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Camden-Wyoming's Little League Major baseball team lost to MOT-11-1 Tuesday night in a game played at Duke Field in Middletown. The victory gave MOT the District One championship.
According to a new CNN/ORC International poll, President Barack Obama's approval rating is 42 percent, basically the same as it was in March. The numbers aren't great, but the fact that they haven't fallen further despite recent...
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Volumes 16 to 20 (publication years 1948 to 1957) of The Pennsylvania Genealogical Magazine are newly added online to AmericanAncestors.org. Now, volumes 1 to 20 are available to search. Additional volumes will be added throughout the year. The Pennsylvania Genealogical Magazine, published by the Philadelphia-based Genealogical Society of Pennsylvania since 1895, publishes family histories, original records, book reviews, and scholarly essays. Early volumes (1895–1947) focus on southeastern Pennsylvania and neighboring areas of New Jersey and Delaware and publish original records and documents for the use of genealogical researchers; these documents include public records, election returns, births, deaths, marriages, court records, census reports, and immigration/emigration records. From 1948–1964, the journal primarily published biographies and family histories. In 1965, the journal expanded the focus of its scholarship to facilitate genealogical research beyond southeastern Pennsylvania and has maintained a more or less consistent balance between publishing compiled genealogies and original source materials. From 2001 the journal has also published "genealogical summaries" to accompany all compiled genealogies and has further expanded its geographical scope to emphasize research on the European backgrounds of immigrants to Pennsylvania. From 1895 to 1947, the magazine was called Publications of the Genealogical Society of Pennsylvania.
Search The Pennsylvania Genealogical Magazine


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MANAMA, Bahrain (AP) - Bahrain's main opposition groups say they are willing to open dialogue aimed at easing the Gulf nation's two-year political crisis, but they seek more clarity on the scope of the possible talks.
Washington and other allies of Bahrain's monarchy have encouraged negotiations in the strategic kingdom, home to the U.S. Navy's 5th Fleet.
Persistent clashes and arrests have so far derailed bids for talks between Bahrain's Sunni leadership and the Shiite opposition, which began an Arab Spring-inspired uprising for a greater political voice in February 2011. More than 55 people have died in the unrest.
A statement Monday by the main Shiite political factions said envoys were open to negotiations but called the government's offers for talks "vague."
Opposition demands include the release of jailed Shiite political leaders and activists.
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Drawer FrontWidth: 18.75" Height: 6" Shelf SpaceWidth: 19.75" Depth: 18" Height: 8" Depth With Drawers OpenDepth: 29" Drawer Box InteriorWidth: 16.5" Depth: 13.25" Height: 2.75" Overall DimensionsWidth: 21" Depth: 18" Height: 19.75"
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Mackenzie: Violin Concerto & Pibroch
Helios (Hyperion's budget label)CDH55343
Movement 1: Allegro non troppo
Movement 2: Largo
Movement 3: Finale: Allegro vivace
Although the concerto took six months to complete, Mackenzie sketched the first two movements within the first month. The third movement, however, gave him the most problems and further interruptions slowed the completion of the concerto in full score. In October 1884 he visited England to be present at the production of The Rose of Sharon in Norwich, a work which enjoyed great critical success and proved to be a major turning point in his career. The pressure of writing the Violin Concerto was exacerbated by the worry of securing a soloist to premiere the work in Birmingham. In the first instance Mackenzie wrote to Joseph Joachim in November 1884, but he did not receive an immediate reply. After a few weeks, the composer sent a second letter accompanied by copies of the first two movements, also quoting the theme of the Finale which he promised to send a week later, though this promise seemed very optimistic. 'I am likely to be quite some time over the Finale', complained Mackenzie at the start of 1885 in a letter to Alfred Littleton, the publishing manager at Novello (who later published the concerto). Although the composer foresaw problems in revising the Finale once the sketch had been completed, the first two movements had already undergone such changes as were necessary. Taking pride in his work on the completed sections, Mackenzie noted: 'I fancy the first movement, although not enormously so, will be found quite difficult enough when it is played broadly—it is I should say quite as difficult as Bruch's much-played Concerto [No 1 in G minor].'
In the end Joachim did not consent to play the work, although it is difficult to know why this was. Mackenzie notes that Joachim was in the process of going through a divorce which may have preoccupied him, but the violinist procrastinated for a remarkably long time before delivering his decision. However, a few years earlier Joachim had treated Dvorák in a similar manner, keeping the manuscript of his A minor Concerto (1879) for over two years before telling the composer that he would not play it and thus delaying the premiere of the work until 1883. Joachim's decision must have dented Mackenzie's confidence and also tried his patience, since he still had to find another violinist to premiere the work with only five months remaining before the Birmingham performance. 'I have never expected Joachim to play the Concerto therefore it is no disappointment to me', wrote Mackenzie to Littleton, trying to conceal his indignation after he had received the violinist's reply. Quite probably Mackenzie had depended on his friendship with Joachim to secure the performance of the Violin Concerto at Birmingham. It is perhaps somewhat ironic therefore that Pablo de Sarasate, with whom he was completely unacquainted, should have agreed to play the work without hesitation and with little time to spare before the Festival in August. As a result the concerto which might have borne Joachim's name was instead dedicated to Sarasate.
