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Introduction: In a Huffington Post piece last month I asked: Is It Time for a New Look at Integrative Medicine and Health Professionals in the Triple Aim Era? When integrative medicine leaders were surveyed, they viewed their work as deeply-aligned with the 3 goals: enhancing patient experience, lowering cost, and bettering population health. But how are integrative clinic leaders doing in practice in these values-based outpatient centers? Should more such clinics plan to adopt this model?
Washington State's HealthPoint (Tom Trompeter, CEO).
The Huffington Post piece pulls key comments from these clinic leaders. The others directly noted below were published during a period of significant activity on this project this past month. Much of this work grew out of Integrator partnerships with ACCAHC's Project for Integrative Health and the Triple Aim, the North American Board of Naturopathic Examiners, and the Casey Health Institute. The goal of the work is to stimulate understanding of integrative patient centered medical homes (PCMH).
The news could surprise many: in the state of Vermont - as in Oregon - naturopathic physicians can, and do, operate accredited primary care medical homes (PCMHs). In Vermont, naturopathic physicians do so following a steady stream of up-regulation over the past 20 years. Licensing. Recognition as part of the state's primary care matrix. Insurance coverage. Medicaid inclusion. Most recently, in 2011, inclusion as accepted owners and operators of PCMHs under the state's single-payer style Vermont Blue Print for Health - and 2013, the first PCMH designation. That designee was the Mountain View Natural Medicine center in Burlington. The pioneering force behind this opportunity in Vermont is naturopathic physician Lorilee Schoenbeck, ND. Her center is presently a Level 2 PCMH under a system of scoring carried out by analysts from the most significant accreditor of PCMHs nationwide, NCQA. This is the first of two parts. The second, below, focuses on prevention and clinical improvement initiatives.
Martin Milner, ND, founded the 6,500 square foot Center for Naturopathic Medicine as a beacon of light in a dark age for his profession over 30 years ago. Three years ago he chose to move the 12-practitioner center to become what it is now: a Level 3 certified patient-centered primary care medical home under Care Oregon, the state's ambitious reform plan. In this article, Melissa Porter, the center's chief operations person and quarterback of the transition shares the story of the changes made, and early outcomes.
In this second of a two part interview with pioneering naturopathic patient-centered medical home (PCMH) operator Lorilee Schoenbeck, ND, the focus turns to the prevention and quality improvement initiatives in place at her multi-practitioner center, Mountain View Natural Medicine. Here is a look at the initiatives in immunizations, obesity, colonoscopy, dyslipedemia and more in this NCQA-scored, Level 2 PCMH.
The executive vice president and COO of the Maryland-based integrative PCMH, Casey Health Institute (CHI), Tracey Gersh, PhD came to the ground-breaking, Maryland-based integrative health center from roles as administrator and program developer at a nearby federally qualified health center (FQHC). In this article, Gersh describes the movement of CHI into becoming a patient centered medical home recognized by Care First, Maryland's Blue Cross/Blue Shield firm. She then shares CHI's move to become part of a new accountable care organization (ACO), Aledade, with a set of 5 other primary care clinics. She speaks to the differences between CHI and the Federally Qualified Health Center where she previously worked.
One of the leaders of the successful effort to set standards for the health coaching movement in the United States, Karen Lawson, MD, sent a note early in December: "Late last week the U.S. House of Representatives introduced the Health and Wellness Coach Resolution, a bill number was assigned just yesterday. The ceremonial resolution ‘expresses support of health and wellness coaches and National Health and Wellness Coach Recognition Week.' This is the culmination of work done for the past year to raise the profile of all Health and Wellness Coaches in Congress. Thank you, [National Consortium for Credentialing Health and Wellness Coaches] for supporting this effort."
The proposed resolution has some fine, endorsement of the rising field: "Whereas, health coaches are a new type of health care worker who serve as wellness guides and supportive mentors that motivate individuals to cultivate positive health choices and move them toward those specific goals ..." The co-signers are Payne, Mullin, Buchanan, Napolitano, and Ryan of Ohio. Lawson directs a health coaching program at the University of Minnesota.
Comment: This visibility strategy - including the dedication of a recognition week - is one that has been used successfully by the American Association of Naturopathic Physicians. (In fact, given the lifestyle focus of many naturopathic practice, some of the language is quite similar in whereas elements of each resolution.) It was the mention of health coaching in a 2010 federal act - the Affordable Care Act - that prompted the self-regulatory efforts for the field, beginning with a September 2010 summit just 5 months after the ACA was passed. Notably, for this Round-up, the elevation of health coaching is smack in the middle of "Quadruple Aim" thinking and patient-centered medical homes. Good move.
The Dynamic Chiropractic article on a follow-up report from the Inspector General of the USA is Targeting the Bad Apples in the Bunch. The subhead: "Latest OIG report outlines plan to determine questionable DC billing claims, recoup payments." The Office of the Inspector General's report speaks volumes in its title alone: "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services." The measures and categories of complaint are laid out in the useful article, written by Ronald Short, DC, MCS-P. Short challenges OIG perspectives on some counts, lessso on others. The article notes that "of the $502 million that Medicare paid in 2013 for chiropractic services, $76.1 million was for claims that were questionable based on our four measures of questionable payment."
Comment: This is useful reading for any practitioner in the insurance game. In a panel presentation on research that influences policy at the October 2015 Academy of Integrative Health and Medicine conference, chiropractic research leader Christine Goertz, DC, PhD made a comment that speaks to the concerns in the report. Goertz noted that presently a type of research related to the chiropractic field of particular interest has less to do with effectiveness than in helping delivery organizations determine the best chiropractors with whom to work. The OIG report underscores why this is important. Meantime, other licensed integrative health professions that are not in Medicare - LAcs, NDs, massage therapists- can drool at the half-billion dollars of Medicare payouts. That's a transfer of wealth from government to the chiropractic profession that, while just 1% of CMS' $597-billion annual payout, bluntly signals what these professions are missing through their lack of recognition by CMS.
In late November, Taylor Walsh, project director for the CoverMyCare campaign of the Integrative Health Policy Consortium sent news that the most recent "CMC Update" has been posted. Walsh also previews anticipated developments: "2016 will be an important year in the fortunes of state-based initiatives that are geared to bring compliance with their own non-discrimination legislation, if not with Section 2706 (of the Affordable Care Act, Non-Discrimination in Health Care) itself." Walsh wonders if other states will "copy Oregon and Rhode Island and promote in their next legislative sessions?" Well others "include, and pass, enforcement provisions that the federal law did not include?" CMC willreport on recent efforts to encourage the US Department of Health and Human Services to clarify what, to them, constitutes discrimination. Walsh urges practitioners to link to the CMC Stories Album and share any discrimination-related stories.
Comment: IHPC, CMC and the movement for integrative care itself are lucky to have a person as dedicated and with as many skills sets as Walsh, a sometimes Integrator contributor, in the driver's seat.
A leader of the Hawaii Medical Services Association (HMSA) has announced that naturopathic physicians in the state will begin to be recognized as primary care providers by HMSA. HMSA, that state's a BlueCross BlueShield plan, is the dominant player in that market. This was the headline in a report shared with the Integrator by Michael Traub, ND, from an October 29, 2015 meeting involving multipl,e HMSA officials and naturopathic leaders. Traub has be the point person representing the naturopathic profession in the insurance and political realm for 3 decades.
Traub notes that the HMSA representative shared that "HMSA is also moving towards a community health model that focuses on health and well-being, paying health care providers for the time it takes to facilitate this. NDs are well-trained providers for this model." The transition to value-based care is expected to take 14 months. Related information is here and here. The transition to the new model with eventually come through some form of an independent physician association "to to facilitate referrals among providers." The HMSA representative said that educators and case navigators may also play a role. HMSA is expected to provide resources and business analytics. This was the fifth meeting for this purpose over the past 6 years since the ACA was enacted, and the fourth meeting over the past two years since Section 2706 went into effect.
Comment: "Perseverance furthers" is the way this stick-to-it effort is put in the I Ching. Much education all around will be needed. The Integrator Special Report on naturopathic physicians guiding patient centered medical homes may be particularly useful to both the Hawai'i NDs and HMSA's administrators.
Boston Medical Center's Katherine Gergen-Barnett, MD (see People this Round-up) on integrative medicine group visits. RAND's Patricia Herman, ND, PhD and Claudia Witt, MD on "policy and the economics of integrative medicine." An IHPC and ACCAHC-led multidisciplinary group on practitioner discrimination in integrative health and medicine. Leading edge strategies for merging qualitative and quantitative research models. All these and 8 more are part of the extraordinary set of pre-conference workshops planned for May 17 prior to the formal opening of the 2016 International Congress on Integrative Medicine and Health (ICIMH).
Most of the ICIMH plenary speakers have also been named, including: Richard Davidson, PhD on the neurophysiology of meditation, Ted Kaptchuk, OMD on placebo, David Relman, MD on the microbiome and Barbara Brandt, PhD on the movement for team care. An overflow of terrific session ideas is being evaluated by review teams. The conference will be held in Las Vegas at the Green Valley Ranch Resort, May 17-20.
Comment: Serious alignment of interest note here: a serve on the ICIMH Organizing Committee and as chair of the Communications Committee. The goal was to create a true whole system experience: branching from research only into education, clinical and policy through partnerships with ACCAHC, AIHM and IHPC. FaceBookers: follow action here.
This is a first: an integrative fellowship with a diverse mix of participants: advanced practice nurses, licensed acupuncturists, medical doctors, chiropractors, pharmacists, physicians' assistants, psychologists, osteopathic doctors, and dentists. Some slots are still open for the first class of the interprofessional fellowship in integrative medicine of the Academy of Integrative Health and Medicine. Kristen Gates, AIHM's program coordinator for the Fellowship, shared with the Integrator that as of December 10, 2015, AIHM has "accepted 46 and will take up to 50 for the first class" which will begin February 1, 2016. AIHM also plans a fall 2016 class. The AIHM fellowship director is Tieraona Low Dog, MD who works closely with associate director Seroya Crouch, ND. The AIHM's Fellowship website captures the team care focus with this African Proverb: "If you want to go fast, go alone. If you want to go far, go together."
