text:
I am waiting to get the results from my Day 21 progesterone test which takes a week to get back. The doctor said since I took 150 Mg and that is the highest he will give me I will have to go to a fertility specialist if I didn't O this month. What does a fertility specialist give you after trying Clomid and it didn't work? We decided against IVF.
What is the next step after Clomid?
Married to Luke (2001)
DD born 2/2004 and Triplets born 8/2012
I am new as well. I started seeing a FE this month. We are trying Clomid with IUI. The first thing the FE will do is try to see where the problem is. It could be with either DH or you. DH sperm was checked and came out great. The problem ended up being with me. I had to have an HSG (dye) test and found out that my right fallopian tube is partially blocked.
I also had u/s done to look at the follicles (eggs) to see the number, size, shape, etc.
Bottom line, they should try to find out why you are not conceiving and then start a treatment plan around that, instead of trying someting that may not work in the first place. The IUI procedure is not that expensive and is not that invasive either.
What is IUI?
IUI stands for intrauterine insemination and involves depositing sperm into a woman's uterus in the hopes of facilitating conception. It is one of four methods that fall under the umbrella term of artificial insemination. Other artificial insemination methods include intracervical insemination, intratubal insemination and intrafollicular insemination. Of the four techniques, IUI is by far the most often used.
How is IUI done?
IUI is a relatively simple procedure that takes little time to perform. During IUI, a catheter is passed through the cervix, into the uterus. Contained within the catheter are sperm, which are injected into the uterus. The whole procedure may take only a few minutes.
I hope this helps
I was seeing a regular OBGYN who had me on clomid for 5 months. I then went to an RE. My RE has me on clomid 150, but also has me doing a hcg trigger shot (forces your body to ovulate) and I take estrodial and progesterone. It turns out that there is a lot more value to being tracked by an RE than I had anticipated. I typical month goes like this for me (this is my 2nd month)
**note I had an HSG & DH had an SA before anything else was done**
Day 3 go in for an u/s to make sure no left over cysts from last month.
Day 3-7 Clomid
Day 10 u/s to check on size of follicles (this is super cool)
Day 10-12 take estrodial to thicken up lining (my RE says I probably did get pg on clomid, but because no one was checking the lining size - thin thin - i was probably just losing them really early)
Day 12 u/s to check on size of follicles (I'm telling you, super cool)
Day 12 get HCG trigger shot.
Day 13 IUI (or bd)
Day 14-19 bd
Day 15-28 Progesterone Supplements (to help with lining)
Day 21 Progesterone level blood test & U/S to check for O
Day 28 Test. If neg stop progesterone.
My bet is your new dr will have you do at least one more round of clomid if you weren't previously getting u/s just so they can see more clearly how your body is reacting to it.
Hope that helps.
Thanks for that. I too am going to have to change treatments if this round of Clomid (100mg) hasn't worked. Alternatively, the Dr said I can keep trying the Clomid but at this stage it's taking two rounds every cycle to make me O so she doesn't think it's working as well as it should for me. She said that 150mg is the highest she would go and even then she has had limited success at that dose. The good news is that it looks like O day is today or tomorrow.
~ Jacinta (33), DH (29) - TTC #1
How much does IUI cost? Is it as expensive as IVF? I want to be monitored more but my doctor will not do ultrasounds and such until I get a good reading on the Day 21 progesterone test.
Married to Luke (2001)
DD born 2/2004 and Triplets born 8/2012
For my cd 21 progesterone tests, I found out that I was going in too early. Your progesterone will peak exactly 7 days after you O. I wasn't ovulating until day 16 to 20, so when I would go in and get my cd 21 progesterone test, my levels never indictated I ovulated, but my OPKs indicated I was indeed ovulating, just a little later than cd 14. I was just getting my blood drawn too early. Once I figured this out, I would get a postive OPK, I would then tell my OB what day it was positive and go in for my cd 21 tests 7 days later. It was frustrating that I was ovulating, but my cd 21 tests were not indicating that for my OB. I don't know if this advice will help any of you, but I thought it might.
Married DH 6/8/07, DD (Boey) 6/21/09, EDD 9/8/13
Diagnosed with IC during 1st pregnancy. Looking forward to another cerclage!
I'm not sure how much the IUI is, my insurance covers it. However, I do know it is MUCH cheaper than IVF.
Well here are the cost breakdowns for me....
Challenge tests (blood work/lab) $12 each (insurance rate)
u/s $114
IUI process $284
plus co-pays which are $20 in my case.
Jessicant- That sounds exactly like the clomid regimen for me. This is my 3rd round of clomid and I'm on the 2ww. We did have an HSG, blood work (tests) and SA before anything else as well.
We tried IUI this time around and I hope this is it. I'm supposed to do HPT on May 20th. With my insurance everything with the IUI i s pretty much covered other than a $10 copay and $10 meds copay.
The RE may run more tests on you to find out if you are having any other problems and also do tests on SOs sperm (if that hasn't been done yet). I also believe that there are other oral fertility meds you can take, but am not sure about that.
And of course, there is everything else that the pps have mentioned!
Good luck!
'09 ~ '12 ~ ^'14^ ~ '15
Go wack off to a bag of Doritos and see if it pays you in big girl panties for the show. --JLClyde
My obgyn diagnosed me with PCOS she then put me on Clomid 50mg first round and 75mg the next and then I get a phone call yesterday that I am not ovulating at all so they are taking me off the Clomid and want me to come in the 22nd of this month to talk about the next step is this normal and does anyone know what the next step would be?


text:
Sterling Silver Blue Turquoise & Clear CZ Cocktail Ring by Lenox
When you wear the exquisite , Sterling Silver Blue Turquoise & Clear CZ Cocktail Ring, you may want to make sure your fingernails are manicured. That's because all eyes will be drawn to this elegant jewelry - and your hand. A turquoise graces the ring, surrounded by pavé and channel-set cubic zirconia gems.
- Crafted of sterling silver set with 13.7mm x 9.7mm turquoise and 1.5mm cubic zirconia gems
$217.00 $129.95 $61.95
Other products we think you'll love.
Shopping made easy with Lenox EasyPay. Order today and take up to 8 months to pay - interest free!Learn About EasyPay
Break something?
Lenox Breakage Replacement is one of the best customer satisfaction plans anywhere. So don't worry, you're covered. read more
Need Help?
*Offer valid on Lenox Exclusive items only. Offer excludes all Donna Karan, Marchesa, Reed & Barton, and kate spade new york merchandise.

subset: commoncrawl


text:
We are back from our week long spring bear hunt in Idaho and we had a blast. The area is a 2 bear area and I took both bears, one being a black and the other a color phase chocolate/cinnamon looking bear with a nice chest mark. Neither bear was huge but the area is not known for producing many of those 400 pounders. The black bear went about 175 and the color phase about 130. Took the black bear the first night and the color phase the 5th day. We saw bears every day with a total of seeing 8 different bears. We did see a few of the same bears every day but they were smaller than the ones we took. The biggest bear we saw was a cinnamon about 250 pounds but I had no clean shot so did not get it. We saw several other larger bears on the trail cameras but most were coming in between 2300 and 0400 and since you cannot hunt at night we could not get them. They did not get that big from being stupid that is for sure. It was very unfortunate that our unit was closed to wolf hunting or I could have taken a very nice black colored wolf the first day. It was standing 61 yards away broad side and I really wanted to pull the trigger but without a tag could not.
The outfitter was fantastic! Honest, hard working with a true love of hunting and his job. His wife was the cook and camp host and again was a great lady. I would highly recommend them to anyone who wants a great remote bear hunt. If you want more info send me a PM and I will tell you all about them.
As for photos I am still working on those. Always seem to have trouble getting them to take on BGM. Will be gone this weekend so hope to have them up by next week.


text:
Price Lower in Cart
Why don't we show the price? As a retailer, we set our prices independently, but in some cases the manufacturer does not allow us to show our price until you take further action. Don't worry; you'll be able to see the price in checkout before you decide to buy it.
Protect Your Purchase
(based on 387 reviews)
Ratings Distribution
5 Stars
4 Stars
3 Stars
2 Stars
1 Stars
of respondents would recommend this to a friend.
Reviewed by 387 customers
Displaying reviews 1-10
Back to top
Previous | Next »
I would pass on this model
By jbehrlich
from Lafayette, CO, United States
Comments about Frigidaire 1.6 Cu. Ft. Over-The-Range Microwave - Stainless Steel:
I found it interesting that when I was talking to the management staff at my new and newly built apartment complex, I mentioned that I really do like the place except for... and they both said "the microwave" and I said "Yes!". It seems to cook fine but the door is difficult to open/close (major issue for her because of being a new mother) and the volume and length of the alarm when the food is done. Why does it need to beep loudly three times and then doesn't shut off when the door is opened? Because naturally the microwave won't operate when the door is opened (like it shouldn't)... light goes off when the door is closed (like it should)... why doesn't the alarm shut off?? Frustrating for me because I heat up my cats refrigerated raw food quickly (around 6 seconds) and then it beeps as if I've left the building. Honestly, I've wanted to hit it on several occasions. I would change my mind about this if there was/is an option for changing the alarm. And although I've only been using this for four months... it works fine otherwise.
Bottom Line No, I would not recommend this to a friend
Was this review helpful? Yes / No
- You may also flag this review
(1 of 1 customers found this review helpful)
Short lived
By FandCgold
from Corona, CA, United States
I've had cheap counter top microwave that have lasted over ten years. I've had this thing less than five years. Along with not being able to cook and use the timer, it continued to run when the door was closed and started to smoke and shut itself off. It came back on after some time and continued to run if you closed the door. It finally stopped but now it doesn't heat anything up. I'm going back to cheap counter tops.
Powerful, but simple features
By Betsy14
from Washington, DC
Heats things up well. Had to get it serviced within a year of manufacturing because it shorted out a fuse - but haven't had issues with it since. The only "problem" is when you are running the timer on the microwave - you can't also microwave something. Weird. It isn't a big deal, since we have other timers. But it's a little inconvenient.
Don't Buy
By Burned by Frigidaire
from Raleigh, NC, United States
This microwave came preinstalled in our new house. It has a very annoying beep when it finishes cooking. It keeps beeping every minute until you remove the food. The external light is dim and does little to brighten the cooking surface of your stove. The exhaust fan is loud. It cooks food unevenly. We replaced this after two months of use. Save yourself unnecessary expense and headache, do not buy this microwave.
Works really well, easy to use
By Ozin
from Boynton Beach, FL, United States
I like this microwave a lot!! It works well, meaning it heats up items really quickly. It's really easy to use too. The only change I would make is the chime; when it's done cooking, it makes 3 long chimes... and they're loud. Otherwise, it's great! I'm very happy with it.
Bottom Line Yes, I would recommend this to a friend
Love the size, functions, and appearance!
By nonename
from Undisclosed
Great model and easy to use (for ALL ages :) and easy to clean!
Works Great!
By Tjneener
from Leola, SD, United States
We recently bought this to replace our old microwave and absolutely Love everything about this one.
Love my new microwave!
By vah9001
from Hampton Bays, New York, United States
I bought this for our beach house and I love the way it works! It has all the features I wanted--sleek stainless steel look, powerful microwave, turntable, timer, two levels of lighting and powerful exhaust fan.
Cheaper to replace than to repair
By wxyz
from Kentwood, MI
I bought this to replace the same make/model that malfunctioned out of warranty. The control panel started acting up (microwave turned on when the door was closed, and would not turn off). Would you believe that it would have cost almost as much to order a new control panel (to install myself) as it did to purchase a new one? Now I have a microwave in the "boneyard" to use for replacement parts.
Good value but rough open and close
By Miztl
from Miami, FL, United States
I'm happy with all the functionality of this microwave however it makes a lot of noise when it is opened and closed . It also makes an annoying noise when the timer is done and food is ready .
Sign up for details
Receive all the latest offers and news fromP.C. Richard & Son!
We Accept:
Receive all the latest offers and news from P.C. Richard & Son!


