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|By PR Newswire
Article Rating:
|February 11, 2014 08:30 AM EST
WASHINGTON, Feb. 11, 2014 /PRNewswire/ -- The Mesothelioma Compensation Center says, "Our number one reason why every single diagnosed victim of mesothelioma, or family member, must begin the compensation process immediately is that it is incredibly vital one of the nation's most skilled and experienced mesothelioma attorneys have a face-to-face conversation with the victim—this means visiting the victim's home and discussing dates, and specifics for possible exposure to asbestos. This type of information is paramount to a successful compensation claim and only the diagnosed victim or family will know when and where it might have happened. We send attorneys to the victim's home so that there is no additional stress placed on the victim or family. In other words we try to make it easy for the diagnosed victim, and their family." For more information, a diagnosed victim of mesothelioma or family member can call the Mesothelioma Compensation Center anytime at 866-714-6466. http://MesotheliomaCompensationCenter.Com
(Photo: http://photos.prnewswire.com/prnh/20140211/PH62233-a)
(Photo: http://photos.prnewswire.com/prnh/20140211/PH62233-b)
The Mesothelioma Compensation Center is urging diagnosed victims of mesothelioma and their family members to not think mesothelioma compensation is open ended—in truth there are specific time deadlines. The group fears that the vast majority of diagnosed victims get financially shortchanged because they hired a less experienced attorney to pursue a mesothelioma compensation claim, or they waited too long to begin the process. These mistakes can cost a diagnosed victim hundreds of thousands, or millions of dollars in lost compensation. http://MesotheliomaCompensationCenter.Com
Important note from the Mesothelioma Compensation Center: "We are extremely passionate about making certain all diagnosed victims of mesothelioma really do get instant access to the nation's top mesothelioma compensation attorneys. We can say with conviction that they really can make a dramatic difference in the amount of compensation a victim or their family receives. Before you hire a mesothelioma attorney please call us at 866-714-6466." http://MesotheliomaCompensationCenter.Com
Information About Mesothelioma From The Mesothelioma Compensation Center For Diagnosed Victims And Their Families:
High-risk groups for exposure to asbestos include: the US Navy, shipyard workers, oil refinery workers, manufacturing workers, plumbers, electricians, auto mechanics, machinists, or construction workers. Typically the exposure to asbestos occurred in the 1950s, 1960s, 1970s, or 1980s.
US Navy Veterans account for about one-third of all diagnosed victims of mesothelioma each year. The average age for a diagnosed victim of mesothelioma is 72 years old. Each year between 2,500 and 3,000 US citizens will be diagnosed with mesothelioma. Mesothelioma is 100% attributable to exposure to asbestos.
The states with the highest incidence of mesothelioma include: Pennsylvania, Maine, New Jersey, West Virginia, Florida, Wyoming, and Washington. However, based on the calls the Mesothelioma Victims Center receives diagnosed victims could be in any state including: California, New York, Texas, Massachusetts, Maryland, Virginia, North Carolina, Georgia, Louisiana, Missouri, Ohio, Michigan, Indiana, Illinois, Wisconsin, Minnesota, North Dakota, Montana, Wyoming, Nebraska, Kansas, Colorado, Utah, New Mexico, Arizona, Nevada, Idaho, Oregon, Washington, Hawaii, or Alaska. http://MesotheliomaCompensationCenter.Com
The Mesothelioma Compensation Center says, "If you call us at 866-714-6466, we will see to it that you have on the spot access to the nation's most skilled mesothelioma attorneys, because these incredibly skilled legal experts consistently get the best financial compensation results for their clients." http://MesotheliomaCompensationCenter.Com
For more information about a rare form of cancer caused by exposure to asbestos called mesothelioma, please visit the US Centers For Disease Control's web site: www.cdc.gov/mmwr/preview/mmwrhtml/mm5815a3.htm
Media Contact:
M. Thomas Martin
Read more news on Mesothelioma Compensation Center.
SOURCE Mesothelioma Compensation Center
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subset: commoncrawl


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Customer Reviews
Read reviews for this product
Posted 10/21/2015 at 8:33 AM by Marietta
Perfect. Have ordered others and they are always done right!!
Sending the same ornament to different places? If you order more than one of an item and want them shipped to different addresses, please order them individually. We will ask you for the individual shipping addresses later in the ordering process.
Drum Player Male Christmas Ornament
Personalized Christmas Ornament
He has mastered tricks with his sticks and rocks in his band. You are going to love giving this personalized drum ornament to your little drummer boy who loves playing all sorts of percussion instruments. He loves to be the backbone of the symphonic band or school marching band, keeping the beat and rhythm for the rest of his fellow musicians. This personalized drum player ornament makes a great gift for a boy who is learning how to play the drums or for a guy who plays all different types of drums in the school band.
Material: Resin
Read what our customers say about our Personalized Christmas Ornaments and their shopping experience!Hover over testimonials to stop scrolling
12/18/2015 - "Very unusual gifts. They are pretty and bright. Melissa S."
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6/25/2016 - "Completely satisfied with this company. I order from them every year. Love that we can personalize the ornaments. Anonymous Respondent"
12/10/2015 - "We really enjoyed your one-of-a-kind, personalized ornaments. Thank you! Linda N."