Comment: Wonderful start for the new program. While medical doctors, as anticipated, account for over 50% of enrollees, there is terrific interprofessional diversity that will guarantee a unique experience.
This start-up of what will be the second significant fellowship in integrative medicine, following the Fellowship in Integrative Medicine at the University of Arizona, brings to mind some ancient history - in integrative terms. In 1978, the Mothership of naturopathic medicine, now National College of Natural Medicine, calved its first U.S. offspring, now Bastyr University, via a group of NCNM graduates. These were led by Joe Pizzorno, ND. There was some competition felt from NCNM, and rumbling about whether the profession needed another. There are now 8 recognized ND programs.
The multi-disciplinary Southern California University of Health Sciences (SCU) has announced a partnership with both the University of Southern California Club Men's and Women's Rugby Teams. In an article posted in the SCU Campus Connection, the agreement is described as "a great opportunity for our SCU residents and interns to gain valuable chiropractic sports medicine experience." Leading the team will be Coreen Levy, DC, an SCU sports chiropractic specialist "who is the official Doctor for the USC Men's and Women's Rugby team." Levy will be supervising SCU residents and interns who will "provide sideline medical care including: assessment, diagnosis, and treatment, to the athletes on USC's Rugby teams."
Comment: This story of a female integrative practitioner taking a lead in sports medicine is a good companion to this short blurb, "Cleveland Indians' Jamie Starkey, LAc: First Acupuncturists Employed by Major League Baseball Team" in the October Integrator Round-up.
On December 1, 2015 the United Natural Products Alliance (UNPA) announced a new partnership with the Southwest College of Naturopathic Medicine & Health Sciences (SCNM). According to the media release, SCNM's collaboration with UNPA is "intended to aid in the advancement of naturopathic medicine and natural health products research, safety and quality, both nationally and internationally." SCNM president Paul Mittman, ND, EdD, comments: "The relationship between SCNM and UNPA will foster new opportunities for research to evaluate existing and explore new approaches to improving the public's health and wellbeing." With the signing, SCNM joins a roster of 13 other UNPA MOU and commercial partners.
Bastyr University is now offering a "low residency" 4 quarter Masters of Arts in Maternal Child Health Systems Degree. The program is "designed for midwives and other maternity care practitioners who want to shift their careers toward teaching, advocacy, research and other ways of leading systemic change." The University already has a Department of Midwifery led by Suzy Myers, LM, CNM, MPH, for those seeking to become Certified Professional Midwives. Karen E. Hays, DNP, CNM, ARNP, an adjunct midwifery faculty member who helped develop the new program explains: "As midwives learn about structural barriers to providing effective birth care, many find themselves looking for ways to lead change in health systems."
Comment: Good move from the feisty midwives. As members of the integrative health and medicine community step into increasing responsibilities as systems change agents, we'll need more of this, and not just for midwives. The Duke Program on Leadership in Integrative Medicine is the present outstanding example.
I recall hearing of this idea a while back, but did not look into it and am glad I finally have. Perhaps some of you will have missed it to. Basically it is this: the move toward "value-based medicine" that leads to such delivery structures as the patient centered medical homes featured in this Integrator Round-up, is often synopsized as the triple aim. These are: enhance patient experience, better population health, and lower per capita costs. Last year, a suggestion was made by UCSF family medicine professor Thomas Bodenheimer, MD and his co-author that a fourth be added. To the authors, without this fourth aim, success with the others may not be possible. The gist: delivery organizations must focus on bettering the practitioner experience.
Bodenheimer and his co-author, Christine Sinsky, MD, explain: "In visiting primary care practices around the country [we] repeatedly heard statements such as, ‘We have adopted the Triple Aim as our framework, but the stressful work life of our clinicians and staff impacts our ability to achieve the 3 aims.' These sentiments made us wonder, might there be a fourth aim-improving the work life of health care clinicians and staff-that, like the patient experience and cost reduction aims, must be achieved in order to succeed in improving population health? Should the Triple Aim become the Quadruple Aim?" The authors detail data on how other aspects of the Triple Aim are damaged when the workforce is running on burnout.
Comment: In work with which I have the pleasure of being involved at the Institute of Medicine Global Forum on Health Professional Education, the board of the organization I help represent, the Academic Consortium for Complementary and Alternative Health Care, gave us a specific charge. We were told to focus on the "innovation" of educating health professionals who will focus on health, and well-being rather than reactivity. We've made some headway, especially as captured in this May 2013 workshop report. This 4th of the Quadruple Aim goals needs to be embedded educational processes. Some of the work in integrative medicine centers on mind-body programs are exemplars. See The Future of MD Education: Empathy, Roses and Respect Via Georgetown and U Minnesota Pilots. The 4th aim is core integrative health value.
This Integrator feature is a quick capture of highlights from web stories relative to integrative medicine and health in the prior month. Here are 26 involving medical delivery systems and 14 more in communities. Included are the remarkable developments in the "biofield" led by Shamini Jain, MD, Deepak Chopra and others; David Katz, MD's decision to take on the "polarization-based medicine" anti-CAM/IM tribe; expansion of the mindfulness program for educators and clinicians at Georgetown University; very favorable coverage on acupuncture's coming of age in Time and US News & World Reports; and Ronald Hoffman, MD challenging recent negative reports on dietary supplements. Enjoy the skim of activities!
The publisher of Dynamic Chiropractic, Donald Peterson, wrote up the results of a recent internet survey that the publication carried out on the state of the chiropractic profession. While not definitive, the results are of interest. Sample findings: 54% are in solo practices in which 80% or more of revenue is from adjustment/manipulation/PT/rehab/massage; roughly 1 in 20 (5.4%) are in "Integrated Interdisciplinary Practice" defined as practice with "at least two other non-chiropractic professionals (not including massage therapists" using a team approach; and 34% said that roughly half of their revenues came from 3rd party payers while a full 25% said that less than 10% does. Among the trends Peterson notes: "While many new DCs are beginning as cash practitioners, a larger number are almost entirely dependent on third-party payers."
In spring of 2014, colleague Ruth Westreich set up a meeting for me with Shamini Jain, PhD. Jain was beginning some work through the Samueli Institute, where Jain is a senior scientist. Jain was then being supported by a Westreich Foundation grant to herd the ultimate set of cats: the powerful leaders - and their organizations - at the forefront of promoting research on the "biofield." Among these: Deepak Chopra/Chopra Foundation, Mimi Guarneri/Miraglo Foundation, Wayne Jonas/Samueli Institute, and Marilyn Schlitz (and others)/IONS.
In late November, their collaboration came to double fruition. As documented in this November 23, 2015 piece by Chopra and Jain at the Huffington Post, the contracted papers from a January 2014 gathering of 45 biofield scientists were published as a Special Issue of Global Advances in Health and Medicine Journal: Biofield Science and Healing: Toward a Transdisciplinary Approach. The special issue includes 12 articles and an opening column from GAHMJ co-editors Mary Jo Kreitzer, RN, PhD, FAAN and Rob Saper, MD. In the same week, Jain announced that the website of the Consciousness and Healing Initiative (CHI) was opened.
Comment: For Jain, CHI, and the biofield exploring team, this marks the end of the beginning of that organizing work. I was struck on picking up my November 30, 2015 issue of the New Yorker to marvel at a bit of coincidental woo to go with this promotion of more research and awareness of same. The publication included a review by Adam Gopnik of Scientific American contributor George Musser's new book, Spooky Action at a Distance. Gopnik focused on the how the theory of distant entanglement has fallen in and out of favor. The shifting perspective has had less to do, in Gopnik's view, with science than apparently to changes in the culture - such as this group is fomenting with the GAHMJ biofield special issue and the CHI site.
My review of the review, in the context of this activity led by Jain, is here: Herding Atoms: Book, Journal, and Organizing Our Entanglement. What does a cynic about life's mysteries do with the dancing of these particles, infinitesimal, and larger? Anyone who like me is not a scientist but wants a good read on places reason treads with trouble, check out Larry Dossey, MD's wonderful One Mind.
Global leaders in the wellness and spa fields met in mid-November in Mexico City as the Global Wellness Summit 2015. A key take-away was a set of a Top 10 Future Shifts in Wellness. The subhead of the organization's media release on the list is: "Experts at Mexico City conference forecast that wellness will become more mandatory in more nations soon - that breakthroughs in epigenetics, stem cells and integrative medicine are near - and that ‘programmatic' workplace wellness will disappear." Among the trends are "From Medicine vs. Wellness to Truly Integrative Healthcare." Adam Perlman, MD, MPH, the director of the integrative medicine program at Duke University, reportedly "spoke to the coming together of wellness and the complementary/integrative medicine movements." He commented: "We're at an inflection point. If we saw a first wave of integrative medicine in the mid/late 90s, this time it feels different." On the high-tech end, Deepak Chopra is cited in a trend on "From Cracking the Genome to Cracking the Epigenome."
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) has published, in its most recent annual report, the organization's three strategic goals. These are: 1) Integrating NCCAOM Credentialed Providers in to Healthcare in the United States; 2) Distinguish NCCAOM as the Expert Source for AOM Credentialing and Competency Standards; and 3) Expand the Value of NCCAOM Credentials to Assure and Advance Professional Opportunities for NCCAOM Diplomates. Under #1, the report notes initiatives that include placing board memberships in the Integrative Health Policy Consortium and the Academic Consortium for Complementary and Alternative Health Care. Under #3, NCCAOM's promotion of an annual AOM Day and sites for YouTube videos and a patient testimonials site are noted.
Comment: NCCAOM has shape-shifted to fill needs left by the void created by the challenges for the AOM profession in building and supporting a national organization. I am aware via other professional work that under #1 the organization has also convened many of the most experienced licensed acupuncturists in the country to a task force that is seeking to assist individuals and organizations on credentialing and privileging issues. These are each useful initiatives.
