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Qigong and Exercise Therapy in Patients With Long-term Neck Pain
A Prospective Randomized Trial
Birgitta Lansinger, MS, PT, Elisabeth Larsson, MS, PT, Liselott C. Persson, PhD, PT, and Jane Y. Carlsson, PhD, PT
Neck pain (NP) is a frequent and costly problem in the Western world. Two thirds of the population experience NP at some point in their lifetime, and it is a common source of disability in the working-age population.1,2 NP often results in the utilization of health care resources and is an economic burden to society.3,4 The origin of NP is thought to be of a multifactorial nature. Work related physical as well as psychologic factors play an important role.5 The prevalence of NP varies, and recent studies1,2,6 point toward 20%. It is more frequent among women than men, and the impact of NP on one's life varies with age. Elderly people report more NP than the adult population.7 Physiotherapy treatment for NP disorders vary from massage, nonspecific strengthening exercises, manipulative therapy, transcutaneous electric nerve stimulation, and thermo-therapy to different kinds of ergonomic advice.8 A commonly used form of physiotherapy treatment for patients with NP is exercise therapy, which incorporates a large variety of methods such as mobilizing exercises, stretching, and strength and endurance training.9 The aim with exercise therapy is to improve patient's functional capacity, reduce pain, and increase the knowledge on pain mechanisms. Several studies10 –13 have shown findings that support different kinds of exercise therapy for pain control and improved function. During the last 10 years, interest in complementary medicine has grown in the Western world, and physiotherapists have shown an interest in methods, such as qigong (pronounced "chee gong"), for pain treatment. Qigong is a therapeutic Chinese practice that has been used for 1000 years in order to prevent and cure disease. It is estimated there are more than 3000 varieties of qigong and 5 major traditions exist, of which one is medical. Medical qigong involves slow movements, breathing exercises combined with meditation. In the philosophy of qigong, a primary aim is to maintain or restore balance and harmony of mind and body. The efficacy of qigong in NP is not scientifically evaluated. Although NP disorders are common in the population, little evidence exists for many standard physiotherapeutic treatments.4,14 –16 Systematic reviews have found a great need for more well-designed, randomized, controlled studies with long-term follow-up to further investigate the effect of different kind of physiotherapeutic treatments on NP.8,15,17,18 The aim of this study was to compare the effectiveness of qigong and exercise therapy in patients with long-term NP.
Study Design. A randomized, controlled, multicenter trial: 1-year follow-up. Objective. To compare the effectiveness of qigong and exercise therapy in subjects with long-term nonspecific neck pain. Summary of Background Data. The evidence for the benefit of treatment programs focusing on persons with long-term, nonspecific neck pain is conflicting. Several studies have shown support for exercise therapy, but the efficacy of qigong has not been scientifically evaluated. Methods. A total of 122 patients were randomly assigned to receive either qigong (n 60) or exercise therapy (n 62). Most of them were women (70%), and the mean age was 44 years. A maximum of 12 treatments were given over a period of 3 months. Neck pain frequency and intensity, neck disability (NDI), grip strength, and cervical range of motion were recorded before and immediately after, at 6 months, and at 12 months after the treatment period. Changes in outcome variables were analyzed and dichotomized as improved or unchanged/ deteriorated. Results. Clinical and demographic characteristics were similar among groups at baseline. No differences were found between the 2 interventions: qigong and exercise therapy. Both groups significantly improved immediately after treatment and this was maintained at the 6- and 12-month follow-ups in 5 of 8 outcome variables: average neck pain in the most recent week, current neck pain (with exception for immediately after treatment period), neck pain diary, NDI, and cervical range of motion in rotation. Conclusion. These results indicate that treatments including supervised qigong or exercise therapy resulting in reduced pain and disability can be recommended for persons with long-term nonspecific neck pain. Key words: long-term neck-pain, exercise therapy, qigong, physiotherapy. Spine 2007;32:2415–2422
From the Goteborg University, Institute of Neuroscience and Physiol¨ ogy/Physiotherapy, Goteborg, Sweden. ¨ Acknowledgment date: August 25, 2006. First revision date: February 8, 2007. Second revision date: April 12, 2007. Acceptance date: April 13, 2007. Supported by the Vardal Foundation, the Ekhaga Foundation, the Development Council of Goteborg and Southern Bohuslan, the Swedish ¨ ¨ Association of Registered Physiotherapists: Minnesfonden and Renee ´ Eanders Hjalpfond for financial support. ¨ The manuscript submitted does not contain information about medical device(s)/drug(s). Foundation funds were received in support of this work. No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript. Address correspondence and reprint requests to Birgitta Lansinger, MS, PT, Goteborg University, Institute of Neuroscience and Physiolo¨ gy/Physiotherapy, Box 455, SE 405 30 Goteborg, Sweden; E-mail: ¨ email@example.com
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Figure 1. Time plan of the study.
Materials and Methods
A prospective, randomized, controlled trial was conducted between 2001 and 2004. The study was performed as a multicenter study in primary care in Goteborg, Lund and Malmo. ¨ ¨ Patients with long-term NP were randomized to either qigong or exercise therapy. Measurements were made before and after intervention and at 6 and 12 months after intervention (Figure 1). The study was approved by the Ethics Committee of Gote¨ borg University. Men and women between 18 and 65 years of age with nonspecific, long-term ( 3 months) NP were included. They should before intervention have scored an average NP (estimated at the week before screening/baseline measure) with at least 20 mm on a visual analogue scale (VAS, measured in millimeters with the endpoints 0 no pain and 100 unbearable pain).19 Exclusion criteria were chronic tension-type headache, migraine, traumatic neck injuries, neurologic signs or symptoms, rheumatic diseases, fibromyalgia or other severe physiologic or physical diseases, treatment with antidepressive and anti-inflammatory drugs, and difficulties in understanding the Swedish language. The study population was recruited through advertising in a free sample of a local newspaper. Initial screening was accomplished by telephone, and eligible persons were sent a letter with information about the study. Patients interested to participate were invited to a physiotherapy unit for baseline measure. All patients who fulfilled the inclusion criteria were offered to participate. Additional verbal and written information was given about study design, treatment procedure, and voluntary participation. Those willing to take part in the study had to give an oral approval to participate and after this the randomization took place. Randomization was done in blocks of 30 and was carried out according to a sealed envelope technique. A total of 139 patients with long-term NP were randomly allocated into the interventions (Figure 2). After randomization but before initiation of intervention, 17 patients (12%) declined to participate. Twelve of these had been randomized to qigong and 5 to exercise therapy. Reasons for dropout included lack of time, financial problems, and personal reasons. The enrollment of persons, the randomization procedure, and the performance of measurements were conducted by 4
independent physiotherapists. These physiotherapists were trained together in the measurement procedure and did not take part in any intervention. A manual was developed to standardize the administration of the questionnaires and performance-based tests.
Patients. A total of 122 patients started the interventions:
qigong (n 60) and exercise therapy (n 62) (Figure 2). Eighty-six (70%) were women and 36 (30%) were men, with a mean age of 44 years. Forty-six (38%) patients had a history of NP lasting between 1 and 5 years and 55 (45%) patients more than 5 years. The median (range) for average NP, the week before the baseline measure, was 53 mm (20 –100 mm). Only 9 (7%) patients were on sick leave (Table 1).
Intervention. Both groups were trained at 10 to12 occasions, 1 to 2 times per week, during a period of 3 months. Each session lasted approximately 1 hour. The interventions were carried out in physiotherapy departments in primary care and were conducted by experienced physiotherapists with similar levels of education and with long experience of each modality. The physiotherapists responsible for qigong had nothing to do with exercise therapy and vice versa. Before the start of the study, the physiotherapists in each intervention discussed its content and a treatment-specific guideline was composed. During the intervention period, both groups were provided with ergonomic instructions and a pamphlet, including written information concerning NP. An attendance list was kept during the intervention period, and all participants were informed that they had to attend at least 8 of 12 times to be analyzed in the study. The participants were encouraged to practice qigong or exercise therapy, respectively, during the intervention period as well as during the follow-ups. Cointerventions were discouraged. Qigong was performed according to medical qigong and was conducted in groups of 10 to 15 participants. Each qigong session started with information about the philosophy of medical qigong, followed by selected qigong exercises according to the Biyun method. These exercises, described in a guideline, consisted of 14 exercises. The program started with a general warming up, consisting of soft movements for the whole body followed by specific slow movement sequences combined with breathing techniques and deep concentration (meditation). The
Qigong and Exercise Therapy • Lansinger et al 2417
Figure 2. Participant flow of the study. Population analysis according to ITT (intention to treat): PP (per protocol)—participants who fulfilled 8 of 12 training sessions, LOCF (last observation carried forward)—participants who were withdrawals (attended treatment 8 times), excluded (medical reason) or not evaluated (did not attend to the evaluation).
meditation technique uses descriptive visualization focusing on different body parts, for example, how the monk embraces the moon, the butterfly beats its wings, or the crane stretches itself, and by focusing certain bodily sensations, such as heat and joy. Each qigong session ended with relaxation, soft stretching, and self-performed body massage. The participants were recommended to practice different qigong exercises at home every day. Exercise therapy was performed according to an individually adjusted training program. The resistance was between 30% and 70% of a person's maximal voluntary capacity, and each exercise was performed between 1 to 3 sets of 10 to 30 repetitions. The amount of resistance and the number of repetitions started at a pain-free level and were gradually increased throughout the treatment period. The program started with warming up on an ergometer-bicycle for 10 minutes followed by active movements of
