text:
Comparison of Allogenix Plus Demineralized Bone Matrix and Autogenous Bone Dust Versus Autogenous Bone Dust Alone in Ossification of Small Calvarial Defects, a Pilot Study. (DBM)
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The skull is made of multiple bones that are separated from each other at the time of birth through sutures (joints). These sutures (open spaces) allow for growth of the brain resulting in growth of the skull bones. These sutures close at different stages of life, the metopic suture is the earliest one to close at 2 years old and the latest at 26 years old. If these sutures (open spaces) close prematurely the patient develops craniosynostosis. This will result in lack of growth of the skull perpendicular to the suture line and increased growth parallel to the suture. There are different degrees of craniosynostosis that will result in anything from a slight ridge along the suture line to abnormal head shape causing constriction of the brain, developmental delays, and elevated intracranial pressure. Patients with significant abnormal head shape or patients showing any developmental delay will undergo surgical intervention. The surgery is called Cranial Vault Remodeling and it consists of opening the scalp to access the skull bones involved, then removing the bones from the underlying brain, reshaping and expanding the bone, and placing them back to protect the brain. The skull bones are held together with absorbable plates. Because the skull bones are expanded to allow for adequate brain growth there are gaps that are left without any bone. Some of these gaps are filled in with the left over small bony pieces. Other gaps are filled in with even smaller pieces of left over bone that is placed in a saw mill to form bone dust. Often, the amount of bone dust and bone pieces is not enough to fill in all the gaps. When the gaps are left unfilled it usually takes longer for these areas to be filled by the patient's own bone. This means that the brain underneath these gaps is left unprotected until they are covered with bone. At times, primarily in children 18 months or older, we find that these gaps are never fully filled requiring the child to undergo a second surgery in which bone is taken either from the ribs or the skull to fill in these gaps.
In this study we want to compare the effectiveness of a bone substitute (Allogenix Plus), a product derived from a dead human being that has chosen to donate it prior to dying, with bone dust , the patient's own bone pieces, in filling in these gaps versus bone dust alone. We will compare the percent of defect filled at 1 year in 5 patients 18 months or older with metopic craniosynostosis that received the bone substitute plus their bone dust with 5 previously operated patients with similar characteristics that received bone dust alone to fill in the gaps. The bone substitute that we are using will be provided at no cost by the company Biomet Microfixation. The bone substitute Allogenix Plus undergoes extensive screening for infectious diseases as well as processing to prevent a rejection. The product will be applied during standard surgery to 5 patients with metopic craniosynostosis of 18 months or older with skull defects no larger than 25 cm2, so it does not require any additional surgeries. Aside from the placement of this bone substitute the patient will proceed to receive the standard of care which includes a pre-operative CT scan, immediate post-operative CT scan, and 1 year post-operative CT scan of the Head. We will review these scans and look at percent of bony growth in the bone substitute plus bone dust group . We will also see the patients in clinic, during standard of care follow-up visits at 1 week, 3 weeks, 6 weeks, 12 weeks, 6 months, and 1 year post-operatively. During clinic visits we will monitor the patient closely for any potential side effects of the bone substitute as well as complications of the surgery. We will then review the charts of 5 patients 18 months or older that have undergone surgery for metopic craniosynostosis until 5 patients with similar characteristics and defect size have been obtained. We will compare their post-operative CT scans and pictures and we will look at bone growth, bone resorption, bone gaps present, and need for secondary surgeries.
Condition | Intervention | Phase |
Metopic Craniosynostosis |
Biological: Allogenix Plus |
Phase 4 |
Study Type: | Interventional |
Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
Official Title: | Comparison of Allogenix Plus Demineralized Bone Matrix and Autogenous Bone Dust Versus Autogenous Bone Dust Alone in Ossification of Small Calvarial Defects, a Pilot Study. |
- Percentage of ossification [ Time Frame: 1 year ] [ Designated as safety issue: No ]
Estimated Enrollment: | 5 |
Study Start Date: | October 2009 |
Estimated Study Completion Date: | October 2011 |
Estimated Primary Completion Date: | May 2011 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
Active Comparator: Bone substitute
This group will receive allogenix plus demineralized bone matrix to fill in calvarial gaps after cranial vault remodelling and fronto-orbital advancement.
Biological: Allogenix Plus
It is a demineralized bone matrix obtained using cortical or cancellous allograft bone that is treated to remove surface lipids and then dehydrated with ethanol and ethyl esther. It is further processed leaving behind proteins, bone growth factors, and collagen. It is combined with lecithin a which is resistant to breakdown by body fluids. It contains Pro Osteon Implant 500R a naturally derived material made from a non-decorative form of coral, which is subject to a patented thermal process, which converts the coral to hydroxyapatite. Following the conversion the material is no longer coral but a composite of highly resorbable calcium carbonate with a slower resorbing outer layer of calcium phosphate. The material retains the porous, interconnected architecture of coral which gives it a similar structure to cancellous bone, which provides a pathway for bony ingrowth.
Other Name: Allogenix Plus
Show Detailed Description
Ages Eligible for Study: | 18 Months to 36 Months |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Children between the ages of 18 months and 36 months with metopic craniosynostosis undergoing cranial vault remodeling with defects 25 cm squared or less
Exclusion Criteria:
- Allergic reaction to any of the components of the bone substitute Allogenic Plus.
No publications provided
Responsible Party: | Arshad Muzaffar MD., University of Missouri -Division of Plastic Surgery |
ClinicalTrials.gov Identifier: | NCT01006148 History of Changes |
Other Study ID Numbers: | IRB 1146218 |
Study First Received: | October 30, 2009 |
Last Updated: | June 29, 2010 |
Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Missouri-Columbia:
Metopic Craniosynostosis |
Additional relevant MeSH terms:
Craniosynostoses Synostosis Dysostoses Bone Diseases, Developmental Bone Diseases |
Musculoskeletal Diseases Craniofacial Abnormalities Musculoskeletal Abnormalities Plagiocephaly Congenital Abnormalities |
ClinicalTrials.gov processed this record on March 13, 2014


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General News
» Schiano Still Facing Questions Regarding Freeman
September 27, 2013 @ 5:21 pm
Current rating:
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Schiano Still Facing Questions Regarding Freeman
Written by
Greg Schiano has sprinted into Week 4 in efforts to avoid Freeman questions
Cliff Welch/PR
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Beat Writer
Head coach Greg Schiano doesn't want to talk about Josh freeman. He let the media know that on Friday. But questions remain regarding the active status of the former Buccaneer captain and how the team has handled the adversity. Schiano faced those questions head-on.
In less than 48 hours, the Buccaneers will play host to the Arizona Cardinals with rookie Mike Glennon as the new starting quarterback. Preparation immediately started for the game with the rookie getting his first official reps as a starter on Wednesday. It was then revealed by head coach Greg Schiano that quarterback Josh Freeman was going to be the team's backup to Glennon. On Friday, Schiano hinted that the five-year veteran and former team captain may be inactive for Sunday's game.
Visibly irritated with the attention that the benching of Freeman has gotten, Schiano stated that a decision on that has not officially been made.
