Paul Ryan Says Health Care Bill On Track, Despite Increasing GOP Opposition
The Republican Party's most passionate pitch man for its health care bill was at it again Wednesday morning with the same message: Everything is going according to plan.
"This is the plan we ran on all of last year. This is the plan that we've been working — House, Senate, White House — together on," House Speaker Paul Ryan told FOX Business News. "Now as we get closer to finish, going through the committee process, you inevitably make those refinements and improvements as you go through that process. That's exactly where we are right now."
Right now, Republicans are fighting each other, while Democrats sit on the sidelines. They are as unified against President Trump and the American Health Care Act as Republicans were against President Obama and the Affordable Care Act.
The speaker is possessed by an unshaken confidence that this bill is better policy for the country, and that failure would be disastrous for the Republican Party politically.
"The worst thing we could do is not follow up on our word," he told conservative radio host Laura Ingraham. "We need to keep our word. And our word was: We would repeal and replace this law. It is within our own power as Republicans to do as much of repeal and replace as possible. It is our obligation to do that."
Even against a backdrop this week that includes hard-line conservatives and activists groups rallying against the bill, increasing opposition to the bill from Senate Republicans, and tepid public support from President Trump — who has tweeted more this week about Snoop Dogg than the Congressional Budget Office report — the speaker rejects any questions that suggest the health care bill is faltering in Congress.
"We are all on the same page. Absolutely," Ryan told Ingraham.
The speaker has a point. Much of the infighting around the health care bill is normal for a legislative battle of this size and impact. The fact that right now senators are skeptical, party activists are angry, and the health care industry is opposed are not, by themselves, unusual. There's still a long way to go before this fight is over. It's just unclear who will be declared the winner.
Vice President Mike Pence, one of Ryan's closest allies on health care, continues to work the halls of the U.S. Capitol, meeting with Republican factions and working to assuage concerns that the bill is not conservative enough.
One troubling sign for Republicans is just how uncoordinated, and sometimes conflicting, their messages are to their members and the public. When the CBO dropped a report that Republicans had already anticipated would forecast lower coverage rates and higher costs for some Americans, the reaction from the White House and key players in Congress was completely scattershot.
Health and Human Services Secretary Tom Price attacked the CBO (even though he helped pick its director, Keith Hall), the speaker embraced it, Senate Republicans used it to call for changing course, and President Trump himself has largely stayed quiet.
Now Republicans are under increasing pressure to change the bill, but it's unclear how they can find a path to passage in both the House and Senate. The bill is not subject to a filibuster, which should make it easier in the Senate, but it also means they can lose only two Republican senators and get it through the chamber.
House Republicans have effectively one more chance to change the bill before it comes to the floor for a vote. The House Rules Committee, effectively run by the speaker's office, sets the terms for floor debate. The committee can make changes to the bill via amendment before it comes to the floor. Members will have their own chance to offer amendments on the floor, but that process is largely for show as party leaders largely control which amendments get votes.
Some hard-line conservatives want to speed up the timeline to end the Medicaid expansion under the Affordable Care Act, but doing so would likely doom the bill in the Senate.
Across the Capitol, an increasing number of senators, including Sen. John Thune, R-S.D., a member of party leadership, want to change the bill to make refundable tax credits more generous for older, lower income Americans. But that could increase the cost of the legislation, and in turn, make it tougher to get through the House.
Back at the White House, President Trump's personal thoughts on all of this remain entirely unclear. White House spokesman Sean Spicer insists the president is all-in, as do Pence, Ryan and Price. Yet, The Washington Postreports that Trump's inner circle is increasingly skeptical that the health care bill as written is a good idea.
Influential conservative media outlets in the Trump administration, including Breitbart News and Newsmax, have come out in opposition to the legislation.
The president is travelling to Kentucky next Monday for a rally in Louisville where he will presumably make the case for the health care bill. Trump won the state by a large margin, but Kentucky has seen one of the highest drops in uninsured rates under the ACA. The state's junior senator, Rand Paul, is almost certain to vote against the health care bill if it comes up for a vote.
It's an odd choice to make the case for the GOP health care plan, or to try to pick up a vote.
Or maybe, as Ryan says, it's all according to plan.
Copyright 2021 NPR. To see more, visit https://www.npr.org.