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6/26/2016 - "I have bought four ornaments a year for my son since he was born. He is now 22 and is a student in law school. He loves receiving them and I plan to let him take them when he gets married. This year I got him a lawyer ornament, a FIJI (his fraternity), Democrat donkey and a couple (him and his girlfriend) I always get him ornaments that have to do with his life. I hope he cherishes them for years to come. Last year I got him one of his dog, one for Phi Beta Kappa (honor's fraternity) and a graduate one from the University of Arkansas. He loved them. He started out with Baby's first Christmas, graduated to Barney and the Rugrats, trains, baseball, taekwondo and with many in between. You have the best selection. Thanks so much. Janet B."
12/9/2015 - "I liked the personalized ornaments options, my kids receive a Christmas ornament every year and I try to give them something that their interests are that year, this year I had a freshman going off to college so she received ornament with her college name and my freshman HS son received a football ornament with his HS name and football #, and each has the current year. It's great to have memories and ornaments they can keep for years to come. Traci H."
11/27/2015 - "Very easy to navigate and had exactly what I wanted. Dean E."


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California Winners Jerry Brown And 'No' On Pot Had Half As Many Facebook 'Likes' As Losers
Another case for Golden State sovereignty:
Facebook 'Likes' may have determined the races in most U.S. states, but Californians should be proud to know that Zuckerberg's popularity meter made no indication of our preference for governor or ganja this November.
Gubernatorial hopeful Meg Whitman had twice the 'Likes' as winner Jerry Brown, while 'Yes' on Prop. 19 had 25,000 more 'Likes' than the 'No' camp's weak 2,000. Both make sense, if you think about it: Who uses Facebook to publicize their love for a washed-up 72-year-old with solid fiscal policies or their square-ass stance on the psychedelic revolution?
Now, along with the awkwardness of converting campaign offices back to warehouses and throwing all paraphernalia into a mass grave in the projects, Whitman can sit up into the night, browsing through all the smiling faces of constituents who supposedly 'Liked' her, wondering what went wrong.
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She might find her answer in all the other groups about her:
Meg Whitman, I am already sick of you. (And it is not even November yet)
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Can this dog Seymour get more votes for Governor than Meg Whitman?
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"My offers right now are from Arizona State, Arkansas, Baylor, Fresno State, Kansas, Mississippi, Nevada, Oklahoma, Oklahoma State, Oregon State, San Diego State, Texas A&M, Texas Tech, Washington, Washington State, West Virginia, Western Kentucky and Western Michigan," St. John told JCFootball.com. "I visited Baylor and Texas Tech during the summer and I was at the Oklahoma - Notre Dame game back in October.
"I'm visiting Kansas this weekend and then I have to make a decision between either Arizona State or Washington for my last visit.
"I had planned all along to finish up my visits with ASU, but Washington came in and made a strong push on me and they showed me how important I am to them and really gave me a great idea of what their school and their program are all about. Honestly, it was one of the most original things a coach has said to me which really got me thinking about visiting them.
"I want to visit both of them, but I only have one official left so, I need to make a decision on which one I will see and I will probably do that next week."
St. John hails from Toronto, Canada, so out of high school he wasn't heavily recruited.
"I didn't even take my SATs because I knew I was going to have to go to a JC program and show what I could do," St. John said. "I chose to play at Fresno City last year and I had a great time there, but I couldn't afford it anymore, so I decided to come out here to Texas where I could get some scholarship money (California JUCO programs don't offer scholarships for football) and still play for a good program with a good record of getting guys moved on to other schools."
St. John started at left tackle for the Cardinals this year and felt like he did well, although his team struggled to a 3-6 record.
"One thing that coaches like about me is that I move my feet pretty well and I get a good punch off the ball," St. John said. "I worked a lot on my strength and my technique and I feel like I have come a long way since high school."
St. John is on pace to graduate in May and he will have three years to play two wherever he ends up.
Josiah St. John Scout Profile
St. John hoping to wrap things up soon
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There are three types of instructions namely, Memory reference instructions, Register reference instruction, and Input-output instruction. The following figure represents these formats, in which 3 bits are contained by the format and the remaining 13 bits depends upon the operand code.
In memory reference 12 bits are used for specifying an address and one bit is used for specifying the addressing mode I. if the value od I is 0, then is refers to direct address and if the value is 1, then it refers to indirect address. Control unit is responsible for interpreting the instruction code and providing the necessary control needed for processing these instructions. Control unit uses the instruction format for interpreting the instruction. The fields found in an instruction format are:
1. Opcode: This is an operation code that specifies the operation to be performed.
2. Address: This field appoints the memory address and a process register.
3. Mode: This field specifies how the operand or address will be determined.
The opcode is generally a group of bits that is used for specifying various processor operations. The mode field is used for specifying variety of alternatives that can be implied for choosing the operands from the address provided. Register operations are the instructions that are executed on the data stored in the memory or process register. Memory address and register address are used to specify the operand stored in the memory and register respectively.
Following are some of the assembly language instructions:
1. SUB X: This instruction specifies the arithmetic subtraction, where the address of the operand is denoted by X.
2. ADD R1, R2, R3: This instruction specifies the addition operation, which can also be represented as R1 <- R2 + R3.
In stack organization, one address is required for performing PUSH and POP operation. Whereas, in the stack organization, the operation is performed on the top two items of the stack, so there is no need of providing any address while performing any operation type instructions.
Transtutors.com is pioneer in providing homework help and assignment help for all levels. Our team of experts will provide all the homework help and assignment help as per the guidelines provided by you. With us you can be rest assured that all the resources provided for the homework help and assignment help will be original and plagiarism free.
