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On Tap: Local Breweries Earn Top Nods in 2015 RateBeer Awards
It was a big weekend for Missouri craft beer at the 2015 RateBeer Awards in Santa Rosa, California. Held Jan. 30-31, Maplewood's Side Project Brewing took home the huge honor of being named one of the top breweries in the world. The local brewery from owner Cory King was also named best brewer in Missouri. Perennial Artisan Ales' Barrel-Aged Abraxas took home best beer in Missouri, which also earned a spot on the 2015 list of top 100 beers in the world. Earthbound Brewing claimed top nods for being best new brewer in the state. Schlafly Tap Room, Baileys' Range and other local retailers also received recognition for Missouri's best places for beer.
Feb. 5: The A-B Biergarten is releasing its newest edition of the Underground Collection 2016 Cellar Series: Spaceball. From 5-8pm, enjoy $4.50 draughts of the new German "Black Lager Beer" along with a showing of the Mel Brooks' film to go along with the celebration. 1200 Lynch St., Soulard
Feb. 6: Craft Beer Cellar in Clayton will be hosting Fest of the Wild on Saturday from 12-6pm. This free, special wild beer event will feature tappings of Tilquin Gueuze, 4 Hands Cuvee Ange, Grimm Purple Prose, New Belgium Le Terrioir and more. There will be free samplings throughout the day from some favorite brewers and importers. Every 30 minutes, get educated by local breweries such as Perennial Artisan Ales. 8113 Maryland Ave., Clayton
Feb. 6: It's Mardi Gras Party weekend and if you're still looking for a way to get there, head to Crafted first for drink specials like $5 hurricanes, $2 Bud Light and more along with some house made biscuits and gravy. Then take the shuttle to Soulard for the parade that will run from 8am-8pm for a $5 roundtrip. 3200 Shenandoah Ave., Fox Park
Check out our full lineup of Mardi Gras parties you should know about and the best places to watch the Superbowl on Sunday.
Feb. 9: Join Ted Kilgore at Planter's House on Fat Tuesday for an Absinthe Celebration in the Bullock Room. From 6:30-8:30pm, you can enjoy a fun and informative evening complete with the traditional absinthe "La Louche" ritual using an absinthe fountain. There will also be traditional Absinthe cocktails and New Orleans Absinthe-inspired appetizers. Tickets are $75.
1000 Mississippi Ave., Lafayette Square, 314.696.2603


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Yangshuo County is a county under the jurisdiction of Guilin City, in the northeast of Guangxi, China. Its seat is located in Yangshuo Town. Surrounded by karst peaks and bordered on one side by the Li River it is easily accessible by bus or by boat from nearby Guilin.
In the 1980s, the town became popular with foreign backpackers, and by the late 1990s packaged tourists began arriving in greater numbers. At that time, domestic tourism represented only a small fraction of the tourists but by 2005 domestic tourists outnumbered foreign tourists by a great margin.
Today, the town has become a resort destination for both domestic and foreign travelers.There is a lot to explore in Yangshuo. The West Street of Yangshuo has become a must-visit place. The history of West Street dates back to over 1400 years ago. At that time, there were only a few grocery stores in the street.
Now, it has become a popular street that you can find many foreigners walking around the street and even become the boss of a bar or restaurant. There are signs written in both Chinese and English. Due to tourism, most locals in Yangshuo speak English, which is uncommon for Chinese cities.
Yangshuo is a popular tourist county and city near Guilin, Guangxi. The small city is surrounded by karst mountains, winding rivers and beautiful scenery. It serves as a fantastic base camp for further exploration.
Yangshuo is popular among tourists for its karst peaks, rivers, caves, and temples as well as its laid back cafes and bars. As such, the city is visited by a large number of Chinese tourists and foreigners alike, and has a relatively big ex-pats community.
Yangshuo is now a relatively large tourist town, different from most typical Chinese towns. It is relatively air and noise pollution free, (provided you get away from major roadways), very clean (by Chinese standards) and does not usually suffer from endless massive traffic chaos.
Instead, it harbours wonderful restaurants and shops, an almost unlimited number of hotels and hostels, and is fairly developed by mainland Chinese standards. Yangshuo is well-known amongst travellers in Southern China, and is a major stop on the trail of many independent travellers.

subset: commoncrawl


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-Michelle {M.A. Belle}
Monday, October 8, 2007
For the past few years I have been absolutely fascinated by design blogs, and the influence they can have both in the market and on individual style. I've created M.A. Belle to share with you some of my favorite finds, resources and inspiration, as well as to celebrate classic design. I hope you have as much fun reading it as I do creating it ;)
-Michelle {M.A. Belle}
-Michelle {M.A. Belle}
Posted by MABELLE at Monday, October 08, 2007
4 comments:
- Style Court said...
You have so many of my favorite images on your inspiration board :)
- October 10, 2007 at 9:26 AM
- MABELLE said...
Thanks Courtney! It would make sense since I am inspired by your site on a daily basis ;)
- October 11, 2007 at 10:21 AM
- Jessica @ The Love List said...
Michelle, I'm commenting on your very first entry all this time later to let you know that I just read every entry on your wonderful blog - it is now almost 2am and I'm sorry it's over. You and I have such similar taste, I can't wait to see what you contribute to the blogger's home tour. Thanks again for the inspiring read, I love going back through blog archives!
- August 8, 2008 at 1:50 AM
- Sweet Nothings said...
so I had insomia last night and read your entire blog. I love love love it!
- January 27, 2009 at 12:42 AM
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Contact Phantom Hire of Essex: a fully licensed provider of chauffeur-driven Rolls Royce Phantom and Bentley motor-cars, available for hire throughout Essex and East London.
To enquire about our luxury chauffeured hire car service please either telephone us on 07973 270601 or email us using our general email enquiry form left and we'll get right back to you.
Tel: 07973 270601
Email: firstname.lastname@example.com
Address: Brentwood, Essex, UK


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It's a Short Life! With so many dumb ways to die!
Color Blocks is easy to play and a pleasurable game for all ages! Simply drag the blocks and fill up all colored grids. Once you start, you will definitely be hooked: this 3D-style game awaits you!Yardım
There are no awards for this game!


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Donate your used items
Help reduce waste sent to landfills and give quality, used items a second life by donating them to Big Reuse.
Make a donation
Improve our city's soil
The NYC Compost Project hosted by Big Reuse is part of a community-scale composting network that provides New Yorkers with the knowledge, skills, and opportunities they need to produce and use compost locally.
Drop-off food scraps Get finished compost
Lend some muscle
We have extensive volunteer opportunities at our Reuse Centers, compost drop-off sites, and our compost processing site.
Founded in 2005 as Build it Green!NYC, we became Big Reuse in the summer of 2015. Our name has changed, but our mission remains the same: to divert materials from landfills, minimize carbon emissions, and provide our community with quality, low cost building materials and home furnishings.
Meet the Big Reuse team!


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Cast: Jeremy Jordan, Seth Adkins, Jeremy Tucker, Billy Kincaid, Tristan Paris, Nick Youthful, Emilio Santos, Hans Ebson &Cameron Fox
Cameron Fox bends Hans Ebson over while he fucks his tight buttocks, as Jeremy Tucker, Jeremy Jordan, Emilio Santos, Tristan Paris, Billy Kincaid, Seth Adkins, Nick Teen and Cameron Fox (all in non-sexual roles) look on. Cameron bangs Hans 'till he blows his burden.
Format: mp4
Duration: 22:28
Video: 1024×768, AVC (H.264), 1953kbps
Audio: 156kbps
ISP KPN had over 500 of its customers personal information posted online after being hacked late last month.


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How Much Does a Financial Manager Earn?
Financial managers monitor the investment and cash management strategies of companies and corporations, government agencies, nonprofits and other organizations. As such, financial managers are well compensated in both the private and public sectors. Schools offering Financial Management degrees can also be found in these popular choices.
Average Salary
According to the U.S. Bureau of Labor Statistics (BLS), there were 518,030 people employed as financial managers in May 2014, earning average yearly salaries of $130,230 (www.bls.gov). The bottom-paid ten percent of financial managers earned approximately $62,480 per year, while the top-paid 25% earned approximately $159,230 per year.
In May 2014, depository credit intermediation companies employed the greatest number of financial managers and offered a mean annual wage of $105,720. Many other financial managers worked in the management of companies and enterprises and earned a mean annual wage of $149,380. Another major employer of financial managers was the insurance carriers industry, which offered on average $140,700 per year. The highest-paid financial managers worked for independent artists, writers, and performers, earning on average $207,580 per year.
Important Facts About Financial Managers
|On-the-Job Training
|Financial experience required for advanced positions
|Key Skills
|Analytical, organizational, detail oriented, clear communication, decision making, strong mathematical background, reading comprehension
|Work Environment
|Finance and insurance companies, company management firms, technical services, government agencies, manufacturing firms
|Similar Occupations
|Budget analysts, financial analysts, personal financial advisors, accountants, auditors, securities, commodities, and financial service sales agents
Financial Manager Defined
As a financial manager, you will arrange, oversee and organize a myriad of financial activities for a business firm, governmental agency or other type of professional organization. You will also create financial reports and deal with accounting, banking, investing and many other monetary ventures. Several occupations fall under the category of financial management, such as controllers, treasurers, cash managers, credit managers and insurance managers. Each of these specific careers has a particular set of roles and responsibilities. Be prepared to work long hours (typically 50-60 hours per week), attend frequent business meetings and travel for work.
Educational Requirements
To become a financial manager, you need to have at least a bachelor's degree, preferably in an area involving finances, such as accounting, business administration or economics. Earning a master's degree in one of these areas may improve your chances of finding employment. The BLS predicts that there will be keen competition for financial manager positions, and earning a master's degree will help you stand out from your peers.
You can also earn professional certifications from organizations like the CFA Institute, the Association for Financial Professionals and the Institute of Management Accountants to further improve your resume. In fact, financial managers who work in accounting positions are often required to become certified public accountants.
To continue researching, browse degree options below for course curriculum, prerequisites and financial aid information. Or, learn more about the subject by reading the related articles below:


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8.0.4 compiles fine with:
qmake-qt5 NNPQT.pro
but with 8.0.5 I get:
Project ERROR: Unknown module(s) in QT: multimedia
I see from NPPQT.pro that now (on Jessie) I need the following:
sudo apt-get install qt5multimedia5-dev
that gets the required "libqt5multimedia5" plus the "multimedia" bind, amongst a few others. Its just a guess, but other platforms may have different naming conventions for QT5 libs
What is the extra library used for, maybe is should be documented somewhere as it is not installed by default with a QT5 install, and installing the lib is not enough


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Le Payaco and Swan Bride
The bands Le Payaco and Swan Bride are known names in the slovak indie-pop scene. Le Payaco scored several hits, played on many important festivals around, disbanded, but released a comeback album and playing from time to time. Swan Bride, celebrating 10 years of existence, sounds a bit darker and more seriously, which was possibly the reason, why they were chosen to play as a support band to Marylin Manson.
You can see them live on the Hviezdoslavovo námestie on 20.5. at 19:00.


