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Uterine Cancer
- Home
- Your Health
- Uterine Cancer
Uterine Cancer
(Endometrial Cancer; Cancer, Uterine; Cancer, Endometrial; Endometrial Adenocarcinoma)
|Uterine Cancer
|Copyright © Nucleus Medical Media, Inc.
Risk Factors
- Age: 50-60 years old
- Obesity—especially in women experiencing menopause before age 45
- High blood pressure
- Polycystic ovary syndrome
- Endometrial polyps
- Infertility
- No history of pregnancy
- Early start of menstrual periods
- Late menopause—longer exposure to estrogen
- Diabetes
- Environment: living in an urban area
- Abnormal bleeding between menstrual periods
- Vaginal bleeding or spotting in postmenopausal women
- Pain in the pelvic area
- Pain during urination
- Pain during intercourse
- Blood tests
- Urine tests
- Pap test
- Biopsy of the uterine lining
- Dilation and curettage (D&C)
Radiation Therapy
- External radiation therapy—radiation directed at the tumor from a source outside the body
- Internal radiation therapy, called brachytherapy—radioactive materials placed into the body near the cancer cells
Hormone Therapy
American Cancer Society http://www.cancer.org
Cancer Care http://www.cancercare.org
Canadian Cancer Society http://www.cancer.ca
Women's Health Matters http://www.womenshealthmatters.ca
Endometrial adenocarcinoma. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated March 7, 2013. Accessed March 14, 2013.
Endometrial cancer. National Cancer Institute website. Available at: http://www.cancer.gov/cancertopics/types/endometrial. Accessed March 14, 2013.
Rodriguez AO. Chemotherapy for early stage endometrial cancer? Should we be using it? Curr Opin Obstet Gynecol . 2008;20:1-3.
8/31/2009 DynaMed Systematic Literature Surveillance http://www.dynamicmedical.com/what.php : Thomas CC, Wingo PA, Dolan MS, Lee NC, Richardson LC. Endometrial cancer risk among younger, overweight women. Obstet Gynecol. 2009;114:22-27.
1/29/2010 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/what.php : Dey S, Hablas A, Seifeldin IA, et al. Urban-rural differences of gynaecological malignancies in Egypt (1999-2002). BJOG. 2010;117(3):348-355.
Revision Information
- Reviewer: Mohei Abouzied, MD
- Review Date: 12/2013 -
- Update Date: 01/13/2014 -


text: I would greatly appreciate any volunteers for this project. 10 or 25m is not a problem. I ask that you guys be as close as possible to 9/12bosses down so I can expand onto other fights asap. When I post results I can keep you anonymous if you want. I'm not trying to point out who's good and who's bad. I want to see the areas that reduce the most damage between tanks and then bring that into the game play. Example, if we find that tanks who use dancing rune weapon more often during the fights take 10% less damage then tanks who only use it once. I would of course make sure that I'm using DRW as often as possible.

subset: commoncrawl


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At a Glance
Why Get Tested?
To detect high levels of lactate in the blood, which may be an indication of lack of oxygen (hypoxia) or the presence of other conditions that cause excess production or insufficient clearing of lactate from the blood; this test is not meant to be used for screening for health status.
When to Get Tested?
When someone has symptoms such as rapid breathing, nausea, and sweating that suggest a lack of oxygen or an acid/base imbalance; when a person presents with what a doctor suspects is sepsis, shock, heart attack, severe congestive heart failure, renal failure, or uncontrolled diabetes; when a doctor suspects that someone has an inherited metabolic or mitochondrial disorder
Sample Required?
A blood sample drawn from a vein in your arm; sometimes a blood sample collected from an artery and, rarely, a sample of cerebrospinal fluid collected from the spine
Test Preparation Needed?
You may be told to rest prior to sample collection. Rarely, fasting may be required.
The Test Sample
What is being tested?
This test measures the amount of lactate in the blood or, more rarely, in the cerebrospinal fluid (CSF). Lactate is a product of cell metabolism. Depending on pH, it is sometimes present in the form of lactic acid. However, with the neutral pH of the body, most of it will be present in the form of lactate.
Normally, the level of lactate in blood and CSF is low. It is produced in excess by muscle cells, red blood cells, brain, and other tissues when there is insufficient oxygen at the cellular level or when the primary way of producing energy in the cells is disrupted.
The principal means of producing energy within cells occurs in the mitochondria, tiny power stations inside most cells of the body. The mitochondria use glucose and oxygen to produce ATP (adenosine triphosphate), the body's primary source of energy. This is called aerobic energy production.
Whenever cellular oxygen levels decrease and/or the mitochondria are not functioning properly, the body must turn to less efficient energy production (anaerobic energy production) to metabolize glucose and produce ATP. The primary byproduct of this anaerobic process is lactic acid. Lactic acid can accumulate when it is produced faster than the liver can break it down.
When lactic acid levels increase significantly in the blood, the affected person is said to have hyperlactatemia, which can progress to lactic acidosis as more lactic acid accumulates. The body can often compensate for the effects of hyperlactatemia, but lactic acidosis can be severe enough to disrupt a person's acid/base (pH) balance and cause symptoms such as muscular weakness, rapid breathing, nausea, vomiting, sweating, and even coma.
There are a number of conditions that can cause high levels of lactate. They are separated into two groups according to the mechanism by which they cause lactic acidosis.
Type A lactic acidosis, the most common type, may be due to conditions that cause inadequate oxygen uptake in the lungs and/or to reduced blood flow resulting in decreased transport of oxygen to the tissues (decreased tissue perfusion). Examples of type A conditions include:
- Shock from trauma or extreme blood loss (hypovolemia)
- Sepsis
- Heart attack
- Congestive heart failure
- Severe lung disease or respiratory failure
- Pulmonary edema
- Severe anemia
Type B lactic acidosis is not related to delivery of oxygen but reflects excess demand for oxygen or metabolic problems. Examples of type B causes include:
- Liver disease
- Kidney disease
- Uncontrolled diabetes
- Leukemia
- Glycogen storage diseases (such as glucose-6-phosphatase deficiency)
- Drugs and toxins such as salicylates, cyanide, methanol and metformin
- A variety of inherited metabolic and mitochondrial diseases that are forms of muscular dystrophy and affect normal ATP production
- Strenuous exercise, as with marathon runners
How is the sample collected for testing?
A blood sample is obtained by inserting a needle into a vein in the arm. Sometimes, an arterial sample is collected by inserting a needle into an artery. Occasionally, a sample of cerebrospinal fluid is collected from the spinal column during a procedure called a spinal tap.
Blood lactate levels will usually be drawn either without the use of a tourniquet or with a tourniquet that is not released during the blood draw. Tourniquet use and release and clenching of the fist can increase lactate levels in the blood sample.
NOTE: If undergoing medical tests makes you or someone you care for anxious, embarrassed, or even difficult to manage, you might consider reading one or more of the following articles: Coping with Test Pain, Discomfort, and Anxiety, Tips on Blood Testing, Tips to Help Children through Their Medical Tests, and Tips to Help the Elderly through Their Medical Tests.
Another article, Follow That Sample, provides a glimpse at the collection and processing of a blood sample and throat culture.
Is any test preparation needed to ensure the quality of the sample?
In general, no test preparation is needed. In some cases, the doctor may request that you rest prior to the collection. Rarely, fasting is requested.
The Test
Common Questions
Ask a Laboratory Scientist
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Article Sources
NOTE: This article is based on research that utilizes the sources cited here as well as the collective experience of the Lab Tests Online Editorial Review Board. This article is periodically reviewed by the Editorial Board and may be updated as a result of the review. Any new sources cited will be added to the list and distinguished from the original sources used.
Sources Used in Current Review
Lactic acid test. MedlinePlus Medical Encylopedia [On-line information]. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/003507.htm. Accessed March 2011.
Glatter, R. and Winters, M. (2009 January 8). What Is the Clinical Utility of Obtaining Serum Lactate and Arterial Base Deficit Values in Patients With Early Signs of Sepsis and Septic Shock? Medscape Today. [On-line information]. Available online at http://www.medscape.com/viewarticle/585490 through http://www.medscape.com. Accessed March 2011.
Filbin, M. (Updated 2010 November 5). Septic Shock. eMedicine [On-line information]. Available online at http://emedicine.medscape.com/article/786058-overview through http://emedicine.medscape.com. Accessed March 2011.
Boggs, W. (2010 June 17). Targeting Lactate Clearance Improves ICU Outcomes Medscape Today from Reuters Health Information [On-line information]. Available online at http://www.medscape.com/viewarticle/723725 through http://www.medscape.com. Accessed March 2011.
