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As you would expect for a Company of our size, we have people performing many different jobs that offer various career paths.
The majority of our positions are customer-facing (Couriers, Customer Service Representatives, Sales Professionals etc.), although we have of course other roles (in functions such as IT, Marketing, Finance, Planning & Engineering and HR) that help support the business in achieving its goals.
Before you search for a job with us, you may want to learn more about some of the roles we frequently recruit for by clicking on one of the categories below.
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The face of FedEx to our customers, you will organise and complete the collection and delivery of their packages.
Working within an assigned area, this is more than just a driving job. Building strong relationships with your customers, you will ensure that we continue to deliver an outstanding customer experience. You'll take pride in the service you provide, the uniform you wear, and the vehicle you drive.
As well as holding an appropriate driving licence, you will be organised, flexible, accurate and totally customer focused.
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Customer Service Agents
Our Customer Service teams are dedicated to understanding each customer's needs and then doing absolutely whatever it takes to help them.
You will be a good listener, patient and kind by nature, with a real desire to help others. Problem solving skills will be supported by your accuracy and attention to detail. Previous Call Centre experience isn't essential…although it will help if you have enjoyed a role with direct customer contact, and are comfortable working in a fast-moving, technologically advanced environment.
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Handlers (Warehouse and Ramp)
Our Handlers ensure that all our customers' packages get to the right place, on time. Sorting and moving packages and freight, you will make sure that happens. As well as checking labels for correct destinations, you will identify packages needed by Customs and use advanced scanning technology to allow customers to track their packages.
Ramp Handler positions (only available at locations with aircraft operations), are a great opportunity for someone looking to pursue an aircraft related career. You will ensure that customers' packages are loaded on and off the aircraft quickly and safely. We will train you with the specialist skills to operate a wide range of equipment, including safety marshalling and directing our planes whilst on the ground. Both positions call for good team players who have excellent attention to detail, a flexible approach and a total commitment to safety.
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For this critical part of our international delivery process, you will work closely with Customs officials to ensure that proper checks and processes are completed. Using our in-house computer systems, you will prepare formal documentation for Customs clearance. Naturally we will invest in the training you will need to develop specialist skills.
You will need previous administrative experience along with excellent communication skills, attention to detail and the ability to make sound numerical decisions.
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Customer Financial Services
As part of the Customer Financial Services team, you'll ensure our customers understand the charges we have applied to their account and resolve any issues. Talking directly to customers, you will provide information and explanations regarding payment.
You will be expected to resolve problems through both standard and customised solutions, using your excellent communication skills and attention to detail. Sound judgement and common sense will enable you to come to compromise agreements with customers who we want to continue to do business with.
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FedEx has an impressive range of products and services to offer customers across every industry sector. The complexity and high value inherent in these cutting edge solutions, demands a talented and energised sales force. Dependent upon location, there are opportunities for both Field Sales Executives (managing an assigned territory) and Inside Sales Representatives (developing business over the telephone).
As a member of this team you'll be educating clients, professionally assessing their detailed business needs and making expert recommendations for services.
You will of course need to be someone who enjoys working towards targets and goals and who is genuinely motivated by the recognition that comes through meeting and exceeding such targets.
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As a Manager you will be responsible for FedEx's most import asset - the people. Our global reputation for service excellence depends on the way the people in your team perform. You will need to be a genuine leader, who can generate trust and respect and champion the company's aim to make every customer experience outstanding. We will need you to work for your team - coaching, encouraging and constantly communicating
Our business is too diverse to keep to your own department. You have to liaise with other managers, learn about different areas of the organisation and discover how you can develop everyone's contribution.
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Personalized, one-on-one instruction is the secret to improved skills and increased confidence. CoachUp now makes private volleyball coaching affordable and convenient for athletes of all ages and skill levels.
Professional Volleyball FIVB Player 17 years, Professional Volleyball Coach 6 years, Former Serbia National Team Player 5 years.
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Highly quality, knowledgeable, experienced, full ride athletic scholarship volleyball player with 6 years of coaching experience.
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Offers online training

subset: commoncrawl


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Lackey pitches, Sox hit, Indians routedBy KEN POWTAK
The Sports Xchange
June 13. 2014 10:58PM
BOSTON — John Lackey pitched seven solid innings, and Mike Napoli and Dustin Pedroia each had a two-run double to carry the Boston Red Sox to their seventh straight home win, a 10-3 victory over the Cleveland Indians on Friday night.
Second baseman Pedroia added a pair of stellar defensive plays on the day his wife, Kelly, gave birth to their third son, and third baseman Xander Bogaerts snapped an 0-for-18 drought with a towering homer over the Green Monster in left as Boston posted a season high for runs.
First baseman Carlos Santana had a two-run homer for the Indians, who lost their fourth straight.
It was Boston's eighth win in its last nine games in Fenway Park against Cleveland, which swept the Red Sox at home in a three-game series last week.
Returning home came at the right time for the struggling Red Sox, who went 2-7 on a nine-game road trip. Boston won the opener of a four-game series against Cleveland on Thursday, 5-2.
Lackey (8-4) was sharp after allowing Santana's two-run homer in the second, holding the Indians to one run on and three hits in his final 4 2/3 innings. The veteran right-hander was charged with three runs on seven hits over 6 2/3 innings, walking one and fanning five.
Left-hander Andrew Miller got four outs and right-hander Burke Badenhop the final three as Boston's bullpen held the Indians hitless.
Cleveland's Justin Masterson (4-5) took the loss in his shortest outing of the season, lasting just two-plus innings. He gave up five runs on three hits, walking four.
Leading 5-3 in the seventh, Boston broke the game open with four runs off two relievers. Pedroia had his two-run double. He scored when first baseman Napoli singled to right and David Murphy bobbled the ball and was charged with an error. Right fielder Daniel Nava added an RBI double.
Lackey, who has been Boston's most consistent starter this season, held an opponent to three or fewer runs for the fifth straight start and the 11th time in 14 starts.
Pedroia made a diving catch on a line drive to his right in the first and diving stab of a grounder in the sixth.
Friday's pitching matchup was not reminiscent of the last time these two right-handers faced each other last Monday night in Cleveland.
Last time, Masterson pitched seven shutout innings, holding the Red Sox to three hits. Lackey gave up three runs in eight innings on Monday, taking the tough-luck loss.
Masterson struggled this time.
Trailing 2-0 in the second, Boston jumped ahead with three runs. Catcher A.J. Pierzynski doubled home two runs with a drive into the center-field triangle area, and, one out later, center fielder Jackie Bradley Jr. tripled to the base of the right-field wall.
Cleveland tied it on left fielder Michael Brantley's RBI double in the third before Boston chased Masterson.
Masterson was pulled after walking the first two batters in the third inning. Napoli then lined a two-run double to right off rookie reliever Kyle Crockett, making it 5-3.
The Indians had grabbed a 2-0 lead in the second on Santana's homer over Cleveland's bullpen in right. Lackey had gone 33 1/3 innings — covering four-plus starts — since giving up a homer.
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NOTES: Boston SS Stephen Drew was out of the starting lineup for the fifth straight game with a right oblique injury. Manager John Farrell said Drew worked out in the batting cage before the game and the team had no results from an MRI that he was expected to undergo earlier. ... Boston 3B Will Middlebrooks, on the 15-day DL since May 17 with a fractured right index finger, was also slated to begin a rehab assignment with Pawtucket on Friday. ... Cleveland reliever Carlos Carrasco, who worked two scoreless innings in the series opener Thursday, has a 2.18 ERA since being moved to the bullpen. ... LHP T.J. House (0-1, 5.24 ERA) goes for Cleveland on today against Boston RHP Jake Peavy (1-4, 4.76).


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The Node school chair is mobile and flexible. It's designed for quick, easy transitions from one teaching mode to the next, unlike traditional school desks and chairs.
Learning Spaces – Classrooms
Learning Spaces
To fully capitalize on the benefits of active learning, physical space must support and enhance the pedagogies employed in the classroom. Institutions should consider how flexibility and variety work with pedagogy, technology and space to support how learning happens in active learning classrooms.
Application Ideas
Rethink the Box
These classrooms rethink "the box" and move away from the traditional setting of rows of fixed tablet chairs and a lectern. These classrooms engage and inspire by putting control of the learning space in the hands of students and instructors.
- Learning spaces can easily morph from lecture mode to teamwork to group presentation, discussion and back again.
- Every seat is the best seat, with access to content, other students, and instructors who are available to everyone.
- Technology is integrated, providing democratic access for all.
Related Products
Thread simplifies power distribution, providing power to the devices we use and the places where we work and learn.
Verb is an integrated collection of classroom furniture including tables, whiteboards, and instructor lectern and desk stations designed to support a full range of teaching and learning styles.
media:scape integrates technology and furniture to bring people, space and information together for greater collaboration and productivity than ever before.


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Don't miss the latest news, exclusive offers and sweepstakes.
Mosier is a GolfChannel.com host, writer, editor and contributes news and features.
Instant access to the latest news, videos and photos from around the world of golf.
Golf Channel's video library has over 600 tips, analyze your swing and take a lesson from instructors.
Easily book tee times on the go.
Copyright © 1996-2018 Golf Channel, All Rights Reserved.