the cervical and shoulder/thoracic regions. After that followed different muscle exercises with the aim to maintain/increase circulation, endurance, and strength. These exercises consisted of resistive exercises against gravity or added weights (rubber expander, dumbbells, and pulley apparatus) and were finished with stretching exercises. A training record was kept of how the exercise was performed and the progression of the load.
Measurements. Measurements were made at 4 occasions
(Figure 1), and all participants answered the same questionnaires and underwent the same performance based tests. A questionnaire was used inquiring demographic data, pain duration, frequency and intensity, pain analgesic medication, smoking, physical activity, and experience of physiotherapy treatment. Duration and frequency were measured by estimating
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Table 1. Baseline Characteristics
Qigong (n 60) Exercise Therapy (n 62) Total 122)
Statistical Analyses. All analyses were performed on an intention-to-treat (ITT) basis and involved all patients who were randomized and started interventions. Baseline data and subject characteristics are summarized in Table 1. Effect of intervention measured in outcome variables is presented by intervention group. Changes in outcome variables from baseline were dichotomized (as improved or unchanged/deteriorated). Differences in efficacy between interventions were measured as the proportion of improved outcome scores and analyzed using the 2 test. The efficacy of the 2 interventions was estimated using the proportion of patients with improved scores and the corresponding 95% confidence interval.
Baseline Variable
Gender n (%) Women 44 (73) 42 (67) 86 (70) Age in years Mean (SD) 44.9 (12.3) 42.8 (1.4) 43.8 (12.9) median (range) 49 (20–62) 44 (21–65) 45.5 (20–65) Sick leave n (%) 100% 2 (3) 3 (5) 5 (4) 40%–50% 2 (3) 1 (2) 3 (2) 25% 1 (2) 1 (1) 0% 55 (92) 58 (93) 113 (93) Length of NP n (%) 3 months–1 year 9 (15) 12 (19.5) 21 (17) 1 year 23 (38) 23 (37) 46 (38) 5 years 13 (22) 15 (24) 28 (23) 10 years 15 (25) 12 (19.5) 27 (22) Average NP last week/VAS median (range) 50 (20–100) 56 (20–97) 53 (20–100) Experience of physiotherapy n (%) Yes 40 (67) 37 (60) 77 (63) Positive effect: yes or partly 19 (48) 23 (62) 42 (55) Use of pain analgetic medicine n (%) Yes 26 (43) 25 (40) 51 (42) Smoking n (%) Yes 12 (20) 18 (29.1) 30 (24.6) Physical activity n (%) Slightly no exercise 13 (22) 19 (31) 32 (26) Light exercise 4 hr/wk 27 (45) 21 (34) 48 (39) Medium or hard exercise 13 (22) 18 (29) 31 (26) 1–4 hr/wk Hard exercise 3 hr/wk 7 (11) 4 (6) 11 (9)
NP indicates neck pain; VAS, Visual Analogue Scale.
Results A total of 122 patients started in the interventions (qigong n 60, exercise therapy n 62); and of these, 102 (84%) patients completed the interventions and were analyzed according to protocol (Figure 2). In total, 20 (16%) patients withdrew or were excluded during the intervention period. Qigong had 12 withdrawals and exercise therapy had 6 withdrawals. Two patients in exercise therapy were excluded (Table 2). Of the 102 patients who completed the interventions, 98% participated in the long-term follow-ups. In the qigong group, 1 patient was lost (due to death) at the 6-month follow-up and 1 patient did not attend the 12month follow-up due to personal reasons. In the exercise therapy group, 2 patients did not attend the 6-month follow-up: 1 patient due to low back pain problem and 1 patient due to personal reasons. All subject who withdrew or were excluded during the intervention or did not attend the follow-ups were analyzed according to last observation carried forward and were included into the ITT analysis of the population (n 122). Comparisons Between Groups at Baseline The 2 groups were almost balanced for baseline characteristics and for outcome variables as NP frequency, average NP in the most recent week, current NP, NP diary, and NDI. In total, median (range) NP frequency was 7 days per week (1–7 days). Measured with VAS, average NP during the most recent week was slightly over 50 mm (20 –100 mm), current NP was around 40 mm (2–100 mm), and the NP diary showed slightly below 50 mm (4 –90 mm). NDI ranged around 25% (6%– 60%) in disability (Table 3).
the number of months or years as well as days per week of NP. Intensity was measured with VAS by asking about perceived average NP during the last week and perceived current NP. A pain diary was used to measure NP during 1 week. Daily average NP was registered each evening with VAS. The diary was filled in the week before each measurement. Neck Disability Index (NDI)20 was used to measure function and activity level. This questionnaire is a modification of the original Oswestry Low Back Pain Disability Questionnaire21 and consists of a 10-item scaled questionnaire. The items assess NP according to intensity, personal care, lifting, reading, headache, concentration, work, driving, sleeping, and recreation. Each item has 6 potential responses describing an increasingly greater degree of disability, and the total scores are then recalculated to percent (0%, no pain and difficulties; 100%, maximum pain and difficulties). The Swedish version of NDI has been shown to be valid and reliable.22 Grip strength was measured by using a Grippit (AB Detektor, Goteborg, Sweden), which is an electronic force instrument ¨ measuring maximum force and mean force in Newtons over a 10-second time period. A standardized test procedure was followed. No verbal encouragement was given during the test procedure. The reliability of Grippit was demonstrated to be high.23 Cervical range of motion (ROM) was measured with a Myrin goniometer (Medema, Stockholm, Sweden). The total ROM was measured in flexion-extension and total rotation right-left. The instrument has demonstrated sufficient reliability and validity.24
Table 2. Reasons for Not Completing the Intervention
Qigong Withdrawal (n 18) Difficulties with time Do not want Qigong/exercise Other disease More pain Personal reason Other reason Excluded (n 2) Medical reason Exercise Therapy
5 2 3 — 1 1 —
2 2 — 2 — — 2
Qigong and Exercise Therapy • Lansinger et al 2419
Table 3. Outcome Variables, NP Frequency, Average NP Last Week/VAS, Current NP/VAS, NP Diary/VAS, and NDI for the 2 Interventions at Baseline, After Intervention, and at the 6- and 12-Month Follow-up
Baseline median (range) Exercise Therapy (n 62) 7 (1–7) 56 (20–97) 39 (3–76) 44 (4–80)* 22 (8–52)* 123 (63–190) 110 (50–160) After Intervention median (range) Exercise Therapy (n 62) 4 (0–7) 26 (0–84) 22 (0–83) 24 (0–77)* 17 (2–52) 140 (63–180) 118 (73–175) 6-Month Follow-up median (range) Exercise Therapy (n 62) 3.5 (0–7) 27 (0–85) 23 (0–76) 25 (0–71)* 18 (0–56) 140 (63–180) 115 (73–160) 12-Month Follow-up median (range) Exercise Therapy (n 62) 4 (0–7) 30 (0–91) 21 (0–86) 23 (0–87)* 18 (0–52) 150 (63–180) 119 (73–165)
Qigong (n 60) NP frequency (days/wk) Average NP last week/ VAS Current NP/VAS NP diary/VAS NDI Cervical ROM rotation right and left Cervical ROM flexionextension 7 (2.5–7)* 50 (20–100) 45 (2–100) 47 (7–90)* 26 (6–60)* 123 (50–170) 110 (60–153)
Qigong (n 60) 6.5 (0–7) 41 (2–81) 31 (0–82) 29 (1–77)* 24 (2–68) 140 (50–200) 120 (46–198)
Qigong (n 60) 5 (0–7)* 34 (0–95)* 26 (0–90)* 30 (0–82)* 22 (0–64)* 140 (50–200)* 120 (60–198)*
Qigong (n 60) 5 (0–7)* 35 (0–87)* 28 (0–79)* 28 (0–86)* 22 (0–54)* 140 (50–180)* 120 (60–170)*
*One to three missing cases. NP indicates neck pain; VAS, Visual Analogue Scale; NDI, Neck Disability Index; ROM, range of motion.
Comparisons Between Interventions in Outcome Variables Differences between the 2 groups were measured immediately after intervention and at 6- and 12-month followups compared with baseline and categorized for improved or unchanged/deteriorated. No differences between groups could be statistically demonstrated for NP frequency, average NP in the most recent week, current NP, NP diary, NDI, grip strength, and cervical ROM flexion-extension. The ROM rotation revealed a
significant difference (P 0.028) immediately after intervention compared with baseline (Table 4). Within-Group Changes in Outcome Variables Changes within all patients (n 122) in this study were evaluated (Figure 3). The proportion of patients who were improved immediately after intervention and at the 6- and 12-month follow-ups were statistically demonstrated to be above 50% for average NP in the most recent week, NP diary, NDI, cervical ROM in rotation,
Table 4. Number and Proportion of Patients With Improved Scores Compared With Baseline in Outcome Variables After Intervention and at the 6- and 12-Month Follow-up
(n Change immediately after intervention compared with baseline NP frequency Average NP last week/VAS Current NP/VAS NP diary/VAS NDI Grip strength, maximum right hand Cervical ROM rotation Cervical ROM; flexion-extension Change at 6-month follow-up compared with baseline NP frequency Average NP last week/VAS Current NP/VAS NP diary/VAS NDI Grip strength, maximum right hand Cervical ROM rotation Cervical ROM; flexion-extension Change at 12-month follow-up compared with baseline NP frequency Average NP last week/VAS Current NP/VAS NP diary/VAS NDI Grip strength, maximum right hand Cervical ROM rotation Cervical ROM; flexion-extension Qigong 60) % (n) Exercise Therapy (n 62) % (n) 95% CI P
33 (19) 65 (39) 52 (31) 69 (40) 61 (36) 50 (30) 54 (32) 55 (33) 50 (29) 64 (38) 64 (38) 64 (36) 64 (34) 49 (29) 61 (36) 61 (36) 48 (28) 66 (39) 59 (35) 61 (35) 65 (37) 58 (34) 54 (32) 59 (35)
47 (29) 71 (44) 61 (38) 77 (47) 67 (39) 52 (32) 73 (45) 52 (32) 53 (33) 73 (45) 66 (41) 77 (47) 70 (40) 52 (32) 71 (44) 52 (32) 44 (27) 66 (41) 68 (42) 74 (45) 66 (39) 60 (37) 68 (42) 52 (32)
31; 3 23; 11 26; 9 24; 8 23; 11 20; 16 36; 2 15; 21 21; 15 25; 7 19; 15 29; 3 24; 12 21; 15 27; 7 9; 27 14; 22 17; 17 26; 8 30; 4 18; 16 20; 16 31; 3 12; 24
0.101 0.608 0.284 0.32 0.483 0.859 0.028 0.779 0.724 0.333 0.842 0.129 0.501 0.787 0.248 0.344 0.603 0.997 0.336 0.151 0.893 0.819 0.128 0.449
NP indicates neck pain; VAS, Visual Analogue Scale; NDI, Neck Disability Index; ROM, range of motion; CI, confidence interval.
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Figure 3. Graph shows proportion of patients (small square) and corresponding 95% confidence interval (whiskers/tails) with improved levels in outcome variables (A–H), immediately after intervention (I) and at the 6 (II) and 12 month (III) follow-ups, compared with baseline. A, neck pain frequency; B, average neck pain last week/VAS; C, current neck pain/VAS; D, neck pain diary/VAS; E, Neck Disability Index (NDI); F, grip strength, maximum right hand; G, cervical range of motion rotation; H, cervical range of motion; flexion-extension.
and current NP (but not for the time immediately after the intervention period). No statistical improvement above 50% could be demonstrated in pain frequency, grip strength, and cervical ROM in flexion-extension. Discussion The main findings in this randomized clinical trial were that there were no differences in the effect of qigong and exercise therapy in patients with long-term NP. Both interventions resulted in reduced NP and disability in the long-term follow-up. The calculated power in this study was a difference of 20%. No such differences of clinical interest were found between the 2 groups, but smaller differences may be present in the population but could not be detected. This may be an effect of an underpowered study design caused by too few patients in the ITT analysis of the population or be due to the fact that dichotomization of data reduced the power of the study. The patients who after randomization never started the intervention were measured for baseline characteristics. Their baseline data were similar to those of the patients who started intervention in all respects and consequently no imbalance was present. Compliance was good among the patients who fulfilled intervention and almost all attended the followups. Twenty patients did not complete intervention, which might be a weakness. However, according to ITT,
