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Oversized coats are in the spotlight for fall, so get ahead of the look with Band of Outsiders' mid-weight wool-blend felt version. This generously cut style has dropped shoulders, ribbed cuffs and dark-gray trims. Wear yours with a pleated skirt and ankle boots. Indigo wool-blend felt Double-breasted button fastenings at front 70% wool, 30% polyester; lining: 100% cupro; padding: 100% polyester Dry clean
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Band of Outsiders' Fall '14 collection is full of pieces to "fill out a woman's wardrobe." This cozy wool sweater gets a playful touch with winking embroidered white eyelashes. Work yours with black pants and pointed flats. Black wool Slips on 100% wool Machine wash
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A sleeveless Band of Outsiders dress inspired by classic formal wear. Slim lapels frame the double-breasted placket, and 3 pockets trim the front. Frayed edges add a deconstructed finish. Lined. Fabric: Dense gauze suiting. 51% cotton/49% viscose. Dry clean. Made in Italy. MEASUREMENTS Length: 33in / 84cm, from shoulder
Band Of Outsiders Sleeveless Blazer Dress $995 $298.50
Band of Outsiders' take on this season's fuzzy coat trend is crafted from soft leopard-devoré faux fur and punctuated with preppy gold buttons. Fully lined for a seamless finish, this piece looks great with skinny jeans and ankle boots. Knot the fabric belt to define your waist. Midnight-blue leopard-devoré faux fur Button fastenings through double-breasted front 40% polyamide, 35% polyester, 25% polyurethane; lining: 100% cupro Dry clean
Dropped shoulders, exaggerated lapels and oversized patch pockets all underscore the generous trend-right fit of this long wool-blend coat. Classic red-and-navy plaid contrasted by earth-tone sleeves gives off a quintessential Pacific coast vibe. 40" length (size 2). Front snap closure. Lined. 80% wool, 20% polyester. Dry clean. By Band of Outsiders; made in Italy. Collectors.
Band Of Outsiders Plaid Oversized Coat $1,795 $1,077
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Band of Outsiders tan cotton chinos embellished with floral black appliqués. Flat front, belt loops, two quarter-top pockets at front, coordinating panel at bottom of each leg, button belt at legs, two patch pockets at back. 13.25" rise, 24.50" inseam (unfinished), 14.50" leg opening (approximately) . Button fly with button fastening. Available in Tan/Black. Cotton. Machine wash. Made in Italy. Our model is 6'1"/185cm and is wearing a size 2.
EXCLUSIVE TO NET-A-PORTER.COM. Tailored to sit high on the waist and tapered through the leg, Band of Outsiders' cotton pants are a smart take on classic cargo styles. We love the flattering waist and ankle ties. Team yours with sneakers and a tee at the weekend, swapping to heels and a tucked-in shirt for dinner dates. Army-green cotton Concealed hook and zip fastening at front 100% cotton Dry clean
A menswear-inspired Band of Outsiders shirtdress, made feminine in floral voile. Covered buttons close the half-placket, and pleats give volume to the skirt. On-seam pockets. Long sleeves. Unlined. Fabric: Voile. 100% cotton. Dry clean. Imported, India. Measurements Length: 35in / 89cm, from shoulder Measurements from size 1
Meticulous ruching along the exposed side zipper gathers a draped midi-length skirt cut from gorgeous floral-print material. 26" to shortest point; 37" to longest point (size 4). Grosgrain waistband. Lined. 82% rayon, 18% silk. Dry clean. By Band of Outsiders; imported. Collectors.