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Source: Toronto Star A church spokesman told Moscow radio a project to place the Lord of the Rings' flaming eye atop a skyscraper would symbolize the "triumph of evil … rising up over the city." By: Dan Peleschuk Globalpost MOSCOW— Russian fans of the writer J. R. R. Tolkien were disappointed Wednesday after a local art group abandoned plans to install a flaming eye from his The Lord of the Rings series atop a Moscow skyscraper. The group, Svechenie, said it would not re-create … [Read more...]
Orthodox News Top Stories
Orthodox news stories from around the world.
To submit a story please contact the News Editor.
Russian group abandons 'evil' Eye of Sauron installation after Orthodox Church warning
Archbishop Demetrios Speaks Out and Touches Hearts
Source: Greek Reporter by Catherine Tsounis "The Power of the Saints and Martyrs have saved Christianity," said His Eminence, Archbishop Demetrios, Primate of the Greek Orthodox Church of America, in his historic speech before more than five hundred people on Friday evening, December 5, 2014, at the Feast Day Vespers of St. Nicholas Greek Orthodox Church of Flushing, New York. "During the WWII Occupation of Greece, people believed in the Virgin Mary and the saints. Cyprus is living a … [Read more...]
'Ecumenical Patriarchate title would elevate Turkey's reputation'
Source: The Hurriyet Daily News by Cansu Çamlıbel ISTANBUL The Turkish government can 'only benefit from recognizing the ecumenical status of the Patriarchate' a senior official from the Fener Orthodox Patriarchate says in an exclusive interview Stopping resistance to the title "Ecumenical Patriarchate" and reopening the Halki Seminary can only elevate the reputation of Turkey as a democratic nation, according to a senior official from the Fener Orthodox Patriarchate. "The 'ecumenical' … [Read more...]
Remembering We're Not in Charge – On Surrender
Source: Commonweal by John Garvey I have served as a priest in the Orthodox Church in America for twenty-two years. The parishes where I've served have been varied. For ten years I was the pastor of an Albanian Orthodox church in Queens, during the period when Communism fell in Albania. The parish population doubled, with an influx of immigrants who were eager to be part of the church after having been denied any opportunity to worship by the world's most fiercely atheistic regime. My … [Read more...]
An Advent Message: Invite Someone New to Church
Invite a friend to attend Church with you in this Season of Preparation for Christmas and the Epiphany. Source: Episcopalian Diocese of New Jersey Look, the virgin shall conceive and bear a son, and you shall name him Emmanuel which means "God with us." (Matthew 1:23) Advent is upon us. What does this mean to you? In a wonderful volume of seasonal reflections titled Watch for the Light: Readings for Advent and Christmas (Farmington, PA: The Plough Publishing House of the Bruderhof … [Read more...]
A Call for the Rejuvenation of the Ministry of the Ordained Deaconess
Source: St. Catherine's Vision "A Call for the Rejuvenation of the Ministry of the Ordained Deaconess" has been published by St. Catherine's Vision, an international, Pan-Orthodox fellowship of Orthodox women theologians and other lay servant-leaders. The document is addressed to Ecumenical Patriarch Bartholomew and the Secretariat of the Great and Holy Council. It is being widely distributed for prayerful reflection by hierarchs, clergy and laity. "A Call for the Rejuvenation of the … [Read more...]
Christians in Jaffa Mark Beginning of Christmas Season
Source: The Algemeiner JNS.org – Israeli Arab Christians in Jaffa marked the beginning of the Christmas season in the Holy Land with an annual Christmas tree lighting celebration earlier this week. At the gathering in the ancient port city adjacent to Tel Aviv, men dressed up as Santa Claus met children, sang Christmas carols and lit fireworks. Orthodox Christian leaders also addressed the crowd of Jewish, Muslim and Christian onlookers, using the occasion to promote unity between the … [Read more...]
St. Photios Shrine to bless animals on Saturday, December 6
Source: The St. Augustine Record The second annual Blessing of the Animals will be from 2 to 4 p.m. Saturday at St. Photios Greek Orthodox National Shrine, 41 St. George St. It is the conviction of the Orthodox Christian faith that all creation is holy. His All Holiness, Ecumenical Patriarch Bartholomew of Constantinople, said, "Everything that lives and breathes is sacred and beautiful in the eyes of God." The Greek Orthodox Church believes it is the responsibility of human beings to … [Read more...]
IOCC Joins Largest U.S. Disaster Response Network
Source: IOCC Baltimore, MD (IOCC) — From comforting survivors of the 9/11 attacks in 2001, to helping Midwest families clean out their homes after last summer's devastating floods, International Orthodox Christian Charities (IOCC) has been responding to the needs of disaster victims across the US for more than a decade through the IOCC Emergency Response Network, or Frontline, as well as the support of local Orthodox Christian parishes in outreach to disaster-affected communities. IOCC's track … [Read more...]
New Kremlin-Vatican axis emerges as Europe falters
Source: The National by Alan Philps When Pope Francis gave his first speech to the European Parliament on Tuesday, the members were aware that he was not going to restrict himself to praise in the manner of John Paul II, who had called the European Union a "beacon of civilisation". But still many were surprised at his harsh tone. The EU had lost its way and replaced its ideals with "bureaucratic technicalities". Europe was a haggard old grandmother, no longer "fertile and vibrant", and had … [Read more...]