Nicks, B. et. al. (2010 April 29). Lactic Acidosis in Emergency Medicine. eMedicine [On-line information]. Available online at http://emedicine.medscape.com/article/768159-overview through http://emedicine.medscape.com. Accessed March 2011.
(© 1995-2011). Unit Code 8657: Pyruvic Acid, Blood. MayoClinic Mayo Medical Laboratories [On-line information]. Available online at http://www.mayomedicallaboratories.com/test-catalog/Clinical+and+Interpretive/8657 through http://www.mayomedicallaboratories.com. Accessed March 2011.
(© 1995-2011). Unit Code 8665: Lactate, Plasma. MayoClinic Mayo Medical Laboratories [On-line information]. Available online at http://www.mayomedicallaboratories.com/test-catalog/Overview/8665 through http://www.mayomedicallaboratories.com. Accessed March 2011.
Pagana, K. D. & Pagana, T. J. (© 2011). Mosby's Diagnostic and Laboratory Test Reference 10th Edition: Mosby, Inc., Saint Louis, MO. Pp 601-602.
Wu, A. (© 2006). Tietz Clinical Guide to Laboratory Tests, 4th Edition: Saunders Elsevier, St. Louis, MO. Pp 650-653.
Clarke, W. and Dufour, D. R., Editors (2006). Contemporary Practice in Clinical Chemistry, AACC Press, Washington, DC, Pg 232.
Henry's Clinical Diagnosis and Management by Laboratory Methods. 21st ed. McPherson R, Pincus M, eds. Philadelphia, PA: Saunders Elsevier: 2007, Pp 163,197.
Debray, FG. Diagnostic Accuracy of Blood Lactate-to-Pyruvate Molar Ratio in the Differential Diagnosis of Congenital Lactic Acidosis. Clin Chem, May 2007 53: 917-921.
Surviving Sepsis Campaign Guidelines (2008). Available online at http://www.survivingsepsis.org/guidelines/Pages/default.aspx through http://www.survivingsepsis.org. Accessed June 2011.
Rollins, Gena. The State of Sepsis Care. Clinical Laboratory News. March 2011: Volume 37, No 3.
(July 2010) Shaprio N, et al. The Feasibility and Accuracy of Point-of-Care Lactate Measurement in Emergency Department Patients with Suspected Infection. The Journal of Emergency Medicine. Volume 39, Issue 1, July 2010, Pp 89-94.
Sources Used in Previous Reviews
Thomas, Clayton L., Editor (1997). Taber's Cyclopedic Medical Dictionary. F.A. Davis Company, Philadelphia, PA [18th Edition].
Pagana, Kathleen D. & Pagana, Timothy J. (2001). Mosby's Diagnostic and Laboratory Test Reference 5th Edition: Mosby, Inc., Saint Louis, MO. Pp. 527-528
Datta, V. Updated (2005 May 17). Lactic acid. MedlinePlus Medical Encyclopedia [On-line information]. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/003507.htm.
Owens, T., Updated (2004 October 20). Lactic acidosis. MedlinePlus Medical Encyclopedia [On-line information]. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/000391.htm.
(2002 January, Updated). Lactate (Liquid) Reagent Set. Pointe Scientific, Inc. [On-line Reagent Package Insert]. Available online at http://pointescientific.com/products/inserts/PI-L7596.pdf#search='lactate%20reagent%20blood%20test through http://pointescientific.com.
(© 2000). Simplified Reagent Handling LAC Lactate Ion. Beckman Coulter [On-line information]. Available online at http://www.beckman.com/literature/ClinDiag/GC9157GGLAC.pdf#search='Lactic%20acid%20reagent%20blood%20test through http://www.beckman.com.
Hall, K. and Zalman, B. (2005 June 15). Evaluation and Management of Apparent Life-Threatening Events in Children. American Family Physician [On-line journal]. Available online at http://www.aafp.org/afp/20050615/2301.html through http://www.aafp.org.
Parham, Sue (2005 March). In right setting, POC testing can be kid stuff. College of American Pathologists, CAP Today [On-line journal]. Available online at http://www.cap.org/apps/docs/cap_today/feature_stories/0305POC.html through http://www.cap.org.
(© 2005). Lactic Acid, Plasma. ARUP'S User's Guide [On-line information]. Available online at http://www.aruplab.com/guides/ug/tests/0020045.jsp through http://www.aruplab.com.
(2001 October). Lactic Acid and Biopsy Tests. MDA Ask the Experts [On-line information]. Available online at http://www.mdausa.org/experts/question.cfm?id=2104&disease=97 through http://www.mdausa.org.
Hesterlee, S. (1999 October). Mitochondrial Disease In Perspective Symptoms, Diagnosis And Hope For The Future. MDA QUEST v6(5) [On-line publication]. Available online at http://www.mdausa.org/publications/Quest/q65mito.html through http://www.mdausa.org.
(2001 November). Facts about Mitochondrial Myopathies. MDA Publications [On-line information]. Available online at http://www.mdausa.org/publications/mitochondrial_myopathies.html through http://www.mdausa.org.
Westerblad, H. and Allen, D. (2002 December 18). Recent Advances in the Understanding of Skeletal Muscle Fatigue. Medscape, from Current Opinion in Rheumatology [On-line information]. Available online at http://www.medscape.com/viewarticle/444388 through http://www.medscape.com.
Nissl, J. (2004 October 28). Lactic Acid. WebMD Health Guide A-Z [On-line information]. Available online at http://my.webmd.com/hw/lab_tests/hw7871.asp through http://my.webmd.com.
Pagana, Kathleen D. & Pagana, Timothy J. (© 2007). Mosby's Diagnostic and Laboratory Test Reference 8th Edition: Mosby, Inc., Saint Louis, MO. Pp. 584-585.
Clarke, W. and Dufour, D. R., Editors (2006). Contemporary Practice in Clinical Chemistry, AACC Press, Washington, DC. Pp. 322.
Wu, A. (2006). Tietz Clinical Guide to Laboratory Tests, Fourth Edition. Saunders Elsevier, St. Louis, Missouri. Pp. 650-653.
Thomas, Clayton L., Editor (1997). Taber's Cyclopedic Medical Dictionary. F.A. Davis Company, Philadelphia, PA [18th Edition]. Pp. 1068.
Karon, B. et. al. (2007 August 22). Comparison of Lactate Values Between Point-of-Care and Central Laboratory Analyzers. Medscape from Am J Clin Pathol. 2007;128(1):168-171 [On-line information]. Available online at http://www.medscape.com/viewarticle/559974 through http://www.medscape.com. Accessed on 11/23/08.
Van Voorhees, B. (2007 May 17, Updated). Lactic acid test. MedlinePlus Medical Encyclopedia [On-line information]. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/003507.htm. Accessed on 11/27/08.
Nicks, B. et. al. (2008 April 9, Updated). Lactic Acidosis. emedicine [On-line information]. Available online at http://www.emedicine.com/emerg/topic291.htm through http://www.emedicine.com. Accessed on 11/27/08.
(Updated March 27, 2007) Sharma S, Lactic Acidosis, eMedicine. Available online at http://emedicine.medscape.com/article/167027-overview through http://www.emedicine.com. Accessed February 2009.
Mizock B, Falk J. Lactic Acid in Critical Illness. Critical Care Medicine Vol. 20 No. 1 January, 1992.


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Take what you can get on your gear, but don't go out of your way to gem or enchant for it. Not being hit capped isn't going to have a large impact on your threat and it's more important to gem for survival first.
I have heard this go both ways...Should a paladin tank bother with getting hit cap?
I ask because the people who are telling me not worry about it are telling me to basically only gem for stamina and so I'm at a loss as to which is the correct course of action.
Take what you can get on your gear, but don't go out of your way to gem or enchant for it. Not being hit capped isn't going to have a large impact on your threat and it's more important to gem for survival first.
i assume by enchant you also mean the titanium weapon chain as well so i should probably seek out a new weapon chant
It depends what you're doing. I'll admit that I use the Titanium Weapon Chain on my Paladin tank but it's just an alt that runs heroic 5 mans currently and until I get a 245+ weapon I don't feel like spending gold for something better. There's also 20 hit to gloves, but I'm sure most would agree that +18 stam armor kit is better for tanking unless you're an Engineer. Icewalker is not even worth discussing because stamina to boots is the only tank enchant.
Currently using the Armsman Enchant on my gloves...is that not correct? and mats are not an issue for me so il probably go ahead and get something not hit focused now
I can't answer that for sure, and there's probably several threads between Tankspot and the WoW forums on the Armsman vs. 18 stam debate that could provide better information. From what I've read on the topic most tanks are in favor of the 18 stam but it seems to be personal preference. I would say that the 18 stam wins over 10 parry, but the 2% threat is more difficult to measure. If threat is rarely an issue then choose the 18 stam.