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It may be tempting to take a couple of "mental health days" in November and December if you can't cash out paid sick days or carry them over to next year. But if you are fired for your misconduct, you may be ineligible for Employment Insurance benefits.
A recent CareerBuilder survey found that in the past year, 30 per cent of workers called in sick when they were not. Sick days, legitimate or otherwise also become more frequent around the winter holiday, with nearly one-third of employers surveyed reporting more employees calling in sick during the holiday season.
Next to actually being sick, some of the most common reasons employees take a sick day are because they just don't feel like going to work, they want to catch up on their sleep or they need to run errands.
But the most bizarre excuses employees gave for taking a sick day are:
• Employee's sobriety tool wouldn't allow the car to start
• Employee forgot he had been hired for the job
• Employee said her dog was having a nervous breakdown
• Employee's dead grandmother was being exhumed for a police investigation
• Employee's toe was stuck in a faucet
• Employee said a bird bit her
• Employee was upset after watching "The Hunger Games"
• Employee got sick from reading too much
Employer strategies to discourage healthy employees from taking an unauthorized sick day include requiring a doctor's note, calling the employee later in the day and having other employees contact a suspected faker. Some managers have even gone so far as to drive by an absent employee's home. And 17 per cent of survey participants said they have fired employees for lying about why they didn't show up for work.
Related: Faking sick days can get you fired
To make matters worse, you likely won't be able to collect Employment Insurance benefits if your previous employer says you were fired because of you own misconduct.
Misconduct means your behaviour is in violation of the obligations set out in your contract of employment (i.e. to come to work every day) when under normal circumstances, you should have known that lying or an unauthorized absence could result in a dismissal.
Related: Fired exec gets 12 months in spite of employment contract
Sheryl Smolkin is a Toronto lawyer and writer. Contact her through her website and follow her on Twitter @SherylSmolkin.
Taking a fake sick day may cost your job
It may be tempting to take a couple of "mental health days" in November and December if you can't cash out paid sick days or carry them over to next year. But if you are fired for your misconduct, you may be ineligible for Employment Insurance benefits.


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Everything you need on a dynamic, on-demand platform to provide a structured, open sourced approach to aggregating, correlating and managing information tailored to your business needs. Yes, it's affordable and secure.
Our analytics platform helps you take care of data infrastructure and data engineering.
We manage data aggregating, correlating and automating so you can gain useful information for decision-making.
We offer competitive subscription and Pay-Per-use models.
You don't have to worry about unsafe information sharing anymore.
We facilitate the transacting of quality third party data so you can optimise business operations and its many processes.
Let's create the future together with an integrated data analytics platform that does not require the building of any IT infrastructures nor hiring of engineers. DATAVLT provides:
You worry about transforming your business while we bring you the technology that helps you get future ready.
Data becomes valuable only if it can be harnessed into actionable insights that drive businesses in this hyper-digitalised age…
All this is made possible because of the integration of the blockchain technology in the data analytics process and ecosystem infrastructure where distributed ledgers provide accountability and immutability of data whilst cryptography provides the capability of sharing without the violation of privacy or confidentiality.
Put together, information is secured with the removal of potential points of failure. For data analytics, this embedded combination will allow clean and valuable data to be shared more quickly and also more cost efficiently.
The world is heading into a digital era where information/data democracy and hyper-personalisation will become a norm. With only 1% of the world's data being analysed today, these indicators dictate the rising necessity to upscale and upgrade the current basic capabilities of content and data aggregation with more sophistication.
This impending future also suggests the potential proliferation of cyber hacks, theft and attacks, since 'digital-connectedness' is already ingrained in life as we know it. Are we ready to give up our digital consumption habits for the safety of our details?
Read our whitepaper and business plan to find out more about our goals, ambitions and viability.


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Elle Martinez is running an excellent flash sale. Get free access to her course with the purchase of her recent book, Jumpstart Your Marriage and Your Money.
I speak with my good buddy, Aja McClanahan (Principles of Increase) about how she frugals out on Christmas. Magnify Money found that the average person intends to add $1000 in credit card debt this year.
Not necessary. I'm talking about how to avoid the debt and stress so you can celebrate Christmas without taking any new debt into 2018.
Also, join me on December 9, 2017, for the Captial One Cafe Savings Scavenger Hunt to win $500. Another way you can have a debt-free Christmas.


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* Can be run as a standalone application
* Works well with all system languages
* Argument support for silent installs
* Can be used for pre-activation
* Application integrity checking
* Custom error handling
* Support for hidden partitions and complex setups
* Can work alongside Linux's GRUB or any other boot manager
* Works with TrueCrypt and many other types of hard drive encryption applications
* Add your own certificates and serials externally
* Offers certificate and serial installation only for users with an existing SLIC 2.1
* Automated system profiling (The application matches everything up for you)
The rundown
* Compatible with Windows 7 SP1 and all system updates
* Will run on x86 and x64 systems
* No core system files get modified
* No extra processes are run so you have nothing eating at your RAM
* All key parts of the exploit are encrypted with a custom encryption
* The exploit runs before Windows so it's harder for Microsoft to prevent
* The exploit patches all necessary tables making activation look authentic
* The application will select the best profile for your system during installation
* Each and every user has a unique version of the exploit installed on his/her system
Supported operating systems
* Windows 7 Ultimate
* Windows 7 Ultimate E
* Windows 7 Professional
* Windows 7 Professional E
* Windows 7 Home Premium
* Windows 7 Home Premium E
* Windows 7 Home Basic
* Windows 7 Starter
* Windows 7 Starter E
* Windows Vista Ultimate
* Windows Vista Business
* Windows Vista Business N
* Windows Vista Home Premium
* Windows Vista Home Basic
* Windows Vista Home Basic N
* Windows Vista Starter
* Windows Server 2008 R2: Enterprise
* Windows Server 2008 R2: Standard
* Windows Server 2008 R2: Foundation
* Windows Server 2008: Enterprise
* Windows Server 2008: Standard
* Windows Server 2008: Foundation
* Windows Small Business Server 2008
Note: You must be running build 7600 or greater for Windows 7 and Windows Server 2008 R2.
Note: I don't recommend using any of the Windows 7 E editions.
Note: Windows 7 N editions will only be supported when OEM SLP serials leak.
Download Here


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In this weeks interview, we chat with Jamie Boudreau of Canon in Seattle. Throughout the years he has won countless awards including the Cheers Rising Star award in 2010. He has become one of the most influential members of the bartending community first on his blog spiritsandcocktails and now as the host of Raising the… Continue reading Interview with Jamie Boudreau of Canon, Seattle
Tag: Interview
Interview with Troy Sidle of Pouring Ribbons and Alchemy Consulting
In today's interview we sit down with Troy Sidle of Pouring Ribbons which recently opened in NYC. In just a short time it has become one of my favorite bars in NYC due to its welcoming atmosphere coupled with exceptional drinks. If you haven't already you can read my full review of Pouring Ribbons here… Continue reading Interview with Troy Sidle of Pouring Ribbons and Alchemy Consulting


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Common Grammatical Errors in English Writing PTE IELTS TOEFL Test
How you will able to get 90 score in your writing section that is Essay, Summarise written text, Summarise spoken text, Write from dictation etcetera. Here are some Common Grammatical Errors in English Writing, which you must avoid for scoring good marks in your PTE, IELTS and TOEFL test. AVOID THESE 15 Common Grammatical Errors in English Writing 1. Error in subject verb agreement 2. Sentence formation 3. Missing Comma after introduction 4. Misusing the apostrophe 5. No comma in a […]
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Celebrating 70 Years of Beautification and Horticultural Education in Taos County
Utilizing the net proceeds from our annual Garden and Home Tour, Los Jardineros provides grants to educational, government and nonprofit organizations for horticultural education and/or beautification projects in Taos County. Projects are selected through an open proposal process initiated in July of each year. Proposals are scored and selected by the Grant and Executive committees. Funded projects begin in October and conclude the subsequent September.
Grants were given to the following projects for 2017/18
For a list of previous year's grant projects click here
For more information on the grant program please email our Grant Committee at email@example.com


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Understanding and Disposing of the Xenon Arc Lamp
The Xenon arc lamp is a very particular type of lamp that serves a very particular type of light. These lamps are used in many different situations. Some of those situations include automobile headlights, movie projector illumination, search lights and spot lights. The Xenon arc lamp makes use of two pieces of metal and Xenon gas, which causes an arc of light between the two metals. Xenon arc lamp light is considered the closest artificial light to natural sunlight. There are three main types of xenon arc lamps including short arc lamps, long arc lamps and flash lamps.
The Importance of Proper Disposal
When you need to dispose of a Xenon arc lamp, it is absolutely vital that you do not throw it in the trash. There is a very good reason for this. These lamps contain rather large amounts of mercury. As you may know, this metal is extremely toxic and dangerous to humans and animals. Mercury is a type of neurotoxin, which means it will cause serious damage to the neurons in the brain. In some cases, mercury could lead to death. When you throw a Xenon arc lamp in the trash, you are taking the risk of it getting into the environment and harming humans and animals.
The good news is that Xenon arc lamps can be recycled and disposed of properly. All you need to do is locate a recycling facility that is equipped to handle these lamps. Then, the lamps can be disposed of in a way to make sure that mercury is never a danger to anyone who may come in contact with the lamps.
If you need to deal with a Xenon arc lamp, then you will need to dispose of it in the proper manner. Do not just throw it into the trash. This will pose a great threat to humans, animals and the environment.


