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The legendary Walter "Bunny" Sigler is a four-time Grammy award winner and nominee who has been a writer, producer or recording artist on over thirty-six million CDs. He has over four decades of multi-gold and platinum recordings both as a recording artist and producer. The twelve original songs on this newest CD "From Bunny With Love" are evidence that Bunny remains a musical and creative powerhouse. Bunny was the force behind some of the greatest hits from the 1960s and 1970s, including Instant Funk's "I Got My Mind Made Up" and Patti Labelle's "Somebody Loves You Baby." Bunny was also instrumental in creating the "Philly Sound" in the early 1970s. He did extensive work with the team of Kenny Gamble and Leon Huff, and has worked with most of the artists associated with the Philadelphia stable including The O'Jays, Jackie Moore, Harold Melvin & the Blue Notes, Barbara Mason, Billy Paul, Lou Rawls, Patti LaBelle and Stephanie Mills. Two years ago, Bunny released "The Lord's Prayer," a gospel album that played on over 300 radio stations. This year, Bunny released on March 1, 2012 a new CD "From Bunny With Love
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Yandex search compared to Google
Earlier today we reported about the changes Yandex made to their image search. Yandex was also part of the discussion at SMX when talked about the possible Google killers.
This video is not new (it's from 2008) but does give a nice insight in some differences. Just before the weekend starts something to watch instead of read...
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A person whose cheeks are very big and they look like they were inflated like a balloon.
Glenn's cheeks were so big he must've pumped them up before he came to school.
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From the Ullapool News out on Friday 22 July 2016
©ULLAPOOL NEWS. Registered as a newspaper at the Post Office
Great Wilderness Challenge Caters For All Abilities
Hundreds of walkers and runners will line up at Poolewe, Wester Ross on Saturday 13th August for the 31st staging of this popular fundraising event which so far has raised almost £3.5 million for charity. Organisers are optimistic of another financial success as entries pour in for the various walks and runs.
Highland Hospice, the charity which first prompted the idea of staging the event 30 years ago, continues to be the main annual beneficiary of funds raised by the event, receiving £80,000 in 2015 and over £1.1 million since 1986. Several other health related charities are also supported, including Cardiac Risk in the Young.
The Challenge is an inclusive, friendly community event held among stunning scenery, totally organised by volunteers, with all funds going directly to charity. It includes walks and runs (25, 13 and 7 miles) to suit most capabilities and fitness levels. This year a further dimension has been added to cater for Limited Mobility walkers (with carer and wheelchair support if required) – with the advent of two new low level routes of 1.4 and 2.8 miles. Several entries in already - including one 90 year old gentleman!
Our very own Ullapool News printer Jim Lavelle (pictured) has been a marshal at the event for over 30 years) and is the official starter of the 25 mile race and walk at Dundonnell every year.
Ullapool resident Tom Grant (Wester Ross Athletics) is also pictured at Carnmore causeway last year; he finished 4th in the 25 mile race, and is entered for it again this year.
Some fantastic fundraisers from Ullapool over the years, with the late Dorrie Urquhart, Iain "Dulcie" Macdonald and Louise Mackenzie having raised in excess of £10,000 each.


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Affluent Lifestyle Guide
In the long-term, Google wants to extend our lifespan ... just do not ask how ... because there are no answers.
The multifaceted high-tech company is investing in a new healthcare company that is focused on slowing the aging process and extending life for humans, InformationWeek reported recently.
Goggle CEO Larry Page offered no concrete vision on how the medical-science company would achieve this objective, during the announcement Page made on Google Plus last Wednesday. The organization will not be looking to cure any specific diseases,
Arthur Levinson, a former board member of Google, is the CEO and chairman of Calico. Levinson also is the former chairman and the current CEO of Genentech, a biotech company.
"While this is clearly a longer-term bet, we believe we can make good progress within reasonable timescales with the right goals and the right people," Page said.
Seven Places Where Olympians Work Out With YouPiaget Hunts For New BuyersThe Best New Start Up Mattress Companies Gulf Investors Snatch Up Luxury Labels Turn Your Airplane Tray Table Into The Perfect WorkspaceInside The Solid Gold Watch


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Jeff Probst
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Herself (Season 14)
Anthony Robinson
Himself (Season 14)
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Herself (Season 14)
Michelle Yi
Herself (Season 14)
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9/5/08 (00:31)
The Ravu tribe now holds the dubious record of eight consecutive challenge losses, breaking the previous record of six set by the Morgan tribe from Pearl Islands and the Maaramu tribe from Marquesas.
With Rita's ouster, this marks the second time in "Survivor" history that five consecutive females (Jessica, Erica, Sylvia, Liliana, and Rita) have been eliminated by aTribal Council vote in one season (the first time occurred in "Vanuatu", where Leann, Ami, Julie, Eliza, and Scout were eliminated in order). This marks the first time, however, that the first five contestants VOTED out in a season are female, breaking the previous record of four in Exile Island. (Note: Gary was eliminated before Liliana, but he was forced to leave as opposed to being voted off.)
Alex: Those two, Cassandra and Dreamz, are gonna deflect. And we're not gonna have the majority.
Rita is voted out in this episode.
Yau-Man says the title of this episode when asked by Jeff if he trusts his fellow tribemates.
Earl is sent to Exile Island.
The title of the episode Love all, trust a few, do wrong to none is a famous quote by William Shakespeare.
S 32 : Ep 14
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Two standards—one for the coating of metals and one for qualifying and certifying industrial coating and lining application specialists—have been updated under the direction of SSPC: The Soc...
A mastic waterborne acrylic built for overcoating rusted steel is the newest product from high-performance protective coatings manufacturer Tnemec Company Inc. (Kansas City, MO).
Cortec has introduced a spray version of one of its corrosion protection materials that the company says offers a more convenient way to protect metal parts that need a light coating of oil ...
by Burt Olhiser, Vantage Point Consulting
Restoration team muster its expertise, energy to rehabiliate and adapt significant ex...
October 14 - October 16, 2015
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The PaintSquare Pro Video Series: A collection of technical presentations hosted by PaintSquare.com in cooperation with SSPC
A collection of archived webinars hosted by PaintSquare.com focused on coatings application.
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Wise® Premium Deluxe Fishing Boat Seat
Item # WX2-140381SOLD OUT
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Campground Rating
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Name Address Phone and Web Site Information
Number of Spaces : 287
Click Here to visit LITTLE MOUNTAIN MARINA CAMPING RESORT Web Site
No Contact Email address Found for LITTLE MOUNTAIN MARINA CAMPING RESORT
Tweet This:Glad to see @rv52 has LITTLE MOUNTAIN MARINA CAMPING RESORT in its directory!
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Long Description
LITTLE MOUNTAIN MARINA CAMPING RESORT is a RV Park in or near the town of Guntersville. It is a largish and maybe almost large park with a possible 287 slots to park your recreational vehicle. This park has pull thru slots to make setting up a snap. If you are driving a Motorhome, then you are in luck since there are some extra long pads. No need for a generator since the park has electric. One really nice thing is the 50 amp electric service. For the true RV experience – water hookups are provided – much better than camping in a tent! Adding to your RVing joy, make sure you bring your stinky slinky as there are sewer connections at the park. Be prepared to actually put the computer down and enjoy your coffee as there is no WiFi. Really this shouldn't be an issue for campers, honestly, but there is not a Cable TV hookup. Your pet is welcome at this park. Not sure this is a good thing for a high class RV experience, but tent camping is allowed. A neat thing about this park is that it does have some waterfront attached to it. Bring your swim trunks this park has access to a pool. If the days get hot, you can enjoy the shade trees that exist here. Maybe if you are planning on visiting Guntersville, you might find a great place to stay at LITTLE MOUNTAIN MARINA CAMPING RESORT.
Where is LITTLE MOUNTAIN MARINA CAMPING RESORT
Click HERE to contact RV52 and to update map location for LITTLE MOUNTAIN MARINA CAMPING RESORT!
Latest news for LITTLE MOUNTAIN MARINA CAMPING RESORT:
- Home on the road: Some bring all the comforts of home with them to NHSFR – Gillette News Record July 23, 2016
Gillette News RecordHome on the road: Some bring all the comforts of home with them to NHSFRGillette News RecordAbove, Southern and Slade Keith eat at the table in their RV on Tuesday afternoon in the Wrangler RV Park. … This mobile palace did not come cheap for the grandparents of Team Alabama's Caroline Kelly, who is competing in barrel racing this week.