text:
Website URL:
Union Pacific will invest a combined $82 million in to projects in Louisiana and Missouri in 2015. These improvements are part of the railroad's $4.2 billion capital investment for the year.
Wednesday's commute for riders on New York City Transit's (NYCT) A Line was delayed due to damage caused by copper cable thieves who vandalized cable from subway tracks near Howard Beach, Queens.
Aéroports de Montréal (ADM) presented a proposal to Québec's Committee on Public Finance that would integrate the light-rail systems of the South Shore and West Island.
Parsons appointed Jannet M. Walker as vice president and deputy eastern sector manager for the corporation's Rail and Transit Systems Division. Based in Jacksonville, Fla., her primary focus will be growing the rail and transit business in the eastern United States, providing leadership in overall operations and sector management.
The province of Ontario will provide up to CA$1 billion (US$804 million) to build a new light-rail transit (LRT) line in Hamilton as part of the largest infrastructure investment in Ontario's history.
A bill to extend current surface transportation funding at MAP-21 levels through July was approved by the Senate on Friday, May 22, and now awaits President Obama's signature.
Kansas City Southern will increase train speeds along its Laredo Subdivision from 49 to 59 mph. The subdivision runs from Laredo to Corpus Christi, Texas and the speed increase is possible due to recent track improvements.
California's Foothill Gold Line Construction Authority held a community open house and dedication for the Foothill Gold Line Operations Campus.
Kansas City Southern says a tentative opening date of July 11, 2015, has been set for its new, state-of-the-art intermodal facility in Wylie, Texas.
CSX joined its partners from the Government of the province of Quebec and the municipal administration of the city of Salaberry-de-Valleyfield to inaugurate the railroad's new intermodal facility and celebrate the strengthening of business ties between Canada and the United States.
Remember Me


text: Leipzig, in the state of Saxony in Germany, is in the heart of the German Metropolitan Region. From superb shops, galleries, museums and restaurants, Leipzig has everything you could possibly want whether you are looking for a quick city getaway or some time away with the family. Hiring a car in Leipzig gives you the chance to travel around the city as if it was your hometown. We have four branches conveniently situated around the city, with one of these being at Leipzig Airport and another at Leipzig Main Railway Station, so picking up your car could not be easier.


text:
California Heights
558 E Wardlow Rd
Long Beach, CA 90807 Phone number & directions
558 E Wardlow Rd
Long Beach, CA 90807 Phone number & directions
License & Identifications
A medical license is required for a doctor to practice medicine in a particular state. Requirements vary by state but most require, at a minimum, post-graduate training in the doctor's specific specialty. An NPI number is a national identifier unique to an individual health care provider and is managed by the Center for Medicare & Medicaid Services (CMS).
Learn more about Dr. George Tashiro:
View the full profile to get information on:
- Qualifications
- What's important to you
View full profile
Patient Reviews
Have you visited Dr. Tashiro? Share your experience.
Write a Review
Write a Review
Specialties & Research
- He has special expertise in 5 areas:
- Cosmetic Dentistry
- Maxillofacial Surgery
- Orthodontics
- Temporomandibular Joint Dysfunction Syndrome (TMJ)
- Yoga
Home > Find a Dentist > CA > Long Beach Dentists > Dr. George Tashiro, DDS
Similar doctors nearby
Dr. Hong-Ming Lin
General Dentistry
Long Beach, CA
Dr. Andrew Jung
General Dentistry
Long Beach, CA
Dr. Arnold Anderson
General Dentistry
Long Beach, CA
Dr. Maged Nessim
General Dentistry
20 years experience
Long Beach, CA
Dr. Douglas Brooks
General Dentistry
Long Beach, CA
Dr. Jee Ahn
General Dentistry
Long Beach, CA
- Additional Information
- Dr. George Robert Tashiro DDS is a male dentist and practices in Family Dentistry.
- Where does Dr. George R. Tashiro practice?
- Dr. George Tashiro has 2 office locations.
Dr. George Tashiro practices Family Dentistry near Long Beach, CA.
See Long Beach Dentists.