Band of Outsiders' wool-twill blazer is deceivingly versatile. Cut for a slim fit, this design has a detachable faux fur collar. Wear it over chunky sweaters as an outerwear piece, or remove the plush trim and team it with a shirt and tailored pants. Black wool-twill Hook fastening at front 100% wool; trim: 80% acrylic, 20% polyester; lining: 100% cupro Dry clean
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Floral-patterned patent leather lends a sweet, romantic feel to menswear-inspired Band of Outsiders oxfords. Lace-up closure. Exaggerated stacked heel and leather sole. Leather: Calfskin. Made in Italy. Measurements Heel: 0.75in / 20mm
Band of Outsiders black, white and green daisy-print silk crêpe de Chine dress styled with stitched-down pleats. Random embroidered stems. Jewel neckline, darting at bust, long black sleeves, grosgrain waistband, stitched-down pleats at side, vertical darting at back. 37" length from shoulder to hem, approximately. Exposed back zip. Lined skirt. Available in Black/White/Green. Silk. Dry clean. Imported. Our model is 5'10"/178cm and is wearing a size 0.
Long sleeve flannel shirt in red, navy, and white plaid. Button-down spread collar. Button closure at front. Single-button barrel cuffs. Angled seam at back yoke. Curved hem. Tonal stitching. 100% cotton. Made in United States
This wool Band of Outsiders skirt has attached sleeves for a clever, layered look. Allover ruching creates a rippled effect, and tonal buttons detail the optional slit. The uneven hem dips in back. Covered elastic waist. Unlined. Fabric: Brushed knit. 100% merino wool. Dry clean. Imported, China. Measurements Length 1: 23in / 58.5cm, from center front Length 2: 27in / 68.5cm, from center back Measurements from size 1
Band Of Outsiders Wool Blanket Coat $1,795 $1,077
Embrace Band of Outsiders' boy-meets-girl aesthetic with the label's oversized denim jacket. This slouchy style has a shearling collar and brass fastenings playfully embossed with the word 'button'. We think this unlined piece is perfect for layering. Indigo denim Button fastenings through front 100% cotton; trim: 100% shearling (Lamb) Specialist clean
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A Band of Outsiders jumpsuit has casual appeal, cut from lightweight denim and detailed with a concealed button placket. A self-belt and ankle straps add definition, and a frayed collar lends a well-worn touch. On-seam hip pockets, patch back pockets, and 2 flap breast pockets. Long sleeves. Fabric: Denim. 100% cotton. Wash cold. Made in Italy. Measurements Inseam: 29.25in / 74cm Leg opening: 12.25in / 31cm Measurements from size 1
This buffalo-check Band of Outsiders button-down is a timeless piece with a rustic tone. A patch pocket accents the front, and a fold-over collar keeps the look smart. Buttoned cuffs and long sleeves. Fabric: Lightweight flannel. 100% cotton. Wash cold. Made in the USA. Measurements Length: 23in / 58.5cm, from shoulder Measurements from size 1
This Band of Outsiders jacket offers a cozy update to the classic trench, styled with an elongated back vent to show the plaid, boiled-wool lining. Buttons close the placket, and 2 pockets detail the front. Button-tab epaulets and storm flap detailing. Striped lining at 3/4 sleeves. Fabric: Crisp, coated weave. Shell: 46% cotton/36% polyester/18% nylon. Lining: 80% wool/20% polyester. Dry clean. Made in Italy. Measurements Length 1: 31in / 78.5cm, from front shoulder Length 2: 36in / 91.5cm, from back shoulder Measurements from size 1
An offset chest pocket playfully updates a pinstripe shirt styled with a button-down point collar, three-quarter sleeves and abbreviated length. 26" length (size 4). Front button closure. Three-quarter sleeves with button barrel cuffs. Shirttail hem. 100% cotton. Machine wash cold, tumble dry low. By Band of Outsiders; made in the USA. Collectors.
Band of Oudsiders black pullover sweater detailed with white eyelash embroidery at front. Rib-knit crewneck, cuffs and bottom; fully fashioned sleeves. Pulls over. Available in Black/White. Wool. Machine wash. Imported. Our model is 5'10"/178cm and is wearing a size 2.
Band of Outsiders navy wool twill one-button jacket with attached peak lapels, front darting, front flap pockets, and buttons at cuffs. Side vents. Striped lining. Available in Navy. Made in Italy. Wool. Dry clean.