- Ultrarunners ready for challenging Never Summer 100K – The Coloradoan July 23, 2016
The ColoradoanUltrarunners ready for challenging Never Summer 100KThe ColoradoanThat's because when we talked, he was removing downed trees from several portions of the course, which traverses the trails of the Colorado State Forest State Park, between the Never Summer and the Medicine Bow mountains. BRING THE PAIN: Fort Collins …
- Getting Personal with Karen Beyers – Champion July 22, 2016
ChampionGetting Personal with Karen BeyersChampionKaren Beyers is the director of ART Station's new production GRITS Girls Raised in the South, which is being staged July 14-31. Beyers has had a long love affair with the arts. She started as a dancer at the age of 2 and studied and performed with a …
- Naughtons in Paradise – Boone County Journal July 20, 2016
Boone County JournalNaughtons in ParadiseBoone County JournalThat was, a southern gentleman might say, as unpleasant as drinking unsweetened tea while listening to "Yankee-Doodle" and being forced to watch the Alabama Crimson Tide football team lose to Harvard.) Nevertheless, we eventually made it to our …
- Mayors talk future in debates – Times Daily July 20, 2016
Times DailyMayors talk future in debatesTimes Daily… assist in job growth. Holt said the Shoals unemployment rate is 6.4 percent, which is 10th among metropolitan areas in Alabama. … Cole is opposed to borrowing money, and said he has seen no numbers indicating an RV park would pay off. He said the …and more »
- 12 parks down, 10 remain on the list Exploring Alabama through its state parks – Gulf Coast News Today July 18, 2016
12 parks down, 10 remain on the list Exploring Alabama through its state parksGulf Coast News TodaySome people may not understand my point of view but I grew up camping in a travel trailer and RV; if our parks aren't saved, no child will ever have the chance to experience Alabama's state parks. You don't have to travel out of Alabama to see natural …
- Marengo receives 4-H CYI designation at commission meeting – West Alabama Watchman July 13, 2016
West Alabama WatchmanMarengo receives 4-H CYI designation at commission meetingWest Alabama WatchmanThe state closed the park last year due to budget cuts. "I think this is exciting that we can do something for the people of Marengo County," said Dan England, commission chairman. Commissioner Freddie Armstead said the county is looking to expand RV …
- Area veterans reflect on service and freedoms – The Decatur Daily July 4, 2016
The Decatur DailyArea veterans reflect on service and freedomsThe Decatur DailyIn Alabama, veteran George Marsh said he sees people of all ages uphold pride in their nation, recalling citizens waving flags and saluting him and other Patriot Guard riders as they escorted a fallen veteran's family to a funeral home in Florence …
- Alabama amusement park closes permanently 2 months after opening – AL.com June 30, 2016
AL.comAlabama amusement park closes permanently 2 months after openingAL.comLake City was to be built in three phases, the first of which launched this spring with rides, concessions and games. Phase II, a water park, was set to open in April 2017, followed by an RV park in Phase III. AL.com has contacted Lake City's marketing …and more »
- Mississippi interracial couple evicted from RV park because of race, report states – AL.com April 4, 2016
AL.comMississippi interracial couple evicted from RV park because of race, report statesAL.comGene Baker, the RV park owner, told USA Today he evicted the couple because "the neighbors were giving me such a problem." Erica Flores Dunahoo, who is Hispanic and Native American, and her husband, Stanley Hoskins, who is African-American, …and more »
Things to do near LITTLE MOUNTAIN MARINA CAMPING RESORT or Guntersville
Campgrounds near to LITTLE MOUNTAIN MARINA CAMPING RESORT or Guntersville
HONEYCOMB CAMPGROUND ( 0.0 miles )
LITTLE MOUNTAIN MARINA CAMPING RESORT ( 0.0 miles )
LAKE GUNTERSVILLE STATE PARK ( 0.0 miles )
BLUE HERON PARADISE RV PARK ( 0.0 miles )
RIVERVIEW CAMPGROUND ( 3.3 miles )
CLAY MARINA ( 8.7 miles )
LITTLE MOUNTAIN MARINA ( 9.3 miles )
MOUNTAIN LAKES RESORT ( 9.6 miles )
BARKLEY RV PARKING ( 13.1 miles )
BUCKS POCKET STATE PARK ( 14.9 miles )
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|$16.65 ($0.28 / Ounce) & FREE Shipping on orders over $49. Details
Ships from and sold by Amazon.com in easy-to-open packaging. Gift-wrap available.
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+ $6.99 shipping
Sour Patch Kids Candy (Watermelon, 5-Ounce, Pack of 12)
- This bulk package contains twelve 5-ounce bags of Watermelon Sour Patch Kids Candy.
- Sour Patch Kids - First they're sour. Then they're sweet.
- They're a fun, soft and chewy candy that children and adults love.
- This is the next best thing to seedless watermelon, wrapped up in a sour-then-sweet gummy candy.
- Your daily dose of mouth-watering fun (contains fun-filled Sour Patch Kids ingredients).
Frequently Bought Together
Customers Who Bought This Item Also Bought
Product Description
Product Details
Flavor: Watermelon | Size: 5 Ounce, Pack of 12
From the Manufacturer
The gummy candy that'll getcha.
About Sour Patch Kids
It was a sunny day in 1985. The Kids couldn't decide if they wanted to play a prank or give someone a hug, when it dawned on them that choices just aren't fun. Capitalizing on this stroke of pure genius, they set out to cause mischief and shower sweetness everywhere they went.
Sour Patch Kids Candy
Mischief-filled Sour Patch Kids start out sour then turn sweet.
Whether you're trying to plan out the perfect prank or the ideal delight, these tasty little confections are chewy treats to be enjoyed when you're in need of a play-filled break.
Sour Patch Kids come in single packs for individual snacking and bulk packages that are ideal for sharing (pfft who are we kidding, there will be no sharing). Get some for your next movie night, or just for a fun sour, then sweet treat for you, your family and friends.
Sour Patch Kids are Sour, then Sweet, then Gone.
First They're Sour, Then They're Sweet
Sour Patch Kids Candy (Original)
An ideal gummy candy for when your taste buds need a fruity and delicious break, or simply for a little sweet (and sour) mischief.
Sour Patch Kids Candy (Watermelon)
With Sour Patch Kids gummy candy, watermelon is always in season. Seed-spitting is not necessary with these mischievous bites.
Sour Patch Kids Candy (Extreme)
Five Extreme fresh flavors are wrapped up in a sour-then-sweet package, but these gummy candies have an intense Sour flavor.
Sour Patch Kids Candy (Berries)
Conveniently-sized gummy candy bursting with berry flavor, these Sour Patch Kids are everything you never knew you needed.
Sour, then Sweet. Add Them For a Treat
Sour Patch Kids on a Waffle
Turn waffles from ordinary to fruity and delicious when you add Sour Patch Kids.
Sour Patch Kids with Ice Cream
Layer ice cream and Sour Patch Kids for a sour, then sweet summertime treat.
Sour Patch Kids on a Doughnut
Instead of sprinkles, why not add Sour Patch Kids to your favorite frosted doughnut.
|2-Ounce Bag
|3.5-Ounce Box
|8-Ounce Bag
|14-Ounce Bag
|46 Ounce Box, 240-Count, Individually Wrapped
|What's So Special?
|Super portable and just enough for you.
|Eat some now, save the rest for later.
|Storeable and portable. Stock up for on-the-go snacking.
|Portable and shareable. The best of both worlds.
|Individually wrapped bulk package so you can share with everyone (and still have plenty for yourself).
|Available Flavors
|Original, Watermelon, Extreme, Berries
|Original, Watermelon, Extreme, Berries
|Original, Watermelon, Extreme, Berries
|Original, Watermelon, Extreme, Berries
Important Information
Sugar, Invert Sugar, Corn Syrup, Modified Corn Starch, Citric Acid, Tartaric Acid, Natural and Artificial Flavors, Titanium Dioxide, Red 40, Yellow 5 and Blue 1.
Actual product packaging and materials may contain more and different information than what is shown on our website. We recommend that you do not rely solely on the information presented and that you always read labels, warnings, and directions before using or consuming a product. Please see our full disclaimer below.
Customer Reviews
Top Customer Reviews
Other than that, really happy with the purchase. Not actually going to take any stars away for that, since my bag will be gone before they "go bad" by drying up.
I did get a package that included the blue flavor, also. Not sure if this is just from one seller?? Mine was "Common Cents Distributors"
Today, it arrived as part of my subscribe and save order for the low, low price of less than a Jackson (I don't think I can tell you exactly what I paid or they'll bleep it out like profanity).
So there it was--a cardboard box by my front door with a sticker that warned: heavy. I may have hurt my back trying to drag the box inside. But, alas, there were in fact 30 pounds of candy in that box. I didn't expect the description to be correct, but here I am w/ 30 gluttonous pounds of tangy deliciousness. Three-zero. 480 ounces. 13.5 kilograms (don't quote me on that, as the metric system eludes my Americanized brain). But trust me, it's a lot!
I was surprised to see plenty of blue candies in the packages, I guess I'm not a Sour Patch connoisseur. But, that's about to change as I've got 30 pounds of them to consume between insulin shots.
Many times in life, you will find product is too good to be true. This one is too true to be good...for your health. I mean, they're good in a delicious candy kind of way.
Obviously, I have no immediate need for another 30 pounds, but I'd purchase this product again without hesitation. If only because I have the smug satisfaction that the box had to cost more to ship than the value of it's contents.
You will not be disappointed by this purchase and may even find yourself inspired. These are not just for mindless snacking. They could be used to weight down objects in the wind. They can be portioned out into sandwich bags to give out to all your family and friends as an economical Christmas gift. You could bring a bag to Thanksgiving dinner. Sure, someone else slaved over a turkey all day. You just plunked down 5 pound increments of Sour Patch candy. That makes you both a hero and a winner.