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To characterize and compare ambulatory antibiotic prescribing for children in US pediatric and nonpediatric emergency departments (EDs).
A cross-sectional retrospective study of patients aged 0 to 17 years discharged from EDs in the United States was conducted by using the 2009–2014 National Hospital Ambulatory Medical Care Survey ED data. We estimated the proportion of ED visits resulting in antibiotic prescriptions, stratified by antibiotic spectrum, class, diagnosis, and ED type (“pediatric” defined as >75% of visits by patients aged 0–17 years, versus “nonpediatric”). Multivariable logistic regression was used to determine factors independently associated with first-line, guideline-concordant prescribing for acute otitis media, pharyngitis, and sinusitis.
In 2009–2014, of the 29 million mean annual ED visits by children, 14% (95% confidence interval [CI]: 10%–20%) occurred at pediatric EDs. Antibiotics overall were prescribed more frequently in nonpediatric than pediatric ED visits (24% vs 20%, P < .01). Antibiotic prescribing frequencies were stable over time. Of all antibiotics prescribed, 44% (95% CI: 42%–45%) were broad spectrum, and 32% (95% CI: 30%–34%, 2.1 million per year) were generally not indicated. Compared with pediatric EDs, nonpediatric EDs had a higher frequency of prescribing macrolides (18% vs 8%, P < .0001) and a lower frequency of first-line, guideline-concordant prescribing for the respiratory conditions studied (77% vs 87%, P < .001).
Children are prescribed almost 7 million antibiotic prescriptions in EDs annually, primarily in nonpediatric EDs. Pediatric antibiotic stewardship efforts should expand to nonpediatric EDs nationwide, particularly regarding avoidance of antibiotic prescribing for conditions for which antibiotics are not indicated, reducing macrolide prescriptions, and increasing first-line, guideline-concordant prescribing.
Children are often prescribed antibiotics in emergency departments (EDs). Previous work has examined antibiotic prescribing in EDs for particular diagnostic conditions, but a comprehensive national evaluation of all antibiotic prescribing for children in pediatric and nonpediatric EDs is lacking.
Children are prescribed >2 million antibiotics annually in nonpediatric EDs that are likely unnecessary. Compared with pediatric EDs, nonpediatric EDs prescribe more macrolides and fewer guideline-concordant antibiotics for common illnesses. Pediatric antibiotic stewardship efforts are needed in EDs nationwide.
Approximately 18% of US children visited an emergency department (ED) in 2012.1 Children in EDs often receive antibiotics, which are estimated to be prescribed in 15% to 20% of the >26 million annual pediatric visits to US EDs.2,–5 Respiratory conditions account for >70% of antibiotic prescriptions for children in the ambulatory setting.4 Previous work reveals that the majority of antibiotics prescribed to children in ambulatory settings are broad spectrum, and ∼30% are not in accordance with national guidelines.6,–9
The National Action Plan for Combating Antibiotic-Resistant Bacteria aims to reduce inappropriate antibiotic use by 50% in ambulatory settings, including EDs, by 2020.10,11 However, formal antibiotic stewardship efforts specific to ambulatory and ED settings are lacking nationally.12,13
Over 80% of pediatric visits to an ED occur in nonacademic EDs or general (ie, nonpediatric) EDs.2,14,15 Children with asthma, bronchitis, and croup receive higher quality of care and fewer unnecessary chest radiographs when treated at a pediatric ED compared with a nonpediatric ED.16 Previous work has revealed a lower frequency of antibiotic prescribing for children with febrile respiratory illness visits in pediatric EDs compared with nonpediatric EDs.17 However, an understanding of the overall landscape of antibiotic prescribing for children presenting to pediatric and nonpediatric EDs nationally is both lacking and necessary to guide efforts to improve antibiotic prescribing for children in EDs.
We aimed to provide a comprehensive characterization of antibiotic use for children in pediatric and nonpediatric EDs nationally by the type of agent prescribed, the diagnoses associated with antibiotic visits, and concordance with national guideline recommendations for first-line treatment of common respiratory infections.
Study Design and Data Source
We performed a cross-sectional retrospective study using the National Hospital Ambulatory Medical Care Survey (NHAMCS) ED public-use data files from 2009 to 2014 (the most recent available data at study onset).18 NHAMCS is conducted annually by the National Center for Health Statistics from a sample of nonfederal, hospital-based EDs, including representation from freestanding pediatric facilities.19 In the survey, researchers used a multistage probability sampling design in selecting participating hospitals and patient visits across the United States. Data for sampled visits are collected during a 4-week reporting period, weighted to produce national estimates, and classified by US census region.20 Participating centers had an unweighted ED survey response rate of 75.5% to 92.0% over the study period.
Survey variables used included demographics (age, sex, and race), insurance status (private versus nonprivate), provider type (physician versus advanced practice provider), US census region, ED metropolitan statistical area (MSA) status, discharge diagnosis, and medications administered, prescribed, or continued at ED visits. MSA is defined by the Office of Management and Budget as geographical regions with high population densities. Diagnoses were determined by International Classification of Diseases, Ninth Revision codes. Duration of therapy and route of medication administration were unavailable; medications available only in topical formulations were omitted. For consistency across all included survey years, the first 3 diagnosis fields and 8 medications were considered.
Study Participants and Setting
Visits for all patients aged 0 to 17 years discharged from the ED were included. Antibiotic visits were defined as ED visits in which systemic (oral or parenteral) antibiotics were mentioned as continued, administered, or prescribed. Civilian noninstitutionalized population data from the US Census Bureau21 were used to determine antibiotic visits per 1000 in the US population. We estimated each ED’s proportion of pediatric visits by calculating the weighted proportion of visits by children out of total ED visits. The ED type was then defined as pediatric if >75% of all visits to that ED were by patients aged 0 to 17 years, or nonpediatric otherwise, a definition used for classifying pediatric EDs previously.2,22,23 In a histogram of the proportion of weighted pediatric visits by ED (Supplemental Fig 3), it is indicated that most EDs defined as pediatric had >90% of visits by children; thus, our definition appears to accurately differentiate pediatric EDs from others.
Diagnoses for Antibiotic Visits
The NHAMCS data set does not link medications with diagnoses. On the basis of a previously published classification system informed by national guideline recommendations, we assigned the top 3 listed diagnoses to 1 of 3 tiers: diagnoses for which antibiotics were (1) almost always indicated (eg, bacterial pneumonia), (2) may be indicated (eg, pharyngitis), or (3) generally not indicated (eg, bronchiolitis or bronchitis).5 Each visit was assigned a single diagnosis, with priority given hierarchically to tier 1 diagnoses, then tier 2 diagnoses, then tier 3 diagnoses. If a visit had multiple diagnoses from a single tier, the first-listed diagnosis was assigned.
Because >70% of ambulatory pediatric antibiotic prescribing is for acute respiratory tract infection (ARTI), we evaluated prescribing for ARTIs.4 We defined ARTI to include pneumonia, acute otitis media (AOM), nonsuppurative otitis media, sinusitis, pharyngitis (including viral and streptococcal), nonspecific upper respiratory tract infection, bronchitis or bronchiolitis, and influenza.5
Classification of Antibiotic Spectrum and First-line, Guideline-Concordant Prescribing
Antibiotic types were classified by their generic components and therapeutic classes using the Multum Lexicon Drug Database. Antibiotics included the following: penicillins, cephalosporins, macrolides, quinolones, lincomycin derivatives, tetracyclines, sulfonamides, urinary anti-infectives (eg, nitrofurantoin), aminoglycosides, carbapenems, linezolid, and vancomycin. The general class of antibiotics (eg, penicillins) and subclasses (eg, first-generation cephalosporins) were determined using Multum Level 2 and Level 3 categories, respectively. The following antibiotics and antibiotic classes were considered narrow spectrum: penicillin, amoxicillin, first-generation cephalosporins, sulfonamides, and nitrofurantoin. All other antibiotics, including macrolides and combination β-lactam and β-lactamase inhibitors such as amoxicillin-clavulanate, were considered broad spectrum.
The diagnoses of AOM, pharyngitis, and sinusitis are common respiratory illnesses, and have evidence-based clinical practice guidelines in which specific and primarily narrow-spectrum antibiotic options are recommended as first-line therapy.24,–26 On the basis of national guidelines, we defined first-line, guideline-concordant antibiotic use as amoxicillin or amoxicillin-clavulanate for AOM and sinusitis and as penicillin or amoxicillin for pharyngitis. Amoxicillin-clavulanate was included as first line for AOM because of recommendations to use it as first line for selected patients, for example, for children with concurrent conjunctivitis.
We studied 3 main outcomes. First, using NHAMCS-provided patient visit weights, we estimated the proportion and mean annual number of ED visits resulting in an antibiotic prescription, called antibiotic visits. We stratified antibiotic visits by patient demographic characteristics, patient insurance type, provider type, US census region, ED MSA status, and ED type. Six years of survey data were combined to increase sample size for analyses stratified by age. Second, we compared the proportion of antibiotic visits and antibiotic classes for ARTI, urinary tract infection (UTI), skin and soft tissue infection (SSTI), and diagnostic tier by pediatric and nonpediatric EDs. All pediatric age groups were combined for the analysis of antibiotic use by diagnosis to increase the sample size and produce reliable estimates, as suggested in the NHAMCS use files.27 We assessed trends in proportion of antibiotic classes over time using logistic regression in 2-year increments (2009–2010, 2011–2012, and 2013–2014) as the predictor variable and percentage of antibiotics by class as the outcome. Finally, on the basis of previous work in ambulatory settings demonstrating factors associated with antibiotic prescribing,4,28,–30 we used multivariable logistic regression, adjusting for patient demographic characteristics, patient insurance type, provider type, US census region, ED type, and diagnoses, to determine factors independently associated with the outcome of first-line, guideline-concordant prescribing for AOM, pharyngitis, and sinusitis. Odds ratio estimates for first-line, guideline-concordant prescribing by MSA were also determined. Data on MSA were not publicly available in 2012; therefore, odds ratio estimates for MSA were determined using a separate model that adjusted for all other variables but excluded observations from 2012.
We performed statistical analyses using Stata 14 (Stata Corp, College Station, TX), accounting for the complex survey design, including patient visit weights, strata, and primary sampling unit design variables. Estimates were not calculated if they were based on <30 visits or if the relative SE was <0.3, as recommended by NHAMCS standards for reliability and precision.27 Antibiotic prescribing proportions were compared by using χ2 tests for heterogeneity. Ninety-five percent confidence intervals (CIs) were calculated for all estimates. Significance was considered at a 2-sided P value ≤.05. NHAMCS data sets used in this analysis are deidentified and publicly available and thus were determined nonhuman subjects by the human subjects advisor at the National Center for Emerging and Zoonotic Infectious Diseases.
Characteristics of Pediatric Visits to EDs
In 2009–2014, an average of 29 million (95% CI: 27–32 million) ED visits by children occurred annually, of which 23% (95% CI: 22%–24%) were antibiotic visits, accounting for an estimated 6.7 million (95% CI: 6.1–7.5 million) antibiotic visits annually (Table 1). Fourteen percent (95% CI: 10%–20%) of ED visits occurred in pediatric EDs. The percentage of ED visits resulting in an antibiotic prescription was significantly higher in nonpediatric EDs (24%; 95% CI: 23%–25%) compared with pediatric EDs (20%; 95% CI: 17%–22%, P < .01).
Diagnoses Associated With Antibiotic Visits
ARTIs accounted for the majority of diagnoses among antibiotic visits (55%; 95% CI: 54%–57%), followed by SSTI (9%; 95% CI: 8%–10%) and UTI (7%; 95% CI: 6%–8%). AOM and pharyngitis accounted for 45% (95% CI: 42%–47%) and 25% (95% CI: 23%–27%) of all ARTI antibiotic visits, respectively. Pediatric and nonpediatric EDs had similar proportions of antibiotic visits for ARTI, SSTI, and UTI (Table 2).
Of antibiotic visits for children in EDs nationally, 32% (95% CI: 30%–34%; 2.1 million per year) were for conditions for which antibiotics are generally not indicated. There were no significant differences in the proportion of visits in each diagnostic tier (antibiotics almost always, may be, or generally not indicated) for children in pediatric versus nonpediatric EDs (Table 2). However, nonpediatric EDs had significantly more antibiotic visits for diagnoses for which antibiotics are generally not indicated (33%; 95% CI: 31%–34%) compared with pediatric EDs (26%; 95% CI: 21%–31%, P = .02).
Antibiotic Classes Prescribed at ED Visits
Narrow-spectrum penicillins were the most commonly prescribed antibiotic class in visits to both pediatric and nonpediatric EDs, followed by cephalosporins, macrolides, sulfonamides, and lincomycin derivatives (clindamycin) (Fig 1). Fluoroquinolones comprised 2% (95% CI: 2%–3%), and tetracyclines, urinary anti-infectives, and aminoglycosides together comprised 3% (95% CI: 3%–3%) of antibiotic prescriptions in all EDs; prescribing estimates for these agents in pediatric EDs did not meet NHAMCS standards for reliability or precision because of sample size. There was no significant change over time in the percentage of any 1 antibiotic class of all antibiotics prescribed (Fig 2).
Macrolides were prescribed in 17% (95% CI: 16%–19%; 1.1 million) of all visits to EDs in which antibiotics were prescribed. Among antibiotic visits, the diagnoses most frequently associated with macrolides included AOM (17%; 95% CI: 14%–20%), nonviral pneumonia (14%; 95% CI: 12%–17%), pharyngitis or tonsillitis (12%; 95% CI: 10%–14%), bronchitis or bronchiolitis (11%; 95% CI: 9%–13%), and upper respiratory tract infection (10%; 95% CI: 8%–13%). Of all ED macrolides prescribing to children, 44% (95% CI: 41%–47%; 500 000 annually) were for diagnoses for which antibiotics are generally not indicated. Macrolides were prescribed at a significantly higher frequency in nonpediatric EDs (18%; 95% CI: 17%–20%) compared with pediatric EDs (8%; 95% CI: 6%–10%, P < .0001; Fig 1).
Broad-spectrum antibiotics were prescribed in 44% (95% CI: 42%–45%) of antibiotic visits by children in EDs nationally, with no difference between nonpediatric (44%; 95% CI: 42%–45%) versus pediatric (44%; 95% CI: 40%–48%, P = .91) EDs.
Characteristics of First-line, Guideline-Concordant Therapy
Among children with AOM, sinusitis, or pharyngitis, the proportion of antibiotic visits during which patients received first-line, guideline-concordant therapy was 78% (95% CI: 76%–80%) and was higher in pediatric EDs (87%; 95% CI: 82%–90%) than nonpediatric EDs (77%; 95% CI: 75%–79%, P < .001; Table 3). This difference persisted in the multivariable model for the percentage of AOM, pharyngitis, or sinusitis visits prescribed first-line, guideline-concordant therapy, with an adjusted odds ratio (aOR) of 2.01 (95% CI: 1.38–2.92) for pediatric EDs compared with nonpediatric EDs. First-line, guideline-concordant antibiotic prescribing was also significantly more likely in visits by African American children (aOR: 1.56; 95% CI: 1.15–2.11) compared with visits by white children. First-line, guideline-concordant antibiotic prescribing was significantly lower in the Midwest (aOR: 0.51; 95% CI: 0.34–0.77), South (aOR: 0.46; 95% CI: 0.32–0.67), and West (aOR: 0.55; 95% CI: 0.35–0.87) when compared with the Northeast region (Table 3). Patients with sinusitis and pharyngitis had lower adjusted odds of receiving first-line antibiotic treatment (aOR: 0.51; 95% CI: 0.32–0.82 and aOR: 0.72; 95% CI: 0.53–0.96, respectively) compared with patients with AOM. The percentage of AOM, sinusitis, and pharyngitis visits with first-line, guideline-concordant prescribing did not change over the study period (Supplemental Fig 4A).
In this study, we provide a comprehensive overview of antibiotic use among visits involving children in US EDs. Nonpediatric EDs care for >85% of pediatric ED patients (>25 million visits annually) and consequently prescribe antibiotics in >6 million annual pediatric visits, nearly 10% of all pediatric outpatient antibiotic prescriptions.9 Compared with visits in pediatric EDs, clinicians in nonpediatric EDs prescribe antibiotics more frequently for conditions for which antibiotics are likely unnecessary, are more likely to select macrolides, and are less likely to select first-line, guideline-recommended antibiotics for children with common respiratory illnesses.
Although the proportion of children with viral infections receiving unnecessary antibiotics has been as low as 2.5% in selected, large, academic pediatric EDs,31 we evaluated all ED visits nationally and found 26% of antibiotic visits at pediatric EDs were for conditions for which antibiotics were generally not indicated. Our finding mirrors previous work on antibiotic prescribing for children with ARTI in the ambulatory and ED setting.4,32 In comparison, we found that 33% of antibiotic visits at nonpediatric EDs were for conditions for which antibiotics were generally not indicated, accounting for an estimated 2 million unnecessary pediatric antibiotic prescriptions annually. Antibiotic prescribing for these conditions provides no benefit to patients, puts them at unnecessary risk for adverse events, and should be a target for quality improvement in EDs nationally, particularly in nonpediatric EDs.
More frequent unnecessary and guideline-discordant antibiotic prescribing by clinicians in nonpediatric EDs may reflect differences in clinical experiences during training. The American Academy of Pediatrics has published multiple evidence-based clinical practice guidelines for common pediatric conditions, created with multidisciplinary expert consensus, including representation from pediatric emergency medicine. ARTIs constitute the majority of antibiotic visits for children in EDs nationally, as is the case among outpatients seen by pediatric clinicians.4,33 Pediatric-trained clinicians are more likely to work in pediatric EDs compared with nonpediatric EDs34,35 and might thereby have increased familiarity and compliance with pediatric-specific guidelines, which could contribute to differences in quality of antibiotic prescribing between pediatric and nonpediatric EDs. Previous work reveals children are more likely to receive unnecessary antibiotics for upper respiratory tract infections in EDs or family practitioner offices compared with pediatrician offices.36 Increased exposure of emergency medicine clinicians to pediatric-focused guidelines and antibiotic stewardship initiatives is an important strategy to improve antibiotic prescribing quality in nonpediatric EDs.
We found that broad-spectrum antibiotics constitute almost half (47%) of all antibiotics prescribed to children in the ED. Previous work has revealed similar rates of broad-spectrum antibiotic prescribing for children in other ambulatory settings and in the ED with respiratory tract infections, specifically.4,32 In our study, macrolides accounted for 17% of all antibiotics prescribed to children in EDs, and nonpediatric EDs prescribed macrolides significantly more often than pediatric EDs (18% vs 8%, respectively). With our work, we add to a growing body of literature in which it is demonstrated that nonpediatric health care centers and clinicians prescribe macrolides more frequently than pediatric health care centers and clinicians.37,–40 In our study, macrolides were most commonly prescribed for AOM; however, macrolides are not recommended for AOM treatment.24 Streptococcus pneumoniae is the most common cause of AOM and sinusitis,41 yet ∼30% of US invasive S pneumoniae isolates are resistant to macrolides,42 so macrolides represent a suboptimal treatment choice for these conditions. Bronchitis or bronchiolitis and upper respiratory tract infections, diagnoses for which antibiotics are not recommended,43,–46 constituted 21% of all macrolide use in our study. Inappropriate macrolide use should be a target for improvement in antibiotic prescribing for children in EDs and in nonpediatric EDs, in particular.
The Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship47 offers a framework for implementing antibiotic stewardship in outpatient settings, including EDs. Additionally, EDs can improve their antibiotic prescribing through standardized clinical pathways for guideline-concordant antibiotic prescribing and quality of care, clinical decision support tools, and clinical justification for nonrecommended antibiotic use.47,48
We acknowledge several possible limitations to this study. First, in our study period from 2009 to 2014, we captured the most recent survey data available at the time of the analysis. Although prescribing patterns could have changed in the interim, the trend in antibiotic prescribing did not change significantly during the study period (Supplemental Fig 4B). Second, indications for antibiotics were based on the 3 diagnosis codes available in the NHAMCS data set, which were not directly linked to medications mentioned during the visit. The hierarchical classification system used was designed to categorize the most likely diagnosis for which the antibiotic was prescribed. However, it is possible that a small proportion of antibiotic visits grouped as “generally not indicated” might still warrant antibiotic prescribing, such as visits among patients with sickle cell disease and fever. Third, patient allergies to medications are not captured in the NHAMCS data set, which could influence the antibiotic class prescribed. However, patient antibiotic allergies would be expected to occur at similar rates in pediatric and nonpediatric EDs. Fourth, longitudinal patient data were not available, nor were data on provider specialty. Finally, although our definition of pediatric EDs has been used previously2,22,23 and is likely specific (Supplemental Fig 3), some large nonpediatric EDs might have a distinct pediatric subsection that constitutes the minority of visits but is nonetheless staffed by pediatric specialists.
In this nationally representative study of all ED visits by children, we found the vast majority of pediatric visits and antibiotics ordered or prescribed to children occur in nonpediatric EDs, highlighting the important role of nonpediatric emergency medicine practitioners in improving the quality of antibiotic prescribing for children nationally. Pediatric antibiotic stewardship efforts in nonpediatric EDs have the potential to eliminate >2 million unnecessary antibiotic prescriptions annually and increase the rates of guideline-concordant antibiotic use among children seen in this setting. Macrolides are frequently and inappropriately prescribed for children in EDs and in nonpediatric EDs, in particular. Antibiotic stewardship efforts should expand to EDs nationwide, particularly regarding avoidance of antibiotic prescribing for treatment of conditions for which antibiotics are not indicated, reducing macrolide use, and increasing first-line, guideline-concordant prescribing for children, especially in nonpediatric EDs.
Dr Poole conceptualized the study, participated in the study design, generated the analytic plan, drafted the manuscript, and takes responsibility for the article as a whole; Dr Kronman participated in the study design and analytic plan, provided study oversight, and takes responsibility for the article as a whole; Dr Hersh participated in the study design and provided study oversight; Drs Fleming-Dutra and Hicks participated in the study design; Dr Shapiro provided statistical analysis; and all authors participated in the acquisition and interpretation of the data, contributed substantially to the revision and intellectual content of the study, approved the final manuscript as submitted, and agree to be accountable for all aspects of the work.
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
FUNDING: Supported by the Centers for Disease Control and Prevention through Intergovernmental Personnel Act (171IPA1708452).
COMPANION PAPER: A companion to this article can be found online at www.pediatrics.org/cgi/doi/10.1542/peds.2018-2972.
POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.
FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose.