Band Of Outsiders Peak Lapel One-Button Jacket $1,135 $339
Band of Outsiders red, blue and white plaid cotton crinkle flannel Boyfriend shirt. Button-down collar, single-button mitered cuffs, shoulder yoke at back, locker loop, shirttail hem. Available in Red/Blue/White. Cotton. Machine wash. Made in U.S. . Our model is 5'10"/178cm and is wearing a size 0.
Band of Outsiders white, navy and maroon Merino wool-blend Fair Isle crewneck sweater. Sweater depicts galloping horses across front and back. Rib-knit neckline, cuffs and bottom. Available in White/Navy/Maroon. Merino wool/polyester. Dry clean. Imported. Our model is 5'10"/178cm and is wearing a size 0.
Band of Outsiders hunter green wool-blend drop shoulder coat styled with grey and black ribbed mohair trim at the shoulders, sleeves and slides. Notched lapels, slip pockets at sides, rib-knit cuffs. Double-breasted button closure at front. Lined with signature stripe-print fabric. Available in Hunter Green. Wool/polyester; trim: mohair. Dry clean. Made in Italy. Our model is 5'10"/178cm and is wearing a size 0.
A leather-trimmed shawl collar frames the double-breasted placket on a Band of Outsiders blazer, cut from crisp linen suiting. Clean stripes add a graphic touch, and flap pockets lay at the hips. Double vented hem. Padded shoulders. Lined. Fabric: Linen suiting. Shell: 70% linen/30% polyester. Trim: 100% leather. Leather clean. Made in Italy. MEASUREMENTS Length: 26in / 66cm, from shoulder
Band Of Outsiders Stripe Suiting Leather Shawl Blazer $1,395 $418.50
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This double-breasted Band of Outsiders coat makes a unique, exotic impression in burnout leopard spots. A back vent relaxes the loose silhouette, which cinches with an optional self-belt. Notched lapels and 2 welt pockets add classic details. Long sleeves. Striped lining. Fabric: Brushed, burnout felt. Shell: 45% polyamide/35% polyester/20% polyurethane. Lining: 100% cupro. Dry clean. Made in Italy. Measurements Length: 32in / 81cm, from shoulder Measurements from size 1
Band of Outsiders royal-blue sweater Silk and cashmere-blend Open-knit details Slips on 55% silk, 45% cashmere Dry clean Size 0 = XXS-XS, 1 = XS-S, 2 = S-M, 3 = M, 4 = L, 5 = XL Fits true to size, take your normal size Cut for a loose fit Mid-weight knit
Band Of Outsiders Silk and cashmere-blend sweater $445 $195.80
band of outsiders drop shoulder coat in black. oversized coat with black trim detail. large white stripes throughout. two faux front pockets. button closure. 100% cotton. worn with blk dnm t-shirt 26, theory item cropped pant, dieppa restrepo calishoes, elizabeth and james jack satcheland illesteva lou reed aviator
Band Of Outsiders Drop Shoulder Coat $2,450 $735
EXCLUSIVE TO NET-A-PORTER.COM. Band of Outsiders taps into one of the season's key trends with its military-inspired capsule. This jacket is crafted from durable cotton-twill and has buttoned epaulettes and cargo-style pockets. Work it into your off-duty wardrobe with black pants and lace-ups. Army-green cotton-twill Button fastenings through front 100% cotton Dry clean
Anchor your fall wardrobe with Band of Outsiders' plush mohair-blend sweater. This super soft style has ribbed trims and a contemporary loose fit. Wear yours with a mini skirt and point-toe flats. Gray mohair-blend Slips on 50% mohair, 32% nylon, 18% wool Dry clean
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This leather Band of Outsiders jacket offers a classic moto look with a whimsical slant. Contrast colors highlight the zip cuffs and front pockets, and thick ribbing cinches the back. Snaps secure the notched collar. Off-center zip closure. Self-belt at waist. Long sleeves. Striped lining. Fabric: Soft leather. 100% sheepskin. Leather clean. Made in Italy. Measurements Length: 20in / 51cm, from shoulder Measurements from size 1
Soft metallic floral patterns play throughout this voluminous silk Band of Outsiders jumpsuit. Delicate crossover neckline and flattering drawstring waist. On-seam hip pockets. Adjustable spaghetti straps. Fabric: Lamé silk chiffon. Shell: 100% silk. Lining: 70% cotton/30% silk. Dry clean. Imported, China. MEASUREMENTS Inseam: 29in / 74cm Leg opening: 14in / 35.5cm
Band of Outsiders floral crepe dress. V neckline. Short sleeves. A-line silhouette; box-pleated skirt. Cotton. Imported. Model's measurements: Height 5'10"/177cm, bust 32"/81cm, waist 25.5"/65cm, hips 33.5"/83cm, dress size US 2/4.