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BC Hotel Accommodations
Unparalleled British Columbia Hotel Accommodations
*** The Resort's five mineral pools are open. ***
When it comes to vacationing in Harrison Hot Springs, BC there is only one place to stay: Harrison Hot Springs Resort. The resort features five mineral hot pools, three outside and two indoors, and it's the only resort right on Harrison Lake with its own marina. Plus, no other British Columbia hotel offers the legendary Copper Room dining experience or the delicious breakfast buffet at the Lakeside Cafe.
When it's time for rest and privacy, no other resort offers the variety of accommodations you'll find in Harrison Hot Springs Resort's 351 guestrooms. From poolside rooms to private cottages to guestrooms with balconies and panoramic views, this is the place where couples, families and groups of all sizes can come to find the good life, year-round.
The whole Resort is non-smoking – including rooms that have balconies and all cottages. There are designated smoking areas in the resort. While cigarette smoking is allowed in the designated areas, smoking of cannabis and vaping are prohibited. Please check with our Guest Services Desk for details. Please note that there will be a non-refundable flat fee of $300.00 per night that will be automatically charged for violating this policy.
Please note that guests under the age of 19 must be accompanied by an adult. Legal age of majority in BC is 19 years old.
All rooms feature flat-screen TVs, in-room coffee makers, wireless Internet and beverage coolers. Views from our guestrooms range from Harrison Lake to the Resort Gardens, from Mt. Cheam to the village of Harrison Hot Springs and all rooms feature access to our five hot mineral pools, fitness room and tennis courts.
Please click on the for the Harrison Resort Map.
Pet-Friendly BC Hotel
Our Pet Friendly Harrison Hot Springs Resort has a number of rooms on limited guest room floors in the Resort. The pet sanitation and non-refundable fee is $30 per night. Please note that a non-refundable pet cleaning fee of $100 will be automatically charged for non-registered pets in the rooms. To book your stay at Harrison Resort and find out more about our pet-friendly accommodations and pet guidelines, please contact a Reservations agent toll-free at 800-663-2266.


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Theodore Boone: The Accused is the third installment in the series of Theodore Boone books by John Grisham.
This is a legal thriller series aimed at young people, mainly from the ages of 8-13.
The book had a released date of May 15, 2012.
Theodore Boone: The Accused Book Description
Big trouble is brewing for Theodore Boone.
While all of Streenburg anxiously awaits the new trial of infamous murder suspect Pete Duffy, problems arise for their own kid lawyer.
There's been a robbery and Theo is the accused. His reputation is on the line, and with the evidence building against him – and dangerous threats looming – Theo will do whatever it takes to prove his innocence – even if it means breaking a few rules.
Filled with the intrigue and page-turning suspense that made John Grisham a #1 international bestseller and the undisputed master of the legal thriller, Theodore Boone's adventures will keep readers enthralled until the very last page.


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Siemens Ltd. Contact Details
Siemens, as an integrated technology provider, has a wide range of future-oriented solutions to meet these challenges . It plays an important role in India's growth.. It operates in the core business areas of Industry, Infrastructure & Cities, Energy and Healthcare. Around more than 19,000 employees are working in the country. It has… Read More »


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52 Weeks of Color Challenge - Week 7 (Cerise)
I love pink! My closet is full of pink! I wish I could have a pink bedroom in RL but my hubby says no. But I was really surprised to see that my SL was devoid of pink and the pink I had was a soft baby pink and not the bold hotness of Cerise. So I had a nice shopping spree, all in the spirit of blogging inspiration.
I saw these pants at Coco awhile back while shopping for another 52 Weeks of Color Challenge post and instantly remembered them. I love the wrinkles in them and that they come with multiple layers (not needed for this post, but I love to wear pants with an untucked shirt).
And my new fascination are ties. I think it's because I saw Pretty Woman recently and the whole naked yet for a tie scene is one of my favorites in the movie.
Shirt: AOHARU BT OpenLongShirt PlaidPink
Pants: COCO_SlimFitPants_Purple
Shoes: Tee*fy Comic Inspired Wedges
Tie: Fishy Strawberry Lilac Cotton Tie
Hair: TRUTH Avery - espresso
Skin: Curio Petal Frex [Dark] Ice Queen-Charcoal 1
Glasses: Fishy Strawberry College Glasses
Pose: Olive Juice #1) Regulators and #2) Tee Hee


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Hi Barry and All,
11th of 13,
Part 1 of 2.
The River is 29 miles long near Norwich and The Norfolk Broads.
Rising in Breckland it is joined by the River Wensum before heading out to Sea at Yarmouth.
You are fishing for Common Roach,Carp Bream,Chub,Dace,Wild Carp,Zander,
Brown Trout Plus Jumping Pike and Brown Trout x 2.
Have Fun,
http://www.fileden.com/files/2012/3/26/ ... %20Day.zip


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What is a Sandwich?
Sandwiches is a food typically consisting of vegetables, sliced cheese or meat, placed on or between two slices of bread. Generally any dish wherein two or more pieces of bread serve as a container or wrapper for another food type. Sandwich began as a portable finger food in the Western world.
Sandwiches are a very popular type of lunch food taken to work, school, or picnics to be eaten as part of a packed lunch. The bread can be either plain, or coated with condiments such as mayonnaise or mustard, to enhance its flavor and texture.
Were Did The Sandwich Name Come From?
The sandwich is considered to have been named after John Montagu, 4th Earl of Sandwich, the inventor, it is claimed, of this food combination. He was British statesman and notorious profligate and gambler, who is said to be the inventor of this type of food so that he would not have to leave his gaming table to take supper.
In the United States, the sandwich was first promoted as an elaborate meal at supper. By the early 20th century, as bread became a staple of the American diet.
At Charlie's BBQ And Grille
Without a doubt, throughout the history of Sandwich, we now have a delicious sandwiches that is done right only at Charlie's BBQ and Grille!
Charlie's BBQ & Grille check out our menu today!
Now you don't have to travel to get the World-famous Charlie's BBQ & Grille Barbecue Dipping/Sipping Sauce flavor. Order our world famous, homemade sauces bring the taste of Charlie's BBQ to your kitchen. Grab some Charlie's BBQ & Grille Barbecue Dipping/Sipping Sauce and Spice any meal today.
Check Out Charlie's delicious side item menu and try one of Charlie's world-famous deserts, with some ice cool beverages!
Stop by Charlie's BBQ & Grille or call us today and let us serve you , your family and your guest. And download our new app and order online today! See you at Charlie's BBQ & Grille.
« Back to Glossary Index


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It's Friday. Mum and Dad's friends are coming to get drunk and I love it. Mum has an IPA in hand, and I watch her when she answers the door because I want to see which friends are coming. I love the men. They are strong and beautiful and I could watch them and brush by them gently, purposefully, all night. Mum always moves so quickly. She runs to the door sometimes like they haven't had a visitor in years. I'm watching but it often looks like I'm staring or glaring; my eyes have that kind of intensity, like maybe I am trying to bore a hole into your dark soul with my gaze.
I don't think she believes in reincarnation, but…well, I'm fairly certain she does not believe in reincarnation, though some people do. It could be that dead is dead, and my little bones and organs will be forgotten, decomposed matter in the ground, ashes floating in the wind. But if Mum did believe in reincarnation, I think she'd want to be me in her next life. I think she'd find herself rather happy being me.
She thinks she is happy now. She and Dad are always talking and laughing. They go out drinking with friends on the weekend and if they go out they come home late, just when I am starting to think they might not be back at all. Their friends start out at our place, drinking lots of craft beers (Coors and Bud are not permitted in this house, unless for beer pong or other drinking games). Sometimes Mum is talked into shots of tequila or whiskey. They go out downtown to clubs and bars, come home loud and inarticulate, and sometimes cook food at 2 in the morning. Their friends pass out on the couch, and everyone wakes up incredibly late.
The next morning they complain about headaches and watch internet videos and eat bacon. Usually, Mum and Dad will give me a small piece of bacon too, though they make me do tricks to earn it. I find this inordinately humiliating, as I don't see why people should have bacon for breakfast as a matter of course, while my sister and I should be subjugated for that small morsel of heaven. It's particularly difficult for me. My sister is such a sad creature she could not possibly be further degraded beyond her pathetic state in any event, so I doubt it's any any skin off her back.
If Mum and Dad go out, she always wears small, tight dresses, and I'm not sure how all that beer fits. If drinking at home, she likes yoga pants and T-shirts. Her favorites are a shirt with the Beatles on it and another one featuring a George Orwell quote – "We have always been at war with Eastasia." Her outfits can be simple, but her closet's quite obscene. She has several suits for work, more dresses than any woman needs, and certainly more shoes than necessary. Her accessory collection spans an armoire and two large troves. She also has an entire trunk full of costume material. If she was reincarnated as me, she wouldn't have to be so preoccupied over clothes. She thinks she enjoys it, but I think secretly, she'd be equally happy with just a black coat of fur, a red collar, never having to worry about outfits, color detail, and accessorizing for the rest of her life.
If she were a pretty black cat like me, life would be simple, like she likes it. She could sit and stare out the big glass windows all day without responsibility of any sort, cast her golden, crystal eyes on the lawn as birds dance up and down. She could throw tantrums and look cute doing it. She can't do that now; no one appreciates a grown woman throwing a fit.
There are about 8 people here now, and Mum's lighting up the hookah. She was sipping on Inversion IPA again. She's been drinking that one a lot lately, though it's one of many of her favorite beers. It was probably on sale at the grocery store. The beers come and go quickly with the conversation. Dad's favorites are Belgians, but the only Belgian style beer in the beer fridge currently is a Trippel by New Belgium. The blond one loves IPA's, but recently, she's on a Porter and Stout kick. She's having Black Butte Porter, brewed by Deschutes. I cause her to have allergic reactions and itch and sneeze, but she's still nice to me, perhaps because I am simply that charming.
Dad's brother also loves IPA's, but he is currently drinking the Hoppy Lager by Sierra Nevada (from the "Beer Camp" series). The girl with Mum's same name has brought a 22 ounce of Sculpin IPA by Ballast Point and is sharing it with Mum. Her husband doesn't drink. He's a dentist. Maybe he thinks beer rots your teeth. The boy I like a lot used to drink IPA's along with the rest of them, but he only drinks scotch now. I like him a lot because when he used to live here, he spent a lot of time on the couch, and provided very reliable lap space for my naps. In general, I love all the boys. They have the biggest, warmest laps.
My sister is silently observing us from the second floor, staring down at us from behind the banister like a creeper. She has some certifiable mental problems, that one. She loves to cling to Mum and Dad, but as soon as people come, she hides away like a scared little mouse. She is terribly socially awkward and bores me to tears, so I don't even pay her mind anymore if I can help it.
They're all loud and happy now. I wonder if I could have some beer. It smells so delicious, and seems to be some magic elixir of contentment.
Stay tuned for part II.