text:
From the Centre for Evidence-Based Medicine, University of Oxford, Nuffield Department of Clinical Medicine, The Oxford Radcliffe National Health Service Trust, Oxford, England (Drs Lens, Dawes, and Goodacre); and Genetic Epidemiology Division, Imperial Cancer Research Fund Clinical Centre, St James's University Hospital, Leeds, England (Dr Bishop).
The optimal excision margin for primary cutaneous melanoma remains controversial, although several clinical studies have suggested that wide local excision is unnecessary.
Wide excision margins do not improve survival in patients with melanoma.
To describe the published evidence and determine the effectiveness of wide surgical margins compared with narrow surgical margins.
Systematic review of randomized controlled trials that compared narrow margins with wide excision margins for cutaneous melanoma.
Randomized controlled trials available by March 2001.
The included trials comprised 2406 participants.
Surgical excision of melanoma using narrow excision margins compared with excision using wide excision margins.
Main Outcome Measure
Effect of width of excision margin on melanoma recurrences, disease-free survival, and overall survival.
We identified and analyzed 4 randomized controlled trials. All 4 trials failed to demonstrate statistically significant differences in overall survival and disease-free survival when comparing wide vs narrow excision. Peto pooled odds ratio for overall survival was 0.79 (95% confidence interval, 0.61-1.04) and for disease-free survival was 0.89 (95% confidence interval, 0.69-1.13), indicating a statistically nonsignificant improvement with wide excision.
Not one of the included studies showed any statistically significant difference between the 2 groups treated with narrow or wide excision margins with regard to recurrences and survival. However, current evidence is not sufficient to address the optimal surgical margins for all melanomas, and further research is required.
IN THE LOCAL TREATMENT of primary cutaneous malignant melanoma, the surgeon's main goals are to prevent disease recurrences and to promote long-term survival. The secondary aims are to do this with minimal surgical morbidity, short hospital stay, and good cosmetic results. The width of excision margins strongly affects these secondary aims. The optimal excision margin for primary cutaneous melanoma remains controversial.
In 1907, Handley1 published an anecdotal report recommending a liberal resection of skin and considerable amounts of subcutaneous tissue surrounding a cutaneous melanoma on the basis of histologic studies in a single patient with melanoma metastatic to lymph glands. In 1962, Petersen et al2 advocated the need for wide local excision and suggested surgical excision with lateral excision margins of at least 5 cm around the primary tumor. This aggressive approach was considered necessary to prevent local recurrences, but it requires use of skin grafting or flap surgery leading to increased morbidity and, sometimes, unacceptable cosmetic results. The approach was advocated partly as a result of Handley's report but presumably also as a result of clinicians' experiences of local and in-transit recurrence. Local recurrence in malignant melanoma is a negative prognostic sign. and its occurrence is associated with generally poor survival and specifically with an increased risk of regional and distant metastasis.3 There have been 2 histopathological studies of melanoma reported in recent years in which the presence of significant residual tumor was shown to be unlikely if it was not visible in the gross specimen.4,5 There has been no systematic study, however, designed to detect the presence of micrometastases in the skin around primary tumors that might better inform choice of excision margins.
When Breslow and Macht6 introduced the concept that prognosis was related to tumor thickness, the dogma of wide excision was challenged for thin tumors, and there is a broad international consensus that 1-cm margins are safe for thin tumors. The necessity for wide excision of thicker tumors with a poorer prognosis is also challenged, however, and many surgeons have started to perform resections of cutaneous melanoma with increasingly narrower margins,7,8 believing that there is no reason to treat melanomas differently from any other tumor.8 The emerging view is that local recurrences are local in-transit recurrences, and the likelihood is that their presence is indicative of more distant lymphatic spread and therefore systemic disease. The implication is that aggressive surgery is unlikely to have a significant effect on survival and that mutilating surgery should therefore be avoided. In this study, we considered the clinical trial evidence for this view.
The currently recommended margins for excision of cutaneous melanoma are given in Table 1.9,10
Mohs micrographic surgery was introduced as a meticulous technique for surgically removing selected cutaneous malignant lesions including melanoma, especially in certain areas of the body where tissue saving is extremely important. Mohs surgery has been used to establish guidelines for excision margins for recurrent cutaneous melanoma.11,12
We conducted a systematic review of all randomized controlled trials that have examined the resection margins for cutaneous melanoma comparing narrow margins with wide excision margins. This was done to assess the effect of width of excision margin on melanoma recurrences, disease-free survival, and overall survival.
We included only randomized controlled trials that compared narrow vs wide excision of primary melanoma. Patients had to have a clinically diagnosed skin melanoma with no evidence of metastases in regional lymph nodes or at distant sites (stages I and II according to American Joint Committee on Cancer staging criteria). Randomization is the only method available to ensure that both groups are equal in terms of known as well as unknown confounding variables. Although there are many more prospective studies available that were not randomized, we decided that the bias in these trials for this review was unacceptable.
Our aim was to identify all relevant randomized controlled trials that were available for review by March 2001. We conducted sensitive electronic searches of MEDLINE (from 1966 to March 2001), EMBASE (1974 to March 2001), and the Controlled Trials Register from the Cochrane Library (issue 4, 2000), using the recommended Cochrane Collaboration search strategy with Medical Subject Headings melanoma and excision margin* including all subheadings. We reviewed all relevant articles found in the searches, as well as those of review articles and textbooks. We also hand searched selective conference proceedings. No language restrictions were applied. Where possible, we contacted the authors of the trials to verify the data and obtain additional unpublished data. We contacted experts in the field and asked them about any published or unpublished work that they might be aware of.
We extracted the following data from each study: the randomization process including strategy for concealment of allocation, number of randomized patients, duration of follow-up, and number lost to follow-up.
The main outcome measures were as follows: number of patients with local recurrences as a site of first relapse, the incidence of other metastases (in-transit metastases, regional metastases, or distant metastases), and overall and disease-free survival at the end of the follow-up period.
Two reviewers independently extracted the data from each study, and any disagreements were resolved by discussion.
For each trial, we constructed 2 × 2 contingency tables enumerating number of participants with outcome event and without outcome event separately for the intervention group (patients randomized to narrow excision) and control group (patients randomized to wide excision).
For each outcome of interest, we calculated relative risk reduction with 95% confidence interval (CI), absolute risk reduction with 95% CI, number needed to treat with 95% CI, and odds ratio with 95% CI. For this calculation we used CAT Maker software (available at: http://cebm.jr2.ox.ac.uk).
We calculated the odds ratio and 95% CI for 5-year overall survival and 5-year disease-free survival in the patients treated with narrow excision relative to those treated with wide excision by means of Peto modification of the Mantel-Haenszel method (using Cochrane Collaboration Review Manager 4.1; The Nordic Cochrane Center, Copenhagen, Denmark). Heterogeneity between trials was assessed by χ2 distribution.
We retrieved 173 published articles reporting safety of excision margins in the resection of primary melanoma. We identified and analyzed 4 randomized controlled trials, published in 7 reports from 1988 to April 200113- 20 (Table 2). No unpublished eligible studies were identified. In some reports, however, not all of the outcome measures were included. Therefore, we asked the investigators to confirm the extracted data and to provide us with the missing data.
Only the Swedish trial16 and World Health Organization (WHO) Melanoma Trial10 had sufficient description of study design to suggest that adequate concealment of allocation had taken place; in other trials methods for concealment of allocation were not clear. A total of 2406 patients were randomized in the 4 included trials (1178 patients randomized to narrow excision vs 1228 patients randomized to wide excision).
Follow-up was reported in the Intergroup Melanoma Trial13 as 92%, but this refers also to a nonrandomized group of patients who joined the prospective study. The last Intergroup publication reported survival in 468 randomized patients (238 patients had a 2-cm margin and 230 patients had a 4-cm margin), which is 96.3% of the patients who entered the study.15 Karakousis et al14 reported results with a median follow-up of 91 months on 470 patients (238 had a 2-cm excision and 232 had a 4-cm excision), which is 96.7% of the patients who entered the study originally. Although the last publication stated that the results were reported on the basis of "randomized intent," it seems that the intention-to-treat analysis was not applied. We tried to contact the authors to obtain confirmation, but no information was obtained.
In the Swedish Melanoma Study Group Trial, only 5 patients (0.5%) were lost to follow-up. The WHO Melanoma Trial 10 did not report the number of patients lost during follow-up in relevant papers. The authors verbally reported that they achieved 100% follow-up.
The main outcome measures were local recurrences, in-transit metastases, regional metastases, distant metastases, overall survival, and disease-free survival (Table 3).
The incidence of local recurrences as a site of first relapse of melanoma was reported in 3 trials including 2071 patients.
A total of 21 patients with local recurrences were recorded (12 in narrow and 9 in wide excision groups). The number of patients with local recurrences varied among trials (in the patients randomized to narrow excision, from 2 to 5; in the wide excision group, from 0 to 6). The difference in local recurrence between patients having wide or narrow excision was not statistically significant in any of the studies.
The definition of local recurrence has varied among studies. In the Intergroup trial, a local recurrence was defined as a pathologically documented melanoma that recurred within 2 cm of the surgical scar. The Swedish study defined local recurrence as a recurrence in the scar or transplant. In the WHO trial, local recurrence was defined as cutaneous or subcutaneous nodules that appeared along the surgical scar or within 1 cm from the scar.
The difference in rate of in-transit, regional, and distant metastases between patients having wide or narrow excision was not statistically significant in any of the studies.
A total of 1979 live patients were recorded (972 allocated to narrow excision vs 1007 allocated to wide excision).
Five-year overall survival data were available for 3 trials, and we therefore pooled the data and performed a meta-analysis (Figure 1). Peto pooled odds ratio was 0.79 (95% CI, 0.61-1.04).
Effect of excision margins on postoperative 5-year overall survival. OR indicates odds ratio; CI, confidence interval.
Disease-free survival was reported for a total of 1854 patients (905 had narrow excision compared with 949 who had wide excision). We also pooled the data for 5-year disease-free survival for 3 trials and performed a meta-analysis (Figure 2). Peto odds ratio was 0.89 (95% CI, 0.69-1.13).
Effect of excision margins on postoperative 5-year disease-free survival. OR indicates odds ratio; CI, confidence interval.
None of the studies has shown a statistically significant difference between the 2 groups who were treated with narrow or wide excision margins with regard to overall or disease-free survival. However, in trying to combine data from these studies, we have been faced with significant methodologic problems as well as clinical heterogeneity between the individual studies.
Because the included trials reported the data with different lengths of follow-up, we were not able to pool the data for all events and were restricted to survival outcomes. Furthermore, narrow and wide excision margins were not the same in all trials.
We were unfortunately unable to carry out a meta-analysis on local or in-transit metastases, but this outcome is important. Local recurrence is associated with a poor prognosis but does not appear to be an independent prognostic indicator of survival.3,21
The Intergroup trial showed that the incidence of local recurrence increased 6- to 8-fold in patients with ulcerated melanomas compared with nonulcerated melanomas of intermediate thickness.14
The rate of local recurrences in general is low. Many studies demonstrated that the bulk of local recurrences occur beyond the second year of follow-up. Thus, long-term follow-up is required.
The tumor thickness among the participants of the trial varied. The individual studies included in our systematic review and a meta-analysis of the 3 studies support the view that the excision margin for tumors thinner than 2 mm in Breslow thickness has no effect on disease-free survival or overall survival.
Although a 1-cm margin is now widely accepted as adequate for thin (<1 mm thick) melanoma, the minimum margins necessary for thicker lesions (>4 mm) remain unclear. Minimum margins for intermediate-thickness melanoma (1-4 mm) are still disputable. No one trial included only thick melanomas; 3 trials (French, Swedish, and WHO trials) examined melanomas up to 2 mm in thickness, while only 1 trial (Intergroup trial) was conducted on melanomas with thickness up to 4 mm. In the Intergroup trial, 213 patients (43.8% of all randomized patients) had tumors 2 mm or thicker, which represents only 8.9% of all patients from the 4 randomized trials included here. On the basis of this evidence, we do not feel confident to make a strong statement about what margins are acceptable in the 2-mm to 4-mm group, although according to many authors a 2-cm margin is held to be appropriate.
Current evidence including this review provides no guidelines for thick melanomas (>4 mm in thickness), and the optimal treatment for patients with these lesions has not been well established.
Since these tumors have a particularly high recurrence rate (>10%), many surgeons recommend a wider excision margin on the basis of the assumption that better local control might be achieved, while some authors suggest that tumor thickness should not influence surgical margins.12 The results of the United Kingdom Melanoma Study Group excision trial, which compares 1-cm vs 3-cm margins of excision in patients with melanoma 2 mm or thicker, are awaited.
Trials included in our study do not specifically address the surgical management of several important types of melanoma, and there is no prospective randomized study with data that would establish guidelines for the treatment of in situ melanomas; melanomas on the head, neck, hands, or feet; and melanomas more than 4 mm thick.
Current evidence is not sufficient to address the optimal surgical management for all melanomas, but this meta-analysis provides further evidence that excision margins (in excess of 1 cm) have no effect on disease-free survival or overall survival for melanomas less than 2 mm in thickness. Further research is necessary, and subsequent trials should determine the appropriate local treatment for thick melanoma as well as examine whether narrower margins might be safe in certain types of melanomas and some subgroups of patients.
Corresponding author: Marko B. Lens, MD, Centre for Evidence-Based Medicine, University of Oxford, Nuffield Department of Clinical Medicine, The Oxford Radcliffe NHS Trust, Oxford OX3 9DU, England.
Thank you for submitting a comment on this article. It will be reviewed by JAMA Surgery editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers' bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Make the Diagnosis: Melanoma
All results at
JAMAevidence.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Need assistance?
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.