they were included in the statistical analysis with baseline data carried forward. Compliance during intervention was higher in exercise therapy than qigong. One reason might be that each session of exercise therapy was individually planned while the qigong was performed as group treatment with preset sessions before the intervention period started. Pain and disability are important determinants for persons with NP.25 Our results on reduced pain and disability (measured with NDI) are in line with other studies.13,26 Even if our patients had significantly decreased pain intensity at the 12-month follow-up as compared with baseline, the majority still had remaining NP. A pain-free result might not to be expected in this case where most of the patients had experienced NP for a long time. The NDI scores for the patients in this study were somewhat lower at baseline than in other studies.20,27 The score improved significantly at the follow-ups, and the participants showed a decrease of 10% at the 12month follow-up compared with baseline. This improvement may seem slight but is large enough to be defined as being clinically important.28 A high degree of pain in long-term NP does not in most cases correspond with high levels of NDI. This could indicate that these patients have learned to compensate for pain in different kinds of activities.22
Qigong and Exercise Therapy • Lansinger et al 2421
Cervical ROM and grip strength as outcome measures for pain and disability seem to be weak, and their predictive value in NP has been questioned in some studies.29,30 The observed individual changes in cervical ROM in rotation were small and within the range of what could be expected as measurement errors. Therefore, the observed changes between and within the interventions should not be regarded as clinically important and should be interpreted with care.24 Other investigations comparing different kinds of exercise therapy to treat patients with chronic NP have achieved similar improvements as were seen in our study and with no difference between the interventions at follow-ups.13,26 In a recent published systematic review,17 assessing the effect of exercise therapy for NP disorders, the author concluded that there is still limited evidence of the benefit for a variety of exercises, such as active ROM exercises without resistance as well as stretching and strengthening exercises for mechanical NP. Strong evidence was found of the benefit of a multimodal care approach of exercise combined with mobilizations or manipulations. The aim of the study was to compare a commonly used and scientifically evaluated treatment as exercise therapy with the nonevaluated treatment as qigong. There is a lack of scientific research on qigong, and only a few studies have focused on the effect of qigong for chronic pain.31,32 The effect of qigong on NP could be that the combination of slow movements combined with breathing exercises and concentration gives relaxation. Qigong seems to decrease stress, which is regarded as an important factor for the origin of NP. It can be assumed that our patients were representative of a working-age population with long-term nonspecific NP. The method of recruiting participants may have affected the results. One can presume that a majority of the participants sought care on their own initiative, and this may create a group that was highly motivated and interested. The lack of a precise diagnosis contributes to a misclassification bias; the definitions of NP vary as does the period of pain, and there is a wide variety of clinical characteristics such as age, gender, and level of pain. A nontreated control group would have provided more reliable information about the effects of the interventions, and it may be that the observed improvements merely reflect the effect of natural history and placebo. Another bias could be that it was not possible to blind the evaluators. However, every effort was made to minimize bias by asking the patients not to reveal information to the evaluators about assigned treatment. The strengths in this study are the large number of patients, the randomized controlled trial design, the use of the ITT principle, the standardized measure procedure, the use of reliable and valid outcome measures, the attempt to follow a treatment guideline, the expertise of physiotherapists, and the good compliance in the interventions.
Conclusion This study demonstrates that patients with long-term NP effectively reduced their NP and neck disability after a 3-month intervention with supervised qigong or exercise therapy and that this improvement was maintained over the 1-year follow-up. Both interventions appear to have a positive effect, but it is still an open question which type of training might be of less importance. Our study has not provided a definite evidence of treatment efficacy and the reason for the long-term effect remains speculative. Further studies are needed to explore the cost-effectiveness of these interventions and to assess the effect of qigong and exercise therapy compared with no treatment or a minimal intervention such as advice for self-care. Key Points
● For long-term neck pain, there is no difference in the effect of qigong compared with exercise therapy. ● Both qigong and exercise therapy resulted in decreased neck pain and neck disability both after intervention as well as 6 and 12 months of followup. ● In a clinical setting, patients should be given a choice of treatment approaches encouraging self-management.
Acknowledgments The authors thank Jan Kowalski for statistical support, physiotherapist Britta-Lena Rundcrantz for helping us with the study design and the evaluations, and the physiotherapists who were responsible for the treatments.
1. Cote P, Cassidy JD, Carroll L. The Saskatchewan Health and Back Pain Survey: the prevalence of neck pain and related disability in Saskatchewan adults. Spine 1998;23:1689 –98. 2. Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J 2006; 15:834 – 48. 3. Linton SJ, Hellsing AL, Hallden K. A population-based study of spinal pain among 35– 45-year-old individuals: prevalence, sick leave, and health care use. Spine 1998;23:1457– 63. 4. Statens beredning for medicinsk utvardering. Metoder for behandling av ¨ ¨ ¨ långvarig smarta. Stockholm: Statens beredning for medicinsk utvardering; ¨ ¨ ¨ 2006. 5. Walker-Bone K, Cooper C. Hard work never hurt anyone: or did it? A review of occupational associations with soft tissue musculoskeletal disorders of the neck and upper limb. Ann Rheum Dis 2005;64:1391– 6. 6. Guez M, Hildingsson C, Nilsson M, et al. The prevalence of neck pain: a population-based study from northern Sweden. Acta Orthop Scand 2002; 73:455–9. 7. Bovim G, Schrader H, Sand T. Neck pain in the general population. Spine 1994;19:1307–9. 8. Linton SJ, van Tulder MW. Preventive interventions for back and neck pain problems: what is the evidence? Spine 2001;26:778 – 87. 9. Sarig-Bahat H. Evidence for exercise therapy in mechanical neck disorders. Man Ther 2003;8:10 –20. 10. Bronfort G, Evans R, Nelson B, et al. A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain. Spine 2001;26: 788 –97; discussion 798 –9.
2422 Spine • Volume 32 • Number 22 • 2007
11. Chiu TT, Lam TH, Hedley AJ. A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain. Spine 2005;30:E1–7. 12. Taimela S, Takala EP, Asklof T, et al. Active treatment of chronic neck pain: a prospective randomized intervention. Spine 2000;25:1021–7. 13. Ylinen J, Takala EP, Nykanen M, et al. Active neck muscle training in the treatment of chronic neck pain in women: a randomized controlled trial. JAMA 2003;289:2509 –16. 14. Gross AR, Hoving JL, Haines TA, et al. A Cochrane review of manipulation and mobilization for mechanical neck disorders. Spine 2004;29:1541– 8. 15. Aker PD, Gross AR, Goldsmith CH, et al. Conservative management of mechanical neck pain: systematic overview and meta-analysis. BMJ 1996; 313:1291– 6. 16. Philadelphia Panel. Evidence-based clinical practice guidelines on selected rehabilitation interventions for neck pain. Phys Ther 2001;81:1701–17. 17. Kay TM, Gross A, Goldsmith C, et al. Exercises for mechanical neck disorders. Cochrane Database Syst Rev 2005;3:CD004250. 18. Mior S. Exercise in the treatment of chronic pain. Clin J Pain 2001;17(suppl 4):77– 85. 19. Carlsson AM. Assessment of chronic pain: I. Aspects of the reliability and validity of the visual analogue scale. Pain 1983;16:87–101. 20. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther 1991;14:409 –15. 21. Fairbank JC, Couper J, Davies JB, et al. The Oswestry low back pain disability questionnaire. Physiotherapy 1980;66:271–3. 22. Ackelman BH, Lindgren U. Validity and reliability of a modified version of the neck disability index. Scand J Rehabil Med 2002;34:284 –7. 23. Lagerstrom C, Nordgren B. On the reliability and usefulness of methods for grip strength measurement. Scand J Rehabil Med 1998;30:113–9. 24. Malmstrom EM, Karlberg M, Melander A, et al. Zebris versus Myrin: a comparative study between a three-dimensional ultrasound movement analysis and an inclinometer/compass method: intradevice reliability, concurrent validity, intertester comparison, intratester reliability, and intraindividual variability. Spine 2003;28:E433– 40. Kjellman G, Skargren E, Oberg B. Prognostic factors for perceived pain and function at one-year follow-up in primary care patients with neck pain. Disabil Rehabil 2002;24:364 –70. Randlov A, Ostergaard M, Manniche C, et al. Intensive dynamic training for females with chronic neck/shoulder pain: a randomized controlled trial. Clin Rehabil 1998;12:200 –10. Stratford PW, Binkley FM, Riddle DL. Health status measures: strategies and analytic methods for assessing change scores. Phys Ther 1996;76: 1109 –23. Stratford PW, Riddle DL, Binkley JM, et al. Using the Neck Disability Index to make decisions concerning individual patients. Physiother Can 1999;51: 107–12. Bertilson BC, Grunnesjo M, Strender LE. Reliability of clinical tests in the assessment of patients with neck/shoulder problems–impact of history. Spine 2003;28:2222–31. Hagen KB, Harms-Ringdahl K, Enger NO, et al. Relationship between subjective neck disorders and cervical spine mobility and motion-related pain in male machine operators. Spine 1997;22:1501–7. Mannerkorpi K, Arndorw M. Efficacy and feasibility of a combination of body awareness therapy and qigong in patients with fibromyalgia: a pilot study. J Rehabil Med 2004;36:279 – 81. Tsang HW, Mok CK, Au Yeung YT, et al. The effect of Qigong on general and psychosocial health of elderly with chronic physical illnesses: a randomized clinical trial. Int J Geriatr Psychiatry 2003;18:441–9.
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Zhirayr Sefilian, a jailed opposition leader, on Tuesday urged the Armenian authorities to negotiate with him an end to their continuing standoff with armed members of his Founding Parliament movement occupying a police station in Yerevan.
Thousands of people marched in Yerevan late on Monday in support of opposition gunmen that have occupied an Armenia police station for more than a week to demand the release of their jailed leader and President Serzh Sarkisian's resignation.
President Serzh Sarkisian is ready to meet the jailed opposition leader Zhirayr Sefilian if the armed member of his organization occupying a police station in Yerevan lay down their arms, a politician who has negotiated with them said on Sunday.