The nineteenth century had a growing preoccupation with the cult of the instrumental virtuoso. Both the Austro-Hungarian Joseph Joachim (1831–1907) and the Spaniard Pablo Martín Melitón de Sarasate y Navascuéz (1844–1908, less formally known in later years as Pablo de Sarasate) were prime exponents of different schools of violin playing (the German and the French respectively). Himself a composer and author of a violin concerto (the 'Hungarian' Concerto Op 11 of 1861), Joachim favoured a classical approach to the genre that had been spearheaded by Brahms. Indeed, as if to underline the aesthetic consensus between the two men, Brahms composed his Violin Concerto in D major Op 77 for Joachim in 1878. In general Joachim's style of playing favoured a more cerebral stance that eschewed mere virtuoso display. It is no surprise, for example, that for his encores he preferred to play Bach rather than traditional showpieces. On the other hand, Sarasate favoured technical fireworks and glorious melodic lines which would best exhibit his perfect intonation and pure, sweet tone. As a young man he trained at the Paris Conservatoire, winning the premier prix in violin at the age of seventeen, and considered himself to be more of a Frenchman than a Spaniard, though he never lost his love for his native town, Pamplona. A large amount of concerted violin music was written for Sarasate to perform on his subsequent concert tours both in Europe and the Americas, including works by Saint-Saëns (Concertos Nos 1 and 3 of 1863 and 1880, and the Introduction and Rondo capriccioso of 1863), Bruch (Concerto No 2 of 1877 and the Scottish Fantasy of 1880) and Lalo (Concerto in F major of 1872 and the Symphonie espagnole of 1873). Sarasate's approach to the genre of the violin concerto was that of a man whose instinctive musicianship outweighed all other considerations, allowing, as Mackenzie noted, his 'natural ease and grace, without a trace of self-consciousness or affectation' to shine through. Mackenzie's concerto presents a fusion of both French and German schools of violin playing. Although certain Germanic elements of harmony and form are evident (Mackenzie had Joachim in mind during the work's conception), there is also something more technically extrovert in the music that clearly emanates from the sensibility of the French school, which would have appealed greatly to Sarasate.
In the first movement, it is possible to see Mackenzie's idiomatic and unusual handling of traditional sonata form. After the introduction of a dark and brooding theme in the home key of C sharp minor, the music moves to the relative key of E major for a broader second subject group. With the conclusion of the exposition, Mackenzie embarks upon a cadenza for the violin instead of the customary development. This unconventional process is typical of Mackenzie's interpretation of the sonata principle which can be observed in other works such as the later Scottish Concerto for piano of 1897 (recorded on Hyperion CDA67023). The idea of a central cadenza for the soloist finds a precedent in Mendelssohn's famous Violin Concerto in E minor (1844), although in that instance Mendelssohn does use a conventional development section beforehand. Mackenzie's uncomplicated structure gives the movement a conciseness and lack of discursiveness that may have appealed more directly to the extrovert Sarasate than to the cerebral Joachim, possibly explaining the latter's lack of affinity with the work.
The Largo is a lyrical ternary movement in A major which concentrates on questions and answers between the orchestra and the soloist, giving the latter ample opportunity for the expansion and decoration of motifs. Rather than present the soloist with the hazardous, not to say unidiomatic, key of C sharp major for the Finale, Mackenzie opted for E major. The fact that the movement is couched in the relative major creates a sense of unusual exuberance, one that is heightened through its juxtaposition with the slow movement in A major. Following in the tradition of the Brahms Violin Concerto, where Hungarian dance rhythms are employed in the last movement, Mackenzie's Finale is based on the Polish dance, the krakowiak (as identified by Dr John Purser). After a short orchestral introduction the violin plays the main theme, with its distinctive syncopated krakowiak rhythm in the key of E major, which returns at intervals throughout the movement.
Mackenzie was pleased that Sarasate agreed to premiere the work in Birmingham 'without any previous personal knowledge of me'. He described the first run-through of the work with the Spaniard:
'Je suis myope' was his excuse for propping up the manuscript on the mantelpiece while I took my seat at the other end of the room. Nevertheless his short-sightedness did not prevent him either from dealing easily with the technical difficulties or from entering into the spirit of the piece a prima vista […] After the final chord there followed—for me—a somewhat embarrassing silence. Then he held out his hand, remarking, to my great relief, 'Je n'ai rien à dire, rejouons-le encore', from which I was shrewd enough to gather that he had expected to have a great deal to say.
The concerto was premiered at the Birmingham Festival on the evening of 26 August 1885 conducted by the composer. The work was well received by the reviewer in The Musical Times who noted the 'magnificent playing of Señor Sarasate' and the 'warmest marks of approbation' given to Mackenzie. The composer notes in his autobiography that to this event 'I owe the beginning of a friendship which lasted until his death'.
from notes by Duncan Barker © 1998


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Customer Reviews
Olympian Labs Pea Protein
5 people found the following review helpful
Posted by Reviewer2806330 on Mar 30, 2011
Purchased at iHerb
DELICIOUS! I am addicted... I can eat it right out of the container. I use it for my pre and post workout shakes, as well as for breakfast. At breakfast I mix it with kale or spinach, some raspberries, stevia, cinnamon, a splash of lemon flavored fish oil, ground flaxseeds and some chia seeds. Honestly - it is yummy! It's significantly better than any rice protein and it keeps me satisfied longer.
I agree. Great Protein!
4 people found the following review helpful
Posted by Reviewer2221603 on Oct 29, 2009
Purchased at iHerb
I don't digest whey or soy proteins well and have been disappointed in taste and texture of rice proteins. Country Life does offer Max Amino Acids in free form capsules but I was taking a lot of capsules trying to come close to the amount offered in powder forms. I was thrilled to find Pea protein. I've used it for a week and I feel great! If you like carrot juice, it mixes very well for a very good taste.