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Lodi, CA
George H. Mettler
Mar. 14, 1943 - Feb. 5, 2013
On February 15, 2013 we lost the patriarch of our family, George H. Mettler. While his family and
friends are deeply saddened, we also are blessed by the assurance that he has gone home to be with his Savior. George has left a great legacy for us all, giving his family a foundation of faith, integrity and masterful wine grape growing. He was a loyal husband, loving father, proud grandfather, enthusiastic uncle and faithful friend and he will be greatly missed.
George was born on March 14, 1943 to Emil and Frances Mettler. He was raised in Lodi on the family ranch, attended local schools and graduating from Lodi High School in 1961. While attending Delta College he started dating the love of his life, Kathy Jones whom he married in 1964. Soon after they married, George took over the family farming operation making him the fourth generation to farm on the present Harney Lane Winery property. In 1967, they welcomed their only child, Jorja, into the world. George continued farming winegrapes, cherries and corn always seeking and embracing new innovations and sustainable practices. In 1996, he welcomed his son-in-law, Kyle Lerner, into the farming business mentoring him in winegrape growing. Together they expanded the farming business and in 2006 the family moved forward in opening their own winery, Harney Lane. This has been a great joy and reward for generations of hard work. George took great pride in the success of Harney Lane and its wines and enjoyed the opportunity to share his knowledge with patrons.
George is survived by his bride of 48 years, Kathy Mettler, daughter Jorja Lerner, son-in-law Kyle Lerner, grandchildren Kirsten and Ian, his loyal companion Ranger and many family and friends.
George loved God. He loved his family. He loved great wine. He loved his dog, Ranger. Anyone that knew him knew that he loved to fish, especially with great friends. He was an avid sportsman that loved to waterski, snow ski, hunt and jeep. He loved the 49'ers through thick and thin. He was always a man of few but important words.
George led a strong and valiant fight against cancer. He fought back repeatedly not letting the disease take control of his life. Cancer is a hurtful and ugly disease that impacts so many. Because of this, the family requests that in lieu of flowers, donations be made in his name to American Cancer Society. Donations may also be made to his home church, Vinewood Community Church.
Committal will be private. Please join us for a Celebration of Life on February 21, 2013 at 10:30am at Vinewood Community Church, 1900 W. Vine Street, Lodi.


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The Orlando Magic will face their toughest defensive test so far this season when they host the high-octane Los Angeles Clippers on Wednesday night.
Through Monday, the Clippers led the league in points per game (119.0) and offensive efficiency (116.6 points per 100 possessions).
Los Angeles' latest victim was Houston. The Clippers beat the Rockets 137-118 Monday night behind 15 made 3-pointers and a game-high 26 points from former Magic shooting guard J.J. Redick.
"That's pretty impressive," Magic coach Jacque Vaughn said. "They've got shooters all around the gym, guys that can get to the rim [with] their bigs that they start. They can give you different, multiple lineups. And, then, Chris Paul having the ball in his hands and creating opportunities for different people [is tough to stop]."
The Magic's defense has been impressive so far. Through Monday, Orlando ranked ninth in defensive efficiency, limiting opponents to 96.5 points per 100 possessions.
Back in town
Wednesday's game will be the third time Redick has played against the Magic.
Redick appeared in 396 regular-season games for Orlando before the team traded him, Gustavo Ayón and Ish Smith on Feb. 21 to the Milwaukee Bucks for Tobias Harris, Doron Lamb and Beno Udrih.
The Magic played the Bucks twice after the trade — once in Milwaukee and once in Orlando — and Redick shot 33.3 percent from the field and averaged 10.0 points in those games.
"It was a little weird [to play against J.J.], but it was fun," Magic point guard Jameer Nelson said. "He's a great competitor, and he's a friend and a professional. I feel like I'm the same in his eyes. We've just got to go out there and compete, and I just wish him the best."
The Clippers' roster also includes another former Magic player, small forward Matt Barnes.
Harris still out
Harris continues to be sidelined by a sprained left ankle.
"I'm all right and getting better," Harris said Tuesday as his teammates prepared to practice at Amway Center. "I'm just trying to get healthy and doing all I can for that."
Harris entered this season with high hopes, but the ankle injury has derailed those hopes temporarily.
His ankle was sore during the preseason, and the injury initially kept him out of preseason exhibitions on Oct. 16 and Oct. 18.
He played in an exhibition on Oct. 20, but he aggravated his ankle that night and hasn't practiced since.
Magic officials never release timetables on when they expect their players to return to the court, but Harris could be a ways away from playing. Although Harris no longer is wearing a walking boot to protect his ankle, he still hasn't pushed off or cut with his left foot.
"It's going to take some time," he said. "I have to get back to where I want to be and back into the top shape I was in and get back out on the floor."
Rare air
Magic rookie guard Victor Oladipo has scored a total of 55 points in his first four regular-season games.
According to George Galante, the Magic's director of communications, only one other player in Magic history has scored more points in his first four games: Shaquille O'Neal.
O'Neal scored 100 points during the Magic's 3-1 start in 1992-93.
email@example.com. Read his blog at OrlandoSentinel.com/magicblog and follow him on Twitter at @JoshuaBRobbins.


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Definition of honeys
plural of honey 1
The word "honeys" uses 6 letters: E H N O S Y.
No direct anagrams for honeys found in this word list.
Words formed by adding one letter before or after honeys (in bold), or to ehnosy in any order:
d - hoydens k - honkeys p - phoneys t - honesty
Shorter words found within honeys:
eh en ens eon eons es he hen hens hes hey ho hoe hoes hon hone hones honey hons hose hosen hoy hoys hyson ne no noes noh nos nose nosey nosh nosy oe oes oh ohs on one ones ons os ose oy oyes sen sh she shoe shone shy snye so son sone soy syn syne ye yeh yen yens yes yo yon
List shorter words within honeys, sorted by length
Words formed from any letters in honeys, plus an optional blank or existing letter
List all words starting with honeys, words containing honeys or words ending with honeys
All words formed from honeys by changing one letter
Other words with the same letter pairs: ho on ne ey ys
Browse words starting with honeys by next letter
Previous word in list: honeymoons
Next word in list: honeysuckle
Some random words: feijoa snib pe treble envelop praam ulpan
This is not a dictionary, it's a word game wordfinder.
- Help and FAQ - Examples - Home
Privacy and Cookies Policy - Share - © Copyright 2004-2018 Morewords.com - 18.610mS


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Photo By: Courtesy of Jerry Tomanek
Los Altos Rotarian Richard Henning, left, and this year's Rotary president, Jack Kelly, flank Raj Mathai, Los Altos High School graduate and award-winning sports and news television broadcaster. Mathai appeared at a club meeting earlier this month.
Raj Mathai, NBC Bay Area news anchor and sports contributor, shared the secrets to his career success with members of the Rotary Club of Los Altos April 11.
Mathai's family relocated to the Peninsula from India when he was 7 years old. He graduated from Los Altos High School in 1989 and by 1995 had become America's first Indian sports broadcaster.
His first television job was a disaster, he recalled, as he suddenly realized, on air, that he was still chewing gum. He remedied the situation by forcefully spitting it out to the side – also on air. From that low point, he joked, his career "could only go upwards."
Since his debut as a broadcaster, his on-air success has been notable – and consistent. In contrast to the average sportscaster's typical four- to seven-year stint at a single station, he has worked at NBC for more than 15 years.
Mathai quickly advanced from sports director to news anchor, noting that his main interest is writing.
Today he's a three-time Emmy Award winner and a member of the San Francisco Giants broadcasting team.
He praised the journalism training he received from Galen Rosenberg at Los Altos High as essential to his success.
"Some of the lessons I learned at Los Altos High, I apply daily on the air," Mathai said.
According to Mathai, he writes approximately 20 stories for each broadcast.
"Although 99 percent of the TV stations have eliminated their investigative journalists," he said, "NBC TV … still has a team of 14."
Among Mathai's favorite stories to cover are the Olympic Games.
"The human interest stories are phenomenal when you get all these cultures together," he said.
When Mathai transitioned from covering sports to news, he made the move on the condition that he could still report on the Olympics and his favorite team, the Giants.
Marlene Cowan is a member of the Rotary Club of Los Altos.


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INGLEWOOD, Calif. (September 2, 2010)—Prior to its autumn season, which commences with a night card on Thursday, Nov. 4, Hollywood Park will play host for the first time to Oak Tree. The 42nd season will begin on Sept. 30 and continue through Oct. 31.
Uncertainty regarding the condition of the main track at Santa Anita triggered the move of the Oak Tree Racing Association, a not-for-profit, non-dividend paying group of California owners and breeders, away from the venue it has occupied since 1969.
The main event on opening night – post time 7:05 p.m. — is the $100,000 Senator Ken Maddy Handicap, a Grade III for older fillies and mares on the turf. Due to a different course configuration, the Maddy is one of three grass stakes during the Oak Tree season that will have a distance change.
The others are the Morvich Handicap (Oct. 11) and the California Cup Distaff (Oct. 30). All will be six furlongs instead of at about 6 ½ furlongs.
A number of Breeders' Cup preps and the 21st California Cup, a series of stakes races restricted to California breds, highlight the 22-day season.
The first weekend of the meet (Oct. 2-3) will feature six Grade I events for horses with Breeders' Cup aspirations. The Breeders' Cup will be held Nov. 5-6 at Churchill Downs.
What will be most anticipated of those races is the final Southern California start for the undefeated Zenyatta. The 6-year-old daughter of Street Cry, who has been stabled at Hollywood Park throughout her career, is expected to seek her 19th win in a race that she has already won twice.
Scheduled to be called the $250,000 Zenyatta Stakes for the first time in 2010, the race at 1 1/16 miles has been restored to its original name – the $250,000 Lady's Secret Stakes – and Zenyatta, who was returned to racing this year after her connections changed their mind about her retirement, will shoot for another victory in the Grade 1.
Zenyatta, who is being pointed for a defense of her 2009 Breeders' Cup Classic victory on Nov. 6, won the Lady's Secret in both 2008 and 2009 for owners Jerry and Ann Moss and trainer John Shirreffs.
The Lady's Secret is one of four Grade 1's to be run on Oct. 2. The others are the $250,000 Goodwood Stakes for older horses at 1 1/8 miles, the $250,000 Norfolk Stakes for 2-year-olds at 1 1/16 miles and the $250,000 Yellow Ribbon Stakes for older fillies and mares at 1 ¼ miles on turf.
The following day is topped by the $250,000 Clement L. Hirsch Turf Championship for older horses at 1 ¼ miles on turf and the $250,000 Oak Leaf Stakes for 2-year-old fillies at 1 1/16 miles.
A six furlong affair for older horses, the $250,000 Ancient Title is the last of the Grade 1's at the meet and will be run on Oct. 9.
"It's an honor to run the Oak Tree stakes races at Hollywood Park,'' said Martin Panza, vice-president racing and racing secretary. "Oak Tree has seven Grade 1's that are very prestigious and extremely significant in getting horses ready for the Breeders' Cup. We look forward to having those races run here.''
Captured a year ago by Bold Chieftain, the $150,000 California Cup Classic Presented by City National Bank tops the Cal Cup card. The day will feature seven stakes for California breds with purses totaling $700,000.
View the complete stakes schedule
Copyright © 2009-2013, Hollywood Park. All rights reserved.