Well i appreciate the help man
Tuskarr's Vitality is hands down the best boot enchant for a tank. +15 Stamina & Movement Speed Increase.
+240 Armor to gloves (or +885 engineer if you have it) or +18 Stamina are the best glove options.
Weapon, go blood draining when you have a quality one your going to keep for a bit.
For hit just take what you get on your gear through the natural course of upgrades, do not gem, enchant, or make gearing choices based on + hit.
There is something so appealing about backhanding someone across the face with a shield.
[QUOTE=Bodasafa;397255]Weapon, go blood draining when you have a quality one your going to keep for a bit.[QUOTE]
I would go for mongoose, As palladins gain more from actuel agi then some other classes (ex. Warrior). Further more blood draining is only really usefull in spike damage fights so if your not having troubles with those fights i would either recommend Blade Ward (the parry increase is great and it does damage on parry as well) or mongoose if you like to go for some more dodge avoidance. I would pressume your on ICC fights at the moment so the -20% dodge is a pain and it applys before DR so you would be just a bit better off with the mongoose enchant then the parry enchant (if your really low on parry (ex. 19% or such) then i would say Blade ward over mongoose).
Though getting caps is never wrong, But in ICC i think its smart to go for stammina, but if your fine with your healers you could go for some more avoidance
There is no "ctrl" on Fluxx his keyboard... Fluxx is always in control.
Chill of the Throne is applied after Diminishing Returns. The only reason Mongoose is even a viable choice is due to the Armor you gain from it, not the Dodge.
What I should have said is "Weapon, go for Blood Draining or Mongoose when you have a quality one your going to keep for a bit"
Bladeward is not an enchant, its a waste of enchanting mats. There is absolutely no situation in ICC 10 or 25 where this is a better enchant over Mongoose or Blood Draining.
There is something so appealing about backhanding someone across the face with a shield.
Here's an option, Go for Glyph of Righteous Defence to increase the chance your Hand of Reckoning and Righteous Defence work successfully by 8%, so you taunts are effectivly hit capped, which mean you can stack a heap load of stamina, wack a Shifting Dreadstone in a red socket (10 Agility % 15 Stamina) to activate the meta gem Austere Earthsiege Diamond (32 Stamina and 2% increased armor value from items). That with Mongoose on top is a very efficiant set up imo, i use it and never have any trouble with aggro or avoidence with any encounter.
Hope this helps
I find that enchanting ur weapon with the enchant accuracy helps, Especially when u have your 264 libram which stack on sheild of the righteous and if u have no hit it wont stack so easily
Another heateed debate on my server is how pallys should socket their gear recently i have stacked the 30 stam gems and 1 red +20 dodge gem to activate my meta gem but there is a debate about dodge to stam pallys wat has worked the best for u guys?
Main weapon enchants should be Mongoose, Accuracy, Blade Ward, and Blood Draining. Obviously each has their flavor and preference. I tend to use Mongoose and Accuracy, but currently I'm testing out Blood Draining so myself and Guild master can see how well it possibly works.
Hit rating is not something you necessarily want to go out of your way for, as bling said take what hit rating your gear gives you and use that, but dont' hestitate to save other pieces of gear that have hit for the times you really do need it. I believe Expertise has shown quite a bit of value recently with most paladin skills being parry/dodge able. You should mostly gem for stamina. However in some cases where there is a high socket bonus, or the single socket is a red socket. It does not hurt to gem with the 10 agi/15 stam dreadstone.
Another option, probably not mentioned ever is to use the +20 agility enchant on the gloves. Again there are comparable and better enchants than this out there.
To Boda: where did you find the +240 Bonus armor to gloves? I'm blind and cannot find where this is at.
Last edited by Tazlex; 04-03-2010 at 10:58 PM.
General rule of thumb: when in doubt socket stamina
Okay let me clear up the air here on a lot of things. There is some misinformation, misleading information, and some really good advice here in this thread:
Weapon enchant: For paladins, the uptime of Mongoose is extremely high due to SoV and pallies also get more dodge from agi than warriors do. Therefore overall, Mongoose is better avoidance for pallies than blade warding and it gives crit and most importantly 240 armor. This is good. HAVING SAID THAT, I am a huge proponent of blood draining more and more. Blood draining is a 2k smart heal when you need it, period. That is the only EH enchant out there and it would have to be reduced to something like 14% efficiency to be EQUAL to Mongoose in terms of EH. For progression, enchant blood draining, hands down it's the best in my opinion, however I wouldn't scoff at a pally using mongoose. IMO Accuracy has no place on a tank's weapon unless they're having some serious threat issues (which they shouldn't be) or are just tanking 5 man heroics and EHP doesn't matter that much so they only need threat.
AGI vs Dodge: For paladins, you will get more bang for your buck from AGI than from dodge. AGi gives something like 93% the amount of dodge that dodge rating does point for point for paladins, and gives you armor and a little crit. Gem 10agi/15stam in any red socket with a +9 stam bonus or better that only requires 1 red gem. This is a great way to activate your meta, you shouldn't gem straight agi or straight dodge, use hybrid gems.
Avoidance vs. EH: This is beating a dead horse, no one's really be arguing this debate, but I'm going to quash it right now before it spirals into that again like it always does. Gem/gear/enchant for stam and armor. Stam stam stamity stam stam stam. /signed Stam Czar
Hit Rating (the original question). You shouldn't need any hit rating for threat reasons. If you do then you're doing something wrong spec/rotation wise. The only thing you need hit for is to ensure taunts don't miss on fights where it is necessary. There is a table at the bottom of my guide (foot note 3, link in sig) that gives a breakdown of the hit levels you need with various buffs to ensure your taunts don't miss. Remember, taunt is based off of SPELL HIT, not melee hit. The 8% glyph is huge and really that + whatever you have innately on gear SHOULD be enough, if not then just use your other taunt.
Expertise: Paladins can use glyph of SoV (I think that's the right one) and get +10 expertise, so getting to the soft cap of 26 should be no problem and there's really no reason to do anything else.
Enchant overview:
Gloves: 18 stam or 240 armor, don't enchant anything else, these are both leatherworking kits
Weapon: Blood draining or if you just REALLY REALLY LOVE green lightening, then mongoose.
Boots: 22 stam for paladins, not Tuskarr's Vitality, prot pallies generally spec into PoJ and the enchant runspeed does not stack and isn't as good
Otherwise: what bod said.
"If the world is something you accept rather than interpret, then you're susceptible to the influence of charismatic idiots." -Neil deGrasee Tyson
Twitter @Aggathon || @Tankspot || Twitch.Tv/Aggathon
Aggathon is right on the money for progression tanking.
If you're not in ICC (or are just doing the first wing of it), then you would probably be better served by gemming to 9 stam socket bonuses and using the Hodir enchant. EH is still your first priority, but you're not in a situation where you need to wring out every last drop of it. A great resource is http://maintankadin.failsafedesign.c...rb_v=viewtopic - Digren's Maintankalevels (from Maintankadin), which will help you figure out how to gem and enchant your gear for the content you're doing. As always, there is no one-size-fits-all strategy for tank gearing, you should adjust according to your situation.
Hit is not something you should worry too much about as a prot pally. Maybe get a little bit of it if you're a fresh 80 and having threat issues, but otherwise don't really seek it out.
I see Digren finally re-did his guides so they're not completely effing retarded now, that makes me happy. I still think he vastly overvalues 22/23 agi to cloak though and significantly undervalues 225 armor to cloak. Other than that it looks like his re-vamped gemming/enchanting guide is actually very solid now (I was VERY unhappy with his previous one). Edit: bleh, looks like he still advocates 20 def to shield over 18 stam to shield, boo hiss, at least he finally got 275 HP to chest correct, that one REALLY bothered me and I saw several pallies walking around with 10 stats based directly from his previous enchanting "guide."
"If the world is something you accept rather than interpret, then you're susceptible to the influence of charismatic idiots." -Neil deGrasee Tyson
Twitter @Aggathon || @Tankspot || Twitch.Tv/Aggathon
"If the world is something you accept rather than interpret, then you're susceptible to the influence of charismatic idiots." -Neil deGrasee Tyson
Twitter @Aggathon || @Tankspot || Twitch.Tv/Aggathon


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WASHINGTON - Oscar week is upon us, so each day, we're handicapping the race to help with your Oscar party pools. We start with a look at the "Best Actor" category, a strong class where a true underdog is emerging as the front-runner.