Pea Protein
3 people found the following review helpful
Posted by Reviewer1106461 on Sep 28, 2009
Purchased at iHerb
I love it, I mix and drink it everyday for breakfast either with fresh mango, avocado, apple, & banana plus cucumber along with 1/2 cup of oatmeal. I freeze my fruit 1/2 hr. for my smoothie so it can be nice and cold. I don't feel hungry for 6 hrs. Great protein no need to add any sweetner.
Great protein!
3 people found the following review helpful
Posted by Reviewer1274846 on Jun 23, 2008
Purchased at iHerb
I really like this protein powder, however, I find it a little too sweet for my taste, so I mix it with another protein powder to "cut the sweet down" a bit. I chose it because it's from a reputable company and uses xylitol for sweetner. Great product, and very affordable.
Quality and great taste
2 people found the following review helpful
Posted by Reviewer2301387 on Nov 10, 2009
Purchased at iHerb
I have Celiac Disease and I cannot have whey protein. This protein provides me with the protein I need and the amino acids I need. I love the flavor and the way it blends up. Sometimes I just put ice and water in a blender wih a scoop of the pea protein. I usualy ass almond milk and whatever else you want I want to throw in the smoothie.


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Please read the latest news from the Fairtrade International communications office. You can also follow us with your RSS reader. For more general information and other resources, click here.
Nespresso and Fairtrade join forces, launch innovative farmer support programme16 July 2013
Harriet Lamb, CEO of Fairtrade International, and Jean-Marc Duvoisin, CEO of Nestlé Nespresso, today announce a new, long-reaching partnership to benefit thousands of small-scale coffee farmers. The announcement comes as...[more]
Celebrating Quinoa Cooperatives during the International Year of Quinoa05 July 2013
Although it has been a traditional foodstuff in the Andes for thousands of years, quinoa has become a favourite of health-conscious consumers in Western countries. In fact, the Food and Agriculture Organization of the United...[more]
Ben & Jerry's Fortifies Farmer Focus with Fairtrade Effort16 January 2013
Great news for ice cream fanatics out there! Ben & Jerry's ice cream in the USA will soon be sporting the cheery blue-and-green FAIRTRADE Mark, as it does in the rest of the world. The company is a long-term partner of...[more]
Green & Black's First Global Brand to Announce Partnership with Fairtrade International in the USA29 August 2012
Green & Black's USA Products to Carry World's Most Recognized Ethical Label to Drive Impact for Farming Communities[more]
Fairtrade Certified Maltesers in Ireland & UK22 June 2012
The first packs of Fairtrade certified MALTESERS® are now available in the UK and Ireland, following the Mars–Fairtrade agreement announced last September.The cocoa will come from cooperatives in West Africa, and this move will...[more]
A world first: Furniture Made from FSC and Fairtrade Timber18 January 2012
New opportunities for small-scale and community producers[more]
Mars and Fairtrade International Announce Collaboration27 September 2011
Maltesers® to carry the FAIRTRADE Mark in UK/Ireland in 2012, Mars to provide more than $1 million annually in Fairtrade Premiums to farmers' co-operatives in West Africa[more]


text: Our Table Leaf Storage Bag is sized to accommodate many of the table leaves being made today. It's constructed from ultra soft yet exceptionally durable flannel and features a zippered closure. The bag keeps your valuable table leaf safe from knicks, scrapes, dings and dust. This protective bag can also be used for the storage of some sizes of mirrors or framed artwork.


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Early Registration Begins
Students should consult the Registration Guide online for more detailed information about registration.
The Priority Registration Schedule is as follows:Monday - October 208:00 a.m. 90 plus hours 10:00 a.m. 75-89 hours 1:00 p.m. 64-74 hours Wednesday - October 228:00 a.m. 38-44 hours 10:00 a.m. 32-37 hours1:00 p.m. 27-31 hours
Friday - October 248:00 a.m. 12 hours10:00 a.m. 6-11 hours 12:00 p.m. 0-5 hours,as well as New/Transfer/Returning studentsTuesday - October 218:00 a.m. 55-63 hours 10:00 a.m. 50-54 hours 1:00 p.m. 45-49 hours Thursday - October 238:00 a.m. 24-26 hours10:00 a.m. 16-23 hours 1:00 p.m. 13-15 hours
Fee payment deadline for Early Registration is December 22. The complete academic calendar for the Spring is listed in the Registration Guide .
New students who plan to enroll in Louisiana State University Eunice this spring can attend orientation and take part in registration on November 11, December 2 and January 7 on the LSU Eunice campus and January 5 on the LSU Alexandria campus.
Orientation sessions will begin at 10:30 a.m. except for the January 7 orientation which begins at 8:30 a.m.
To participate, prospective students must first apply for admission. LSU Eunice's web site, www.lsue.edu, includes an online application and online fee payment.
New students are required to attend one of the orientation sessions listed above before they register for classes. Once they apply for admission, they will receive details about signing up for orientation.
To make the process more convenient for students, registration is now a part of orientation. Once students meet with their faculty advisers, they can also go online to enroll in courses through the myLSUE web-based registration system.
Students who have already registered for classes must pay their fees by December 22 or their class schedules will be cancelled and they will have to re-enroll in classes.
Weekday classes begin January 12.