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Click here and sign up to show your appreciation for BOB
The latest Minor version of BOB is 4.7 - the main feature of this was Please Wait, Switchable Coloured Drop Downs, Further customisable Hide Menu & Swap Avatars.
The current patch version of this release is 4.7.1.
Since this was released the following versions have been released as patches to the current BOB.
Latest version is
NEW FEATURES : Auto BOB
Defaults to On - but if set to Off - doesnt start BOB on load of every game.
To Load BOB click "Start BOB" in the top right hand corner (where you can change the map size/colourblind & refresh)
Neutral Elminations breaking log parsing.
Terminology of Column Headings (Please tell me if I've missed any)
NaN Score Summary errors (thanks yowzer)
Old versions...


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Children's Hospital Donor Preview - 4/2/09
The University of Pittsburgh Medical Center celebrated its growing family of facilities with a Private Donor Preview of the new Children's Hospital of Pittsburgh of UPMC in Lawrenceville. The new hospital will provide the area with state-of-the-art care and education on nine floors over a 10-acre campus. At the preview, donors were treated to behind-the-scenes tours of the hospital — which also houses 296 licensed beds and 13 operating rooms, as well as a 20,000 square foot family center with libraries and a healing garden. The new facility promises to be a shining addition to the Pittsburgh community and "will make a difference in the lives of children and families today, tomorrow and for generations," according to the Children's Hospital of Pittsburgh Foundation. Photography by Megan WylieRead More
25 / 31


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The material provided on this Website should be used for informational purposes only and in no way should be relied upon for financial advice. Also, note that such material is not updated regularly and some of the information may not, therefore, be current. Please be sure to consult your own financial advisor when making decisions regarding your financial management.
This page was last updated on 7/7/2010.
If you have any questions regarding practicalmoneyskills.com's disclaimer, please contact us at:
practicalmoneyskills.com Coordinator
Attn: Corporate Relations
P.O. Box 194607
San Francisco, CA 94119-4607


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You will feel at home from the moment you enter the welcoming two-story foyer of the charming Chamberlain. It opens to a grand living room and dining room, and offers a view of the lovely turned staircase. Elegant coffered ceilings accent the spacious master bedroom suite, which boasts a large master den with a coffered ceiling; a roomy walk-in closet; and a decadent master bath with a French-door entry, a cathedral ceiling, two vanities, a dressing area, a Roman tub, a separate shower, and a private toilet area. Other highlights include a gourmet kitchen and breakfast area, a family room with a fireplace, a private study, and a convenient laundry.
Learn what it takes to make your dream home a reality – with absolutely no obligation.
Contact a TBI Mortgage Company representative to answer all your financing questions.
Visit TBIMortgage.com to learn more about the wide variety of financing programs we can offer you and complete the online Pre-Application Worksheet.


text: Julia Roberts and Patrick Bergin star in Sleeping with the Enemy Trailer: Julia Roberts and Patrick Bergin star in Sleeping with the Enemy PUBLISHED: 18:11, Wed, Jan 31, 2018 Latest Videos Nigel Farage urges Tories to get rid of Theresa May now Daredevil: Gripping trailer for season three Strictly's Neil Jones shares behind the scenes of Cuba OK! shoot Riverdale: Trailer for season three episode 'As Above, So Below' Newsnight: Nigel Farage shuts down Remainer argument Spotify's horror themed advert BANNED for being 'too scary' Strictly contestant Danny John-Jules dances the Viennese Waltz Michael Caine blasts 'pundits' who say UK can't have good Brexit deal Strictly's Joe Sugg admits he has 'wobbly' days in training Ryanair passengers spot mysterious 'UFO' over the English channel Rachel Riley: I would never reveal how many partners I've had Lorraine: I would never do Strictly in a million years Royal tour: Young fan in tears after Prince Harry gives her a hug Messi is a key player for Barcelona says Eric Abidal Bitcoin price DROPS despite big price surge Angela Merkel and Donald Tusk embrace at EC meeting Trump claims he HAS asked for Jamal Khashoggi audio recording Battlefield V: EA release official single player trailer Shocking moment child sneaks into X-ray machine at airport Crypto needs scalability in order to rebound says expert UK weather: Britain to face temperatures close to FREEZING Verstappen and Ricciardo play baseball ahead of US Grand Prix Luxembourgish Prime Minister TRASHES calls for Brexit extension Naga Munchetty MOCKS weather presenter Matt Taylor Brexiteer: Remainers plot with EU to keep UK in single market Arsenal's Maitland-Niles and Holding play 'spin the wheel' Meghan Markle chats to a young fan about ballet Martin Lewis reveals the cheapest gas tariff for this winter Tajani: We want to achieve an agreement with the UK GMB: Stephanie Davis discusses her shock return to Hollyoaks Andrea Jenkyns says whips are threatening General Election Lewis Hamilton visits Times Square ahead of US Grand Prix Theresa May CONFIRMS proposal to extend Brexit transition period Manchester hero was a 'fraudster' says expert David Beckham: Marriage to Victoria 'is complicated at times' Brexit: Transition period extension will cost 18 billion euros says Tory MP Kerem Demirbay shows off phenomenal footwork skills NBA: Knicks fan hits IMPRESSIVE half-court shot for $10,000 James Cleverly claims 'Brexit stimulates emotion!' Theorist speculates REAL reason YouTube went offline Banksy reveals how he shredded Girl and Balloon Farage blasts EU for 'APPALLING' treatment of Theresa May


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Macaroni Salad
Makes about 8 cups, enough for 12 side or 8 main-dish servings
Every cook's repertoire ought to contain a recipe for macaroni salad-it goes so well with barbecue and other spicy meat dishes, and makes a nice light lunch all by itself.
1 tablespoon Chef Paul Prudhomme's Vegetable Magic®
1 teaspoon dry mustard
3 cups dry elbow macaroni
1½ cups nonfat mayonnaise
½ cup low-fat sour cream
1 (5-ounce) can evaporated skim milk
1 tablespoon tamari (see Note)
½ cup finely diced onions
½ cup finely diced green bell peppers
½ cup finely diced celery
½ cup finely diced carrots
½ cup finely chopped green cabbage
how to prepare
Combine the first 2 ingredients in a small bowl to make the Seasoning Mix.
Cook the macaroni according to package directions, rinse, drain, and set aside to cool. Place the mayonnaise, sour cream, and skim milk in a large bowl, and add the tamari and Seasoning Mix. Whip together until completely blended. Then add the cooled macaroni and all the remaining ingredients, and toss gently until well mixed.
Note: Tamari is a very rich, flavorful soy sauce, available in specialty markets and the international or ethnic food sections of many supermarkets. If you cannot find tamari where you shop, use any good quality soy sauce.


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Last week, I wrote about using Access 2000 to manage SQL Server databases. Access has been a boon for developers and system managers for years because of its easy-to-use features, GUI, and import and export functions.
After reading my article on using Access, a few readers told me that a bug in Access 2000 can corrupt data in a SQL Server database. Here's a description of the problem and some solutions from Lisa Gurry, Office product manager at Microsoft: "When a new record is added to a linked SQL table and a cursor is moved to a different record, the new record that has been added will appear to disappear and be replaced by a duplicate of the previous record. This issue will occur only if the SQL Server table has an identity column and contains more than approximately 400 records. When a record is added, a duplicate of the previous record appears. The new record is not displayed until you refresh the recordset. This behavior is related to the way Access requeries the SQL Server database. This issue can affect Access 2000 users on any operating system using SQL Server 6.5 and SQL Server 7.0 in this particular scenario."
"Customers should know their data is not lost and they should not try to delete the apparent duplicate record because this will actually delete the original record. Instead, they should refresh the recordset to see the new record."
"Customers can avoid this issue in three ways: First, use an Access project and open the SQL table directly. Second, if you see this behavior in a form, use Visual Basic for Applications (VBA) code in the BeforeInsert and AfterInsert events to requery the data and move the form to the newly added record. Third, if you see this behavior in a table, resort the table or close and reopen the table."
Lisa said that Microsoft will soon post a Knowledge Base article on its Web site about this problem.


