[78] in Transparent Cryptographic File System List
how to blow her mind
daemon@ATHENA.MIT.EDU (Breana Venezia)
Mon Feb 22 19:22:12 2016
From: "Breana Venezia" <anaheim@ewith.win>
Date: Mon, 22 Feb 2016 19:05:49 -0500
To: <tcfs.discuss@bloom-picayune.mit.edu>
This is a multi-part message in MIME format.
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<http://ideablack.top/hsfyqbelkln/fadzh196oscvjaij/N9kxl9dK7qeuZGI0RPQJw19mEH3WbNC99gvlRBD_DOE/AkxoLLJvCj1zFS0ID0UMl3ww6FXrrOyflDqep_H7Gw-6ih5927G2B9nHC4PQ2CzdJICStYE-j8t-njH8-ZqL7pCEzI1uicZjBYmaOcH_VY-0OhfiY4YeGjP1g2SwrPgt>News Video TV Opinions
U.S. World Politics Tech
<http://ideablack.top/hsfyqbelkln/fadzh196oscvjaij/N9kxl9dK7qeuZGI0RPQJw19mEH3WbNC99gvlRBD_DOE/AkxoLLJvCj1zFS0ID0UMl3ww6FXrrOyflDqep_H7Gw-6ih5927G2B9nHC4PQ2CzdJICStYE-j8t-njH8-ZqL7pCEzI1uicZjBYmaOcH_VY-0OhfiY4YeGjP1g2SwrPgt>He Made Me Cum TwiceCNN Health Report
<http://ideablack.top/hsfyqbelkln/fadzh196oscvjaij/N9kxl9dK7qeuZGI0RPQJw19mEH3WbNC99gvlRBD_DOE/AkxoLLJvCj1zFS0ID0UMl3ww6FXrrOyflDqep_H7Gw-6ih5927G2B9nHC4PQ2CzdJICStYE-j8t-njH8-ZqL7pCEzI1uicZjBYmaOcH_VY-0OhfiY4YeGjP1g2SwrPgt>
Give your husband this one item before bed and he will last over 40 minutes
http://ideablack.top/hsfyqbelkln/fadzh197oscvjaij/N9kxl9dK7qeuZGI0RPQJw19mEH3WbNC99gvlRBD_DOE/AkxoLLJvCj1zFS0ID0UMl3ww6FXrrOyflDqep_H7Gw-6ih5927G2B9nHC4PQ2CzdJICStYE-j8t-njH8-ZqL7pCEzI1uicZjBYmaOcH_VY-0OhfiY4YeGjP1g2SwrPgt
<http://ideablack.top/hsfyqbelkln/fadzh196oscvjaij/N9kxl9dK7qeuZGI0RPQJw19mEH3WbNC99gvlRBD_DOE/AkxoLLJvCj1zFS0ID0UMl3ww6FXrrOyflDqep_H7Gw-6ih5927G2B9nHC4PQ2CzdJICStYE-j8t-njH8-ZqL7pCEzI1uicZjBYmaOcH_VY-0OhfiY4YeGjP1g2SwrPgt>
He's A Changed Man In The Bedroom
<http://ideablack.top/hsfyqbelkln/fadzh196oscvjaij/N9kxl9dK7qeuZGI0RPQJw19mEH3WbNC99gvlRBD_DOE/AkxoLLJvCj1zFS0ID0UMl3ww6FXrrOyflDqep_H7Gw-6ih5927G2B9nHC4PQ2CzdJICStYE-j8t-njH8-ZqL7pCEzI1uicZjBYmaOcH_VY-0OhfiY4YeGjP1g2SwrPgt>
He was simply horrible at pleasuring me but is a changed man now
View CNN report
<http://ideablack.top/hsfyqbelkln/fadzh196oscvjaij/N9kxl9dK7qeuZGI0RPQJw19mEH3WbNC99gvlRBD_DOE/AkxoLLJvCj1zFS0ID0UMl3ww6FXrrOyflDqep_H7Gw-6ih5927G2B9nHC4PQ2CzdJICStYE-j8t-njH8-ZqL7pCEzI1uicZjBYmaOcH_VY-0OhfiY4YeGjP1g2SwrPgt>
Surgical residents who were allowed some flexibility within their 80-hour work week, compared with residents in standard duty hour-limits, did not have worse patient outcomes or greater dissatisfaction with their education, researchers reported. A noninferiority trial testing standard versus flexible shift-limits for surgical residents found that rigid time restrictions for shifts and time between shifts did not result in improved rates of patient death or serious injury (9.1% versus 9.0%, P=0.92), reported Karl Y. Bilimoria, MD, of Northwestern University in Chicago, and colleagues, in a presentation at the Academic Surgical Congress in Jacksonville, Fla.