text:
An especially turgid penis with throbbing veins, and the effect is even more pronounced for most men while wearing a cock ring.
Marielle especially liked Bob's blood sausage, because it felt naturally ribbed for her pleasure, and the 'old in and out' provided her with much more sensory pleasure than Steve's 'little trooper'.
by Niemand of Chaos March 29, 2005
When a person sinches a knot very tightly around the base of his/her erect penis just before ejactulation. This causes the blood in the penis to stay in the penis. The man or womans penis only becomes a blood sausage once their bigjuicyboner subsides. Since the lameduck (unerect penis) is much shorter than the bigjuicyboner and still has all of the blood from the bigjuicyboner, it looks like a plump blood sausage
Note: This does not work for niggers because of their burnt skin.
Note: This does not work for niggers because of their burnt skin.
Hey ya'll! My new nigger can't get a blood sausage!
by nigkilla May 30, 2011
1. Kiszka, a Polish sausage made with blood.
Stashu liked to eat his kiszka with eggs and ketchup.
by Niemand of Chaos March 29, 2005
Your dick. After period sex, enough said
As soon as I pulled out I knew I had blood sausage
by Anerdwhogetslaid September 09, 2016


text:
Logo redraw
This project was awarded to nextgenexperts for $35 USD.Get free quotes for a project like this
Awarded to:
Skills Required
Project Budget$30 - $250 USD
Total Bids36
Project Description
Hello all!!!
I need redraw old logotype. Its simple task.
We have: old version logo. We should keep: 1)shape and 2) form, but can change colors. Colors should be made for new web-site colors and style (see file "new website colors" - its template from rockettheme).
[url removed, login to view] - it's source logo from original template.
Looking to make some money?
- Set your budget and the timeframe
- Outline your proposal
- Get paid for your work
Hire Freelancers who also bid on this project
Looking for work?
Work on projects like this and make money from home!Sign Up Now
- Forbes
- The New York Times
- Time
- Wall Street Journal
- Times Online


text:
Magazine Racks: Danish Modern, Teak & Rolling Stands
Danish Modern Rack - $65 • Weehawken, NJ: Metal Magazine Holder - $45 • Brooklyn, NY: Danish Modern Stand - $200 • San Francisco, CA: Teak & Canvas Magazine Rack - $75 • Denver, CO: Bruksbo Rolling Stand - $300 Shoppers, check out the Classifieds for many more listings. Sellers, gather up your goods and list them in our Classifieds to turn them into a little extra spending cash. Go To: Classifieds Main Page Apartment Therapy is not the seller of these items. This is an edited selection of our favorite offerings from our Classifieds. For more information, see How it Works. Happy Scavenging!


text:
Download citation file:
This article was published online first at www.annals.org on 26 August 2014.
From University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, and Johns Hopkins University School of Medicine, Johns Hopkins Bloomberg School of Public Health, and Johns Hopkins Health System, Baltimore, Maryland.
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-1953.
Requests for Single Reprints: William A. Fischer II, MD, University of North Carolina at Chapel Hill School of Medicine, Department of Medicine, Division of Pulmonary and Critical Care Medicine, Center for Environmental Medicine, Asthma, & Lung Biology, 104 Mason Farm Road, Chapel Hill, NC 27599-7310; e-mail, firstname.lastname@example.com.
Current Author Addresses: Dr. Fischer: University of North Carolina at Chapel Hill School of Medicine, Department of Medicine, Division of Pulmonary and Critical Care Medicine, Center for Environmental Medicine, Asthma, & Lung Biology, 104 Mason Farm Road, Chapel Hill, NC 27599-7310.
Dr. Hynes: Division of Infectious Diseases, The Johns Hopkins University School of Medicine, 1830 East Monument Street, 4th Floor, Baltimore, MD 21205.
Dr. Perl: Department of Epidemiology & Infection Prevention, Johns Hopkins Medicine, 600 North Wolfe Street, Osler 327A, Baltimore, MD 21287-5425.
Author Contributions: Conception and design: W.A. Fischer, N.A. Hynes, T.M. Perl.
Analysis and interpretation of the data: W.A. Fischer, T.M. Perl.
Drafting of the article: W.A. Fischer, T.M. Perl.
Critical revision of the article for important intellectual content: W.A. Fischer, N.A. Hynes, T.M. Perl.
Final approval of the article: W.A. Fischer, N.A. Hynes, T.M. Perl.
Administrative, technical, or logistic support: W.A. Fischer, T.M. Perl.
Collection and assembly of data: W.A. Fischer, N.A. Hynes, T.M. Perl.
Infections among health care workers have played a major role in outbreaks of Ebola virus disease since the virus was discovered in 1976. Available data from past outbreaks show that the deaths of health care workers were the canary in the coal mine signaling that an outbreak of a viral hemorrhagic fever had begun. The current Ebola outbreak that is devastating West Africa is unfortunately no different. In addition to an unprecedented number of total infections and deaths (2473 and 1350, respectively, at the time of this writing), this outbreak has surpassed all previous ones with respect to the number of health care workers infected (1). As of 11 August 2014, more than 170 health care workers have been infected and more than 80 have died (2).
In general, exposure and infection among health care workers typically occur before recognition of Ebola as the cause of a patient's illness. The nonspecific and nonpathognomonic presenting symptoms associated with Ebola, including fever, fatigue, and diarrhea, mirror the symptoms of more common ailments in sub-Saharan Africa, such as typhoid fever and malaria. The difficulty in the clinical recognition of Ebola combined with a lack of diagnostic capabilities complicates prevention efforts. Limited supplies of personal protective equipment (PPE) that prevents nosocomial transmission, including gloves, gowns, and face masks, in addition to inadequate training in standard precautions and poor public health care infrastructure, can create an environment that fosters infection of health care workers with Ebola, primarily at the start of an outbreak.
However, nosocomial transmission to health care workers can easily be mitigated with vigilance and the institution of barrier protection. In April 1995, a nosocomial cluster of Ebola was first identified among health care workers who participated in exploratory laparotomy of a laboratory worker with suspected typhoid-associated abdominal perforation (3). Many of the health care workers who participated in the procedure unknowingly contracted Ebola from the patient and then spread the virus to their subsequent contacts (3). In total, 80 of the 315 (25%) persons infected during this 6-month epidemic were health care workers (3). Transmission primarily occurred before Ebola was recognized as the etiologic agent, and this outbreak was successfully terminated with the initiation of barrier protection techniques.
If transmission of Ebola is effectively interrupted with barrier protection, why are so many health care workers in the current outbreak being infected, particularly this late in the epidemic? Two contributing factors include an insufficient supply of PPE and a lack of emphasis on the process of donning and doffing PPE.
The current Ebola outbreak is occurring in 3 of the world's poorest countries. Guinea, Liberia, and Sierra Leone are not only among the countries with the lowest per-capita gross national incomes but also have among the fewest physicians to serve their populations, with fewer than 0.1 physician per 10 000 persons (4–5). As a result, the health care infrastructure is unable to sustain basic health care needs, let alone the surge in medical need brought on by this epidemic. The lack of sufficient PPE thus forces health care workers to choose between providing care with a heightened risk for infection or abandoning patients afflicted by this terrible disease. As of 16 August 2014, approximately 36 health care workers in Liberia alone (a country with a reported total of 51 physicians) have died of the disease and others are struggling with it (6). The absence of sufficient PPE is a major reversible reason underlying the recent increase in infections among health care workers that have occurred thus far in this Ebola epidemic.
Although PPE is effective at decreasing exposure to infected bodily fluids among health care workers, its presence is simply not enough. Ebola is transmitted through direct or indirect contact between bodily fluids from an infected patient and breaks in the skin or exposed mucous membranes of an uninfected person. The various PPE used and advocated by Médecins Sans Frontières, the World Health Organization, and the Centers for Disease Control and Prevention reduces the risk for direct exposure. However, even with PPE, a health care worker is still at risk if protective clothing that is contaminated with infectious bodily fluids is not removed in a manner that prevents exposure. The physical exhaustion and emotional fatigue that come with caring for patients infected with Ebola may further increase the chance of an inadvertent exposure to bodily fluids on the outside of the PPE. In addition, the impulse to wipe away sweat in the ever-present hot, humid environment during PPE removal may lead to inadvertent inoculation of mucous membranes.
The treatment sites administered by Médecins Sans Frontières have addressed this critical need by creating both a structure and a systematic, measured process to mitigate the risks associated with removal of PPE. First, a separate exit, physically removed from the entrance, is created to ensure that persons donning PPE do not come into contact with PPE from exiting health care workers that may be contaminated with bodily fluids. Second, and more important, a dedicated person is stationed at the exit with the sole focus of guiding the health care provider through each step of PPE removal, regardless of how many times the provider has been through the process. This standard of operations ensures that the process becomes ritualized, thereby protecting and reassuring the health care worker.
Despite its lethal nature, Ebola transmission can be interrupted with simple interventions and by focusing on basics. Improvement in basic health care infrastructure and providing an adequate supply of PPE along with a ritualized process for donning and doffing PPE are desperately needed to prevent further unnecessary infection and loss of life among the heroic health care workers who are on the frontlines of this war. Protection of health care workers in Ebola outbreaks does not happen by accident—it is achieved through the provision of adequate PPE and, more important, a focus on systems processes that enforce the safe use and removal of PPE. The challenges and successes in Africa should inform the discussion in the rest of the world about reducing the risk for transmission and refocus the conversation on the process of donning and doffing PPE rather than simply increasing the amount of it.
Please read the other comments before posting. Contributors must reveal any conflict
of interest.
Comments are moderated and will appear on the site at the discretion of The American
College of Physicians editorial staff. Please be sure your email address is
updated in your account, otherwise the American College of Physicians will not be
able to contact you about your comment.
Anyone can submit a comment any time after publication, but only those submitted within 4 weeks of an article's publication will be considered for print publication. One month after publication, editors review all posted comments and select some for publication in the Letters section of the print version of Annals. (Not peer reviewed)
Authors: No more than 5
Text: Word Limit 400 (excludes references), 5 references, no figures or tables
* = Required Field
Disclosure of Any Conflicts of Interest*
(applies to the past 5 years and foreseeable future) Indicate any potential conflicts
of interest of each author below, including specific financial interests and relationships
and affiliations relevant to the subject matter or materials discussed in the manuscript
(eg, employment/affiliation, grants or funding, consultancies, honoraria, speakers
bureau, stock ownership or options, expert testimony, royalties, donation of medical
equipment, or patents filed, received, or pending). If all authors have none, check
"No potential conflicts or relevant financial interests" in the box below. Please
also indicate any funding received in support of this work. The information will
be posted with your response.
Terms of Use
The In the Clinic® slide sets are owned and copyrighted by the American College
of Physicians (ACP). All text, graphics, trademarks, and other intellectual property
incorporated into the slide sets remain the sole and exclusive property of the ACP.
The slide sets may be used only by the person who downloads or purchases them and
only for the purpose of presenting them during not-for-profit educational activities.
Users may incorporate the entire slide set or selected individual slides into their
own teaching presentations but may not alter the content of the slides in any way
or remove the ACP copyright notice. Users may make print copies for use as hand-outs
for the audience the user is personally addressing but may not otherwise reproduce
or distribute the slides by any means or media, including but not limited to sending
them as e-mail attachments, posting them on Internet or Intranet sites, publishing
them in meeting proceedings, or making them available for sale or distribution in
any unauthorized form, without the express written permission of the ACP. Unauthorized
use of the In the Clinic slide sets will constitute copyright infringement.
Learn more about subscription options


text:
Did you know you can sort by Delivery Speed?
Lazada can use your location to show you products that can be delivered faster to you.
Did you know?
You can now sort by Discount.
Lazada can use your location to show you products that can be delivered faster to you.
More sellers from SGD 194.90
More sellers from SGD 1,388.00
In collaboration with retailers, distributors, and local banks, Lazada are offering this campaign "Deals of the day" to give you your most anticipated items at best value. These exclusive deals are specially made just for you in order to save time around shopping malls. You can expect that all products under these deals and promotions are extremely at competitive prices. You can enjoy the perks of kick-off sales, big discounts, and flash sales. You can make as many orders you want just don't forget the vouchers if you have.
To bring effortless shopping to everyone, Lazada offers up to five payment options that includes Mastercard, Visa, Hellopay, Paypal, Amex and Masterpass. If you do not have a credit or debit card on hand, the option of cash on delivery is also available. What's more, all of your purchases are protected with the Lazada buyer protection guarantee with free shipping included for orders over $40. With the buyer protection guarantee, you get to enjoy money back guarantee or the free returns for local products should you change your mind within 14 calendar days. With these amazing deals and discounts up to 75%, you are definitely spoiled for choices! Be sure to check this page regularly to check out the latest good deals in Singapore.