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Pumpkins are great for a lot more than making jack-o�-lanterns.
Pumpkins are great for a lot more than making jack-o�-lanterns. One cup of mashed pumpkin has only 49 calories and is loaded with vitamin A in the form of alpha- and beta-carotene. It also has close to 3 grams of fiber and 564 milligrams of potassium as well as vitamin C, lutein, zeaxanthin (good for eye health), iron and zinc.
The Third National Health and Nutrition Examination Survey Follow-up Study, published in the Archives of Internal Medicine, followed participants for 14 years and found that those with high blood levels of alpha-carotene were at a lower risk of dying from cancer and cardiovascular disease. While the study is not conclusive, it offers clues on pumpkins� disease-fighting capabilities.
Nutrition Information (1 cup mashed pumpkin): 49 calories; 0 g fat; 12 g carbs; 3g fiber; 2 g protein
Pumpkin au Gratin
Healthy Recipe by DietDetective.com Staff
Serves 4
6 cups peeled and cubed pumpkin
Cooking spray
1 1/2 cups chopped onion
10 ounces frozen chopped spinach, thawed
3/4 cup shredded low-fat Swiss cheese
1/4 cup whole-grain flour
2 cups fat-free chicken broth
1/4 teaspoon ground nutmeg
1/4 teaspoon black pepper
Fill large saucepot with water and bring to a boil. Add the pumpkin cubes and boil until soft, about 8 minutes. Drain, transfer to a large bowl and set aside.
Spray large pan with the cooking spray. Set the pan over medium heat, add the onion, and cook until lightly browned. Add the onion, spinach and � cup of the cheese to the pumpkin. Transfer the mixture to a large baking dish.
Combine the flour and broth in a pan and mix thoroughly. Set the pan over medium heat until the mixture thickens. Pour the broth mixture over the pumpkin mixture and top with the remaining 1/2 cup cheese. Bake at 375 degrees for half an hour. Season with the nutmeg and pepper and serve.
Nutritional Analysis (Per Serving): 196 calories; 3 g fat (1.8 g saturated); 34 g carbs; 12 g protein; 7.5 g dietary fiber
Pumpkin Seeds
Pumpkin seeds are loaded with protein as well as manganese, magnesium, iron, copper, vitamin K and zinc. (They are often recommended for populations that do not have enough zinc in their diets.) Pumpkin seeds also have plant sterols that can help reduce the risk of heart disease, fight cancer, and have been linked to helping reduce the size of the prostate. And they are a fantastic source of omega-3 essential fatty acids.
One ounce has 158 calories, 8.57 grams of protein, 1.7 grams of fiber and almost 25 percent of the recommend daily value for iron. A 1-ounce serving contains 152 mg of magnesium, almost 40 percent of the recommended daily needs. Although symptoms of deficiency are rare, magnesium intake in the United States is below recommended levels and can result in loss of appetite, fatigue, seizures and abnormal heart rates. People with poorly controlled diabetes, chronic malabsorptive problems such as Crohn's disease, older adults and alcoholics are at increased risk for magnesium deficiency. Insufficient magnesium is associated with low calcium and low potassium levels as well.
According to a study conducted by the U.S. Department of Agriculture, Agricultural Research Service, and reported in Magnesium Research, there is evidence that even marginal magnesium deficiency impairs exercise performance and amplifies the negative consequences of strenuous exercise (e.g., oxidative stress). Strenuous exercise apparently increases urinary and sweat losses that may increase magnesium requirements by 10 to 20 percent.
Pumpkin seeds have also been used against tapeworms.
Wash and dry the seeds, then toast them with garlic and onion powder and a bit of salt and pepper in a 300-degree oven for 30 to 40 minutes. A couple of quick facts about pumpkin seeds learned from allrecipes.com: They are most popular in October (of course!), and during the last 12 months Minnesota and Wisconsin viewed the most pumpkin seed recipes on allrecipes.com.
Nutritional Information (1.0 ounce hulled; about 142 seeds): 153 calories; 13 g fat; 5.05 g carbs; 1.1 g fiber; 6.96 g protein
Seasoned Pumpkin Seeds
Healthy recipe from allrecipes.com, and contributor GirlFriday715
Serves 16
1 pound green hulled pumpkin seeds (pepitas)
1 tablespoon olive oil
1 tablespoon chili powder
1 tablespoon tamari sauce
2 teaspoons garlic powder
Salt to taste
Preheat the oven to 300 degrees F (150 degrees C).
Combine the pumpkin seeds, olive oil, chili powder, tamari and garlic powder in a resealable 1-gallon plastic bag. Seal the bag and knead to coat the seeds with seasonings. Remove from the bag and spread the coated seeds on a baking sheet in an even layer.
Bake in the preheated oven for 15 minutes, then turn the seeds over. Continue baking until lightly toasted and fragrant, about 15 more minutes. Remove from the oven and sprinkle lightly with salt. Cool before serving; store in an airtight container in the refrigerator.
Nutritional Analysis (Per serving): 164 calories; 5.6 g carbs; 13.9 g fat; 1.3 g fiber; 7.2 g protein
CHARLES PLATKIN, Ph.D., M.P.H., is a nutrition and public health advocate and founder of DietDetective.com. Copyright 2012 by Charles Stuart Platkin. All rights reserved. Sign up for the free Diet Detective newsletter at www.DietDetective.com


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Gathered III
Additional funding provided by The Judith Alexander Foundation
MOCA GA is thrilled to announce the artists selected for its third installment of the bi-annual exhibition Gathered: Georgia Artists Selecting Georgia Artists. This iteration presents…
Masud Olufani: Masud Ashley Olufani is an Atlanta based actor and mixed media artist whose studio practice is rooted in the discipline of sculpture. He is…Read More


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Prove you have right of abode in the UK
|1: Overview
|2: Commonwealth citizens
|3: Apply for a certificate of entitlement
Having right of abode means you're allowed to live or work in the UK without any immigration restrictions, which means:
- you won't need a visa to come to the UK
- there's no limit on the length of time you can spend in the country
All British citizens automatically have right of abode in the UK.
Some Commonwealth citizens may also have right of abode.
You can prove you have right of abode if you have a UK passport describing you as a British citizen or British subject with right of abode.
Otherwise you need to apply for a 'certificate of entitlement'.
There has been no change to the rights and status of EU nationals in the UK, and UK nationals in the EU, as a result of the referendum.