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Since 2008, Mass Metal in Lawrence, Kan., has helped individuals buy, hold and sell gold and silver through its online service, SilverSaver. Now the company is offering SilverSaver as a voluntary benefit program.
Josh McCleary, Mass Metal's chief operating officer, says that the SilverSaver benefit program is the only service that enables participants to automatically save in precious metals through the convenience and safety of payroll deduction. It was developed in response to customer demand for an easier way to buy silver and gold as a hedge against what they see as loose money policies by central banks.
It took a year to build the back-end system to support the voluntary benefit program, which was launched earlier this summer. Todd Fletcher, the company's voluntary benefit specialist, reports that several employers have contracted for the service, though none have gone live with it yet.
"Employers are extremely excited about being able help their employees do something that typically upper management has been able to do for itself," Fletcher says. "They can take this down to hourly employees."
For sponsors, there is no cost to offer the benefit program and little administration required, says McCleary. Employers complete a simple online signup process, and employees use a single form to choose how much physical silver or gold to save. The metal is housed in a secure facility, or employees can arrange to have it shipped to them. Employees pay transaction fees on purchases, though the cost is less than Mass Metals charges individual clients.
To address employer concerns about fiduciary liability associated with the purchasing service, Fletcher says that the forms that employees sign include disclaimers releasing the sponsor from any responsibility.
"Employees must understand that all markets have volatility, and they should understand that if they are saving in gold and silver, they should be looking at a minimum of a three-to-five-year period," he comments. However, he also notes that if SilverSaver account holders have a financial emergency, they can sell their metal back to the company at no extra charge. "It works like regular savings account at this point," he says.
"Our goal has always been to get physical precious metals into the hands of everyone," says Jeremy Brakenhoff, president and CEO of Mass Metal. "Creating the ability for companies to offer SilverSaver through payroll deduction makes accomplishing it that much easier."
For more information, visit www.silver123.net. Inquiries about the voluntary benefit program should be directed to [email protected]
Gold, Silver Buying Service Newest Voluntary Benefit0
Since 2008, Mass Metal in Lawrence, Kan., has helped individuals buy, hold and sell gold and silver through its online service, SilverSaver. Now the company is offering SilverSaver as a voluntary benefit program.


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Book Talk
The Watsons Go To Birmingham--1963 is an interesting historical fiction novel about a family that lives in Michigan during the time of the Civil Rights Movement. The main character, Kenny, lives with his parents, older brother, and younger sister in a neighborhood (and state for that matter) that hasn't felt the repercussions of being a black family in the 60's.
Kenny's brother, Byron, has been getting into lots of trouble, and so his parents decide to leave Byron with their grandmother in Birmingham, Alabama, thus spurring the family trip. Once in Birmingham, the Watsons encounter events that made history and taught them about what it was like to be black and living in a southern state.
The Watsons Go To Birmingham--1963 was Curtis first novel for young readers. The book won both a Newbery Honor Award and a Coretta Scott King Honor Award. Also, Curtis debut novel has been awarded a myriad of other honors, including being named a Best Book of 1995 by such publications as The Horn Book, The Bulletin, The New York Times Book Review, and Publishers Weekly. His second book, Bud, Not Buddy, received the 2000 Newbery Medal. Both of these novels unite aspects of Curtis family heritage with pertinent and recent American history. This combination enables the author to craft stories that are entertaining and subtly humorous with characters that seem real and that you can relate to.
Curtis was able to horn in on his talents as a writer with much help from his family, especially his wife, Kaysandra. She supported his aspirations to be a writer and guided him away from the Fisher Body Plant and more toward his goals. Curtis ancestry also points down the road of entertainment and success. His grandfathers were Earl "Lefty" Lewis, a Negro Baseball League pitcher, and Herman E. Curtis, Sr., 1930s bandleader of "Herman Curtis and the Dusky Devastators of the Depression,"
Point of View
1. This story is told in the first person point of view. Review point of view with the class. Remind students that a story may be told from the first-person or the third-person point of view. If a narrator takes part in the action of the story and refers to himself or herself as I, the story is told from the first person point of view. If the narrator is outside the story and does not refer to himself or herself at all, the story is told from the third-person point of view. Have students determine whether The Watsons go to Birmingham1963 is told from the first-person or the third-person point of view and explain why. Then have students find one other book that is told in the first person and one that is told in the third person. Students are to explain why and use examples from the text.
Map Skills
2. Talk about the Watsons traveling from Flint to Birmingham. See if students can
remember where each place was located. Use a U.S. map that shows interstate highways. Go over possible routes that the Watsons could have taken. With the class, calculate the distance in miles of one of the routes. Make sure students understand how to use the map key to calculate the distance. Have students have a place on the map that they would like to travel to in the U.S. They are to write out a specific route that can be taken from their city to the location chosen. Students will then calculate the distance between the two locations using the map key.
Literary Elements
3. This story can also be used to work on some literary elements. Review story
elements with the class such as plot, conflict, and resolution. Point out that during the story, characters try to solve a problem, causing a series of series of related events to occur. The reader tries to anticipate how the problem will be solved. Finally, at the most exciting point, the climax, the central problem is usually resolved. Have students identify the central problem of the story. Help them distinguish between conflicts that are minor in the story and the main factors that relate to the central problem. Students can then identify the climax of the story and talk about how the central problem is solved.
Writing Prompts
4. This is also a very good book that a variety of writing prompts can be designed from. One possible prompt would relate to Chapter 11 when the Watsons get ready to meet Grandma Sands. Kenny had certain expectations about what Grandma Sands would be like. He imagined a huge, mean looking woman. When he finally meets her, she turns out to be a small woman who welcomes the family with open arms. Ask students if they have ever met someone who was nothing like what they expected. Have them describe the situation telling what they expected and what they found.
Christopher Paul Curtis Books:
Bud, Not Buddy (Newberry Medal Book) 1999
Coming of Age:
M.C. Higgins, The Great by Virginia Hamilton, 1989
The Blue Lawn by William Taylor, 1999
PINS by Jim Provenzano, 1999
Delins Way by Olga Berrocal Essex, 1998
Pride and Prejudice by Jane Austen, 1993
Roll of Thunder, Hear My Cry by Mildred D. Taylor, 1997
Let the Circle be Unbroken by Mildred D. Taylor, 1991
Mississippi Bridge by Mildred D. Taylor, 1992
The Road to Memphis by Maurice D. Taylor, 1992
The Cay by Theodore Taylor, 1991
The Inn at Lake Devine by Elinor Lipman, 1999
Slam! by Walter Dean Myers, 1998
Saving Shiloh by Phyllis Reynolds Naylor, 1999
Iggies House by Judy Blume, 1976
America Divided: The Civil War of the 1960s by Maurice Isserman and Michael Kazin, 1999
The Unraveling of America: A History of Liberalism in the 1960s by Allen J. Matusow, 1985
The 1960s by Gini Holland, 1999
Web Activity
Pretend you and your family are planning a trip from Michigan to Birmingham, Alabama, just like Mrs. Watson did in the book. You will need to think of many things before you leave to make sure that you have enough time and money to make it to your destination. Your family has $1000 to make it from Michigan to Alabama. You have only 3 days to make it there. You will have to:
1. Obtain a map to plan your route.Here's where to look for your information:
2. Decide how many miles you will travel per day.
3. Find sleeping accomodations with prices.
4. Find out how many miles per gallon your car will get.
5. Decide when and where (what city) you will get gas.
6. Find out how much money you will spend on gas.
7. Decide how much money you will spend on food.
8. Plan 3 activities that you will attend when you get there.
Using the information that you have found, compose a travel brocure for Birmingham, Alabama.
Related Websites
Webmasters: Natalie Orsini, Nicole Romano, Colleen Wheat, Bryan Cramer, and Chris Shivers