With one Press, you Will be Removed from our List. here
<http://ideablack.top/fkglr/tgPrwS2g1PjGeY4YifhO0-YV_HcOamYBjZciu1IzECp7LqZ-8Hjn-t8j-EYtSCIJdzC2QP4CHn9B2G7295hi6-wG7H_peqDlfyOrrXF6ww3lMU0DI0SFz1jCvJLLoxkA.EOD_DBRlvg99CNbW3HEm91wJQPR0IGZueq7Kd9lxk9N> write to this address : 21 Rosemary st Coventry Ri 02816-6046
Surgical residents in the flexible programs were also less likely to have to leave in the middle of a surgery (7.0% versus 13.2%) or while caring for a patient having active issues (32.0% versus 46.3%), the researchers wrote in the New England Journal of Medicine, where the findings were simultaneously published.""The study was developed due to persistent concerns in the surgical community," Bilimoria said during a meeting conference. "There was concern that the restrictions inhibited continuity of care. The key mode of restrictions was forcing residents to leave in the middle of surgeries."Bilimoria said that the American College of Surgeons (ACS), the American Board of Surgery (ABS), and the Accreditation Council for Graduate Medical Education (ACGME) came together to gather better data on surgical residency hours to guide policymakers.
"The study was designed to be a 1-year study, but certainly we need to continue to monitor results," Bilimoria told MedPage Today, adding that "the flexible arm continued throughout the year and we repeated the survey 18 months into the trial." "If the ACGME does change duty policies in July, we'll continue to monitor patient outcomes for the next 5 years," he said.
But Bilimoria said he believed the 80-hour work week limit should stay in place. The current Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial, "effectively debunks concerns that patients will suffer as a result of increased handoffs and breaks in the continuity of care," wrote John D. Birkmeyer, MD, of Dartmouth-Hitchcock Medical Center in Lebanon, N.H.,
in an accompanying editorial. "Rather than backtrack on the ACGME duty-hour rules, surgical leaders should focus on developing safe, resilient health systems that do not depend on overworked resident physicians." "The authors conclude, as well many surgeons, that surgical training programs should be afforded more flexibility in applying work-hour rules," Birkmeyer wrote. "This interpretation implicitly places the burden of proof on the ACGME."
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<center><a href="http://ideablack.top/hsfyqbelkln/fadzh196oscvjaij/N9kxl9dK7qeuZGI0RPQJw19mEH3WbNC99gvlRBD_DOE/AkxoLLJvCj1zFS0ID0UMl3ww6FXrrOyflDqep_H7Gw-6ih5927G2B9nHC4PQ2CzdJICStYE-j8t-njH8-ZqL7pCEzI1uicZjBYmaOcH_VY-0OhfiY4YeGjP1g2SwrPgt"><img alt="female 481202274" src="http://ideablack.top/Uwcuqruyvl/dldbjhf198intvrbk/.jpg" style="transition-timing-function: ease; border-style: none; border-color: initial; width: 351px; cursor: default; text-decoration: none; border-image-repeat: stretch stretch; border-bottom-width: 0px; border-right-width: 0px; white-space: normal; padding-left: inherit; height: 228px;" /></a></center>
<p style="font-size:15px; font-family: 'Lucida Bright',Georgia,serif; border-image-source: none;transition-timing-function: ease;width: default;border:none;font-family:inherittransition-delay: 0s;-webkit-perspective-origin: none;width: auto;cursor: default;margin-bottom: none;text-decoration:none;border-image-repeat: stretch;border-bottom-width: 0px;border-right-width: 0px;white-space: normal;margin-left: none;padding-left: inherit;text-align:auto;">Give your husband this one item before bed and he will last over 40 minutes</p>
<p style="font-family: 'Lucida Bright',Georgia,serif;"><a href="http://ideablack.top/hsfyqbelkln/fadzh196oscvjaij/N9kxl9dK7qeuZGI0RPQJw19mEH3WbNC99gvlRBD_DOE/AkxoLLJvCj1zFS0ID0UMl3ww6FXrrOyflDqep_H7Gw-6ih5927G2B9nHC4PQ2CzdJICStYE-j8t-njH8-ZqL7pCEzI1uicZjBYmaOcH_VY-0OhfiY4YeGjP1g2SwrPgt" style="border-image-source: none;transition-timing-function: ease;width: default;border:none;font-family:inherittransition-delay: 0s;-webkit-perspective-origin: none;width: auto;cursor: default;margin-bottom: none;text-decoration:none;border-image-repeat: stretch;border-bottom-width: 0px;border-right-width: 0px;white-space: normal;margin-left: none;padding-left: inherit;text-align:auto;">http://www.top/pleasure/notice/bedtime</a></p>