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Alternative Treatments For Adrenal Fatigue
pricklypear1971 replied to GFinDC's topic in Celiac Disease - Related Disorders & ResearchKaren, I do have labs. They even came from certified mainstream labs. I have a few witchy labs, too.... They're cross verified with mainstream labs. I don't have to prove a thing to you.
Fibromyalgia Anyone?
pricklypear1971 replied to angieInCA's topic in Celiac Disease - Related Disorders & ResearchThal can go the other way. You can have high rbc, low almost everything else and good or high iron. If a doc runs a "basic" cbc s/he may assume you are anemic, when you really are overloaded or fine on iron. My son is fine, my husband is overloaded. Life just got interesting around here.
Alternative Treatments For Adrenal Fatigue
pricklypear1971 replied to GFinDC's topic in Celiac Disease - Related Disorders & ResearchI don't care what it's called. You can call it When Pigs Fly Up Your Butt. Whatever. I worry about cause and effect for my treatment. My experience runs along the lines of a hypo thyroid/underperforming endocrine system state changing to a steroid induced hyper adrenal state - my symptoms were Cushings-esque, coupled with unaddressed and untreated Celiac Disease, along with under treated Hashimoto's - and that's what I'll address. What I deal with is a type of adrenal insufficiency brought on from the above factors (steroids, thyroid). Since I had undiagnosed Hashimotos for at least a few years prior to treatment, I suffered from a decreased endocrine system performance (hypo) http://www.emedicinehealth.com/anatomy_of_the_endocrine_system/article_em.htm. Two steroid shots and a round of oral Prednisone, along with topical steroids put me into a hyper adrenal state and I had Cushings symptoms. At a certain point, the hyper functioning of my adrenals changed to hypo - I now have some symptoms of Secondary Adrenal Insufficiency. This problem seems to be strongly tied to my thyroid - as my thyroid performance improves via correct medications and supplements my adrenals improve. As a matter of fact, I'm a point now where we're trying to determine if I am on too much thyroid med (of the wrong type) or too much adrenal supplementation. Figuring it out is a mix of labs and trial/error. I sincerely hope that I am able to come off adrenal cortex in the near future, as does my doctor. For those of you who argue about if "adrenal exhaustion" is real or not, I think you need to drop the semantics and dictionary debate and pay attention to what people are saying when they talk about what's going on. The main adrenal-related complaints I hear about from people (and keep in mind I talk to lots of thyroid as well as gluten intolerant people) center around thyroid performance, glucose stabilization, and temporary sleep disturbances. I really don't recall anyone just saying "Hey, I feel off, I think I have Adrenal Fatigue so I'm gonna go buy a supplement at the store". I agree with this 100%: http://www.hormone.org/hormones-and-health/myth-vs-fact/adrenal-fatigue. As a matter of fact, the first thing I advise is a thyroid panel. I have received medical advice, I think I know all of the diseases I'm dealing with....and have decided to go forward with a treatment plan that includes adrenal support. I would like to address some specific remarks I feel that were aimed at my posts. Karen, sure...self diagnosing is dangerous with any disease. It's my experience most people try to get medical help for endocrine issues and are turned away - thyroid and adrenal. Kind of like with Celiac and NCGI. My range of doctor experience with adrenals is as varied as my experience with thyroid and gluten. To summarize, most MD's will acknowledge an issue but not treat it. Most ND's will acknowledge and treat with various treatment plans/supplaments. Irish - we all understand you had terrible luck with doctors of all types, and the only thing that was ever wrong was Celiac disease and stupid doctors until you also figured out you have MCAS. For many of us Celiac is not the beginning and end of our issues - it's just a piece. A good number of us have legitimate issues with other body systems that are not instantly (or ever) cured by going gluten-free: our lack of cure isn't due to our lack of compliance with a gluten-free diet, or vitamins. Neither is it our overindulgence of gluten-free processed foods, or lack of patience. The links I provided clearly outline the role adrenals play in health. I understand you don't see "adrenal fatigue" written out. What you have to understand from reading is that adrenals are part of the endocrine system - an important part that can luckily be manipulated and supported. Using myself as an example, I boost adrenal performance with adrenal cortex the same way I boost thyroid performance in my severely underperforming thyroid. The debate about "adrenal fatigue" has been going on for decades. Bottom line - some people need to address their adrenal performance to improve the function of the endocrine system - temporarily or permanently. Cushings Syndrome: http://www.endocrine.niddk.nih.gov/pubs/cushings/cushings.aspx Addison's Disease: http://endocrine.niddk.nih.gov/pubs/addison/addison.aspx Other names for adrenal fatigue are non-Addison's hypoadrenia, sub-clinical hypoadrenia, hypoadrenalism, and neurasthenia. http://thyroid.about.com/cs/endocrinology/a/adrenalfatigue.htm And I thought this was incredibly interesting. I'm going to go eat another Brazil nut, now. http://www.ncbi.nlm.nih.gov/pubmed/24437222
Test Results.....worrying?
pricklypear1971 replied to ButtercupSarah's topic in Celiac Disease - Related Disorders & ResearchDid they test thyroglobulin or TPOAb? Thyroglobulin is not used to dx Hashis.... http://labtestsonline.org/understanding/analytes/thyroglobulin/tab/test/ The TPOab is used to dx Hashis Hypothyroidism. http://labtestsonline.org/understanding/analytes/thyroid-antibodies You need to understand if they ran the correct thyroid antibody test. You can have inflammation from ANY autoimmune disease. Since you know you are hypothyroid, I'd pursue that AND your gluten intolerance.... You should probably read this about Fibro/thyroid: http://c.washingtontimes.com/neighborhood/steps-authentic-happiness-positive-psychology/2013/nov/11/fibromyalgia-indisputable-proof-claims-uk-research/ Your high cortisol may be the effect of poorly managed thyroid. You may need more, or different thyroid med. you really need free t3, free t4 and reverse t3 to see what your thyroid hormone levels are and if you are utilizing the meds properly. You may need an adrenal support supplement or lifestyle modification/change to help lower your cortisol. And finally, if you haven't been gluten-free to Celiac standards:observing gluten-free to prevent cross contamination, etc., you could try cleaning up any remaining gluten to see if you feel better. I mention this because some people who are unsure of their status don't observe strict standards. I'm not saying you don't....
Alternative Treatments For Adrenal Fatigue
pricklypear1971 replied to GFinDC's topic in Celiac Disease - Related Disorders & ResearchMD's don't say 'adrenal fatigue', they say something like 'temporary overstimulation' or 'not functioning as well as it could, but nothing to worry about'. Or 'temporary side effect of x med or condition'. Then they shove another med down your throat or say "everything looks normal, go see a shrink". I will not argue that some alternative docs are wack jobs.... And some are fabulous. I could say the same for MD's. Of course, my view is probably skewed because I live in Thyroidland...and must MD's are in denial over the latest research (long story of what 'standard of care - unrevised' can do to a huge group of patients).
Alternative Treatments For Adrenal Fatigue
pricklypear1971 replied to GFinDC's topic in Celiac Disease - Related Disorders & ResearchKaren, I assure you that many of us, especially with thyroid conditions, have overtaxed adrenals. I didn't believe it either....but I'll be damned, the support stuff I do and the supplaments I take DO make a difference. Now, do they make a difference because "stuff" is off - hormones, glucose, thyroid, etc. Yes. But while you work on those things (and sometimes boosting both is necessary long-term) you better bet adrenal support can make you or break you. Adrenals just don't produce adrenaline....they produce hormones. Post menopause they become even more important. http://www.nichd.nih.gov/health/topics/adrenalgland/conditioninfo/Pages/default.aspx And here's an article geared towards thyroid patients. In my case, I've had steroid shots/pills which negatively affected my adrenals. I was stuck in an overstimulated state for almost a week. I'd get flashbacks/surges/attacks when emotionally upset up to six months after stopping the steroids. Was it Addison's? No. But it was bad. I still have effects. Of course, being gluten-free has helped but the best help was getting on the right track with my thyroid. I hope to get off adrenal support at some point.... http://thyroid.about.com/cs/endocrinology/a/adrenalfatigue.htm
Dermititis Herpaformis
pricklypear1971 replied to grandmimi4's topic in Dermatitis HerpetiformisIf you are diagnosed with dh, you have been diagnosed with celiac disease. If your stomach gets upset from eating spicy foods - peppers - you may gave a capsicum intolerance.
Alternative Treatments For Adrenal Fatigue
pricklypear1971 replied to GFinDC's topic in Celiac Disease - Related Disorders & ResearchI take oral dhea - a very low dose. Much lower than most supplament strengths you see at health found stores. I use progesterone cream half the month. I take adrenal cortex - two big pills. Timing depends on how my cortisol runs...when it peaks. One of the biggest factors for better adrenal performance for me is a minimum level of t3, along with a good ratio of rt3. Then, not fasting - eating sufficient protein with meals...and eating them on time. And finally, sleep. I need 7+ hours/night. My vitamin levels are improving, my adrenals have improved as they've improved, also.
Test Results.....worrying?
pricklypear1971 replied to ButtercupSarah's topic in Celiac Disease - Related Disorders & ResearchYou can take liquid d3, which may be more easily absorbed if you have low stomach acid or celiac.
Test Results.....worrying?
pricklypear1971 replied to ButtercupSarah's topic in Celiac Disease - Related Disorders & ResearchYou can order tests online (they send you the order, you go to lab for draw)...same labs doctors use. You pay cash but it's an option. Yeah. New doctor.
Test Results.....worrying?
pricklypear1971 replied to ButtercupSarah's topic in Celiac Disease - Related Disorders & ResearchTSH is useless for thyroid diagnosis and treatment , apparently, in your case. You need free t3, free t4, reverse t3 labs. And run ALL thyroid antibodies, again. How are your vitamin levels? If you are low in iron, b's, d3, selenium, chromium your thyroid may be underperforming because of deficiencies. Deficiencies go with celiac and thyroid....they say thyroid because hypo people produce less stomach acid so food doesn't break down well. I've never been able to understand if those people are also celiac....sigh.
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Dietician Was No Help! Need A Meal Plan
pricklypear1971 replied to answerseeker's topic in Gluten-Free Recipes - Baking & Cooking TipsAvocados: guacamole, etc. Bake with nut flours and coconut.
Would A Little Salt Hurt?
pricklypear1971 replied to Aquadan005's topic in Gluten-Free Foods, Products, Shopping & MedicationsTry the Van's cheese cracker. Look like Cheezits-taste like goldfish.
Fibromyalgia Anyone?
pricklypear1971 replied to angieInCA's topic in Celiac Disease - Related Disorders & ResearchCytomel is synthetic t3, Levothyroxine is synthetic t4. And yes, some people need quite a bit if t3 if they don't convert t4.
Anaemia Caused By Malabsorption - How Long Does It Take To Start Absorbing It After Going gluten-free?
pricklypear1971 replied to KCG91's topic in Celiac Disease - Related Disorders & ResearchI have issues raising my iron, also. I didn't know this, but tea and coffee (without milk) can interfere with iron absorption when ingested within an hour or so around a meal/supplament. I started taking my iron last thing at night (stomach is almost always empty) with a small amount of oj or lemonade. I hope it's helping. Oddly enough, I am getting a crash course in iron, iron content of foods, absorption, etc. I admit to being surprised at what I'm learning....


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Many dogs and cats have a mild parasite infestation and show no symptoms. Most
puppies and kittens will be infested, as they have undeveloped immune systems and
gastrointestinal systems. Animals can become infested by eating feces, ingesting
fleas, coming in contact with dead animals or eating contaminated food. Common symptoms
can include:
Animals with roundworm may appear to have a pot belly. Hookworm may cause anemia.
If you are seeing worms in your dog's or cats' stools, fur or bedding, then you are
likely seeing tapeworms. If your companion has tapeworm, you must first make sure
there are no more fleas in the environment (home/yard) before administering de-worming
remedies or medications so that they do not become re-infested with tapeworm (see
our article,
The Natural Approach to Flea Control). For worms other than tapeworm, accurate
diagnosis to determine the type of worm your animal has requires taking a stool
sample to a veterinarian for analysis.
We carry a number of natural remedies for expelling worms. Only Natural Pet Para-Gone is an herbal formula and the HomeoPet Wrm Clear is a homeopathic combination remedy. Both remedies require
consistent dosing 3 times per day for 10 to 14 days. We do not recommend giving
both remedies concurrently, but you can give one and then follow with the other
if need be.
It can take 3 days or more for the worms to begin to be eliminated, depending
on the overall health of the animal and whether or not the animal is constipated.
The worms will pass out of the animal's system in their stools. If the animal is
constipated, a laxative herb such as Only Natural Pet Laxa-Herb is recommended to aid digestion and elimination since
constipation will hinder the de-worming process.
The effectiveness of Para-Gone and Wrm Clear, as with ANY herbal or natural
remedy, will vary with the health of the animal. A healthier animal being fed a high-quality
diet will respond better than an ailing animal on a poor quality diet, (see
What You Need to Know About Your Pet's Food). The animal's system needs support
in healing from within. The Para-Gone and Wrm Clear will only eliminate the worms
currently in the system – the SOURCE of the worms must be eliminated also – i.e..
Fleas, eating feces, etc., or the animal will be continually re-infested.
For a more detailed discussion of worm infestation and information on
heartworm prevention, please read our article,
Intestinal Worms and Heartworm). If after using natural remedies to
eliminate parasites you are still seeing problems, consult a veterinarian.
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The articles and information in the Holistic Healthcare Library are presented for
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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
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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.