The subject of botanical quality and the "integrity" of the plant sourcing of natural products has spawned ever more exotic questions with each advance of technology. The American Botanical Council has published a two-part feature on the topic of botanical integrity. The work was engaged by a team at the University of Illinois at Chicago-NIH Center for Botanical Dietary Supplements Research. The first, published in the April 2015 HerbalGram, was: The Importance of the Integration of Chemical, Biological, and Botanical Analyses, and the Role of DNA Barcoding. The second, in the most recent issue, is Botanical Integrity: Part 2 - Traditional and Modern Analytical Approaches. The author group on each is guided by Guido F. Pauli, PhD with Charlotte Simmler, PhD as lead author. The second article, to give a flavor, looks at "current analytical techniques, new approaches focusing on the fields of botany and chemistry have become available to characterize plant-derived materials in supplements."
Comment: With these, the American Botanical Council continues its role as a key dissemination source for work-product on botanicals developed through the NIH or with NIH funds. These follow the history and strategy document from the NIH's botanicals lead, Craig Hopp, PhD, that led to the Integrator Forum: What Are Your Views on NCCIH's Past and Future for Botanical Research?. Taking this route to publication speaks to the good sense of this NIH-funded team in reach a target audience, and also to the quality ABC executive director Mark Blumenthal has continuously striven to bring to the publication, with and through his extraordinary scientific advisors. "Nice" work, Mark!
Side-note: I am reminded of my first real lesson on botanical quality. In 1986, I had a new colleague (who will remain nameless) who worked with a major international company that sold both to the more mature European medicinal herb industry, and also to the big USA companies through health food stores. He was getting to know the earnest, then youngish, chap (me) who was at the time introducing the "scientific natural medicine" of what is now Bastyr University to the herb industry. He took me into the ugly inner sanctum: "What we sell in the USA is the sweepings of the European industry;" that is, parts of the plant not used in the medicinal trade, sometimes more than metaphorically from the floor of that industry. Product integrity lesson #1: "sweepings" are not where you want in your herbal remedies.
On December 9, 2015, the American Herbal Products Association sent out a media release noting that goldenseal and Aloe vera "non-decolorized whole leaf extract" were added to California's Proposition #65 list of "chemicals known to the State of California to cause cancer." They were added by the state's Office of Environmental Health Hazard Assessment (OEHHA). Within a day, the International Aloe Science Council (IASC) followed with its own release to let "all consumers know that ‘Aloe vera, non-decolorized whole leaf extract' is not an ingredient sold by IASC members, nor is it used in finished consumer products that have earned the IASC certification seal."
The California decision was based on a classification by the France-based International Agency for Research on Cancer (IARC) that this material is an agent that is "possibly carcinogenic to humans." AHPA points out that IARC has similarly characterized red meat and especially processed red meat. Yet "OEHHA has yet to issue a notice of intent to list either red meat or processed meat as ‘a chemical known to the State of California to cause cancer.'" To treat the items differently, AHPA argues, "could be considered to be arbitrary and capricious from a legal standpoint."
Comment: Is one over-sensitive to bias in wondering about possible double standards of waving such red flags about an aloe product and goldenseal and not about red meat. Put together in one story and one might wonders at the objectivity of the associated bureaucracy, and those directing the decision-makers.
The Modern Healthcare Professional integrative medicine internet news source has published segments of a recent survey funded through the Council for Responsible Nutrition. The take home: 68% of adults are using at least one and 84% expressed confidence in the "overall safety, quality and effectiveness." While highest use is in vitamin-mineral category, a significant jump was registered with herbals, and another in sports nutrition. Multivitamins are the overwhelmingly most used supplement of any kind.
The USA-based global service-learning group Acupuncturists Without Borders (AWB) is celebrating its 10th anniversary. The accomplishments for this NGO with a total, presently, of 2.5 FTEs are significant. The organization has sent teams as far away as Nepal. Here in US, they have worked in New Orleans after Katrina and supported disaster relief efforts in Texas and California. AWB has trained 400 U.S. acupuncturists "to respond to natural and human-created disasters." The organization has also had a role in "mentoring over 30 community service clinics in the U.S. that offer stress and trauma reduction treatments to veterans, active military, survivors of sexual violence."
Also internationally, AWB has "trained 35 Jewish and Arab Israeli practitioners to offer trauma healing acupuncture in their communities" and is presently working on "laying the foundation in Mexico for a training program for health care workers" for the coming year. In a newsletter sent on Pearl Harbor Day 2015 to the list, the organization, noted a new video they have posted for their Nepal work. The work is led by executive director Diana Fried, the founder and current board president. The review of accomplishments included a request for contributions.
Comment: I get an inside picture on the value of these global service and community practice through my close friend and colleague William Wulsin, ND, LAc, MPH who has worked with, or alongside of, AWB in multiple places, including Nepal - and whose work my family and I have supported. A brief piece on his work is here at the Global Integrator Blog: Acupuncturists without Borders Responds to Nepal Earthquake. Impactful work, for both those served, and those engaging the service.
Here is the Global Integrator Blog Round-up for December 2015 at Global Advances in Health and Medicine. The summary from this writer on the half-dozen articles follows: "The WHO's campaign to limit antibiotic overuse brought to mind the good work of the European integrative medicine community on the topic last year. Check the link. Interesting to see the role of homeopathy in Colombia - a practice featured in works of that nation's Nobel winner Gabriel Garcia-Marquez. I happily report the belated and important inclusion of traditional healers in the Ebola strategy in Sierra Leone. Infectious diseases are having the positive consequences of bringing diverse practitioners together for a common enemy. More on that soon. Finally, can work on the ‘biofield' be anything less than ‘global'? Adam Gopnik's New Yorker review is a nice opening to an intensive collaboration underway to organize research and consciousness raising about, well, consciousness in healing. Enjoy, and do share your news and story ideas -John Weeks."
Comment: I was particularly intrigued, in writing about the strange behavior of distant particles, to discover the temporal coincidences of the activities, noted above, and reported as Herding Atoms: Book, Journal, and Organizing Our Entanglement.
I was pleased to be asked by the Academy of Integrative Health and Medicine to present a 45-minute plenary on the history of the movement now called integrative health and medicine at the organization's October 2015 Conference. I called it: "Connective Tissue: A Winner's History for Integrative Health and Medicine." A rare standing ovation, for my presentations. James Maskell, co-founder of the robust, global, Functional Forum/Evolution of Medicine, was present. He invited me to do a podcast on the topic. We did it and he posted it to his list of over 30,000 with some remarks. The podcast is presently the most listened to of any other on the site.
Maskell wrote: "One of our favorite talks at the AIHM conference had a rallying cry [that is a message of our own] ‘we need to start acting like we are winning, and stop acting like we are losing.' John Weeks, with a career spanning over [three] decades supporting this emerging field, gave an incredible talk ... giving a 50-year history of the integrative medicine movement and sharing the people, strategies and timelines that moved integrative medicine to mainstream acceptance. This is must listen material for every integrative medicine professional, not only cataloging the past but also energizing the future of the movement, in a way that is 100% congruent with the mission and goals of the Evolution of Medicine."
Comment: My father would be blushing at the kind of self-promotion in re-posting this. His son, apparently, is not. I like history. It was my focus in university. It's my work as a chronicler. And the cool thing in chronicling is that from time to time one discovers fascinating patterns, trends, and distinct eras. Yes, there are actually "eras" to this movement. What I was seeking to do in the talk and podcast is tell the story of the multiple integrative fields with shared values, how they/we worked first in silos, then in consortia - and now perhaps under larger tent(s) toward growing impact. Our influence has been felt in many ways. I hope any of you who visit will enjoy. I shared my AIHM slides with Maskell, who put them on his site. Happy to give a similar talk elsewhere! Let me know.
A powerful trio of people in integrative health and medicine were recently aggregated by the producers of National Public Radio's "On Being," with host Krista Trippet, to discuss "Transforming Medicine." Included were former White Houser Commission chair James Gordon, MD, functional medicine leader Mark Hyman, MD and the first chair of the Bravewell Collaborative, psychologist and philanthropist Penny George. The segment, which originally aired on Minnesota Public radio, can be downloaded and streamed from the On Being website. According to a note from Gordon, the wide-ranging discussion touched on "food as medicine, altruism, the importance of compassionate health care, spirituality and healing, and more."
Comment: Also on the integrative care/NPR theme, Marin-based Marty Rossman, MD shared that an interview of him by KQED's Greg Sherwood on "will be featured as part of their holiday pledge drive through December." Rossman's book, c, and related CD set are among the benefits of got those donating. Rossman sent this link to KQED schedule.
Word reached the Integrator that Katherine Gergen Barnett, MD, whose blog on integrative medicine group visits was published through Health Affairs has taken a new position. She has become as vice chair for primary care innovation and transformation with the department of family medicine at Boston Medical Center. According to the announcement, in her role Gergen-Barnett will "oversee Family Medicine practice transformation initiatives ... lead the department's quality improvement efforts, bring vigor and innovation skills to the Patient-Centered Medical Home movement, spearhead patient experience initiatives, and provide support and guidance to our ACC practice." The notice additionally shares that since Gergen-Barnett's "appointment in 2009, as director of (BMC's) Integrative Medicine Clinical Services, Katherine pioneered a model for delivering integrative medicine in the safety net setting, creating a program that provides BMC and CHC patients with an array of integrative medicine services."
Comment: I don't normally include position changes such as this in this section of the Integrator. I do so with reference to the "innovation" in Gergen-Barnett's title and the known innovation in her integrative health and medicine work. This will be fun to watch, especially in BMC's safety-net setting. An interview with Gergen-Barnett prior to a recent presentation in Australia is here.