I'm glad we have the "only when we're watching Kyle XY" rule or this bag wouldn't last long. Also, if you eat too many in one sitting you'll get a bad case of SPS (Sour Patch Stomach). Enjoy!
When I tried to exchange or return it, I got a message stating it can not be returned.. I sent an email... Lets see what happens...
Update: Amazon is processing a refund. I'm leaving it as a 1 star rating because this should have never been shipped. It's wasn't a pin hole, but a hole large enough to allow candy to fall out..
Customer Images
Most Recent Customer Reviews
Previous review was for the wrong product. These are great but came in two separate bagsPublished 7 days ago by Amazon Customer
These candies are nowhere near as sour as other similar products I've tried. They seem smaller too than in the photos.Published 11 days ago by kayla sorensen
Amazing.... Think sweet like Peach rings with a sour punch to the tonguePublished 12 days ago by RMM
I feel like I don't have to explain how great sour patch kids are. They are fantastic. The best part about this product though is the bag it comes in. Read morePublished 13 days ago by BryanS
The bag of candy was ripped when I received it. On inspection, I did not see any tampering. However, I cannot keep the candy fresh because of the ripped bag.Published 17 days ago by Molly White


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Organic Wheatley's Frost Resistant Tomato Seeds (59 days)
Sustainably Grown Approx. 25 heirloom seeds
Indeterminate vines with regular leaves.
1957 "Obtained from South Africa growing which is reported to withstand as high as 6 degrees frost."
A true cold-weather tomato, this plant survived several very cold nights and a fall frost that killed nearly all others in our trial gardens. It should be mentioned the "frost resistance" is in an adult plant. When I set them out in the spring as seedlings they froze just like the other tomatoes. So I would say the "frost resistance" is fall frost.
Wheatley's is a very productive indeterminate cherry-type plant. The fruits are about 2" in length and 1" wide and very firm. They are borne in clusters of 8-10. Super tasty!
Seed Planting Depth
Seeds per gram
Germination Temperature
Days to Germination
Row Spacing
Plant Spacing
100' Row Yield
|¼" - ½"
|75 lb.
Planting Tips for Heirloom Tomatoes:
Most gardeners want to get the most out of these delicious heirloom tomatoes and therefore give them a head start on the growing season. Start these vegetable seeds indoors in sterile potting mix being sure to keep the temperature above 70 degrees. Some people prefer to use a grow pad but the top of the fridge has been known to be quite effective as well.
Once the first true leaves appear on your tomato seedlings, transplant into 4" pots until you have completely hardened them off in the garden. Hardening is a process of exposing the plants more and more to outside temperature until they are hardy enough to tollerat a complete outdoor move. Generally speaking, by early summer heirloom tomatoes should be transplated into the garden.
Most heirloom varieties are quite productive and will greatly benefit from sturdy supports. It may also be advisable to add blood and bone to the worked soil to help ensure healthy productive heirloom tomatoes.
Seed Care tips for Heirloom Tomato Seeds:
Heirloom seeds are hardy but always take care with your garden seeds to give them the appropriate amount of moisture - not letting the vegetable seeds dry out prematurely or overwatering and possibly having them rot.
|Ponderosa Pink Tomato Seed
First released in 1891. Massive fruits are almost perfect in form, and when we come to size, weight and solidity, no other tomato begins to approach it. The color, a rich crimson permeates the from circumference to center, so that when sliced for the table It is almost seedless and very early for a large tomato.
|Florida Giant Watermelon Seeds
A true giant, it's also a favorite for county fair competitions. These babies get big! On average, it produces a round, 50 lb watermelon that is deep green with bright red flesh. It may be big, but it is not short on taste. Florida Giant is sweet and delicious. A real favorite in the south for summer picnics.


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India, Afghanistan to sign four pacts during Karzai`s visit
New Delhi: India is expected to ink four pacts, including one in the field of mining with mineral-rich Afghanistan during the four-day visit of Afghan President Hamid Karzai, who arrived in Mumbai on Friday.
Karzai will meet business leaders in Mumbai to seek investments in the war-ravaged country before arriving here to hold talks with the top leadership, in a bid to intensify the cooperation under the India-Afghanistan strategic dialogue on bilateral and regional issues.
Prime Minister Manmohan Singh and Karzai will hold wide- ranging talks, including on regional security situation and safety of Indian nationals and Indian projects on November 12 here, according to sources.
Briefing reporters on the visit, Additional Secretary (Pakistan-Iran-Afghanistan) in Ministry of External Affairs Yash Sinha said apart from reviewing entire gamut of bilateral relations, the two leaders will also discuss regional and international issues.
He also noted India was playing a lead role in attracting investments in the war-torn country as part of its policy to "change the narrative of anxiety to narrative of hope."
On regional economic cooperation, he said India hopes that existing treaties like Afghanistan Pakistan Trade and Transit Agreement will at some point be extended to cover transit of goods from India to Afghanistan.
Ahead of Karzai`s visit, Afghanistan envoy Shaida Mohammad Abdali had indicated that the two sides will also explore ways to step up Indian training for Afghan national security forces during the visit, saying, "India has committed itself to strengthening security of Afghanistan."
He has also said Karzai was coming to India at "a critical time" as international combat troops prepare to withdraw from Afghanistan by 2014.
Four MoUs will be signed between the two countries in areas of mines, youth affairs, small development projects and fertilizers, he said.
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Online movie rental service Netflix and consumer electronics company Samsung Electronics America said Oct. 23 that they have partnered to give owners of certain Blu-ray players instant access to streaming movies and TV episodes via the Netflix Web site.
Owners of the Samsung BD-P2500 and BD-P2550 Blu-ray disc players will be the first to have access to the content from the Netflix Web site; however, the pair plans to include the capability in a range of home entertainment products.
The move gives owners of the BD-P2550 and BD-P2500 access to more than 12,000 movies and TV episodes from Netflix. Existing owners can upgrade to the new offering for free, the companies announced.
Instantly streaming movies and TV episodes from Netflix on the BD-P2550 and BD-P2500 is done through a wired broadband connection and a Netflix queue-based user interface. Samsung's Blu-ray players offer HD 1080p playback and feature the HQV processing chip.
For more information, visit http://www.netflix.com/.
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1991 Soviet Union Away Shirt M
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(FROM HOLLYWOOD REPORTER) ? Australian actress Anna Torv will make her U.S. debut as the female lead in Fringe, J.J. Abrams' high-profile sci fi drama series for Fox. Torv will play a young FBI agent working with a scientist (John Noble) to confront the spread of unexplained phenomena. Blair Brown (The Days and Nights of Molly Dodd) has also been cast as a veteran scientist at a research facility, and Jasika Nicole (The Mastersons of Manhattan) has been cast as a federal assistant. Lance Reddick (The Wire) and Kirk Acevedo (The Black Donnelleys) have already been cast. In Australia, Torv starred in the TV series The Secret Life of Us and Young Lions. (Hollywood Reporter)
J.J. Abrams' ''Fringe'' casts female lead
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Property to let in South Gyle Mains, Edinburgh EH12 - 3 bedrooms
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Spacious three bed furnished ground floor flat in modern development. Situated close the Glasgow road with easy access to Edinburgh Park, Gyle, airport and City bypass but also good access to City centre this property is ideally situated. There is ...
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accidents, such as scalding hot water or steam. More than 300 000 persons die each year worldwide because of fire-related burn injuries. Many more are seriously injured, disabled, or disfigured because of all types of burns. Risk factors for burns include cooking with an open flame, open cooking facilities on the ground floor of a building or residence, wearing loose clothing while cooking, smoking, alcohol use, water heaters that are set too hot, poor electrical safety, and unsupervised children. Occupational injuries involving burns can also occur, especially at job sites with open flames, chemicals, or superheated materials.
• • • •
Burns cause varying degrees of pain, blisters, swelling, and skin loss. Deep, extensive burns can cause serious complications, such as shock and severe infections. Small, shallow burns may need only to be kept clean and to have an antibiotic cream applied. People with deep or extensive burns may require intravenous fluids, surgery, and rehabilitation, often at a burn center.
Burn is an injury involving the skin, including muscles, bones, nerves and blood vessels. This results from heat, chemicals, electricity or solar or other forms of radiation. Burns destroy skin, which controls the amount of heat our bodies retain or release, holds in fluids, and protects us from infection. While minor burns on fingers and hands are usually not dangerous, burns injuring even relatively small areas of skin can develop serious complications. Burning causes blisters that will form at the place that is burned especially if it is caused by fluids. Blisters contain lymph that should not be burst as it causes a wound immediately after bursting it. You should treat the blisters carefully and make sure that you are using the right kind of medicine and if it bursts, bandage it. The skin has an important role to play in the fluid and temperature regulation of the body. If enough skin area is injured, the ability to maintain that control can be lost. The skin also acts as a protective barrier against the bacteria and viruses that inhabit the world outside the body. There are three layers: 1.Epidermis, the outer layer of the skin 2.Dermis, made up of collagen and elastic fibers and where nerves, blood vessels, sweat glands, and hair follicles reside. 3.Hypodermis or subcutaneous tissue, where larger blood vessels and nerves are located. This is the layer of tissue that is most important in temperature regulation.