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Secret Service's special code names for Mitt Romney and Rick Santorum
Jae C. Hong, File, Associated Press
Related: Secret Service code names for U.S. Presidents & their spouses
The top three GOP presidential candidates have Secret Service details assigned to protect them (sorry, Ron Paul). Last week, GQ magazine revealed the code names Mitt Romney and Rick Santorum have chosen for their protector agents to use when referring to the candidates.
"According to multiple campaign sources, Mitt Romney elected to call himself 'Javelin.' And Rick Santorum chose 'Petrus.' The use of code words to refer to candidates are a throwback to the era when Secret Service and White House Communications Agency communications were not encrypted. The tradition has stuck around. The only real rule the service has is that the word chosen be comprehensible over the radio and not be similar to someone else's. That's why code names tend to have two or three strong syllables."
Romney's code name is widely believed to be a nod to the Javelin muscle car produced from 1967-75 by American Motors Corp. — the same Detroit-based company Romney's father, George, ran for eight years.
The Secret Service nickname for Santorum is a nod to the immigrant grandfather the candidate often references during campaign speeches. In an appearance on Fox News last week, Santorum explained his choice of "Petrus" — and also took a swipe at Romney's "Javelin" handle.
"You've heard me talk repeatedly about my grandfather. His name was Pietro. And I just didn't think Pietro would work. I just — it's a name and I didn't want a name. So I thought Petrus, which is the Latin word for 'Peter' and for 'rock.' I thought (it) was a more apt name than an Italian name for Peter. I remember the Javelin. It was a very — it was an unusual car. So I think it sort of fits."
Related: Secret Service code names for U.S. Presidents & their spouses
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Look at All The People Who Want to Work for Diddy
"What's it like working for me?," says Sean Combs in the trailer for tonight's season premiere of the mind-boggling I Want To Work For Diddy 2. "It's a little like working working in Hell." So what we have here is the group photo of all the aspiring contestants for VH1's hip-hop ripoff of The Apprentice, dressed in blazers and yellows and freshly pressed outfits, looking uncharacteristically civilized for a group of people about to get emotionally abused on national TV. "I'm gonna take a hands-on, foot-in-the-ass, all-over-your-brain approach to finding this assistant," Diddy also informs the camera here. "I'm gonna mind-[bleep] them until they orgasm." Okay, then! [I Want To Work For Diddy 2]
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|What is the average period that resistance develops ?
Jun 30, 2008
I am on three drug cocktail containing Tenofovir, Lamivudine and Nevirapine.
I have complete and absolute adherence to drug intact.
What i want to know is as how long on average that it takes for resistance to begin and develop ?
I have been on this regime for the last two years and do expect resistance to start at some point in time where a regime change will be required. So when is the earliest that resistance might show up and what is the max period that i can go on before a regime change is needed ?
Response from Dr. McGowan
Yours is a complex question. Resistance CAN develop very quickly (within a couple of weeks to a regimen such as yours). Early resistance is usually due to poor adherence. This is because the amount of medicine in the blood is too low or erratic to fully stop the virus from making copies of itself. If the virus can grow, it makes mutations (genetic changes) each time it copies itself. These mutations may enable the offspring to be able to grow in the presence of the drugs. Most drug resistance by this mechanism occurs within the first year of treatment. Unless there is a change in pattern of adherence (or a re-infection with a drug resistant virus from someone else) there is very little chance of getting resistance after that. There have been long term studies on protease inhibitors and NNRTIs that show very little drug failure due to resistance late in treatment. So, I feel your chances of staying undetectable for the foreseeable future are excellent.
Best, Joe
hiv 2
Virus affected or not
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Looking for jobs in Toms River? Snagajob has great opportunities with the area's leading companies. And applying for Toms River jobs has never been easier. Look at the job listings below, click on a job title that interests you and hit the "apply now" button. Part-time jobs, teen jobs, student jobs and summer jobs are now just a click away. Start your job search now.
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The New Jersey Sports and Exposition Authority Wednesday voted to authorize the issue of an offering statement that seeks proposals for a long-term lease of the Meadowlands and Monmouth Park. The investment-banking firm of Lehman Brothers will serve as the advisor to the NJSEA in the development of the statement.
"No decision has been made to lease either racetrack," said George Zoffinger, NJSEA president and CEO. "Today's decision was simply to explore the marketplace. After considerable study Lehman Brothers advised us that our racing assets have substantial value and that there is likely to be strong interest by qualified parties in the private sector. "We concluded that it is our duty to solicit interested parties, review their plans and then decide whether it is in the best interests of the State, the racing industries, the local communities and the work force to transfer racing operations to another party."
Said Carl Goldberg, chairman of the NJSEA: "If a transaction is ever to be undertaken, it will be a lease and not a sale. With a lease, the NJSEA will be able to build in protections as to how the facilities may be used; how the surrounding property is to be protected; and other considerations that are important to the various stakeholders."
The NJSEA has created a Stakeholders Committee to advise on various issues relating to a possible lease of Monmouth Park. "It is very important that we listen to the local community and take into account their concerns in any possible lease of Monmouth Park" said Zoffinger.
The members of the Stakeholders Committee are: Jeanne DeYoung, Monmouth County Tourism Representative; Maria Gatta, Mayor Elect of Oceanport; Charles Hesse III, Thoroughbred owner; Edward McKenna Jr., Mayor of Red Bank; Ann McNamara, Mayor of Tinton Falls; Lynda Rose, President of the Eastern Monmouth Area Chamber of Commerce; Edward Stominski, Monmouth County Freeholder; Ellen Karcher, Senator Elect; and Michael Panter, Assemblyman Elect.