Applications, course schedules, and registration information can be found online. To apply visit apply.lsue.edu. For a course schedule visit schedule.lsue.edu and to view the registration gude, please visit bulletin.lsue.edu . For additional questions please call Admissions toll-free 1-888-367-5783, ext. 305, or locally 550-1305.
Bengal Village, an on-campus student apartment complex, is leasing units for the fall semester. For details, phone 550-7800 or go to www.campushousing.com/lsue.


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Poulenc: Aubade & Sinfonietta; Hahn: Le Bal de Béatrice d'Este
CDH55167 Helios (Hyperion's budget label)
Movement 1: Entrée pour Ludovic le More
Movement 2: Lesquercade
Movement 3: Romanesque
Movement 4: Ibérienne
Movement 5: Léda et l'oiseau
Movement 6: Courante
Movement 7: Salut final au Duc de Milan
Hahn knew everyone in the beau monde as well as in English high society. A particular friend was the Duchess of Manchester at whose home he played during a reception once for King Edward VII and Queen Alexandra. When the King had gone off for a game of bridge, the Queen begged Hahn and the orchestra to play again an earlier item she had very much enjoyed. This was Le Bal de Béatrice d'Este, a suite for wind instruments, two harps and piano. Typical of the composer's liking for unusual combinations, it is dedicated to his old master Saint-Saëns and evokes an evening in the palazzo of an Italian noblewoman. The seven movements include dance measures with archaic titles, among them a 'Lesquercade', a 'Courante' and a 'Romanesque', all sweetly nostalgic and instilled with the atmosphere of a Milanese court that vanished three centuries ago. What, one wonders, was 'Léda et l'oiseau' doing among these innocent pastiches? Subtitled 'Intermède Léonardesque', it implies that the encounter between Leda and her bird must have been a more discreet affair than Leonardo seems to have suggested.
from notes by James Harding © 1989


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The Hungarian Ministry of Human Resources has appointed Szilveszter Ókovács as General Director of the Hungarian State Opera for five years. The Minister's decision has been made in accordance to the recommendation of the Tender Board.
The notification inviting applications for selection to the post of General Director of the Hungarian State Opera was published on 29 October 2012. Six applications were submitted by the relevant deadline. One of those did not meet entry requirements, therefore the recommendation of the Tender Board has been made on five applicants on 28 December, 2012. The Hungarian Minister of Human Resources, Zoltán Balog (having control over the Hungarian State Opera) had thirty days for making the final decision. The decision has been made on 28 January, 2013, the Minister appointed Mr Ókovács as General Director of the Budapest Opera for five years.
Former opera singer, critic, journalist, television and marketing professional, Szilveszter Ókovács was charged to lead the Hungarian State Opera as Government Commissioner on 22 August 2011, then he continued as Acting General Director from 1 September 2012.


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Vulnerable vagina victim, girls that have recently split up with their long term boyfriends and/or are having a tough time personally, making them easy pickings for the triple v predator to lure into bed
"Ian Beal had another one of those triple Vs round last night, I heard her crying"
"She split up with her boyfriend a couple of weeks ago so she is defo a triple V"
"She split up with her boyfriend a couple of weeks ago so she is defo a triple V"
por Kurtamin 08 de Outubro de 2014
(noun, pl: Triple-V's)Mosty occurs when poaple want to describe an old an evil-minded woman. A stereotypical triple-V can often be found working at your local high school, as an english teacher. A triple-V usually whines for small issues.
-Omfg, check that woman out, she's really tacke, old, probably evil minded, omg omg, I'm glad I don't know her.
Me to, she's a real triple-V.
Me to, she's a real triple-V.
por Jhonssens 23 de Janeiro de 2008


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HOME Jacksonville Jaguars Gear Jacksonville Jaguars Mens Jacksonville Jaguars Mens Hats Jacksonville Jaguars Mens Hats Mens $10 to $20 (24 items) Product ID: 288888
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Get a classic kick-back Jaguars look with this retro slouch hat from the Reebok Vintage Collection featuring a distressed felt patch on the front with the team name, a printed team logo and establishment year on it!
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All well known candy brands for the candy (chocolate and non chocolate) lover. We offer different brands of candy from a huge selection of manufacturers at wholesale prices. Bulk Candy and Wholesale Candy! Find the best selection of Candies and Bulk Candy for wholesale prices.
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660cc, 48bhp, 115mph, Insurance group 9
The special 'Factory' version of Aprilia's evergreen fuel-injected 660cc single-cylinder Pegaso (it's been around in 1989 in various guises - it was the Italian firm's first ever 'big' motorcycle) is a true gem. With its chunky new radial front brake, lightweight spoked rims, a smattering of carbon fibre and finished to look like its big brother Tuono or RSV Factory, ...
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No More Back Pain DVD
Item# 90-0172
Exercises to accelerate healing
Special Offer: Free standard shipping on all orders! (final discount reflected in cart) (Details)
Robert Swezey, M.D.a pioneer in the non-surgical treatment of neck and back pain treatment. Takes you step-by-step through pain relief techniques. You will learn how to determine the level and severity of your back pain, exercises to ease muscle tension and ergonomic ways to help heal your back with feel good movements that can be done anywhere, anytime.
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Comments: Got this as a gift for someone who recommended me for a job. She was very pleased with it. Everything with the order went smoothly and it was delivered in the correct amount of time. No complaints!