TYPES OF BURNS Burns are classified based on how much of the skin's thickness is involved. First-degree (or superficial) burns involve only the top layer of the skin and are the least serious burn injuries. Second-degree (or partial-thickness) burns injure deeper into the skin and cause blistering. Third-degree (or full-thickness) burns involve all the layers of the skin, including the nerves that supply the skin, and are extremely serious injuries. Fourth-degree burns extend into the muscle below the skin.
Three degrees of burns FIRST-DEGREE BURNS are usually limited to redness (erythema), a white plaque and minor pain at the site of injury. These burns involve only the epidermis. Most sunburns can be included as first-degree burns. Signs:
• • •
Red Painful to touch Skin will show mild swelling
Apply cool, wet compresses, or immerse in cool, fresh water. Continue until pain subsides. Cover the burn with a sterile, non-adhesive bandage or clean cloth. Do not apply ointments or butter to burn; these may cause infection. Over-the-counter pain medications may be used to help relieve pain and reduce inflammation.
Do not place the victim in the shock position if a head. seek emergency medical attention. Third-degree burns result in scarring and victims will also exhibit the loss of hair shafts and keratin. SECOND-DEGREE BURNS manifest as erythema with superficial blistering of the skin. elevate the feet about 12 inches. Take steps to prevent shock: lay the victim flat. Further medical treatment is required. Dry with clean cloth and cover with sterile gauze. however. and cover the victim with a coat or blanket. Signs: • • • • • Deep reddening of the skin Pain Blisters Glossy appearance from leaking fluid Possible loss of some skin Treatment: • • • • • • • Immerse in fresh. neck. Do not attempt to treat serious burns unless you are a trained health professional. as all the nerves have been damaged by the burn and are not sending pain signals. and sometimes hard eschar will be present. THIRD-DEGREE BURNS occur when the epidermis is lost with damage to the subcutaneous tissue. Do not apply ointments or butter to burns. However. cool water. (Pain may be caused by patches of first. these may cause infection Elevate burned arms or legs. Skin is dry and leathery Skin may appear charred or have patches which appear white. all third-degree burns are surrounded by first and second-degree burns. Burns that require more than three weeks to heal are often excised and skin grafted for best result. or the victim is an infant or elderly. Second-degree burns involve the superficial (papillary) dermis and may also involve the deep (reticular) dermis layer. and can involve more or less pain depending on the level of nerve involvement. back. Continue for 10 to 15 minutes. These burns are not painful. Deep dermal burns usually take more than three weeks to heal and should be seen by a surgeon familiar with burn care. if a first-degree burn covers a large area of the body. These burns may require grafting. brown or black . or apply cool compresses. or if it makes the victim uncomfortable. as in some cases severe hypertrophic scarring can result. Signs: • • • • Loss of skin layers Often painless. Burn victims will exhibit charring and extreme damage of the epidermis. Do not break blisters. or leg injury is suspected.and second-degree burns which often surround third-degree burns). First degree burns usually heal without further treatment.
Do not place a pillow under the victim's head if the person is lying down and there is an airway burn. Elevate burned area higher than the victim's head when possible. Dermis. Keep person warm and comfortable. A description of the traditional and current classifications of burns.Treatment: • • • • • • • Cover burn lightly with sterile gauze or clean cloth. insensate requires skin grafts How long does it take for burns to heal? . "Partial Thickness" (which is divided into superficial and deep categories) and "Full Thickness" relates more precisely to the epidermis. dermis and subcutaneous layers of skin and is used to guide treatment and predict outcome. and complete destruction to Charred or leathery. Have person sit up if face is burned. these may cause infection Take steps to prevent shock: lay the victim flat. Do not attempt to treat serious burns unless you are a trained health professional. and watch for signs of shock. This can close the airway. Immediate medical attention is required. elevate the feet about 12 inches. Do not apply ointments or butter to burns. significant pain. OTHER CLASSIFICATIONS • A newer classification of "Superficial Thickness". and pain Whiter appearance or fixed red staining (no blanching). subcutaneous fat. Watch closely for possible breathing problems. clear fluid. reduced sensation Partial thickness third degree – deep Deep (reticular) dermis Full thickness fourth degree* Epidermis. (Do not use material that can leave lint on the burn). Nomenclature Superficial thickness Traditional nomenclature first degree Depth Clinical findings Erythema. eschar thrombosed blood formation and minimal pain. lack of blisters Example Epidermis involvement Partial thickness second degree – superficial Superficial (papillary) dermis Blisters. vessels.
as well as in the medical and automotive industries. which can be more serious than the burn itself. Forty-three percent of burn center admissions are fire/flame related.• • • First-degree burns usually heal in 3 to 6 days. 23 percent are related to scalding. hot liquids. Most chemicals that cause severe chemical burns are strong acids or bases. steam. One civilian fire injury occurs every 30 minutes. Second-degree burns usually heal in 2 to 3 weeks. Hydrofluoric acid can cause damage down to the bone and its burns are sometimes not immediately evident. alkaloids and other caustic chemicals come into contact with the skin.) Other potential causes of burn injuries from fire include: • • • • • • • • Car accidents Industrial products Defective machinery Water heater fires Explosions Faulty electrical wiring Home & other structural fires Flammable clothing and liquids Chemical burn Chemical burns represent approximately 3 percent of all burn center admissions. TYPES OF BURN INJURIES Thermal Burn Thermal burns — the most common type of burn injury — are the result of contact with heat sources such as fire. and 8 percent are linked to contact with a hot object. Many recalls have been issued for defective consumer products that pose fire hazards (for example. certain brands of candles and fire extinguishers. Chemical burns occur when certain acids. Chemical burns can be caused by caustic chemical compounds such as sodium hydroxide or silver nitrate. While a brief exposure (flash) tends to produce superficial or superficial partial thickness burns. prolonged exposure to flames can produce deep partial thickness to full thickness burns. Third-degree burns usually take a very long time to heal. Many patients burned in fires also suffer smoke inhalation injuries. Fire/Flame Injury. and acids such as sulfuric acid. Caustic chemicals are used in agriculture and construction. Possible causes of chemical burns at home or in the workplace include: . hot metals and hot objects.
causing both external and internal injuries. Seizures/coma and permanent neurological deficits Electrical burns can be caused by faulty electrical appliances or machinery. Electrical burn complications can be very serious and may include: • • • • Heart rhythm disturbances such as sudden cardiac arrest Fractures and other blunt trauma either from the force of the jolt or from resulting falls (caused by the jolt and/or involuntary muscle contractures) Severe skin burns from electrical arcs. Most of the damage from electric current occurs beneath the surface of the skin. flashes and clothes catching on fire. and by lightening. Tanning booths also emit these wavelengths and may cause similar damage to the skin such as irritation. When a low-voltage electric current (less than 500 volts) passes through the body. unintentional contact with batteries or household wiring. tanning booths. Electrical burns occur when electric current passes through the body. tar. the amount of moisture on the patient and the area of the body that the current passes through. the latter being more dangerous. Radiation burn Radiation burns are caused by protracted exposure to UV light (as from the sun). Low Voltage. radiation therapy (as patients who are undergoing cancer therapy). sunlamps. duration of exposure. and UVB. However. radioactive fallout. By far the most common burn associated with radiation is sun exposure. Power sources and power lines are often involved in high-voltage electrical burns. which are typically seen in young children who suck or bite on electrical cords High Voltage. including cardiac arrest. contact with low voltage can still have serious consequences: • • • Cardiac problems. or sodium hypochlorite (disinfectants and bleaches) Cosmetic products such as nail polish remover and hair dye Explosions and spills Electrical burn Electrical burns represent 4 percent of burn center admissions. . it generally does not cause severe burns. gasoline and wet pavement Household cleaners that contain lye (paint cleaners). sulfuric acid (toilet bowl cleaners). can occur if low-voltage electricity comes into contact with wet skin Muscle spasms. specifically two wavelengths of light UVA. which can prevent the patient from "letting go" or can suffocate the patient if the lungs spasm Oral burns. Factors affecting the extent of injury include the intensity and type of current. High voltage burns occur when an electric current of more than 1000 volts passes through the body.• • • • Industrial products. phenol (deodorizers). and X-rays.