domain: literature


The 2018 Audi Q6 will be an effective crossover compared with the 2017 version. It’s anticipated to be sportier and well equipped with extravagant functions. It will certainly be simply an electric SUV. The hybrid variation will certainly be extra gas reliable many thanks to the great engineering. The significant competitors will certainly include Mercedes-Benz GLE 500e, Tesla Model X, Porsche Cayenne S E-Hybrid as well as BMW X5 40e. The Q6 is among the very best in the class. The exemplary attributes make it extra remarkable as well as appealing. Let me stroll you through the 2018 Audi Q6 evaluation thoroughly.
2018 Audi Q6– Exterior and also Interior Redesign
The 2018 Audi Q6 will feature angular head lights and also grille. The door handles will be deeply shaped for very easy opening. The SUV will certainly likewise feature a stroking roofline to offer the automobile much better aerodynamics and also reduced air resistance. The tail lights are expected to be the exact same like those of a Prologue concept. Judging from look, the vehicle will certainly look larger compared to the Q5 model. The body will be made from light-weight aluminium making it dropped considerable weight compared with the 2017 version. A lot of adjustments will be done making it different in regards to appearance.
The interior will certainly come with a reducing side user interface and also an upgraded infomercial system. The screen will certainly assist the motorist to check fuel and stress levels. The 2018 Audi Q6 will likewise showcase high-quality natural leather seats with a lot of head as well as leg space. Even more, it will come with 40/20/40-split folding back seats offering 57.3-cubic-foot of cargo area. On the other hand, the car is furnished with top-notch interior craftsmanship.
Safety and security features will certainly include modern-day automated airbags, adaptive shock absorber, automated stopping as well as ahead accident mitigation. Driving assistance functions consist of automatic beginning system, a tilt-and-telescoping wheel, tri-zone climate control, driver memory settings, front and rear car park sensors, as well as mobile Wi-Fi capability. Entertainment functions consist of a 10-speaker sound system, Bluetooth connectivity, an accessory sound jack as well as Audi’s electronic songs user interface. The windows will be managed through a remote.
2018 Audi Q6– Engine and also Efficiency
The 2018 Audi Q6 will certainly be powered by 4 electric motors. It’s anticipated to generate more than 455 hp and also 467 pound-ft of torque. Likewise, the automobile will include an electronic digital electrical outlet providing an option of inductive recharging. Just like the R8 e-Tron, each motor will get on its own wheel.
The four motors will certainly offer a range of 200 miles and also are expected to be sustained using 100 kWh batteries. The auto will have rapid acceleration because from 0-60 miles per hour; it will certainly take around 4.6 secs. The top speed is expected to be 130 miles per hour.
To attain 80% battery life, it should be charged for regarding 30 minutes. Despite the powertrain you pick, the 2018 design will deliver polished acceleration. The EPA approximated gas economy is yet to be launched.
2018 Audi Q6– Rate and also Release Day
To conclude, the release date of the brand-new Audi Q6 2018 is anticipated to be around mid-2018. Inning accordance with the chief engineer, the car is in the first development phases. So far, there is no main details pertaining to the cost. However, we approximate the rate to be in the variety of $53,962 and $ 55,000.