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- olapic-scroller
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Light on its feet. Long and loungy, the clean-lined Armless Upholstered Sofa's loose cushions and generous padding make it a destination for hanging out at home. Brushed-Nickel legs lift it off the floor for a polished, airy style that can be used on its own or as part of a sectional.
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There could be sweeping changes in school athletics. The U.S. Education Department is telling schools they must include students with disabilities in sports programs or provide equal alternative options.
That message was being delivered to the nation's schools on Friday. The order is reminiscent of the Title IX expansion four decades ago of athletic opportunities for girls and women and could bring sweeping changes to school budgets and locker rooms for years to come.
Students with disabilities who want to play for their school could join traditional teams if officials could make "reasonable modifications" to accommodate them.
But if those adjustments would fundamentally alter a sport or give the student an advantage, the department is directing the school to create parallel athletic programs that have comparable standing to mainstream programs.
High school football usually features the best athletes each school has to offer, but do some athletes with disabilities get left out unfairly? That's what the newly released guidelines from the Department of Education are trying to address.
The new policy says schools must allow a disabled student to be part of a regular sports team if reasonable modifications can be made to accommodate them. One example would be a deaf student who is a good runner and wants to be part of the track team, but can't hear the starter's pistol that starts the race. Instead, you could use a visual cue like strobe light that would go off and signal the beginning of the race.
But if there is no way to accommodate a student without fundamentally changing the sport or giving them an unfair advantage, the school would need to create a parallel athletic program. Like the Sparkles Cheerleader Program at Omaha's Westside High School, where disabled students are able to cheer right alongside the varsity cheerleading squad.
Most Nebraska schools already have similar policies and programs. "If there's a deaf student and they want to wrestle, let them wrestle," says Omaha Public Schools spokesman David Patton. "If they want to be on the baseball team and they can be on the baseball team, let them be on the baseball team. And make the appropriate accommodations as we would within our work environment or within our school environment."
Patton says OPS administrators will know more about the effects of the new guidelines once they have a chance to go over them thoroughly. The Nebraska Department of Education already has similar rules to the new federal guidelines.


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11/29/2014 3:47:15 AM. For Customer Service, please call 800.606.6252
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more friends than knives? Add on six of this, six of that without popping for a complete flatware set. Great extras for dessert. Simple polished stainless design blends in with any pattern.
Details and Dimensions
set of six party knives. 8.5"H
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- Made in China
Overall DimensionsHeight: 8.5"
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We will accept merchandise returns of non-furniture items within 90 days of purchase. For furniture items, if you are not satisfied with your purchase, please contact us within 7 days of receipt to arrange a return. For Special Order upholstery items, returns and exchanges are limited to transit damage or manufacturing defect. We will accept a furniture return provided the return is completed within 30 days of delivery. For furniture orders placed online, please call us at 800.606.6252. For orders placed through a store, please contact the store where the sale originated. Our policy is simple. If you are not satisfied with your purchase, we promise an appropriate refund, credit or exchange.


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Environmental, Health & Safety :: Plant & Personnel Safety :: Safety Instrumentation
June 1, 2013
Gerald Ondrey
This flowrate totalizer has an explosion-proof enclosure Precision Digital The PD6830 ProtEX-RTP Pulse Input Rate/Totalizer has a rugged, explosion-proof, NEMA 4X enclosure and is designed for the quick and easy display of local or remote flow information in...
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text:
Cholangiocarcinoma is the growth of cancer cells in the bile duct. The bile duct are a number of branching tubes that carry bile from the liver to the gall bladder and small intestine. Bile is a fluid that helps digest food and eliminate waste from the body.
Cholangiocarcinomas can be divided by their location:
The exact cause is unknown. Gene defects may lead to the growth of cancer cells in the bile duct.
Many different gene defects have been found in tumors. p53 gene abnormalities and K-ras gene abnormalities are two common gene defects that have been seen.
Factors that may increase your risk of cholangiocarcinoma include:
Other possible risk factors are:
In the early stages of the cancer, there may not be any symptoms. As the cancer grows, symptoms may include:
Your doctor will ask about your symptoms and medical history. A physical exam will be done. Blood tests will help to evaluate how the liver and gallbladder are working. These tests may also help to find tumor marker, indicators of cancer in the body.
Tests may be needed to create images of the liver and bile ducts such as:
Other tests may be done to gather more information about the cancer and affected bile ducts such as:
The treatment plan depends on the size and location of the tumor (stage) and your overall health.
Surgery may be done to try to remove the cancer. The bile duct reaches into many organs and surgery may involve more than one organ. For example:
If the cancer cannot be removed, other types of surgery may be done to relieve symptoms. A small tube may be placed inside of a cancerous bile duct to allow bile to flow through it.
Radiation therapy is used to kill cancer cells and shrink tumors. Different forms include:
Radiation may be done along with surgery. It may also be the main treatment if cancer cannot be removed.
Chemotherapy is the use of drugs to kill cancer cells. This treatment may be used before or after surgery. If the tumor cannot be removed, chemotherapy may be given, either alone or in combination with radiation therapy.
You may be able to lower your risk by:
American Cancer Society
Cholangiocarcinoma Foundation
BC Cancer Agency
Canadian Cancer Society
Bile duct cancer (cholangiocarcinoma). Johns Hopkins Medicine website. Available at: http://www.hopkinsmedicine.org/liver_tumor_center/conditions/bile_duct_cancer.html. Accessed June 18, 2013.
Bile duct cancer. American Cancer Society website. Available at: http://www.cancer.org/Cancer/BileDuctCancer/DetailedGuide/bile-duct-cancer-be-prevented. Updated March 2, 2011. Accessed June 18, 2013.