Inhalation injuries – Inhalation injuries result from: direct inhalation of a hot air or flame source. FIRST DEGREE BURN SECOND DEGREE BURN THIRD DEGREE BURN FOURTH DEGREE BURN . or injury from smoke inhalation. which can cause brain damage or even death. which will damage the upper airways. such as carbon monoxide. Fourth degree burns involve the thickness of the skin. hair follicles.redness. swelling. second. Second-degree burns (also called partial-thickness burns) extend into the middle layer of skin (dermis). Second-degree burns are sometimes further described as superficial (involving the more superficial part of the dermis) or deep (involving both the superficial and the deep parts of the dermis). and inflammation. FACTORS TO DETERMINE THE SERIOUSNESS OF BURNS Burn Depth: The depth of injury from a burn is described as first. dermis. and fat layer). They affect only the top layer of skin (epidermis). Usually. Microwave burns are caused by the thermal effects of microwave radiation. or third degree: • • • • First-degree burns are the most shallow (superficial). the sweat glands. bone or even the tendons. and nerve endings are destroyed as well. It may look blackened or charred and sometimes may look white in color. and sometimes the muscles. More severe cases of sun burn result in what is known as sun poisoning. inhalation of toxic chemicals. People suffering from inhalation injuries as a result of chemical or industrial accidents often frequently suffer from serious chemical burns. Third-degree burns (also called full-thickness) involve all three layers of skin (epidermis. The person may not feel any pain due to nerve endings being severely damaged.
seconddegree burns involving more than 10% of the body surface area. The severity determines how they are predicted to heal and whether complications are likely. Burn Severity: Burns are classified as minor. Adjustment is needed because different areas of the body grow at different rates. doctors use charts that adjust these percentages according to the child's age (Lund-Browder charts). the arm constitutes about 9% of the body. or genitals.Estimating the Extent of a Burn To determine the severity of a burn. feet. doctors estimate what percentage of the body's surface has second. SIGNIFICANCE OF THE AMOUNT OF BODY AREA BURNED . • • Minor burns: All first-degree burns as well as second-degree burns that involve less than 10% of the body surface usually are classified as minor. For example. For children. These classifications may not correspond to a person's understanding of those terms. Separate charts are used for children because their body proportions are different. This method divides almost all of the body into sections of 9% or of 2 times 9% (18%). and all third-degree burns involving more than 1% of the body are classified as moderate or. or severe. in an adult.or thirddegree burns. doctors use the rule of nines. Doctors determine the severity of the burn by its depth and by the percentage of the body surface that has second. For adults. moderate.or third-degree burns. face. more often. doctors may classify a burn as minor even though it can cause the person significant pain and interfere with normal activities. For example. as severe. Moderate and severe burns: Burns involving the hands. Special charts are used to show what percentage of the body surface various body parts comprise.
back = 9%) As an example. though this measurement is adjusted for infants and children. this would involve 55% of the body. If more than15%-20% of the body is involved in a burn. the skin integrity is intact and it is able to do its job with fluid and temperature maintenance. While first degree burns are painful. if both legs (18% x 2 = 36%). significant fluid may be lost. the groin (1%) and the front chest and abdomen were burned. . Burns are measured as a percentage of total body area affected. This calculation is based upon the fact that the surface area of the following parts of an adult body each correspond to approximately 9% of total (and the total body area of 100% is achieved): •Head = 9% •Chest (front) = 9% •Abdomen (front) = 9% •Upper/mid/low back and buttocks = 18% •Each arm = 9% •Each palm = 1% •Groin = 1% •Each leg = 18% total (front = 9%. The "rule of nines" is often used. The Parkland formula (named for the trauma hospital in Dallas) estimates the amount of fluid required in the first few hours of care following a burn: As an example.In addition to the depth of the burn. if both legs (18% x 2 = 36%). this would involve 55% of the body. the total area of the burn is significant. Only second and third degree burn areas are added together to measure total body burn area. Shock may occur if inadequate fluid is not provided intravenously. the groin (1%) and the front chest and abdomen were burned.
The areas that need most attention are the face. Burns on the face and the neck may cause oedema in the upper respiratory passages. since the skin is burned and can no longer protect the area from contamination from airborne bacteria. and the perineum. are more dangerous in children under 2 yr old and in the elderly. Age : Burns. and the weakened organism of the elderly is also unable to handle the burn effectively. Burns in the limbs may leave scars causing mobility problems.Location of the burns: The seriousness of a burn depends to a large degree on the localization of the burn. as also to functioning of the eyes. In children. irrespective of their degree and extent. i. etc. nose. the precise area injured. Problems may also arise with regard to the patient's appearance. ears.The risk of infection is high when the perineum is involved. the neck. . the immune system is not mature enough to withstand such a complex situation.e. the limbs.
This infection can easily turn into septicaemia. The most frequent form of poisoning involves carbon monoxide. electric devices. which is a product of incomplete combustion. Complications involving all systems of the body may develop. Injuries caused by inhalation of smoke are dangerous owing to the pernicious impact that combustion products have on the mucous membrane as also to the absorption of poisonous substances inhaled together with smoke by the mucous membrane. the burned area is more liable to contamination from airborne bacteria. 2. heart disease. 3. it becomes more serious and even life-threatening. B. Possible infection Since the continuity of the skin in the burned area has been destroyed. Loss of fluids It has already been said that a severe problem facing the patient is the loss of fluids from the burned area. The acute pain due to the burn is one of the causes of shock. Changes in the patient's appearance . chemical substances.Burns are very common in children and the elderly . COMPLICATIONS AND SEQUELAE The complications and sequelae of burns depend on their gravity. Co-existing illnesses : Diabetes mellitus. Shock The immediate danger after a burn injury is shock as a result of the loss of body fluids (oligaemic shock) or of septicaemia (septic shock). The most serious complications are the following: Complications that threaten the life of the patient directly: 1. while the elderly may not be able to react effectively to an accident involving fire. pneumonia. immunosuppression. When the burn is associated with other injuries occurring at the time of the accident or before the patient is taken to hospital. the larger the quantity of fluids lost. Co-existing injuries : A burn creates a very serious problem for the human organism. and various other illnesses make the human organism less resistant to burns. as the organism is already affected by a serious burn injury and is incapable of effective resistance. cancer. Presence of inhalation burns : An injury to the respiratory system may be life-threatening. Complications that do not threaten the life of the patient directly 1. The more extensive the burn. lighters) in their ignorance of the possibly dangerous consequences.children are often attracted by dangerous objects (matches.
wound closure. and the phase continues until wound closure is achieved . pain management.begins when the client is hemodynamically stable.includes prehospital care and emergency room care Resuscitative phase .begins w/ the initiation of fluids and ends when capillary integrity returns to near normal levels and the large fluid shifts have decreased .emphasis during this phase is placed on restorative therapy. and physical therapy Rehabilitative phase .most fluid replacement formulas are calculated from the time of injury and not from the time of arrival at the hospital .usually begins 48 . 2.overlaps the acute care phase and goes well beyond hospitalization .72 hours after the time of injury . capillary permeability is restored.the amount of fluid administered is based on the client's weight and extent of injury .The wrinkles and scars that form as the burn heals generate various aesthetic problems. usually at 48-72 hours after the injury . never smoke in bed.the focus is on infection control. • Never throw a lighted cigarette or a match anywhere. If you do smoke.the goal is to prevent shock by maintaining adequate circulating blood volume and maintaining vital organ perfusion Acute phase . and diuresis has begun .the 1˚ goal is to prevent hypovolemic shock and preserve vital organ functioning . Avoid smoking while consuming alcoholic beverages. wound care. Dispose of those hazards in proper ashtrays. PHASES OF THE MANAGEMENT OF BURN INJURY Emergent phase . Permanent disabilities When the wrinkles and scars affect mobility and/or limit the patient's movements. the burn is responsible for functional problems or disabilities.begins at the time of injury and ends with the restoration of capillary permeability. .final phase of burn care .goals of this phase are designed so that the client can gainindependence and achieve maximal function BURN PREVENTION: • Do not smoke. nutritional support.
If you hear an alarm. Let them know if anyone is trapped inside. Change batteries in smoke alarms at least once a year. Tell them your address and do not hang up until you are told to do so. pets. pets. Never put electrical appliances or cords in or near water. Draw a floor plan and find two exits from each room. property. IF YOU ARE TRAPPED IN A BURNING BUILDING • • Smoke rises. (Never borrow smoke alarm batteries for other purposes). etc. . Call the fire department after escaping. Respond to every alarm as if it were a real fire. Never go back into a burning building to look for missing people. Never go back into a burning building to look for missing people. should have working smoke alarm systems. Establish an outside meeting place where everyone can meet after they have escaped. so crawl low to the ground where the air will be cleanest. Learn the location of all building exits. Ensure that fire exits are unlocked and clear of debris. Wait for firefighters. • Follow electrical safety rules. whether homes. • Supervise children carefully. Tell them your address and do not hang up until you are told to do so. One alarm must be outside a bedroom where you sleep. Windows can serve as emergency exits. Designate a meeting place at a safe distance outside the home. Cover your nose and mouth with a cloth (moist if possible). Keep emergency phone numbers and other pertinent information posted close to your telephone. property. You may have to find your way out in the dark.• Be very cautious around any type of open flames. Let them know if anyone is trapped inside. Respond to every alarm as if it were a real fire. Practice getting out of the house through the various exits. Get out quickly if it is safe to leave. Make sure you know what the alarm sounds like. Wait for firefighters. • Do not touch downed power lines SAFEGUARD YOUR HOME • • • • • • • • • Install smoke alarms on each floor of your home. HOTEL AND WORKPLACE FIRE SAFETY • • • • • • • • Become familiar with exits and posted evacuation plans each time you enter a building. Call the fire department after escaping. All buildings. workplaces or hotels. leave immediately and close doors behind you as you go. etc.