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WQ221, Reviewed January 2009
A primary need and concern for most poultry producers is managing litter. You need to protect ground and surface water and fulfill regulatory requirements.
You can meet the goals by applying litter to the land in such a way that nutrients such as potassium, phosphorus, nitrogen and organic matter are used by the soil/plant complex and are not allowed to enter the ground and surface water.
Look at litter as fertilizer and manage it the same as a commercial fertilizer. You can damage water quality if you apply commercial fertilizer then add litter for good measure.
In general, Missouri's waste application regulations are based on the rate of nitrogen (N) applied. With this plan, the phosphate (P2O5) and potash (K2O) applied may greatly exceed crop needs.
The best plan to use plant nutrients may be to apply less nitrogen from waste than the crop needs and buy supplemental nitrogen to balance those needs. Applying phosphorus to fields with a Bray 1-P test level of more than 800 pounds per acre may aggravate surface water quality problems.
It is highly recommended that you analyze a representative sample of the litter for nutrient levels immediately before spreading. This, in addition to soil tests, will help determine land application rates.
The purpose of this publication is to provide guidance for applying waste with a lab analysis but without a soil test. Additional publications in this series address applying poultry litter with other plans.
In contrast to commercial fertilizer, litter has the potential for nutrients (primarily ammonia nitrogen) to be lost to the atmosphere after field spreading.
Table 1 shows the available ammonia nitrogen as a function of time until incorporated into the soil. Table 2 lists the percent of available organic nitrogen available with time. Table 3 gives the percent of other nutrients available in the growing season after application. Table 4 provides a basis for estimating the expected nitrogen release from soil organic matter for major annual crops without a soil test. Table 5 lists nitrogen credits for crops following legumes.
Table 1Manure ammonia nitrogen available by days until incorporated into the soil. The unavailable portion is lost to the atmosphere
Table 2Manure organic nitrogen available by year
Table 3Other minerals and micronutrients in manure
Table 4Expected nitrogen release from soil organic matter for major annual crops when a current soil test is not available. Assumes a cation exchange capacity from 10.1 to 18 meq per 100 grams and organic matter content equal or less than 2 percent. No credit given for nitrogen released with perennial crops such as fescue
Table 5Nitrogen supplied by legumes for the next crop
Table 6Nitrogen, phosphate and potash removal from soil by various crops.1
Table 7Laboratory analysis for broiler litter and rate of past year's application
Other management techniques unique to poultry operations, such as building cleaning on a certain schedule, dictate different management than commercial fertilizer that can just be ordered and spread.
If soil tests are not available for nutrient application rates, use a standard rate of 100 pounds of N per acre per year. This application rate is in line with regulatory guidelines for sizing soil/plant filters under the conservative management approach.
This publication gives a plan for estimating the amount of manure to apply for the projected crop needs for nitrogen, which may exceed the 100 pounds per acre allowed under the conservative management approach. You may wish to use this worksheet with 100 pounds of N per acre applied under the conservative approach to see what happens with P and K. Two blank worksheets are included for actual applications.
If the projected crop needs for N exceed 100 pounds per acre, this approach cannot be used if the Department of Natural Resources has issued a letter of approval based on the conservative approach of applying not more than 100 pounds of nitrogen per year, regardless of the crop and its production level.
A fescue hay field soil/plant filter is available for receiving broiler litter. How many tons per acre of litter should be applied for a yield goal of 3 tons per acre? Table 7 gives previous years' application rates and analyses for the litter.
Since no soil test is available, use the nitrogen requirement for fescue. Litter will supply nitrogen for the yield goal. It will not be incorporated into the soil. The ammonia-nitrogen loss is 80 percent (Table 1). For fescue, a perennial, no credit is given for nitrogen release from soil organic matter or from a previous legume crop.
For a yield goal of 3 tons per acre per year, we calculate the following nutrient removal by fescue hay (Table 6):
Tons per acre x N pounds per ton x percent available = N pounds per acre (percent from Table 2)
(Crop N (line 1))- (residual N (line 4)) - (N from O.M. (Table. 4))- (legume N (Table 5))_____________________(Available NH4-N (line 2)) + (available organic nitrogen (line 3))
"165 - 21.5 - 0 - 0_____________________2 + 27
*Note235 pounds per acre of P2O5 is applied vs. 56 pounds per acre removed by crop.
*Note196 pounds per acre of K2O is applied vs. 159 pounds per acre removed by crop.
The same broiler litter is applied to a soil/plant filter area for corn silage. The litter is incorporated into the soil immediately, losing 20 percent ammonia nitrogen (Table 1).
Because no litter was applied to the area in the past 3 years, use this year's data (Table 7). The yield goal is 20 tons per acre. The soil/plant filter was in alfalfa (50 percent stand) last year. The calculations for nutrient requirements for a yield goal of 20 tons with no soil test are as follows:
*Note82 pounds per acre of P2O5 is applied vs. 58 pounds per acre removed by crop.
*Note68 pounds per acre of K2O is applied vs. 178 pounds per acre removed by crop.
Apply the broiler litter to a soil/plant filter area in preparation for winter wheat, a winter annual. The litter is not incorporated into the soil. The area has received litter applications the last three years (Table 7). Take a nitrogen credit of 20 pounds per acre N (Table 4).
Choose a yield goal of 60 bushels per acre. No soil test data is available.
Use Table 6 to calculate nutrient requirements:
*Note62.4 pounds per acre of P2O5 is applied vs. 56 pounds per acre removed by crop.
*Note52 pounds per acre of K2O is applied vs. 18 pounds per acre removed by crop.
Order publications online at http://extension.missouri.edu/explore/shop/ or call toll-free 800-292-0969.


text: Japan observed a moment of silence on March 11 to remember the nearly 19,000 people who died in the massive earthquake and tsunami that struck two years ago. At a memorial service attended by Emperor Akihito and Empress Michiko, attendees stood in silence at 2:46 p.m., the precise moment the 9.0-magnitude quake struck off northern Japan. The earthquake was the strongest recorded in Japan's history and unleashed a towering wave that wiped out entire communities. (AP)


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U.S. stocks rose Wednesday, snapping a three-day decline in the Standard & Poor's 500 Index, as the Federal Reserve will keep up its bond buying to stimulate the economy and euro-area leaders weighed options for Cyprus.
Homebuilders rallied, as Lennar Corp. gained 4.8 percent after posting first-quarter earnings that beat projections. Adobe Systems Inc. climbed 4.2 percent as the software maker reported sales and profit that exceeded analysts' estimates. FedEx Corp. slumped 6.9 percent as it lowered its 2013 earnings forecast amid a widening customer shift to cheaper overseas shipments. Oracle Corp. tumbled 7.5 percent after the close of regular trading as sales and profit missed estimates.
The S&P 500 advanced 0.7 percent to 1,558.71 at 4 p.m. in New York, trading within seven points of its record reached in 2007. The Dow Jones Industrial Average rose 55.91 points, or 0.4 percent, to 14,511.73. About 5.9 billion shares traded hands on U.S. exchanges today, 6.3 percent below the three-month average.
"The Fed essentially did what's to be expected, which is to reinforce that the economy still needs support," Hank Herrmann, Overland Park, Kansas-based chief executive officer of Waddell & Reed Investment Management Co., said in a phone interview. His firm manages $103 billion. "Cyprus just reminds us all the fragility of the economic circumstances in Europe. As you look at the economic data, pretty much everywhere outside the U.S. has been equally unconvincing in terms of any kind of expansion."
More than three years into the expansion, the central bank led by Chairman Ben S.
Bernanke is pressing on with open-ended purchases of Treasury and mortgage securities to boost the pace of growth and heal a labor market still scarred by the deepest recession since the Great Depression.
Bull Market
The S&P 500 has surged 130 percent from a 12-year low in 2009 as companies reported better-than-estimated earnings and the Fed embarked on three rounds of bond purchases to stimulate the economy. The benchmark index rose to within two points of its 2007 record last week while the Dow hit an all-time high.
The Federal Open Market Committee, at the conclusion of a two-day meeting in Washington, left unchanged its statement that it plans to hold its target interest rate near zero as long as unemployment remains above 6.5 percent and inflation is projected to be no more than 2.5 percent.
Policy makers lowered their expectations for the unemployment rate at the end of the year to a range of 7.3 percent to 7.5 percent, from a previous forecast of 7.4 percent to 7.7 percent. The economy will expand 2.3 percent to 2.8 percent this year, they estimate, compared with their earlier forecast of 2.3 percent to 3 percent growth.
Cyprus Rejection
Stocks rallied earlier today as euro-area leaders weighed options for Cyprus. Investors speculated that the European Central Bank will continue to support the country's banks until next week, after lawmakers in the Mediterranean nation rejected an unprecedented levy on bank deposits.
"In a lot of ways what's happening in Cyprus only serves to reinforce the Fed's current policy," Richard Helm, a portfolio manager at New York-based Cohen & Steers, which oversees more than $40 billion, said in a phone interview. "It puts to bed that the Fed might raise rates sooner than later if you do have issues re-emerging in Europe."
Nine of 10 S&P 500 groups gained as consumer companies climbed the most, rising at least 1 percent. The Chicago Board Options Exchange Volatility Index, which measures the cost of using options as insurance against declines in the S&P 500, slid 12 percent to 12.67, after a 27 percent jump over two days. The gauge, known as the VIX, is down 30 percent this year.
Homebuilders Rally
An S&P index of homebuilders climbed 3.7 percent to the highest level since July 2007. Builders are benefiting from revived demand for new homes as the inventory of existing houses for sale shrinks and buyers take advantage of mortgage rates that are close to record lows.
Lennar jumped 4.8 percent to $43.40. The third-biggest U.S. homebuilder by revenue said earnings rose in the fiscal first quarter as prices and sales increased amid the broadening national housing recovery.
Toll Brothers Inc., the largest U.S. luxury-home builder, added 5.9 percent to $36.53. Orders are up 49 percent for the spring, Chief Executive Officer Douglas Yearley said today on Bloomberg Television.
A Bloomberg gauge of U.S. airlines gained 2.3 percent to 49.90, its highest level since February 2008. The airline group IATA said global airlines are on track to post profit 40 percent higher than the previous year, due to strong passenger demand, cargo improvement and industry consolidation in domestic markets.
Airlines Surge
Alaska Air Group Inc. surged 3.4 percent to a record $63, while Delta Air Lines Inc. jumped 3.2 percent to $17.07. U.S. Airways Group added 2.7 percent to $17.23, the highest level since 2007.
Adobe gained 4.2 percent to $42.46, as the maker of Photoshop software reported sales for the quarter ended March 1 of $1.01 billion, beating the average analyst estimate of $985.8 million. Profit excluding some items was 35 cents a share, exceeding the average analyst projection of 31 cents.
BlackBerry, formerly Research In Motion Ltd., increased 6.5 percent to $16. Morgan Stanley raised its rating on the Canadian-based phone company to overweight from underweight. The BlackBerry 10 device may boost gross margins and average selling prices, Morgan Stanley analyst Ehud Gelblum said in a note.
Discount Retailers
Family Dollar Stores Inc. rallied 3.8 percent to $60.36, pacing gains among discount retailers. Dollar Tree Inc. advanced 4 percent to $46.16, while Dollar General Corp. rose 4.2 percent to $49.79.
FedEx fell 6.9 percent to $99.13. The operator of the world's largest cargo airline said profit in the fiscal year through May will be $6 to $6.20 a share, down from an earlier forecast of as much as $6.60. Both the projection and fiscal third-quarter profit trailed analysts estimates.
The company, an economic bellwether because it moves goods as varied as medical supplies and auto parts, is in the midst of a $1.7 billion restructuring to compensate for customers moving away from the fastest, most lucrative deliveries. Starting in April, it will decrease capacity to and from Asia and put low- yielding shipments in less expensive networks, Chief Executive Officer Fred Smith said.
Oracle Corp. tumbled 7.5 percent to $33.10 as of 4:50 p.m. in New York. The company posted fiscal third-quarter sales and profit that missed analysts' estimates as customers chose competitors' Web-based software.
Cintas Corp. dropped 4.5 percent to $43.88 after the provider of restroom supplies and entrance mats said it expects full-year earnings per share of $2.50 to $2.54. That compares with a previous forecast of $2.50 to $2.58.