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Download "Learning Centre: Diamond Investment Market" Infographic (PDF)
Why invest in natural coloured diamonds?
There are many reasons to consider investing in natural coloured diamonds. These material assets make for an ideal safeguard against volatile markets. Natural coloured diamonds are proven to offer generous returns and, as the most concentrated form of wealth on the planet, they are easy to transport, protect and conceal.
Natural coloured diamonds are the rarest, most concentrated form of wealth on the planet. With shrinking supply, demand has continued to drive value over the past four decades. These exceptional stones grew in popularity after being seen fashioned on celebrities like Halle Berry and Jennifer Lopez. Record-breaking bids, such as a blue moon diamond that sold at Sotheby's auction house for $48.6 million USD in 2015, have this relatively young but incredibly potent investment market piquing investor interest.
The following sections provide a basic knowledge of the natural coloured diamond investment market as well as some real-world examples and tips for taking the next step toward adding these precious gems to your investment portfolio or personal collection.
Material assets that meet expectations
Material or "hard" assets are important to include in your investment portfolio. In an unsure global economy, liquid assets like stocks, equity and mutual funds do not always provide stable returns. Material assets are becoming a more common means of storing wealth.
Mass inflation and excessive printing of money is a threat to the value of currency. To counter this, investors are increasingly moving more of their financial holdings into tangible hard assets.
In recent years, more practical and enjoyable material assets have become popular, such as fine art and precious jewellery. Despite the aesthetic appeal of jewellery, the most economic treasure investments are rare loose gemstones.
Natural coloured diamonds are an alternative, non-market-correlated material asset. Like fine art, diamonds are authentic and cannot be overproduced. These assets are not officially priced on any global market index. They get their true value from their rarity.
This makes natural coloured diamonds an ideal hedge or safeguard against inflation. Prices for these diamonds have historically risen with inflation.
Diamonds and The Great Recession
During the 2008 economic crisis, known as "The Great Recession" or "The Sub-Prime Mortgage Crisis," property values plummeted by upwards of 75 per cent. In the US and Canada, retirement funds shed more than half their value. The global economy was collapsing and nearly every asset in the world was negatively affected — except natural coloured diamonds. Unbelievably, these diamonds continued to break records at auctions in 2008. The appreciation of natural coloured diamonds during The Great Recession shows how they can hold up against volatile conditions.
Reliable returns and generous gains
Natural coloured diamonds have been unaffected by the constant fluctuation of traditional investment markets. For decades, these diamonds have increased in value by between 15 and 30 per cent annually. This makes them some of the most valuable short- and long-term investments available.
Of all finite resources, natural coloured diamonds are the most rare. Their value is greatly influenced by demand. It is estimated that only one of every 10,000 carats of mined diamonds is certified gemstone-grade.
Natural coloured diamonds are an ideal material asset for long-term growth. They have increased in value every year for the past four decades, at both the supplier and retail level. Even in the short-term, these diamonds are known to appreciate by at least 15 per cent per year—often doubling their value within four to five years.
The world supply of natural coloured diamonds is in constant decline. Their value continues to rise, making them the most reliable and secure material asset available to investors.
Natural coloured diamonds are universally valued; grading methods are consistent internationally. They are flexible in today's globalized economy and will hold their value in any currency.
Diamond mine closures
Sources for natural coloured diamonds will eventually run out. We're already seeing this trend take form today. The Ellendale mine in Australia produced about half of the world's rare yellow diamonds until it unexpectedly closed in 2015. Australia's Argyle mine, which currently produces more than 90 per cent of the world's pink diamonds, is also expected to close within the next few years. Pink Argyle and flawless yellow diamonds are now considered some the rarest materials on Earth. One- and two-carat intense pink diamonds have been known to increase 1,000 per cent in value over one year.
Diamonds are forever
Natural coloured diamonds are the most concentrated form of wealth on the planet. Most of these precious gems can fit in your hand. They are easy to transport, keep safe and pass down from generation to generation, making them one of the most practical hard assets available.
There is nothing more valuable per unit than natural coloured diamonds. Their portability makes it possible to hold millions of dollars in your pocket. Diamonds are easy to transport and, as one of the hardest known natural materials, they are extremely durable when handled and transported under the proper conditions.
Diamonds allow extreme discretion. They can be concealed and kept private during transport or travel. Natural coloured diamonds are considered a privately held asset, so they are not overseen by any bureaucracy. They also do not require continuous reporting to revenue agencies. Natural coloured diamonds are one of the easiest forms of wealth to pass on through generations while continuing to grow in value.
Whether in the form of loose stones or affixed to beautiful jewellery, natural coloured diamonds can be sold using both private and public methods. Public auction houses continue to secure record-breaking prices for natural coloured diamonds.


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November 13, 2016
International House
Speaker: Paul McCartin "Genetic Engineering and Patents on Life"
Father Paul serves now as the coordinator for Justice, Peace, and Ecology for the Catholic Society of St. Columban in Japan. Born and raised in Australia he was ordained in 1978 and came as a missionary in 1979.
These are an important topics to understand more fully and possibly to take action for our planet's future.
Please invite a friend to come.
Your moderator
We plan a music centered meeting for December 11th that will include our Italian friend (classically trained in Opera as well as popular singing) Emiliano Blasi.
Our September meeting with Nahid Nikzad drew a large audience.
I think we all learned a lot starting with basic information such as that her area in the north of Iran not only has the Caspian Sea but has green rice paddies, mountains and the Fujisan of Iran--Mt. Damavand which you see on the screen behind some of us in the photo i attach here).
We learned much about women (and the present legal system which is indeed repressive since the Revolution which had started with such high hopes for democracy and rights in 1979). We also gained insights into the high standards of education still for Iranian women and how many actually lead their lives in the private as well as public spheres in recent years. A brief discussion about activists and even American counter-productive policies. We ended with a love song (in a positive take on the richness and optimism of Persian culture and people).
Please look for Nahid`s upcoming performances of Persian music.
Contact her for details including sept 16, 7pm cafe near Sasazuka station.
(3) At our Sunday, October 9 meeting:
Our speaker:
Michael Berman (PhD candidate in the Dept. of Anthropology at the University of California, San Diego and a visiting researcher at the University of Tokyo).
He spoke about empathetic listening: "Training interfaith chaplains and volunteers for continuing work and service by religious groups in (still hurting) Tohoku."
It was an interesting discussion about practical aspects (and theoretical basis) for "Compassion."
Michael spoke on empathetic listening--"Sharing Suffering--training for interfaith volunteers and chaplains in contemporary Japan. He gave us a brilliant discussion of a group of religious volunteers who organized support for Tohoku victims, who shared training but also faced a difficult problem. Most of the volunteers were Buddhist priests, who have day jobs to keep their temples going. However, because of concerns of separation of church and state, the group was not allowed into many care facilities if they wore their religious costumes or framed their counseling in religious language. They had to agree to approach the counseling as "ordinary people." And the majority of them found that the strain of trying to counsel and console outside of their traditional roles was very wearing, and many needed help themselves within two years.
As always, we had a lively discussion about the implications of this. Thank you Michael.
Blog site apologies. Because of illness and some other confusions, this blog did not give advance of the last two speakers, both of who were excellent. Gomen nasai. I recorded both, and if I can deal with some technical issues may be able to get the recordings up on a private youtube site for members who missed it. I especially would like to get up the recording of our singing Persian music taught and led by Nahid in September.
Chuck, gofer at large


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Travel Bites: Rishikesh, India – The Yoga Capital Of The World
Two years ago in the studio, I saw a poster about a yoga retreat in Rishikesh – "The yoga capital of the world." Because of the description of the place, I became curious and checked the internet why they called it a yoga capital. I found out that the mountainous region is very holy because of the Mother Ganga, the different celebrations and rituals happening, the Ashrams, the Yoga schools (which are literally everywhere), the local and the international tourists who's visiting to meditate, practice yoga and do their pilgrimage.
Rishikesh is a simple but very vibrant town. You'll see locals wearing their traditional clothes. You can also see cows and monkeys everywhere. There are also curious local tourists who have their picture taken with the westerner tourist. You can find very enthusiastic vendors, amazing ayurvedic and marma therapists. Believe it or not, during the night there are a lot of music jamming in the cafes, so if you are into music and you are planning to visit this place, bring your own instrument or you can buy at music shops so you can jam with them.
During my first weekend, I was so blessed because the world celebrated its 1st Yoga International Day and I was in the Yoga Capital of the World! The whole Yoga Community of Rishikesh conducted a mass yoga activity near the Ram Jhula. Our school had a short spectacle in the town as part of the celebration.
I was able to visit 3 cafés and I found out that they are all offering vegetarian food (I'm not sure about other cafes). Along the street you can find jewellery, souvenir shops and clothes shops which are very cheap and you can still haggle for the best price.
During my last week, I was able to visit the Beatles Ashram. This place is abandoned but you can still see the beauty of the structures. The paintings inside the old hall are just simply incredible, you just want to sing some Beatles' song while checking out the art works. The place is so nice and I hope the government or the Swami who owned the property now will be able to rebuild the place again. And by the way, there is an entrance fee of 50 Rupees or 100 Rupees.
If you are planning to take a Yoga Teacher Training Course, Meditate or planning to have a tour in India, I highly recommend that you visit Rishikesh.
What can you say about Rishikesh?


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BRUNSWICK — A local adult care provider is hosting its first Sea Dog Dash for Independence this Sunday.
The Independence Association event begins at 8 a.m. at Brunswick Junior High School, 65 Columbia Ave., for 5-kilometer, 10-kilometer and 1-mile runs.
Registration is $25 for 5K and 10K runners, while 1-mile runners and adults who benefit from IA's services will only have to pay $15. Registration is discounted for runners who sign up online before Sunday.
The proceeds will benefit Independence Association, a Brunswick-based adult care provider that has faced budget cuts from the state over the past year. Sea Dog Brewing Co. is the event sponsor.


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Services for those, who do not have enough time to read the extensive REACH regulation and related guidelines in English.
Time and money saving recommendations regarding REACH now FREE OF CHARGE!
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REACH basic for beginners
If for some reason you need to understand the basics of REACH regulation now, you can find the necessary information summarized on the CD "What the industry participants need to know about the REACH regulation" prepared by me.
When ordering the CD, you can receive a free one hour telephone consultation as a bonus, in which we can discuss the questions that came up while you were listening to the CD.
The CD is in Hungarian language, so for non-Hungarian speakers I recommend a REACH consultancy service instead of the CD. We can do the REACH consultancy through skype or personally.
Price of REACH CD: 12000 HUF
What is REACH?
For many companies, REACH means nothing more than added work, increased expenses and doubts at the same time. My consultancy offers guidance and support for companies in a successful implementation of this new European Union chemical legislation.
REACH is Regulation (EC) No 1907/2006 of the European Parliament and of the Council concerning the Registration, Evaluation, Authorisation and Restriction of Chemicals, which came into effect on 1 June 2007.
REACH requires active participation from all members of the industry in order to achieve regulatory compliance
This EU Regulation requires that all substances manufactured within or imported into the EU as stand alone or part of a more complex preparation, or article which exceed 1 ton / year in quantity by manufacturer or importer, must be pre-registered and registered within very specific and strict time-frames. Only substances which have been pre-registered between June1, 2008 and November 30, 2008 can be manufactured or imported after June 1 2008. Furthermore, only substances which have been registered by Dec 2010, June 2013 or June 2018, depending on the volume manufactured or imported, can continue to be further manufactured or imported.
The outcome of the registration inspections will define whether these substances are considered safe or if any restrictions, substitutions or bans must be implemented for purposes of safety. The safety information on substances must be provided through the entire supply chain to allow all users to safely handle chemicals.