Who Should Win: Jean Dujardin ("The Artist")
Who Will Win: Jean Dujardin ("The Artist")
Jean Dujardin - "The Artist"
French actor Jean Dujardin has risen out of obscurity to win two bellwethers in the Oscar race, the Golden Globes and the SAG Awards, for his role in "The Artist." He plays George Valentin, a silent movie star who worries that talking pictures will ruin his career in 1927 Hollywood. He must weigh his career against his heart, when his actress love interest (Berenice Bejo) finds a budding career in the very movie technology that has silenced his stardom.
Dujardin's performance explores similar territory as Gloria Swanson's Norma Desmond in "Sunset Boulevard" (1950). Unlike Swanson, Dujardin has to do it without dialogue, as "The Artist" is itself a silent movie. He deserves to win for his ability to express his character's thoughts and feelings without words, relying solely on facial expressions and body language. He also echoes Fred Astaire in a few tap-dance numbers that make his performance all the more impressive.
George Clooney - "The Descendants"
While Dujardin won the Golden Globe for "Best Actor - Comedy/Musical," George Clooney won "Best Actor - Drama" for "The Descendants." It's the most emotional performance of his career, playing the heir of a Hawaiian land trust, who at the time of a big sale, must deal with the loss of his comatose wife. While spreading the news of her impending death, he uncovers a family secret that changes his opinion of his wife and helps him reconnect with his impressionable daughters.
Clooney would be the odds-on favorite if he hadn't already tasted Oscar gold for "Syriana" (2005). However, that win was for Best Supporting Actor, so don't be surprised if the Academy gives him the top acting prize this time. His role in "The Descendants" continues to disprove the "pretty face" stereotype that was put to bed long ago with "Good Night and Good Luck" (2005), "Michael Clayton" (2007), "Up in the Air" (2009) and "The Ides of March" (2011), for which he is also nominated this year for Best Adapted Screenplay.
Brad Pitt - "Moneyball"
Clooney's "Oceans" pal Brad Pitt was also in two movies this year, the mainstream sports flick "Moneyball" and the acclaimed art tapestry "The Tree of Life." The latter contains his better performance of the two, as a hard-nosed father in post-war suburbia. Ironically, his Oscar nomination comes for "Moneyball," playing the stat-driven general manager of the Oakland A's trying to raise a daughter and change the way baseball teams are built.
It's times like these I wish the Academy went back to awarding Oscars for an actor's entire body of work in a given year, rather than a single film. This approach has already earned Pitt the Best Actor prize by the National Society of Film Critics, who awarded him for both "Moneyball" and "The Tree of Life." No matter, Pitt's Oscar is long overdue after "Thelma and Louise" (1991), "Se7en" (1995), "Twelve Monkeys" (1995, Oscar nominated), "Fight Club" (1999) and "The Curious Case of Benjamin Button" (2008, Oscar nominated). Unfortunately, his role as the manager in "Moneyball" pales in comparison to these roles. A Brad Pitt win this year would be one in a long line of make-up Oscars.
Gary Oldman - "Tinker Tailor Soldier Spy"
The dark horse in the race is Gary Oldman for the spy thriller "Tinker Tailor Soldier Spy." You know him as Sirius Black from the "Harry Potter" series. In "Tinker Tailor," he plays a veteran spy who tracks a Soviet agent and shares the screen with last year's Best Actor winner, Colin Firth ("The King's Speech"). The film was directed by Tomas Alfredson, who got great performances out of two child actors in the horror masterpiece "Let the Right One In" (2008), which was remade for Hollywood as "Let Me In" (2010). This time, it's Alfredson doing the remaking, updating the 1979 BBC television series starring Alec Guinness. Those are impossible shoes to fill, from "Star Wars" (1977) to "The Bridge on the River Kwai" (1957), but Oldman fills them admirably, earning his first Oscar nomination for a most subtle performance.
Demian Bichir - "A Better Life"
Rounding out the bunch is Mexican-native Demian Bichir for "A Better Life." He plays a hardworking landscaper raising a kid amidst gang violence and fears of deportation in contemporary Los Angeles. It's the first Oscar nomination for Bichir, who's been steadily rising the ranks with such roles as Fidel Castro in Steven Soderbergh's "Che" (2008) and a recurring role on TV's "Weeds" (2008-2010). While the film is the least known of all the films up for Best Actor, Bichir's performance may be the best socio-economic commentary.
Countdown to the Oscars: Join WTOP for an in-depth look at all nine Best Picture nominees every Wednesday and Friday until the Academy Awards on February 26.
Read more from WTOP Film Critic Jason Fraley by clicking "Fraley on Film" under the "Living" tab above, and check out his blog, The Film Spectrum.
(Copyright 2012 by WTOP. All Rights Reserved.)


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The Career Development Center's mission is to encourage personal success & exposure by igniting empowerment through guidance, inspiration, resources & life-long connections.
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Cake Serving Set(26 items)
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I wonder if someone could help me with this, I am using the HX9V and have difficulty getting a good shot of the kids indoors, obviously the lighting isn't the best, using the flash produces harsh red-eye but I don't mind that because it can be removed in post, but I find the camera takes too long to focus and take the shot, does anyone have this camera who can offer some advice?
It doesn't have a person mode per se, but a background de-focus and in auto mode (face detection), which I do not like using because it can produce some awful results!
Any tips?


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Sperry Tents Seacoast12 Reviews
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Hey mixtape from NC native check it out please!! give advice!
i tried out rapping,
i don't rap i write good poetry,
applied them to beats and got this deff give me honest advice!
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this is my first and first time rapping as well don't judge to hard
but deff check it out
i made all the beats cept two on it as well!
http://soundcloud.com/brysonnc/sets/depression


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(Santiago, San Pedro de Atacama)
A trip to South America is incomplete until you have travelled to Chile and experience one of the most pristine places on earth....the Atacama Desert. Arrive into Santiago, the country's capital and be whisked away to your hotel by private vehicle and driver. To get to know the city better, a half-day private guided tour is included. travel to the coastal cities of historical Valparaiso and vibrant Viña del Mar for a full day of fun, food and wonderful coastal scenery. No visit to Santiago is complete with a visit to the surrounding wineries, dazzle your tastebuds with Chilean wine! Traveling north by plane, you will reach the desert area of San Pedro de Atacama. The beauty of the desert resides in the texture of the land, the starkness of the sky and in how life has found a way to conquer the desert. Atacama is a lunar landscape in places, lush river canyons in others. In some parts, rain has not touched this parched land for the past three hundred years while summer can bring brilliant rainstorms in the mountains. Atacama can be vast empty stretches but it is also a place to see life unfold. The Atacama program offers clients a unique experience including guided explorations, gourmet meals and magnificent climate throughout the year. Each day guests choose from a variety of explorations; touring by car, trekking, biking and even mountain climbing. All explorations are accompanied by experienced guides and are available at all levels of abilities to explore the nature or the history of Atacama. Discover the heights of the Andes, enjoy the volcanoes and plateaus or visit the small villages with their traditions and folklore. The Atacama is yours to explore. Return to Santiago for some souvenir shopping before departing Chile.
Please note that the cost of regional and international air has not yet been included in your quotation. Air experts are standing by to help. Enjoy a personalized vacation that best suits your needs, developed by one of our experienced destination experts. Relax during your trip with our 24/7 support and expert local guidance.
Upon your arrival you will be met by a local representative who will help you locate your vehicle.
Welcome to Chile!
Private airport transfer in Santiago with a guide and driver.
You will depart to the coast by Route 68, which connects Santiago with the port of Valparaíso in only 1.5 hours, located 120 km northwest. First, you cross the Curacavi valley, with its fruit trees plantations, vineyards, little fruit markets and restaurants. Then, the Casablanca valley, a wine making area, growing in fame, shows a green landscape that captivates visitors. You will reach the magical port of Valparaiso dubbed a World Heritage site by UNESCO. You will admire Valparaíso from the hills. Through walkways and terraces you will be witness, of the wonderful natural amphitheater that frames the bay, to the history of this port-city. Stroll through narrow alleys that meander through the hills, revealing in every corner, images that deserve worthy of a picture. You will also have the opportunity to experience the old funiculars that made this picturesque city famous. After visiting typical Valparaiso you head to Viña del Mar city and visit its beaches and main attractions. At the end of you tour you will return at the hotel at 5:00pm. Funicular ride included.