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The Deauville House was designed for man’s best friend. He’s your most loyal companion. Wherever you go, he’s by your side—erstwhile, true, and ready for action or relaxing. Someone like that deserves a sweet sanctuary to call his own, and that’s the vision behind the Deauville House.
Bad Marlon Design Studio is the team behind this project. Their vision is to foster “a deeper connection between pets and people.” Will the Deauville House achieve that vision? It’s definitely possible. If nothing else, your canine companion will have a comfortable place all his own. The design is simple, but attractive. It pays homage to the traditional dog house, but adds a unique flair by eliminating one wall and replacing it with a longer roof. That longer roof also features an elongated window to allow more light and ventilation. Speaking of ventilation, the other side of the roof is slated for even more air flow. Another window adorns the wall opposite. The whole building is constructed of powder coated steel and plywood. A cushion is included with the house.
The Deauville House is meant for dogs under five kilograms and measures 635mm X 435mm X 480mm.
Most notable is the price. You might look at this house and think you could just as easily make it yourself, but consider that for the cost of materials and time, you’d actually save money by contacting Bad Marlon and ordering a Deauville House for your best friend. Besides, he deserves it.

industry_corpus2: Real Estate & Construction


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Program for a fundraiser on the occasion of the Golden Jubilee of St. Paul's Episcopal Church. Included is the church history, immediate needs, current indebtedness, watercolor sketch of the church, portraits of present and former bishops, and a list of donors.
During the 1920s and early 1930s, George E. Lee fronted one of the most popular and successful bands in Kansas City. Though more akin to a vaudeville troupe, George E. Lee’s Novelty Singing Orchestra was the chief rival of the Bennie Moten Orchestra for supremacy among the city’s many outstanding black bands.
Headshot portrait of George E. Lee, leader of the George E. Lee Singing Novelty Orchestra, in a tuxedo, ca. 1926. Source: Charles Goodwin.

industry_corpus2: Subject Education


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Prosecutors have offered to buy Scott Peterson's truck to use in his murder trial.
CNN's Kimberly Osias reports on the date set in the Scott Peterson murder trial.
MODESTO, California (CNN) -- Prosecutors in the murder case against Scott Peterson said Friday they want to buy his truck, which they contend he used to ferry the bodies of his wife and unborn son to San Francisco Bay, where they washed ashore in April.
Over objections from prosecutors, Stanislaus County Superior Court Judge Al Girolami has ordered that Peterson's truck, which police seized 11 months ago, be returned to him.
At at hearing Friday, Peterson -- who has been making $600 monthly payments on the Ford F-150 pickup -- smiled broadly but said nothing during the discussion over the prosecution's request to buy his truck at fair market value.
But his attorney, Mark Geragos, said, "So now the prosecution is in the used-car business."
The judge said he did not want to get involved, leaving it to defense attorneys and prosecutors to decide whether the truck will be sold. Geragos said the defense is willing to entertain an offer to buy the truck.
Girolami earlier agreed with the defense that the prosecution had had sufficient time to examine the truck and said prosecutors could use an identical truck for any demonstration to jurors.
In last week's court filing opposing the motion by Geragos to return the truck, prosecutors disclosed that they believe it was used to transport Laci Peterson's body to a warehouse rented by Scott Peterson and then on to San Francisco Bay. His blood was found in the cab, which investigators believe could have been the result of a struggle.
Deputy District Attorney Rick Distaso said he needed to keep the truck to show jurors how he believes it was used to transport Laci Peterson's body. He argued that photographs would not suffice.
Last week, Geragos said that if the prosecution believed it needed to keep the truck as evidence, "I'm perfectly willing to sell them the truck."
A "cementlike" material found in the truck bed has been sent to the Justice Department for testing, and Distaso said prosecutors needed to retain the truck in case additional samples were needed.
Geragos also said he would file his request seeking a change of venue on Monday, rather than Friday, as had been expected. He has argued that massive publicity in Stanislaus County has precluded the possibility that his client can get a fair trial in Modesto.
Also Friday, Girolami gave his consent to a telephone survey of people who have already served on a jury in the county this year and who would be ineligible to be on one in the Peterson case.
The prosecution wants to survey people in Sacramento and Los Angeles counties, too, and compare the results with those from Stanislaus County.
Peterson's trial is set to begin January 26. However, hearings in early January on the change of venue motions and motions to dismiss the charges could alter the timetable.
Peterson, 31, is charged with murder in the deaths of his wife and their unborn son. Laci Peterson, 27, who was eight months' pregnant, disappeared from Modesto last Christmas Eve.
With the first anniversary of their deaths approaching, Dr. Benjamin Spindler, medical director of the Delta Blood Bank, said his group had been contacted by a friend of Laci Peterson's family to hold a memorial blood drive from December 21 until December 24.
CNN Correspondent Rusty Dornin and Producer Chuck Afflerbach contributed to this report.

industry_corpus2: Law & Justice


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The San Francisco Police Department reports that one suspect has been arrested in connection with a homicide in Chinatown earlier this year.
At about 4:57 a.m. April 15th, police responded to a call regarding a deceased person on Joice Street in Chinatown. There, officers located a San Francisco resident, 49-year-old Quang Troung, on the ground, suffering from multiple head injuries, the department said.
While paramedics rendered aid, Troung died of his injuries.
Today, the department announced that the investigation has led to the arrest of 59-year-old San Francisco resident Samuel Youmtoub. The suspect, who was arrested on November 30th, was already being held at San Francisco County Jail for separate criminal charges.
According to previous reports, Youmtoub was arrested on multiple counts of assault and battery in June of this year for allegedly hitting and kicking a homeless man in the face repeatedly, in an unprovoked attack a month prior in the Tenderloin. At the time, Youmtoub was also under suspicion of assaulting and severely injuring a Muni rider near 8th and Mission streets just a few days later. Both incidents were captured by surveillance cameras.
Despite the arrest, the SFPD is still asking anyone with information on this homicide to call the department's anonymous tip line at 415-575-4444 or text a tip to TIP411 with "SFPD" at the beginning of the message.


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Across America, guns are still flying off the shelves, with sales numbers continually smashing previous records set over the last decade as Americans load up on firearms of all varieties in never-before-seen quantities. From Colorado and Connecticut to Ohio, Virginia, and Alabama — and everywhere in between — gun sales are exploding. Indeed, government data show 2013 was the best year for domestic sales in U.S. history after beating the previous high set the year before. Restrictions on gun rights, meanwhile, are overwhelmingly getting less draconian at the state level.
In terms of the numbers, 2013 was another record year, government data from the FBI’s controversial “background check” system showed. According to news reports, over 21 million applications were processed by the National Instant Criminal Background Check System (NICS) last year. Because one background check can be used to purchase multiple firearms, the number of guns sold might even be higher. In 2012, there were just under 20 million.
Overall, nationwide gun sales, as measured by NICS data, were up eight percent over 2012’s record-setting figures. Every year for the last 11 years has seen an increase in gun purchases. However, analysts say the “shameless” post-Newtown mega-push for new infringements on gun rights by the Obama administration and its increasingly discredited allies in the establishment media played a key role in the dramatic surge witnessed in late 2012 and into 2013.
Indeed, all 10 of the top gun-sales weeks occurred since Obama announced his schemes to further restrict the human-rights protections in the U.S. Constitution’s Second Amendment. Eight of the top 10 weeks were in 2013, with the other two in December of 2012, according to numbers cited in the Washington Times. Since Obama has been in the White House, background checks have soared by 66 percent. Gun-manufacturer stock prices have been surging, too.
Despite the full-blown attack on the Second Amendment by Obama and his allies in the press, state governments have overwhelmingly been loosening firearms restrictions. At the federal level, the administration’s scheme to assault gun rights via unconstitutional legislation went down in flames, too, with the proposal failing to get through even the Democrat-controlled Senate.
Of course, radical Democrat politicians in a few states — Colorado, New York, and Connecticut, for example — have managed to impose a number of draconian new violations against the gun rights of citizens, costing some of the politicians their political careers. On balance, however, the right to keep and bear arms has secured far more new legal protections than violations in America over the last year.
In fact, a recent analysis by the New York Times found that of the 109 new gun laws enacted at the state level since Obama’s push began, 70 actually loosened restrictions — almost double the number of laws that tightened restrictions. Some states, such as Kansas, have even nullified unconstitutional federal restrictions, sending disgraced Attorney General Eric Holder into an outburst of rage.
Justice Department boss Holder, who was caught on video calling for a taxpayer-funded program to “brainwash” Americans to reject gun rights, and who is currently in criminal contempt of Congress for refusing to hand over documents on the administration’s “Fast and Furious” scheme to arm Mexican drug cartels, responded to Kansas with a bizarre but threatening letter. State officials were not amused.
The administration also issued new unconstitutional decrees aimed at usurping legislative power and restricting gun rights this week. Pro-Second Amendment groups, however, are already gearing up to fight the lawless “executive actions,” hoping to have lawmakers put the White House back in its place. The trends, though, are clear.
State-level data on gun sales also tell a fascinating story about the administration’s spectacular failure when it comes to infringing on the Second Amendment. Alabama led the gun-buying binge, according to news reports; the number of background checks performed smashed even recently set new records in the last two months of 2013. In Maryland, meanwhile, sales surged some 70 percent between 2012 and 2013. Purchases in Utah, New Jersey, Delaware, Florida, Indiana, and more all spiked more than 25 percent over records set the year before. Only two states did not beat new records set in 2012.
Violent crime, meanwhile, has been plummeting. According to a report released last year by the Department of Justice's Bureau of Justice Statistics (BJS), the number of gun homicides has plummeted almost 40 percent since 1993 — from more than 18,000 to 11,000 in 2011 — even as Americans purchased tens or even hundreds of millions of new guns. Adjusting the data to account for per-capita gun homicide rates, researchers found that the numbers have fallen 50 percent.
Of course, states with stronger protections for gun rights fared much better than jurisdictions with more draconian infringements. A new study published this month in the academic journal Applied Economics Letters, for example, found that increased numbers of people carrying concealed weapons was tied to lower murder levels. Restrictions on carrying “may cause an increase in gun-related murders at the state level,” the abstract concluded.
Also ironic is that the Obama administration’s scheming has coincided with a dramatic shift in public sentiment. Polls now show that fewer Americans favor gun control than the number of people who support keeping laws the same or abolishing existing infringements. State and local officials, meanwhile, including lawmakers and lawmen, have been standing up at unprecedented rates, vowing to protect citizens in their jurisdictions from unconstitutional assaults on their rights. Support for civil disobedience to protect gun rights is surging, too — even among Democrats.
Obama and his fellow anti-gun rights fanatics were hoping to exploit the deaths of children to assault the fundamental rights guaranteed in the Constitution, critics say. Instead, the campaign had the exact opposite effect: Existing restrictions were mostly loosened, public opinion shifted further in favor of gun rights, and record numbers of firearms ended up in the hands of law-abiding Americans. The irony, of course, has Second Amendment supporters smiling, but analysts warn that Obama and his cohorts are far from finished.