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Robbie Glen has a dry Scottish wit, timing and an ability to read an audience which makes him one of the finest UK after dinner speakers you're ever likely to hear. He has a rare gift for making people laugh and is a great favourite on the after dinner circuit.
Robbie has spoken at many prestigious functions incuding Variety Club Tribute Dinners for Lord Richard Attenborough, Jimmy Logan and Alistair McCoist and a Lord's Taverners Tribute Lunch for Sir Harry Decombe. He has twice entertained at Variety Club Golfing Society Annual Dinners in London.
His versatility has seen him speak at business lunches in the Eiffel Tower and in Vancouver, at a St Andrew's Day Ball in Singapore, at Burns Suppers in Cairo, Calgary and Edmonton and at conference dinners in a bierkeller in Frankfurt and a wine cellar in Lison. He has been asked to address many ladies only functions as he is seen as a safe pair of hands.
Sired by an Ayrshire man out of a Renfrewshire lady, Robbie was reared in Lanarkshire. He was educated at Hamilton Academy and Strathclyde University. He taught for one year in Blantyre before joining the Prison Service as an Assistant Governor in 1969.
Robbie, a Fellow of the Institute of Management, was Governor of Castle Huntly Young Offenders Institution - Dungavel Prison where he was Deputy and Acting Governor - along with Barlinnie Prison, Glasgow. He had the pleasure of being Governor of Cornton Vale, which is Scotland's only female establishment. He finally retired from the Scottish Prison Service on 4th September 1996. Since his early retirement Robbie has gone on to make his mark as one of the UKs most popular and witty speakers, producing rave reviews from his varied list of clients. His motivational skills are called upon to set the tone for numerous conferences whilst his great sense of humour, funny stories and quick wit make for the most positive of outcomes.
William Mcllvaney based his story The Prisoner in his book of short stories entitled The Walking Wounded on him after he visited Robbie at Dungavel.
In his youth he played junior football professionally but his career was cut short tragically at an early age due to lack of ability. He still holds the Lanarkshire Schoolboy 440 yards record, because it's now gone metric!
Robbie is married with two daughters, the younger of whom is profoundly handicapped. Robbie developed a walking aid for her with his staff and prisoners in 1981 and it is now being used in 41 hospitals and schools in Scotland to teach handicapped children how to walk.
Robbie Glen had them rolling in the aisles. This man should carry a government health warning he is seriously funny... Sunday Times
When I think of the evening, my mind overflows with colourful images the tour de force was the laugh-buster speech given by Governor R .R. H Glen. unforgettable - Pik Botha, South African Minister.
THE SUNDAY HERALD Wrote:- "Robbie Glen ..... had the investment trust brigade rolling in the aisles at the Association of Investment Trust Compnaies' Scottish Dinner last Thursday. .... Glen's jokes came so thick and fast that AITC director-general Daniel Godfrey was at one stage concerened his outgoing chairman Alex Hammond-Chambers might be 'at risk of dying from oxygen starvation'."
The ARRAN BANNER wrote:- "Who would have guessed that a career as a prison governor could provide the theme for so much wisdom and so many hilarious stories along the way? His talk was nothing less than brilliant and Rotarians could have listened to him for hours if they could have coped with the exhaustion of so much laughter."
The CAITHNESS BUSINESS INDEX stated:- "As well as a three course dinner and delicious drams of Old Pulteney, guests enjoyed a hilarious performance by Robbie Glen, Scotland's leading after dinner speaker."
IAN BUCHAN in the EVENING TIMES wrote-
.......... Robbie Glen is one of the finest after-dinner speakers you're likely to hear.
BRIAN MEEK from the GLASGOW HERALD wrote -
Speak to Ayr Guildry , a fine bunch of men. Robbie Glen , the deputy governor of Barlinnie , brings the house down I quietly take a note of the best ones .
COCKBURN'S Diary in the Sunday Times wrote-
Robbie Glen ......... had them rolling in the aisles . This man should carry a government health warning he is seriously funny.
THE BUTEMAN wrote -
............... entertained by a comic talent to match any of the Winter Garden's ghosts. ......... he (Robbie Glen) is a member of the Variety Club of Great Britain due to his work on behalf of handicapped children. His gift for making people laugh is surely entry qualification alone for that worthy organisation.
THE BUSINESS DIARY of THE HERALD wrote -
Robbie Glen ............ had the 1000 guests of West of Scotlands branch of the Institute of Petroleum's annual dinner rolling in the aisles earlier this week.
MARIAN PALLISTER in the EVENING TIMES wrote-
But there is more to Robbie Glen than his profession. There is the very public wit, whose after-dinner speeches have them chewing on their napkins to hold back the guffaws. Then there is the private caring father who is devoted to giving the very best quality of life to his daughters, Avril and Katy.
JOHN GIBSON of the EDINBURGH EVENING NEWS wrote-
But is it really good for the digestion doubling up so heartily on a full stomach? .... Yes, Robbie Glens address went down a storm.
TERRY WOGAN in the WOMANS WEEKLY wrote -
I well remember as President of Lords Taverners learning the hard way, that if there was ever a Scottish prison governor on the list of speakers, I should speak first.
Find out how to book Robbie Glen as the motivational & inspirational speaker for your next event by calling SpeakOut! on 020 8914 8966 or clicking the button below.


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"There are many examples of old, incorrect theories that stubbornly persisted, sustained only by the prestige of foolish but well-connected scientists. ... Many of these theories have been killed off only when some decisive experiment exposed their incorrectness. ... Thus the yeoman work in any science, and especially physics, is done by the experimentalist, who must keep the theoreticians honest." Michio Kaku
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The growing popularity of tablet PCs in the enterprise is producing a noticeable increase in wireless networking adoption, according to analysts.
Ovum's Tim Renowden and Nicole McCormick have noted the increased usage of iPads and other tablet devices is putting pressure on IT managers to look at deploying technologies which provide faster wireless networking speeds.
"I think it's fair to say that increasing use of PCs and data-hungry tablets on wireless networks will cause a massive boost in network traffic, driving investment in next-generation wireless access technologies like HSPA+ and LTE," Renowden said.
McCormick said pressure to increase data flow rates would ultimately fall on IT managers.
"Employee demand for tablets will make life more difficult for some IT managers," she said.
"For example, let's say an employee adds a tablet to its laptop for work purposes. Managing this scenario will be more difficult for an IT manager especially if all files are stored on these device's local hard drives. In turn, this will likely push IT managers to establishing some sort of centralized content management system, such as an internal data base or outside Cloud site."
Renowden agreed, stating the popularity of tablets would force the issue of mobile device management on IT managers.
"Provisioning and managing tablets is a similar process to managing a fleet of smartphones -- one major issue is the complexity that arises when employees demand their own preferred model."
Gartner's principal research analyst, Bjarne Munch, said the increased demand for wireless networks would result in IT managers taking a second look at their security measures.
"New devices, such as the iPad, are being pushed into the enterprise placing pressure on especially security solutions which must be deployed on these new devices," Munch said.
"These devices are emerging as new all integrated communications devices supporting voice, video and email/instant messenger. This is effectively just another driver for the all-wireless office."
As well as this, Munch conceded that the security pressures associated with tablet devices may result in 2011 being a year of network re-architecture for IT managers.
"This will not only require that these wireless solutions can support voice and video but it also means that the enterprise needs to consider how to redesign their office network for a tighter integration of WLAN with wired LAN," he said.


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Blogger Recogniton Award
I recently got nominated to do this by Ivanasmakeupworld. Check her blog out! She is absolutely gorgeous and her makeup skills are to die for. Here are the rules 🙂 Write a post to show your award Give a brief story on how your blog started Give two advises for new bloggers Thank whoever nominated… Continue reading Blogger Recogniton Award


text: I just broke my A string last night. I bought my bass used and didnt replace the strings at first cuase i am just learning though since now i need new strings what should i get, i want some thats easy to play and has a nice rock sound to it. And i know niothing about strings really.


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Job Responsibilities:
Part of the Research team working continuously to improve Shield Square's bot-human classification engine.
Analyze billions of web page visits per month amounting to many terabytes of data and apply state-of-the-art Data Science/ML tools to derive new patterns.
Build and own custom classification engines for novel use cases and high priority customer requirements.
Excellent quantitative skills and knowledge of statistics
Interest in learning and applying the learnings to achieve the objectives.
Interest in experimentation and data-driven improvisation
Interest in building and owning prototypes of end-to-end modules for proof-of-concept
Any of the following qualifications are preferred:
Knowledge of SQL/Visualization tools/Python: Pandas, Scipy suite, Tensorflow, Keras
Completion of online courses in Data Science/ML domain
Participation in Data Science/ML competitions
Contribution in open source projects
Experience in solving real-world Data Science problems
Knowledge of Machine Learning and Deep Learning techniques
Experience in A/B testing, controlled experiments
What's in it for you?
Experience in working on billions of newly generated data points per month (many terabytes of data) using cutting-edge Data Science tools.
Experience in R&D of real-time bot-human classification engine handling 1000s of request per second
Work and learn as part of the cross-functional R&D team (some with PhD) building the industry leading bot-human classification engine
Play a high impact role in a setting where data-driven improvements are pushed to production code on a daily basis.
All our team members are IIT Graduate


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What I noticed is that some versions are as long as this version, but they still have the guitar solo instead of "Well I am what I am thank God. Some people just don't understand. Find yourself first, and then you[?] too[?], he says: Find yourself first, don't you be no fool."
I think Jimi didn't like these verses, and replaced them with a guitar solo. S724 doesn't contain the guitar solo. The whole track seems unfinished to me. Jimi even starts to mumble at the end, unsure of his words.
The so-called 'Message To Love - Mixing Session [1]') of "Studio 70 revised 2005" has "Well I ..." which is immediately cut off, and then the guitar solo starts, really weird.


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HOME | About MTI | Int'l Distributors | Order Support Center | Customer Login | Order Status | Contact Us
EQ-SKJ-BG1650 is a 1650°C max. Bridgman furnace for directional solidification of Polycrystalline Ingots upto 37mm diamerter. Three individual controlled heating modules & speed adjustable cooling fans at furance exit provide advantages to create larger temp. gradient at the melt/crystal interface as needed. Automatic crucible retrieving system enables the most convenient way for sample loading/unloading. Optional crucible rotation stage can be added at additional cost for single crystal ingot growth. Basic Specifications:
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|Assistant Coach
|Alma Mater:
|Graduating Year:
|3 Years
Maddy Norton is currently in her third season at Holy Cross as an assistant women's ice hockey coach in 2018-2019.
Norton came to Holy Cross in 2016 after spending the two previous seasons as a graduate assistant coach at Franklin Pierce, as the Ravens went 37-14-2 overall during that span.
Joining Franklin Pierce in 2014, Norton primarily focused on defense during practices and games, while keeping active in recruiting and evaluating on-ice performance. She managed the penalty kill during the 2015-2016 season.
In addition to creating and coordinating the preseason, in-season and post-season workouts, Norton's roles at Franklin Pierce also involved tagging and breaking down game video and updating the team's social media accounts.
Prior to Franklin Pierce, Norton began her coaching experience during the summertime, where she worked with youth hockey teams while serving as a Hockey Camp Counselor for both Chelsea Piers in Stamford, Conn. (2012 and 2013) and Dynamic Skating in North Andover, Mass. (2008).
Norton was a four-year member of the Union College women's ice hockey team from 2010-2014, serving as team captain during her junior and senior seasons. As a senior, she led the team with 21 points and was ranked near the top of the nation in power play assists and blocked shots.
As a Dutchwoman, Norton also earned honors including All-ECAC Hockey Academic Selection (2011-2013), Rookie of the Year in 2011 and the Hana Yamashita Coaches Award in 2014.
Norton holds an M.B.A. in Human Resource Management from Franklin Pierce and a Bachelor of Arts in American History from Union.