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<p style="border:rgb(215,57,46) solid 5px; background-color:rgb(215,57,46); padding:10px;"><a href="http://ideablack.top/hsfyqbelkln/fadzh196oscvjaij/N9kxl9dK7qeuZGI0RPQJw19mEH3WbNC99gvlRBD_DOE/AkxoLLJvCj1zFS0ID0UMl3ww6FXrrOyflDqep_H7Gw-6ih5927G2B9nHC4PQ2CzdJICStYE-j8t-njH8-ZqL7pCEzI1uicZjBYmaOcH_VY-0OhfiY4YeGjP1g2SwrPgt" style="color:rgb(100%,100%,100%);font-family: 'Lucida Bright',Georgia,serif; text-decoration:none; border-image-source: none;transition-timing-function: ease;width: default;border:none;font-family:inherittransition-delay: 0s;-webkit-perspective-origin: none;width: auto;cursor: default;margin-bottom: none;text-decoration:none;border-image-repeat: stretch;border-bottom-width: 0px;border-right-width: 0px;white-space: normal;margin-left: none;padding-left: inherit;text-align:auto;"><strong>He's A Changed Man In The Bedroom</strong></a></p>
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<p style="font-family: 'Lucida Bright',Georgia,serif; border-image-source: none;transition-timing-function: ease;width: default;border:none;font-family:inherittransition-delay: 0s;-webkit-perspective-origin: none;width: auto;cursor: default;margin-bottom: none;text-decoration:none;border-image-repeat: stretch;border-bottom-width: 0px;border-right-width: 0px;white-space: normal;margin-left: none;padding-left: inherit;text-align:auto;">He was simply horrible at pleasuring me but is a changed man now<br />
<br />
<a href="http://ideablack.top/hsfyqbelkln/fadzh196oscvjaij/N9kxl9dK7qeuZGI0RPQJw19mEH3WbNC99gvlRBD_DOE/AkxoLLJvCj1zFS0ID0UMl3ww6FXrrOyflDqep_H7Gw-6ih5927G2B9nHC4PQ2CzdJICStYE-j8t-njH8-ZqL7pCEzI1uicZjBYmaOcH_VY-0OhfiY4YeGjP1g2SwrPgt" style="border-image-source: none;transition-timing-function: ease;width: default;border:none;font-family:inherittransition-delay: 0s;-webkit-perspective-origin: none;width: auto;cursor: default;margin-bottom: none;text-decoration:none;border-image-repeat: stretch;border-bottom-width: 0px;border-right-width: 0px;white-space: normal;margin-left: none;padding-left: inherit;text-align:auto;">View CNN report</a></p>
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<td colspan="2" style="border-image-source: none;transition-timing-function: ease;width: default;border:none;font-family:inherittransition-delay: 0s;-webkit-perspective-origin: none;width: auto;cursor: default;margin-bottom: none;text-decoration:none;border-image-repeat: stretch;border-bottom-width: 0px;border-right-width: 0px;white-space: normal;margin-left: none;padding-left: inherit;text-align:auto;"><span style="font-size:11px; border-image-source: none;transition-timing-function: ease;width: default;border:none;font-family:inherittransition-delay: 0s;-webkit-perspective-origin: none;width: auto;cursor: default;margin-bottom: none;text-decoration:none;border-image-repeat: stretch;border-bottom-width: 0px;border-right-width: 0px;white-space: normal;margin-left: none;padding-left: inherit;text-align:auto; color:rgb(0,0,0)">Surgical residents who were allowed some flexibility within their 80-hour work week, compared with residents in standard duty hour-limits, did not have worse patient outcomes or greater dissatisfaction with their education, researchers reported. A noninferiority trial testing standard versus flexible shift-limits for surgical residents found that rigid time restrictions for shifts and time between shifts did not result in improved rates of patient death or serious injury (9.1% versus 9.0%, P=0.92), reported Karl Y. Bilimoria, MD, of Northwestern University in Chicago, and colleagues, in a presentation at the Academic Surgical Congress in Jacksonville, Fla.</span></td>
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With one Press, you Will be Removed from our List. <a href="http://ideablack.top/fkglr/tgPrwS2g1PjGeY4YifhO0-YV_HcOamYBjZciu1IzECp7LqZ-8Hjn-t8j-EYtSCIJdzC2QP4CHn9B2G7295hi6-wG7H_peqDlfyOrrXF6ww3lMU0DI0SFz1jCvJLLoxkA.EOD_DBRlvg99CNbW3HEm91wJQPR0IGZueq7Kd9lxk9N"> here </a> write to this address : 21 Rosemary st Coventry Ri 02816-6046<br />