text:
Skip to comments.Repo man takes San Jose mom's car with 2-year-old in back seat
Posted on 01/14/2010 1:05:08 PM PST by SmithL
Isabel Luevano was late with her car payment.
On Tuesday night, the repo man came.
Trouble was, when he snatched back her 2000 Honda Accord, her 2-year-old son, Cyrus Lopez, was repossessed, too. He was asleep in the back seat.
Frantic, Luevano called 911. She thought the car and her child had been stolen right before her eyes as she stepped outside to pick up her 6-year-old daughter.
Police swarmed to her rescue. A search helicopter circled in the air.
And 31 minutes later, San Jose police found the boy after astutely figuring out they should call Alberto's Auto Sales on East Santa Clara Street. When they did, they discovered that little Cyrus was in the dealer's lobby, his eyelashes stuck together in clumps because he had been crying so hard.
"It was a nightmare," Luevano told the Mercury News. "I thought I was losing my mind. I kept thinking, 'Who hates me enough to take my son?' I was freaking out."
Wednesday, Cyrus stayed home from day care to stay close to Mom.
San Jose police Sgt. Ronnie Lopez said the car dealership owner, Alberto Luna, 47, said he discovered a boy in the back seat of the car he had repossessed just about the same time police were calling his son, Jose Luna, 23, at the dealership to alert them he had driven off with a toddler. The two promptly admitted they had the boy.
The Santa Clara County District Attorney's Office is looking into what happened. But to arrest Advertisement on kidnapping charges, Lopez said, police have to show there was intent.
(Excerpt) Read more at mercurynews.com ...
So why did the mom leave the rug rat in the car she should be arrested for child abuse
What happened?
She didn't pay her car loan OR her pediatrician's bill?
Golly, that's never happened before.
Shhh, you're ruing a good story.. Ain't those repo men just horrible ??
The bigger question is, who the hell finances a 10-year-old car?
Need to get Dog the Bounty hunter on this, maybe it could be a reality show with that disfuntional father of Sarah Palin's grandson
The life of a Repo Man is always intense.
Sounds like both the repo men and the mother will be in some trouble over this by the time the story is done. You never leave a child unattended in a car even for half a second for any reason!
People with terrible credit and little cash.
It's a common practice in poor communities for a local wheeler-dealer to fix up and "sell" klunkers for $100 down and so much per month.
If the car breaks down the "owner" calls the car dealer and tells him where to pick it up (and stops paying for it).
Frequently someone will need a car for only a short period of time and the downpayment plus monthly will be far less costly than any comparable rental. They'll see one of these dealers, pick up a car, drive it for the purposes they had in mind, then stop paying.
I'm just describing the practice, but I think it has a bit to do with zoning permits for commercial garages, automobile property and casualty insurance, the true cost of ownership to "the poor", and the benefits of shifting titles to evade unnecessarily harsh encounters with agencies that regulate automobile rental companies.
It's been a number of decades ago when I was let in on the secrets of this business by a couple of graduate students from Angola (a country in Africa). They needed a car for 6 weeks so they went to Indianapolis one weekend to "buy one", and did so.
At the end of the semester they got their degrees and went back home. The repo guy presumably picked up the car.
One of the students said "America is the greatest country in the world. A black man without any resources and no credit rating of any kind can buy a car."
Sounds like the repo guys were following her and waiting for her to get out of the car. When she stopped to pick up her daughter (probably at school), they struck.
I'm sure he didn't take it on purpose with the kid in it...
Well from the sound of it, he followed her and snatched the car when she stepped out. Charge him with kidnapping cause that IS what he did.
They should always check out a car to see if anything is in it. Sorry, but if I was the judge, he would be doing time.
I am not excusing the mother, by the way. But, not making a car payment does not excuse snatching her child and that is exactly what they did. You try it and you WILL be in jail.
There's a lot of money to be made in poverty...
She wanted the repo man to alert her to the taking
It's ordinarily the case that the people into selling clunkers make sure this doesn't happen by first notifying the miscreant that "time's up". After all, these people will be repeat business in the future so you don't want to get them all upset and nasty.
I wouldn't come down too hard on the repo man. They only wanted the car, not the kid.
What if they had found him in the middle of repossessing - what's their option, drop the kid on the sidewalk and hope he gets found - that's true reckless endangerment or abandonment, and they're in even worse trouble. I don't think they had a whole lot of choice.
As the article says, for a crime to be committed there must be criminal intent.
I've read of people getting into a car identical to theirs and driving away. The key happened to work.
They didn't commit grand theft auto because there was no intent to steal.
In this case they were apparently legally repoing the car and were unaware the child was in it. No criminal intent, no crime.
Glad the kid is ok.
I went to see a junk dealer who owned a Prelude with parts I needed. He bought junk Saturns and rebuilt them from the various parts and pieces. He then sold them to the large mexican population at the chicken plant. Payments were in cash weekly. Miss two payments and he came to get it.
He then sold the car again. He told me he had sold the same car 4 times.
I didn't buy his old prelude.
Agreed. Cuff 'em and take 'em in.
"So why did the mom leave the rug rat in the car she should be arrested for child abuse"
So I take it you didn't actually read the article before commenting?
She was standing by the car, waiting for her 6 year old daughter to come out of the house. The repo man ran up, jumped in, and drove off.
If this is child abuse, how does anyone even buy gas with kids in the car?
Well, the repo man goofed up under California law in a different way as well: it seems that they did not notify local LE that they were going to try to take the car before teh attempted repo (as required by law), nor did they notify the affected agency after they did take the car (required by common sense).
At the very least, mom should be good to go for child endangerment (no, the DA won't file), and the repo man will have a civil liability.
Good lord man you fuel your car with kids in it thats horrible
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.


text:
Tool types won't want to write their letters to Santa until they've checked out Taunton Press' "2004 Tool Guide: A Buyer's Companion."
Taunton, which publishes the well-regarded Fine Homebuilding and Fine Woodworking magazines, is launching the magazine-type guide this fall and plans to make it an annual publication.
The 122-page guide offers reviews of more than 225 power and hand tools.
The "2004 Tool Guide" sells for $9.99 and is available on newsstands.
© 2016. All Rights Reserved. | Contact Us


text:
Average Ratings
2 out of 2 people recommended this car.
Consumer Reviews
A True Off Roader with Luxury
by Off Road Junkie from Houston, TX | June 10, 2013
After my '93 Toyota Land Cruiser finally pulled its last leg at 672,000 miles, it was time for a new SUV. I was originally considering to purchase the new '13 Land Cruiser, but when I saw its more luxurious sibling the Lexus LX570, it just looked better both inside and out. But underneath all that luxury, it's still that same good old rugged Toyota that I fell in love with 12 years ago. I also tested other luxury off-road SUVs that I was considering. The new Land Rover Range Rover Supercharged was the best-looking and the most powerful, but feared for its reliability (I had an '08 RR Supercharged that became VERY problematic after 50k miles). The new Infiniti QX56 which I really liked due to the fact that it was based on the Nissan Patrol and not the Armada, but was not crazy about the exterior styling and I've seen a lot of them on the road. And finally, the Mercedes-Benz G550, which is very unique and its long heritage, but the ride was too harsh and I was looking over at $130k with the options that I wanted. All in all, I just went for the LX570, because it was the most reasonably priced and planning on keeping it until its on its last leg. The main purpose why I purchased it was because I like to take it for some serious off-roading, and this behemoth exceeded my expectations! There's a reason why the owner's manual is as thick as a dictionary, and because there's an overwhelming amount of settings for all different kinds of terrain, and yet it's a very comfortable ride on uneven surfaces. Now it does get horrible fuel economy (15-17 hwy), but then again it's a body-on-frame build and it shouldn't be a problem if you spend $90k on an SUV. Overall, I'm really happy with the LX570, and knowing that it's a Toyota underneath, I'm really hoping to keep this SUV for at least a decade.
Purchased a new car
Uses car for Off-roading
Does recommend this car
Best Luxury SUV on the planet
by Mike from Dallas, Texas | October 19, 2012
If you want a Luxury SUV this one is it. There are quite a few improvements for 2013. The ride is extremely comfortable and you have torque on demand if you need to merge onto the freeway in a hurry. The height adjustment comes in very handy if you happen to take it off road where it is quite capable as well.
Purchased a new car
Uses car for Transporting family
Does recommend this car
People Who Viewed this Car Also Viewed
Select up to three models to compare with the 2013 Lexus LX 570.
Asking Price Range
Asking Price Range
Asking Price Range
Asking Price Range
Asking Price Range
Starting MSRP
Asking Price Range
Asking Price Range
Featured Services for this Lexus LX 570
- Sell your current car quickly and easily on Cars.com.
- Not sure what auto repair should cost you? Use our price estimator.
- Get help with car repair now on Cars.com. Visit Repair & Care