text: Showcasing sun-filled interiors, stunning communal surrounds & pure functionality, this highly appealing apartment offers an unrivalled key turn lifestyle. Perfectly positioned in a luxuriant cul-de-sac, this coveted postcode relishes its tranquil setting as well as the convenience of lively Carlisle & Chapel Streets, the CBD & nearby Alma Park, plus multiple transport links. Lovingly cared for by its current owners, the first-floor home comprises an open-plan living & dining zone with an adjoining kitchen that is well-equipped with ample storage & quality appliances. Framed by expansive windows offering views of the botanical backdrop plus a private balcony to soak up the peace & quiet, the charming residence also offers two freshly carpeted & painted bedrooms, both with built in robes & a stylish bathroom, both abundant in scope & style. Communal laundry facilities & an allocated carpark, near-new floors & heating & cooling means this home will appeal to the gamut of buyers: savvy investors, young couples wanting a start in the market & growing families who prioritise the central way of life.


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Thank you to everyone who supported our event yesterday and those who completed the whole creative trail around Kinghorn. It was cold and frosty and everyone wrapped up warm. We all had a fantastic day and so glad you all enjoyed yourselves too. Thanks also goes to Uke That who played 4 live sets at venues along the trail adding a little bit of extra magic to the event.
Pam Menzies, the winner of our prize draw, picked up her prize today.
Pam Menzies! Congratulations! You get a massive Christmas Stocking full of creative goodies all for yourself!
Louise Logan is one of our resident artists. An active member of the Kirkcaldy Art Club, she's not on Facebook, doesn't have a website, but is a huge part of Round The Horn. She's currently getting readyfor this year's event- Venue 9 on our creative trail. She will have a huge selection of ceramics and decorations on display and for sale.
Following last year's successful tour of Kinghorn, Uke That have been invited to play again at Round The Horn - and they've said yes! Tour times will be announced soon.
Are you ready for our close up?
Today is brought to you by the letter 'R', oh and the letter 'O' and 'U' and 'N'.... you get the picture... We've been getting up to our silly antics again and documenting the fun for a purpose. We took loads of silly snaps and our resident designer Ritchie Feenie put them all together for our publicity poster for this year. We love it.
Coming through your door soon.
Remember, remember, the 21st of November!
We've decided on a date and times - come and join us once again for a fantastic day out in Kinghorn. We are opening our studios, shops and galleries to the public for the fourth time running.
Please put the 21st November in your diaries!

industry_corpus2: Film & Entertainment


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Although, I would be happy with any of the 10 collections!!
Congrats! You will have so much fun with them!

industry_corpus2: Others


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1.Do you often attend weddings?
2.What wedding gifts are popular in China?
3.How do you think of the perfect age for marriage?
4.Why do Chinese people like to go to celebrations like wedding ceremony?
5.What the difference between a fancy wedding ceremony and an ordinary one?
6.Do women prefer to be single or be married?
7.Why do women want to get married?
1.No, actually I’ve only been to one wedding in my life, and I was very young so I can’t remember it very well. It’s for my Uncle Nicholas and Auntie Nina, who were finally tying the knot after dating for nine whole years. I remember having to get dressed into some very formal and uncomfortable clothes. They itched a lot and I felt very trussed-up. I also had to kiss all the bridesmaids which was horrible for a young boy as I was then. Afterwards there was a big party called a ‘reception’ where everyone ate a nice meal, gave speeches and drank a lot of wine.
2.Well,to tell you the truth, Chinese people are usually not be expected to give gifts at weddings, but rather a red pocket, which is a lucky red envelope filled with money. The amount of money in the red pocket is generally no less than 500 yuan. If you give less than that, it is considered extremely rude, as it gives the impression that you don't really care about the couple and are just coming to the wedding for the free food.


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Home» AP LATEST UPDATES » AP Preran 4 days Training from 20/02/2018 to 23/02/2018 in residential mode Instructions as per Rc.No. 2560.
AP Preran 4 days Training from 20/02/2018 to 23/02/2018 in residential mode Instructions as per Rc.No. 2560.
AP Preran Announcemen of list of students for 4 days Training from 20.02.2018 to 23.02.2018 in residential mode certain instructions Guidelines issued as per Rc.No. 2560/D1/2017, Dated: 15.03. 2018.
In view of achieving higher GPA to many students in the District, “Prerana” is launched and in continuation to COMQAP weekly tests, “Daily descriptive tests” are being conducted from 03.01.2018. Successively Screening test is conducted for the 10% of highly achieving SSC students from every school in the district on 12.02.2018. 283 students are selected on their performance in the Screening Test. 4 day “Prarana” Program will be organised at Govt Ashram High School, Golagamudi, Venkatachalam Mandal from 20.02.2018 to 23.02.2018 in residential mode.
List of students is annexed with this proceedings. Training will be in residential mode and classes will be conducted from 7.00 am to 7.30 pm (with intervals) by experience subject experts.
A guide teacher must admit the selected students to the training centre by 9.00 am on 20.02.2018 and receive the student after the training by 3.30 pm on 23.02.2018. (Teachers will not be given any accommodation) Student must attend the training with their respective subject text books, note books and instrument box for classes.


text: Family Friendly Session $6 Admission and $3 Skate Rental. We will be playing LISTEN & WIN giving you a chance to win a (large) Prize pack every Friday! We Welcome Waller School for their FUNdraising event! Contact us for information on how you can set up a Family event and/or earn for your school!


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When it comes to disposing of kitchen food waste, nothing beats good, old-fashioned composting. But if you haven’t made the leap yet, there may be another way to prevent your food scraps from ending up in landfills—where it pollutes the environment with methane gas, a more powerful greenhouse gas than carbon dioxide. In fact, you may already be using it. It’s your garbage disposal, or "food waste disposer," as the industry is calling them these days.
If, and this is a big if, the plant where your wastewater is treated converts waste into biogas, then your banana peels and potato skins will be used to create renewable energy and fertilizer products. If not, the solids are typically hauled away to a landfill or burned.
Here’s how it works: Your garbage disposal churns food scraps into a liquid slurry that moves through the sewer system to the treatment plant. There, it's broken down by bacteria through a process called anaerobic digestion, which produces biogas and biosolids. The biogas is captured to power the plant itself and sometimes even sold to the grid or used to fuel other things, like electric cars. The biosolids can be converted into fertilizer.
This technology isn’t new; Assyrians used it to heat their baths in the 10th century B.C., and 43 percent of the wastewater treatment plants in the United States are currently using anaerobic digestion in some way, according to biogasdata.org. Only 104 of those plants, however, use it to generate energy, which means the potential to grow this source of renewable energy is significant.
The report goes on to lay out the barriers to energy production, which include not enough return on investment, lack of capital, lack of interest from communities and utilities, difficulties with regulations and permits.
InSinkErator, a company that makes kitchen garbage disposals, has taken notice of the movement to reduce and deal with the overwhelming amount of food waste we produce in the U.S. and recently started marketing the green qualities of its products. Last year the company partnered with the city of Philadelphia to launch Clean Kitchen, Green Community, an initiative that installed disposals in 200 homes, provided incentive for other residents to buy them and provided education on how and why to use them.
While it seems that we have a ways to go until all our wastewater and pulverized food scraps are used to their full potential, the technology is there to make it happen. Take a few minutes to find out how your local wastewater treatment plant operates (here’s a partial list of plants using anaerobic digestion). If it’s making renewable energy, you can feel better about sending your scraps down the drain. If not, ask them why they aren’t. Sustainable America has a goal of cutting food waste in half by 2035, and this is one solution that will help make it happen.
This month, we're challenging the GOOD community to host a dinner party and cook a meal that contains fewer ingredients than the number of people on the guest list. Throughout March, we'll share ideas and resources for being more conscious about our food and food systems. Join the conversation at good.is/food and on Twitter at #chewonit.

industry_corpus2: Agriculture & Fisheries


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Medium 5-7 year old Japanese Juniper Bonsai Gift Kit with Gift Wrap, Humidity Tray with Pebbles, Clippers, Fertilizer, and Figurine.
Medium 5-7 year old Japanese Juniper Bonsai Gift Kit with Gift Wrap, Humidity Tray with Pebbles, Clippers, Fertilizer, and Figurine. Planted in an 8″ ceramic container. Bonsai Tree averages 10-12 inches tall with 12-14 inch spread.
Gift Kit includes Gift Wrap, Humidity Tray with Pebbles, Clippers, Fertilizer, and Figurine.