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By Michael Kort
Detailing the social, fiscal, and political adjustments and crises that the folks of Russia have needed to suffer, this ebook offers a finished account of this large country's heritage. It contains insurance at the conquest and rule of Russia by means of the Mongol Golden Horde; and the reign of terror via Ivan the poor.
Read or Download A Brief History of Russia PDF
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Chechnya, a 6,000-square-mile nook of the northern Caucasus, has struggled below Russian domination for hundreds of years. The zone declared its independence in 1991, resulting in a brutal conflict, Russian withdrawal, and next ''governance'' by way of bandits and warlords. a chain of house construction assaults in Moscow in 1999, allegedly orchestrated via a insurgent faction, reignited the battle, which keeps to rage this day.
This incisive assortment probes the background of colonialism inside of Europe and posits that japanese Europe used to be in truth Germany s real "colonial" empire. via a sequence of interdisciplinary essays starting from 1850 to the eu Union of this day, this assortment explores the concept that Germany s courting with Poland and jap Europe had many similarities to the perform of "overseas" colonialism.
This is often an analytical account of a colourful interval in Russian heritage, that's obtainable to undergraduates of eu and Russian historical past, in addition to to the nonspecialist reader. vital to a dialogue that emphasizes Russia's position in Europe are the a lot misunderstood personalities of a few notable rulers, corresponding to Peter the nice, Catherine the nice and Alexander I.
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Extra resources for A Brief History of Russia
They were mainly farmers and cattle raisers, but they had also founded close to 300 towns and engaged in trade and a wide variety of crafts. Their weak point apparently was political organization, at least according to the Russians who wrote the Primary Russian Chronicle, a document dating from the 12th century that is the earliest known source on Russian history. The Primary Chronicle records that because of continual fighting among the East Slavic tribes, they turned to the Varangians with the following invitation: “Our land is great and rich, but there is no order in it.
The infidels began fleeing on all sides. . And then Prince Dmitry Ivanovich addressed the dead: Fellow princes, boyars, and sons of boyars, you have found peace everlasting here, between the Don and the Dnieper, on the prairie of Kulikovo. . (Safony of Ryazan, Zadonshchina, in Zenkovsky 1974: 216–223) 22 BEFORE THE RUSSIANS, KIEVAN RUS, AND MUSCOVITE RUSSIA Moscow’s strength, especially relative to other Russian principalities, continued to grow. The principality gained new territory under Dmitry Donskoi’s immediate successors, Vasily I (r.
Vasily III Vasily III (r. 1505–33) was a worthy successor to his father and ruled Muscovy for the considerable period of 28 years. From the point of view of historical stature, it was Vasily’s misfortune to have his reign sandwiched between the tenures of Russia’s two mighty, charismatic 30 INDEPENDENCE AND UNIFICATION: THE LAST RURIKIDS TO THE FIRST ROMANOVS Ivans. The watershed accomplishments of Ivan the Great and the fire and brimstone of Ivan the Terrible have tended to obscure the substantial but unspectacular achievements of Vasily III.

domain: history


text:
Britain's Queen Elizabeth II may have to start getting ready for another addition to her investment portfolio. Lloyds Banking Group, the British bank which was once famed for its resilient retail-banking model and avoidance of dodgy investment excesses, was on Friday reportedly set to accept a bigger government stake of 70.0% as part of an asset-insurance deal with the British Treasury.
Although the government already owns 43.0% of
Neither Lloyds nor the British Treasury would comment on the reported terms of the deal, but both confirmed on Friday that the talks were at an "advanced" stage. If the government does take its stake past the 50.0% point, only
Shares of Lloyds jumped 6.7%, or 2.70 pence (4 cents), to 43 pence (61 cents), during afternoon trading in London. The stock has lost nearly 60.0% of its value since early February, when Lloyds unveiled HBOS' $14.4 billion loss.
The government's thinking behind insuring banking assets is to promote lending by taking on some of the risk. Although last year's round of capital injections did stem some of the sector's share-price collapse, and did build up banks' capital reserves to better levels than before, lenders were under little pressure to actually spend the cash and grease the rickety economy's wheels.
Royal Bank of Scotland, which is already 70.0% owned by the government, agreed in principle to an asset-insurance deal announced on Feb. 26., which could see the state increase its stake to 95.0%. The Treasury said it would take up 13.0 billion pounds' ($18.5 billion) worth of B-class shares of RBS, with the option to buy an additional 6.0 billion pounds' ($8.5 billion) worth, as part of a capital injection; the insurance scheme itself would be paid for with an extra 6.5 billion-pound ($9.3 billion) chunk of B-class shares.

domain: news


text:
PRESIDENTIAL Spokesperson Salvador Panelo has denounced remarks questioning if he was a Chinese Embassy servant, following an online post of Senator Panfilo “Ping” Lacson.
“I take strong exception to the remarks of Senator Panfilo ‘Ping’ Lacson that I am speaking on behalf of the Chinese Embassy when I shared to the media its ambassador’s reaction in connection with fears about the location of some Philippine offshore gaming operators (POGOs) with Chinese employees near our military bases,” Panelo said.
Earlier in the day, Panelo said he received a text message from Chinese Ambassador Zhao Jianhua hinting China could retaliate in kind and accuse overseas Filipino workers (OFWs) of being spies for the Philippines, after Defense Secretary Delfin Lorenaza warned POGOs could become espionage centers.
“Ambassador Zhao sent me a text. He said, ‘What if we also think that your overseas workers are also spying on us. What can you say about that?’” Panelo had said.
Following Panelo’s earlier statement, Lacson in a post on his Twitter account asked: “Presidential Spokesperson or Chinese Embassy Spokesman?”
Panelo said there was “nothing wrong” with sharing the text message from Zhao as it was made to provide context and respond to a media query.

domain: politics


text:
Ebrary Stocks Virtual Shelves While It Continues Testing Library Service
- EBRARY ANNOUNCES NEW PUBLISHER AGREEMENTS. // Online Libraries & Microcomputers;Apr2001, Vol. 19 Issue 4, p6
Reports on the launching of ebrary, a publisher-based initiative that will offer monographic books on the Web. Approach used by the company in offering the book; Agreements signed by ebrary.
- ebrary: A Year of Innovation. BRYNKO, BARBARA // EventDV;Mar2012, Vol. 2012 Issue 3, p31
The article discusses the progress of the online digital library company ebrary Inc. as of March 2013 in terms of technological innovations.
- The JAL Guide to Software, Courseware, and CD-ROM. // Journal of Academic Librarianship;Jul2000, Vol. 26 Issue 4, p303
Reviews several web sites, software and courseware for academic librarians, students and faculty. Black Studies Database from National Information Services Corporation; Ebrary.com site; GrantScape Electronic Fundraising Database 2.0.
- ebrary: Libraries Value Offline Ebook Access. // EventDV;Mar2012, Vol. 2012 Issue 3, p35
The article reports on the findings of the download survey conducted by ebrary Inc. which reveals that 92% of respondents said providing portable electronic book (ebook) access offline was equally or more important than providing online access to them.
- Ebrary at Bat. Dorman, David // American Libraries;Jan2002, Vol. 33 Issue 1, p96
Reports that Ebrary will enter the library market with its own brand of electronic book services. Mention of Chris Warnock, founder of Ebrary, who will launch a marketing campaign aimed at promoting library use of Ebrary services; Cost of the services which are covered by a one-time annual...
- ProQuest Acquires EBL, Will Merge with Ebrary. // Library Journal;2/15/2013, Vol. 138 Issue 3, p18
The article states that electronic publisher ProQuest signed a definitive agreement to acquire electronic book content company Ebook Library (EBL) and will merge EBL's platform with its online digital library ebrary, which ProQuest acquired in January 2011.
- Multnomah Takes Ebrary's Public Library Offering. Michael; Kelley; Hadro, Josh // Library Journal;4/15/2011, Vol. 136 Issue 7, p15
The article reports that the Multnomah County Library in Portland, Oregon has signed an agreement with electronic-book provider Ebrary.
- ebrary debuts eBOP Platform. Rogers, Michael // Library Journal;2/15/2007, Vol. 132 Issue 3, p24
The article reports on the 2007 announcement by Ebrary Inc. that it had launched a new ordering platform for use in libraries. Features of the system, which is called eBOP, are described, including its ease of use for librarians wishing to preview thousands of electronic books for possible purchase.
- Pay by the Page at E-Library. // School Library Journal;Oct2001, Vol. 47 Issue 10, p31
Reports the creation of an online library for business and economics by Ebrary and Learning Network. Target on high school students; Availability of free services; Names of other partners.


Bosch Limited is an Indian technology and service provider in the fields of mobility solutions, industrial technology, consumer products and energy and building technology. The company manufactures and sells products such as diesel and gasoline fuel injection systems, automotive aftermarket products, industrial equipment, power tools, security systems and industrial and consumer energy products and solutions. Its segments include automotive, consumer goods and others. The Automotive Products segment consists of diesel systems, gasoline systems, and automotive aftermarket products and services. The consumer goods segment consists of power tools and consumables business. It also operates in other industries that include industrial technology, construction technology products and services. The company's field of activity includes, among other things, the supply, sale and distribution of vehicle maintenance and diagnostic equipment for repair shops.


OWENSBORO, Ky.—The Fontbonne University men's and women's cross country teams returned to action today at the Fast Cats Classic.
On the women's side, the Griffins ended up in 15th place. The overall winner went to Evansville with a team score of 35. Bellarmine closed out in second with 71 points, while Cumberland (Tenn.) ran its way to a third place finish.
Individually, Karly Gawarecki (Bellarmine) with an overall time of 18:04 in the 5K race. Fontbonne, meanwhile, was led by Desiree Brooks as she crossed the line with a personal-record time of 23:22.
On the men's side, Campbellsville took home the victory with 67 total points. Cumberland (Tenn.) was right behind them at 27:54, while Trevecca Nazarene rounded out with 108.
To view all the final results visit HERE.
The Griffins return to action next Friday at the Bradley Pink Classic in Peoria, Ill.
Fans make sure to stay updated on fontbonnegriffins.com throughout the year for full updates and recaps on the cross country teams.
Make sure to follow us on all our social media accounts: Twitter (@FBUGriffins), Instagram (@fbugriffins) and Facebook (/FontbonneUGriffins).