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Kristen Stewart Departs LAX, Lands on Forbes' Actress List
Kristen Stewart dons a trendy pair of eyeglasses while catching a departing flight at LAX Airport on Sunday (June 30) in Los Angeles.
Last week, the 23-year-old actress flashed a smile while getting a tattoo at Pride and Glory Tattoo Parlor in Nashville, Tenn.
PHOTOS: Check out the latest pics of Kristen Stewart
Kristen recently commented on the untimely death of her Welcome to the Rileys co-star James Gandolfini.
It was recently announced that Kristen was considered Forbes' most fourth powerful actress on their Celebrity 100 List.
FYI: Kristen is wearing Vans shoes.
25+ pictures inside of Kristen Stewart flying out of Los Angeles…


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4000 Ambassador Drive Anchorage, AK 99508
SERVICE DESCRIPTION:Works with rural Alaska communities to increase the emergency preparedness capability to handle public health and bioterrorism emergencies. Offers emergency care and other disaster response efforts to all Alaska Native beneficiary victims and local residents in rural Alaska communities.
DOCUMENTS TO BRING:Call for more information.
INTAKE:Call for information.
ELIGIBILITY:Alaska Native Tribes and Tribal Health Organizations.
SITE HOURS:Mon-Fri 8am-5pm.
AREA SERVED:Alaska.


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Troop 39 welcomes all Webelos (1s and 2s) to join them for Readyman and Outdoorsman at the 12/20 Field Day
Greetings Den leaders and Cubmasters
Troop 39 would like to extend a welcome to you and your Webelo scouts (1s and 2s) to join the troop at the American Legion on Saturday December 20 at 9am to meet the troop and work on one of two Webelo badges:
Readyman and Outdoorsman.
Cubmasters and Den leaders, please fill out the form below to register your interest. Please provide an indication (doesn't need to be exact) of numbers planning to attend and which pin they would want to work on – this will help our planning.
Yours in Scouting
Scoutmaster, Troop 39
Camping is one of the best-known methods of the Scouting movement. When he founded the Scouting movement in the early 1900s, Robert Baden-Powell encouraged every Scout to learn the art of living out-of-doors. He believed a young person able to take care of himself while camping would have the confidence to meet life's other challenges, too. Troop 39 has some of the best camping trips in the area and we go camping once a month, more than many troops around the country.
Troop 39 has two tremendous trips to England and Switzerland that happen every two years. A different High Adventure is placed between these two great trips and it changes every year. We have gone to Philmont and plan to go to Northern Tier, Florida Sea Base, and other great places in the years to come.
The backpacking trips of troop 39 are something that we are very proud of. The trips have been to places such as Mt. Mitchell (where there was a blizzard), Linville Gorge (where we crossed the same river 12 times), and so many more over the years. There have even been a contingent of scout from troop 39 that went to Philmont for several weeks.


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Michigan's Republican-dominated legislature on Thursday passed conservative, anti-worker, anti-women measures--controversial right-to-work legislation and a conscience clause that allows health care providers to deny services--sparking outrage and protests from Democrats and union members and leading police to use "chemical munitions" on protesters.
Protesters packed the Capitol building, news agencies report, as right-wing Gov. Rick Snyder and Republicans announced the right-to-work legislation. Some of the protesters who were inside the building attempted to get to the chamber floor and were met with a chemical assault. The Detroit Free Press reports:
"When several of the individuals rushed the troopers, they used chemical munitions to disperse the crowd," [Michigan State Police Inspector Gene Adamczyk] said. "It would be a lot worse if someone gets hurt and I failed to act."
The House passed the first of three right-to-work bills in a 58-52 vote.
Right-to-work laws mean dues cannot be required from non-union employees. Touted as "workplace freedom" by supporters, unions see them as an assault on their bargaining power and an attempt at further weakening the power of organized labor.
The Lansing State Journal reports that the right-to-work legislation was passed "after House Democrats walked off the chamber floor to protest the Capitol not being opened to the public."
Americans for Prosperity, which the Detroit Free Press describes as "the conservative non-profit organization that funded Wisconsin Gov. Scott Walker's efforts to strip that state's public employee unions of their collective bargaining rights," and was founded by the notorious Koch brothers, supported the legislation.
Scott Hagerstrom, Michigan director of Americans for Prosperity, said in statement that the
Michigan passage of right-to-work legislation will be the shot heard around the world for workplace freedom. A victory over forced unionization in a union stronghold like Michigan would be an unprecedented win on par with Wisconsin that would pave the way for right to work in states across our nation.
John Armelagos, a union nurse, also sees the far-reaching impact the legislation would have. Michigan Radio reports:
Unfortunately, when Michigan goes Right to Work….the home of organized labor….where 75 years ago…brave families occupied the auto plants to form the UAW…and set the foundation for a better way of life…not only for Michigan families but all those in the Midwest….and set the tone for the whole country …in terms of collective bargaining and helping form the middle class…when Right to Work's instituted," Armelagos said with his eyes tearing up, "It's going to hurt everybody.
Geraldine Blankinship, who took part in the Flint Sit-Down Strike of 1936-37 as part of the Women's Emergency Brigade, said of the legislation, "It's the worst thing that can happen to people who work for a living," and added, "It would be a disgrace," MLive.com reports.
Unlike the state's controversial emergency manager law which was repealed this November, the right-to-work legislation's permanence is guaranteed, the Lansing State Journal adds:
State Rep. Vicki Barnett, D-Farmington Hills, who spoke against the bill to loud applause from the gallery, said it contains an appropriation of state funds designed to make it referendum-proof. Bills considered appropriation bills can not be repealed through a ballot measure, as happened with the toughened emergency manager law, Public Act 4, on Nov. 6.
If passed, Michigan would be the 24th right-to-work state in the country. It may work its way to the Senate tomorrow.
The Huffington Post reports that the Michigan Senate passed its own right-to-work legislation Thursday as well:
Following the Michigan House's lead, the state Senate passed right-to-work measures on Thursday evening -- just hours after Gov. Rick Snyder and top GOP Republicans announced the bills. [...]
The House and Senate bills are two of three separate right-to-work bills currently up for vote that will eventually be consolidated into two bills, according to the Detroit Free Press. Both the bills passed by the House and Senate pertain to private-sector employees.
Another bill passed in Michigan on Thursday allows healthcare providers to refuse to provide services based on their personal beliefs. The Detroit Free Press explains:
Health care providers could use a "moral objection" or "matter of conscience" standard to refuse service to patients under a bill passed by the state Senate Thursday.
By a 26-12 vote, the Senate approved the bill Thursday, which would allow health care providers -- as a matter of conscience -- to decline services they object to. It also would allow employers to refuse to pay for services for their employees that "violated the payer's conscience."
In more legislation passed Thursday that has a direct impact on women, MLive.com reports:
Health plans participating in Michigan's "Obamacare" health exchange could not cover elective abortions unless the coverage is offered as a separate optional rider purchased by women, under legislation that won approval mostly along party lines Thursday in the state Senate.
"Get the government from underneath women's clothes. This bill is disgusting. It has no business in political discourse," the Detroit Free Press reports state Sen. Coleman Young II, D-Detroit, as saying. "We've already had this conversation. Obama won, Romney lost, get over it."
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Video by Laura Misjak/Lansing State Journal of the State troopers rushing protesters:
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Video by Greg Deruiter/Detroit Free Press of protesters at the Michigan Capitol rallying against the right-to-work measure:
This post was updated at 8:45 PM EST to reflect the Senate right-to-work vote.


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STOCKTON - The process of becoming a police officer is long and sometimes arduous. It involves extensive background checks, physical tests, written tests, psychological tests, even lie-detector tests.
STOCKTON - The process of becoming a police officer is long and sometimes arduous. It involves extensive background checks, physical tests, written tests, psychological tests, even lie-detector tests.
"The process is very comprehensive, and it's there for a reason," Stockton Police Chief Eric Jones said. "We only want to hire the best candidates to be police officers."
Jones presided over a ceremony Wednesday in the Community Room at the Stockton Police Department to swear in three new officers who passed the tests. Standing before a collection of family, friends and new colleagues, Officers Mike Espinoza, Joseph Jordan and Ny Tran received their badges after taking an oath to protect and serve.
The day represented the start of their law enforcement careers, but it marked the merciful end of an extensive application and hiring process that can take six months to a year to complete, they said.
"It was not quick and easy at all," Tran said. "It was pretty long, and it was nerve-racking. You would have to wait days and days for the Background Investigations Unit to call you back and let you know what was going on."
Espinoza agreed.
"It's very long and stressful," he said. "There are a lot of times you think you're not going to make it because it's so long. You're always thinking, 'Am I going to make it or not?' The hardest part was waiting - waiting and not knowing."
Jones said recruits begin by submitting an application to the Police Department's human resources department. All applicants must be at least 21 years old with a high school diploma and a valid driver's license.
Applicants are then given a written test and a physical test. The written test quizzes them on basic arithmetic, reading comprehension and grammar. The physical test requires them to run, hop over a small fence, climb over a 51/2-foot fence and drag a sand-filled dummy a set distance.
The candidates are ranked based on scores, and their applications are sent to police recruiters. Along with the application, candidates are required to complete a lengthy personal history statement, including disclosure of past drug use, gang affiliations and any criminal history, Jones said.
The Police Department then conducts a thorough background check, which includes verifying information in the candidate's application, speaking to references and looking at driving records. Applicants then receive a medical exam, take another written test and a psychological test before meeting with a police psychologist, Jones said.
Candidates are then subjected to voice-stress analysis or polygraph exams to verify information provided in their personal history statements.
"You ask them have they used certain drugs, have you been in gangs, have you stolen or been a criminal, whether they got caught or didn't get caught," Jones said. "The purpose is to determine if they were truthful in their application, and untruthfulness is an automatic disqualifier."
Jones noted that the Police Department has streamlined the application process to four to five months in some cases after hiring 120 new officers since 2012. The process remains very thorough, but the true test of an officer's character is administered on the streets, Jones said.
"The amount of power that you wield as a police officer is probably one of the most stringent tests you go through," Jones said. "What other occupation do you uphold constitutional law, have the power to take somebody's life if necessary, to incarcerate somebody if necessary, to take a child out of a home if necessary? It's a great amount of power, and with that comes a tremendous amount of responsibility, so we need to - not just want, but need to - ensure that we're getting the most professional, upstanding candidates to become police officers."
Contact reporter Jason Anderson at (209) 546-8279 or firstname.lastname@example.com. Visit his blog at recordnet.com/crimeblog.