Bile duct cancer. Cancer.net website. Available at: http://www.cancer.net/patient/cancer+types/Bile+duct+cancer. Updated February 2012. Accessed June 18, 2013.
Cholangiocarcinoma. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php. Updated April 22, 2013. Accessed June 18, 2013.
Cholangiocarcinoma. The Cholangiocarcinoma Foundation website. Available at: http://www.cholangiocarcinoma.org/definition.htm. Accessed June 18, 2013.
Last reviewed December 2013 by Mohei Abouzied, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.


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EN Japanese Brasserie
Online Reservations
An intimate space where low lighting and smooth, luxurious leather seating create the perfect atmosphere for large group dinners or casual drinks.
The classic Japanese way to dine. Imported tatami mats and sunken wooden tables create the mood of old Japan.
Combine both tatami rooms for larger groups.
With plush seats and a grand wooden table, large parties can dine with privacy and style, while a circular window overlooking the main dining room and open kitchen allows diners a view.
Like being a guest in a grand Japanese home, the combined mezzanine-level rooms are perfect for business dinners, birthday parties or any special event.


text: Items 1 to 48 of 160 total 1 / 2 / 3 / 4 Next View: 12 / 24 / 48 Great product By dolpator on 11/23/2014 dolpator would recommend this product to a friend This is the only GFO that I use, it keeps my phosphates levels low to nothing. I use it with BRS media reactor with out issues. Great product would recommend it to any one needing g to remove phosphate in their systems great product t By David on 10/13/2014 David would recommend this product to a friend I highly recommend this product. It keeps my phosphate levels ultra low. superb media works better than promised By Bruce on 9/8/2014 Bruce would recommend this product to a friend I'm running a 360 gallon reef/fish tank, have a couple of large 7-8" plus tangs, and an 8" queen angel, plus some smaller fish been having elevated phosphate levels, tried other reactors with no real effect, bought this BRS Jumbo reactor, filled it with the recommended 6 cups of GFO hi capacity and VIOLLA within a WEEK, my phosphate levels dropped from a .90 average, down to a .20 average.... a nice decline about .10 each day. This media REALLY does the trick HIGHLY recommended by bruce in Chicago Wouldn't be without it. By Gerry on 8/21/2014 Gerry would recommend this product to a friend I used to suffer from high phosphates and had unsightly hair algae growing. I tried water changes and scrubbing rocks. I finally tried GFO which worked well, but was messy to work with. I decided to try the high capacity and I will never use anything else again. This stuff is awesome and is very clean to work with. Hats off to BRS for this product. Does its job, works good both in my wallet and in my tank By DOMINICK on 8/21/2014 DOMINICK would recommend this product to a friend Does its job, works good both in my wallet and in my tank Keeps PO4 in check By danny on 7/31/2014 danny would recommend this product to a friend Very low dust unlike other types of GFO & you use less of it to achieve the same results which reduces stress on your pump. My PO4 levels are around 0.03 ppm using the HANNA CHECKER. Best GFO on the market By Sean on 5/26/2014 Sean would recommend this product to a friend This is the best GFO I have used before. It lowers my Phosphates better than any other product on the market. The corals have noticeably become more colorful as well. Good product! Regular vs Hi-Cap GFO By Drew on 5/11/2014 Drew would recommend this product to a friend I goofed and ordered Regular GFO instead of the Hi-Cap that I normally order. YES.... there is a difference.... My Phosphate levels have reacted accordingly. I have double the PO4 than I normally have when using the Hi-Cap. FYI! High Capacity GFO. By Śruba on 5/10/2014 Śruba would recommend this product to a friend I would buy it again because this media works very well for me. Try it yourself and see what I mean. Thank you BRS. Look no further! By MUSBFRANK on 4/30/2014 MUSBFRANK would recommend this product to a friend Let's just say I had a serious phosphate problem and tried several other medias. I put the recommended amount of GFO in a nylon sock and pumped water through it with a powerhead. It's a 750gal reef tank and the phospates had soared up to 2.0, after putting the GFO I tested the water roughly 3 days later and they were barely detectable. Can't say enough about this stuff and I will never use anything else! Works Great!!! By Andy on 4/4/2014 Andy would recommend this product to a friend 2nd time ordering & works great with fantastic results..ie perfect water parameters. Very good at removing phosphate By KEVIN on 4/2/2014 KEVIN would recommend this product to a friend Works great. It's a little pricey but it does what I need great stuff By Chicago on 3/25/2014 Chicago would recommend this product to a friend nice and clean. I use in my reactor. With other brands took like 15 gallons until clean and clear water was following. With this high capacity only takes like 5 gallons to run clean. Love it and would recommend for all phosphate issues. Of course you cant beat the BRS service and price. Best way to keep my phosphates low By Michael on 3/18/2014 Michael would recommend this product to a friend I run this GFO in my 90 gallon mixed reef tank. Have it running in a 2 Little Fishes reactor and it works great. Replace every 4-6 months and my phosphates stay at zero. Highly recommend. great product By angelo on 3/17/2014 angelo would recommend this product to a friend been using this product since i started my tank. never had an issue with phosphates. lasts a long time and only have to use a little bit. Fantastic! By Jawgrants on 3/14/2014 Jawgrants would recommend this product to a friend Running this with the ROX carbon through the BRS dual canister (one in each chamber) and I am shocked by the phosphate removal in less than 3 days. Before running, our phosphate was 1.3 ppm in the Hannah meter. I am running less than recommended by the BRS calculator only because I didn't want to completely shock the system. However, after less than 3 days it's down to 0.03 ppm. Wow! I'm going to continue testing in