The NJSEA also will hold meetings with local elected officials and area legislators to seek advice and to keep them informed as to any developments. The meetings should begin in January.
The NJSEA will shortly announce a Stakeholders Committee for the possible lease of the Meadowlands Racetrack.
NJSEA Seeking Lease Offers for Meadowlands, Monmouth
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quick linksCURRENT ISSUE PREVIOUS ISSUES NEWS INDUSTRY NEWS COLUMNISTS BROWSE EDITORIAL TOPICS WEBINARS
resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Adrenal Problems
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Romantic Love
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
July, 2008, Vol. 08, Issue 07
The Progression of Cervical Stenosis Toward Cervical Spondylotic Myelopathy(CMS)
By Dale G. Alexander, LMT, MA, PhD
In my previous article you were invited to consider the following points regarding the potential for cervical stenosis to progress toward cervical spondylotic myelopathy (CMS):
This article expands on the clinical indications with which we need to become more familiar, the theories that exist describing why and how this progression may occur, and some hands-on suggestions for what I have found to be effective in assisting clients exhibiting the early and moderate stages of the progression of CMS.
However, at a certain point in this pathological progression, surgery does appear to be the best remedy. I have worked with two clients who needed surgery for advanced CMS, with positive results. I was unable to stem the tide for both of them. My best efforts and all the research I have done failed to prevent its progression. Many other clients have now identified this progression and are proactively adjusting their lives with common sense and grace to maintain their quality of life. They have been my teachers.
Let's begin by further elaborating the many possible somatic indications that might highlight this progression. The number-one tipoff to my sensibilities is when a client presents with a history of same-sided somatic complaints of the neck, and upper- and lower-extremity pain or dysfunction, including sciatica. The possible somatic combinations are quite varied. When the pain or dysfunction is on the same side, this is my clinical flag. Another subtle clue a client might not volunteer is occasional or frequent urgency or difficulty with urination.
Just today, a client (an orthopedist specializing in knees, shoulders, and sports medicine) who underwent surgery for CMS recounted that his fellow spinal surgeons have suggested to him that when an individual experiences an inability to stop their urinary stream, this is one of the reliable indicators the progression of CMS has become clinically significant.2 The following paragraphs offer three different sets of symptomatic indicators that might trigger your perceptions as to the varied functional expressions of this progression.
One medical journal article offers the following concise description of CMS: "Patients will generally report neck stiffness, a unilateral or bilateral deep aching of the neck, arm or shoulder and possibly stiffness or clumsiness while walking. CMS usually develops insidiously. Other common complaints include crepitus in the neck with movement, occasional stabbing pain into the arm, elbow, wrist, or fingers or report a dull achy feeling into the arm with intermittent numbness or tingling into the hands. The hallmark symptom of CMS is weakness or stiffness in the legs. Patients with CMS also might present unsteadiness of gait. Weakness or clumsiness of the hands in conjunction with the legs also is characteristic of CMS. Loss of sphincter control or frank incontinence is rare, however, some patients complain of slight hesitancy on urination."3
Another medical article references the following additional symptoms:
Myelopathy is distinguished from the many forms of radicular pain in that the discomfort is more generalized and doesn't necessarily follow the established, generally accepted sensory and motor maps for dermatomes (skin) and myotomes (muscles).
Finally, another medical article references the typical symptoms in yet a different fashion:
Alhough CMS is painless in more than 50 percent of patients, when pain is present, it might be described as a stabbing, burning sensation or a persistent dull ache radiating throughout the arms to the forearms. At times, the pain will extend into the fingers, associated with "pins and needles" paresthesias. Patients often comment about dropping objects accidentally or having trouble fastening their clothes. If prolonged, there might be associated muscle wasting and overt loss of sensation to vibration, pinprick sensation, pain and thermal sensation. As the impairment to spinal cord function progresses, both legs weaken and become progressively spastic. Bowel and bladder control subsequently may be altered. In advanced cases, gait will become progressively more difficult without aid by a cane or walker.5
The above descriptions reflect some of my own somatic complaints. You may find they describe some of yours as well. Let's be real. A fair number of us within our profession are going to be part of that 80 percent of the population who experience somatic complaints of this progression. Some of these indications began popping up for me in my mid-30s, whereas now, at age 55, I experience them more often. To the best of my memory, the occasional clumsiness in my general balance was the first indication to attract my attention at about age 35. Admittedly, my accumulated trauma history is well beyond the average and yes, I have scheduled a cervical MRI.
Obviously, these identical somatic complaints might be indications of other forms of pathological progressions. I have listed these in the Appendix for your further consideration. More acute presentations of CMS often include visual disturbances and bilateral pain symptoms, similar to the early and moderate stages of multiple sclerosis.2
We all know our role as massage therapists is not to diagnose anything, but rather to encourage our clients to seek medical attention that might provide them with the timely opportunity to make appropriate lifestyle or medical choices. We are part of our clients' early detection and prevention team. Aging occurs within all of us and injury strikes some of us. Not everyone is dealt an equal hand in the genetic shuffle of the cards. Early detection and prevention are our best hedges to maintain quality of life.
