step back and view life in a more basic way."
Getting kids outside helps them become grounded as they seek respite from their addictions and the issues that lead them to self-medicate with drugs and alcohol, Wolter said.
Not looking to get big
Beginning Dec. 1, Penikese North, as it's being called, will begin accepting students. The school accommodates a maximum of 10 boys.
"We've consciously decided to have small, specialized programs, and we're not looking to get bigger," Wolter said.
The school will employ around 20 staff members, some from the local community. The plan is to stay in Warren through the winter and then move back to Penikese Island once the approvals from Massachusetts are in place. The Warren building will continue to be used for programs by the various treatment facilities in the area.


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Parents are very good at juggling and multitasking. They have to be. In addition to the general care and maintenance of children, the scheduling alone – with the onslaught of extracurricular activities, appointments, play dates, birthday parties and everything else – is a job in and of itself.
The central command station in most houses is the family computer. It is where photos are stored, music is played, budgets are managed and calendars are stored. And that's just scratching the surface. To keep up with the hustle and bustle of daily life with kids, a high-tech machine that's robust enough to handle the barrage of information is necessary. Is your current system up to the challenge?
The HP TouchSmart 320 is just one of those innovative pieces of machinery that is up to the task and can handle anything that a busy family on-the-go can throw at it. In addition to the striking design, what I noticed out of the box is the ease of set-up. The TouchSmart 320 is comprised of two parts – the 20" widescreen HD display, and the keyboard (it's wireless!). It's literally plug-and-play and has one cord that goes from the computer to the wall. It's a nice departure from computers with elaborate wiring and complicated instruction manuals. There is no tech-frustration when setting this up.
Upon start-up, the huge screen flashes its bright, sharp colors and the intuitive design interface allows for touch-activated use. The unit comes with proprietary TouchSmart software and apps for Music, Video playback and storage, Photos, Calendars and Webcam use – there's a camera built-in. There's also a media card reader and six USB ports for additional accessories.
Getting to the technical features, the HP TouchSmart 320 runs Windows 7 software and it comes with a dual-core processor, 4GB of RAM and a 1TB hard drive. In a nutshell, it's super fast and has more storage than you could ever need. It also has a DVD burner so you can use the crystal clear display to play movies in the kitchen while you're getting dinner ready. Speaking of entertainment, the Beats Audio Studio Quality Sound makes any gaming, DVD, Web TV-enabled or audio experience superb.
Playing with the interface is fun and very futuristic in feel. Similar to those huge fancy touch-screen displays you see on CNN broadcasts, the interaction with the TouchSmart 320 is very similar and can either be done via touch (there's even a touch-screen keyboard), manually with the mouse or a combination of both. This model also comes with HP's "Magic Canvas" software which allows you to alter your desktop icons and apps horizontally so you can literally scroll through them and access multiple apps at once, and also leave yourself little digital sticky notes and reminders on the desktop.
While you have things covered on the home front, you may need a complementary HP-enabled machine for when you're on-the-go. And what mom isn't? For mobile moms who are still managing the household when they're not even in the house, the HP Pavilion dm1 notebook is a great choice. It's compact but powerful, boasting a speedy processor, 8 GB of memory, 11.6" HD display, full-sized keyboard, 10 hour-long battery life and three USB ports. This little 3.5 lb. machine is powerful enough to keep track of everything on the road, but portable enough that you can throw it in the diaper bag, the stroller, the backseat of the car, wherever you are.
You have the dm1 outside the house, the TouchSmart inside the house, and what's cool about these HP products in your life is that they are perfectly symbiotic. With HP's LinkUp technology, the dm1 can talk to your TouchSmart and vice versa, wirelessly syncing together to ensure that your content (documents, files, folders, photos, etc.) is accessible across both devices, or any other HP device, on your home network.
This technology suite is a perfect addition to any busy family's household and one very lucky family will soon reap all the benefits that the TouchSmart 320 and dm1 Pavilion have to offer.
With Mother's Day right around the corner, it's likely we all know someone who could use a tech overhaul. See giveaway details below!
The HP TouchSmart 320 pricing starts at $599.99 and the dm1 Pavilion notebook starts at $399.99.
*One lucky Screen Play reader will be the winner of an INCREDIBLE tech makeover, courtesy of HP, including the HP TouchSmart 320, the HP Pavilion dm1 AND an HP X4000 Wireless Laser Mouse – a prize package valued at more than $1,000!! This will make an amazing Mother's Day present for one winner. And don't forget to spread the news to other deserving families! Readers can tweet about the giveaway using the #HPLovesMom hashtag!
Simply click here to enter. The giveaway runs from Tuesday, April 17 – Tuesday, April 24.
If you have a product that you'd like considered for Screen Play, please contact email@example.com.


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The AccelPak Model AP2600 fully automatic filling system for open-mouth bags makes use of vertical bottom-up filling technology to fill bags with dry solids and powder products. The AP2600 frame can be built in mild steel with a powder coat finish or in stainless steel. All product contact surfaces are stainless steel. System features include easy-to-understand operation screens, minimal replacement parts for easy maintenance, fast changeover features that allow bag size changes in five minutes or less, integrated safety guarding circuit with locking guard doors preventing access when system is operating, complete system visibility from the operator station, and easy integration with other line equipment. Filling rates up to ten bags/min can be achieved with accuracies of .086 lb at 2 sigma depending upon product characteristics and flowability.
Chantland MHS, Humboldt, IA 515-332-4045 www.chantland.com
For related news, equipment reviews, and articles, visit our Packaging & Bagging Equipment Zone