another few days to see if it drops further. If not, I will bump up to the recommended level. Thanks, BRS for another couple of great products! Worth the price! Very Satisfied By Charlotte Reefer on 3/10/2014 Charlotte Reefer would recommend this product to a friend I'm running the GFO high capacity with an IM Minimax reactor on my nuvo 24 tank. I was getting some nasty hair algae after trying to fatten up some new fish. PO4 was around 0.08 and that was with Chemipure Elite in the media basket. After a few days by phosphates went down to 0.03 and last night I registered 0.00 using the Hanna low range checker. CUC is destroying the algae now and it take about 3 days before I get a noticeable green/brown film on the glass. This seems to be a great value. Given the size of my tank and the rate the GFO is being used up, this is pretty affordable way to control phosphates. I highly recommend. Great product By Ourisland42 on 2/20/2014 Ourisland42 would recommend this product to a friend I would definitely recommend. It is working !! My phosphates are going down, finally.... Excellent service with BRS, as always! Phosphate Removal By Matt on 2/17/2014 Matt would recommend this product to a friend Works great at controlling phosphates. Also, works well in a media reactor as I use it with the TLF media reactor with a maxi-jet pump. Must have for any reef tank By James on 1/24/2014 James would recommend this product to a friend I've been using the brs standard gfo and this gfo makes a huge difference. I couldn't keep my phosphate under .06 with the standard stuff. Now I've got it down to .01 in only the first week of using this product! I'm very happy even though it's a little more money. Must buy! By devon on 1/9/2014 devon would recommend this product to a friend i really love this media, i have seen drastic changes while using this. i tends to last long than the cheaper stuff. less dust is a big plus. i must say though what until it is on sales thats when i order it. phosphate killer By Theodore on 1/5/2014 Theodore would recommend this product to a friend This gfo took my phosphates from .5 to undetectable . Amazing stuff now my corals are way more colorful and polyps are fully extended. Couldn't be happier with this product. Excellent fast phosphate killer! By George on 12/28/2013 George would recommend this product to a friend BRS' standard gfo is amazing... but this... this takes it to another level. My square 60 gallon salt tank was fill to the bring of slimy green algae. My brother then took this stuff... put it into my two reactors i recently bought and within a week the green disappeared. After 2 months, the water has remained crystal clear. The best time to get this is during their sale which is what we did during their black friday sale. Can't go wrong. Double the power of the standard stuff no joke! GFO that makes a differemce By terminator on 12/2/2013 terminator would recommend this product to a friend I have used many different types of phosphate removal products and for cost, quanity and effectiveness you can't beat the high capacity version of this GFO. There are a few other products that are as effective but cost more and you get less of it. Why spend more? This is the only practical GFO to use, hands down Tank is looking better after only days By Geo on 11/20/2013 Geo would recommend this product to a friend Our LFS ran out of RowaPhos and it was going 3 weeks, I tried other gfos but they didn't do it, too much dust or they would just clump and not tumble, gave the high capacity a go and my tank is already looking better. I believe I will be sticking w this from here out. works great By jim on 11/18/2013 jim would recommend this product to a friend ez using, little dust.starts cleaning real fast. Great Product By MICHAELO on 9/30/2013 MICHAELO would recommend this product to a friend Very well constructed and easy to change canisters, mounting option is cool. Makes use of space and utilizes 2 separate elements for individual change, Bottom line is, it makes life much easier! If you have a need for these elements then you have a need for this item. Saves space in the sump By GainesvilleReefer on 8/8/2013 GainesvilleReefer would recommend this product to a friend By using this over the regular GFO I was able to mix with the ROX carbon and fit in one reactor. Great!!! By Garry on 8/1/2013 Garry would recommend this product to a friend Great Product!!! Really brings down Phosphate levels By Chris on 7/15/2013 Chris would recommend this product to a friend Before I bought my GFO reactor I had a terrible problem with nuisance algae, especially hair. A few of the CUC ate it but it was growing too fast for them to keep up with, even when reducing the lights to only about an hour a day. I'm amazed at the difference the BRS GFO made once I started running it. It has completely controllled the phosphate levels in my tank from on average 14ppm down to 0.0ppm and no nuisance algae. It's reduced it so much that I now how to supplement nori for the algae eaters so they don't starve! I'd recommend this for anyone who's serious about controlling their Phosphate levels. Excellent GFO By Joe on 5/25/2013 Joe would recommend this product to a friend Keeps my phosphate below 0.003 ppm or 0.032 microMolar, which is the limit of detection with the Hanna Ultra Low Range phosphorous detector (HI-736). Worked on my algea problem By lwillis22 on 5/14/2013 lwillis22 would recommend this product to a friend This was recommended for my algae problem and I was sick of trying different things and them not working. This is pricy but you get what you pay for, works great! Awesome By Jared on 5/12/2013 Jared would recommend this product to a friend Awesome product. Works great. Will continue to buy. Highly recommended. Great Stuff By Bob on 5/12/2013 Bob would recommend this product to a friend This is the only way I can keep algae in check Great Stuff By Bob on 5/12/2013 Bob would recommend this product to a friend This is the only way I can keep algae under control the best By Shaun on 5/6/2013 Shaun would recommend this product to a friend The best gfo by far. Worth the extra money from tge regular gfo to the high capacity Works just as they said it woud By Bill K on 4/19/2013 Bill K would recommend this product to a friend Just added GFO in my new BRS dual