text:
The rout in junk bonds over the last 5 weeks is well known, but now leveraged loans (BKLN, SNLN)...
The rout in junk bonds over the last 5 weeks is well known, but now leveraged loans (BKLN, SNLN) have joined the tumble, notes Barclays. It suggests credit is becoming an issue along with higher rates as leveraged loans are floating rate and would seemingly be unaffected by rising Treasury yields. Also affected are short-term high-yield ETFs: HYS, SJNK.
From other sites
at CNBC.com (Apr 10, 2014)
at CNBC.com (Jan 24, 2014)
at CNBC.com (Aug 16, 2013)
at CNBC.com (Jun 28, 2013)
at CNBC.com (Jun 13, 2013)
ETF Hub
ETF Screener: Search and filter by asset class, strategy, theme, performance, yield, and much more
ETF Performance: View ETF performance across key asset classes and investing themes
ETF Investing Guide: Learn how to build and manage a well-diversified, low cost ETF portfolio
ETF Selector: An explanation of how to select and use ETFs


text: Yesterday I took 2 EPT pregnancy tests, both turned out to be positive. SOOOO today we went to the doctor and got the official results. I am 5 weeks pregnant. I am scared and happy and excited. I feel a little weird because he does have 3 kids already from a previous marriage and this is my first time so I feel a little naive, like the things I think are weird or don't expect or know what they are, he already knows. I kind of wish we were going threw it at the same pace, but in any case, he has been wonderful so far. I told my family, gramma was thrilled, mom was okay, sad cause I am so far away, sister dust was excited, best friend summer was ecstatic. I am excited to tell more people, but nervous. It is so early in the pregnancy. OH MY GOD, I AM PREGNANT!!!!!!!!!!!!!!!!!!!!!


text:
IT risks affect your whole business, not just your IT-centric functions such as infrastructure, data and compliance. The risk spectrum is far broader, impacting everything from financial, legal, operations, HR, reputation and brand. The immediate and long term impact is much more than incident management – you need a proactive, preventative and holistic approach to leverage investment in IT for maximum business benefit.
We bring a full range of expertise to address your business challenges covering everything from data quality, IT project governance, information security, ERP control implementation and IT risk and governance. We'll tailor these into an integrated solution designed to solve your complex IT risk problems, so that you achieve the best performance and keep your critical assets safe.
Data assurance and analytics
Put your data to work for the benefit of your business and your bottom line.
We can help you create a holistic approach to data analytics so you can quickly and efficiently use compliance data to meet your regulatory requirements. We can also improve the integrity of your business data so you can feel confident that the information generated is trustworthy and can help you make the right decisions. Read more.


text:
: [Pokémon+]
The Pokémon Trainer Academy (T) [Best Veteran 4Q '11]
View Single Post
June 12th, 2011 (9:00 PM). Edited June 14th, 2011 by Yagerbomb.
←Apple Jack
Join Date:
Mar 2011
The Magical Land of Cheeseburgers and Liquor
Name: Dr. Jonas Applewood
Nickname: His students are to refer him as Dr.Applewood
Age: 52
Gender: Male
Dorm Allegiance: Suicune Dorm
Job: Dr. Applewood mainly teaches Pokemon Mythology, but also teaches a class about Items and their uses.
Appearance: Since a picture is worth a thousand words
Dr. Applewood is cold,stern and emotionless. Most see Dr.Applewood as a lifeless person. Dr. Applewood cares deeply
about his studies. Although many may not know it, Dr.Applewood wishes the best for his students. Dr.Applewood is
quick to judge and is very quiet around large groups of people. His students all say he is heartless and evil. In other
words, he is your average teacher.
Dr. Jonas Applewood was born in Cerulean City,Kanto. From an early age, Jonas took an interest in Pokemon Mythology. Jonas would research whatever he could on the subject and quite the knowledge on the subject. Jonas would go through school earning fantastic marks during the process. After graduating from Cerulean City High School, Jonas was accepted into Mossdeep University in Hoenn. During Jonas' time in Hoenn, he studied the legends of Hoenn and the so called " Legendary Pokemon" associated with them. Jonas spent seven years at Mossdeep University, earning a Doctorate in Archeology. After University, Jonas was hired at the Pewter City Museum. Jonas was a archeologist for the Museum, collecting multiple pieces of important data on "Legendary Pokemon". Jonas was Professor Oak's personal guide when it comes to Pokemon Legends. When Oak opened up the Academy, Professor Oak called on Dr.Applewood to teach.
Pokémon (Up to 4 Maximum No Legendaries or Shinies):
Species: Umbreon
Personality: Umbreon is very shy and quiet, but very loyal.
Lvl: 45
Bite-Double Team
Dark Pulse-Faint Attack
Quick Attack-Water Pulse
Species: Blastoise
Personality: Blastoise is very headstrong. Blastoise is always ready for a Challenge to prove itself.
Lvl: 49
Bite-Ice Beam
Aqua Tail-Flash Cannon
Species: Yanmega
Personality: The best way to describe Yanmega would be silent but deadly.
Lvl: 47
Bug Bite-Ancient Power
Detect-Sunny Day
Solarbeam-Shadow Ball.
Team Apple Jack
My RP -
Star Wars: A Republic Dark Age
RP's I am In:
New World Order as Arro Malthesis
Joined Mar 2011
View Public Profile
Send a private message to Yagerbomb
Find all posts by Yagerbomb
Find threads started by Yagerbomb
Ignore Posts by Yagerbomb


text:
Union membership by industry, 2006
February 09, 2007
In 2006, the union membership rate for government workers (36.2 percent) was nearly five times that of private industry workers (7.4 percent).
Within the public sector, local government workers had the highest union membership rate, 41.9 percent. This group includes several heavily unionized occupations, such as teachers, police officers, and fire fighters.
Among major private industries, transportation and utilities had the highest union membership rate, at 23.2 percent, followed by construction (13.0 percent). The information industry and manufacturing also had double-digit unionization rates in 2006.
These 2006 data on union membership are from the Current Population Survey. Unionization data are for wage and salary workers. Find out more in "Union Members in 2006" (PDF) (TXT), news release USDL 07-0113.
Bureau of Labor Statistics, U.S. Department of Labor, The Economics Daily, Union membership by industry, 2006 on the Internet at http://www.bls.gov/opub/ted/2007/feb/wk1/art05.htm (visited September 28, 2016).
Recent editions of Spotlight on Statistics
A look at healthcare spending, employment, pay, benefits, and prices
As one of the largest U.S. industries, healthcare is steadily growing to meet the needs of an increasing population with an increasing life expectancy. This Spotlight looks at how much people spend on healthcare, current and projected employment in the industry, employer-provided healthcare benefits, healthcare prices, and pay for workers in healthcare occupations.
Employment and Wages in Healthcare Occupations
Healthcare occupations are a significant percentage of U.S. employment. Some of the largest and highest paying occupations are in healthcare. This Spotlight examines employment and wages for healthcare occupations.
Fifty years of looking at changes in peoples lives
Longitudinal surveys help us understand long-term changes, such as how events that happened when a person was in high school affect labor market success as an adult.


text:
Peanut Hotel - Nagpur - India
Peanut Hotel - NagpurPeanut Hotel
Address: Bharti House, 43+7 Kachipura garden, Alankar Theatre Area, New Ramdaspeth
Phone Number: +917620913141
Geolocation: 21.134567, 79.067200
Peanut Hotel Rates & Reservations
- Book your room
- Book your room
Peanut Hotel Reviews
Peanut Hotel average rating
6.5 out of 10 based on 5 user reviews.
6.5 out of 10 based on 5 user reviews.
Check Availability and Book Now....
If you experience any problems with the above search please click here
Peanut Hotel - Nagpur Description
The 1-star Peanut Hotel offers comfort and convenience whether you're on business or holiday in Nagpur. Featuring a complete list of amenities, guests will find their stay at the property a comfortable one. All the necessary facilities, including daily housekeeping, 24-hour front desk, 24-hour room service, Wi-Fi in public areas, car park, are at hand. Guestrooms are designed to provide an optimal level of comfort with welcoming decor and some offering convenient amenities like internet access - wireless, non smoking rooms, air conditioning, desk, fan. The hotel offers various recreational opportunities. For reliable service and professional staff, Peanut Hotel caters to your needs.
Peanut Hotel - Nagpur classifies itself as a 1 star hotel.
N.B. Please note that the star ratings are interpreted generously by the hotels in many countries.
N.B. Please note that the star ratings are interpreted generously by the hotels in many countries.
Peanut Hotel - Nagpur Facilities
N.B. Please note that these are considered correct at the time of publishing, but may no longer be available. If any of the facilities are absolutely essential for you please check when booking. Please do not assume that all are included in the room rate.
Peanut Hotel Hotel Facilities
- Airport Transfer
- Business Center
- Car Park
- Coffee Shop
- Elevator
- Laundry Service
- Pets Allowed
- Room Service
- Safety Deposit Boxes
- Shops
- Wi-Fi in Public Areas
Peanut Hotel Room Facilities
- Air Conditioning
- Complimentary Bottled Water
- Desk
- Fan
- In Room Safe
- Internet Access - Wireless
- Non Smoking Rooms
- Satellite / Cable TV
- Shower
- Television
Online Reservation - click here
reserve your discounted Peanut Hotel room now!
reserve your discounted Peanut Hotel room now!