evaluate how extensively burned the person is and try to determine the depth of the most serious part of the burn. Seal all doors and vents between you and the fire with rags. feet. intensive care (often in a specialized burn treatment intensive care unit). Use the stairs. Children under age 4 and adults over age 60 have a higher chance of complications and death from severe burns. Then treat the entire burn accordingly. If in doubt. CONSIDERATIONS • Before giving first aid. and genitals can be particularly serious. open it slowly. Prompt medical attention to serious burns can help prevent scarring. Wave or hang a sheet or other large object to attract attention. Burns on the face. If you cannot get to a phone. you can help lessen the severity of the burn. Anyone with symptoms of headache. Call the fire department for assistance if you are trapped. hands. By giving immediate first aid before professional medical help arrives. and the amount of body tissue involved. Persons who have large surface areas of their body burned have a poorer prognosis (chance of surviving and doing well after an injury). If it is cool. and deformity. physical therapy is often used in addition to other treatments to aid recovery and prevent complications such as contracture (where the burned skin and body tissue become very difficult to move). treat it as a severe burn. Close as many doors as possible between yourself and the fire. try another escape route. pain management. • • • IMMEDIATE TREATMENT FOR BURN VICTIMS . For persons who have serious burn injuries. and skin grafting. weakness.• • • • Test doorknobs and spaces around doors with the back of your hand. surgical debridement (removal of dead tissue) for third-degree or fourth-degree burns. or chest pain should be tested. towels. numbness. If the door is warm. yell for help out the window. Open windows slightly at the top and bottom. BURN TREATMENT Treating burns depends on the severity of the burn. In case of a fire. but close them if smoke comes in. disability. or sheets. Check to make sure your escape path is clear of fire and smoke. Never use an elevator during a fire. you and the others there are at risk for carbon monoxide poisoning. What you do to treat a burn in the first few minutes after it occurs can make a huge difference in the severity of the injury. the type of burn. Burn treatments include fluids (given intravenously for serious burns).
call 911 immediately. Do NOT breathe. medications. 4. While the burn is healing. if there is a severe burn. If that happens. . ice." then call 911 immediately. This is very important. belts. cut or tear around burned area. and Roll" to smother flames. blow. or any household remedy to a severe burn. Burns destroy skin and the loss of skin can lead to infection. Do NOT disturb blistered or dead skin. If swollen or tight hands and feet become numb and tingly. Make sure that burn victims get emergency medical help if experiencing any of the following: dizziness or confusion weakness fever or chills shivering cold sweats DO NOT • • • • • • • Do NOT apply ointment. Do NOT place a pillow under the person's head if there is an airways burn. from over the burned areas and from around the victim's neck. Remove all burned clothing. Harsher fabrics will irritate the skin even more. blue. Do NOT immerse a severe burn in cold water. tight clothing. or cough on the burn.. butter. etc. Burns that completely circle the hands or feet may cause such severe swelling that blood flow is restricted. 3. 2. If clothing adheres to the skin. cream. Burns of the face and neck can sometimes swell enough to cause difficulty breathing (see illustration). TIPS: 1. burned areas swell immediately. Burns cause swelling. Do NOT remove clothing that is stuck to the skin.1. "Stop. Remove all jewelry. This can cause shock. This can close the airways. cold. or "fall asleep. dehydration and hypothermia (loss of body heat). oil spray. 2. 3. Do NOT give the person anything by mouth. wear loose natural clothing like silks or light cottons. Drop.
oil. 7. or constricting clothing from the affected area before it begins to swell. We place it under a tap or in a bucket of water. i. or we apply cold-water compresses (but not ice) to the burned area. bracelets. We immerse the burned area immediately in cold running water. In electrical burns. 3. ointments. In chemical burns. We remove any watches. . 1. we look for the entrance and exit points of the electric current. and to transfer the burn patient to hospital only if the burn is extensive. the burn is regarded as an inhalation burn that requires assessment by a physician. belts.19. where the accident took place. On the contrary. We do not press the burned area.9.18 There are two ways of treating a burn patient. If the patient has suffered burns in the face or has inhaled smoke or hot air in a burning building. or creams to the wound. dry cloth.e. We do not remove clothing adhering to the wound. 6. Blistering or sloughing (skin coming off) means the top layer of skin is completely damaged and complications are likely. Charring indicates even deeper damage to all three layers of skin. we do not use other materials to neutralize the chemicals without detailed medical instructions. The second way is to move the patient to a specialist burns centre immediately in order to treat the burn injury systemically and topically. 5. 9. rings. The first way is to provide first-aid treatment on the spot. 4.21. o we douse the victim with cold water and keep washing off the burned area with running water for at least 5 minutes.22 This treatment is not administered in extensive or third-degree burns. However: o we remove contaminated clothing and the patient's shoes and socks. a burn can seriously threaten not only the patient's life but also his or her rehabilitation in society and at work because of malformations and disabilities. We continue to cool the burned area with cold water for about 5 minutes or until the pain diminishes. We do not apply butter. or charred (blackened) skin. We use analgesic drugs. as cold water may aggravate the state of shock. or sprays only in first-degree burns or according to medical instructions. We do not prick blisters or otherwise interfere with the burned area. o we relieve pain with cold-water compresses. We then dry the area gently with a clean towel and dress it with a sterile or clean. 8.TREATMENT A burn is an injury that in most cases leaves no disability. given the availability of the necessary equipment and specialist knowledge. 2. Look for blistering. sloughing. if treated inadequately or not following standard rules and principles.20 FIRST-AID TREATMENT IN BURNS The treatment of burns caused by heat or electricity starts with the application of cold water in order to cool destroyed tissues and to minimize damage to them. provided it is properly treated.
the victim is wrapped in a clean sheet and transferred to hospital. such as increased pain. we require evaluation by a physician even when the burn is not extensive. o o For minor burns. If infection develops. seek medical help. people should be laid on the ground. Putting ice directly on a burn can cause frostbite. Don't put ice on the burn. we require evaluation by a physician. We should then remove any clothing still burning and anything that could retain heat. Don't break blisters. further damaging your skin. fever. We should also ensure that any clothing adhering to the wound is not removed. redness. Bandaging keeps air off the burned skin. 12. people should not stand upright as this facilitates inhalation of smoke and their hair may catch fire. Caution Don't use ice. including first-degree burns and second-degree burns limited to an area no larger than 3 inches (7. FOR MAJOR BURNS . Motrin. second-degree burns in the limbs or perineum.we cover wounds with a damp bandage. which may irritate the skin. Never give aspirin to children or teenagers. Wrap the gauze loosely to avoid putting pressure on burned skin. Avoid re-injuring or tanning if the burns are less than a year old — doing so may cause more extensive pigmentation changes. This could prevent proper healing. moisturizing lotion also can help. take the following action: Cool the burn. Take an over-the-counter pain reliever. ibuprofen (Advil. extensive first-degree burns. or until the pain subsides. Once the skin has cooled. In extensive burns. they should not start running as this will only cause the fire to expand. If this is impractical. Don't apply butter or ointments to the burn. Hold the burned area under cold running water for at least five minutes. others). 11. Cover the burn with a sterile gauze bandage. In face burns. swelling or oozing. Also. reduces pain and protects blistered skin. Use sunscreen on the area for at least a year. Minor burns usually heal without further treatment. They may heal with pigment changes. burns in more than 10-15% TBSA. Don't use fluffy cotton. meaning the healed area may be a different color from the surrounding skin. Broken blisters are vulnerable to infection. immerse the burn in cold water or cool it with cold compresses. 10. Cooling the burn reduces swelling by conducting heat away from the skin. These include aspirin. douse them with cold water. and all third-degree burns. When people's clothing is on fire. or roll them over in order to extinguish the fire. Watch for signs of infection. In such moments.5 centimeters) in diameter. others). Make sure the person is up to date on tetanus immunization. where it is easier to wrap them in a blanket. naproxen (Aleve) or acetaminophen (Tylenol.
This means pulse. neck. follow these steps: • If someone is on fire. Areas may be charred black or appear dry and white. wet cloth or towel to relieve pain. drop. Difficulty inhaling and exhaling. such as lime. Protect the burn area from pressure and friction. Wet the person with water. and blood pressure. Wrap the person in thick material to smother the flames (a wool or cotton coat. or blanket). 5. . do NOT place the person in this shock position if a head. • • • • • • • CHEMICAL BURNS: FIRST AID If a chemical burns the skin. However. Do NOT apply any ointments.Wrap the burned area loosely with a dry. Cover the burn area with a dry sterile bandage (if available) or clean cloth. carbon monoxide poisoning. rug.The most serious burns are painless. If the burning chemical is a powder-like substance. or other toxic effects may occur if smoke inhalation accompanies the burn or major burns. sterile. do NOT remove burned clothing that is stuck to the skin. If breathing has stopped. involve all layers of the skin and cause permanent tissue damage. Fat. rate of breathing. elevate the feet about 12 inches. or leg injury is suspected or if it makes the person uncomfortable. dial 911 or call for emergency medical assistance. Take steps to prevent shock. Elevate the body part that is burned above the level of the heart. Avoid breaking burn blisters. However. brush it off the skin before flushing. non-adhesive dressings. Make sure the person is breathing. follow these steps: 1. separate them with dry. muscle and even bone may be affected. A sheet will do if the burned area is large. begin rescue breathing and CPR. or if the person's airways are blocked. 2.Remove clothing or jewelry that has been contaminated by the chemical. sterile dressing or a clean cloth. Until an emergency unit arrives. Lay the people flat. and roll. 4. 3. If necessary. Make sure that the person is no longer in contact with flaming materials. tell the person to stop. running water for 20 minutes or more.Rewash the burned area for several more minutes if the person experiences increased burning after the initial washing. back. and cover the person with a coat or blanket. If fingers or toes have been burned. Continue to monitor the person's vital signs until medical help arrives.Remove the cause of the burn by flushing the chemicals off the skin surface with cool.Apply a cool. open the airways.