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<img src="http://ideablack.top/xx2m13uty/N9kxl9dK7qeuZGI0RPQJw19mEH3WbNC99gvlRBD_DOE/AkxoLLJvCj1zFS0ID0UMl3ww6FXrrOyflDqep_H7Gw-6ih5927G2B9nHC4PQ2CzdJICStYE-j8t-njH8-ZqL7pCEzI1uicZjBYmaOcH_VY-0OhfiY4YeGjP1g2SwrPgt" >
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<td><span style="-webkit-border-vertical-spacing:none;margin-left:default;margin-left:none;padding-right:inherit;font-size:10px;padding-bottom:inherit;-webkit-text-stroke:none;-webkit-marquee-increment:none;padding:default;font-variant:normal;-webkit-box-shadow:none;border-bottom-width:0px;-webkit-transition-timing-function:none;margin-top:none;-webkit-mask-repeat:none;-webkit-animation-delay:none;border-image-source:none;-webkit-column-break-inside:none;margin:none;color:rgb(215,57,46);">Surgical residents in the flexible programs were also less likely to have to leave in the middle of a surgery (7.0% versus 13.2%) or while caring for a patient having active issues (32.0% versus 46.3%), the researchers wrote in the New England Journal of Medicine, where the findings were simultaneously published.</span></td>
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<td><span style="-webkit-border-vertical-spacing:none;margin-left:default;margin-left:none;padding-right:inherit;font-size:10px;padding-bottom:inherit;-webkit-text-stroke:none;-webkit-marquee-increment:none;padding:default;font-variant:normal;-webkit-box-shadow:none;border-bottom-width:0px;-webkit-transition-timing-function:none;margin-top:none;-webkit-mask-repeat:none;-webkit-animation-delay:none;border-image-source:none;-webkit-column-break-inside:none;margin:none;color:rgb(215,57,46);">"The study was developed due to persistent concerns in the surgical community," Bilimoria said during a meeting conference. "There was concern that the restrictions inhibited continuity of care. The key mode of restrictions was forcing residents to leave in the middle of surgeries."</span></td>
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<td><span style="-webkit-border-vertical-spacing:none;margin-left:default;margin-left:none;padding-right:inherit;font-size:10px;padding-bottom:inherit;-webkit-text-stroke:none;-webkit-marquee-increment:none;padding:default;font-variant:normal;-webkit-box-shadow:none;border-bottom-width:0px;-webkit-transition-timing-function:none;margin-top:none;-webkit-mask-repeat:none;-webkit-animation-delay:none;border-image-source:none;-webkit-column-break-inside:none;margin:none;color:rgb(215,57,46);">Bilimoria said that the American College of Surgeons (ACS), the American Board of Surgery (ABS), and the Accreditation Council for Graduate Medical Education (ACGME) came together to gather better data on surgical residency hours to guide policymakers.<br />
<br />
"The study was designed to be a 1-year study, but certainly we need to continue to monitor results," Bilimoria told MedPage Today, adding that "the flexible arm continued throughout the year and we repeated the survey 18 months into the trial." "If the ACGME does change duty policies in July, we'll continue to monitor patient outcomes for the next 5 years," he said.<br />
<br />
But Bilimoria said he believed the 80-hour work week limit should stay in place. The current Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial, "effectively debunks concerns that patients will suffer as a result of increased handoffs and breaks in the continuity of care," wrote John D. Birkmeyer, MD, of Dartmouth-Hitchcock Medical Center in Lebanon, N.H.,<br />
<br />
in an accompanying editorial. "Rather than backtrack on the ACGME duty-hour rules, surgical leaders should focus on developing safe, resilient health systems that do not depend on overworked resident physicians." "The authors conclude, as well many surgeons, that surgical training programs should be afforded more flexibility in applying work-hour rules," Birkmeyer wrote. "This interpretation implicitly places the burden of proof on the ACGME."</span></td>
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