subset: commoncrawl


text:
Made our start to our vacation a breeze! Arrived at hotel and groceries were waiting in our fridge! Will definitely use again! Thanks!
Best service for two reasons: #1 - to get waters, assorted drinks (and beer/wine), and snacks for Disney so you can use your dining snacks for upgraded snacks and drinks at the park!! #2 - and most importantly, you can keep on a healthy plan by ordering perishable items such as hummus and guacamole, fruits, carrots and celery!! Garden Grocer kept my clean eating in check while at Disney!! Thank you GG!!
They caught a mistake that I made and called me within the hour.


text:
Relevant offers
Former President George HW Bush has been admitted to a hospital's intensive care unit "following a series of setbacks including a persistent fever," but he is alert and talking to medical staff, his spokesman has said.
Jim McGrath, Bush's spokesman in Houston, said in a brief email that Bush was admitted to the intensive care unit at Methodist Hospital on December 21. He said doctors are cautiously optimistic about his treatment and that the former president "remains in guarded condition".
No other details were released about his medical condition, but McGrath said Bush is surrounded by family.
The 88-year-old has been hospitalised since November 23, when he was admitted for a lingering cough related to bronchitis after having been in and out of the hospital for complications related to the illness.
Earlier, McGrath said a fever that kept Bush in the hospital over Christmas had gotten worse and that doctors had put him on a liquids-only diet.
"It's an elevated fever, so it's actually gone up in the last day or two," McGrath told The Associated Press. "It's a stubborn fever that won't go away."
But he said the cough that initially brought Bush to the hospital has improved.
Bush was visited on Christmas by his wife, Barbara, his son, Neil, and Neil's wife, Maria, and a grandson, McGrath said. Bush's daughter, Dorothy, was expected to arrive soon in Houston from Bethesda, Maryland. The 41st president has also been visited twice by his sons, George W Bush, the 43rd president, and Jeb Bush, the former governor of Florida.
Bush and his wife live in Houston during the winter and spend their summers at a home in Kennebunkport, Maine.
The former president was a naval aviator in World War II - at one point the youngest in the Navy - and was shot down over the Pacific. He achieved notoriety in retirement for skydiving on at least three of his birthdays since leaving the White House in 1992.
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text:
Jul.10, 2016 in Uncategorized Leave a Comment
A handjob is like a work of art for Zoe Parker. She can shake it with the best of them. Zoe Parker loves grabbing her unbelievable boobies while getting fucked. Still, what she really likes is getting tied to the bed and being fucked for hours. Get the whole Mofos Pics video now.


text:
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Date: 1861 ca.
Description: Shaded drawings with size dimensions for plans of "Tents used in Civil War. U.S. Army Regulation Tents." Upper left, "18. ft diam, Gilbert Anderson Hub...
Date: date unknown
Description: Architectural rendering. Chas A. Pear Architecture Service Co. Name of building is above the entrance.
Date: 1955
Description: Pencil sketch, drawn by Frank Lloyd Wright, possibly a preliminary design for the Air Force Academy. The drawing is on the back of Desco Vitro Glaze Co. s...
Date: 1938
Description: Footing plan for the Mac Wilkie house drawn by the architect William Kaeser. The house was planned for the Sunset Village neighborhood.
Description: Pen and colored pencil drawing of a small cottage, possibly to be built at Taliesin. Included on the drawing is a floor plan of the cottage and a perspect...
Date: 1958
Description: Pencil on velum drawing of the Charles Murphy residence showing the floor plan and East and West elevations designed and drawn by architect John Randal McD...
Description: Pencil sketch, drawn by Frank Lloyd Wright, possibly of a wooden privacy fence. The sketch shows an elevation and a site plan.
Date: 1908
Description: Design of the Architectural Commission of 1908 for future constructional development, elevation of men's dormitory group on the University of Wisconsin cam...
Description: Colored drawing of the front elevation for the Mac Wilkie house drawn by the architect William Kaeser. The house was planned for the Sunset Village neighbo...
Date: 1949-06-06
Description: A rendering on tissue paper of the floor plan for the first floor of a house design for Mr. and Mrs. Donald Hayworth.
Date: 1940 ca.
Description: Matted architectural drawing for a proposed Methodist church for a congregation in Spring Green, Wisconsin, drawn by Marcus Weston with input from architec...
Description: ARchitectural rendering of building at the Wisconsin Memorial Hospital. Arthur Peabody was the state architect.
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Date: 1996
Description: Artist's rendering of the home plate elevation at Miller Park Stadium. Depicts exterior of stadium at night.
Date: 1957
Description: Pencil on vellum drawing of the exterior of the Joseph Hafen residence designed and drawn by architect John Randal McDonald.
Description: Side elevation, north and south view of the recitation hall and administration building for Pyengyang Christian Academy in Korea.
Description: Artist's rendering of the loge level plan for Miller Park Stadium.
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Date: 1956
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text:
Football: Offense -- Defense | Soccer: Boys -- Girls | Cross-country: Boys -- Girls | Field hockey | Volleyball
POY: Rob Chesson, Old Mill
Football: Offense
RB Rob Chesson set a Maryland state record with 49 total touchdowns and led the Patriots to the 4A title.
POY: Stefon Diggs, Good Counsel
Football: Defense
DB Stefon Diggs was a multi-faceted threat for the Falcons, the area's top-ranked team.
POY: Ntokozo Tshuma, Episcopal
Soccer: Boys
Ntokozo Tshuma was a difference-maker from the moment he stepped on the field for the Maroon.
POY: Midge Purce, Good Counsel
Soccer: Girls
Midge Purce, a dynamic junior forward, had 30 goals and 17 assists for the top-ranked Falcons.
AOY: Ahmed Bile, Annandale
Cross-country: Boys
Ahmed Bile won his second straight Virginia AAA title in 15:16, ninth-fastest all-time.
AOY: Sophie Chase, Lake Braddock
Cross-country: Girls
Junior Sophie Chase went undefeated against local competition and won the Virginia AAA title.
POY: Alyssa Parker, Glenelg
Field hockey
Alyssa Parker finished her high school career with 114 goals, 108 assists and two Maryland 2A titles.
POY: Alex Holston, Sherwood
Alex Holston powered the Warriors to their second straight Maryland 4A title and undefeated season.
Most Read: Sports
1After losing out on Aroldis Chapman, the time is now for the Nationals to part with prospects
2Trea Turner backs Stephen Strasburg, Nationals hang on to beat Indians, 4-1
3Warren Sapp got bitten by a shark and the photo is not for the squeamish
4WWE won't punish Brock Lesnar for his failed UFC drug tests because he works part-time
5Iowa City police release body cam footage of encounter with football player
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When a prep school built on basketball turns away from the sport, what's left?
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T.C. Williams junior Iesha Kenney, 17, is a fast-rising fighter in women's boxing looking to forge a path to the Olympics.
Lacrosse and loss: Gunnar Schimoler leans on South River community amid tragedy
BOYS' LACROSSE | Seahawks standout Gunnar Schimoler is coping with the death of his parents with the help of the Edgewater community, his teammates and coaches.


text:
CCNA Training and CCNA Certification
The CCNA certification (Cisco Certified Network Associate) demonstrates a foundation in and basic knowledge of networking. CCNA certified professionals can install, configure, and operate LAN, WAN, and dial access services for small networks (100 nodes or fewer), including but not limited to use of these protocols: IP, IGRP, IP RIP, VLANs, Serial, Frame Relay, RIP, Ethernet, Access Lists.
CCNA training is a foundation for people who want to build a future in networking on Cisco products. CCNA training is also a prerequisite for other high level Cisco certifications.
Some of the schools listed on this site provide the CCNA training that leads to CCNA Certification. The schools listed below are recommended to provide the preparation you need to obtain your certification. CCNA Certification programs vary by school location. Select a CCNA training school, request information and get started today.
Keiser University Campus
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- Facebook Like
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text:
Lego man on 8 x 10 canvas by shopsignlanguage on Etsy, $14.00 Kaleb!!!!! Lol
Lego characters craft! Perfect for when ever I have kids.
Life-size hot rod made entirely from LEGO bricks runs on air! | Inhabitat - Sustainable Design Innovation, Eco Architecture, Green Building
If I could get my oldest to write a story, I think he'd REALLY like doing the pictures & making a book out of it.
Repurpose/upcycle idea for Legos
LEGO Light Bulb
The creative Suitcase: Iconos del fotoperiodismo recreados con LEGO
LEGO lamps (tutorial; haha, like you really need a tutorial for this one!)
No one could ever be "too old" to play with or appreciate Legos.
Lego Movie Everything is Awesome Tshirt by FishbiscuitDesigns
DIY fun kids' room decor using LEGOs @Dianne Kirsch Kirsch Petrella Nobile this made me think of you!
easy Lego mosaic art for nursery or kid room
Lego storage kids-room - I am SO making one of these! Brilliant!
Lego room
Original Lego Patent. Would be a cool photo for in the Lego room @ michele
A cool Lego room with AkroBins from The Container Store
LEGO Transparent Brick Light - Colors May Vary
Cute for a Lego room
I'm totally doing this in my kids toy room !! Each tote will have a set name (like Ninjago or Star Wars) instead of colors.
Lego Portable LED Brick Light - eclectic - children lighting - Vat19
Make a Lego Shelf - Great Idea For Displaying Creations! For all the mamas who have boys (maybe girls too) that love And have collection of Legos, sweet idea.
Lego Room - Boys' Room Designs - Decorating Ideas - HGTV Rate My Space
mommo design: LEGO ROOM
all things lego for bedroom
Do you think Lego's Busy Farm's Farmer Ted carries and organizes his supplies with a tote like this? I have this on my wish list to tote party supplies. "Happywood Goods items are handmade by a homeschooling mother of eight -and perhaps even by one or two of her children." Neat! #LegoDuploParty