text:
We are no longer offering S.W. Basics Eco Cotton Rounds by S.W. Basics. Discover a new favorite or contact our beauty concierge for further assistance.
These reusable cotton rounds are designed to replace disposable cotton balls. They're unbleached, certified organic and made in the USA.
Once you've used these organic, reusable cotton rounds you put them in the washing machine in the laundry bag they come with. There are 8 in a pack—one for every day of the week and another for washday!
• Includes 8 Cotton Rounds + 1 Laundry Bag
• Use to apply product or remove makeup
• Reusable, machine-washable
• Made from GOTS-certified organic cotton
• Made in the USA
Featured: Refinery 29, Into the Gloss, Byrdie.
Cotton balls are awesome, but industrial cotton farming is terrible for the environment. If you use two or three cotton balls a day like we do, this comes out to about a year-and-a-half's worth of disposable cotton (and around $50) that you're saving from the landfill.
Use cotton rounds to apply Cleanser, Toner, and Makeup Remover, then place in laundry bag and toss in the wash. Repeat until environment's condition improves.
Where does b-glowing ship?
b-glowing ships anywhere in the world! Please view our international shipping policy for orders shipped outside the U.S
APO/FBO Addresses: b-glowing proudly ships to our military.
What shipping methods are offered by b-glowing?
Standard Shipping: $5.95 (COMPLIMENTARY standard shipping on orders $75+) within the contiguous U.S. (2-7 business days), Hawaii and Alaska (12-18 business days)
2-3 Business Day Shipping (for orders placed before 12pm Central time): + $11.00
1-2 Business Day Shipping (for orders placed before 12pm Central time): + $20.00
Any package containing hazardous material, such as nail polish, hair spray, or perfume, is restricted by the U.S. Department of Transportation to ground-only shipping methods.
When will my order ship?
Most orders are shipped 24-48 hours within receipt of order. We ship Monday through Friday. Orders placed on Saturday and Sunday will be shipped the following Monday or Tuesday. We do not ship on major holidays; orders placed on major holidays will be shipped the next business day. Please note that due to the speed of our ordering system, order cancellations and changes are not always possible.
All orders shipped complete, when all merchandise is in-stock; no partial orders shipped. You will not be charged until your order is shipped.
How can I track my order?
You can confirm delivery of a package at www.usps.com using the tracking number emailed to you at the time of shipping. UPS provides tracking for your orders at www.ups.com. Packages shipped via FedEx can be tracked at fedex.com. Please allow 24 hours after your order ships for your tracking updates to be made available.
We are not responsible for orders damaged or missing in transit via a mail forwarder. Please call (866)525-4933 for further assistance.


text: It's been twelve kinds of too long since I linked up with Jen for quick takes, so yay! #7 I have no idea if that phrase, "twelve kinds of too long", is a legit phrase or not. I've never heard it. But I wrote it, and I like it, and I shall use it. #6 [Read More…]


text:
Welcome to the First Congregational Church of Belding. Our mission is to learn how to love God and others together. Our goal is to foster a community of faith where we can serve God and each other as we further the Kingdom of God in the here and now.
Contact Info
301 West Washington St, Belding, MI, 48809
Worship Service
Sunday 10:30am
Tuesday Evening Dive Service 7:00pm
Thursday Evening Youth Group 7:00pm - 8:00pm


text:
I was taught to knit by my mother in my teens in the '70's and I quickly went from that to cross stitch and then needlepoint.
Life goes on to a full time job, marriage, a child and then in ...
I was taught to knit by my mother in my teens in the '70's and I quickly went from that to cross stitch and then needlepoint.
Life goes on to a full time job, marriage, a child and then in early in 2004, I was forced to stay off my feet. I pick up the needles and started with knitting a scarf and then another, and then another! Next thing I know, I have 50 of them!
Off to a local art gallery I go to peddle my wares! They loved and sold them all! Creative Design was born! Three upscale children's boutiques and women's wear shops later, here I am! Fingers flyin' with an Etsy shop sheilalikestoknit and lovin' Craftsy!
I can most often be found in "my chair" surrounded by a pile of yarn, fabric, more yarn, needles, another pile of yarn, patterns, more fabric...etc! We love to travel, eat good food, be with family and great friends!
Knitwear: my handmade knitwear is lovingly created by me! The process of choosing great fabric and yarn colors is half the fun! Knitting it all up and seeing it come together is wonderful and the final moment of seeing this creation around someones neck, on a little body, noggin or in their stroller is the BEST! I have been lucky enough to receive wonderful photos and I keep them ALL!
My Philosophy: I am committed to quality fabric and fiber. Attention to detail, craftsmanship and customer satisfaction will always be part of that philosophy.
This stuffed elephant is soft, squishy, sweet and looking for a child to love! The big floppy ears and foot pads will be so special with the addition of your fabric choice! Coordinate it with a blanket and make it truly one of a kind!
For baby or toddler in the bed, crib, stroller, car or just for play!
Great one of a kind shower gift, birthday present or for any special child in your life!
Any worsted weight (4) acrylic yarn will work for easy care and washing! Holding up to lots of hugs and kisses!
Make him or her as firm or squishy as you like!
If you are a crocheter as well, and have my Crocheted Reversible Baby Blanket Pattern, knit up this Precious Pachyderm to coordinate!
4 stitches to one inch. Gauge is not really necessary for a toy! You do want to knit fairly tight as you do not want the fiberfil to show through!


text:
Dark Souls Cheats
Page 7 of 28 • First Page • Previous Page • Next Page • Last Page
Dark Souls Trainer
Bomgto posted on Aug 24, 2012 12:44:41 AM - Report post
Thank Mr Ninja.. im sux at this game keep deying lol
I tell you later
Whit3Wolff posted on Aug 24, 2012 12:59:31 AM - Report post
Good as always!
Life's Only Worth Playing Games
Bomgto posted on Aug 24, 2012 1:04:39 AM - Report post
yessssssssssssssssssssssssssssss its here...... i love you man... both of you really....
I tell you later
Dark_Knight_RW posted on Aug 24, 2012 1:34:57 AM - Report post
Thank you very much. This will help alot!
bonzay0 posted on Aug 24, 2012 1:42:34 AM - Report post
The Attunement Slot option only works on the first attunement slot other slots filled with magic/pyro/miricale stay the same even if I deactivate and reactivate (while pointing to the wanted attunement slot)
If save needed for this I'm not sure how I can give one as I understand it is saved on the server and not localy.
Hideoshi_Kaze posted on Aug 24, 2012 1:49:21 AM - Report post
Alright I tried testing out "Easy Kill" And can't get it to work.
Tried it on 2 bosses so far, and it doesn't seem to register at all. Might be, that specific weapons cause this issue? I'll post a reply after further testing.
In the Darkness I wrought destruction, forever in the void of black shall I die.
Peter22CU posted on Aug 24, 2012 1:50:39 AM - Report post
Thanks for the Trainer
DJAlucard posted on Aug 24, 2012 2:29:53 AM - Report post
PWiz, Cal,
I've been a member here for a few years, outstanding work you guys, always on the ball with new released titles, accurate trainers, i can not thank you both enough, upgrading to a lifetime membership was the best thing ive ever done, and thank you for this amazing trainer
Page 7 of 28 • First Page • Previous Page • Next Page • Last Page
All times are (GMT -06:00) Central Time (US & Canada). Current time is 5:03:42 PM
Trainer Support
Having trouble getting our trainer to work? These steps resolve 99% of all trainer issues.
Temporarily disable/uninstall all antivirus,
firewall and other security software.
firewall and other security software.
Right click and choose "Run as Administrator"
on trainer and game.
on trainer and game.
Make sure trainer version matches game
version and distribution.
version and distribution.
Currently there are no reports of the latest trainer needing an update. File a Report.
See the Trainer Troubleshooting Guide
Getting an Anti-Virus Notification?
Latest Trainer
• Unlimited Health
• Stamina
• Easy Kills (IMPROVED)
+ 7 more options
• Stamina
• Easy Kills (IMPROVED)
+ 7 more options


text:
Strikers paceman Shaun Tait left out for Big Bash match against Brisbane Heat
- From: The Advertiser
- December 13, 2012
BRISBANE Heat coach Darren Lehmann has dispatched a search party for "lost" spearhead Kemar Roach, but is glad Strikers speedster Shaun Tait remains on ice for tonight's Twenty20 clash at Adelaide Oval.
West Indies tearaway Roach missed his flight to Adelaide yesterday -- and possibly tonight's game -- with Lehmann saying the speedster was last heard of somewhere in China.
"He missed his flight, you can't do anything about it," Lehmann said.
Towering fast bowler Cameron Gannon, 23, could get his big break if Roach is stuck in transit after failing to make a connecting flight following the West Indies tour of Bangladesh.
"We have enough in our squad to cover if he doesn't come; that is why we brought the extra quick bowler down if he doesn't come in time, so be it," Lehmann said.
"You can't win tournaments with a bare XI. You have to work out different strategies.
"If Kemar doesn't play someone else gets a chance to impress."
Lehmann could appreciate the funny side of his predicament in a sign of the times where T20 guns for hire whiz from tournament to tournament.
"If someone knows where Kemar is that would be great," Lehmann joked.
Former Australian paceman Tait must wait for his Strikers debut with the "Wild Thing" overlooked in Darren Berry's 13-man squad containing spinners Brad Young, Cameron Boyce and skipper Johan Botha.
"I am a bit surprised, but that is their decision," said Lehmann of Tait, with the Strikers preferring match-hardened, in-form duo Gary Putland, Kane Richardson for firepower against the Heat.
Tait's absence maybe the only good news for Lehmann after the Heat lost the opening game to Hobart at the Gabba last Sunday.
Brisbane has lost marquee New Zealand spinner Daniel Vettori and Test paceman Ryan Harris to injury, while brilliant South African spearhead Dale Steyn is unavailable.
The Strikers also lost left-arm spinner Jon Holland with a season-ending shoulder injury, paving the way for former Australian spinner Young's return a decade after retiring.
Lehmann fondly recalled his time playing for South Australia with Young, 39, but said he would be targetted if unveiled tonight.
"Brad hasn't played for a while and we will certainly work him around in the field, but he was a good spin bowler for SA and Australia," Lehmann said.
With Phil Hughes recalled to Australia's Test line-up, Lehmann said calypso king Kieron Pollard was the man to stop tonight.
"Pollard is a dangerous player and if you keep him quiet you are well on the way to controlling the game, he is a big one for us," he said.
Have your say
- Skip to:
- Read comments
- Add comments


text:
Ahh, finally! Operation Stereo Rose was a success. Not only did I get to meet several amazing Temptalia readers at my local MAC, but I was able to pick up the Stereo Rose I put on hold!
Stereo Rose is a lightly pinked coral with a golden-bronze sheen. I actually found it difficult to dupe, particularly because the texture is very smooth with a soft sheen rather than obvious shimmer. Ironically, the best dupe I was able to find was mixing Comfort and Petticoat together. NARS Luster also came close, but it lacks the pinkness of Stereo Rose. MAC New Vibe also comes close, but it's significantly more pigmented/darker a well as redder than Stereo Rose–so perhaps if used lightly, you could come close.
It's pretty, and it's easily worn everyday by itself for a nice pop of color and sheen on the cheeks. It doesn't emphasize pores, and it doesn't look orange, either. It's not the most amazing blush I ever used, but it is a nice one to have if you're able to get one. I don't think I would drive ten hours to grab one, though 😉