Checking of respiratory passages The respiratory passages must be checked to ensure that the patient is properly oxygenated. Motrin.25. arterial pressure. The drip inserted into the vein should not pass through the affected area. and if the patient takes drugs. or in the crural vein. including the conditions in which the accident took place. groin or buttocks. so that the patient can be properly treated.23. it is recommended that it should be placed in the neck (subclavicle). heart disease. in order to avoid thrombophlebitis. and the resulting second-degree burn covers an area more than 3 inches (7. such as fainting. The victim has pain that cannot be controlled with over-the-counter pain relievers such as acetaminophen (Tylenol. Close observation of the victim can prevent suffocation. or has suffered any other injury apart from the burn (e. in order of precedence. . allergy. The chemical burn occurred on the eye. hands.5 centimeters) in diameter. 4. 3. Record of vital signs Pulse.24 1. SEEK EMERGENCY MEDICAL ASSISTANCE IF: The victim has signs of shock. has ever suffered from allergies caused by a drug. The treatment of burns in the Emergency Department includes the following actions. The chemical burn penetrated through the first layer of skin.g. Placement of phlebocatheter A vein chosen for intravenous fluid replacement should be able to accept large quantities of fluids (15-20 l per 24 h in extensive burns). feet. pale complexion or breathing in a notably shallow manner. Record of the patient's case-history (information from the patient directly or accompanying persons) The patient's name and age are recorded. TREATMENT OF BURN PATIENTS IN THE EMERGENCY DEPARTMENT A.26 2.MINOR CHEMICAL BURNS USUALLY HEAL WITHOUT FURTHER TREATMENT. or over a major joint. others) or ibuprofen (Advil. It is of the utmost importance for the physician to know if the patient is suffering from any disease (nephropathy. in the arm. face. diabetes mellitus). temperature. a fracture). if first-aid treatment was given. as well as the causes of the burn. and respiration frequency (danger of dyspnoea) should be carefully recorded in order to evaluate the patient's general state. others).
the rhinogastric tube is placed as soon as the patient is admitted to hospital in order to allow proper feeding. albumin.5. IMMEDIATE TREATMENT OF BURN INJURIES . erythema. irrespective of their depth. it was placed in order to divert gastric fluids. 10. Placement of a Levin rhinogastric tube In modern practice. and urine specific gravity. 8. Placement of a urocyst catheter. It is necessary to know the quantity and the specific gravity of the urine excreted by the patient. Relief of pain. liver function. Check of patient's psychological state Steps should be taken to limit the patient's psychological and emotional reactions (e. and blood group should be carefully recorded. During the first days after the accident. 9. pain. creatine. 13.28 The purpose of the clinical and laboratory check of the burn patient during the first two days after the accident is to evaluate the effectiveness of treatment and to diagnose complications as soon as possible. 11. formation of blisters. Urea. Qualitative evaluation includes sensibility of the burned area. electrolytes. In the past.g. 12. The depth of the burned area should therefore be re-assessed on the second or third day post-burn. Electrocardiogram Thorax radiography is necessary. Laboratory tests This entails haematocrit. Quantitative evaluation of the burned surface To evaluate the quantity of the burned surface. the tests should be repeated every 2-4 h. and the extent of oedema. Prevention of shock and anti-shock therapy 7. all burned areas are added together.27 6. anxiety). blood sugar. blood air. B. Qualitative evaluation of the burned surface The depth of the burn cannot always be evaluated precisely when the patient is admitted to hospital. and administration of painkillers or intravenous morphine1.
plus proper nursing care. . closed. an antibacterial drug or a combination of various drugs is applied to the burned area. The first purpose of systemic therapy is to prevent the patient's death. iodide soap. the burned area should be scrupulously cleaned and. If haematosis is not considered to be satisfactory. and localization of the burn. Before selecting the antibacterial drug. contributes greatly to the maintenance of limb function after burn injury. and the drug's reaction in the tissues. Daily physiotherapy. The lather produced by the antiseptic solution is cleansed with physiological saline. in order not to compress the burned area and to prevent it from adhering to the wound. its virulence and absorbency. starting immediately after the accident. All clothing that constricts the body is removed. We then check haematosis of the limbs. any watches. Any delay in treatment may complicate the patient's recovery. antibiotic drugs are prescribed to protect the burned area from infection. Delay reduces the possibilities of making a sound prognosis and increases the risk of death. The burned area is treated in aseptic conditions. we consider the wound's bacterial flora. bracelets. Once the method of treatment is selected (open. are removed from the burned area before it begins to swell. with large quantities of cold sterile water. In chemical burns. depth. or if there is extensive oedema. a section is recommended. as also of the perichondrium of the lobe and the nose are also checked. The vitality of the skin. water or any other suitable solution should be used. healing of the wounds will follow. Plastic surgery may be necessary to minimize scars and wrinkles.When a burn patient is admitted to hospital. inspecting the arteries or using a Doppler. or Betadin. and the blisters are emptied. The therapy applied to burn patients depends on the extent. THERAPY Therapy affects the recovery of burn injuries. The immediate application of appropriate therapy. the dead tissues are removed. antiseptic solution (NaCl). influences the final prognosis. and generally to improve the appearance of the patient's skin and limb mobility. etc. or surgical). In all cases of burn injury. depending on the particular caustic chemical that caused the accident.
1 Burns in more than 15% TBSA require treatment in the plastic surgery department. or perineum. limbs. Complications may occur during the treatment of burn injuries. The quantity of urine excreted should be recorded. in factories). attract children. Burns constitute an injury to the skin. as they are unaware of the potential danger. heaters. and the utmost attention is necessary when nursing a burn patient. although they heal quickly. matches. Parents should go to great lengths to ensure that children do not touch such items and do not have access to them. Automatic fuses are necessary. After cleaning of the affected area and the administration of injections for tetanus. . neck. It is recommended that they should not occupy themselves in potentially dangerous household tasks. Treatment is given in the out-patients' department. the fewer complications there will be and the greater the chances of recovery. We should never forget that burns are also caused by protracted exposure to the sun. radiators. pans with boiling water. Most burn accidents happen in the home and only occasionally at work (e. Stoves. Everyone should take care in the use of any energy source that can cause thermal injuries and avoid exposure to unnecessary danger. The sooner systematic treatment of the burned area begins.Burns affecting up to 15% TBSA in adults and 10% TBSA in children do not require hospital treatment. It should be borne in mind that a burn is an accident and is therefore to a large degree preventable. provided that the burn is not in the face. etc. The following points should be taken into account: • • • • Small children under 4 years old are exposed to various dangers when exploring their environment. it is recommended that the patient should be given analgesic drugs and fluids by mouth.g. Older people tend to forget electric appliances on or pans with boiling fat. electric current and cables. lighters.
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In his latest dialogue with the Federal Slate of LaRouche Democrats for Congress, Mr. LaRouche emphasizes the pathway to ridding the American people from demoralization and defeatism, and instead giving them access to their immorality. This pathway is science. For the previous dialogues, click here
click here for the mp3 download .
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Rails Rescue Handbook
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Rails Freelancing Handbook
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There's an almost irresistible attraction among some software developers for the freelance life, including money, freedom, or simple wanderlust. Whatever the reason, you'll quickly... More > realize that your excellent coding skills are only a small part of the picture when it comes to being a successful freelancer. You need to worry about legal and accounting issues, finding and keeping clients, and living without a corporate support system. The sheer mass of detail can be overwhelming, especially if you're coming out of the cubicle-bound world of a large enterprise. That's why this book is here. I've been freelancing for over 15 years, and doing nothing but Rails for the last three. Consider this a guide and a roadmap to help you find your way through all of those extraneous issues so that you can get back to writing code. (purchasers get updates at no cost). More info and sample chapter: http://railsfreelancebook.com< Less
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...In all seriousness, I have a firm background in what it takes to become rock-solid in elementary mathematics. My mother spent a lot of time with me as a young lad and that is precisely what made me into the mathematical juggernaut I am today. I have taken the following courses: Dartmouth Colleg...
Collegeville, PAView Tutor
...Because I am on faculty at a local high school, my teaching method is always current with the needs of the 21st Century students. As matter of fact, I received a district award for implementing a modern teaching method in my classrooms. I am an excellent one-on-one person and can explain many difficult concepts in many different ways.I specializes in first year high school chemistry.
Horsham, PAView Tutor
...I'm fluent in German and my native English, and enjoy learning about other cultures and know some Dutch, Swedish, French and Chinese, however, my main area of instruction for tutoring has been in math and science. I was recognized by the state's teacher competency service with a Recognition of ...
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...In order to complete this degree, I had to write and defend a thesis and follow an intensive course load that encompassed all aspects of religious scholarship including philosophy, sociology, theology and history. This gave me a well-rounded view of eastern and western religion and a great foundation for further inquiry. I have played the flute for over 12 years.