text:
Similar to my bedroom furniture - REALLY want to paint it now.. so much cleaner and prettier!
Explore laundry room decorating ideas that are both stylish and functional. From extra storage space and hidden appliances to pops of color and reclaimed wood, these laundry rooms will inspire your next home renovation project.
10 Fabulous Before and After Furniture Makeover Projects 1
raised wall cabinets with shelves built underneath. Namely Original: Painted Kitchen And Remodel Reveal
rustic farmhouse entryway table. by ModernRefinement on Etsy
DIY Simple Square Bedside Table Plans - Rogue Engineer
Gray kitchen cabinets (Kraftmaid Durham Maple Square in Grayloft and Dove White), Silestone Quartz white counters (in Marengo and Blanco White), white subway tile backsplash, Feiss urban renewal pendant light | Jenna Sue
Formal Dining Room Makeover on a BUDGET
Four Seasons Style: The NEW kitchen - remodel on a budget!!
No way that is the same kitchen! From dated and dark to modern and bright on a surprising budget.
Kitchen makeover on a budget. Remodel your cabinets and countertops with paint for under $200! www.gianigranite.com www.nuvocabinetpaint.com
First We Had Each Other Then We Had You Now We Have Everything Wooden Sign Quote Saying Primitive Wood Sign
Love this kitchen! Especially the light and island. Mason Ball Jar Light and Rustic Island
The ladder towel rack and the woven baskets give this beautiful bathroom a rustic feel. #HomeGoodsHappy
Crates for shelves, a lovely modern inspiration for your home decoration. Could be used in a living room, for instance.
19 Real-Life Pro Tips For the First-Time Home Buyer http://www.thenotefactory.com/sell-mortgage-notes/
THE BASEMENT: Built-In Entertainment Center & Bookshelves - Mom and dads basement
DIY table with 2×8 boards (4.75 each for $31.00) from Lowes This is the coolest website! If you love Pottery Barn but cant spend the money, this website will give you tons of inspiration. @ Home Renovation Ideas
How to make no sew curtains using burlap for under $7 per panel. Easy {tutorial} by Jessica Bruno @ www.fourgenerationsoneroof.com
diy pallet coffe table with white wash paint instructions
Ana White | Build a Husky Farmhouse Table | Free and Easy DIY Project and Furniture Plans


text:
Alfa Romeo show off Alfa 8C Competizione
We've got to admit it ... this is one of the best designed cars we've ever seen.
The amazing Alfa 8C Competizione, which will be produced in a limited edition for very lucky few people, has made its debut in Paris, and is the culmination of work from the most egg-shaped petrolheads at Alfa Romeo and Maserati.
Bearing a very close resemblance to the original concept, which first saw the light of car paperazzi's flash guns back in 2003, the 8C has some of the most drool-splatteringly lines ever, mixing a rather masculine bravado with subtle curves that make this one appeal to both hicks and chicks alike.
Underneath, a new 90° 4.6 V8 trundles out 450bhp at 7000rpm. But special gubbins in the exhaust system and valve timing mean that even at just 2000rpm you get 80% of the total torque available. Loads of aluminium in the engine block, base assembly and even the cylinder heads keep weight down.
It's mated to a six-speed gearbox with computerised speed selection, while brakes are snazzy perforated and ventilated discs with aluminium brake calipers.
And the inside oozes more style than a Milan Fashion Week after-party, with plenty of composite materials and even anatomically designed seats made from carbon fibre. Now that's beyond cool.
Jaguar demos new technology to assist future drivers
Tesla's Master Plan part two involves self-driving trucks, buses, and cars that...
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Driving with Nissan ProPILOT: Removing the legwork
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- Next Nexus (2016): Release date, rumours and everything you need to know


text:
The Social Worker, BSW provides case management for adolescents, adults, and geriatric patients.
Texas Health Organization for Physicians is in search of Community Social Workers to join the growing Care Coordination Teams at select clinics / physician offices in the greater Dallas - Ft. Worth area.
Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies.


text:
Flashy Seasoned Trail Mare for Sale. Been there, done that kind of horse. Been all over Tennessee, Illinois, and South Dakota riding. Smooth gait--not…$2,000
Isabella's Song (aka "Bella") has the beautifully thick mane and tail as well as a nice amount of feather (Registered with Friesian Heritage Horse). Bella…$6,500
Hardenberg Feathered Horse Farm is now accepting deposits on a 75% Friesian filly born 05/17/2016. Dam - Isabella's Song by Raven (purebred Friesian…$5,200
All around Solid Paint out of Special Invitation. She has an excellent personality. Anyone can ride her from beginner to advanced. She is not a dead…$7,500
Sweet, gentle, responsive, and gorgeous light bay Arabian mare for sale. Bella is a purebred Arabian mare standing approximately 14.2 hands tall. She is…$1,000
Dogs of War is a 3 year old OTTB gelding, only raced a handful of times sound, no vices, up to date on all care, teeth done this year quiet, easy to…$3,500
Lily is as smooth to ride as she is pretty! She has been under saddle for a little over a year and knows the riding basics. She has an awesome saddle gait…$2,000
Cisco is an incredible little Amish trained pony! He's only 4 years old, but he acts like he's 14! He is super quiet, hasn't spooked at anything we've…$6,000


text:
Lyrics Depot is your source of lyrics to Freestyle- Smackdown 2003-03-27 by Wrestling Lyrics. Please check back for more Wrestling Lyrics lyrics.
Freestyle- Smackdown 2003-03-27 Lyrics
Artist: Wrestling Lyrics
Album: World Wrestling Entertainment
Josh Matthews ran into John Cena. Oh Hell Yeah. It€™s time for a little Thuganomics!!
Save your breath kid, I€™m here for a reason
My target is Brock Lesnar and it€™s hunting season
Tonight I teach Brock a lesson like Mr. Miyagi did
But he€™s not Daniel LaRusso and this ain€™t the Karate Kid
Yeah my pants are sagging €˜cause I€™ve been working my ass off
Tonight I€™ll put the €˜wax on€™ to a kid that whacks off
I€™m more of a threat to you Brock than nuclear fallout
Tonight€™s the night the Next Big Thing gets called out
World life, son!
The man is a God Damn Genius!!
Wrestling Lyrics Lyrics
Wrestling Lyrics World Wrestling Entertainment Lyrics
More Wrestling Lyrics Music Lyrics:
Wrestling Lyrics - D-Generation X Lyrics
Wrestling Lyrics - Disturbed- "Stupify" Lyrics
Wrestling Lyrics - Freestyle- Heat 2003-03-30 Lyrics
Wrestling Lyrics - Freestyle- Smackdown 2003-03-06 Lyrics
Wrestling Lyrics - Godsmack- "Awake" Lyrics
Wrestling Lyrics - Miestro - MacMilitant (Theodore Long) Lyrics
Wrestling Lyrics - Powerman 5000- "Automatic" Lyrics
Wrestling Lyrics - Undertaker Lyrics


text:
IEXTREME Blue Yellow Surfboard Checked Swim Trunks Little Boys 12M-7Surf's Up in these bright colored Swim Trunks from IEXTREME!
Surf's Up in these bright colored Swim Trunks from IEXTREME! He will love the cool checked pattern and bright colors in these trunks. They feature a surf board screen print on the left leg and an elastic waist with drawstring closure. Watch out waves, here he comes!
Fabric and Care: Shell and lining: 100% Polyester. Machine wash cold wiith like colors, gentle cycle, use only non-chlorine bleach when needed, tumble dry low, remove promptly, iron on lowest setting as needed.
Brand: iXTREME
Price: $6.99 - In stock
No reviews yet.
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text:
Tool for making aviation calculations done quickly and easily. Works on multiple operating systems (including MS Windows) and suitable for flight simulators (icl. MS Flight Sim.), but not for real use.
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Most Popular Titles With Location Matching "Ashford, Kent, England, UK"
1. The Monuments Men (2014)
PG-13 | 118 min | Drama, War
An unlikely World War II platoon is tasked to rescue art masterpieces from Nazi thieves and return them to their owners.
Writers: George Clooney, Grant Heslov, Robert M. Edsel, Bret Witter | Director: George Clooney | Stars: George Clooney, Matt Damon, Bill Murray, Cate Blanchett
2. The Keep (1983)
R | 96 min | Horror
Nazis are forced to turn to a Jewish historian for help in battling the ancient demon they have inadvertently freed from its prison.
Writers: F. Paul Wilson, Michael Mann | Director: Michael Mann | Stars: Scott Glenn, Ian McKellen, Alberta Watson, Jürgen Prochnow
3. The Thompsons (2012)
R | 82 min | Drama, Horror, Thriller
On the run with the law on their trail, America's most anguished vampire family heads to England to find an ancient vampire clan. What they find instead could tear their family, and their throats, apart forever.
Writers: Mitchell Altieri, Phil Flores, Adam Weis, Cory Knauf | Directors: Mitchell Altieri, Phil Flores | Stars: Cory Knauf, Samuel Child, Mackenzie Firgens, Joseph McKelheer
4. Changing Rooms (1997–2004)
30 min | Family, Reality-TV
With 2 days, 500 pounds, a professional designer, and a handyman, two couples are given the opportunity to redo a room in eachother's home. Neighbors, relatives, or friends are chosen, then... See full summary »
Stars: Al Gregg, Brett Lee, Carol Smillie, Laurence Llewelyn-Bowen
5. Invasion of the Not Quite Dead
Horror, Sci-Fi | Filming
In 1978 a deadly virus is contained... Thirty years later the virus is released on an unsuspecting island off the coast of England in this very unique take on the Zombie genre.
Writer: Antony D. Lane | Director: Antony D. Lane | Stars: Andrew Ellis, Paul Terry, Jessica Jay, Martin W. Payne
6. Parallel Hell
Horror | Announced
An engaged couple are viewing a house to build their new life together. But they cannot be prepared for the supernatural force they will face within.
Writers: Ross Boyask, Martin John Solloway, Phil Taylor | Director: Ross Boyask | Stars: Jessica-Jane Stafford, Mem Ferda, Stephanie Siadatan, Mercy Gaiger
7. Dead and Awake (2014)
91 min | Drama
What is fact and what is fantasy when a girl with psychic powers plays with the minds and reality of a gang that has kidnapped her?
Writer: Alexander Fodor | Director: Alexander Fodor | Stars: Ian Alexander, Luke Argles, Mike Bennett, Carmen Coupeau Borras
8. Asphodel (2016)
Thriller | Post-production
Writers: Oliver George Clark, Charles Piper | Director: Oliver George Clark | Stars: Joel Wood, Billy Dumore, Ellen McMahon, Reece Connolly
9. Just Another Broken Clock (2016)
4 min | Short, Drama
A short film/music video that deals with the stigma of mental illness and the effects it can have on family life if untreated.
Writer: Antony D. Lane | Director: Antony D. Lane | Stars: Antony D. Lane, Katie Lane