"I feel like this has been a focus all week," Schiano said. "I'm not going to go there. 90 minutes before the game, I'm going to name who our active 46 players are, the guys that are up and we're going to play. I'm locked in now and our team is locked in. I'm done discussing all that other stuff. Let's go win a game. That's our goal and that's what I'm locked in on."
While he says he may be locked in for this weekend's games, the team has had to deal with the media circus as well. However, Schiano says they have all handled it well and ready to go.
"That's what we do, that's what professionals do," Schiano said. "There's always going to be noise out there, you have to push the noise out of your brain and you've got to do your job. I would be kidding you if I said there hasn't been anything that I had to do this week that I normally wouldn't have to do. As I often think, you can't make that time up. If you have a job to do and you have to do it in that allotted time, when you're called away by other things, whatever they may be, well now you have to figure out. You either sleep less or you delegate more. There are always those things that are up. But it's not always just something like this week, there a tons of things that come up in a year. You've just got to figure it out and whoever handles it best usually finds a way to win, with all other things being equal, obviously."
Part of dealing with adversity is the team moving forward with the change. Several players were asked about the change at quarterback and many responded with the same answers along the lines of them not being against the move and appear to be ready to move forward with Glennon as their new signal caller. Main reason for that is the commitment and preparation the rookie has demonstrated to this point.
"When you guys talked to him the other day, I think he made mention of he played in a pro-style offense for five years," Schiano said. "[Former North Carolina State offensive coordinator] Dana Bible is an excellent coach - I've coached against Dana a number of times over the years - and [former North Carolina State Head] Coach [Tom] O'Brien is an excellent coach. Certainly, Mike's benefitted from his experience at North Carolina State, without a doubt. Again, when you come from a football family and all that stuff [it helps]. Mike stood up here - I watched his press conference - He stood up here and he made the statement 'I've been dreaming of this my whole life' and 'I've been preparing for this my whole life.' This guy is a football junkie and this is what he loves to do, so I'm excited for him. Now you've got to go do it."
Don't expect any difference in offensive scheme just because Glennon is in there. Schiano said they will stick to doing what makes them who they are.
"We'll be balanced. It doesn't matter who we're going against, we're going to run the football, it's who we are," Schiano said. "We'll be balanced with [the] pass and I'm totally confident in our pass game with [quarterback] Mike [Glennon]. I think it's going to be, run our deal, handle those three front guys, for sure, and those two inside backers for sure. And [the Cardinals have] that corner out there, No. 21 [Patrick Peterson], who's a pretty special player. There's enough - there's a lot of, I should say - threats out there that need to be handled, concern-wise. There will be some new guys in there but there's a heck of a lot of seasoned, grizzled vets."
The Cardinals' defense will undoubtedly make it difficult for the Bucs offense especially since they will be gamplanning to go up against a rookie quarterback. However, the quarterback change can prove to be beneficial for Tampa Bay in terms of the team rallying around their new leader.
For now, everything points to that very thing happening. They just hope it translates on to the field on Sunday.
Last modified on Friday, 27 September 2013 17:51
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Copyright © 2011 Pewter Report, PewterReport.com and Pewter Insider. All rights reserved. PewterReport.com, the official site of Pewter Report, is an independent source of news and commentary and is not affiliated with the Tampa Bay Buccaneers or the NFL.
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September 29, 2013
7:03 am
@mbutler592. LMAO, NJ wouldn't take Him BACK!!!!!!
September 28, 2013
3:02 pm
Schiano and his goon squad should leave ASAP !!!!!!! No clue not even a little one.
September 28, 2013
4:38 pm
Send the fake, wanna be toughguy punk BACK TO JERSEY!!!
September 28, 2013
3:04 pm
Yeah, they'll probably win this Sunday's LOSERBOWL at home.. Big Deal.. Oh yeah, I wanna thank my Dad for making me a Bucs fan at age 5... Except for 4 years of greatness it's been 30+ years of shame, disappointment and agony! Were all just some weird, remote control breaking, gluttons for punishment. From DeBerg, Young, Vinny, Chandler, Erickson, Dilfer, Sims, Garcia to Freeman, just another chapter in the historic saga of the MOST dysfunctional franchise in football. But boy, those 4-5 years of being a contender and a winner were GLORIOUS!!
September 28, 2013
2:45 pm
"Don't expect any difference in offensive scheme just because Glennon is in there. Schiano said they will stick to doing what makes them who they are." then that makes them losers.
September 28, 2013
2:45 pm
In a way it should be good that Glennon is in there in respect to the running game; they will have to make a serious commitment to it. Ground and pound and then let Glennon throw for 4 yards or less for first downs. Let's face it, the Bucs chances of winning is in pounding the ball and creating havoc on defense, old "Buc Ball". Here's to a new era of Buc Ball!
September 28, 2013
2:21 pm
I hope this comes back to haunt the Bucs, the same way cutting Doug Williams and Steve Young did! Schiano never liked Freeman, maybe it's his haircut who knows? The Bucs have alot more problems than the quarterback! IT'S A BUCS LIFE! (life of torture and misery!)
September 28, 2013
1:36 pm
sorry for that book of post. One quick one here: the are 3 options only: a) get Shiano into the scouting department, another HC; b) Get some/a great offensive mind(s) into his Coaching staff, one who understand modern AmericanFootball; c) Fire Shiano.. ------- of course Sully and the whole staff have to get evaluated in the coming games, because, now that they got their will(Freeman away), maybe they will start to play for real... Neverless: shiano could have got Freeman away in offseason and what he did is not acceptable (breaking Free in halfs) - only thing to he can do to safe is sorry face- wining. but it will cost draft posi..
September 28, 2013
1:28 pm
in a time, when 400 yard games by QB´s happen frequently, Shiano the one and only tries to go run first. okay.. We are living in a time, where spreading the defense out - making them defend the whole f´ing field - taking advantage of speed on offense and youre personal (including QB) makes you successful - Shiano relys on contested one-on-one (50-50) throws. AHA, good strategy.. Of course we need some balance, but the run should complement the pass and not dominate it (we dont even have a great o-line that could dominate all game/season long - Shoving people around at will i mean). Bostad can orchestrate one hell of a run game, but if people fill the box.. how about roll outs? QB running himself? Quick passes GETTING PEOPLE OUT IN SPACE. We could have there sth. with Jeff Demps, but if our Offensive Coord. and/or HC cant get him in playmaking positions.. Short: Sheme is on Offense is horrible, just take a look at what SEAN PAYTON is doing... Or a Manning/Brady-Welker combo. EAGLES.. damn, if DOM the Don just got us ChipKelly.. instead of that bonehead HC.. He can evaluate talent pretty damn good i gues, but it wont help us win games without a functional sheme. Ruining Freemans value.. there he did a great job. playing to his players strengh? not so.. Lindell still K instead of Dimke? What is that all about?? i cant understand it. Lets hope they get it straight - now that Shiano got what he wanted (Freeman out). Bad is: if we win too much, it was all for nothing (draft postiton). I hope the players will loose on purpose, just to get Shiano out - just like he did with Freeman (i am not defending Freeman, but coach clearly did no effort in helping him - that means - in WINNING with bucs).