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My sewing room was not the brightest and happiest place on earth this week. At least not when it came to the Farmer's Wife blocks.
"I want to know why everything I sew I have to unsew. It seems that it's really tough this week. Maybe I should just go back to bed with the covers over my head."
She sent a picture of what she was working on, and I sent back a sympathetic email, and went on with my week. I started working on a project I was really enjoying, but knew I needed to do the blocks for Farmer's Wife Friday. Feeling glad that there were only two blocks this week rather than four, I never learn my lesson and start earlier in the week waited until Thursday night. What a mistake.
#37, Flower Pot. This had some wonky pieces, but didn't really go as poorly as anticipated. I pressed it into submission carefully did some pressing, and in the scheme of the whole quilt, it will be good enough.
#43, Garden Path. At first glance, my thought was that there were a lot of pieces, but cutting would be the most time-consuming aspect. Other than that, the actual piecing should be fairly straight forward. Major error in judgment. Lots of little pieces. Y-seams that weren't really obvious in the "exploded" diagram. There is just no energy to start over, or try to fix this block. So there you have it. I went to the Yahoo group to find the paper piecing template. I'll give that a shot. Next week. We'll see what the farmer's wife from Grady County, Oklahoma, has to say, along with the farmer's wife from Canadian County, Oklahoma. I figure they won't mind sharing since they are both from the same state.
In the meantime, I'm not going to give it another thought. Because I'm on my way to a quilt show, Road2California. I have always wanted to attend but it just never worked out. I'll take lots of pictures.
There are days when I say to myself, how did I get into this hobby. I take a deep breath and start all over again.
So, you are actually human after all! What a relief! :-) I have those days, too. Like ga447, I have those days where I wonder if this is the hobby for me, because I sure can't seem to make things work out and I get really frustrated. Paper piecing sounds like a good idea on that last one! Have fun at Road2California! I can't wait to hear about it.
Those are the days when I put down the quilting and look for something else to do....like folding laundry. Some days are not meant to be sew days.
That is a challenging block.
Have a great time at Road.
Both blocks looks quite challenging. But they turned out fabulously! I feel like once they're done, the nuisances and mistakes tend to fade away. Just imagine how great these will look mixed in with the rest of your blocks. When I have those moments where nothing is going together correctly, I completely step away from my sewing room for a couple days.
Have fun at the quilt show!
Y seams - they can go on my 1013 list!!
Leave those wives in the dust and have fun this weekend!
And BTW, I still think both blocks look great.
Your colour choices!! :-D Love them.
Y seams hate me and honestly, I'm not really fond of them either!
I never wonder if quilting is for me, because I know it is BUT not all aspects are fun. And some I avoid! :) You did a great job and maybe you'll feel differently about it later.
You poor dear. I'm sorry for you to have had a rough go with these blocks, especially Garden Path. Still, they're pretty. Enjoy yourself at Road2California. Yes, take pictures, but do take care that it's permissible to post them to your blog. Our annual Des Moines, Iowa, AQS show doesn't allow that.
Set them aside on your "done" pile and move on. In the end they'll look beautiful in the finished quilt.
I love that your doing all solids, that just rocks my socks!


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L: 38.5" x W: 39" x H: 44"
Stylus Power Recliner Upgrade the way you lounge with the chic Stylus power recliner. Find your perfect position—infinite settings allow fingertip adjustment. Built-in cup holders light up and each armrest lifts to reveal storage. Leather-look upholstery is complemented with attractive topstitching and curvy track arms. With all these features, the Stylus power reclining loveseat takes relaxation to a new level.
Upgrade the way you lounge with the chic Stylus power recliner. Find your perfect position—infinite settings allow fingertip adjustment. Built-in cup holders light up and each armrest lifts to reveal storage. Leather-look upholstery is complemented with attractive topstitching and curvy track arms. With all these features, the Stylus power reclining loveseat takes relaxation to a new level.
We love this chair. Beyond comfortable. Moves very smoothly. Not bulky, goes with any decor. Soft leather.
Easy to set up. Worth the price.
I love my chair! It is another great purchase. I will probably buy another one for my husband and maybe also the couch that goes with it. Great quality!
Love it!!! But the only thing that scares me that it seems a little fragile at times especially when its reclined.but I'm assuming it's because me and some of my family are overweight.
This is better than going to the movie theater with the new recliners.
The buttons on the cup holder (right hand) make it easier to you not as likely to move while your in the chair moving around during the movie.
The lighted blue effect for the cup holders (both) is great for seeing when to put your cup and what not during the movie really well.
The nice almost full recline is a lot more than at a theater and the best is this has a headrest controls so you can adjust to your preference.
Only con I have is the button lights have no setting for brightness so you want to make sure you are reclined if you are watching a movie in the dark to cover the lights if you don't have a cup in the holder.
Both armrest open to have space to store a great many things. controllers for games, remotes, games, books mag etc I keep my 3d glasses for my 3d tv in one arm.
Chair is so comfortable and very high quality. Great features. We bought 2 and pushed them together.
Very comfortable for a 6ft tall person!!
I just love it! I was suffering from neck pain and strain. Since the purchase of this product, I have been feeling better every day. Touch buttons are wonderful and easy! It is also placed in a great location to make the adjustments. I do with it has a usb port to charge phone etc! Great product!
This recliner is great! You can adjust any part of the chair to how you would like to sit including the head rest.
My wife bought this for me as a Christmas present and it’s great. It’s super comfortable but not a real wide huge piece of furniture. Very happy with her choice.
I bought this as part of a set. (recliner, love seat, sofa.). Couldn't be more happy. Have a few back issues and they actually help with the pain.
To date this chair has met our expectations, very comfortable, the motorized tilt makes the chair super easy to adjust, no pulling handles and pushing with your legs and arms.......just sit back and enjoy the eas of adjusting to your comfort! also the saleman was great he knew the product and made us feel welcome.
Beautiful piece of furniture and so functional. We love it and the other pieces we bought. Purchased from Jessie. She was incredible and the furniture is awesome!!!
The only regret I have with this recliner is that I didn't find it sooner??.
Super comfortable in multiple positions and love the cup holders & storage compartments.
I got this chair for my dad. He loves it!!! Its comfortable, modern and he loves taking naps in it.
Bought two after suing a while found headrest uncomfortable. Has an adjustment but cannot move it back any further than at lowest setting. Always messes hair, even when sitting straight up.
How durable is it, I'm 6'8, a large person, will it be able to support me?
BEST ANSWER: This recliner can support up to 350lbs. and is made with high quality materials and joinery methods, (corner braces etc.) to ensure durability and strength.
Does it lift to a standing position?
BEST ANSWER: No, the only standing position recliners are the BEST Roland, RF73 Laverne, RF73 Nesbit, BN09 Myles, JAFU Martelle, and RF73 Holden.
BEST ANSWER: The Stylus is made in China.

industry_corpus2: Manufacturing


text: List of upcoming international conferences in Croatia Hrvatska 2019 and 2020. Here you can find the upcoming conference date, conference name and venue. The list of following conferences are including the following topics like business related conferences, engineering conferences, education, social sciences, law, life sciences, mathematics, medicine, regional studies, and interdisciplinary conferences. If you need more details then send mail to us with your requirements. For letter of invitation, to participate at international conferences Croatia Hrvatska 2019, 2020, please mail with your name, e-mail address, and contact number to us.


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Learning a new programming language take time and effort. It is difficult at times, and sometimes painful. But there is hope at the end of the tunnel of programmers despair.
One of the newsgroups that I frequent, a fellow programmer was expressing the difficulty he is facing in learning a new programming language. That reminded me about the difficulties I faced in the past, and even now with regards to the same subject. It is easy to give up. To become discouraged. It, at times, seems all hopeless, and that nothing will ever stick into this thick skull of mine.
Like everything in life, time, practice and research (learning, education). Watching my 22 month daughter learn new things is amazing. How long it seemed before she could learn to walk. She tumbled and fell and hurt herself many times. But that is now all forgotten, and the hard work has paid off, because guess what, she walks and even runs, or at least some derivative or a fast waddle, now. Now it seems like an eternity before she starts to talk, but she is getting there, with a few sounds and words. But guess what, there is going to come a day, when her parents would seemingly which she would stop talking. Programming is exactly the same. We must adapt to new ideas and new methods. For some that is difficult and painful, for others its a breeze. But once you have mastered the skills, and taken the time and discipline to complete the task, the results are fantastic. You look back and say to yourself that it was all worth it, and the journey was not that difficult. The strange thing is that the more you learn the easier it is to learn.
My encouragement to those of us who are embarking on the new journey of learning a new programming language, is stick to it. Persevere. It will eventually come right. I have started out on many new courses, currently I am building an Internet business. I am learning new things about the Internet, like Search Engine Optimization or SEO. I am trying to figure out what is the best look and layout for my homepage. But with trial and error, and time, I believe it will come right.
Don’t give up. Are you struggling? How has you learning curve progressed? Let me, and others know about your struggles and how you were able to overcome them. Share some tips and tricks that you have discovered. Encourage those of us who feel that we are at the bottom of the programmers pit. Leave a comment.

industry_corpus2: Programming


text: Silicon Coatable film Slitter Rewinder Machine comes with High strength & durability, optical clarity and good thermal dimensional stability. We manufacture high quality Slitter Rewinder for Silicon coatable film. Under this array and features, we offer different types of Slitting Machine, Roll To Roll Slitting Machine, Slitter Rewinder and many more. To ensure these rewinding machines are able to live up to the expectations of our patrons, we provide the array as per their detailed specifications. Further, we make use of high grade raw, material, sourced from reliable vendors of the industry in the manufacturing process of rewinding machines.