reactor .Works just as they said it woud .Great product and great veideo to help set up with the tubling of GFO. Great stuff By David on 4/13/2013 David would recommend this product to a friend I have used both regular and HC GFO. I went with the cheaper regular last time and have regretted it. I highly recommend this product it lasts longer and requires less product to sufficiently do the job. As good as the quality gets and great price for it By tyvek on 4/11/2013 tyvek would recommend this product to a friend Very good quality and the price is very good too. Helped remove all the hair aglae in my tank By Justin on 4/1/2013 Justin would recommend this product to a friend I have used this twice on an off over a number of years, I had a pretty bad hair algae issue and I tried everything, after months of extracting and using phosphate removal stuff, I couldn't get rid of the algae. After adding this back in it took a little while, though no more algae. I still get the green hue on the glass, though it takes longer now before it appears. Awesome Product By Toby on 3/26/2013 Toby would recommend this product to a friend I am using a brand new 6 stage BRS RO/DI unit with 150gpd upgrade and booster pump. Yet, I still get a light brown/green haze on the glass daily. I only feed frozen Mysid and Frozen Formula 1 every other day making sure not to over feed. With the exception of shrimp to the BT Anenome and and DT's to the corals. No hair algae or anything bad but that dang haze. Well Folks! No More! I added BRS High capacity GFO (by BRS Calculator) in the BRS GFO reactor and it was cleared by the next day! Actually it's been 3 days and I just went over the glass and really still didn't need it. Awesome Stuff! I only regret not adding this day 1. Essential part of process to eliminate algae By Darcy on 3/7/2013 Darcy would recommend this product to a friend I don't know why I didn't use this stuff sooner. Algae was growing faster than we could remove it. Instead of enjoying our reef tank it was becoming a burden. My phosphates were always on the high side but changing our feeding practices and adding cheato to the sump never seemed to substantially change the high readings. I set up a reactor and added High Capacity GFO from BRS. The phosphate readings dropped markedly but the algae stuck around. It was less prolific and pale looking but it was still there. So, on the advice of a fellow reefer, we obtained a sea hare and let it go to work. After 3 weeks virtually all my algae was gone. We added a fresh batch of GFO to the reactor my readings stayed where I want them at about .04 and there's no resurgence of algae. It's been over 6 weeks with no trace algae and my corals have more color to them. Hopefully, we have this licked. When I consider all the work we went through prior to this I don't know why we dragged our feet implementing GFO to our system. BTW, no sea hare was harmed in the removal of the algae. Once there was no more algae to consume our LFS gladly gave us store credit for the returned sea hare. Awesome By ROB B on 2/27/2013 ROB B would recommend this product to a friend I strongly recommend this product!!! And i strongly recommend BRS they have excellent customer service!! AWESOME!! By Nathan on 2/21/2013 Nathan would recommend this product to a friend Use this in a BRS Reactor and it works perfect, i use less than the amount needed and it still keeps my phosphates down Another great BRS product. By JABlacher on 2/3/2013 JABlacher would recommend this product to a friend Need to get your phosphates back in check? This is definitely a fix then. The key to using this GFO is to be regular in changing it and the correct flow through your reactor. A light wave in the surface of the media and changing it out after about 2 weeks works wonders for my tank. Thanks BRS for another great media! Good but not perfect By John on 12/7/2012 John wouldn't recommend this product to a friend Like most reefers, I use BRS because it's the best when it comes to a whole slew of aquarium parts/additives/equipment. The prices are right, the products are great, blah blah blah. But I was/have been a little disappointed by this Ferric Oxide - High Capacity. The reasons being two fold...I think that there is a lot more dust and residue in the batch than can be rinsed out with a reasonable amount of water. The result is that your reef is cloudy for a day or two, and the skimmer pulls out what I'd consider to be A LOT of ferric oxide from the water column over the next 2-3 days. Some of you might be thinking "turn down the flow in the reaction chamber", but enough flow to make the ferric oxide tumble is enough to make the tank cloudy with the stuff (even after rinsing). My second gripe with the product is that it forms itself into a solid block inside the reaction chamber that is really tough to remove. And the flow is not too low either because as I see flow going down I increase the power of the MJ 1200 with a valve and the stuff still forms a brick in the reactor. Granted, like most things, it's cheaper to get it on BRS than say getting rowaphos, but I like this product better for my tank. Still I gave 3 stars because it kept phosphates at 0, just the other two factors matter a lot to me. I know for a fact that it's not good for clams to filter ferric oxide out of the water. I almost lost a deresa clam because I didn't rinse my rowaphos once. Much better than regular GFO By Aron on 11/29/2012 Aron would recommend this product to a friend This is a much cleaner, longer lasting GFO than the other standard one that BRS offers. Yes it is more expensive but you get a lot more lifetime out of it and I think there is less tumbling that grinds the GFO particles into smaller pieces and eventually dust. Also out of the box after filing up the reactor there is less dirty water coming out of the reactor which is a plus. new to product By Joseph on 10/27/2012 Joseph would recommend this product to a friend I just started using this product. Easy to add to BRS reactor. Flushes quickly and doesn't have much fines. Will review again after further use. Write Your Own Review You're reviewing: BRS Bulk GFO Granular Ferric Oxide - High Capacity *How do you rate this product? *Would you recommend this product to a friend? 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