September 28, 2013
1:41 pm
by not playing to Freemans strengths, we could even not evaluate his playing.. if Josh is worth keeping or not - Shiano seems not to be worth keeping so far.. (outside of drafting just bad decissions).
September 28, 2013
11:34 am
I would love to be back on the bandwagon who knows maybe stubborn Shiano will actually change his coaching style to suit pro athletes, maybe there will be (gasp) in game adjustments. Maybe glennon will shock the league like Wilson, kap etc. there's just too many ifs and not enough evidence. Fire the stupid Rutgers contingent (not zuttah) and those ifs will become more likely's. This debacle is not on the glazers I'm so impressed with their dedication this year and they deserve some serious love after the years of bashing. I also believe in Dom but lets leave the coaching hires to the glazers (dungy and Gruden).
September 28, 2013
5:33 am
Scubog, Freeman has been on the edge of that cliff the last four years. Having to earn that new contract on the field instead of hitting the draft lottery was to much for him. Freeman was handed his starting job since he's been drafted, he never competed for it. The pressure of stepping up, and earning something was the push that sent him over the edge.
September 28, 2013
4:09 am
OK Owlykat, please pay attention this one last time. # 85 is Kevin Ogletree NOT "Overstreet." And your favorite college QB is spelled T-E-B-O (wait for it) W. Schiano has cast his fate with his hand-picked QB as much as Mark Dominik may have with Freeman. The puzzling thing to me is why #5 fell off a cliff midway through the 2012 season.
September 28, 2013
4:22 am
The winless count down (or up) begins, 0-4........
September 28, 2013
2:49 am
I watched Glennon get flustered trying to pass against 3rd string Washington DBs, and we know likely those DBs didn't even make their team so any Polyannas left following Schiano's circus who believe that suddenly Glennon will be calm and collected and Glennon is just going to pick apart the Cardinal's veteran first string DBs, while dodging their veteran DEs and blitzes almost every down, and disguised defenses, while throwing to worthless Overstreet and unproven backup, Shepherd, are deluding yourselves! Since Shiano has no use for a mobile QB, which is why he would turn up his nose to coaching Tebo, and kept Freeman on a short leash in the pocket, he can enjoy watching as his immobile stick QB gets made the laughing stock of the NFL Sunday just as Schiano's dreams of being a winning NFL Coach also go up in smoke. That is exactly what he deserves for the way he has shattered the dreams of Buc fans this year expecting to see this very talented team go to the playoffs this year. I hope the wrath of the Glazers will be swift and decisive without inflicting even more pain seeing any more of Shiano's losing games with Sherman's defective end of game losing defenses, if he is ever again lucky enough to get that close. After this loss Sunday we will have been tortured enough.
September 27, 2013
10:24 pm
BucWild02: Not to be an a-hole, but those are terrible questions. If any real reporter asked those questions outside of a fluff piece, they would be laughed out of the room. If anything, they should be asking tougher questions, like: Why do you think the completion percentage has been so low this year? How long will it take you to acclimate to the pro game? How do you plan on improving your game from the preseason? As far as jumping on the bandwagon after his 72% completion, 325 yard passing, 3 TD game....are you related to him? I wish the young man all the luck in the world and will be rooting for him, but he'll be lucky to get 250 yards, 2 TDs, and complete 50% of his passes with the WR scrubs we're running out there this week.
September 27, 2013
9:34 pm
Hey Pewter Reporters: What about asking Glennon some non dramatic questions, like: What NFL QB or QB's do you study? What keys are most important in your preparation? Who's your favorite QB growing up? How excited are you to have Vince Jackson, Mike Williams, and Kevin Ogletree to throw to? What are your production expectations with this offense? What's the best game you've ever seen a QB play? How about some supportive questions for the new guy instead of questions about Freeman or replacing Freeman or will he live up to the high bar that Freeman set, yada yada yada.
September 28, 2013
3:11 pm
Yeah, or where he likes his sacks to come from. Or how well he can take a hit!
September 27, 2013
9:19 pm
Glennon will throw 24 of 33 for 325 and 3 TD's. All you haters will be right back on the bandwagon. You will be saying things like, "I sure am glad coach made a change and went with Glennon". Arizona 17 - Tampa Bay 31
September 28, 2013
4:05 pm
I hope so! but even if, it's Arizona at home. I would expect an elite College quarterback to do decent against the 28th ranked pass rush. The Bucs will run the ball alot and put him in short passing situations. Schianos' career is attached to Glennon doing well. All I"m saying, Arizona at home is not a true test.
September 27, 2013
8:20 pm
This has all become one big Soap Opera. ##SIGH##
September 27, 2013
7:42 pm
Warm up the bus! Warm up the bus! Warm up the bus!....your time is just about out Schiano....
September 27, 2013
7:29 pm
There is a lot that can be said about Schiano - how he is handling the Freeman situation and the relationship he is creating with the media, but why bother. From now on, I'm just going to count wins and losses. My opinion - better win!
September 27, 2013
6:33 pm
I think "circus media" is because we are 0-3 and Coach there are many questions yet to be asked and answered, and the media is lucky if you give them 12 minutes of your time to them in a press conference. Coach be happy that I am not in the Press because the first question I would ask is what year is this and if we are watching a Back to the Future Movie. Okay Coach so we are a running team? We better get more than 150 yards if we want to win this game since you told the Cardinals what we are and what we are going to do.
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Whatever your reason for transferring money to Saudi Arabia, we list the most comprehensive range of options. Perhaps you need to pay overseas tuition fees or make a downpayment on an expensive gift? MyCurrencyTransfer.com mission is to provide you with the help, advice and options to base your decisions. Transfer money to Saudi Arabia with full knowledge you have got the best deal.
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Transfer money to Saudi Arabia and get the best deal by comparing prices on MyCurrencyTransfer.com. If you are transferring money to Saudi Arabia for one of the following reasons, we can help you save money:
- Purchasing property in Saudi Arabia? | - Making a pension transfer to Saudi Arabia? |
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- Importing goods from Saudi Arabia? | - Regular overseas Payments to Saudi Arabia? |
- Large Money Transfer to Saudi Arabia? |
MyCurrencyTransfer.com can assist you transfer money to Saudi Arabia for whatever purpose or amount. Rather than getting ripped off by the banks with extortionate fees and high exchange rate margins, using a foreign exchange specialist can save you money on your foreign exchange transfers. Whether purchasing overseas property in Riyadh or making large money transfers to Jeddah, it is important to get the best rate of exchange. Exchange rate fluctuations on Saudi Riyal Money Transfers (SAR) can heavily impact on the end amount received. By speaking with a currency broker today you can ensure a fast, simple and cost-effective money transfer to Saudi Arabia, whatever the amount.