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Our unbreakable white female mannequin stands 5.8 feet tall in a straight on pose with her left leg out. She is made of unbreakable PP plastic and includes a metal base.
Measurement: 33.1" x 24.0" x 33.9"


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I grew up in North Carolina and unfortunately hurricanes are a fact of life. With the passing years each storm seems more devastating than the last. When a hurricane hits, it is a tragedy and the media focuses on it for a couple of days but then a new story pops up and they are gone. What’s left are shattered lives, dreams and hopes.
Folks rebuild, replace, star over, but forever a piece of them is gone. All that they have worked for their entire lives washed or blown away like the flood waters and winds that took it. The massive amount of strength required to get through something like this is amazing. The tears and heartbreak is real. The feeling of helplessness is real. The guilt that you could have done something different is real. The truth is that no one can be totally prepared for a natural disaster. We try ….sometimes we fail. How do you prepare for apocalyptic circumstances that are totally unknown?
Florence stalled for 3 long grueling days and beat us with rain measured in feet not inches. Never in history has a hurricane stalled. So how would you see that coming when it has never happened? Even with the sophisticated equipment, modern technology and hundreds of years of experience with weather forecasting they didn’t know that this was going to happen!
Hopefully, this film will let everyone see how severe the circumstances can become. How quickly life can change and how little control we have over the outcome. So where do we go from here? Rebuilding takes time, money and hope. Hope for the future that it won’t ever be this bad again. We must educate our communities to better prepare them for the future. We must interact with emergency management preparedness to improve their plans. We must always remember that these are victims and made the best choices that they could make at the time. Modern technology tells us that yes these storms are becoming more severe, so better education, preparedness and planning will be a way of life.


text: Museum quality reproduction of "Gabriel from the Annunciation". Wholesale oil painting reproductions of Filippino Lippi. We also create oil paintings from your photos or print that you like. Turn your photos into beautiful portrait paintings. Most orders will be delivered in 1-3 weeks depending on the complexity of the painting.


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This room features a private bathroom with bath or shower and toilet. There is also a TV and free Wi-Fi access.
This room features a private bathroom with bath and toilet. There is also a TV and free Wi-Fi access.
This quadruple room features a tile/marble floor, satellite TV and private entrance.

industry_corpus2: Hospitality & Catering


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Dispill Packaging Freeport Medical Supply Inc.
Recent studies show that 50% of people do not take their medication properly and 10% of hospitalizations are caused by this.
DISPILL, therefore, becomes an important partner to the health care system. It enables better use of prescribed medication and at the same time reduces the costs of treatment and hospitalization.
The DISPILL blister packs are prepared and cold-sealed by the pharmacist, then given directly to the patients safely sealed, with no other risky handling. Nursing homes no longer have to worry about the responsibility of preparing medication.
The DISPILL blister pack contains a full week’s medication divided into 28 blisters corresponding to four doses per day. The patient’s complete pharmaceutical profile is printed on the label.
Since they are not reusable, the blisters are always clean.
All of the blisters are detachable, transparent, and identified with the patient’s name, file number, prescription, and date and time to take the pills. DISPILL enables patients to conveniently bring their pills with them wherever they go so they can take them at the right time.

industry_corpus2: Health & Medicine


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I know there are many articles, blog posts, and general opinions along the lines of “technology is taking over our lives”. I always chimed in with general agreeance, but never thought much about it. Until I went to the gym yesterday. For me, going to the gym is a nice break from the work I have to do, from my laptop and my phone. It is a time to just listen to my music and workout for an hour or two. However, it seems I am a minority when it comes to this. All around me people were checking Facebook on their phone while running on the treadmill, texting friends while working out on the rowing machine, quickly checking Twitter in between workouts. Is this really necessary? Have we become so obsessed with the online world that we cannot leave it be for a few hours? It seems that for most people this is the case.
While I love my phone and everything I can do with it, I don’t get withdrawal symptoms when I can’t access it for two hours. Actually, I treasure this time. I like being unavailable for a bit, to just have some time to myself. I know that in two hours time, my phone will still be there, and that most likely, I will not have missed numerous life changing things happening on social media. The same goes for social interaction. I feel like people forget that the most normal, and in my mind valuable, social interaction is face to face. Sure, it is nice to be able to online message your friends, but is it really as nice as talking to them in person? Not in the slightest.
Some of my favourite vacations are those where I will be without Internet for a bit of time. Last summer my family and I went to Iceland for three weeks. For the majority of our time there we were staying in cottages situated in very remote areas. This meant there was no Wi-Fi, no cell phone reception, no television. To some, this sounds horrible. To me, it sounds like paradise. I got to spend three weeks in nature, and with my cell phone and laptop pretty much useless without Internet and reception, I truly felt at peace. There were no distractions. No distractions from Iceland’s beauty, no distractions from one another. Another upside, you really appreciate technology once you can use it again.
Because as much as I like taking a break from it, I do really enjoy it as well. Just as much as others I love to cruise through social media, to communicate with my friends online, to Skype family members. All I’m saying is that taking a break every now and then will only do you some good. So my advice; unplug for some time each day.

industry_corpus2: Technology & Research


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A charity banner for the British Heart Foundation where tapping the ad opens up a text message. The text message has a predefined number and message to make it easier for a user to send and donate.
Note: in this demo a dummy number and message has been used.

industry_corpus2: Computing & Telecommunications


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State officials urge Hoosiers to take the necessary precautions this week and prepare for wind chills that could reach as low as -40 degrees in some parts of Indiana.
The arctic blast expected overnight Tuesday into Wednesday could be the coldest system to move through Indiana in years. Such frigid temperatures can present a variety of challenges and dangers to residents, although many are preventable by Hoosiers taking extra steps both inside and outside of their home.
Local emergency crews are preparing for the weather event, and IDHS stands ready to assist if local resources are overwhelmed. The State Emergency Operations Center will continually communicate with Indiana counties to assist with resources and activate the EOC if necessary. Follow the local news media to learn of any school or activity cancellations.
Indiana 211 is tracking warming centers as counties across the state prepare for the polar vortex. Citizens looking for warming centers can call 2-1-1 or visit the website. Citizens and local officials are asked to notify Indiana 211 of warming centers available in their area.
The Indiana Department of Homeland Security and the Indiana State Department of Health provide the following information to help residents protect themselves and their property.
More information and safety tips are available at GetPrepared.in.gov.
Dress in layers: “Extreme cold and wind chill can cause serious damage or even death in a matter of minutes,” said State Health Commissioner Dr. Kris Box, FACOG. “Hoosiers can protect themselves by staying indoors, dressing appropriately if they do have to go out and knowing the signs of frostbite and hypothermia so that they can get treatment quickly if they do occur.”Frostbite is a bodily injury caused by freezing that results in loss of feeling and color in affected areas. Damage can be permanent, and severe cases can lead to amputation. The nose, ears, cheeks, chin, fingers or toes are especially vulnerable. People who have poor blood circulation or are not properly dressed for extreme cold are at greatest risk for frostbite. Hypothermia occurs when the body temperature falls below 95 degrees.
Pay attention to your body: “Winter weather activities also places particular stress on your heart, particularly when doing strenuous activities like shoveling your snow or outside in the cold,” said Dr. Michael Kaufmann, State EMS Medical Director. View more tips from Dr. Kaufmann.
Pack a winter car kit: If you have to leave, be sure your vehicle is equipped with a winter car kit that could save your life if stranded along the road. Blankets and extra clothing are essential, but other important items to remember are jumper cables, phone chargers, first aid kit, ice scraper and a flashlight.
Check road conditions before you leave: IDHS hosts a County Travel Advisory Map. Each county reports its current travel conditions, and the county EMA works with local government officials to update changes to travel status when appropriate.
Use caution with alternative heating sources: Indiana State Fire Marshal Jim Greeson urges residents to use extreme caution when using alternative heating sources, a major cause of residence fires. Watch a video of Greeson for more tips.
Appliances such as ovens should never be used for heating because it can lead carbon monoxide poisoning.
Any alternative heating sources should be at least 3 feet from flammable objects and must be turned off before going to bed or leaving the home.
Gas fireplaces should have proper ventilation, with a working carbon monoxide detector nearby.
Protect your pipes from freezing: When possible, insulate water pipes on the outside walls of your home, open cabinet doors, maintain a slow drip through faucets and disconnect exterior water hoses.


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With the summer season being just around the corner, of course the thought of outdoor weddings comes to mind! Warm summer breezes, the scent of fresh flowers and, depending on the time of day, couples saying “I do” as the bright sun sets in their midst.
If you’re currently in the process of planning a summer wedding and you’ve been on the fence about whether to have a backyard wedding or not, we’re hoping that this five-minute read (give or take a couple of minutes) will give you just the nudge that you need to give it some serious thought and consideration. Not only are backyard weddings beautiful but, done right, they can also save you and yours pockets-full of cash.
Are you ready to check out just why we say so?
It’s a reality that most of us want to avoid. At the same time, it’s totally inescapable. The more people who are on your guestlist, the more expensive your wedding will be. So many are catching onto this fact that smaller weddings are actually a huge trend this year. If there are a ton of folks you want to be a part of your nuptials but money is tight, something you might want to consider is having a ceremony of under 75 people and then hosting a party later on in the year. That way, you can have the wedding of your dreams without going broke in the process.
Nix the Tent. Go for Landscaping.
As far as décor goes, get super creative! Borrow a couple of couches from friends for guests to lounge on. Go to a local thrift store or pottery barn for birdcages and toasting glasses. A crafts store has all of the ribbon and tulle you can think of. There is probably a church or non-profit that would be willing to give you some chairs for a really great price. A part of the joy in planning a wedding on a budget is thinking outside of the box on all of the ways that you can trim down the costs.
You could hire a DJ for your reception. Or you could pay $10 for something like a Spotify subscription. Then get your little brother or cousin (they’re going to know better than most techies anyway) to connect your laptop to a set of speakers and you’ll have some pretty cool music playlists going all night long…for cheap!
Open bars are PRICEY. Avoid the pressure of having one by coming up with a couple of signature drinks instead—one for the bride and one for the groom. It’s sweet, it’s sentimental and, as long as there’s an abundance of both, along with some southern sweet tea and infused water, your guests will be just fine.
If you’ve always dreamed of having a wedding cake, we certainly don’t want to rob you of that experience. All we’re saying is don’t do it just for tradition’s sake. These days, more and more couples are ditching the costs of expensive wedding cakes (and the cost of ‘em) altogether and going with donut or cupcake tiers instead. They’re cute, they’re cheap and they’re a lot of fun (especially if there’s a candy or dessert bar to complement them)!
DIY tricks are lifesavers! You can DIY your bridal bouquet. DIY lanterns for your outdoor wedding reception. DIY centerpieces. Shoot, you can even DIY a dance floor. Set aside a budget, do some online research, ask some of your wedding party to pitch in and voila! You’ll have all that you need at a fraction of the cost with none of your guests ever catching on that you did it yourself.
Just the tips that you need to throw the most memorable and beautiful backyard wedding this year!