Casablanca is a transversal valley approximately 24 kilometres long that extends from the Zapata Tunnel to the Shrine of Lo Vásquez and covers a total of 22.000 hectares. Flanked by mountains, Route 68 runs through the middle of the valley like a backbone and connects Santiago with the port of Valparaiso. The Casablanca Valley forms part of the Coastel Range, a mountainous chain formed 180 million years ago. Today the valley hosts more than 5.000 hectares (11.120 acres) of plantations, which count with the highest technology used today including Frost control towers, Certified drop watering and keen managing of the vineyard that guaranty first quality grapes. This way, the valley of Casablanca has positioned itself as the best valley in Chile as well as abroad , for white wines, in particular Sauvignon Blanc and Chardonnay, and within the red wines with the Pinot Noir. On this day you will visit 2 premium vineyards with wine tasting included at Vina Emiliana and Casa Del Bosque.
Flight is required, currently not included in the quote.
You will be met at the airport and transferred by private vehicle and guide to the Awasi Lodge.
Included in your stay are the following: lodging, breakfast, lunch, appetizer and dinner (lunch on the date of check-in is not included), alcoholic/non-alcoholic beverages, private outings, 2 half day or 1 full day excursion per day is included (on check-in/check-out day there is only 1 half day outing included), transfers from/to Calama Airport.
At Awasi, excursions are private, exclusive, and are programmed according to your preferences and pace. Tailor-made outings are designed with your private guide who will help you plan your trips and will accompany you during your stay. You can choose full- or half-day trips. We offer easy strolls or intense treks for the more adventurous, horse-back riding, bicycle rides, visits to archaeological sites, visits to the salt flats, Altiplano lagoons or villages hidden among the deep valleys. You can get up at dawn to go and see the geysers and relax in the thermal pools. Bird watching or an evening astronomic tour with local guides are some of the experiences you can organize during your stay at Awasi.
Tocanao and Atacama Salt Lake: Depart by private vehicle from Awasi Lodge and head south 60 miles to the town of Toconao. There, you can visit its historic church and bell tower and tour the stalls of craftspeople who offer their goods in the square. Next to Toconao is Jere creek, a canyon with the only running fresh water in these surroundings. Then, continue on to Chaxa pond, a National Reserve located at Atacama Salt Lake. In this setting you may observe the flamingoes that inhabit the Salt Lake, as well as other native bird species. Length: 4 hrs, Difficulty: Easy
Moon Valley: Depart for the Natural Reserve, which is located some 15 minutes away in the middle of the Salt Range. As the tour progresses, you will find lookouts from which to observe the unusual geological shapes which, together with the action of wind and water, have originated a land relief reminiscent of the inhospitable beauty of the lunar surface. Length: 3.5 hrs, Difficulty: Easy.
Cejar Pond: Cejar, a set of three ponds located in the middle of the Salt Lake in one of which you can bathe. Given its high degree of saltiness, you can float on the water but in fact cannot sink, a phenomenon similar to what you find in the Dead Sea (Israel). Here you can watch birds that live in the Salt Lake zone, such as flamingoes and Andean gulls, and enjoy a privileged view of the surrounding ranges. Length: 3 hrs, Difficulty: Easy.
Puritama: The road to the hot springs provides a magnificent view of the Andean Range. Upon arriving at the hot springs, go down the creek to the pools, which are surrounded by a native vegetation that also acts as a shelter for birds. There are 7 different pools to choose from, ranging in temperature from 86F to 92F, which makes them ideal for relaxation. Length: 3.5 hrs, Difficulty: Easy.
Rio Grande: Upon reaching Yerbas Buenas, you will find ancient petroglyphs carved on huge rock walls. After travelling over a steep road you will arrive at Santiago del Rio Grande. From there, enjoy a spectacular view of the valley, its farming terraces, animal corrals, and creek hillsides. You can also take a walk around the town and to the farming sectors, as well visiting the church and the craftsmen. Length: 3.5 hrs, Difficulty: Easy.
Catarpe: Depart Awasi heading north, passing de Quitor Ayllu-famous for its pukara fortress and cross the San Pedro River. There, you can take a walk in the Tambillo and Devil's Creek sector. Continue on to the Ayllu at Catarpe, where you will have lunch in an old adobe house. Then continue on to an old Inca tambo -a highway resting place- and the San Isidro church. After seeing the valley, visit an old Salt Range tunnel from where you have an imposing view of the valley below. Length: 2.5- 3.5 hrs. Difficulty: Easy.
Zapar: You will tour an incredibly green canyon that suddenly crops up in the middle of a dune. Down this canyon runs water that comes from the Andes Range. Walk from Tambillo, surrounded by its amazing vegetation of Tamarugo trees, and reach Zapar crossing pasture zones that are archaeologically very important. Finally, make a stop for lunch at one of the local homes who will host you. The view of Atacama Salt Lake from here is one of the best there is. Length: 2 hrs, Difficulty: Easy.
Kari Hike: After a 15 minute drive from Awasi, you will reach a lookout from where you can admire the geological majesty of the Salt Range. The hike starts here and then continues on a narrow path with a ravine on one side. After going down a small dune, you will find Kari canyon, a dry ancient riverbed with rock descents, grottoes and caves. This excursion has different entry and exit points. Length: 2 hrs, Difficulty: Intermediate.
Guatin Hike: Leaving Awasi by car, take the road north to San Pedro where you will reach a valley called Guatin, by a creek, along a bank of the Bizama River. A profusion of cacti, different geological formations, small waterfalls, brooks, rocks, give the area a special attraction. After hiking for two hours you will reach an abandoned shepherd ranch from which you will begin your journey back. Length: 2.5 hrs, Difficulty: Imtermediate.
Barrancas Hike: Leaving San Pedro you will cross the Ayllu of Quitor, to the Salt Range. From here you will begin your hike, first crossing this tunnel and then climbing the range. Once you reach the top, take in the splendid view of the oases, the irregular formations, and the sight of the Andes and Domeyko ranges. Length: 1.5 hrs, Difficulty: Easy.
Vilama Hike: After a 20-minute ride from Awasi you will reach the small Vilama valley in the Salt Range, where you will begin your walk. You will reach a flat zone with a panoramic view of the Andes. Here, find an ancient abode with petroglyphs that speaks of the history of the ancestors. Walk along this dry plain until you arrive at a downhill trail that takes you to the winding Devil's Creek. Length: 2 hrs, Difficulty: Easy.
Atacama History: Depart Awasi to the Quitor Pukara, an Atacama fortress, located in the Ayllu of Quitor, 2 miles from San Pedro. From its height, enjoy a privileged view of the valley. Continue to the town of Tulor, here you will visit the digging of ruins and the reconstruction of original homes according to the criterion of archaeologists. Length: 2.5 hrs, Difficulty: Easy.
Walk Around Town: This is a walk to get to know San Pedro and see beyond its restaurants and shops. Enjoy a guided tour of the Father LePaige Museum, the town square, the town church, the house of Pedro de Valdivia, the craft market and the main street. Length: 2 hrs, Difficulty: Easy.
Bicycling The Allys: From Awasi you will depart on your bicycle andl tour some of the following San Pedro Ayllu (farming communities): Solor, Solcor, Sequitor, Larache, Quitor and Catarpe. Length: 1.5 hrs, Difficulty: Easy.
Bicyling Death Valley: Depart on bike from Awasi towards the road to Calama. Pedal on slight climb up to the Death Valley entrance in the Salt Range. Reach the highest point in the valley and appreciate impressive views; after a descent, meet the paved road on which you pedal back to Awasi. Length: 2.5 hrs, Difficulty: Intermediate.
Bicycling Coca Rock: Ideal for those who love adventure and enjoy physical exertion. Start out on bike from Awasi and head north until you reach Patience Plain, a flat zone that connects to the paved road and then to Moon Valley. Crossing the Park, you will head back to San Pedro. Length: 4 hrs, Difficulty: Difficult:
Ayllu Horse Ride: A horse ride around town, traversing narrow alleys with houses typical of the area. You can also go a bit further to visit other more distant Ayllu such as Solor, towards the south. Ideal for those who enjoy the communion with animals and with the landscape. Length: 2 hrs
Las Barrancas Horse Ride: Depart Awasi down the road to Quitor Pukara. Crossing the San Pedro River continue to Catarpe Ayllu, where you may trot and gallop. Take an old road up to the Salt Range, reach the highest part and then continue trotting or galloping along the cliff cornices, and San Pedro valley. Length: 4 hrs, Difficulty: Intermediate-Difficult.
Highland Salt Lakes: Depart Awasi and visit the towns of Toconao and Socaire (10.600 ft). Along the way see dry dessert, small oases and mountain views. You will be able to see vicunas, among other wild species and the beauty of the Tuyajtu and Aguas Calientes salt lakes, with their turquoise colored ponds inhabited by ducks and flamingoes. Length: Full day, Difficulty: Easy.