A Band of Outsiders classic shirtdress is reimagined in supple calfskin leather with an easy fit shaped by the gathered asymmetrical back yoke. Tonal woven fabric styles the chest pocket and short-sleeve button cuffs. Front half-button placket. Spread collar. Shirttail hem. Fully lined in cupro. Calfskin leather. Professional leather clean. By Band of Outsiders; made in Italy. Collectors.
Fine stripes pattern an impeccably tailored button-front shirt cut for a roomier fit. A tiny embroidered snail makes a charming finish. Front button closure. Button-down point collar. Long sleeves with button cuffs. Shirttail hem. 100% cotton. Machine wash, tumble dry low. By Band of Outsiders; made in the USA. Collectors.


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Browse: Motorsport Formula One
Lewis Hamilton - Favourite?
Formula One
by McFerrari (U12040938) 29 July 2008
After two quite sensational drives in Britain and Germany and with him now leading the championship is Hamilton now the new favourite for the 2008 Drivers Championship? No one can deny that those two drives and the one in Monaco are the three best drives this season but it will all come down to how good the McLaren is for the rest of the season. If it's as fast as Ferrari then I can only see Hamilton winning it, unless his team muck up like they've done a few times over the past year and a half such as Canada, for not warning Lewis early enough about the red light, and of course their brainless idiotic decision in Germany. McLaren's pit wall might as well be Beavis and Butthead.
Latest 10 comments
Read members' comments or add your own
comment by Hookers_armpit (U8314349)
posted Jul 31, 2008
This weekend will be a big one in the title race.
comment by Ernie Beccllestone (U3425697)
posted Jul 31, 2008
comment by Intagrand (U11196077)
posted Jul 31, 2008
evilspindoctor - Canada has already cost him in a major way. But he has made up that deficit already.
comment by BedHead23 (U12806991)
posted Jul 31, 2008
Yes I hope Lewis wins it... I think he is a fantastic talent, who, if he can learn from mistakes (which all drivers do)will go on to acheive many titles....
comment by CharlieDontSurf (U10414389)
posted Jul 31, 2008
We saw last season and again this time around that Lewis is his own biggest threat.
comment by SpeedyGun (U4530881)
posted Jul 31, 2008
There is no doubting LH natural ability, but I agree, he needs to win championships to become a great driver ..
comment by McFerrari (U12040938)
posted Jul 31, 2008
People seem to forget the fact that Hamilton is only half way through his SECOND season in F1. Schumacher made mistakes in his early f1 career, infamously involving Senna a couple of times. Why can't Hamilton? Hamilton has made mistakes such as in Bahrain because he was pushing to the limit and he went over that limit. It's called, get this, FINDING THE LIMIT!
comment by TIMMY� (U1751296)
posted Aug 1, 2008
comment by McFerrari (U12040938)
comment by valiantKingLion (U9297910)
posted Aug 1, 2008
I believe LH is the favourite to win WDC after his memorable drives in Monaco, Silverstone and Germany. This kid is the real deal, who wins in spite of weak teammates or questionable team decisions. He is quite simply thrilling to watch.
comment by zatknight (U11717342)
posted Aug 3, 2008
Lets not forget LH is ONLY IN HIS SECOND SEASON.
Comment on this article
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Welcome to David Game College
Established in 1974, David Game College has now become one of the leading Independent Colleges in London. We seek to offer a dynamic educational experience, providing students with the opportunity to learn and to develop new talents and skills.