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Search: Medieval LiteratureSearch profiles »
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18-100? For everything? The "looking for" choices are wretched. Let's pretend we're sensible folk: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ TO THE EXTENT THAT OkC'S A SOCIAL NETWORKING SITE: work demands I spend a LOT of time in my head--I REALLY want to chill. I'm...
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My vestigial gills and prehensile tail ... I don't know. It probably used to be my longish hair until I cut it all recently * update, it's all grown back *, my blue eyes perhaps? You tell me. People invariably guess my age as being 5-10 years lower than it actually is which is quite nice.
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etc), and Patristic literature .I like Japanese literature -"The Heike Monogatari "(The tale of Heike), the great classic of medieval Japanese literature or "The Book of Five Rings" by Miyamoto Musashi. I've always been fascinated by samurai culture- and Medieval Literature (especially epic)
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The Medieval Literature Knowledge Test
Ave! And welcome to my Medieval Literature Knowledge Test. Be aware that this is not an easy test. It will test your knowledge of European Literature ...
The Medieval Geek test
Did you think geekery was all about computers? Ha! Come and learn...
The GRE Renaissance Lit. Prep. Test
Similar to my previous test on Medieval literature, this quiz will test you on your "passing" knowledge of Renaissance literature. This will be a sor...
How-Well-Do-You-Know-Visual-Arts,-Classical Music,-and-Some-Other-Stuff Test
This is an outlier test. It's a bit about visual art, a bit about classical music, a bit about architecture, a bit art and music history, and a bit about humanity as a whole.
The Classical Music Knowledge Test
Hi! And welcome to my Classical Music Knowledge Test. I'll be testing you on everything from Medieval to current classical music trivia. The question...
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2001 BMW 3 Series Sedan 325xi AWD 4dr Sedan (2.5L 6cyl 5M)
Bought it through euro program
(excellent option). Love to drive
this car, but quality could be
improved. It's great in the snow/ice -
better than most SUVs. Driver side
window motor failed soon after
warranty expired. Already have full
new set of brakes at 60k miles for
$1100. Love only needing oil service
every 15000. Fits family of four
quite well with good trunk space.
all wheel drive is awesome. manual
seats are comfy and provide headroom
for a tall guy. upgraded stereo is
good. like the xenons too. My wife
likes the heated leather seats.
improved layout of console, better
electric window quality. better cup
holders in back. Vent fan also whines
in 1st setting.
The all-wheel drive wagon is a great
car. You don't see a ton of them on
the roads, but that's a good thing in
this day and age where everyone has the
same maroon ford expedition. It is an
absolute monster in snow and ice. The
X system teamed with the DSC's ability
to manage the anti-lock brakes one at a
time for "zero-yaw" means you go
exactly where you want to go in bad
conditions. We went all over the Alps
and US Rockies for three years in it.
Holds a lot of gear in the back, but
still looks and drives like a
performance sedan... but with really
good mileage. We've gotten ~23 city
and 30 highway. Buy one if you can
find one.
Traction, performance, and mileage.
Xenon headlights are amazing in bad
The 2.5 doesn't exactly scream, but it
is plenty fast. Buy the Harmon Kardon
optional stereo if you like "loud". I
also got the 16" rims and regret it.
Looks much better with 17".
2001 BMW 3 Series Sedan 325i Rwd 4dr Sedan (2.5L 6cyl 5M)
In the 2 years I've owned this car I've
had to replace 4 power window motors, 3
diff sensors and some temp gauge for
the A/C... thank god it's under
warranty. But the warranty expires in
Nov and I'm selling and never buying
another BMW. Way too high maintenace.
The roadside assistance guy told me
they're great in the Alps... but that's
about it.
Fun to drive.
power window motors that last more than
1-2 years.
I warn you - do NOT buy a BMW! I was
very excited when I bought my BMW 325i
new in 2001 - after shelling out lots
of cash for the car, I expected it to
hold up, but I was let down quickly.
In the 3 years that I've owned the
car, I've had to replace all of the
window motors, sunroof motor, CD
player, engine sensor, & now my air
conditioner!!! CRAZY!!!!!!!
None at this point.
Everything - I'll NEVER buy a BMW
2001 BMW 3 Series Sedan 330i Rwd 4dr Sedan (3.0L 6cyl 5M)
Awesome car. My wife and bought this
car in May and love it. We fight over
who gets to drive it. I also own a
Corvette and can honestly say that the
2001 BMW 330i is more fun to drive!
More leg room in the rear for teens to
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Back in the summer, we had a good chuckle when we posted the details on how to pre-order a copy of The Grateful Dead's new live album, Fare Thee Well, and prefaced them by musing, "It takes a seriously momentous concert event for folks to start getting psyched about pre-ordering a copy of the live audio document of a show before it's even taken place."
Led Zeppelin, Joy Division, Faces, AND Van Halen special edition vinyl - does it get any better than that? We think not. Throw your name in the hat for this month's Greatest Hits Giveaway by simply following the Topsify Greatest Hits playlist on Spotify via the link below.


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Moselquartier, Moselle - Nahe (region)
- Free WiFi and free parking
Main amenities
- 10 guestrooms
- Breakfast available
- Airport shuttle
- Terrace
- Garden
- Multilingual staff
- Free newspapers in the lobby
- Tour/ticket assistance
What's around
- Prinzenkopf Lookout (3.1 mi / 5 km)
- Mont Royal (4.6 mi / 7.3 km)
- Grevenburg Castle Ruins (6.6 mi / 10.6 km)
- Buddha Museum (6.9 mi / 11.1 km)
- Traben-Trarbach Icon Center (7 mi / 11.3 km)
Moselquartier, Moselle - Nahe (region)
Hotel Info: 866-539-8117from $100
- Apartment Wine Merchant Suite
- Double Room
- Single Room
Also popular with travelers from the USA
At a glance
Key facts
Hotel size
- This hotel has 10 rooms
- This hotel is arranged over 1 floor
- Check-in time 4 PM-6 PM
- Check-out time is 10 AM
Airport shuttle service is available on request. Contact the property in advance to make arrangements.
Required at check in
- Cash deposit required
- Government-issued photo ID required
Travelling with others
- No pets or service animals allowed
- Free WiFi in public areas
- Free WiFi in rooms
- Airport shuttle (available on request) *
- Free self parking
- Free nearby parking
Nearby Four Star Moselle - Nahe (region) hotels
In the hotel
- Buffet breakfast daily (surcharge)
- Bicycle rentals nearby
- Golfing nearby
- Hiking/biking trails nearby
- Kayaking nearby
- Mountain biking nearby
- Tours/ticket assistance
- Free newspapers in lobby
- Multilingual staff
- Number of buildings/towers - 2
- Year Built 1739
- Garden
- Terrace
In the room
- Minibar
- Coffee/tea maker
- Iron/ironing board (on request)
- Balcony
- Hair dryer (on request)
- Desk
- Free WiFi
- Refrigerator
Top Moselle - Nahe (region) hotels
Recently reviewed hotels in Moselle - Nahe (region)
- Hotel Zur WinzergenossenschaftFrom
"This hotel, run by Familie Elmar Klotz, is located in Ernst, just a few k east of Cochem. It was quiet and well-cared for. The food and wine were quite good. We just stayed…"Jul 23, 2016
- Hotel LellmannFrom
"We randomly selected this hotel on a whim, and so glad we did. Its very close to the Eltz and Reichsburg Castles which is why we chose the location. Turned out there was a wine &…"Jul 18, 2016
- Hotel-Weingut KarlsmühleFrom
"Excellent place, will go again. Excellent food, friendly staff. "Jul 8, 2016
- Schloß-Hotel PetryFrom
"Great hotel, but breakfast was subpar"Jul 8, 2016
Nearby hotels
Moselquartier, Moselle - Nahe (region)'s small print
Also known as
- Moselquartier
- Moselquartier House
- Moselquartier House Reil
- Moselquartier Reil
For transfers, guests must contact the property before arrival at the number on the booking confirmation.
Optional extras
Buffet breakfast is offered for an extra charge of EUR 10 per person (approximately)
Airport shuttle service is offered for an extra charge of EUR 40 per vehicle
We have included all charges provided to us by this hotel. However, charges can vary, for example, based on length of stay or the room you book.
Is the description of this hotel not correct? Tell us