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Transfer Money to Saudi Arabia - Compare the world's leading foreign exchange companies | |||||||||||
Provider | Transfer type | Fee | Speed | FCA | HMRC | Guide Rate |
Amount received
for 2000 GBP |
Trust Accounts | Transfer Options | Quote/Apply | |
Bank to Bank Transfers | 0.00 GBP | 1 day | 6.1122 | 12,224 SAR | One Off Transfers Regular Payments Hedging Service FX Market Guidance Business FX Online Platform |
Get a Quote | |||||
Moneycorp | Our Verdict: Perhaps one of the most well known and established foreign exchange companies. Moneycorp have been in the industry for over 30 years, they started dealing in foreign exchange in 1979. Pride themselves on bank beating rates and lowest fees around. With over 600 employees and 11bn GBP traded in currencies last year, your money transfers are in safe hands. Offices in the UK (London), Spain and USA (Florida). | ||||||||||
Bank to Bank Transfers | 0.00 GBP | 1 day | 6.1112 | 12,222 SAR | One Off Transfers Regular Payments Spot Transaction Forward Contracts |
Get a Quote | |||||
Western Union Business Solutions | Our Verdict: A global leader in foreign exchange and a trusted international payments provider. Provide commercial exchange rates that are typically more competitive than the high street banks. No fees or commissions for larger transactions. HQ in London and operates in over 200 countries and territories (New York, Paris, Sydney, Toronto, Singapore, Hong Kong). More than 135 currencies available. | ||||||||||
Bank to Bank Transfers | 10.00 GBP | 1 day | 6.1102 | 12,220 SAR | One Off Transfers Regular Payments Forward Contracts Hedging Service Telephone Ordering |
Get a Quote | |||||
International Foreign Exchange | Our Verdict: International Foreign Exchange, set up in 2005. A dynamic, reputable and highly acclaimed FCA authorised currency specialist based in Mayfair, Central London. IFX combine world-class trading systems with flexible and highly personal account management capabilities. Firm with a global reach that serves corporate and private clients both in the UK and Europe, USA, Asia and Australia. | ||||||||||
Bank to Bank Transfers | 0.00 GBP | 1 day | 6.1092 | 12,218 SAR | One Off Transfers Regular Payments Spot Transaction Forward Contracts |
Get a Quote | |||||
The FX Firm | Our Verdict: Leading FCA Authorised foreign exchange specialist with a global client base. HQ in the UK with offices in the UAE. Quote extremely competitive exchange rates that regularly beat the banks. A strong commitment to safety and security of funds, The FX Firm protect all client funds in segregated 'client money accounts', held with Barclays Bank PLC. | ||||||||||
Bank to Bank Transfers | 5.00 GBP | 1 day | 6.1082 | 12,216 SAR | One Off Transfers Regular Payments Forward Contracts Order to Call/Buy Telephone Ordering |
Get a Quote | |||||
Smart Currency Exchange | Our Verdict: A well established firm set up in 2004, servicing clients globally. Smart can save you money on foreign exchange. Interestingly, their big USP is that Smart are one of the only UK based FX brokers that doesn't pay traders commission. This allows Smart employees to deliver superior customer service. Whether sending money from London, New York, Sydney, Paris or elsewhere, Smart will save you money. | ||||||||||
Bank to Bank Transfers | 7.00 GBP | 1 day | 6.1072 | 12,214 SAR | One Off Transfers Forward Contracts Online Dealing Telephone Dealing 24/7 Online Platform |
Get a Quote | |||||
UKForex | Our Verdict: UKForex has a market leading online foreign exchange platform. It is incredibly easy to send money abroad using UKForex, wherever you are. The USP is a 24 hour online platform and access to telephone dealers. In addition, they provide for telephone service that enables individuals and businesses to make and receive overseas foreign currency payments over the phone at highly competitive exchange rates. | ||||||||||
Bank to Bank Transfer | 4.75 GBP | 1-2 days | 6.1122 | 12,224 SAR | Local Bank Transfer Debit Card (Instant) 24/7 Online Platform |
Get a Quote | |||||
Global Web Pay | Our Verdict: Hassle free way to pay overseas - it is low cost and convenient to send money to bank accounts in over 35 countries. The process is quick, safe and easy - allowing you to transact online from everywhere 24x7. You can get the exact rate from a calculator on the front of the website before you commit or open an account. Customer support is excellent. | ||||||||||
Card to Cash |
Instant | 6.0436 | 12,087 SAR | Cash payout M-Wallet Direct to Bank Account |
Get a Quote | |||||
Western Union Money in Minutes | Our Verdict: The Western Union Money in Minutes service allows quick money transfer with cash payout in a matter of minutes at over 400,000 locations worldwide. Very simple registration process and an excellent way to take advantage of Western Union's vast global location network. You can pay online via debit or credit card and the money is generally available to be picked up within minutes. |
NOTE: The prices displayed above are an 'exchange rate guide' and for indicative purposes only. It may not be the exact final dealing rate that you receive when making an international payment. Exchange rates constantly change throughout the day and can change at the time of booking a trade. They are based on an average margin currency specialists generally will take - added to a near live interbank rate for your specified trade size. Rates can only be guaranteed at the point where a purchase of foreign currency is conducted either online or by telephone. To access a final dealing rate (otherwise you will only be quoted an 'indicative rate') you will need to open a free account with a foreign currency specialist above.
Click Quote / Apply on the provider best suited to your foreign exchange requirements.


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Middleton, NS Bay of Fundy & Annapolis Valley
t: 902-825-4506t: 866-765-2725e: evangelinechartertours.ca
Open year-round
Regular and customized tours; specialty tours including Acadian culture; receptive operator. Bilingual services.
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Our RegionsBay of Fundy & Annapolis ValleyCape Breton IslandEastern ShoreHalifax Metro
Northumberland ShoreSouth ShoreYarmouth & Acadian ShoresScenic Travelways
Linda, a surfer in Nova Scotia shares why Nova Scotia beaches are so beautiful. Planning Your Nova Scotia Beach Vacation: From white sand beaches, to smooth cobblestone beaches, to endless reaches of red sand along the Northumberland shore, each of our 125 salt and freshwater beaches has its own distinct character.


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Mr. Heater Big Buddy Carry Bag, F274889
Item # 612651
Key Features
Heavy polyester fabric construction
Nylon lining and foam padding
Zipper closure
Heavy strap handles
Our Price $34.99
Availability: Sold Out
Prices, promotions, styles and availability may vary by store and online.
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Mr. Heater Big Buddy Carry Bag, F274889This large, fully-enclosed, lined and padded polyester storage case is made to fit Mr. Heater Big Buddy Heater or similar size items with zipper closure and storage for 2 extra propane cylinders. Large enough to also hold a 12' hose for use with a larger propane tank. Great-looking, high-quality case will protect your heater from dust, dirt, and insects for many years. Heavy polyester fabric construction with nylon lining and foam padding. This bag includes a zipper closure and heavy strap handles. 18" x 16-½" x 10".
• Holds Mr. Heater Big Buddy Heater, 2 extra propane cylinders, and one 12' hose
• Heavy polyester fabric construction
• Nylon lining and foam padding
• Zipper closure
• Heavy strap handles


text:
Terrell Suggs
( Reuters photo / October 3, 2010 ) |
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Bring Cyclocross to the Olympics!