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Luxury Restaurant is another responsive HTML template built with Twitter Bootstrap with clean, minimalistic design for all your projects, If you want to download a bootstrap responsive template tutorial ,then Luxury Restaurant is works for you best.
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May 28, 2018
- renown (noun)
- \rih-NOUN\
- What does it mean?
- : a state of being widely known and highly honored : fame
- How do you use it?
- "Your place of employment is a nightclub of great renown, across the river -- a place of high fashion and low prices, a jumpy joint." (E. B. White, _The Trumpet of the Swan_)
- Are you a word wiz?
We trace "renown" to the Latin word "nominare." What do you think "nominare" means?If you named D as the answer, you are correct. Latin speakers formed the verb "nominare" from their noun "nomen," meaning "name." "Nominare" passed into Anglo-French (the French language used in medieval England) as "nomer," meaning "to name." Anglo-French speakers combined "nomer" with "re-" to form "renomer," meaning "to report, speak of." "Renomer" evolved into "renoun" which passed into Middle English and eventually became "renown."


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Time: Mon Aug 25 18:38:19 1997 by usr04.primenet.com (8.8.5/8.8.5) with SMTP id PAA09880; Mon, 25 Aug 1997 15:51:26 -0700 (MST) Date: Mon, 25 Aug 1997 15:49:55 -0700 To: (Recipient list suppressed) From: Paul Andrew Mitchell [address in tool bar] Subject: SLS: FOIA See the Gilbertson case files in the Supreme Law Library ("SLL"), which contain the Citizen's Guide to the FOIA/PA, as an attached exhibit. The SLL is at the URL just below my name here: /s/ Paul Mitchell http://www.supremelaw.com At 03:18 PM 8/25/97 -0700, you wrote: >Paul I have an ongoing situation with the IRS, notice of levys, and notice >of lien stuff, I am about to prepare a FOIA reguest, and also send a >revocation of all signitures, wonder if you have some samples you could >email me. > > >Thanks >Mike > > ======================================================================== Paul Andrew Mitchell : Counselor at Law, federal witness B.A., Political Science, UCLA; M.S., Public Administration, U.C. Irvine tel: (520) 320-1514: machine; fax: (520) 320-1256: 24-hour/day-night email: [address in tool bar] : using Eudora Pro 3.0.3 on 586 CPU website: http://www.supremelaw.com : visit the Supreme Law Library now ship to: c/o 2509 N. Campbell, #1776 : this is free speech, at its best Tucson, Arizona state : state zone, not the federal zone Postal Zone 85719/tdc : USPS delays first class w/o this As agents of the Most High, we came here to establish justice. We shall not leave, until our mission is accomplished and justice reigns eternal. ======================================================================== [This text formatted on-screen in Courier 11, non-proportional spacing.]
Return to Table of Contents for
Supreme Law School: E-mail


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iPhone 3G for lawyers
Filed under: iPhone iPad iOS | Tags: Apple, iPhone iPad iOS |
I got to say, I love my iPhone. It is a great convergence device: phone, music player, calendar, web browser, camera, map and GPS; all in one device. I previously had the first generation iPhone and after a trip to Denver on launch day (line was too long at the Park Meadows Apple), and a second trip the following day, my wife (another lawyer) and I got our 3g iPhones.
I won't go in to the third trip to get the white one exchanged for business black model, except to say, it was worth it. Oh, they only had the white one when you went? You are right, in a case it looks just like a black one (almost). It is fine. Really.
If all of this seems rather obsessive and reminiscent of the "tullip craze," you just stick with your Treo.
There are tons of 3G iPhone reviews so I will try to direct my mini-review to a lawyer's use of the iPhone, or "How to Justify Your Techno-Lust to Your Office Manager Without Coming Off as a Total Fan-Boy Whose Income to Expenses Ratio *Really* Needs to be Reviewed."
I primarily use the iPhone, (un?)surprisingly, as a phone. Along with a virtual PBX service like RingCentral or GrandCentral, the iPhone is a great way to let my clients reach me anywhere I may be without having to rely on a receptionist not picking up a call in time or not being able to find me. Client's call one number and it always reaches me where ever I may be.
I also use the Aliph Jawbone 2 Bluetooth headset which lets me take calls on the go. I have the iPhone mounted in my car which allows me to see who is calling via the very nice, large, clear display.
Which brings me to my second use of the iPhone: the camera. I use the iPhone to photograph all of my clients and associate the picture with their contact. So, whenever a client calls, their picture comes up. It may seem like a little thing but a photograph is an excellent mnemonic for helping you remember who you are talking to and the status of their case.
After or even during a call, I can pull up the Notes application and notate the critical points of the call and then email them back to my office for future reference. With the Evernote app, I am even toying with the idea of having Evernote folders for each client and just adding phone notes directly from the iPhone which will then sync directly to my desktop.
iPod. I know what you are thinking, "The iPod is a *non-business* use!" Au contraire mes amie. I have used the iPod to listen to CLE courses and I use it daily to listen to podcasts during my commute to stay current on technological advances and marketing. As you probably already know, the iPhone handles calls while listening to the iPod beautifully: the sound of the podcast fades away (and the podcast is paused) and the phone rings. After the call, the podcast fades back up.
I cannot even count the number of times I have used the Google maps function to search for businesses. If I am looking for a doctor's office, I just enter the name and I get a pin on the map. I can further select the name and get a phone number, which, I can click and call that office. Plus with the GPS in the 3G, I can not only get a route to that location, but also see exactly where I am on. Now the GPS is not as good as a full featured GPS, but you could make that same complaint of the camera not being as good as a stand alone camera. Both criticisms are correct. However, both miss the point: you now have a camera, gps, browser, iPod, datebook, etc in one device aka in one pocket. Consider how many electronic gizmos you won't have to cram into your Dockers? Even Batman does not use a utility belt anymore.
And syncing of events and contacts over Mobile.Me. Yes, there have been a lot of problems – or so I read. For me, it has just worked. If a client needs to change a phone number when I am out of the office, I just update their contact record and the office is updated automatically. Same goes for adding or changing appointments. No need to sync to make these changes, they just happen over the air.
But do you really need 3g when many of these functions are available in the 2.0 software.
You are still using a black and white printer, aren't you? And your secretary has a 15 inch monitor, doesn't she? Is it a CRT? Dell.com – I'm just saying.
While you do get a lot of the functionality I have described in just by using the 2.0 software on a first generation iPhone, there are several advantages of upgrading to 3G:
- It is significantly faster. If you ever have to look up a case or address or anything using the iPhone, you will immediately appreciate the speed boost of 3G.
- The sound quality is much improved. The telephone audio quality is noticeably improved and the speakerphone is much louder, which makes it much more usable.
- If you are on a 3G network during a call, you can still access the web during the call. If you ever needed to look something up during a call, you will appreciate this function.
If you have read other reviews, you know there is also plenty to criticize Apple over: no cut and paste (oh come on, it is a year later!), no voice dialing, not turn-by-turn GPS, no tethering, no improved camera, no video, no editing of documents (though I never understood this personally), and fewer devices will charge it.
That is the agony and the ecstasy of Apple: offering just enough to make you want a product and withholding items so basic that you want to pull your hair out.
If any of these omissions is a deal breaker, then the iPhone is probably not for you. Otherwise, the iPhone 3G offers solid performance in every feature it offers, with a great UI, great overall user experience, wrapped up in a very attractive package.


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and here if you want it...
Sunday, 22 August 2010
and here if you want it...
8 comments:
This free form flower is lovely.I am just going to have to give it a go.I have been reading your update on the Knit & Natter group.I belong to one in my home town & we have such a laugh as well.We often have a charity project on the go.I recommend going to a group ,its certainly good for the soul!!ReplyDelete
It's definitely a success Suz. Love the clematis.....ReplyDelete
It's no wonder you can't wait for winter, that is gorgeous!ReplyDelete
Love it , love it!!!ReplyDelete
Hey I love your gorgeous blog, what a breath of fresh air! I"m a bit over winter but I will miss the cosy nights. Making things seems easier in winter too..I'm off now to have more a look at your space xoReplyDelete
So wacky love the flower. Winter wont be long.What nextReplyDelete
mmm a whole lot more flowers? hehehe l have a serious addiction to flowers and there's no hope for me heheheReplyDelete
I looooove your cowl!!!!!!!!!It's gorgeous, and so funny! BRAVO!ReplyDelete