According to Rene Calliet, MD, cervical spondylotic myelopathy (CMS) was distinguished from myelopathy in 1956, based on the presence of acute disk prolapse. The principal pathology is encroachment of bony protrusion(s) into the spinal canal, the intervertebral foramen or foraminae, or both. The resulting encroachment might apply direct pressure to the spinal cord itself and/or to one or both of the exiting spinal nerves.6
Let's now review the general theories offered to explain how the progression of CMS might occur. Most common among the references I have gathered is the notion of a congenitally narrow spinal canal. Such a diminished diameter for the spinal cord accentuates the probability of eventual stenosis and myelopathy, and hastens its clinical expression.
The second most offered theory, which builds on the first, is that nearly all of us eventually develop some degree of arthritis (spondylosis) between our cervical vertebrae, most commonly between the C4-7 levels of the spinal cord. Such spondylosis often is accompanied by varying degrees of osteophyte/spur formation, disc thinning and desiccation, disc protrusions/herniations, vertebral remodeling, and compression of the foraminal openings through which the spinal nerves deliver their electrochemical vitalization to their somatic and visceral end organs.
The third most cited reason for this central compression of the spinal cord is related to traumatic cranial/cervical events with their resulting vertebral subluxations and scar-tissue formation. The effects of wear and tear of repetitive head/neck movements also are cited as contributing to and hastening the clinical expression of symptoms.
Additionally, the thickening of the ligaments surrounding the spinal canal, including the pleating of the ligamentum flavum and the ossification of the anterior or posterior ligaments, is proposed as a contributor to spinal cord compression. The latter notion of ossification of the posterior longitudinal ligament has a particular designation of OPLL and more often is appreciated in the non-Asian population.5,6
Vascular insufficiency and edema also are considered part of the degenerative progression, usually thought to be associated with this fibrosis of ligaments, as they might affect the anterior and posterior spinal arteries that supply the spinal cord.7
All of these notions have obvious merit and make sense logically, yet, in my opinion, there seem to be missing pieces of the puzzle. It is a "both/and" rather than an "either/or." Not a right or wrong. The body is both complex and quite simple, simultaneously. In my experience, there rarely is a singular causative agent in chronic somatic profiles. Rather, there are multiple streams flowing into a river of unrelenting somatic expression. My next article will propose some additional streams I believe also contribute to the progression of CMS.
Clinically, what has made the most sense to me is that most of our internal visceral organs are anatomically suspended forward and down from the spine and cranium. I owe a debt of gratitude to Dr. Jean Pierre Barral, DO, the developer of visceral manipulation, and to Jon Zahourek, the developer of the manikin style of anatomy study, for illuminating this elegantly simple aspect of human anatomy.8,9
Thus, what I have consistently observed is that relieving the forward and downward pull of the head and neck upon the trunk can assist clients. This might be accomplished by releasing the tensions associated with the suspension of the viscera themselves and by attending to the musculoskeletal flexor muscles, especially those whose attachments span from the posterior aspect of the body to an anterior mooring.
I would encourage you, by whatever style of bodywork and massage is your training base, to release the tension and enhance the fascial ease of the SCMs, the scalenes, the longus colli, the muscles of the jaw, the subclavius muscles, the pectoralis minor muscles, both sides of the diaphragm muscle, the rectus abdominus, the iliopsoas muscles, the piriformis muscles and the rectus femoris muscles, and to enhance the range of motion of your clients' ankles.
Releasing any existing tension of muscular contracture and enhancing the fascial ease of these flexor muscles will reduce the forward and downward pressure on the neck, and will soften the need for the extensor musculature of the posterior neck and upper back to develop varying states of contracture or spasm. Additionally, I recommend attending to the ease of the body's transverse diaphragms at C0-1/2, C7, T1-2, T12-L1 and L4-5/S1. It is through these transverse diaphragms that lymphatic and circulatory flow most often is impeded.10 Also, apply your experience and knowledge of enhancing blood flow to the cervical vertebrae. This is a significant approach through which we might offer some assistance. It is not about technique, per se, but rather where we place our attention and intention, mediated by the quality of our touch. Place your attention and intention inside the body. Work from the "inside-out."
Appendix: Conditions That Mimic Cervical Spondylotic Myelopathy on Presentation2
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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Has anyone been to one or the other lodge or can you weigh in on a good lodge for the Amazon River Basin near Puerto Maldonado?
We are deciding between Inkaterra Amazonica and Posada Amazonas lodge. The big draw at Inkaterra Amazonica for us is the canopy walk, and we wondered if it is worth the extra money to go to Inkaterra in order to have access to the 1/4 mile canopy walk. Posada has an observation deck that you get to with a harness and ropes. We liked that Posada had mountain biking and swimming in the river. Overall, Posada seemed to have one activity that everyone did each day while Inkaterra had more choices each day.
Would it be crazy to spend 3 days at one and 2 at the other? We don't to spend too much time stuck in Puerto Maldonado waiting for the boat ride to the lodges.
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Help in choosing Inkaterra Amazonica versus Posada Amazonas lodge
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We visited Inkaterra Amazonica this past July. I would not chose IA because of the canopy walk. We did this walk and it was fine but nothing spectacular (actually my husband and one of my children were terrified the whole time).
We stayed there for 3 nights which was perfect for us. There was a couple who was on the boat with us as we were returning to PM and our boat brought them to their next lodge. If you decide to do this, perhaps this is an option for you although I am thinking that Posada Amazonas is further upstream.
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Inkaterra gets rave reviews and always shows up as one of the best lodges in South America, so I think your overall experience with the service and food will be better too. Here's a detailed review to check out from a well-traveled writers.
But how much that is worth is up to you. Going to both would probably be okay if you could work out the transportation.