text:
Fume HoodWash-Down Systems
Perchloric Acid Wash-Down Systems
Perchloric acid wash-down systems are a specialty fume hood used to remove per-
chloric acid. A laboratory using perchloric acid, a highly corrosive inorganic com-
pound, requires a specialized fume hood. To prevent corrosion and reduce explosive
perchlorate buildup, perchloric acid fume hoods use a system of nozzles to wash
down the fume hood and exhaust system surfaces after each period of use.
oratories should follow instructions for washdown provided by the manufacturer of
the fume hood or facility health and safety guidelines, but might be able to minimize
perchloric acid wash-down system water use if shut-off valves are used to control the
flow of water.
Operation, Maintenance, and User Education
For optimum fume hood wet scrubber efficiency, consider the following:
Turn off water flow when systems are not in use.
Ensure water flow rate does not exceed manufacturer specifications.
In recirculating systems, make sure the liquid level controller and water supply
valve are functioning properly to avoid excess water overflow from the recircula-
In recirculating systems, calibrate the blowdown process so that it is sufficient
to remove entrained contaminants, without being overly excessive. In general,
constant overflows or continuous blowdown wastewater.
Consider using onsite alternative water sources to supply water for use in the
fume hood. See
Section 8: Onsite Alternative Water Sources
for more information.
For optimum perchloric acid wash-down system efficiency, use systems only when
necessary for perchloric acid handling.
There are currently no retrofit options available on the market to increase the effi-
ciency of fume hood filtration systems.
For facilities requiring a perchloric acid wash-down system, it might be feasible to
retrofit the system with shut-off valves to control the flow of water. However, facili-
ties should be sure to follow manufacturer-provided instructions for perchloric acid
wash-down systems and facility health and safety guidelines to ensure that any
changes will not affect health and safety or the performance of the system.
University of Louisville. 2012.
Laboratory Chemical Hood User’s Guide
Fume Hood Filtration and Wash-Down Systems

domain: chemistry


text:
Innovative ideas motivate us to pursue a dream. This process often leaves us immune to obstacles as well as criticism. To fight the danger of falling into wishful thinking and wasting resources on products that no one needs, logic has guided us to the concepts of idea validation. Here is our take on some easy to understand business idea validation methods that can quickly be manipulated into your business and design strategy.
Make Sure Your Idea Is Unique
I start this piece with the most obvious of business idea validation methods: not putting your resources on reinventing the wheel.
Imagine having been working for months on your new app startup, only to find out there has been another app all this time with the same features. The feeling of devastation is putting it mildly.
We will talk about the importance of analyzing your competition before betting big on your idea. You might get away with not having serious competition analysis in place, but not being aware of the competition altogether is another game. There is always the possibility of someone coming up with the same idea before you and even having it executed. Ignoring this possibility and rushing to execution might leave you devastated.
Talk About It
I have never understood the religious efforts people put into hiding their ideas until the very moment of release. I have witnessed secretive startups whose employees even did not have a clear image of what they are actually working to accomplish.
When in doubt about whether you should hide your idea, a good rule of thumb is there are only three good reasons to do so:
- If you have signed a contract with a confidentiality clause.
- If you are involved in a setting of industrial espionage.
- If your idea is relatively easy to execute and could be duplicated by anyone.
As for other cases, seriously guys, you must talk about your idea.
I think the reason one might aspire to hide their thoughts is forgetting the importance of hard work in any endeavor. Ideas are pretty much like life goals, in the way that almost everyone knows what they are, but few work hard enough to actually achieve them.
Of course, there is merit in not putting your fine-tuned idea out for grabs but without disclosing your idea at some level, there would be no instance of any business idea validation methods that could answer your doubts.
The thought for a new product or service that is aimed at others could not be perfected by a single mind. Talk about your idea with your prospective customers, independent consultants, lawyers and anyone who might have a point or two. Seek feedback and work them into fine-tuning your idea.
Go With Something You Know
We all have come to know that not all ideas are gold with the main reason being a lack of first-hand knowledge of the industry or the target audience.
The chances for your idea to have a meaningful impact increases considerably by the depth of your knowledge in the subject.
Imagine your gardener presenting you with an idea about increasing the steel strength. He is asking you to invest your life’s savings on their startup. Would you?
Now if that said person reveals that he has a good 20 years of experience working on a steel mill, you would not have doubted it that much.
Business idea validation methods start with knowing the ins and outs of a certain business. To be able to innovate in an area and to convince prospective investors you should be familiar with the industry. Seek outside counsel or educate yourself if you find the need for more information.
Get In Touch With Your Target Audience
Your target audience is your prospective source of income. How they perceive you is going to be the deciding factor of whether you succeed or not. Having a business is about making life better for your target audience, be it by solving their problems or enhancing a feeling or such.
Put the user at the center of your ideation and design process. This means maintaining a relationship with your target audience to know them better and having an open dialogue about how your idea can change to make them like it better.
Assembling target groups, holding surveys, having a branding strategy in place, and talking to the end-user through the design and execution processes are examples of business idea validation methods that stem from the important part the user plays in a business.
Analyze the Competition
One of the most effective business idea validation methods is the systematic analysis of your competition. Your competitors have already fine-tuned and executed an idea and they have been testing it in the real-life market. This unique situation is a great source of knowledge for you to be able to differentiate your business and to increase its efficiency.
The potential value hidden in your competitors’ operations is priceless. From their branding strategy to the product packaging there are numerous lessons to be learned for your idea to get better.
Knowing your competition enables you to devise a competitive advantage for your business that would drive its success beyond the competitors.
Get Ready to Pitch
You should get ready to pitch, and I am not talking about the ball game. Pitching ideas in a concise, exact, and understandable manner is crucial for getting useful feedback. A large number of business idea validation methods rely on effective conveyance of the idea in the first place. For this, you should prepare yourself.
You will encounter numerous situations to explain your idea to a diversified audience. An elevator pitch is one of the first things you should devise when starting validating your idea. Elevator pitches are a short and sweet explanation of an idea that can be presented in a time as short as an elevator ride.
Make sure you have prepared different presentations for varying time frames and diverse audiences. Practice presenting these pitches beforehand to gain confidence and avoid mistakes.
Get Your Name Out There
In today’s fast-paced business arena chances are that someone else is working on a product very similar to yours. Branding does not start after the end product is ready to ship. By creating a brand around your idea earlier you are intertwining your name with the future product.
Having a good name for the product that can be remembered easily coins the idea for your brand and gives credibility to your version of the product in face of other possible contenders. Also the feedback you get in early stage of the development from the people learning about your idea would be a precious source of knowledge for your business.
Build a Proof of Concept
If you have your doubts about the technical aspects of an idea you can test it by creating a proof of concept. What this means is that an idea’s feasibility is tested by creating a part of the system that shadows the doubt over the functionality of the whole system. Building a proof of concept is one of the most powerful business idea validation methods. For sheer example, if you have an idea about building a cool robot that can cook hundreds of types of meals and you have doubts about the robot’s ability to identify herbs and spices, you might test some sensors to check their sensitivity and accuracy. This is what building a proof concept entails. Note that you have not to build any robots yet, but you have tested a single part of the whole system.
Build a Prototype
Remember the example we talked about in the previous section, the cool robot that can cook hundreds of types of meals.
Now if you decide to also check if that robot could find its way through the kitchen and use utensils, you would have to create multiple parts of a system. Depending on your design strategy, subsystems like image processing, ultrasound sensors, mechanical arms, and motors should be put on the test.
To answer your doubts you would have to go to the next level of business idea validation methods. This is what we call building a prototype. By building a prototype you are creating multiple parts of a complicated system to answer your doubts about the possibility of an idea and making design-related decisions. Note that you have not yet started developing a product. What prototyping entails is experimenting with a working system to test the most important challenges you face in designing a functioning product.
Go With a Minimum Viable Product
Making a minimum viable product is developing a working system that holds the core functionalities of a potentially more extensive idea. A minimum viable product is put on the market and can generate revenue, but the main reason for doing this is to test the viability of the idea in real-world situations and use the feedback to decide if/how to develop the idea in its whole.
To clarify the concept of the minimum viable product we should go back to our original idea of building a cool robot that can cook hundreds of types of meals. A minimum viable product here would be a simpler robot that can cook 10 types of simple breakfast meals in a particular type of oven using ingredients that the user puts manually in specially labeled containers. As complicated as it might sound, this would be far simpler a product compared to the original idea we had of a robot navigating the kitchen autonomously and cooking everything you desire.
The goal of building a minimum viable product is putting your name out there and to test the waters for your big idea. Developing a minimum viable product is one of the most powerful business idea validation techniques that create a real product that can be presented to real customers. This process creates genuine feedback that can be transformed into precious knowledge for further developments.

domain: design


Lucky in Love Women's Core Rib Tie Back Tank
Show your versatility on the court with the Lucky in Love Women's Rib Tie Back Tank. This stretchy tank has a ribbed texture and a split back hem that can be worn tied for a shorter, slimmer look or worn down for a longer, looser fit. There is mesh at the neckline and a moisture-wicking performance.
- Content: 92% Polyester, 8% Spandex
- Mesh at neckline
- Split back hem
- Moisture wicking


text:
A blue straggler is a star that has an anomalous blue color and appears to be disconnected from those stars that surround it.
But this is not a story about astronomy.
Bailey Miller is "disconnected" from the cluster of her rural south Texas family. She has never quite fit in and now in her early 30s, she finds herself struggling with inner turmoil and a series of bad choices in her life.
"... The characters made me laugh, cry, and wish that the story went on forever."
Bailey's drinking too much (even for a member of her family), has a penchant to eat spoonfuls of Cool Whip, works in a job that bores her beyond description and can't keep a relationship longer than it takes for milk to expire in her fridge.
Even with the help of her two outspoken friends, Texas lass Idamarie and her quirky college pal Rudy, she's having a hard time.
"... every single Texas reference Kathy Lynn Harris made was so descriptive that I knew exactly what she was talking about. I felt as if I was living the story."
So she packs up her Honda and heads out of Texas in search of herself and answers to secrets from her great-grandmother's past. The novel takes readers on a journey from San Antonio, Texas, to a small mountain town in Colorado and back again, as Bailey uncovers not only the secrets of her great-grandmother's life, but also some painful secrets of her own. All while finding love along the way.
"... both thoughtful and laugh-out-loud funny! I also hope that the author is working on a sequel."
"... I laughed till I cried, then cried till I laughed. This is one I will read over and over again."
If you have ever wondered why you got stuck with the family you did, what you are doing with your job and your life, or had a sudden desire to run off to the mountains, sit back and join Bailey for this laugh-out-loud, yet poignant ride.
"... Ms. Harris ⚊ I'm ready for the next installment!"
About the Author:
Kathy grew up in rural South Texas — and comes from people who work hard, love the land and know how to have a good time on a Saturday night. As a writer, Kathy was lucky to have been surrounded by exceptional characters throughout her life, many of whom have lived their lives exactly the way they wanted. The rest of the world could take `em or leave `em! Inspiring, to say the least.
In 2001, Kathy made the move from Texas to the Colorado Rockies to focus on her writing and soak up All Things Mountain.
By day, she works for a relationship marketing agency. By night, she lives in an authentic log cabin near the southernmost glacier in North America, at 10,500 feet above sea level, with her husband and son, plus two fairly untrainable golden retriever mixes.
Mountain lions, bears, foxes, coyotes and other high-country animals are her neighbors, and she wouldn’t have it any other way. It is there that she writes — Kathy has completed two novels and three children’s books. She has also published hundreds of magazine articles, poetry, short fiction and essays. Her work has appeared in numerous published anthologies. Blue Straggler is her debut novel.