text:
Woman arrested for grisly 2012 murder of Bourbon Street stripper who was found strewn in pieces across two Mississippi counties
- Margaret Sanchez, 30, was arrested Monday and charged with second degree murder
- Sanchez has long been a suspect along with suspected accomplice Terry Speaks, 41
- Jaren Lockhart, 22, was found dismembered in June 2012 by Mississippi authorities
- Lockhart's torso was found in Hancock County, while head and parts of her legs were found in Harrison County
Overdue? Margaret Sanchez, 30, was arrested on Wednesday for the murder of a New Orleans stripper found dismembered and washed up on Mississippi beaches across two counties in 2012
An arrest has finally been made in the grisly murder of a New Orleans stripper who was stabbed and dismembered in 2012.
Margaret Sanchez was booked on second degree murder charges in the death of Jaren Lockhart, whose head and body parts were found strewn across Mississippi beaches in two counties.
The 30-year-old, who was picked up at her parents' Metairie home Wednesday, is known to be one of the last two people to see the slain 22-year-old mother but was released after an initial arrest due to lack of evidence.
Sgt. Brian McGregor said Sanchez was arrested by Kenner, Louisiana police, the U.S. Marshal's Gulf Coast Regional Task Force, FBI, and Jefferson Parish Sheriff's Office.
Missing in reports of Sanchez's arrest were two things: mention of a motive in the horrific, headline-grabbing slaying and any hint at whether Sanchez's long-suspected accomplice Terry Speaks will also be charged.
Speaks, 41, is currently in a New York federal prison after having been picked up since the murder on charges the convicted sex offender failed to register as such.
More information about Speaks' potential involvement and possibly his and Sanchez's relationship to the deceased, who was last seen on security footage with the couple the night she disappeared, was expected to come Thursday morning when authorities had scheduled a press conference.
Friends and family of Lockhart's had already expressed their appreciation for all the detective work that led tot he arrest before day's end Wednesday.
Scroll down for video
Both Sanchez (right) and Speaks were briefly held following the discovery of Lockhart's body but released due to lack of evidence. At the time of their arrests, they both sported fresh hair dye jobs
Victim: Jaren Lockhart, 22, was found dismembered in June 2012 by Mississippi authorities
just over-the-moon happy, today,' Alice Maxwell Swain, a close family
friend of Lockhart's, told NOLA.com. 'It's closer to justice. It's the
news we've been waiting for.'
Lockhart's brother Lance concurred in a Facebook post.
'I knew it would happen all in time. God doesn't sleep,' he said.
Lockhart's daughter Rylie is now 5 and living with her grandmother.
Authorities found the stabbed torso of Jaren Lockhart, 22, washed up in Mississippi's Hancock County in June 2012, NOLA reported at the time.
Her decapitated head and parts of her legs were found in nearby Harrison County.
Authorities were able to identify Lockhart based on her neck tattoos. Her fiance reported her missing after she did not return from a shift at a Bourbon Street club.
What happened? The 22-yaer-old mother, pictured, was reported missing after she did not return home from her shift as a New Orleans dancer on Bourbon Street
'The new information, from a circumstantial point, indicates a higher probability that the killing happened in Kenner,' Glenn Grannan, a lead investigator for Hancock County, told WAFB. 'The evidence was strong enough to convince the District Attorney, which is huge.'
Terry Speaks and Margaret Sanchez were the last two people to see Lockhart alive. They were seen on surveillance video walking with Lockhart down a street, NOLA reported in 2012.
Both were briefly held before they were released. Sanchez was released due to a lack of evidence, the Associated Press reports, and Speaks is currently in a New York prison for an unrelated charge.
Grannan told the wire service that Sanchez has since moved from Louisiana and that Speaks was questioned several months ago.
The search continues: Kenner police and the Jefferson Parish District Attorney's Office continue to investigate the death of Jaren Lockhart, pictured, who was found dismembered in June 2012
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Finally Java SE 7 is GA and you can start using it. This talk will cover the most important new features of the language and the virtual machine. It will also cover some features that did not make it in to the SE 7 release. Finally we will discuss current state of Java as an ecosystem and my analysis and hopes for the future.


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Diabetes drug may help prevent premature birth
The researcher says that the study illuminates a potential mechanism behind preterm birth and may help in finding new treatment methods.
Panacea Biotec launches diabetes drug 'Tenepan'
Tenapan aims to improve accessibility of diabetes treatment at an affordable cost as part of ...
Zydus Cadila gets USFDA nod for diabetes treatment drug
Zydus Cadila has received final approval from the US health regulator to market Nateg...
Five diabetes drugs in top-10 selling list; overtakes anti-infective, antibiotic meds
Insulin brand Human Mixtard, oral formulation Glycomet GP, insulin Lantus, oral formulations Galvus Met and Janumet are now in the top-selling list of drugs in the country.
CSIR launches ayurvedic anti-diabetic drug BGR-34
AIMIL Pharmaceuticals will distribute BGR- 34, which has been priced at Rs 5 and will be available widely across Karnataka and neighbouring states.
Zydus Cadila gets USFDA nod to sell generic diabetes drug
The group has received final approval from USFDA to market the drug in strengths of 1.25, 2.5 and 5 mg, Zydus Cadila said in a statement.
Early, late menopause may increase risk of diabetes
The study also found an association between the length of a woman's lifetime reproductive cycle and her risk of developing type 2 diabetes.
Yoga protocol to fight diabetes likely next month
The committee, likely to include a research director from Baba Ramdev's Patanjali Yogpeeth, will also have a doctor from All India Institute of Medical Sciences (AIIMS).
Walnuts, soybean may prevent diabetes risk
The study provides evidence for the effects of dietary fats and carbohydrate on the regulation of glucose and insulin levels.
Max Healthcare, Imperial College launch diabetes study
Max Healthcare has partnered with Imperial College, London, and the European Commission to launch a 3-year 'iHealth Type2 Diabetes' study.
Biocon's partner firm launches diabetes product in Japan
In March this year, Biocon received approval from the Japanese health authority to sell its biosimilar product Insulin Glargine.
Diabetes drug may increase bladder cancer risk, says study
Pioglitazone belongs to a class of drugs called thiazolidinediones that help to control blood sugar levels in patients with type 2 diabetes.
Dabur to make Ayurvedic drugs for diabetes, malaria
The company is preparing to bring these Ayurvedic medicines, which will be available in various formats, to the market within the next six months.
Charlie robot, new best buddy for kids with diabetes
He's a friendly red-and-white robot called Charlie, with arms and legs, big round eyes and speakers disguised as ears, who can talk and dance.
Want to curb diabetes? Consuming turmeric will help
Being overweight, lack of exercise & consumption of high calorie, sugary and fatty foods are the reasons that give rise to diabetes.
India faces diabetes explosion
India has done well in curbing stunting, but the growing number of overweight people, particularly those prone to diabetes, may be a cause of concern.
Lupin launches generic diabetes drug in the US
Lupin has launched 10 products in the US this fiscal year and has received approvals for 21 from the FDA. The drug maker has 35 FTF products.
India gets its first 'weekly' injectible drug for Type 2 diabetes
Out of the two types of diabetes, it is believed that Type 2 diabetes occurs in 80% to 90% of the patients worldwide.
Eli Lilly launches once-a-week diabetes drug in India
The once-a-week non-insulin injectable Trulicity is distinct in the duration of dosage compared to products like Novo Nordisk's Victoza or Sanofi's Lantus.
New diabetes drug cuts cost by 80%
A completely new drug in the 'gliptin' family has disrupted the anti-diabetes market by lowering the cost of therapy for patients by 80%.
Sanofi says US FDA accepts diabetes drug application
Sanofi expects the FDA to make a decision on the drug in August, the company said in a statement on Monday.
Medicare safeguard overwhelmed by pricey drugs
The cost of Medicare's ``catastrophic'' prescription coverage jumped by 85 per cent in three years, from $27.7 billion in 2013 to $51.3 billion in 2015.
Sun Pharma, AstraZeneca tie up to sell latest anti-diabetes drug Dapagliflozin
Diabetes estimated to affect approximately 69.2 million people in India and more than 415 million people worldwide.
Diabetes drug may aid recovery after heart attack
Metformin is a cost-efficient drug that is usually used as a first-line treatment in diabetes as it helps to make the body more responsive to insulin.
Want to keep diabetes at bay? Eat more homemade food
The study says individuals who often ate from outside, typically fast food were more prone to gain weight.
Brazilian police confiscate drugs with Olympic logo
The drugs were found in a house in the central neighbourhood of Lapa in Rio de Janeiro, including 93 doses of cocaine, 28 of crack and 13 40-calibre bullets.
Japanese company loses patent bid for diabetes drug
The Kolkata Patent Office, on an opposition filed by domestic drug firm Lupin, refused the patent application on grounds that it was "obvious, and lacking inventive step".
Excess, insufficient sleep may raise diabetes risk in men
The study found that men who slept the least and the most were more likely to have an impaired ability to process sugar.
Many prohibited drugs available in markets: Ananth Kumar
Kumar said in Lok Sabha that these 439 drugs, including 344 fixed dose combinations, were banned after examination of the samples of the medicines.
Dancing, drugs, extremism, multiple lives of Nice attacker
Information emerging from authorities and people who knew him suggests Bouhlel concealed his different worlds from each other, and may have been following Islamic State guidance to blend in and hide his radicalism while he plotted violence.
Know the warning signs of diabetes
Diabetes is often called the 'silent killer' because of its easy-to-miss signs, but ability to wreck havoc through multiple organ damage.
How to manage diabetes during Ramzan fasting
Patients should consult a doctor a month in advance and follow the advice given on diet & medication prescribed.
Mankind Pharma launches diabetes drug 'Dynaglipt'
Mankind Pharma has launched an anti-diabetic product 'Dynaglipt' targeting the middle class and rural diabetic patients.
Deadly combo: Diabetic patients at 50% increased risk of heart attack
The findings showed that people with diabetes were 56 per cent more likely to have died if they had experienced a STEMI heart attack.
70% of minor skin breaks in diabetics can be deadly
Doctors say bacterial infection of skin breaks can destroys tissues and leads the bacteria spreading through bloodstream to all parts of the body.
Brazilian drug lord turns jail cell into luxury suite
When Jarvis Chimenes Pavao's cell was raided, a three-room luxury suite complete with library, kitchen, conference room and plasma TV was found.
Indonesia executes four drug convicts; Gurdip Singh not among them
Indonesia executed four drug convicts including three Africans, officials said. Indian convict Gurdip Singh, who was convicted along with 13 others, was not among them, external affairs minister Sushma Swaraj said.
Sanofi submits new diabetes drug application to US regulator
Sanofi said that it had submitted an application to the USFDA for a single daily insulin injection to treat adults with type 2 diabetes.
An extra 1,000 steps a day to keep heart ailments away from diabetic kids
Keeping count of daily steps and boosting physical activity can really pay off for children with Type-1 diabetes.
Sun Pharma signs licening pact with spanish firm Almirall for psoriasis drug
In return, the Indian company will receive an initial upfront payment of $50 million and be eligible for development and regulatory milestone payments in addition to sales milestones and royalties.
Ajanta Pharma launches acid reflux drug in US
The approval from the United States Food and Drug Administration (USFDA) is for the capsules in the strengths of 20mg/1100 mg and 40 mg/1100 mg.
Lok Sabha MPs demand probe into Narsingh Yadav drug test issue
Ranjeet Ranjan (Cong) raised the issue in the Zero Hour and sought a CBI inquiry into the matter while referring to the allegations.
More effective drugs for diabetes in the offing
New research at Washington University School of Medicine in St Louis suggests a different strategy: slowing the production of glucose in the liver.
NeoBiocon partners Novartis to launch diabetes drugs in UAE
NeoBiocon has received approvals from the Ministry of Health-UAE for marketing Jalra and Jalra-M in the country and the launch is scheduled for January 2016.
Now, cut treatment cost by 80 per cent with new anti-diabetes drug
The economic burden of diabetes is high in India as most patients pay out-of-pocket, and due to lack of medical reimbursement.
India rejects licence plea for AstraZeneca's anti-diabetic drug
The Indian patent office has rejected Hyderabad-based Lee Pharma's application for a compulsory licence on AstraZeneca's anti-diabetic medicine saxagliptin.
European Medicines Agency suspends scores of drugs tested by Semler Research
The bioequivalence studies, necessary to gain approvals - were done by Indian CRO for large generic companies including Mylan Teva, Accord Healthcare and Zydus Cadila.
Beware! Diabetes triggers oral infections
Inflammation of gums, white & red patches & weakening of gums due to reduction of blood supply are among various oral problems caused by diabetes.
Mankind pharma joins the anti-diabetic drug war
India's anti-diabetic market is one of the fastest growing therapy segments, with a growth exceeding 25% at Rs 7638 crore, according to the October data.