Cyclocross is growing rapidly in popularity in the US and elsewhere. Meanwhile its core followers are passionate, bordering on rabidity. Obscure sports (curling) and spectator unfriendly events (luge) abide at the Olympics; let's bring in a sport that's growing in popularity and is a blast to watch! Here's the fun part: we'll add it to the WINTER Games. The Winter Olympics lately have been held in cities with temperate climates, but near mountains (e.g., Vancouver and, yes, 2014's Sochi, Russia). Think: 45 degrees, rain...MUD. Then think about Danish, Dutch, Belgian, French and Italian -- and American, Russian, Chinese and Australian fans standing elbow-to-elbow under the Olympic rings, beers and cowbells in hand, heckling in their native tongues...it's really the Olympic dream, isn't it? We'll figure out where actually to send this petition; for now, please sign it and send it on!
Darrin Caruso
Cyclocross in the Olympics please !
George Uhl
If snow or ice is a requirement for eligibility as an Olympic sport then cyclocross can do both!
Dries Pintens
I am glad to support one of the most exciting sport to watch
Recent signatures
Darrin Caruso
3 weeks ago -
sekiya kazuyasu, Japan
4 weeks ago -
Yutaka Yano, Japan
4 weeks ago
Petition highlights
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Don Bamber, owner of Super Dog Treats, explains how his daughter, Shirley, started the company as part of a program of the Alberta, Canada, government. The leading ingredient in the treats is elk antler, intended to alleviate osteoarthritis in dogs.
Betsy Banks Saul, founder of www.petfinder.com, discusses the importance of helping animal shelters and rescue organizations and how petfood manufacturers can assist by donating food that may be close to expiration or with minor packaging defects.
Richard Erikson, LaBudde Group, and the feed ingredient company's companion animal Gracie, explain the importance of and benefits that animals can bring to people in times of need.
Bob Bresnahan, CEO Trilateral, discusses four dominant forces that drive price at Petfood Forum 2012. Understanding these forces is particularly important in times of market volatility.
Kristopher Figge, senior scientist at AFB International, provides details of research that evaluates the potential effects of kibble particle size on feline palatability at Petfood Forum 2012.
"It is a truly exciting time in the small mammal category; the market is exploding with opportunity for new and innovative products," stated Micah Kohles, DVM, at Petfood Forum 2012.
Petfood Forum went to the dogs on opening day of the 2012 event. There were at least a dozen dogs -- and a couple cats -- on hand getting the crowd's attention and some pets. We talked to several of the dogs to get their viewpoint of the event.
Betsy Bank Saul, founder of www.petfinder.com, a free service for rescue groups, shelters and pet adopters, discusses opportunities for petfood manufacturers to get involved in animal welfare efforts.
Betsy Banks Saul, founder of Petfinder.com, discusses their Train-to-Adopt program that helps make dogs and cats more likely to be adopted by providing mental stimulation for shelter animals.
Micah Kohles, DVM, director of technical services for Oxbow Animal Health, thinks innovative products will further drive consumer purchases in the fastly growing small animal market.
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Changes related to "1999-08-14 Stevie Johnston w pts 12 Angel Manfredy, Foxwoods Resort Casino, Ledyard, Connecticut, USA - WBC"
From Barry Hugman's History of World Championship Boxing
This is a list of changes made recently to pages linked from a specified page (or to members of a specified category). Pages on your watchlist are bold.
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Don't Have an Account? Join the IHG® Rewards Club
Redeem when you want, for what you want. Your points never expire and there are no blackout dates.
Reward Nights When redeeming points for a Reward Night, you may only book one room at a time. Once you complete your Reward Night reservation you will be given the option to duplicate this reservation.
* Requires affiliation in the respective organization.
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To book more than 9 rooms for one stay or request a quote, please use our Easy Meetings tool, call 1-800-MEETING (in United States, Mexico and Canada) or contact a Global Sales Office.
Discover all that West End Nashville has to offer at the convenient, full-service Holiday Inn® hotel of Nashville, Tennessee at Vanderbilt University. We're 12 miles from Nashville International Airport (BNA) and we offer a complimentary shuttle to destinations within a three-mile radius for our hotel's guests.
In Nashville, TN, you'll find a variety of attractions, from the arts venues along the Music City's famous Music View More
In Nashville, TN, you'll find a variety of attractions, from the arts venues along the Music City's famous Music Row to the Tennessee Titans' LP Field. We're only minutes from the major shopping, dining and entertainment districts of downtown Nashville. Our hotel's location in Nashville, TN near Vanderbilt also puts you within walking distance of the campus, Dudley Field, Centennial Park, the famed Parthenon and more.
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Second only to the Torchbearer Awards, The Quality Excellence Awards are created to honor hotels who have maintained high standards in product quality, hotel operation and customer satisfaction as measured by our guests


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Craighead Forest
Jonesboro, Arkansas 1 course · 20 holes Driving directions
Course reviews
+0 votes Gerry Hill › December 22, 2010
I was very impressed with this course. Having read that it was very wooded (which it is) worried me a bit, but it was quite manageable. I had to throw a variety of shots and I think I threw pretty well on the front nine. I had to walk some holes to see the basket locations, but the course played very fairly. Signage was good (except for #14 where I thought I saw the basket and it was actually #15). Lots of leaves on the ground, but not too difficult if you watch where your disc goes. I would definitely visit this course again when I am in the area.


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Your Price:
A beautiful addition to any desk! Mahogany finish with area to add your own flare with colors, images and text.
Personalized for your co-worker or boss, these note pad holders make awesome Corporate Gifts!
strong>Mahogany Note Holder Features:
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Copyright © 2006 - Lasting Impressions Engraving, LLC. All rights reserved.


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The Institute and our affiliated centers and programs record selected lectures and make them available to the public. To date we have published 812 podcasts.
A Center for Social Theory and Comparative History colloquium with Cihan Tugal (Sociology, UC Berkeley), Caglar Keyder (Sociology, SUNY Binghamton), Asli Bali (Law, UCLA).
A public lecture by Laure Murat, UCLA, French and Francophone Studies.
Talk by Eugenia Lean, Columbia University
Talk by Alex Wang, UCLA Law School
Talk by Andrew G. Walder, Stanford University
Lecture by Peggy Chiao, Taipei National University of the Arts
Discussion with Arvin Chen
A Public Lecture by Hashem Pesaran, USC & University of Cambridge. Part of the UCLA CNES and Program of Iranian Studies Bilingual Lecture Series.
A public lecture by Bas van Bavel, Department of History and Art History - Economic and Social History, Utrecht University, The Netherlands.
A look at the manuscript M191 in UCLA library with visiting scholar Ali Tabatabai Yazdi, M.T. Institute for Islamic studies, Qom, Iran
A panel inspired by Wu Ming's novel Altai
The Five-Year Programming Plan of the Armenian Communities Department of the Calouste Gulbenkian Foundation. Sponsored by The Richard Hovannisian Endowed Chair in Modern Armenian History, The Calouste Gulbenkian Foundation.
A book talk by author Ivan Berend, UCLA, History. Discussant: Jürgen Kocka, Professor Emeritus, Social Science Research Center Berlin (WZB).
T.V. Paul, James McGill Professor of International Relations at McGill University with commentary by Professor Stanley Wolpert, emeritus professor in the UCLA Department of History and a foremost authority on Pakistan and Professor Stephen Krasner, Graham H. Stuart Professor of Political Science at Stanford University and Burkle Center Senior Fellow.