text:
AUSTIN (AP) - State investigators say they're working on nearly 5,000 investigations a year involving car dealers accused of scamming customers, dodging state taxes and cheating creditors.
Two dealers arrested this month in Austin say they were the victims of a sour economy.
But the arrests of Berry Gannaway and Kenny Dwayne Hargrove highlight the struggle to keep some car dealers honest, investigators say.
"To be absolutely fair, some of these dealers get caught in the economic crunch," said Carol Kent, director of enforcement for the Texas Department of Transportation motor vehicles division, which oversees car dealerships.
"But what they're doing is playing the float," she told the Austin American-Statesman for its Saturday editions. "They just look at it as a source of money that they can play around with until someone screams real loud."
Gannaway, 36, was arrested July 12 after bank officials reported to police that he was writing hot checks on his loans and failing to transfer ownership papers after making a sale. He faces 11 felony counts of hindering a secured creditor. Police say he left a trail of victims, who lost a total of $225,000.
According to police, Gannaway took out loans to purchase cars that he would later sell. When he made a sale, he was supposed to pay the bank, take title to the car and transfer it to his customer.
Much of the time, investigators said, he simply kept the money.
Kent's agency already had been investigating numerous complaints against Gannaway when the police got involved. Since then, the agency has revoked Gannaway's dealership license and assessed him $82,000 in fines.
Texas has about 17,000 licensed car dealers. Of those, roughly 1,400 hold what's called a franchise license. They operate the big dealerships that often line the interstates.
Most car dealers hold what's called an independent license.
Kent's agency, which can revoke those licenses and levy fines against dealerships through civil hearings, oversees both types, but the overwhelming number of complaints come against the independent dealers.
The problem, according to Jackie Gill, executive director of the Texas Independent Automobile Dealers Association, is that some independent car dealers don't want to abide by an ethical code such as the one her trade association requires of its members.
Of the 15,500 independent dealers in the state, only 816 are members of the trade association.
"It's the people out there that are licensed who don't do business correctly, nor do they choose to, and we get a black eye from it," she said.
© 2016. All Rights Reserved. | Contact Us


text:
League of Legends
It's unfair, if they weren't cheating, they shouldn't be banned.
- Boards
- League of Legends
- It's unfair, if they weren't cheating, they shouldn't be banned.
Sid_Icarus 4 years ago#121
No matter what you do you will get reported. You can search forums and find screenshots of people banned for nothing as well. There was even one where had a time ban and was reported with negative attitude and only said gg entire match.
You don't know how the tribunal system works, do you?
Burn the heretic. Kill the mutant. Purge the unclean.
Lol IGN- ThatKillerBenoit
KeyBlade999 4 years ago#122
DoctorEggman posted...
Correction: You get banned for verbal abuse, negative attitude, or being incredibly offensive after being warned multiple times to stop. Trash talk is fine if it is in good jest and isn't offensive or unsportsmanlike.
I came here to post something like this. 'Bout time someone caught on.
Every wound a new opportunity, every curse a new challenge.
I shall encounter defeats... But I will not be defeated.
Overlord Hikash 4 years ago#123
In the end, who cares? A couple of jackasses got banned for... wait for it... being jackasses. Justice is served, move on and play your game.
100% CJ = 100% victory
tbh, Chris Johnson should go back... to Mount Olympus. - Bio_Insanity
Rookie_Jet 4 years ago#124
Golden Maven posted...
Those behind this are probably the same kind of people who want sodas and whatever else they deem bad banned. Regulating player behaviour seems to be the norm now. In fact, it's a reflection of our current culture.
Current events, bruh...check 'em out. You heard anything in the last few years about bully-related suicides? You think Riot wants that associated with their games? At least this way, if it does happen, they can truthfully say they've taken measures to decrease and eliminate behaviors that lead to these things.
People probably aren't taking the game itself that seriously; they're taking the harsh, unproductive criticisms personally. While I agree, you shouldn't take insults said in this game personally, not everyone can shrug it off that easily. And honestly, I don't think they should have to be able to. The skill to do so helps in many other aspects of life, but it shouldn't be a requirement to enjoy a video game.
I don't understand why it's so difficult for some people to enjoy this game without going out of their way to make it miserable for others.
I think I have a solution...Riot make a separate, jerk server. All the jerks can play on that and there is no reporting option at all. The jerks can talk all the **** they want, afk if they want, troll if they want, etc., because who needs rules to have a good, fun game?
Anyway, sick of these topics...there's a new one every other day.
iXCelticXi 4 years ago#125
Gevauden posted...
Shadow_of_Deth posted...So you get banned for trash talk? Seems a bit harsh.
That horrible reading comprehension lol
LoL IGN: Greedy
king_madden 4 years ago#126
why are people so determined, to cuss and insult? then go so far as to say "oh they could take it if they werent little girls or babies".
last i checked though, its mostly kids that cuss and insult people repeatedly on games. this really isnt that serious. if them banning things like this is that important to you, then you should probably grow up a little.
Rookie_Jet 4 years ago#127
BeerBongJohn posted...
My homie has been been main-ing Elise since release and all chats "Buk***e" every time he lands a web. He has yet to receive a warning.
Rookie_Jet 4 years ago#128
BurnumMaster posted...
In the real world I doubt they would even know what gg ez means and if they did they would wonder why im saying it since it doesn't really apply to work at all. Also i guarantee they would not knock me out, definitely not pants me (middle school?) and no one would commit a crime by sexually assaulting me.
W/e bro...I told the dood in accounting "gg ez, nub" yesterday and he totes tackled me...Then I was like "wtf, noob!?" Then he tried to ground and pound me, but I shoved a pen in his eye. Twas 1337 h4xing on my part. Then I said "gg ez" again and walked away.
Yes, I also hate it when I say offensive things and people get offended. Their negative reaction is their fault, not mine.
Wii FC: 1686 5820 3040 7075
XBL: PettyAlchemy
wanderer918 4 years ago#130
The system works perfectly, every time someone like TC gets banned my faith in humanity is restored just a little. I also love the fact that I can get my entire premade to report the enemy who didn't say anything all game other than "ez" at the very end.
All they need now is a report card that tells you if the person you reported ended up being punished or not.
Can't think of a sig.
- Boards
- League of Legends
- It's unfair, if they weren't cheating, they shouldn't be banned.
Report Message
Terms of Use Violations:
Etiquette Issues:
Add user to Ignore List after reporting


text:
Availability: In stock
Be the first to review this product
Illy Medium Roast Decaf Coffee Beans
Oneida Tri-Ply Stainless Steel Roaster with Nonstick Rack
Comfortable non-slip grip. Straight, thin side is perfect for scrapping flat surfaces; squared edge fits into tight pot corners; curved edge is perfect for scooping up food and liquid in the spoon Heat resistant up to 600 degrees Fahrenheit. Red. Sold individually.
If you would like to be contacted about this product/review, please call us at (201) 576-0100 or email us directly at


text:
6 Comments
nice illo +1
Nice ! Valknut ! If you can do more Norse Mythology Design, I'll be the happiest man on earth ! Valkyries, Fenrir, Fafnir, Yggdrasil, Odin's ravens, ... So many awesome possibilities !
Carlos_Los Artist from Pennslyvania, United States
Thanks Lianodel!!!! I will definitely work on more ideas based around norse mythology… It's untapped territory for sure.
love it
DBHroxsinceever Human from Poland
ur art rulez


text:
"The visit to USC yesterday was probably the biggest reason I committed," Meyer said. "I saw how nice the campus is. It's almost like an Ivy League school with the big brick buildings. But I also got to meet up with the business department and I just love how the conduct everything there. Everyone is so enthusiastic about their job. Even those with smaller jobs love being there and love being around everyone.
"They showed me anything I wanted to see and answered any question I had. I was the only one visiting yesterday and they took a lot of time to make sure I knew everything about the school, the tutoring and made sure I was comfortable with the school. It can be tough on a student-athlete with playing a sport and going to school, and I'm comfortable that USC provides all the help necessary to ensure I'll do well in the classroom.
"The main thing at USC was they had two offensive linemen who were all-Americans last year, with Ryan Kalil and Sam Baker. And Sam Baker is also returning. Putting all that aside, USC football speaks for itself. I mean, they haven't lost at home in over five years and they've had a couple of national championships--and they're always in the top-25."
USC was the latest school to offer, but Meyer did have offers from multiple schools and was hearing from quite a few others.
"I received scholarship offers from Oregon, Stanford, Duke, Purdue, Northwestern and San Diego State," Meyer said. "I also received multiple letters from all the Pac-10 schools, a few from Notre Dame, Michigan and UCLA. I was okay with going out of state, but with USC being close to home, it makes it that much better."
Meyer is at USC today for it's "Meet and Greet" and he said it's an opportunity to see how USC conducts practices, it's an opportunity to see all of the athletic facilities and those visiting will attend the USC/California basketball game.
It may appear surprising to some that the Trojans offered Meyer because his name hasn't been mentioned much, but USC has been evaluating him for about a year. He attended USC's Linemen Camp last June.
Also, Meyer said he'll attend USC's Rising Seniors Camp in June and we'll keep we'll have a report on his performance.
last but not least, thanks to Brandon Huffman for the heads up on Meyer's commitment.


text:
Thanks for helping us sort this video!
Thanks for helping us associate the correct Pornstars to this video!
Help Us: Do these Pornstars appear in this video?
Pornstar Name:
I love her technique, working the head. Would have liked to see the cum, though.
stulejarz - blee..
What's this shit?
she's cute. i like what she's doing to that foreskin....
She's got great technique, its like she is chowing down on it. I came just watching.
aww shes milking the cum out... how sweet... and horny
U wouldnt say that if she was doing this to your cock


text:
Exclusive clothing brands and designer apparel from business to active weekend wear. Our men's collection has just what you'll need.
Classy, modern, stylish clothing for every lifestyle. Our women's collection will prepare you for any occasion!
Private label, custom made clothes that will keep you looking sharp for your next big event.
Shop Online
Featuring men's & momen's select shoes for spring, our online store offers sophisticated & chic style for our on-the-go customers. Shop more styles in-store.