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Allow bookmarks to be saved without tags. If you don't enter any tag the bookmark is automatically given a system:unfiled tag.
Search engine now also searches the tags (yes, it has only searched names/titles and descriptions until now, I apologize...).
Re-added the "copy bookmark" link, which unfortunately was lost in the previous release.
Rearranged the small windows (I call 'em "portlets") a bit to remove information that was not actually contributing to the page.
When searching for bookmarks a list of the most common tags for the bookmarks found (displayed) is now shown on the right.
Improved the visual appearance of the tag cloud.
Added a tag table that lists all your tags in alphabetic order (there will be an option to sort by frequency as well soon).
Added a one line of descriptive text on top of each page, which describes what you are actually seeing on pages like "new", "popular" etc.
Moved the blue admin form that is shown when in Edit mode to the top of the page instead of at the bottom. If you have many bookmarks you had to scroll all the way down to find it.
And to everyone who gives me feedback - I really appreciate it!
Hi! Happy new year 2U2 Henrik!
As I use Netvouz I'm more and more impressed by all the solid features. The most strong point about it is the import with duplicate filter. This means you can regularly sync you bookmarks!
Doesn't this give all it's meaning to 'having your bookmarks online' ?
I've used it and it works quickly and faultlessly.
I'm happy to hear you share my enthusiasm over Netvouz (and yes, I will rewrite the documentation and highlight the nice features, some day).
FYI - I'm currently testing the link validator, which have been off duty for quite some time now. I'm hoping to start it up again in a few days. Then you will also get a message every now and then if you have broken links. Quite handy.
Net is of course the Internet. vouz is a rewrite of the last part of the French word "rendez-vous", which means "a place where people meet".
I pronounce Netvouz as "Netvoo", so the last z is silent.


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Wader Quest: Summary of first UK leg of Wader Quest.
Summary of first UK leg of Wader Quest.
We only had a couple of days after the start of WQ before we headed for Thailand, so we decided to make the most of them by visiting two of our favourite places, Titchwell RSPB reserve on a murky day in Norfolk, always good for waders and the next day Slimbridge WWT on a sunny day in Gloucestershire where of course the spoonies are being so tenderly cared for.
The beach at Titchwell with many species of wader together.
After the two days we had a WQ list of 18, on it were two Nearctic waders, the White-rumped Sandpiper that we saw at Cley NNT in Norfolk and the Long-billed Dowitcher that we saw at Slimbridge.
Distant Long-billed Dowitcher at Slimbridge.

industry_corpus2: Sports


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Sep. 1, 2014 11:00 a.m.
The Victoria Mendelssohn Choir needs a few more experienced singers, particularly tenors and basses.
The choir focuses on the classical and romantic periods of symphonic style choral music, and strives to achieve a high standard of discipline and technical excellence.
To arrange for an audition, please call Clara at 250-380-0496 or by email cchay@live.ca to arrange for an audition. Closing date for auditions is Sept. 30.
The choir is directed by maestro Simon Leung.


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Qyresearchreports include new market research report "Global Bunker Fuel Consumption 2016 Market Research Report" to its huge collection of research reports.
This market intelligence report gives an exact and accurate overview of the global Bunker Fuel market. While collating this report, the market has been analyzed from the economic, political, technological, social, and legal point of view. The research report profiles the key players and provides an unbiased picture of the competitive landscape of the Bunker Fuel market. It includes SWOT analysis and Porter’s five force analysis to highlight the vital factors impacting the trajectory of each of these players. Furthermore, it also details the investment outlook, business and marketing strategies, latest development, product portfolio, and financial overview of these companies.
The research report serves as a resource, which provides financial and technical details pertaining to the Bunker Fuel industry. It elaborates the market through definitions, classifications, applications, and chain structure. It states the current scenario of the global Bunker Fuel market in key regions and analyzes crucial policies and news pertaining to the industry. It methodically examines the manufacturing process by studying three points: material and labor cost, raw material and equipment suppliers, actual process.
The report presents a comprehensive evaluation of the dynamics including drivers, restraints, and opportunities impacting the growth of the global Bunker Fuel market. A detailed evaluation of the various segments of the market has been provided in this market intelligence report. In-depth analysis and information regarding the key segments of the market and their growth prospects are mentioned in this research report. It also discusses new opportunities these key segments present to market players and provides insights into volume shares and revenue forecasts along with other market estimates. For a coherent understanding, pictorial and graphical representations of these segments are also included in this report.


text: Work has become an obsession for Detective Tom Adkins since the disappearance of his ten-year-old son, Tommy Jr. When an early morning phone call leads him to the mangled remains of a young boy who was brutally murdered 50 years ago, Adkins takes on the case in hopes of finding absolution. His investigation leads him to a man who lived in 1958 named Matthew Wakefield and his innocent son, John. The striking similarities in the cases pushes Adkins' obsession over the top. Barely holding onto his sanity and bound by redemption, Adkins unravels the unspeakable truth behind what happened to his son.

industry_corpus2: Literature & Emotions


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Each month in the Sound Consumer we publish a list of upcoming community and store events.
With the help of our amazing volunteers, we’re able to package our purchased bulk food into family-sized portions ready for distribution at each partner food bank.
Let our staff pour you a tall, frosty glass of knowledge. Our informal tastings are a great way to sip at your own pace, ask questions of our staff and discover new wines before you buy them.


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936 records – page 1 of 94.
U.S. Public Health Service, Anchorage, AK. Publication 999-AH-2. 281 pp.
Alaska Medical Library - From: Fortuine, Robert et al. 1993. The Health of the Inuit of North America: A Bibliography from the Earliest Times through 1990. University of Alaska Anchorage. Citation number 1145.
Cited in: Fortuine, Robert. 1968. The Health of the Eskimos: a bibliography 1857-1967. Dartmouth College Libraries. Citation number 234.
Early detection of primary hepatocellular carcinoma by serologic screening for alpha-fetoprotein: a case report.
From: Fortuine, Robert et al. 1993. The Health of the Inuit of North America: A Bibliography from the Earliest Times through 1990. University of Alaska Anchorage. Citation number 2202.
Pages 285-289 in G.E. Lewis and P.S. Angel, eds. Biomedical aspects of botulism. Academic Press.
From: Fortuine, Robert et al. 1993. The Health of the Inuit of North America: A Bibliography from the Earliest Times through 1990. University of Alaska Anchorage. Citation number 1844.
Circumpolar people -- health and physiological adaptations.
Pages 497-508 in P.T. Baker and J.S. Weiner, eds. The biology of human adaptability. Clarendon Press, Oxford.
From: Fortuine, Robert et al. 1993. The Health of the Inuit of North America: A Bibliography from the Earliest Times through 1990. University of Alaska Anchorage. Citation number 60. ARLIS, General Collection GN221.B168. UAF - Rasmuson Library GN247.S9 1964. Pages 497-508 in P.T. Baker and J.S. Weiner, eds. The biology of human adaptability. Clarendon Press, Oxford.
Eskimo acculturation: a selected annotated bibliography of Alaskan and other Eskimo acculturation studies.
Institute of Social, Economic and Government Research, University of Alaska, College, AK. Alaska, University, Institute of Social, Economic and Government Research. Report 28. 209 pp.
Alaska Medical Library - From: Fortuine, Robert et al. 1993. The Health of the Inuit of North America: A Bibliography from the Earliest Times through 1990. University of Alaska Anchorage. Citation number 776.
From village to town: an intermediate step in the acculturation of Alaska Eskimos. Edited by R.G. Woods and A.M. Harkins.
Training Center for Community Programs, University of Minnesota, Minneapolis. 66 pp.
Alaska Medical Library - From: Fortuine, Robert et al. 1993. The Health of the Inuit of North America: A Bibliography from the Earliest Times through 1990. University of Alaska Anchorage. Citation number 928.


text: All intellectual property rights to the games including Scrabble dictionary, Boggle, Words with Friends, crossword solver, hangman are owned by their respective owners: Hasbro, Zynga, J.W. Spear & Mattel, etc. Mr. Anagrammer is not affiliated with any of the above companies. As a huge fan of words games, I built these cheat tools and word resources for educational purposes and as a supplement for word gamers around the world. Please use Words Crush Variety Sports responsibly and in a positive way to expand your vocabulary and improve your word game skills.

industry_corpus2: Gaming


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Game Text: Twilight. While you can spot 2 burdens or 2 wounds on the Ring-bearer, Ulaire Nelya is fierce and damage +1.
This card is a promotional reprint of another card, Ulaire Nelya, Ringwraith in Twilight, from the Mines of Moria set.
This page has been moved, the new location is Ulaire Nelya, Ringwraith in Twilight (P) (0P43).