text: Would You Let Hissing Cockroaches Crawl On Your Face for a PlayStation Job?Mike Fahey1/17/12 5:00pm214EditInvite manuallyPromoteDismissUndismissHideGo to permalink Season three of Sony's The Tester sees competitors doing completely ridiculous things for a chance at a production associate at PlayStation's Santa Monica Studio. What sort of ridiculous things? See for yourself.


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How to get full value from being a stallholder at VegfestUK
Heres a few tips to consider for especially new stallholders and startups to make the best of their investment at one of Europe's biggest vegan events.
VegfestUK Bristol 2016 attracted 13,000 people despite rainfall
House, reggae and EDM mixes plus good food and company draw massive crowds who braced the downpour to enjoy another fabulous Vegfest!
VegfestUK London 2016 website now live for bookings
4th year show at Olympia London on Oct 22nd 23rd; stalls, marketing options and sponsorship packages available - book now!
Many thanks for coming to VegfestUK Brighton 2016
Approx 10,700 visitors altogether; event returns to Brighton Centre on March 11th 12th 2017
Vegfest Scotland returns to the SECC on Dec 3rd 4th 2016
Website live for bookings later in 2016; 160 stalls available on top of mesmerising mix of activities
- NEW Koko Dairy Free yogurt alternatives! Koko Dairy Free launched an exciting range of dairy free yogurt... t.co/eW7PEx59Vl
- #Vegan / #AnimalRights Advocate @AishaPonders to exhibit her vegan artwork at @OxoTowerWharf from July 28-31:... t.co/scL2wKtGiP
- The sun's out - you got the @YaohHemp? ---> t.co/hkZNE7bNKZ t.co/QvW1fikhp9
Some excellent films will be shown in the Cinema in the Syndicate Wing on the Second Floor all weekend. No extra charge for admission.
Click here to view the floor plans
11:00 - 11:55 - EVOLVE! Campaigns short films (loop)
Why Vegan?
Plant-based Nutrition vs Animal-based Nutrition
What we can do to End World Hunger
12:00 - 1:45 - Earthlings
2:00pm - 3:00pm The Healing Appetite
3:00pm - 3:55pm - Q&A with directors of The Healing Appetite
4:00 - 5:30 - Live and Let Live
10:00 - 10:55 - EVOLVE! Campaigns short films (loop)
Why Vegan?
Plant-based Nutrition vs Animal-based Nutrition
What we can do to End World Hunger
11:00 - 12:30 - Cowspiracy: The Sustainability Secret
1:00 - 2:45 - Unity
3:00 - 4:30 - The Ghosts in our Machine


text:
1,770 vehicles matched;
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Listed by North Shore Classics
1970 Dodge Challenger RT Six PackALL originalOnly 500 miles since full rotisserie restorationHas the original build sheet and a ton
Listed by Abreu Motors
Listed by Park Place Ltd
Only 22,262 Miles on this pristine 2011 Porsche 911 Turbo S Convertible, finished in Basalt Black Metallic with Black Leather
Listed by Private Seller
• Cortez Silver with Black Stripes
• Frame-off restoration
• ZZ454 GM Performance crate engine, 440 Horsepower
• GM Performance valve covers
• Ceramic Coated
Listed by Lake Geneva Motors
If you want to own a legendary piece of American automotive history look no further than this 1960 Corvette Fuelie. Fuel
Listed by Leaded Gas Classics
This stunning 1968 DANA Hurst Camaro RS/SS is featured in Metallic Silver with black vinyl top and black nose stripe.
Listed by Leaded Gas Classics
Offered for sale is a Cranberry Red 1970 SS Chevelle Convertible. This car is loaded with options. It has power
Listed by Gateway Classic Cars
1956 Chevy 210 Custom 2-Door Post is for sale in our Houston Showroom. This beauty is powered by a LS2
Listed by Gateway Classic Cars
For sale in our Ft Lauderdale showroom is this stunning 1948 Packard 1603 RestoMod. This is one amazing build that
Listed by Classic Autosmith
1970 Mustang Boss 302, Matching numbers, Marti reports, appraisal graded at 1-, Concours quality. 4 speed transmission, power steering &


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Wardell Fast Food Restaurants
1. KFCMenu
1710 E Highway 84Hayti, MO 63851
From Business: Visit the KFC in Hayti, MO for an Original Recipe, Extra Crispy, or Kentucky Grilled Chicken meal or sit down and enjoy our delicious buffet today. KFC can also cat…
2. Sonic Drive-InMenu
160 E State Highway 162Portageville, MO 63873
3. McDonald'sMenu
200 E State Highway 162Portageville, MO 63873
4. Arby'sMenu
1701 E Highway 84Hayti, MO 63851
From Business: Arby's is a leading global quick-service restaurant company operating and franchising over 3,400 restaurants worldwide. Arby's was the first nationally franchised, …
5. Subway
1200 W Washington StHayti, MO 63851
6. Taco Bell
1710 E Highway 84Hayti, MO 63851
7. Dairy QueenMenu
1403 1st StKennett, MO 63857
8. Burger KingMenu
Burger King is true to its name. They have mouth-watering and juicy burgers, and sandwiches too. I am a big fan of their Whooper, it has mayo, onion…
9. Hardee'sMenu
1136 1st StKennett, MO 63857
10. Wendy'sMenu
1320 1st StKennett, MO 63857
11. Pizza HutMenu
1700 E Highway 84Hayti, MO 63851
First off, the server was rude and snotty. She didn't even introduce herself, then made us feel very rushed to take our order even though the place…
12. Pizza ProMenu
102 King AvePortageville, MO 63873
13. McCormick's Family Dining
they are awesome n their food is great!!!
Showing1-13 of 13results


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Geolocation is the wireless detection of the physical location of a remote device. As a noun, geolocation refers to the physical location itself; as a verb, the term refers to the process of detecting that location.
Free Guide: Strategies to improve mobile data security
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Depending on the method used, a geolocation can be as general as the continent the user is connecting from or as specific as his geographic position, defined as latitude and longitude coordinates, or sometimes latitude, longitude plus altitude. Location is a less specific attribute, such as, for example, New York City's Central Park or Boston's North End.
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1 of 2 people found the following review helpful
Far too expensive,
Verified Purchase(What is this?)
This review is from: Canon EH24-L Semi Hard Case for EOS 700D - Black (Camera)
I feel that this product is far too expensive and have noted that there appears to be non-Canon versions available at less than half the price, which I feel is still too expensive. Can't think of a good thing to say about it.
Review Details
Top Reviewer Ranking: 2,416,906


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Video: Season 4
Behind the Scenes - Atlantique City
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News Picks : GPS monitoring may predict occurrence and size of volcanic eruptions
13 January 2014
Nature: An eruption of the Grímsvötn volcano in May 2011 was the largest eruption in Iceland in nearly 100 years, producing a 20 km ash plume. One hour before the eruption, a live stream of data from a GPS tracking station on the flank of the volcano recorded a more than half meter shift in position. The tracking station was set up by Sigrún Hreinsdóttir of the University of Iceland in Reykjavik and her colleagues. Grímsvötn is hard to monitor with traditional techniques because it is mostly buried under ice, so the GPS station was placed on an exposed area of rock. After the eruption, Hreinsdóttir's team worked to relate the size of the GPS shift with a model of the changes in the pressure inside the volcano's magma chamber. The connection was also strongly tied to the size of the ash plume. If the effect can be shown on other volcanos, the ability to monitor and predict the occurrence and size of remote eruptions would be useful not just to scientists but to emergency officials and to pilots who need to avoid ash plumes.
In News Picks:Motion of stars in ultradiffuse galaxy measured for first time Transistors may stop shrinking in five years Analysis shows droughts shut down Amazon carbon sink Last universal common ancestor of all living things may have sprung from deep-sea vents Solar Impulse completes first solar-powered round-the-world flight
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