Instructions for subscribing to our podcasts in iTunes
Open UCLA on iTunes U


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Showing 1-38 of 38 items found in Outdoors & Play
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Grady's Family Fun Center
As Bloomington-Normal's only amusement park, Grady's features an 18-hole mini-golf course, batting cages, bumper boats, go-karts and kiddie rides.
CITY: Bloomington
Splashdown at EastSide
The wettest and wildest family water park in Central Illinois. Play in Splashtower Island or ride the lazy river. There's even a splash and play area for the young ones in your family. www.fondulacpark.com
CITY: East Peoria
Fairview Water Park
Fairview has an activity pool featuring arched water jets, a polar bear slide and a water mushroom. The park also features six lap swim lanes, a deep pool with two thrilling drop slides, multiple diving boards and two sand volleyball courts.
CITY: Normal
Lavender Creek Farm
Lavender Creek Farm grows fields of organic lavender plants. Walk the lavender fields, pick bouquets and browse the plants for sale. Lavender soaps, oils, lotions, candles and more are made at the farmhouse - the old fashioned way!
CITY: Mackinaw
The Palms Grill Café
The Palms Grill Cafe was a well-known restaurant during the heyday of Route 66. Recently the cafe was revitalized and reopened, and is serving up delicious nostalgia from the fabled Route 66 era. The Palm's Grill Café has been baking pies and feeding hungry travels and residents for decades. Their pies are so delicious they've even won a few state pie competitions. Saddle up to the counter or take a seat at a table; either way, the pie and coffee with the community atmosphere is enough to make any first-timer feel like a regular. Conveniently located right across the street is the towering Bunyon's Statue, another one of Route 66's famous Muffler Man Statues.
CITY: Atlanta
Miller Park Zoo
Miller Park Zoo is the only Illinois zoo to feature the endangered Sumatran tiger. This zoo also features several indoor and outdoor exhibits of exotic animals, special events; and it's open year round.
CITY: Bloomington
River Trail of Illinois
This 10-foot wide asphalt trail winds 4.8 miles along the former Illinois Terminal Railroad Co. path. Build in 1991, the River Trail provides a safe scenic route for outdoor recreation year round, winter weather permitting. The trail affords patrons the opportunity to experience the natural preservation of wildflowers, grasses, trees and wildlife. With direct access at the Park Administration Center, Bunnell field, and Taylor Street ball diamonds, and in close proximity to Veterans Park, Central Jr. High, West Park, and local restaurants, the River Trail offers something for everyone!
CITY: East Peoria
Fon du Lac Park District
Experience what 1600+ acres of parks, natural areas, riverfront and trails have to offer. Enjoy 2 golf courses, a picturesque marina and campground, Splashdown Water Park, and a variety of recreational programs and activities for all ages.
CITY: East Peoria
Route 66 Park & Tourism Center
This small park is right on Route 66, and it's a great place to check out the town of Atlanta. It is a great park, including flat area to run and playground for the kids to climb and run on, you and your family are sure to enjoy.
CITY: Atlanta
Ackerman Farms
Ackerman Farms, celebrating over 100 years as a working family farm, invites everyone to join us from the 3rd week in August through the 3rd week in December. We feature over 150 different varieties of pumpkins and squash in all shapes and sizes, over 25 varieties of beautiful hardy mums, and over 15 varieties of apples from our orchard - everything you need for your fall decorations and for your table. Plan to spend the afternoon with us in our family friendly corn maze, ride a hay rack, browse the gift shop and visit our friendly farm animals. At Christmas, join us for hot cider by a cozy fire and leisurely shop our wonderful Christmas selection of gifts and decor. Don't forget to call us to schedule birthday parties or class field trips.
CITY: Morton
Genevieve Green Gardens
The Genevieve Green Gardens offer a relaxing setting for contemplation and the appreciation of nature's beauty. Small gardens are tucked in at various locations; there is also a formal compass garden with a beautiful arbor, a Japanese garden, and a main plaza that is highlighted by a water feature. Walkways, accompanied by tasteful signage, conveniently guide visitors around the property and are in harmony with the landscape's topography. Carefully designed lighting makes it possible to enjoy the gardens during evening hours.
CITY: Bloomington
Mackinaw River State Fish and Wildlife Area
This site offers a diversity of landscape covering 1,448 acres over timbered hills, open meadows, and river bottoms. Canoe access enables visitors to float the scenic Mackinaw River. Other activities include fishing, hunting, hiking, and picnicking.
CITY: Mackinaw
Splashdown Water Park
Central Illinois' premier family water park is located at the Eastside Centre Sports Complex. Play in Splash Tower Island, ride the lazy river, or spend time in the splash and play area designed for little ones.
CITY: East Peoria
EastPort Marina
Public marina with two levels of accommodations. Beautiful view of downtown Peoria, nautical gift shop, full parts and service department along with five gas pumps, one diesel pumps, pump-out facility and detail shop on site (East Peoria Boat Works).
CITY: East Peoria
Fon du Lac Golf Course
This nine-hole course is challenging for the experienced golfer, but also beginner-friendly for the novice. Great for a quick round and easy on your pocketbook.
CITY: East Peoria
Carl Spindler Marina
Part of the Riverfront Greenway, Spindler Marina is a public gateway to the Illinois River, offering reasonable rates, parking and storage. Make Spindler Marina your launch today. Spindler Marina is a public gateway to the Illinois River. The Mar ina is available for public boat launch, slip rental and dry dock storage. Pick up your ice, boating or camping supplies at the Marina office. With a picnic and shelter area, rest rooms available seasonally, and the beautiful views from the River Trail Boardwalk, make Spindler Marina your next Illinois adventure.
CITY: East Peoria
ISU Bowling and Billiards Center
The Bowling and Billiard Center (BBC) is located north of the ISU Quad, next to the Bone Student Center, and Milner Library. The BBC provides entertainment for students, faculty/staff, & the general public including: bowling, billiards, video games, etc.
CITY: Normal
Ecology Action Center
This walk-in information and environmental education center offers workshops on recycling, composting and energy saving.
CITY: Normal
Quail Meadows Golf Course
This 18-hole championship golf course features a pro shop, a PGA professional on staff, and an all-grass driving range and target area.
CITY: East Peoria
Pine Lakes Golf Club
This 18-hole public golf course, designed in the 1960s by Val Gene Gould, features nice tree-lined fairways. A driving range and discounted twilight fees are available.
CITY: Washington
Quail Meadows Golf Course
This beautiful 18-hole course offers golf outings, a pro shop, driving range and banquet facilities.
CITY: Washington
Twin Groves Wind Farm
Located on the wind-swept Bloomington Moraine in eastern McLean County, Twin Groves Wind Farm offers 396 megawatts of affordable, pollution-free wind energy, enough to meet the annual energy needs of about 118,000 homes. Learn more about this exciting new facility with a farm tour.
CITY: Ellsworth
Fairview Family Aquatic Center
Fun for the whole family! Zero depth activity pool, six lap swim lanes, separate pool for drop slides and diving boards, as well as a sand/water play area for children and two competition sand volleyball courts.