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I cannot speak to Inkaterra, but I did stay at Posada Amazonas, and blogged about it at http://www.esmetravels.com/category/travel-blog/peru/.
I enjoyed the experience.
Definitely consider the amount of time/transportation it takes to get to your destination. Posada Amazonas was a bus ride plus a 30-minute boat ride, and that seemed like a lot. I remember thinking that I couldn't imagine what would make the other Rainforest Expeditions property that much better to warrant a 3-hour boat ride.
5 days in the Amazon seems like a bit much, but then I go deep rather than wide because there's usually so much to see (and that is very true for Peru).
Also, the observation deck at Posada Amazonas was great, but not life-changing. I think the most important factor is getting a good guide, and they all seemed good at Posada Amazonas.
- esme
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I know both lodges and many others in the area as well. I don't think you can compare Posadas with Inkaterra Reservas as they are two completely different styles and environments. If you want the canopy bridges and want to not splurge on Inkaterra Reserva, the have another propery - Hacienda Concepcion not far away which costs less, is lovely and also affords you the Canopy Bridges. Posadas is part of a group of Lodges run by Rainforest Expeditions. They are a fantastic outfit and probably the most ecological of the bunch. I have visited ALL of their lodges including the Tambopata Research Center which is a much longer journey. Their other Lodge is Refugio Amazonas which is about a longer boat ride but deeper into things. You usually stop there for a night or two on the way down to Tambopata Research Center because the trip to TRC is quite long. Hope this helps. I have not had time to check in on the forums for years but happy to help if I can.
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The location of this hotel can't be beat. It's in central Pamplona right on the main square. It was a quick and easy walk to numerous restaurants and shops.
The room was spacious and clean. The shower with the body jets was a nice feature. I had some trouble figuring out how to control the lights but overall this was a minor issue. The staff were all customer service oriented. They were eager to order taxis and to lend umbrellas on a rainy day without prompting. I enjoyed my stay at this hotel and would stay here again because of its excellent location.
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Jan 2-13/13: We fell for the "pay up front" deal for a cheaper rate - BIG mistake. I would have left after the first night if I could have. Arrived to a room with no a/c and no safe. Reported the room problems the next morning and the staff did have it fixed by that night. However, the thermostat on the a/c did not appear to work at all. It was either on and running full tilt and you froze, or you shut it off.
Tried to have dinner in the restaurant the night we arrived - smelled horrible in there and only one staff member working. Waited around for about 15 minutes and finally left to walk to the various restaurants available at the corner of I-4. Found a TGI Friday's there and that was great.
Upon our return, I gave the room a closer inspection - it was NOT clean. A big spider had taken up residence behind the bathroom door. The bathroom fixtures are old and stained, including the bath tub - really disgusting. Hair and ick around toilet and on bathroom floor from previous guests. I cleaned that mess up myself because I was too tired to wait for someone from housekeeping to come up. Big sticky spot at the foot of one of the beds - this remained there the entire stay - every day I had to put a big towel over the spot so my feet would not stick there.
Taxi service is a rip off. The hotel has it's "own" taxis that you are forced to use when you need one. They have no meters - you just pay what they quote you. First experience was reserving the hotel van to go to Universal for 7 people a day prior to going. Prepaid $4.00 - we were told this was required to show you are "serious" about wanting it. Arrived the next morning downstairs at the designated time - no van. Showed them the receipt for the deposit we paid - didn't matter. Waited about half an hour and they finally called us a van from another taxi company. They were persistent that we prepay for the return trip for $60.00 - claiming this would save us money. After the fiasco of prepaying to reserve the van, we opted not to do this. Guess what? Taxi service one way to Universal was $33.00 + the $4.00 reservation charge - from the hotel. Going home in an off-property cab from Universal cost us $24.00. Nice rip off Best Western. The $4.00 prepayment is a commission to the hotel bellman for setting up the reservation - what a joke.
Second taxi experience - the husbands went golfing to a golf course just a few blocks from the hotel. The cab driver got lost - didn't know where it was. The guys were quoted $10 at the hotel and ended up being charged $15.00 by the cab driver because of the time he spent driving around lost in his own neighbourhood!
The phone in our room didn't work properly. We were unable to retrieve messages the entire time we were there. The alarm clock could not be set either. The room remained questionable in the cleanliness department. Big stickly spot on carpet was still there when we left.
Front Desk staff seemed extremely annoyed each time we wanted to cash in traveller's cheques and made the process slow and painful. Sorry! Every other hotel I've stayed in has been happy to do this for me. By the end of our 12 night stay they seemed to come around somewhat in this area. Or maybe we just figured out which front desk staff to approach with the request?
Tried ordering Pizza Hut one night after a long day at the parks - 1 staff member working (again) and he was out on a delivery. Finally managed to get Pizza Hut ordered & delivered another night and it was good, and prices were reasonable. The next night they even warmed up our left overs for us, which was more than we expected.
Positives: Beds were comfortable and bedding looked clean; pool was nice and kids enjoyed it while the temperatures were cooler. Once it warmed up they shut the heaters off and the kids froze; proximity to Downtown Disney and good selection of restaurants on I-4 was great - easy & pleasant 10 minute walk either way. Clerk at check-out didn't charge us for fridge without even having to start in on the negatives of our experience. I did appreciate that. We paid extra for the Disney View and that was a nice bonus. Took advantage of the free parcel delivery from the Parks, and that worked great. Buses to Disney Parks were good for the most part. At the end of the night, they are beyond over-crowded, so try to avoid staying till the bitter end if you can.