Tara Salt Lake (with Lunch): Take the road up to Jama Pass (13.800 ft), which leads to Argentina, with the splendid setting of Licancabur Volcano (19.400 ft) and Juriques Volcano (18.800 ft). Then, continue along the highland, crossing swamps and ponds inhabited by wildlife, to the incredible Pakana Monks rocky formations (15.100 ft), true marvels of nature and onwards to the huge rock cliffs that surround Tara Salt Lake, where you will enjoy a delicious gourmet lunch. Length: Full Day, Difficulty: Easy, requires prior adaptation to altitide.
Miscanti Miniques (with Lunch): Depart from Awasi and visit the towns of Toconao and Socaire (10,600 ft). Follow the road to Sico Pass, to Miscanti and Miñique Ponds which are part of Los Flamencos National Reserve (14.100 ft). The main features are its ponds and native birds such as the tagua and the blanquillo. This outing includes lunch and, possibly, an optional visit to Chaxas pond on the way back. Length: Full Day, Difficulty: Easy, requires prior adaptation to altitide.
Tatio Puritama: Depart Awasi, cross the highland and observe the very rich flora & fauna of the area. After two hours on the road, arrive at the Tatio Geysers, intermittent springs that gush out imposing steam and hot water columns. After visiting the area, you will have breakfast. Before returning to Awasi, make a stop at the Puritama warm springs, where you can bathe and enjoy an appetizer. Length: Full Day, Difficulty: Easy, requires prior adaptation to altitide.
Caspana-Airport: After breakfast, depart Awasi, crossing the highland with its ponds and its characteristic flora & fauna. After an almost two-hour trip you arrive at the town of Caspana, whose inhabitants still farm on terraces as in the past, and to an ancient sector with Inca-style rock buildings. In this framework full of history and greenness you stop for lunch. Continuing on the tour, pass the town of Chiu-Chiu, with its charming XVI century Church, Finally, arrive at the Airport, concluding this stage of the trip. Length: Full Day, Difficulty: Easy, requires prior adaptation to altitide.
Matancilla: Depart Awasi and head towards the town of Rio Grande. On the way,stop for a close look at the Yerbas Buenas petroglyphs. Then take the road to the town of Matancilla, a zone of valleys surrounded by multicolored hills. Touring these valleys by car or on foot, you may see a landscape that is completely different from what you see near San Pedro. Length: Full Day, Difficulty: Easy.
Talabre: Walking its streets, admire the style of its buildings, its church, its history. Journey on by vehicle and then walk down some 600 ft to admire petroglyphs, ancient Atacama vestiges. Back to the town where you will have lunch at the home of a local family. Then you will have two options: one is to return to San Pedro; the second, to continue either to Chaxas lake or to Zapar, end see these places at sunset. Length: Full Day: Difficulty: Easy if done fully by car. If opt for the hike, it is Intermediate to difficult.
Choose from a plethera of half or full day private guided excursions at Awasi Lodge.
Today you will transfer by private vehicle with guide to the airpot in Calama.
After being met by your guide and private vehicle at your accommodation, you'll be brought towards Vitacura neighborhood to visit Alonso de Cordova Avenue boutiques, an elegant neighborhood where you will be able to visit the best shops in town and where you'll find " Lapiz Lazuli "(semi-precious stone found only in Chile and some places in Afghanistan) jewellery shop. Continue on to Parque Arauco Shopping Centre, the largest shopping mall in the country. After getting your fill of shopping, relax on the drive to "Handicraft Los Dominicos town " where you'll find a plethora of traditional Chilean handicraft.
Experience The Ritz-Carlton, Santiago – an unforgettable five-star hotel well situated in an upscale neighbourhood of Santiago . With all the frills and dazzling decor that make hotels a treat to visit, the acclaimed Ritz Carlton is all this and more. Stay in one of its 205 rooms, which are noted for marble fixtures, and high quality bedding and linen. All rooms feature classic decor and panoramic views of the city. Feast on gourmet culinary accomplishments, from Mediterranean preparations to buffet-style pastries and a chocolate temptation buffet. Later, spend time lounging by the indoor pool with a book. Absorb views of the Andes and the city. Otherwise, sit down at the bar and try one of the 100 martini varieties.
The Awasi Lodge is situated inside an ancient site surrounded by a historic wall, on the edge of San Pedro de Atacama, a little oasis town huddled around the riverbed of San Pedro River. The privileged location just a stone's throw from the center of town makes it possible to enjoy "town life". The Lodge comprises of only 8 cabins, which ensures an intimate and private atmosphere to make each guest feel at home. The circular, thatch-roofed cabins are constructed in the local style with traditional materials, tastefully furnished for comfort and style, each with its own spacious bathroom and private patio where you can relax in privacy.
South America
Christina Adams ,
April 21, 2014
"I know it's silly to give all 10's, obviously every trip has it's ups and downs, but if it hadn't been for our Kensington Tours planning, guides and drivers we would have been lost! It was wonderful to be out in a strange new environment yet know we had a safety net and a friendly face. The places we visited were awesome but I think we'll remember most the people that we met. Thank you and I'll send photos soon! Sincerely, Christina Adams"
South America
Frank Manna ,
April 21, 2014
"Our guided transfers were exceptionally accommodating even though our flights were considerably delayed. The Annavillanas Jungle Lodge was spectacular for location, accommodations and food. The Rio Carnival experience was unique and unforgettable and our seats were wonderful. Loved the location of our hotel in Rio.......right on the street of Copacabana Beach.......fantastic. "
South America
Vivian Jennings ,
April 21, 2014
"Very pleased with organization. Not having to worry about connections or arrangements is wonderful. Great selection with hotels, Coral 1 and Napo Wildlife. Kensington puts all the details together to ensure a wonderful trip. Highly recommend the Galapagos and Amazon. "
South America
Daniel More ,
April 21, 2014
"All was great. Guides were knowledgeable, personable, friendly... that's what really made the trip."
South America
Marlin Barad ,
April 21, 2014
"Sofia, thank you for putting together a great trip. We certainly enjoyed ourselves very much. The planning and care was excellent. We hope we can do another trip with you all soon. Marlin Barad"
South America
Laura Iyer ,
January 10, 2014
"We just returned last night from our Patagonia adventure and we had the time of our lives! Everything turned out perfectly. Guides were fun, on time and informative. The excursions were great for an active family and, of course, amazing. I thought after the glacier trek it can't get any better - but it kept surprising me and amazing me. My personal favorite was the horseback riding. I thought afterwards after everything we have seen the bike tour would have to be a let down - NOPE - it also was so exciting and our guide was a hoot! Meals were amazing and after so many active excursions no guilt in pigging out. I am so happy we took a little risk and went out of the way with our vacation this year. We will have this with us for a life time.
South America
Catherine Dudley ,
January 10, 2014
"GREAT trip! We were very pleased with every aspect that Brandi set up for us including the tour of Quito and environs. Our guide spoke excellent English, the driver was courteous and we felt safe and well-informed throughout the day. We're still going through the 500+ photos that I took and the 1700+ photos that my son took. Galapagos was a fabulous trip and the Eclipse was a terrific way to navigate the islands.
South America
Mark Dornfeld ,
November 11, 2013
"My wife and I had a wonderful trip, we really enjoyed ourselves. All the accommodations that you booked for us were exceptional and our drivers and guides were lovely. We had great weather the whole trip and only lost one activity due to high winds. As you know this is a beautiful part of the world so my camera was snapping all the time. We would definitely use your services in the future for this type of travel. Thanks for all you help and expertise........be well.....m.d."
South America
Jack Gregory ,
November 11, 2013
"Dear Sofia
I wanted to give you a little feedback on our recent trip to Peru.
In a word – EXCELLENT – especially the high quality people you work with in Peru. We have taken tours all over the world, S. Africa, France, England, Vietnam, China to name just a few, and the service we received in Peru was far beyond and of the other experiences we have had. The attention to detail was very much appreciated, picking us up at the airport, taking us back to the airport and complete, hassle free, handling of all our details truly made this a stress free experience.
Special thanks to:
-The entire reservation system and the people I came in contact with that process...every detail accounted for
-The people that looked after us in Lima
-Andre, the young man in Cusco who faithfully phoned every night just to make sure the day went well, my wife was well and that we knew what we had to do the next day.
-The Sumaq hotel in Aquas Calientes...you can tell the level of service by the details...I watched a waitress hold a high stool for a lady to prevent her from tipping backwards as she got on the stool, the lady didn't even know the waitress did it....that's client care.
-Especially Mariela, the tour guide in Cusco...highly knowledgeable, passionate, personable and shows great care for the people she guides.
South America
Hainsworth Sherry ,
November 05, 2013
Clients were very impressed. Guides were amazing and accommodation was beyond expectations. They will definitely travel with you again and they have highly recommended Kensington Tours.