CITY: Normal
Upper Limits Rock Climbing Gym
Upper Limits has more than 20,000 square feet of climbing, including routes up to 110 feet tall. Other features include a wave-wall, bi-level cave, and a unique outdoor bouldering area. Upper Limits accommodates all ages and skill levels, offering introductory and advanced classes, parties, group rates, scout programs, and team building exercises. Come visit Upper Limits, one of the largest and tallest gyms in the world!
CITY: Bloomington
North Greens Golf Course
Golf with your family on this great course. 18 holes of fun are in store for your family when you visit North Greens. You will be challenged at your game and have a great time teeing off!
CITY: Atlanta
Metamora Fields Golf Club
An 18-hole D. A. Weibring/Wolfard designed championship golf course with a 25,000 sq-ft clubhouse that offers banquet seating up to 400 people in one room. Introducing a brand new "classic" golf course to the Tri-County area focusing on offering "playable" golf for every skill level. Stunning panoramic views overlooking this links course make for an amazing backdrop for any special event. Our tag line "Where You're Always Welcome" says it all. Hang out for a while in the clubhouse - even if you don't play golf very much but like to watch. We have the very best view of golf in all of Central Illinois from our two level outdoor deck that peers out to the 9th and 18th greens tucked on opposite sides of our beautiful clubhouse chain of lakes. We intentionally brought these two greens as close to the clubhouse as possible so that everyone can enjoy watching golf while relaxing on the decks or inside the clubhouse.
CITY: Metamora
Darnall's Gun Works and Ranges
Darnall's Gun Works and Ranges is a family owned business that provides a place for trap shooting, target practice and personal instruction and training in the use of firearms for self-defense.
CITY: Bloomington
Woodford State Fish and Wildlife Area
Picturesque bottomland setting with an abundance of silver maple, cottonwood, ash and willow trees. Picnicking, camping, boating, fishing, and hunting add to the visitor's enjoyment.
CITY: Lowpoint
Lazy H Stables
One- and two-hour guided horseback rides by reservation only. Hayrack rides offered in fall. Open April 1 - October 1.
CITY: Ellsworth
Miller Park Pavilion
This unique landmark was restored in 1977, with its Korean/Vietnam War Memorial dedicated in May of 1988.
CITY: Bloomington
Circle Lanes
Looking for late night or weekend bowling fun? Take your game to an unexplored new level with Xtreme Bowling – an adventure of lights, great music, wild bowling challenges, and (of course) your favorite food & beverages.
CITY: Bloomington
Miller Park Zoo
Miller Park Zoo offers many exhibits and Zookeeper interaction opportunities that are enjoyed by the whole family. Some highlights include: sun bear, reindeer, Sumatran Tiger, Harbor Seals, river otters, red pandas, lemurs, Galapagos Tortoise, Bald Eagles, Pallas' Cat, Snow Leopards, gibbons, and Red Wolves. The Zoo features many large indoor and outdoor exhibits such as a Tropical America Rainforest, ZooLab, Katthoefer Animal Building, Wallaby WalkAbout, Children's Zoo, and Animals of Asia.
CITY: Bloomington
Constitution Trail
The Constitution Trail is a 36.4 mile asphalt and crushed stone trail of moderate difficulty. It begins at Atwood Wayside trailhead in Bloomington. Lined with trees where a variety of birds call home, you'll also find a fishing pond as well as an expanse of native prairie grassland.
CITY: Bloomington
Camp Komfort
The campground is very clean and quiet. There are many features, such as an in-ground pool, a large pavilion, a play area for children, a small store and a dog walk area. There is plenty of shade in this campground. They provide 30 and 50 AMP service.
CITY: Carlock
Comlara Park Visitor's Center
This enviromental education facility houses permanent audio/visual wildlife displays, artifacts originating from the site and a rotating summer exhibit.
CITY: Hudson
Synergy Flight Center, LLC
Synergy Flight Center offers a number of recreational activities for visitors. They offer introductory flights, flight lessons and a flight simulator that visitors can rent by the hour.
CITY: Bloomington
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Magic Tree House Junie B. Jones Seussville Random House |
A nuanced novel in verse that explores identity in a multicultural world.
Emma Karas was raised in Japan; it's the country she calls home. But when her mother is diagnosed with breast cancer, Emma's family moves to a town outside Lowell, Massachusetts, to stay with Emma's grandmother while her mom undergoes treatment.
Emma feels out of place in the United States.She begins to have migraines, and longs to be back in Japan. At her grandmother's urging, she volunteers in a long-term care center to help Zena, a patient with locked-in syndrome, write down her poems. There, Emma meets Samnang, another volunteer, who assists elderly Cambodian refugees. Weekly visits to the care center, Zena's poems, dance, and noodle soup bring Emma and Samnang closer, until Emma must make a painful choice: stay in Massachusetts, or return home early to Japan.
"With beautiful language and deep sensitivity, Holly Thompson explores the courage it takes to find your own voice." —Patricia McCormick, author of National Book Award finalist Never Fall Down
"Thompson's eloquent novel speaks to us, carrying us along with Emma as she embarks on a life-altering journey from Japan to America. But it's Emma's inner journey that's the true adventure—pulsing with pain and passion, with humor, heart, and hope." —Sonya Sones, author of What My Mother Doesn't Know and To Be Perfectly Honest
"[Emma] is driven to help in the aftermath of the 2011 Great East Japan Earthquake and tsunami, and readers will cheer her on as she faces the challenge of contributing to relief efforts from a distance. Her longing for Japan will also resonate with those familiar with the country and its culture, as Thompson captures perfectly the feeling of belonging elsewhere. A sensitive and compelling read that will inspire teens to contemplate how they can make a difference."—School Library Journal, Starred
"Thompson nimbly braids political tragedy, natural disaster, PTSD, connections among families, and a cautious, quiet romance into an elegant whole. This is an artistic picture of devastation, fragility, bonds and choices."—Kirkus Reviews
"Thompson, working in a free-verse style that becomes a seamless piece of a world imbued with poetry, weaves [the plot strands] together skillfully. The result is a touching portrait of Emma working through loss and opportunity as Lowell becomes not just "not-Japan," but the site of new connections and a possible romance."—Publisher's Weekly
"Thompson keeps the many plot elements cohesive, and the vivid imagery in the lyrical free verse lends immediacy to Emma's turbulent feelings. Readers will finish the book knowing that, like Zena, the Cambodian refugees, and the tsunami victims, Emma has the strength to 'a hundred times fall down / a hundred and one times get up.'"—The Horn Book Magazine


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something came up, i apologize again...i should definitely be around most of tomorrow too, later in the evening around 9:00pm would probably be best for me
i was wondering why you ignored me haha, kawl isn't from em though. don't know of anyone else so it was a surprise to see you and connor
i wait for connor to check out deals w/ hp roselias + misread the fact it was to borrow it, not trade ~_~''
Hi! We are paired for the wifi tournament. I am gmt +1. Best times for me to play are friday afternoon/evening (before midnight) or saturday afternoon (before 6pm my time). I can also play tonight if you can't play at those times.