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A Path to Medical Home Status: Insights from Ryan White Grantees
What does it take to become a primary care medical home (PCMH)—a designation that offers the potential for added reimbursement for delivering care in a more effective, coordinated, manner? How long does it take? What do you have to do? And once you have it, what does PCMH status provide?
Those questions and more are certainly on the minds of many Ryan White agencies. This feature article offers some answers in the form of what a handful of Ryan White entities did in order to achieve PCMH recognition. The path these trailblazers took is certainly easier today given new technical assistance available to Ryan White Grantees under HRSA's HIV/AIDS Bureau via the HIV Medical Homes Resource Center (see sidebar).
A Tale of Two Grantees
Long before the Center opened its doors, Ryan White agencies around the country started work on medical home recognition. In early 2012, two grantees—one in Wisconsin and one in Florida—shared their stories with HRSA about how they achieved Level 3 medical home status from National Committee on Quality Assurance (NCQA)—the highest level of PCMH recognition. The AIDS Resource Center of Wisconsin (ARCW) earned their status in July 2010. The University of Florida Center for HIV/AIDS Research, Education, and Service (UF CARES) achieved recognition in early 2012. Below are some of their observations.
First Step: Assess Your Readiness
UFCARES began its investigation of the PCMH process by meeting with a fellow primary care physician who had recently obtained Level 1 status. He recommended purchase and use of the NCQA 2008 PPC-PCMH Survey Tool as a way to assess the agency's readiness for the PCMH recognition process. PCMH readiness involves many items that cannot be done the night before applying. The clinic or agency must already have a fairly robust electronic health record, an existing patient satisfaction survey, and a system of capturing quality metrics and designing interventions based on their performance on those metrics.
Going Through the Process
Our two Ryan White grantees had vastly different PCMH experiences in terms of time frames, processes, and starting points. Competing priorities and available staff were among the determining factors. UFCARES was ready to submit within 10 months, but some delays stretched this out to a year (see below).
In contrast, ARCW took three months, according to John Fangman MD, ARCW Medical Director. ARCW was fortunate to have a full-time Director of Quality, Thomas Novak, who joined the Agency in 2009, well before they began the certification process. Tom initiated a quality management planning process that included review of both HIV-specific and primary care quality measures. Before this plan was finalized, ARCW reviewed the NCQA certification criteria in an effort to streamline NCQA PCMH certification. The PCMH application focuses heavily on capturing quality metrics and designing quality improvement initiatives. ARCW's quality management team includes providers, nurses and administrators whose efforts synergized effectively with the PCMH certification efforts fairly seamlessly. As part of its quality management infrastructure, ARCW was already capturing quality metrics and had begun to use our data to initiate several quality improvement initiatives. Although the PCMC application took around three months to complete, the quality plan required a substantially greater investment of time and resources to complete. In addition to an established quality plan, ARCW was already sharing de-identified quality data with regulators and a Milwaukee/Chicago Regional Quality Collaborative. The PCMH application emphasizes the importance of sharing quality data for benchmarking and goal setting.
Overcoming Challenges
The PCMH process is designed to take just months to complete. However, delays are probably inevitable as agencies struggle to find the time to meet, compile information, and make needed adjustments in operations in order to comply with PCMH requirements. ARCW's submission was delayed when they switched there Electronic Health Record (EHR) from LabTracker to EPIC. Although this lead to a delay in certification, the switch allowed ARCW to document improved EHR functionality, such as e-Prescribing, that took their submission from Level 2 to Level 3.
UFCARES faced, and overcame, a number of challenges (see UFCARES PCMH Steps). One of the biggest was to be sure they they were accurately interpreting what each of the PCMH measures meant, and what needed to be provided in response. According to Melissa Scites, Executive Director of UF CARES, "some TA and data source examples were provided, but it was not entirely intuitive" as to what they all entailed.
Outcomes to Date
What did PCMH designation do for ARCW and UFCARES? It's too early to tell. ARCW is waiting to hear about a Wisconsin State Medicaid program plan amendment that was submitted to HHS, which—if approved—would fund an HIV Medical Home Initiative UFCARES is working with their billing department to identify additional reimbursements available through specific insurance providers and is still waiting to confirm actual cost savings. Based on initial inquiries, there is at least a 2% anticipated increase in the reimbursement percentage for some private insurers. Scites of UFCARES also reports: "Other than cost savings, I think the biggest impact on our program has been a uniting of all of our team members and engaging them in the process of ensuring we are providing the highest quality of patient care to our patients. Everyone… is very proud of our PCMH accomplishment."
One other advantage is that NCQA cross-walked the PCMH requirements with the ARRA/HITECH Meaningful Use requirements. Therefore, PCMH accreditation will most likely make it easier for those wishing to apply for EHR incentive payments, assuming those clinics and agencies meet the other eligibility requirements. The PCMH certification process also lead ARCW to expand quality improvement initiatives beyond traditional HIV measures into areas such as blood pressure management and improved care of dyslipidemia.
UFCARES PCMH Steps
Below is a synopsis of the year-long process that Ryan White grantee UFCARES went through in order to achieve PCMH recognition.
Month 1: Assess Readiness. Implement the NCQA readiness survey tool, with review of materials, standards and elements.
Months 2-4: Plan. Key members of the existing Clinical Effectiveness Group (part of their CQI effort) were assembled and increased their normal once a month meeting schedule to twice monthly to focus on the PCMH application. The team went through each standard and element, assigning specific tasks to members, such as developing Standard Operating Procedures to document for example, how they met the standard of access to care and patient follow-up and communication.
Months 5-6: Resolve Key Challenges. UFCARES ran into some organizational challenges related to data reporting for some PCMH elements that caused a several month-long delay until key stakeholders could resolve the matter. Other UFCARES clinics were also applying for recognition, so an organizational-wide committee was created to assist with utilizing system resources.
Months 7-9: Detailed Review. UFCARES conducted a detailed review of each PCMH element and uploaded hundreds of pages of documentation and screen shots to demonstrate performance. This required a hard look at current processes and the need for a few system changes and improvements specifically related to patient tracking and follow-up.
Months 10-12: Finalize, Submission, and Approval. UFCARES was ready to submit at month 10 but first had to address additional challenges in finalizing organizational contracts and language agreements. Submission was in December of 2011 and notification of Level 3 recognition came in February 2012.
PCMH Around the Nation
PCMH work is underway in various states and communities—from changes in reimbursement policies under Medicaid to agency work to achieve PCMH recognition. Below are two examples from California:
- In 2010, the California HIV/AIDS Research Program awarded $6.3 million to five California health care provider organizations under their PCMH demonstration project to explore the effectiveness of PCMH for persons with HIV/AIDS. The research is examining cost, quality, patient satisfaction, and patient self-management.
- Also in 2010, the Los Angeles County Part A Ryan White Planning Council and grantee decided to migrate from a case management model to medical home model and completed a multi-stage assessment in 2010. They were motivated to do so in order to improve service delivery, to be responsive to the greater focus on medical care under Ryan White, and to keep abreast of national changes.


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Female skeleton, artwork
F006/0908 Royalty Free
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Credit: PIXOLOGICSTUDIO/SCIENCE PHOTO LIBRARY
Release details: Model release not required. Property release not available.
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Licence fees: A licence fee will be charged for any media (low or high resolution) used in your project.


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Seacoast RegionApril 27. 2011 12:21AM
Lamprey River Forest
Epping, NH
Acreage: 108 acres
Directions: From Route 101, take exit 7. Go North on Route 125 about 1 mile. Take left on Route 27 West. Go 0.25 miles to blinking traffic light and take the right onto Main St. Go 0.25 miles to Prescott Rd. and take a left. Continue about 1.5 miles. Look for a stonewall on the left. Enter property through a break in the stonewall.
Sanborn Memorial Forest
Epping, NH
Acreage: 27 acres
Directions: From the junction of Routes 125 & 87 in Epping, go 0.4 miles on Route 87. Turn left at sign for Rum Brook Horse Farm. Drive through barnyard to woods road. Property begins in a few 100 yards on North on the left.


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Elisabetta Canalis bares all in the latest anti-fur ads for PETA.
The 32-year-old Italian model and actress stars in the organization's "I'd Rather Go Naked Than Wear Fur" campaign.
"I decided to go nude because I think that nudity always creates a big reaction," Elisabetta explained. "That is what is required to keep people's attention on such a brutal practice. These poor animals are electrocuted, skinned alive, drowned, and bludgeoned just for the sake of fashion."
"Don't buy fur," she added. "Even a little trim – your gloves or your bag or your jackets …. You must remember that animals don't have a voice. You must be their voice. Never be afraid to speak up."
Check out some behind-the-scenes footage from her shoot below!
Also pictured inside: Elisabetta leaving Mr. Chow in Beverly Hills and Dancing with the Stars practice in Los Angeles earlier in the week.
Elisabetta Canalis – PETA Shoot Behind the Scenes
15+ pictures inside of Elisabetta Canalis out in Los Angeles…


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Hi Moms, I want to talk about loyalty vs. blind loyalty in families.
Loyalty is essential for genuine family solidarity. But blind loyalty leads to family dysfunction.
A loyal family member is faithful to the family's traditions and honors its obligations. A loyal family member is emotionally present with support and encouragement during success or duress. These unwavering devotions are admirable and observable: just look at how a loyal family member helps another member…
Added by Mary Jane Hurley Brant on June 11, 2011 at 7:42am — No Comments