text:
An NGO, Re-educating Africans on the Risks and Dangers of Unplanned Journey Abroad (RARDUJA), has urged Nigerian youths to desist from illegal migration.
Managing Director of the NGO, Mr Eddy Duru, said this at a public sensitisation on the dangers of illegal migration, organised by RARDUJA at St Luke’s Anglican Church, Akwakuma, Owerri, on Sunday.
Duru, represented by RARDUJA’s Public Relations Officer, Mr Eustace Okere, described illegal migration as a cankerworm which had eaten deep into the hearts of some of the youth.
He said that although, the organisation encouraged legal migration, it still believed that greener pastures could be found in the country.
Duru advised youths to embrace skills acquisition and entrepreneurship rather than exposing themselves to the risks associated with illegal migration.
He listed some of the risks to include physical and mental torture as well as illness and death.
The RARDUJA boss commended Nigerians in the Diaspora who travelled through legal means and urged them to join the crusade against illegal migration.
He urged relevant government agencies, such as Nigeria Immigration Service (NIS), NAPTIP and National Orientation Agency (NOA) to intensify public enlightenment on the dangers inherent in illegal migration.
“Most Nigerians who live abroad are doing well financially because they travelled through legal means.
“Rather than migrating illegally, it is better to embrace entrepreneurship. Learn a trade and practise in Nigeria, because the pains associated with illegal migration are better imagined than experienced,” he said. (NAN)

domain: sociology


text:
Therefore, please excuse its informal appearance as it's being worked on.
|Game||Newer Super Mario Bros. DS|
|Level type||Mountain, Athletic|
|Previous level||(6-5) Runbow Road|
|Next level||(6-7) Freeleap Galaxy|
Star Coin 1: Once starting the level Mario will come across the 1st starcoin with a blockhopper on the right side of the tightrope. When the blockhopper moves to the left jump of the blockhopper to collect the starcoin.
Star Coin 3: Mario will be tasked to get a spring below a tightrope and carry it up until he reaches a Sledge Bro on a rope and then put the spring down next to the sign and jump up collecting the star coin.

domain: hobby


text:
Undrtone – share and discover music you love.
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everybody go check out this new artist 🔥🔥on soundcloud and follow her show some love and put other people on to her music🤝💯 ♯music ♯soundcloud ♯hiphop ♯rapper ♯rapping ♯rap ♯nextlevel ♯nextbigthing ♯lyric ♯share ♯like ♯comment ♯repost
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domain: entertainment


text:
SUSANNA HARRISON | TIME TO START DRINKING SWEET WINE FOR THE WALL STREET JOURNAL
November 06, 2023 Susanna Harrison
Super fun new piece by #lcmartist Susanna Harrison for The Wall Street Journal on sweet wines. “Think There’s No Such Thing as ‘Good’ Sweet Wine? You’re Missing Out.” It’s time to start drinking wine and debunk the myth that dry is better. Read more to find out the wonderful list of sweet wines for the holiday or for anytime.


text:
BBC's Saturday Kitchen at the Farm!
The buzz around the farm continues to grow as we hosted the BBC on the farm last week. The production team from Cactus TV were down on the farm to meet with Tom and hear about how we are working with world-class chefs to reduce food waste. The interview was by one of our early supporters, chef Robin Gill and went out on Saturday Kitchen Live.
If you haven’t seen it yet you can access the show on iPlayer for the next few weeks - we feature at 1hr 7mins into the show.
If you’re interested in our mission help the farming and catering industries reduce and re-think food waste then please get in touch, we’d be delighted to hear from you.

domain: agronomy


text:
MaPS Introduces New Investment Program
SALEM, Ore. - Members of MaPS Credit Union looking to get their retirement house in order can do now do so here. Through its new investment service program via a partnership with CUSO Financial Services, L.P., the $234 million credit union will hold a free, comprehensive workshop on April 14 on public employee retirement system plans; how they work; recent changes and important decisions to be made when at or near retirement. Members who are nearing retirement or mid-way through their careers are among the targeted audience, the credit union said. Chartered in 1935 to serve Marion and Polk counties here, MaPS serves more than 36,000 members.

domain: finance


text:
The mainstream media is having trouble adjusting to the new info-rich economy, or so we’re told. Yet, one notable player seems to be well above the fray.
According to New York Times, Privately-owned Hearst Corporation paid for their resplendent new headquarters at Eighth Avenue and 57th Street in Manhattan with $500 million in cash.
It is probably no accident that the new 46-story headquarters, with its geometric form, latest technology and green design elements, stands atop the medieval-style cast-stone husk of a six-story Hearst Magazines office built in the 1920’s. The profile-raising new tower, like its occupant, is a melding of newfangled and nostalgic — a throwback to the future.
Since a vast majority of Hearst’s 20,000 employees are outside New York, magazine staff members will fill most of the new tower’s floors. Corporate executives and some other divisions will take what is left. The original magazine building, completed in 1928, was part of a plan the Chief hatched in his heyday — when he owned three New York dailies — for a gigantic media plaza. Indeed, its structure was built to support additional floors. Realizing Mr. Hearst’s dream of a Midtown skyscraper has been under study for decades.
An edifice of this nature is clearly a bold form of branding. In this case, I like the statement the building makes.


text:
Park your money away in the holidays!?
Research from the Netherlands has demonstrated that higher prices for retail parking increases shopper turnover, which can lead to higher retail sales.
The study shows that of the 80 urban shopping centers found that higher parking rates led to higher parking-space turnover and therefore higher retail potential – except in outer areas where car access is a determining factor.
It shows that shops might just overestimate how many customers by cars. It is actually a common perception by most of the retailers. They also overestimate how much car customers spend. The conclusion of this result is, a mix of stores and general atmosphere are more important than parking and accessibility.


Some of the new very compact, large sensor cameras like the Panasonic GF1/2/3 -- Sony NEX-X Don't have remote shutter release capability -- or have an infra-red sensor that faces front. Remote shutter release is a necessary capability.
I suggest a small mechanical shutter release adapter that would fit onto the NN3/4/M. You already have a flash adapter that is already half of what you need. A couple of pieces of dense plastic shaped so to hang over the shutter release button that an ordinary manual cable release can screw into would be sufficient.
See this picture for a similar adapter that I use on my LX3. My LX3 has a flash shoe but the newer compact large sensor cameras don't. What I envision is something like your flash adapter with a built in arm that can rotate and be positioned over the shutter release button.


text:
Question : How many days should you spend in Melbourne?
Answer : Travelers from HOU to MEL stay about one week on average.
Question : Who's offering the cheapest round-trip flight to Tullamarine Airport (MEL) over the coming months?
Answer : Flight prices are hitting as high as $2,358 over the next three months when flying to MEL from HOU. Check out Air New Zealand, as they have been booking customers at just $974.
Question : Looking for the cheapest flight over the next 30 days?
Answer : Since low prices are preferred, look at Jul 2nd. As of Jun 19th, it's showing the cheapest ticket sales at $974. That is 45% below the average price for this route, so you can spend that extra money on an adventure in Melbourne.
Question : Are you paying the cheapest or highest price for your ticket to Melbourne?
Answer : Prices for this trip tend to fluctuate less than other flights from the United States. They can range from $974 to $2,358. Prices tend to be lower the further out you book.
Question : Is price more important than specific travel days for you?
Answer : The cheapest day to fly in July is Saturday. Having flexibility in your travel plans means you can save more, so be sure to plan ahead when possible.

domain: travel


text:
Northern Ireland Troubles officers should face probes, insists Labour MP
Labour's commitment to the Armed Forces has been questioned during a debate on Northern Ireland - with one MP suggesting the party has been siding with the IRA under Jeremy Corbyn's leadership.
Shadow Northern Ireland secretary Dave Anderson - who is not seeking re-election in June - told the Commons soldiers and the security services who served during the Troubles should face investigations if they did not act correctly. The Labour MP went against pleas from Conservative and DUP MPs, who said the police and soldiers who served in Northern Ireland should not face fresh probes.
There has been concern over British veterans being investigated over their conduct in Northern Ireland, over incidents that happened up to 40 years ago.
Tory James Heappey asked Mr Anderson: "I wonder if he might join me in confirming his belief that the British Army should not be subject to further investigations for the actions that they took during the Troubles?
"Would he confirm that his party under its current leadership, that they have their loyalty firmly with the British Army, not the IRA?"
Mr Anderson replied: "I think it's quite clear from my point of view that if people in uniform, if they did not act correctly, then I'm sorry, I can't agree that they shouldn't be brought to book."
Mr Anderson's comments faced criticism from the DUP's Sammy Wilson, who said incidents where the police or army were involved should not be treated as murder. He added: "That's the inequality and what causes the anger that we have seen in so many families, that every killing by terrorists was no doubt a murder, it was illegal.
"But in many occasions, those incidents in which soldiers and policemen were involved were in protection of life and property, and therefore should not be treated by the authorities as if there was something illegal involved in the incident."
Meanwhile, Northern Ireland Secretary James Brokenshire said proposals for new institutions to investigate Northern Ireland's controversial legacy issues will soon be made public.
Mr Brokenshire said: "Constructive discussions took place with all the parties on the detail of the legacy institutions set out in the Stormont House Agreement, and on the need to reform legacy inquests.
"While no one will underestimate the challenge in addressing the legacy of the past, I do believe that the proposals are now sufficiently developed that the next step should be to publish proposals for consultation.
"That way, we can listen to the views of victims and survivors, and all those that will be most affected by the proposed new institutions."
The DUP's defence spokesman, Sir Jeffrey Donaldson, welcomed the move to put the issues out to consultation.
He added: "We do not believe that a failure to form a government in Northern Ireland should prevent the Government from preceding with legislation to establish those new legacy bodies. I would say to the Secretary of State, while Sinn Fein may have a veto over the formation of a government, it would be the ultimate irony if we allowed the party that represents the organisation that murdered more people in the Troubles than anyone else to veto the legacy bodies, the institutions that are to be established to investigate those murders."
Direct rule could end chaos , Page 6


text: 53036 Distressed Antique Persian Khorassan Rug with Rustic English Manor Style 07'02 x 09'11. With a timeless floral pattern and lovingly timeworn appearance, this hand knotted wool distressed antique Persian Khorassan rug beautifully embodies rustic English Manor style. The weathered field is covered with a lively all-over stylized floral pattern composed of blooming palmettes, arabesque vines, feathery boteh, rosettes, millefleur sprays, leafy tendrils, and curved sickle leaves. It is enclosed with a floral botanical border flanked with inner and outer floral Meander guard bands while subsidiary stripes add interest and depth. Effortlessly chic and tastefully understated combined with subdued elegance, this antique Persian rug will create a warm, lived-in look in nearly any space. Perfect for a great room, sitting area, private library, lounge, state room, living room, entertainment space, dining room, front room, private Chambers, study, loft, bedroom, studio, drawing room, or music room. Well-suited for a wide range of interior styles: English Manor House, Tudor, Rustic, Cotswold Country, English Chintz, Traditional, Artisan, English Country, Victorian, Art Nouveau, Neoclassical, Industrial, Old World, Regency, European Cottage, London Proper, Bungalow, Craftsman, Southern Living, Colonial Revival, Eclectic, Modern, and Contemporary. Rendered in variegates shades of muted hues of light royal blue, almond, champagne, taupe, rust, glaucous, beige, sand, tan, ecru, and terracotta with other accent colors. Distressed. Desirable Age Wear. Antique Wash. Abrash. Hand knotted wool. Made in Iran. Measures: 07'02 x 09'11.