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Heart failure (HF) or Congestive Heart Failure (CHF) is a physiologic state in which the heart cannot pump enough blood to meet the metabolic needs of the body.
Heart failure results from changes in the systolic or diastolic function of the left ventricle. The heart fails when, because of intrinsic disease or structural it cannot handle a normal blood volume or, in absence of disease, cannot tolerate a sudden expansion in blood volume.
Heart failure is not a disease itself, instead, the term refers to a clinical syndrome characterized by manifestations of volume overload, inadequate tissue perfusion, and poor exercise tolerance. Whatever the cause, pump failure results in hypoperfusion of tissues, followed by pulmonary and systemic venous congestion.
Because heart failure causes vascular congestion, it is often called congestive heart failure, although most cardiac specialist no longer uses this term. Other terms used to denote heart failure include chronic heart failure, cardiac decompensation, cardiac insufficiency, and ventricular failure.
Nursing Care Plans
Nursing care for patients with heart failure includes support to improve heart pump function by various nursing interventions, prevention, and identification of complications, and providing a teaching plan for lifestyle modifications.
Here are 16+ nursing care plans (NCP) for patients with Heart Failure:
- Decreased Cardiac Output
- Activity Intolerance
- Excess Fluid Volume
- Risk for Impaired Gas Exchange
- Risk for Impaired Skin Integrity
- Deficient Knowledge
- Decreased Cardiac Output
- Excess Fluid Volume
- Acute Pain
- Ineffective Tissue Perfusion
- Hyperthermia
- Ineffective Breathing Pattern
- Activity Intolerance
- Ineffective Airway Clearance
- Impaired Gas Exchange
- Fatigue
- Other Nursing Care Plans
Decreased Cardiac Output
Decreased Cardiac Output: Inadequate blood pumped by the heart to meet metabolic demands of the body.
- Decreased Cardiac Output
May be related to
- Altered myocardial contractility/inotropic changes
- Alterations in rate, rhythm, electrical conduction
- Structural changes (e.g., valvular defects, ventricular aneurysm)
Possibly evidenced by
- Increased heart rate (tachycardia), dysrhythmias, ECG changes
- Changes in BP (hypotension/hypertension)
- Extra heart sounds (S3, S4)
- Decreased urine output
- Diminished peripheral pulses
- Cool, ashen skin; diaphoresis
- Orthopnea, crackles, JVD, liver engorgement, edema
- Chest pain
Desired Outcomes
- Patient will display vital signs within acceptable limits, dysrhythmias absent/controlled, and no symptoms of failure (e.g., hemodynamic parameters within acceptable limits, urinary output adequate).
- Patient will report decreased episodes of dyspnea, angina.
- Patient will Participate in activities that reduce cardiac workload.
|Nursing Interventions
|Auscultate apical pulse, assess heart rate, rhythm. Document dysrhythmia if telemetry is available.
|Tachycardia is usually present (even at rest) to compensate for decreased ventricular contractility. Premature atrial contractions (PACs), paroxysmal atrial tachycardia (PAT), PVCs, multifocal atrial tachycardia (MAT), and atrial fibrillation (AF) are common dysrhythmias associated with HF, although others may also occur.
Note: Intractable ventricular dysrhythmias unresponsive to medication suggest ventricular aneurysm.
|Note heart sounds.
|S1 and S2 may be weak because of diminished pumping action. Gallop rhythms are common (S3and S4), produced as blood flows into noncompliant chambers. Murmurs may reflect valvular incompetence.
|Palpate peripheral pulses.
|Decreased cardiac output may be reflected in diminished radial, popliteal, dorsalis pedis, and post tibial pulses. Pulses may be fleeting or irregular to palpation, and pulsus alternans (strong beat alternating with weak beat) may be present.
|Monitor BP.
|In early, moderate, or chronic HF, BP may be elevated because of increased SVR. In advanced HF, the body may no longer be able to compensate, and profound hypotension may occur.
|Inspect skin for pallor, cyanosis.
|Pallor is indicative of diminished peripheral perfusion secondary to inadequate cardiac output, vasoconstriction, and anemia. Cyanosis may develop in refractory HF. Dependent areas are often blue or mottled as venous congestion increases.
|Monitor urine output, noting decreasing output and concentrated urine.
|Kidneys respond to reduced cardiac output by retaining water and sodium. Urine output is usually decreased during the day because of fluid shifts into tissues but may be increased at night because fluid returns to circulation when patient is recumbent.
|Note changes in sensorium: lethargy, confusion, disorientation, anxiety, and depression.
|May indicate inadequate cerebral perfusion secondary to decreased cardiac output.
|Encourage rest, semirecumbent in bed or chair. Assist with physical care as indicated.
|Physical rest should be maintained during acute or refractory HF to improve efficiency of cardiac contraction and to decrease myocardial oxygen demand/ consumption and workload.
|Provide quiet environment: explain therapeutic management, help patient avoid stressful situations, listen and respond to expressions of feelings.
|Psychological rest helps reduce emotional stress, which can produce vasoconstriction, elevating BP and increasing heart rate.
|Provide bedside commode. Have patient avoid activities eliciting a vasovagal response (straining during defecation, holding breath during position changes).
|Commode use decreases work of getting to bathroom or struggling to use bedpan. Vasovagal maneuver causes vagal stimulation followed by rebound tachycardia, which further compromises cardiac function.
|Elevate legs, avoiding pressure under knee. Encourage active and passive exercises. Increase activity as tolerated.
|Decreases venous stasis, and may reduce incidence of thrombus or embolus formation.
|Check for calf tenderness, diminished pedal pulses, swelling, local redness, or pallor of extremity.
|Reduced cardiac output, venous pooling, and enforced bed rest increases risk of thrombophlebitis.
|Withhold digitalis preparation as indicated, and notify physician if marked changes occur in cardiac rate or rhythm or signs of digitalis toxicity occur.
|Incidence of toxicity is high (20%) because of narrow margin between therapeutic and toxic ranges. Digoxin may have to be discontinued in the presence of toxic drug levels, a slow heart rate, or low potassium level.
|Administer supplemental oxygen as indicated.
|Increases available oxygen for myocardial uptake to combat effects of hypoxia.
|Administer medications as indicated:
|Diuretics, in conjunction with restriction of dietary sodium and fluids, often lead to clinical improvement in patients with stages I and II HF. In general, type and dosage of diuretic depend on cause and degree of HF and state of renal function. Preload reduction is most useful in treating patients with a relatively normal cardiac output accompanied by congestive symptoms. Loop diuretics block chloride reabsorption, thus interfering with the reabsorption of sodium and water.
|Vasodilators are the mainstay of treatment in HF and are used to increase cardiac output, reducing circulating volume (venodilators) and decreasing SVR, thereby reducing ventricular workload. Note: Parenteral vasodilators (Nitroprusside) are reserved for patients with severe HF or those unable to take oral medications.
|ACE inhibitors represent first-line therapy to control heart failure by decreasing ventricular filling pressures and SVR while increasing cardiac output with little or no change in BP and heart rate.
|Antihypertensive and cardioprotective effects are attributable to selective blockade of AT1(angiotensin II) receptors and angiotensin II synthesis.
|Increases force of myocardial contraction when diminished contractility is the cause of HF, and slows heart rate by decreasing conduction velocity and prolonging refractory period of the atrioventricular (AV) junction to increase cardiac efficiency /output.
|These medications are useful for short-term treatment of HF unresponsive to cardiac glycosides, vasodilators, and diuretics in order to increase myocardial contractility and produce vasodilation. Positive inotropic properties have reduced mortality rates 50% and improved quality of life.
|Useful in the treatment of HF by blocking the cardiac effects of chronic adrenergic stimulation. Many patients experience improved activity tolerance and ejection fraction.
|Decreases vascular resistance and venous return, reducing myocardial workload, especially when pulmonary congestion is present. Allays anxiety and breaks the feedback cycle of anxiety to catecholamine release to anxiety.
|Promote rest, reducing oxygen demand and myocardial workload.
|May be used prophylactically to prevent thrombus and embolus formation in presence of risk factors such as venous stasis, enforced bed rest, cardiac dysrhythmias, and history of previous thrombotic episodes.
|Administer IV solutions, restricting total amount as indicated. Avoid saline solutions.
|Because of existing elevated left ventricular pressure, patient may not tolerate increased fluid volume (preload). Patients with HF also excrete less sodium, which causes fluid retention and increases myocardial workload.
|Monitor and replace electrolytes.
|Fluid shifts and use of diuretics can alter electrolytes (especially potassium and chloride), which affect cardiac rhythm and contractility.
|Monitor serial ECG and chest x-ray changes.
|ST segment depression and T wave flattening can develop because of increased myocardial oxygen demand, even if no coronary artery disease is present. Chest x-ray may show enlarged heart and changes of pulmonary congestion.
|Measure cardiac output and other functional parameters as indicated.
|Cardiac index, preload, afterload, contractility, and cardiac work can be measured noninvasively by using thoracic electrical bioimpedance (TEB) technique. Useful in determining effectiveness of therapeutic interventions and response to activity.
|Monitor laboratory studies:
|Elevation of BUN or creatinine reflects kidney hypoperfusion.
|May be elevated because of liver congestion and indicate need for smaller dosages of medications that are detoxified by the liver.
|Measures changes in coagulation processes or effectiveness of anticoagulant therapy.
|May be necessary to correct bradydysrhythmias unresponsive to drug intervention, which can aggravate congestive failure and/or produce pulmonary edema.
|Prepare for surgery as indicated:
|Heart failure due to ventricular aneurysm or valvular dysfunction may require aneurysmectomy or valve replacement to improve myocardial contractility/ function. Revascularization of cardiac muscle by CABG may be done to improve cardiac function.
|Cardiomyoplasty, an experimental procedure in which the latissimus dorsi muscle is wrapped around the heart and electrically stimulated to contract with each heartbeat, may be done to augment ventricular function while the patient is awaiting cardiac transplantation or when transplantation is not an option.
|Other new surgical techniques include transmyocardial revascularization (percutaneous [PTMR]) using CO2 laser technology, in which a laser is used to create multiple 1-mm diameter channels in viable but underperfused cardiac muscle.
|Assist with mechanical circulatory support system, such as IABP or VAD, when indicated.
|An intra-aortic balloon pump (IABP) may be inserted as a temporary support to the failing heart in the critically ill patient with potentially reversible HF. A battery-powered ventricular assist device (VAD) may also be used, positioned between the cardiac apex and the descending thoracic or abdominal aorta. This device receives blood from the left ventricle (LV) and ejects it into the systemic circulation, often allowing patient to resume a nearly normal lifestyle while awaiting heart transplantation. With end-stage HF, cardiac transplantation may be indicated.
See Also
You may also like the following posts and care plans:
- Nursing Care Plan: The Ultimate Guide and Database – the ultimate database of nursing care plans for different diseases and conditions! Get the complete list!
- Nursing Diagnosis: The Complete Guide and List – archive of different nursing diagnoses with their definition, related factors, goals and nursing interventions with rationale.
Cardiac Care Plans
Nursing care plans about the different diseases of the cardiovascular system:
- Angina Pectoris (Coronary Artery Disease) | 4 Care Plans
- Cardiac Arrhythmia (Digitalis Toxicity) | 3 Care Plans
- Cardiac Catheterization | 4 Care Plans
- Cardiogenic Shock | 5 Care Plans
- Congenital Heart Disease | 5 Care Plans
- Heart Failure | 16+ Care Plans
- Hypertension | 6 Care Plans
- Hypovolemic Shock | 4 Care Plans
- Myocardial Infarction | 7 Care Plans
- Pacemaker Therapy | 7 Care Plans