I loled at your avatar. Too bad if Azelf really gets Fairy this gen it could only Flamethower Scizor if it predicts the switch or if its Sashed after a Bullet Punch XD
technically it needed to predict to begin with, but not it doesn't have to worry quite as much about pursuit mind games (if it is and really should be fairy). scizor better watch out on the switch ins >:)
yeah i would like to have a match scheduled so we can leave a paper trail in case something goes wrong.
yo we are matched up against each other for the X and Y tournament, when you get the chance please respond telling me what time you can battle
ROFL, I love your avatar. It's Azelf Tricking Choice Specs onto Scizor, then Flamethrowering him right? xD
Dammit, I'm not the first, but I'm not the last :D JOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOHN <3


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New Year's Eve / Day Gifts - Eco Friendly Gifts - Serveware
Gift Buzz
Love or lust? Too soon to tell, but who cares, it's hot, hot, hot! Even if you're not ready to utter those three big words, keep the flames alive with a gift she'll want to brag about. You don't have to break the bank, but you can't get away... Read More »
Need to send a gift today? Many of our merchants offer same day delivery when the order is placed early in the day. Most cut off times are 2pm but check with the merchant for details. Here are our top 10 same day gift ideas. Read More »
I love New Year's Eve. Love it. It's not just the feeling of a year's worth of blank-slate possibility---it's the short-term prospect of major sparkle. The lights, the sequins, the sparklers ... and last, but not least, the champagne. In... Read More »
Does your dad love reminding you that he was cool back in the day? Somehow he manages to fit his LP collection into most conversations, including chats about the weather or what's for dinner. He wants to show you that he was awesome once upon... Read More »


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Tests performed on samples of your blood and urine are the first line of defense in detecting kidney problems and minimizing damage. Tests of these types can show how well the kidneys are removing excess fluids and waste. In addition, your blood pressure should be measured since high blood pressure (hypertension) can lead to kidney disease. When a structural problem is suspected, a variety of imaging tests can be used to evaluate the kidney. A sample of kidney tissue, a biopsy, is sometimes helpful in diagnosing the specific cause of the problem.
Tests commonly used for screening and diagnosis
There are several tests commonly used to help your health care provider recognize if you have kidney or urinary disease. A blood sample can be analyzed for creatinine (and the estimated glomerular filtration rate (eGFR) can be calculated) and blood urea nitrogen (BUN). The level of these waste products in the blood increases as kidney filtration declines. Abnormal results are usually the first sign that kidney disease is present. A urine sample is typically also examined and analyzed (urinalysis) as part of routine screening. This set of tests looks for indicators of kidney and urinary disease such as red blood cells, white blood cells (WBCs or leukocytes), and protein in the urine. If you have diabetes or hypertension, the amount of protein (microalbumin) in your urine should be checked at least yearly to detect kidney disease in its early stages. When a creatinine measurement is performed along with a random microalbumin, the result is the microalbumin/creatinine ratio (also called the albumin/creatinine ratio (ACR)), which the American Diabetes Association states is the preferred test for screening for microalbuminuria. When you have symptoms suggesting infection, a urine culture can confirm the presence of a bacterial infection.
Tests to monitor kidney function
If you have been diagnosed with a kidney disease, your health care provider will order laboratory tests to help monitor kidney function. Blood levels of BUN and creatinine are measured from time to time to see if the kidney disease is getting worse. The amount of calcium and phosphorus in the blood and the balance of serum and urine electrolytes can also be measured, as these are often affected by kidney disease. Hemoglobin, measured as part of a complete blood count (CBC) may be measured (the kidneys make a hormone, erythropoietin, that controls red blood cell production). Urine total protein (TP) can be used to test the effects of treatment in diabetes and nephrotic syndrome. Parathyroid hormone (PTH), which controls calcium levels, is often increased in kidney disease and is often checked to see if enough calcium and vitamin D are being taken to prevent bone damage.
Cystatin C is another test that may be used as an alternative to creatinine and creatinine clearance to screen for and monitor kidney dysfunction in those with known or suspected kidney diseases. It may be especially useful in those cases where creatinine measurement is not appropriate; for instance, in those who have liver cirrhosis, are very obese, are malnourished or have a reduced muscle mass. Measuring Cystatin C may also be useful in the early detection of kidney disease when other parameters might still be normal, especially in the elderly.
Imaging techniques
If a structural problem or blockage is suspected, a picture of the kidneys can be helpful. Imaging techniques such as an ultrasound, CT scan (computed tomography), isotope scan, or intravenous pyelogram (IVP) may be used. Various x-ray procedures can also be employed, such as an intravenous urogram, micturating cystogram, or renal arteriogram (or angiogram).
Kidney biopsy
A biopsy can determine the cause of protein or blood in the urine and be used to monitor the effectiveness of treatment. Analyzing a small piece of kidney tissue can reveal the nature and extent of structural damage to a kidney. A biopsy, obtained using a biopsy needle and diagnostic imaging equipment, is often useful when disease of the glomerular filter is suspected.


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The Reebok ZigSonic features a synthetic/mesh upper that offers comfort, fit and durability. Its upper support design provides lateral support and stability, the ZigTech delivers a wave of energy along the length of the shoe, forefoot flex grooves add flexibility, and a multi-surface outsole gives traction.
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text: Event Date: 07/09/2013 Event Time: All Day Organization: Parks and Recreation Town: Bernards Township Category: High School Contact Information: Parks and Recreation firstname.lastname@example.com Tel: 908-204-3003 Fax: Event Title: Try the Golf Course - Student Days Event Location: Coakley Russo Memorial Golf Course Event Description: Experienced student golfers, ages 14 – 23, are welcome to play at the weekday student guest fee without member accompaniment. Students must present a valid Student ID/Report Card/Enrollment Form to verify status. Not available July 4th. Links: ' Click here for more... |


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Ocean Reef Neptune Space G.divers Full Face Scuba Dive Mask with Diver Communication UnitVideos MasksThis demonstration video discusses and shows the features of the Ocean Reef Neptune Space G.divers Full Face Scuba Dive Mask. The Neptune Space G.Diver is the latest and most innovative and has an integrated surface air valve eliminates wasted air on the surface. Easily adaptable for a octopus regulator. State-of-the-art integrated regulator. Reduced internal volume for excellent buoyancy. Improved visual field; visible light transfer of visor is 92%. Premium grade silicone rubber bellows-type skirt for fit and comfort. Durable, scratch-resistant visor. New G.Diver exhaust valve for directing the exhaust for the best vision. Patented 3-D equalization system for easy ear clearing. Six strap head harness providing firm mask positioning and quick mask donning and doffing. Easy access purge button. Excellent for use in extreme conditions. Share this video:
Average Rating: Length: 01:10 Number of views: 18288 Tags: Ocean Reef Neptune Space G Full Face Dive Mask Diver Communication Unit full scuba mask scuba communication
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Corporate Office: Scuba.com, 1752 Langley Avenue, Irvine CA 92614 |


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You can successfully make your first bottles of wine with the equipment and ingredients on these pages in just a few months, but mastering the process take a lifetime. Start now with our kit and grape concentrates, plant your vines this winter and as they grow, perfect your skills and recipes. Soon making and enjoying your own estate grown wines.
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