domain: artistic


text:
Drones are about to start taking off for GoPro (GPRO -2.02%), but it's stock is getting a head start on the levitation. Shares of GoPro soared 16.4% last week, as excitement continues to build for the long overdue Karma drone.
A bullish analyst note obviously helped. The stock moved 6% higher on Friday, fueled by Bank of America/Merrill Lynch's initiation of coverage of GoPro with a "buy" rating and a $19 price target. However, the stock had already been on the move since the leading maker of wearable cameras went public with the Sept. 19 date for Karma's unveiling. Friday's bullish nod was just the cherry on top.
The actual recovery in GoPro's stock began months ago. The stock has soared 74% since bottoming out in May.
Boo birds arrive
But not everyone's gushing over GoPro stock these days. Barron's was critical over the weekend.
"Beware of the hype," Barron's Alexander Eule warns, arguing that product delays and the inability to follow up on 2014's Hero 4 success make this a dangerous rally to buy into these days.
"With overall sales falling, the company needs the product to succeed," he concludes. "That could prove challenging."
He's not the only one who isn't sold on seeing this stock bounce stick. There were 30.8 million shares of GoPro sold short by the end of August. That represents 22% of the shares outstanding, but more importantly for short squeeze purposes, those 30.8 million shares represent more than a third of the stock's float.
There are a lot of people assuming the rally won't last or that the Karma and the highly anticipated Hero 5 wearable camera won't be the catalysts GoPro needs to sustain its recent resurgence as a market darling.
There's a lot riding on Karma and even more at stake with the market's reception to the Hero 5. Will the products be game changers? Drone sales may have peaked in 2015, at least at the consumer level. Wearable cameras could have peaked during the 2014 holiday quarter.
GoPro's financial performance has been brutal, even through the past few months of the stock's rebound. GoPro revenue slipped 31% during last year's holiday quarter when pitted against 2014's peak. Revenue has plunged 48% through the first half of this year.
The stock's ability to hold on to last week's gains and even the past few months of meatier gains relies on the success of Karma and Hero 5 at this moment. There are, however, other factors that can give the stock a fighting chance to keep rolling. GoPro has done a good job of clearing out channel inventory that has weighed on sales. Retailers no longer have a glut of unsold Hero cameras and accessories. And GoPro is also making big bets in content distribution and software, factors that could make it easier to survive the ups and downs of hardware cycles.
However, last week's rally comes with the hope that the Karma lives up to the buzz that GoPro's promotional teaser trailers have been promoting. More details on the Hero 5 and a firm release date for that product also can only help. GoPro's rally has been impressive, but now it has to earn those gains.


text:
From Johnson v. Elizabeth Arden d/b/a ComplaintsBoard.com, 614 F.3d 785 (8th Cir. 2010):
A. Communications Decency Act
The Johnsons first argue that the district court erroneously dismissed their claims after concluding InMotion is immune under the CDA. The Johnsons contend that 47 U.S.C. § 230(c)(1) and (e)(3) merely provide that a provider of internet services shall not be treated as the publisher or speaker of information on the internet provided by another party but does not immunize a provider from suit. The Johnsons assert that Missouri law provides for joint liability where a wrong is done by concert of action and common intent and purpose. According to the Johnsons, the CDA would only bar actions against website operators deemed to be the "publisher or speaker" of defamatory material. ***
This case presents an issue of first impression for this court, as we have not previously interpreted § 230(c). "Statutory interpretation is a question of law that we review de novo." *** The CDA states that "[n]o provider or user of an interactive computer service shall be treated as the publisher or speaker of any information provided by another information content provider," 47 U.S.C. § 230(c)(1), and expressly preempts any state law to the contrary, id. § 230(e)(3).
[Footnote 3.] Section 230(e)(3) states: (3) State law--Nothing in this section shall be construed to prevent any State from enforcing any State law that is consistent with this section. No cause of action may be brought and no liability may be imposed under any State or local law that is inconsistent with this section.”
The CDA defines an "information content provider" as "any person or entity that is responsible, in whole or in part, for the creation or development of information provided through the internet or any other interactive computer service." ***
Read together, these provisions bar plaintiffs from holding ISPs legally responsible for information that third parties created and developed. See Fair Hous. Council of San Fernando Valley v. Roommates.com, LLC, 521 F.3d 1157, 1162-64 (9th Cir. 2008) (holding that CDA immunity did not apply to website that was designed to force subscribers to divulge protected characteristics, but that CDA immunity did apply to the "Additional Comments" section of the website where the information was created by third parties and not required by the website ISP). "Congress thus established a general rule that providers of interactive computer services are liable only for speech that is properly attributable to them." Nemet Chevrolet, Ltd. v. Consumeraffairs.com, Inc., 591 F.3d 250, 254 (4th Cir. 2009).
"The majority of federal circuits have interpreted the CDA to establish broad 'federal immunity to any cause of action that would make service providers liable for information originating with a third-party user of the service.'" Almeida v. Amazon.com, Inc., 456 F.3d 1316, 1321 (11th Cir. 2006) (quoting Zeran v. Am. Online, Inc., 129 F.3d 327, 330 (4th Cir. 1997)). The district court, following majority circuit precedent, held that § 230(c)(1) blocks civil liability when web hosts and other ISPs refrain from filtering or censoring the information that third parties created on their sites. Green v. Am. Online, 318 F.3d 465, 471 (3d Cir. 2003) (holding that under the CDA the defendant ISP is not liable for failing to monitor, screen, or delete allegedly defamatory content from its site).
It is undisputed that InMotion did not originate the material that the Johnsons deem damaging. InMotion is not a "publisher or speaker" as § 230(c)(1) uses those terms, therefore, the district court held that InMotion cannot be liable under any state-law theory to the persons harmed by the allegedly defamatory material. Five circuit courts agree. See Universal Commc'n Sys., Inc. v. Lycos, Inc., 478 F.3d 413, 419 (1st Cir. 2007) (affirming dismissal of a claim brought by a public-traded company against an internet message board operator for allegedly false and defamatory postings by pseudonymous posters); Batzel v. Smith, 333 F.3d 1018 1032-33 (9th Cir. 2003) (holding that even if operator of internet services could have reasonably concluded that the information was sent for internet publication, he was immunized from liability for the defamatory speech as a "provider or user of interactive computer services" under the CDA); Green v. Am. Online, 318 F.3d at 471; Ben Ezra, Weinstein & Co. v. Am. Online, Inc., 206 F.3d 980, 986 (10th Cir. 2000) (finding that defendant ISP was immune to the defamation claim under the CDA when it made its own editorial decisions with respect to third-party information published on its website); Zeran, 129 F.3d at 332-34 (holding that the CDA barred claims against defendant ISP that allegedly delayed in removing defamatory messages posted by unidentified third party, refused to post retractions of those messages, and failed to screen for similar postings thereafter). ***
The Johnsons cite Chicago Lawyers' Committee for Civil Rights Under Law, Inc. v. Craigslist, Inc., 519 F.3d 666 (7th Cir. 2008), for support. Craigslist held that " § 230(c) as a whole cannot be understood as a general prohibition of civil liability for web-site operators and other online content hosts. . . ." ***. However, while the Seventh Circuit construes § 230(c)(1) to permit liability for ISPs, it limited that liability to ISPs that intentionally designed their systems to facilitate illegal acts, such as stealing music. Id. at 670 (citing Metro-Goldwyn-Mayer Studios Inc. v. Grokster, Ltd., 545 U.S. 913, 125 S. Ct. 2764, 162 L. Ed. 2d 781 (2005); In re Aimster Copyright Litig., 334 F.3d 643 (7th Cir. 2003)). Specifically, Craigslist held that an ISP could not be held liable for allowing third parties to place ads in violation of the Fair Housing Act on its website if the ISP did not induce the third party to place discriminatory ads. ***
The record contains no evidence that InMotion designed its website to be a portal for defamatory material or do anything to induce defamatory postings. We conclude that the CDA provides ISPs like InMotion with federal immunity against state tort defamation actions that would make service providers liable for information originating with third-party users of the service such as the other defendants in this case.
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domain: law


If you have Ubuntu Linux OS installed in your computer and your computer does not boot into Ubuntu, most likely it is a GRUB issue. It can be easily fixed using Boot-Repair. First you need to have a bootable Ubuntu USB stick ready. Here is an instruction on how to make a bootable Ubuntu USB stick. An Ubuntu live DVD works too but I noticed most laptops nowadays don’t come with a DVD driver. The following are the steps you need to take to repair your boot.
1. Boot your computer into Ubuntu from bootable Ubuntu USB stick. If boot from USB is not on top of the boot-order in your bios settings, as soon as computer starts, press F9 for HP and F12 for Dell and Lenovo, for example, to enter bios boot menu.
2. Once your computer is booted from live Ubuntu USB stick, choose “Try Ubuntu” instead of “Install Ubuntu”.
3. Open a terminal and run the following commands (press enter after each line):
sudo add-apt-repository ppa:yannubuntu/boot-repair && sudo apt update
sudo apt install -y boot-repair && boot-repair
4. Once Boot-Repair is loaded, click on “Recommended repair”. The repair is done, reboot your computer to see if it boots into Ubuntu.


text:
JAMES W. CROWTHER, 1LT, USMC
James Crowther '35
Date of birth: December 10, 1911
Date of death: December 23, 1940
From the 1935 Lucky Bag:
Life & Loss
Unable to find any details about James' life or loss.
He was listed as "under instruction" at NAS Pensacola in the October 1, 1939 Navy Directory. James earned his wings as naval aviator #6379 on May 10, 1940. In the 1940 Navy Directory he was listed as a member of the 1st Marine Aircraft Group at the Marine Barracks, Quantico, Virginia.
The Register of Alumni: "12/23/1940, San Luis Cuba".
It is possible he was one of two crew lost when a "Navy bomber" crashed near Havana.