Hope I can work with you again the in the near future.
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Fourth Estate Restaurant at the National Press Club
Online Reservations
Named after the famed 4th Estate Award given by the club, the room is bright and adorned with pictures of the award winners including Helen Thomas, Tom Brokaw, and Robert Novak. The room has full audio-visual capabilities from telephone and video conferencing to data projectors and plasma monitors.
The Holeman Lounge is formerly the member's lounge at the historic National Press Club. With dark wood walls, a fireplace, hardwood floors, great sunlight, and built in bars its the perfect room for your DC power event.
The First Amendment Lounge is one of the few event rooms in the city with a view of the White House and the Washington Monument. The breathtaking views will bring style and a sense of purpose to any event. It features an built in oak bar that adds character to any cocktail reception.
The Main Dining room only open to the public in 2003 was recently renovated in 2008 to keep the decor up with the cuisine. Featuring pictures of guests to both the restaurant and the club, this sunlit room is perfect for breakfast events and evening dinners and receptions.


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Houzz is the new way to design your home.
94 Piedmont, OK Lawn and Sprinkler Professionals
If you have yard envy when you see your neighbors' lush, green grass, seek assistance from a lawn and sprinkler contractor to give your grounds a boost. From planting grass seeds to fine-tuning a sprinkler system, they have the expertise and experience to help you whip your Piedmont, OK yard into shape and keep it there. You can find more lawn & sprinklers in Oklahoma City, Edmond, Yukon, Bethany and El Reno. More
List your business here for free - Learn More


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Hotels – Top 100 Chinese CitiesWednesday, September 23rd, 2009
Our hotel search provider has done all the hard work for you (and us). When you look for hotel prices, they are automatically sorted, compared and ranked by price from dozens of the major online travel websites. You can then easily browse through hotel selections by location, star rating, distance, price, hotel name, brand, features and property type.
The top 100 cites in China include Baoding, Baotou, Beihai, Beijing, Bengbu, Changchun, Changsha, Changshu, Changzhou, Chengde, Chengdu, Chongqing, Cixi, Dali, Dalian, Datong, Dongguan, Dunhuang, Emeishan, Foshan, Fuzhou, Guangdong, Guangzhou, Guilin, Guiyang, Haikou, Hangzhou, Harbin, Hefei, Hohhot, Huaian, Huangshan, Huizhou, Huzhou, Jiangmen, Jiangyin, Jilin, Jinan, Jingdezhen, Jinhua, Jiujiang, Jiuzhaigou, Kunming, Kunshan, Lanzhou, Lhasa, Lianyungang, Lijiang, Liyang, Luoyang, Lushan, Macau, Mianyang, Nanchang, Nanjing, Nanning, Nantong, Ningbo, Qiandaohu, Qingdao, Qinhuangdao, Sanya, Shanghai, Shangri-La, Shantou, Shaoxing, Shenyang, Shenzhen, Shijiazhuang, Suzhou, Taian, Taiyuan, Taizhou, Tianjin, Tongxiang, Urumchi, Weihai, Wenzhou, Wuhan, Wuxi, Wuyishan, Xiamen, Xian, Xining, Xuzhou, Yangshuo, Yangzhou, Yantai, Yichang, Yinchuan, Yiwu, Zhangjiajie, Zhanjiang, Zhaoqing, Zhengzhou, Zhenjiang, Zhongshan, Zhoushan and Zhuhai.
So if you are curious about China and want to visit, you will want to review these prices to be certain you are getting the best travel deals possible. Once you have visited China you can also include your own hotel review to share your new found knowledge with other travelers.
Have fun and enjoy your trip!


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Stevia is naturally 30 to 300 times sweeter than sugar. It is an alternative to artificial sweeteners with no added calories, no side effects, and very little aftertaste. Stevia is a widely available tabletop sweetener in Asian countries. It has been used to treat digestion, liver, and intestinal problems.
Stevia leaves have been used for 1500 years by the Guarani Indians of Paraguay as a soothing tonic for the stomach and as a healing concentrate when cooked in water. It was first discovered and introduced to Europe in 1899 by M. S. Bertoni. Since then, hundreds of scientific tests have been performed on these sweet leaves, which have been found to contain, among other elements, Vitamin C, calcium, beta-carotene, chromium, fiber, iron, magnesium, niacin, potassium, protein, and silicon. It is the intensely sweet glycosides, referred to as steviosides (produced within the leaves), which make stevia so sweet. Research has shown that the body does not digest or metabolize these intensely sweet glycosides. They are not converted into glucose in the body and, therefore have a glycemic index of 0. This makes stevia a most valuable sweetening source for those with sugar restrictions, such as diabetes, hypoglycemia, or weight control.
August 3, 2012 at 12:51 pm
I would recommend using powdered stevia, rather than cut leaves, in smoothies. Another good option is to brew some leaves as tea and use the sweetened water as liquid in the smoothie. The result may have a less strongly herbal aftertaste than if using powder.
Posted by Unknown on 29th Jul 2014
The stevia leaf is package well. The leaves are beautifully cut. The flavor is real. No after taste. Love it!
Posted by Unknown on 23rd Jan 2014
I was very sorry to learn that you will not be carrying this product any more after the current stock is gone. You are a great company to do business with and I use Stevia all the time to brew with my tea. Your prices are fair and your service very good.
Posted by Patricia on 9th Jan 2014
I just received my first package of stevia leaves and brewed a cup of peach rooibus tea and included stevia leaves. The result was sweet and delicious! Does anyone know if you can put these leaves into a smoothie to make it sweet - or will it leave hard little leaves in my smoothie drink?
Posted by Unknown on 28th Aug 2013
Yum.l. A 1/2 teaspoon of this mixed with other teas sweetens my cup beautifully. And the benefits WOW!!!
Posted by Wanda on 16th Mar 2013
I've been using the cut leaf stevia for probably 10 years or more. I brew it with my tea bags for naturally sweet tea and I love it. I had previously bought it from another source for twice the price I pay here. Love the product and I'm very glad I found More Than Alive. (I also like that they included an witnessing tract with my order.) I will continue to order my stevia from them as long as I can.


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CHARLOTTESVILLE, Va. (AP) -- Akil Mitchell scored 18 points, Joe Harris added 15 and Jontel Evans had eight assists as Virginia shook off a tough loss to Miami Tuesday with an 82-54 win over Georgia Tech Sunday.
Marcus Georges-Hunt led Georgia Tech (14-12, 4-10 Atlantic Coast Conference) with 12 points. Daniel Miller added 11 points and 11 rebounds.
A Robert Carter Jr. 3-pointer cut Virginia's lead to 45-40, but the Cavaliers (19-8, 9-5) responded with a 16-1 run over the next 4-plus minutes to take a 61-41 lead.
Evans had two drives to the hoop during the surge and freshman Taylor Barnette capped it with back-to-back 3-pointers.
In the first half, Virginia shot 53 percent from the field (16 of 30), but allowed Georgia Tech to shoot 54 percent (13 of 24). The difference was the Yellow Jackets' 10 turnovers. The Cavaliers had only two.
Virginia led 41-29 at the break.
Copyright 2013 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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There were whimsical flounces and sequins a-plenty at the Serpentine Gallery's annual Pavilion Party at Kensington Gardens last night. The guestlist was rammed with London's artists, entrepreneurs and finest dressers, as well as Nancy Dell'Olio who accessorised her white backless minidress with an Egyptian-esque silver headdress. We kid you not. Laura Bailey, Mary Charteris and Leah Weller opted for shimmering metallic dresses while a smouldering Cara Delevigne sported transparent layers and Mischa Barton looked elegant in a tiered floor-sweeper. But it was the party sponsor Leon Max who nailed the most A-list hits with everyone from Amber Le Bon and Olivia Grant to Erin O'Connor and Jade Parfitt wearing the brand's new collection. Azealia Banks looked pretty in pink thanks to glistening Moschino Cheap & Chic paillettes and took to the decks to entertain the culture vultures as they admired the contemporary art gallery while sipping on Laurent Perrier. To see all the style winners (and losers), treat yourself to the gallery above...
From Azealia Banks To Mischa Barton: The 20 Best Dressed At The Serpentine Summer Party
Azealia Banks in Moschino Cheap & Chic
Amber Le Bon in Leon Max
Cara Delevingne
Caroline Sieber
Donna Air in Markus Lupfer
Amber Atherton
Jaime Winstone
Laura Bailey
Leah Weller in Louis Vuitton
Leah Wood in Louis Vuitton
Lydia Hearst in Temperley and Lara Bohinc jewellery
Mary Charteris in Paco Rabanne
Mischa Barton in Luisa Beccaria
Olivia Grant
Portia Freeman in Michael Kors
Sophie Dahl in Louis Vuitton
Suki Waterhouse in Roberto Cavalli
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McMinnville second in Main Street contest
Aug 15, 2014 | 6 Comments
News-Register Staff
Parade magazine announced Collierville, Tennessee, online on Friday, Aug. 15, as its first place winner in its voting for America's Best Main Street contest which took place in late June and early July, putting finalist McMinnville in the second place spot.