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...These courses are the basic building blocks to all other chemistry courses that I have taken. Additionally, I have tutored general chemistry (aka chemistry) for over 10 years. I am comfortable with both high school and college level chemistry courses.
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Contemporary Family Portraits with Light & Magic
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Toddler Session | Baby Photographer, Dublin
So lovely to photograph this beautiful little girl again!
Baby Boy | Newborn Photoshoot
This gorgeous little man looks so peaceful in his Mama's arms and he fits there so perfectly! Individual newborn portraits are always beautiful but I so love photographing mothers with their babies.
Baby Girl & Big Brothers| Newborn Photographer, Dublin
I love photographing new babies with their big brothers or sisters – it's always really heart-melting to see them all snuggled up together! This gorgeous baby girl has two big brothers who are besotted with her and loved holding their new baby sister.
Summer Family Portraits | Family Photographer, Dublin
When I have an outdoor family portrait session scheduled I always have to keep my fingers crossed fine weather. Or at least not torrential rain and gale force winds…. So it's always nice when the weather holds out and then if you arrive at your location there happens to be a circus tent in the background … Read More
Baby Boy | Newborn Photographer, Dublin
This perfect newborn baby boy was just ten days old for his newborn photoshoot. I've photographed lots of baby girls lately so it was lovely to meet this gorgeous little man!


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The Bayou : DC's Killer Joint chronicles the 45-year history of a Washington, D.C., landmark and ...
Los Angeles is definitely not lacking in fantastic raw fish, but it's admittedly tough to find sushi bites that are both cheap and tasty. But rest assured, they do exist. Here are some low-key joints that won't break the bank.
... brave the Pacific Northwest's Salish Sea to photograph killer whales. ...
A big picture look at the region, including palm trees, big pay for state nurses and the Inland Empire.
How D.C.'s pedestrian friendly sidewalk laws create walkable spaces
... rhythms of Zydeco and Cajun music echo across the bayou . There, Edgar settles in to picturesque Dockside Studios for a session ... Finally, Edgar is treated to performances by The Lost Bayou Ramblers, a young Cajun music band, at their family camp on the banks ...
The American alligator is the largest reptile in North America and Louisiana has millions of them - from the coastal parishes to the Arkansas state line. They are so plentiful that they're hunted for their meat and hides. But for a period of time, beginning in the early 1960s, Louisiana's alligator population was in steep decline. Since then, Louisiana has instituted one of the world's most...
... Saturday, June 12, Admiral Mike Mullen, chairman of the Joint Chiefs of Staff, was scheduled to speak at RAND, in Santa ...
... PETA says the orcas (also known as killer whales) are, by definition, slaves who would normally swim up to 100 ...


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A group of marine industry technology providers gathered in San Diego, using OceanServer Technology's Iver2 AUVs as the payload platform, to demonstrate improvements for both Sonar and Magnetic Sensor data collection and subsequent "in-stride" and post-mission data analysis methods.
These methods are emerging through cooperative developments in commercial and military survey operations. Participating for this five day exercise in the waters off Coronado, were companies including EdgeTech, L-3 Klein, Marine Magnetics and technical representatives from both the U.S. and Canadian Navies. A total of thirty-seven individual AUV missions, simulating battlefield data collection methods, provided a variety of high-resolution imagery and validated recent sonar/platform integration projects.
At the weeks end, and in subsequent briefings, the full data sweep was imported to SeeByte's SeeTrack Military software and ultimately into the Navy's Common Operator Interface for Navy EOD (SeeTrack COIN). The objective of this very broad cooperative exercise was to demonstrate, for Navy observers, the ways in which recent advances in technology might apply to Navy applications.
Maritime Today
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The U.S. Navy conducted a series of cooperative air defense test exercises with the Spanish navy that culminated in live missile firing events using the latest Aegis Weapon System baseline July 20-21.
The bodies of 21 women and one man were brought ashore to Sicily on Friday as fellow migrants described scenes of panic and violence when water poured into their dinghy.
An Irish navy ship recovered 17 dead bodies on Thursday when it went to the aid of migrants packed onto a wooden boat off the coast of Libya, Italy's coastguard said,
U.S. Secretary of State John Kerry will urge Southeast Asian nations in meetings in Laos next week to find diplomatic ways to launch talks with China on easing
For the first time, AWI scientists have found evidence of living, potentially pathogenic vibrions on microplastic particles.
With increasing water temperatures
As Team Britannia prepares for its bid to break the round-the-world powerboat record later this year, GAC has been named their official shipping and logistics partner.
RINA S.p.A, the holding company of the multinational testing, inspection, certification and consulting engineering group based in Genoa, Italy, has announced that
Plans to ensure there is a full maritime survey and inspection team covering the whole U.K., will see more remote working and a slight change to where some of the marine offices are based.


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Marylin is a gorgeous 7 year old molly mule with a world of potential. She has been professionally started and is well-mannered (not pushy) and easy to…$1,200
"Willie" is 6 yrs old registered TWHBEA, 14.2, Sorrel, Gelding He was raised close by the farm and has been trail ridden a million miles on the trails…$3,500
"Buttermilk" 10 yr old 15 hands palomino gelding. Hes has been trail ridden all the South! He is super sweet!! Easy to catch, load, gets along with…No Price Listed
"Twister" is 10 yrs old, 15.3, Black & white, Gelding Nice big handsome guy that is very smooth has been trail ridden all over, will go anywhere you…$4,800
Shy Anne is a sweet mare. She was broke and ridden a couple of years. She raises amazing foals with great dispostions. She is a color producer all her…$2,500
Gunner is a 15.3 hand blue grulla Gaited gelding that has tons of trail experience and will carry any rider all day long. He had the rather unusual grulla…$1,750
Absolutely stunning, extremely rare black and white tobiano "Curly-Fri" filly! Sire is a tall black and white curly Spotted Saddle Horse (half TWH, half…$9,000
This filly is going to be awesome! Built to perform. She is out of Genuine Lil Pep ( he is an own son of the great Genuine Doc and out of a daughter of…$2,000


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Elevated is expanding!
We are taking our teachings much deeper into the core of our studio's nature and will be adding many special programs like therapeutic yoga classes (for back, shoulder pain, etc.), Yoga for 5 Elements, Yoga for Meridians, exploring your spirituality, consciousness awareness, meditation courses, balancing your life, dealing with anxieties, weight control, plus special talks and educational courses (living awaken life, aromatherapy, acupuncture, acupressure, Chinese medicine, alternative medicine, etc.). Each program will consist of 3-5 sessions.
Also, we will be adding many more yoga classes in September!
Check back for details or send us an email so we can send you updates and more information when it becomes available.
Studio will be closed for Summer break from 7/31 - 8/13 but Monday Qigong classes will continue!
Come and elevate your yoga experience to a higher level in our very special place we call Elevated Yoga Studio. Everyone is welcome here, without exceptions because yoga is good for everyone, as everyone, without exceptions, can practice it and benefit from it.
Partial view of where yoga, healing and spirituality happen
+1 720-745-1084 • Get Directions
You Can Change Your Life!
Welcome to our sanctuary where yoga, spirituality and healing happen!
We have been teaching traditional yoga, meditation and special programs in Longmont for over 8 years!
We are perhaps the oldest yoga school in Longmont and very affordable too (we do not charge for use of studio mats, blankets and other props)!
You do not need to be flexible, strong, slim, healthy or a gymnast to practice yoga in our studio, so come the way you are and we can help you to become more flexible, stronger, slimmer and healthier. But we will not strive to make you a gymnast. Our fees are low and we do not charge for use of our mats, blocks, blankets, or other props, like most of yoga studios do.
Our associates provide many other therapeutic services for you to have an easy access to alternative treatments.
This is the way we are, because we are not just a Yoga studio where one comes to practice Yoga postures and flows, because Yoga is not the postures, it does not even start there. Yoga is a complete union of mind, body, spirit and everything around you and this is what we teach and this is the experience we all come here for. You will not see pictures of people practicing yoga or meditation on these pages, because yoga is what the practitioner experiences and not what the observer sees.
Join us, make Elevated Yoga Studio your very special place and start changing your life, because you can!
You may find it to be "... the warm, cozy space .... feels like something I must have dreamed up.", as the Daily Camera reporter
put it (click here to read the whole review)
Studio will be closed for Summer break from 7/31 - 8/13 but Monday Qigong classes will continue!
Studio space is available for your events, workshops, talks, gatherings, ...
(click herefor more information)
Upcoming Special Programs
Yoga Teacher Training (8/20/16 – 12/17/16)
Weight Reduction Program – Shape Your Body by Shaping Your Life
(8/23/16 – 9/6/16)
Balance Your Life – Elevate Your Life (September 2016)
Exploring Spirituality (September 2016)
Yoga for Healthy Back and Shoulders (September 2016)
Five Elements Yoga Series (October 2016)
Yoga for Meridians Program (October 2016)
Living Awaken Life Program (November 2016)
… and more
Click here for more details and to register
Join us and students from Indiana to Italy via Skype
+1 720-745-1084 • 324 Main St, Suite A, Longmont, CO 80501, United States
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