BOSSMACHINE are a Los Angeles, USA-based producer duo who formed last year but have only just hit our radar thanks to their new breakup track, Choices.
By Graeme Smith
Choices is a team up between BOSSMACHINE and Jade Duncan, who performs as Blu Jay. A genre-defying track, it opens slow and soulful before hitting a lo-fi groove. Dream pop is combined seamlessly with hip-hop in an arrangement that’s rich with emotion and atmosphere, and the layers in the chorus are a particular highlight.
BOSSMACHINE are producer, songwriter, mixer and engineer Austin Love, and producer and songwriter Matt “Niko” Pease. Austin has a pop-punk background and experience under Atlantic Records while Niko’s roots are in hip-hop and drag performance. Choices features on their debut album Untitled which is out now. You can give the single a listen below.
And for all the latest soft rock, acoustic and lo-fi underground music, be sure to follow our Raw Stuff playlist on Spotify.


text:
by Scholastic .
Written in English
|The Physical Object|
|Number of Pages||16|
Simply and colorfully, this concept book features a work of art viewed through the eyes of a child who sees. dots!! Teachers. Teachers Home Lessons and Ideas Dots! Dots! Dots! At the Museum. By Nancy Davis, Francie Alexander. Grades. PreK-K, Genre. Fiction Where can you find dots in these pictures?. Dots! Dots! Dots! at the museum Unknown Binding – January 1, by Francie Alexander (Author) › Visit Amazon's Francie Alexander Page. Find all the books, read about the author, and more. See search results for this author. Are you an author? Price: $ : Dots! Dots! Dots! at the museum () by Alexander, Francie and a great selection of similar New, Used and Collectible Books available now at great prices/5(6). Each program will feature an illustrated children's book, an inspiration work from the Worcester Art Museum Collection, and art activities for young and older children.
Dots! Dots! Dots! at the museum. [Francie Alexander; Nancy Davis] Home. WorldCat Home About WorldCat Help. Search. Search for Library Items Search for Lists Search for Book: All Authors / Contributors: Francie Alexander; Nancy Davis. Find more information about: ISBN: Buy a cheap copy of Dots! Dots! Dots! at the museum book by Francie Alexander. Beginning reader identifying dots on various types of art. Text has short sentences with basic vocabulary. Free shipping over $ Dots! Dots! Dots! at the museum General Dots! Dots! Dots! at the museum. Printable version. Publisher: Scholastic. Pub. Date: Pages: This is a used book in good condition and may show some signs of use or wear. Send to friend; Your name: * Your email: * Recipient's email: * Add a personal message Send to friend: Quick Search. A clever, quirky book about one of the world's most beloved contemporary artists - aimed at young readers and written from Kusama's point of view! Yayoi Kusama covers her paintings in hundreds and hundreds of dots. Her dots come off her canvases to cover dresses, tables, walls, and more!
Access-restricted-item true Addeddate Associated-names Davis, Nancy, illustrator Bookplateleaf Boxid IA Camera Sony Alpha-A (Control)Pages: This week's Art Together: 'Cartoons and Silly Drawings'. Each program features story time with an illustrated children's book, an inspiration work of art from the WAM Collection, and art activities for both young and older children. The British Museum was founded in , the first national public museum in the world. From the beginning it granted free admission to all 'studious and curious persons'. Visitor numbers have grown from around 5, a year in the eighteenth century to nearly 6 million today. The Greatest Dot-to-Dot Adventure Book features puzzle sizes from dots up to 2, dots, two triple page foldouts, and a quadruple page foldout. Made in the USA.


geiger at epy.co.at
Wed Jun 16 15:13:03 CEST 1999
Scott Draves writes:
> hi, i have just installed Pd on my new linux machine and it works!
> 1) The sound driver thinks my Sound Blaster ISA AWE64 doesn't support
> duplex IO, contrary to my understanding. Guenter describes a patch
> for PCI128 cards that sounds like it solves the same problem. Is
> this the right fix?
No, PCI128 is a completely different card.
Which driver are you using ?
OSS commercial or kernel drivers ?
AFAIK the kernel drivers don't support the full duplex mode.
More information about the Pd-list


text:
The Mission: Crusade
British goth-rock pioneers The Mission take the stage at England's Rock City venue in Nottingham to blaze through a killer set of fan favorites, including "Wasteland," "And the Dance Goes On," "Blood Brother" and "Stay with Me." Wayne Hussey and company also treat the manic crowd to "Let Sleeping Dogs Lie," "The Crystal Ocean," "Sacrilege," "Serpent's Kiss," "Over the Hills and Far Away" and "Wake."
Rent DVDs for only $4.99 a month.
NRNot rated. This movie has not been rated by the MPAA.
Full Screen 1.33:1Subtitles
NoLanguage and sound
English: Dolby Digital 2.0 StereoOther features
Color; interactive menus; scene access.
The Mission: CrusadeClose
Common Sense Note
- Age appropriate
- Not an issue
- Depends on your kid and your family
- Not appropriate for kids of the age most likely to want to see it


James Lowe and his Middlesbrough team are in an unfamilar position and they don’t intend to experience it for much longer.
They are bottom of the Darlington Building Society NYSD League.
They have won the title three times in the last seven years, and finished in the top half last season, so to be bottom of the pile this time around was not on the agenda.
The skipper cites poor batting - from talented, proven players - as the reason for the struggle, but he anticipates an improvement, starting any time now.
“When it comes it will come big,” he said. “But it needs to be sooner rather than later. We don’t want to be hanging around down here.
“We are all pulling in the right direction. There are discussions in the changing room because everybody is desperate to turn the corner and win. We all want to get going because it’s no fun to be losing.
“The mentality is upbeat because we are expecting to improve. We expected to do better this season, and people from outside our club would also have expected more from us.
“But the reason is that we are not batting well enough.
“That should be the strength of our side but we are not getting enough runs.
“The bowling and fielding has been pretty good but not enough of the batters are in form. However we hope that the problems are temporary.”
The skipper is not naming names because the players are all in it together, but a glance at the Boro side suggests that the runs should be flowing.
The skipper himself has been prolific in the past and with the likes of Adil Ditta, Paul Johnson, Walid Ghauri and Brett Roberts in the side, the runs should have flowed, at Acklam Park and on away grounds.
“We have players who have scored consistently and big every year,” he added, “but none of us have played as well as we can this season. But one good knock can change things because confidence is so important in batting.”
With two draws, five defeats and three rained off games, Boro have gleaned only 61 points so far, but are only two behind Sedgefield and three behind Saltburn, so a couple of wins - especially 25-point ones - could make all the difference.
A good time to start winning would be tomorrow when Middlesbrough host top-of-the-table Darlington, who have won six times so far.
“Darlington are a good side. They have a lot of players we respect, but we don’t fear them,” said Lowe. “They will know that if a couple of our players have a good game it will be difficult for them to beat us.
“We just need a couple of players to hit batting form for us to start winning. It’s been a stop- start season so far, with games rained off, but there’s time for us to put things right.”
Boro took a step in the right direction in midweek when the skipper scored an unbeaten 92 in a MacMillan Cup win over Hartlepool. The sides tied, but Boro won as they lost fewer wickets. Revivals can be build on such fine margins.
Second-placed Barnard Castle host Redcar tomorrow, while third placed Stokesley visit Richmondshire, who are fourth.


text:
The trial was initially launched in 10 stores last November, however a further 22 stores in London will be added to the offering.
Since its launch last winter, the grocer has revealed that Skimmed Milk, Eggs and Avocados, have been amongst the most popular items ordered.
Nigel Blunt, director of e-commerce at Sainsbury’s said that working with Deliveroo has helped the group offer “home grocery deliveries to even more customers” and bring them a “super-fast service when they need something in a hurry”.
He said: “We know how much Sainsbury’s customers value being able to shop for food as quickly and conveniently as possible and we’re delighted to be able to expand this service further.”
Eric French, chief marketplace officer at Deliveroo added: “Deliveroo’s on-demand grocery partnerships have proven vital for so many people during the pandemic, allowing families to get the food and household items they need and want quickly.
“We are excited to continue expanding this partnership in the weeks ahead and offer Sainsbury’s amazing products to even more customers across the UK.”

domain: economics


Wireless chargers for mobile electronics only under development and not ready to conquer the world market. But the emergence of such devices on sale much easier life of an ordinary user, because it makes it possible to not only complete abandonment of wires, but times and built several models of portable batteries electronics, regardless of manufacturer, as well as several times an adapter types of devices (mobile phone multimedia player, etc. ). But most importantly, that the devices for wireless charging of electronic devices already are in the process of manufacture working prototypes to evaluate the functionality and prospects for development. Active in the development of wireless charging devices including Japanese company Seiko Epson, as well as helping it to developments Japanese Murata Manufacturing. The fruits of their joint activities of both companies have demonstrated at the local exhibition Embedded Technology 2008. The main exhibits were of charging stations AT150 and AT25 capacity of 15, 0 and 2 watts, 5 watts, respectively. To restore charge Embedded in portable electronic devices of their batteries, appliances, just put the top wireless adapter. Note that the efficiency and AT150, and AT25 is 70%. But the most interesting yet to come - both by charging represent a completely wireless device, which is located inside the lithium-ion battery capacity of 2000 mAh. Systems serve as a solution for interim storage of energy - through the same wireless technology is implemented charge of battery charge Embedded AT150 and AT25, which then transmit the stored energy of portable electronic equipment. According to the information provided about the immediate plans of the Japanese company Seiko Epson is already mass-producing AT25, but more powerful solutions AT150 will expect better times. However, as another newcomer - the intermediate model designation AT50 (capacity, respectively, 5, 0 W).


text:
Microsoft has unveiled details of the Xbox Live Marketplace Content that will be available to Xbox 360 owners from the moment the console launches in Europe on December 2. There will be more than 400 items of downloadable content available, including free playable demos of FIFA 06, Kameo, King Kong, NBA Live 06 and Need for Speed Most Wanted, plus a wide range of game trailers, pictures and desktop themes.
As well as free content, the Xbox Live Marketplace will offer premium content which can be bought with Microsoft Points. These can be purchased via the Xbox Live Dashboard or from game retailers, priced at GBP 17.50 for 2100 points. Gamer pictures will retail for 20 points each, while themes will cost 150 points. Prices for additional game content - such as six extra cars that owners of Ridge Racer 6 will be able to purchase - have yet to be decided.
News source: GamesIndustry.biz

domain: game