Collierville and McMinnville started out battling 14 other cities in the 16-team sports style bracket with all voting conducted online.
In addition to Collierville being featured online, McMinnville received a nice story and a gallery of photos, as well.
Visit Parade's online announcement at this link: Parade's Main Street contest.
For more information, see Tuesday's print edition.
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I Rl as MT and find it helpful even in 10m to have back up Rl if you will that just help in general. But i've seperated mentally the healers and the dps. If someone is dying repeatedly i'm looking as the death count thru recount and asking the "healing officer". I also try to not micro manage throughout the and will switch my focus throughout the fight. When it's heavy tank dmg i'm concentrating on cd's not where dps are standing (hint if they can't move out of fire on their own /wave good bye which you know logan). If externals are needed the healers will communicate between themselves. I have my timer caller that backs me up, my mages and shammy know when they should pop lust before we pull. Just little things to be handled by another.
It's a very high stress job for sure. Like herding cats with a gun to your head and if a cat runs off the trigger is pulled. Anyone taking this job needs to seek mental help soon.


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Motrin Sinus Headache Side Effects
Generic Name: ibuprofen / pseudoephedrine
Note: This page contains information about the side effects of ibuprofen / pseudoephedrine. Some of the dosage forms included on this document may not apply to the brand name Motrin Sinus Headache.
Not all side effects for Motrin Sinus Headache may be reported. You should always consult a doctor or healthcare professional for medical advice. Side effects can be reported to the FDA here.
For the Consumer
Applies to ibuprofen / pseudoephedrine: capsules, tablets
Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur while taking ibuprofen / pseudoephedrine:
Constipation; diarrhea; dizziness; drowsiness; excitability; headache; loss of appetite; nausea; nervousness or anxiety; trouble sleeping; upset stomach; vomiting; weakness.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bloody or black, tarry stools; change in the amount of urine produced; chest pain; confusion; dark urine; depression; fainting; fast or irregular heartbeat; fever, chills, or persistent sore throat; hallucinations; mood or mental changes; numbness of an arm or leg; one-sided weakness; red, swollen, blistered, or peeling skin; ringing in the ears; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; severe or persistent stomach pain or nausea; severe vomiting; shortness of breath; stiff neck; sudden or unexplained weight gain; swelling of hands, legs, or feet; tremor; unusual bruising or bleeding; unusual joint or muscle pain; unusual tiredness or weakness; vision or speech changes; vomit that looks like coffee grounds; yellowing of skin or eyes.
For Healthcare Professionals
Applies to ibuprofen / pseudoephedrine: oral capsule, oral suspension, oral tablet
Gastrointestinal side effects of ibuprofen may occur in up to 25% of patients, are usually mild and transient, and include dyspepsia, nausea, diarrhea, abdominal pain, and flatulence. More serious gastrointestinal effects of ibuprofen are uncommon but include occult blood loss, ulcer, gastrointestinal hemorrhage with or without perforation, and pancreatitis. In addition, a case of ibuprofen-associated colitis has been reported.
Pseudoephedrine may also cause gastric irritation in approximately 5% of patients. Dry mouth, nose, or throat may occur in up to 15% of patients.
The incidence of gastrointestinal blood loss with ibuprofen is dose-related, occurring in up to 17% of patients receiving 1,600 mg per day and in 23% of patients receiving 2,400 mg per day.
Patients with a history of serious gastrointestinal events or alcohol abuse are at increased risk for severe gastrointestinal side effect. Ibuprofen should be used with caution in these patients.
Renal side effects including new or worsened renal insufficiency has commonly been associated with the use of nonsteroidal anti-inflammatory drugs. Patients at higher risk of developing renal insufficiency during therapy include the elderly, patients with preexisting renal insufficiency, and any patients with a history of heart failure or renal artery stenosis. Rarer renal side effects associated with the use of ibuprofen include the nephrotic syndrome with and without renal failure and acute renal failure due to tubulointerstitial nephritis, papillary necrosis, and acute tubular necrosis.
Ibuprofen may impair the ability of the kidney to cope with low renal blood flow states due to inhibition of prostaglandin-dependent afferent arteriolar vasodilation. Renal function may be further compromised in patients with heart failure, hypovolemia, cirrhosis, nephrotic syndrome, or hypoalbuminemia. Additional risk factors for ibuprofen-induced renal insufficiency are advanced age and concomitant use of diuretics.
A case-controlled study suggested that patients who consumed 5000 or more pills containing NSAIDs during their lifetime may be at increased risk of end-stage renal disease.
Cardiovascular side effects of ibuprofen include peripheral edema (1% to 3%) and elevated blood pressure (less than 1%). These problems may be important in some patients with preexisting hypertension or congestive heart failure.
Cardiovascular adverse effects associated with pseudoephedrine may include a significant rise in heart rate. Hypertension and arrhythmias may be problematic in susceptible patients.
A rare case of painful, persistent peripheral cyanosis and swelling of the fingers and toes which progressed to desquamation and digital pitting infarctions has been associated with ibuprofen.
Pseudoephedrine causes vasoconstriction which generally does not produce hypertension, but may be problematic for patients with preexisting hypertension. Arrhythmias may be produced in predisposed patients. Rarely, pseudoephedrine has been reported to cause coronary artery spasm and chest pain.
Nervous system
The incidence of aseptic meningitis associated with ibuprofen is higher in patients with systemic lupus erythematosus and other connective tissue disease, although it has been reported in patients without such underlying disease states.
Central nervous system side effects of ibuprofen are rare and have included headache, drowsiness, and dizziness. Aseptic meningitis, paresthesias, and pseudotumor cerebri have rarely been associated with the use of ibuprofen.
Pseudoephedrine produces nervous system stimulation, resulting in tremor, anxiety, and nervousness. Headache or insomnia has been reported in up to 30% of patients.
Elevations in liver function tests three times normal values occur in less than 1% of patients treated with ibuprofen. Ibuprofen-induced hepatitis has been associated with a fatal outcome in some cases.
Hepatic side effects have included elevations in liver function tests in up to 15% of patients. Rarely, jaundice, cholestasis, hepatitis, and hepatic failure have been reported. Ibuprofen has also been implicated in the so-called acute vanishing bile duct syndrome in children and in cases of acute hepatitis in patients with established stable, chronic hepatitis C infection.
Metabolic side effects of ibuprofen include hyponatremia and the Syndrome of Inappropriate Antidiuretic Hormone (SIADH), gynecomastia, hypoglycemia, and metabolic acidosis.
Hypersensitivity reactions to ibuprofen include erythematous or urticarial rashes, pruritus, angioedema, bronchospasm, and anaphylactoid reactions. Patients who are at higher risk of hypersensitivity reactions to ibuprofen include those with the syndrome of asthma, nasal polyps, and angioedema and/or bronchospastic reactivity to aspirin. Rare cases of systemic reactions, including interstitial nephritis and diffuse pulmonary infiltrates, have also been reported.
Hypersensitivity reactions to pseudoephedrine may also occur. Fixed drug eruptions secondary to pseudoephedrine have been reported.
Hematologic side effects of ibuprofen include platelet dysfunction, neutropenia, agranulocytosis, aplastic anemia, hemolytic anemia, thrombocytopenia, eosinophilia, and decreases in hemoglobin and hematocrit.
Reductions in serum hemoglobin concentrations are uncommon and are usually associated with occult gastrointestinal blood loss. Rare cases of ibuprofen-associated hemolytic anemia, autoimmune thrombocytopenia, and leukopenia have been reported.
Respiratory side effects including noncardiogenic pulmonary edema have been associated with the use of ibuprofen.
Acute noncardiogenic pulmonary edema developed on two occasions in an HIV-positive patient. Infectious as well as cardiac etiologies were excluded. A close temporal relationship with the administration of ibuprofen and onset of symptoms was noted.
Dermatologic reactions associated with the use of ibuprofen are uncommon but include maculopapular rash, pruritus, vesiculobullous eruptions, erythema multiforme, Stevens-Johnson syndrome, alopecia, toxic epidermal necrolysis, and photosensitivity reactions.
Other side effects associated with the use of ibuprofen include tinnitus (1% to 3%), vertigo, blurred vision (less than 1%), scotomata, and diplopia.
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