Overall, I had a big case of hotel regret and wished I'd just spent the extra money to stay at a newer Disney resort. You really do get what you pay for but in this case, I still felt like we overpaid.
- Official Description (provided by the hotel):
- Make memories to last a lifetime during your stay at the BEST WESTERN Lake Buena Vista Resort hotel! From our friendly staff to our Junior Omelet Chef breakfast program, we strive to add some extra magic to your Walt Disney World vacation. Our convenient location makes it easy to spend a full day at the theme parks, hassle-free. Simply hop on a shuttle bus to the Disney park of your choice and skip the lines at the entrance by purchasing your tickets ahead of time at our ticket concierge desk. With shuttles running continuously throughout the day, it's easy to stop back at the hotel for naptime or an afternoon swim in our heated outdoor pool. As a Disney Springs Hotel, we put you just minutes away from the excitement of Disney Springs (formerly Downtown Disney)! Enjoy numerous dining choices, one-of-a-kind shopping, and live entertainment nightly. Guests staying at the Best Western Lake Buena Vista Resort Hotel will also enjoy in-room walk-out balcony options. We are the only hotel on Hotel Plaza with these views! Your family will love our enhanced, kid-friendly amenities during your stay, including a heated outdoor pool and kids' pool, Pizza Hut Express on-site, arcade room, and our official Disney gift shop. Additionally, all 325 of our deluxe guestrooms offer a flat screen TV, high speed Wi-Fi, and a private balcony to provide you with all the comforts of home during your stay. The Best Western Lake Buena Vista Resort hotel is here to provide the perfect setting for you and your family to enjoy the Walt Disney World vacation of a lifetime. We hope to see you soon! ... more less
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The JULY exhibit, "A Bug's World", features works by FMAAA member artist. A variety of media are presented: painting, sculpture, felting, photography, and found art. There are "BUG" art pieces created by some of the young artist that attended the Children's Art Camp summer. An insect informational presentation by the Lee County Conservation Department is also on display.
FMAAA July-
Friday & Saturday 10 AM – 7 PM
Sunday & Monday CLOSED


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Originally published 03/29/2013
Jim Cullen: Review of Nate Silver's "The Signal and the Noise: Why So Many Predictions Fail -- But Some Don't" (Penguin, 2012)
Jim Cullen, who teaches at the Ethical Culture Fieldston School in New York, is a book review editor at HNN. His new book, Sensing the Past: Hollywood Stars and Historical Visions, was recently published by Oxford University Press. Cullen blogs at American History Now.
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Empire Records Remix! Special Fan Edition / Singles
Kyra Sedgwick,
Anthony LaPaglia,
Matt Dillon,
Liv Tyler &
Bridget Fonda
Cameron Crowe &
Allan Moyle
Warner Bros. DVD Clearance Sale (series)
Starring: Kyra Sedgwick, Anthony LaPaglia, Matt Dillon, Liv Tyler & Bridget Fonda Director: Cameron Crowe & Allan Moyle Rated:
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- Rated: PG-13
- Run Time: 3 hours, 22 minutes
- Video: Color
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- Released: September 2, 2008
- Originally Released: 2008
- Label: Warner Home Video
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Performers, Cast and Crew:
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Product Description:
Great soundtracks give the feel of the time in this pair of slacker comedies about young people trying to find their way. EMPIRE RECORDS is a day in the life of a busy record store while SINGLES tells the slice-of-life story of a group of single twentysomethings, set against the backdrop of the Seattle music scene. Please see individual titles for complete synopsis information.
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I am trying to decide whether to stay in the Collingham Serviced Apartments or the Harrington Court Apartments for 5 nights in January. We'll be 4 adults, so I'm looking for a 2 bedroom/ 2 bathroom flat.
The Collingham looks like it may be nicer, although perhaps smaller. The Harrington looks like it has a better location. Some of the reviews are not as positive.
Any suggestions?
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S. Kensington area- Harrington Court or Collingham Serviced Apartments?
I am trying to decide whether to stay in the Collingham Serviced Apartments or the Harrington Court Apartments for 5 nights in January. We'll be 4 adults, so I'm looking for a 2 bedroom/ 2 bathroom flat.
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can you post links please so that we can help you compare?
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Don't know about the apts. at Harrington Court as we stay across the street at Millenium Gloucester. Great area . ots of services and restaurant. great transport options , grocery store lanudromat, bakeries and a bank within 2 minute walk. Natural History and V & A are shiort walking distance .
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Both apartment buildings look lovely but for a tourist the Harrington Court is the much better location, right at S. Ken tube stop which is two different lines including the Picadilly line to Heathrow. Especially in January when what might in spring weather be a lovely walk through a residential area to Collingham you will be so happy it is just a quick jump to the tube from Harrington Court. And the restaurants, shops etc. right nearby you will really enjoy.
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what laurie-ann said.
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Yep - Harrington Court
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I have stayed at the Collingham Serviced Apartments and it was amazing. flats were great and a few minutes walk to earls court and gloucester road where you also had picadilly line, circle and district so had lots of options. it was only a 10-15 minute walk to the museums which was great. I did not look at the Harrington but had a great time at the Collingham and would definitely recommend it. Hope that helps.
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Anyone know anything about the Point West Apartments on Cromwell Road?
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Anyone know anything about the Point West Apartments on Cromwell Road?
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