As a Private College for A level and GCSE courses, our structured environment enables students to obtain the results which they need to enter the university or career of their choice.
In Summer 2013 our students once again achieved fantastic examination results, with the vast majority of grades being at the highest level. 43.1% of grades were at A* and A, and 84.9% at A* - C.
The College also has accommodation options available in Central London. We own a number of apartments and rooms within a short distance of Notting Hill for our students. There is a choice between self-catering and half-board and between single or shared rooms.
Latest News
Drama Society Premiere Performance
24th November 2014
Performance taking place Thursday 18th December
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Christmas School at Notting Hill Tutors
10th November 2014
Christmas revision classes at David Game College
David Game Debate Society competes nationally
7th November 2014
DG debate team competes at Debating Matters debate at UCL
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3rd November 2014
GCSE Students are invited to Matilda the Musical - discount prices ava...
Discussion between Jonathan Miller and Keith Grant...
31st October 2014
David Game hosts debate between Sir Jonathan Miller and Keith Grant
University Fair today at College!
29th October 2014
University Fair for all students from 5pm today..
Half Term on Thursday and Friday
28th October 2014
Half Term Thursday and Friday.


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Florida's good about that stuff but, damn! It'll take 3 months the shortest four months tops. Three months if you go to sheriffs office.
Lucky bastard, enjoy!
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Taylor Swift Readying 'Explosive' Performance for 2014 MTV Music Awards
Taylor Swift will take the stage in August to perform at the 2014 MTV Music Awards, and it sounds like her performance will be one to watch.
Taylor Swift will take the stage in August to perform at the 2014 MTV Music Awards, and it sounds like her performance will be one to watch.
Apparently, this is the cutest interview you'll ever see.
How about dinner and a movie? Up until now, that meant 2 separate stops in Victoria. Without an Alamo Drafthouse nearby, the Leo J. Welder Center for the Performing Arts and The Sendera have partnered to create a Crossroads version of cinema dining.
If you think the news can scare you with reports of what's going on in the Middle East or the latest on healtchare reform, then get ready to be really terrified.
We've all had those moments where our cell phones ring at the worst possible time. Hopefully, you've handles it better than this guy.
The Shiner Gaslight Theatre presents its production of "Welcome Home" August 1st through 3rd and august 8th through 10th. This comedy involves the homecoming of Daniel Frame who returns after eleven months in a veteran's hospital from a nervous breakdown brought on by guilt.
Summertime and amusement parks go together like LeBron and Cleveland, so when a new ride comes along, it's good to take notice.
Do you love 'Westerns"? Was there a time in your life when ":Westerns" were the only movies you wanted to see? Then you're in luck. This Saturday at 2pm you have a chance to see 2 classic films at the Leo J. Welder Center... for FREE!!
This guy makes a better Peter Griffin than Peter Griffin does.
Blake Shelton and Carrie Underwood are each looking at a prestigious honor outside of their usual realm -- they both have shows that have been nominated for Emmys!
Darth Vader may not be returning for 'Star Wars: Episode 7' (that we know of), but he has indeed made a comeback. Sideshow Collectibles unveiled their life-size statue of the most iconic Sith Lord in the galaxy -- and you can take him home if you have several thousand dollars in your bank account.


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Learn about the new database development features in Microsoft Visual Studio 2010.
Latest IDE (including Visual Studio .NET) Articles
Top Ten Things .NET Developers Will Like About Visual Basic 2010
Paul Kimmel writes about his favorite top ten new features that are being rolled out with this recent Microsoft update of Visual Basic.
Microsoft Offering Deals on Visual Studio Upgrades
In preparation for the official release of Visual Studio 2010, the software giant is brewing up deals for loyal users that let them buy the new package at a discount as well as to get a new subscription for MSDN.
Comparing the Performance of Microsoft Visual Studio's Web Reference to a Custom Class
This article compares the performance of using a Web Service proxy class created by Visual Studio vs. a custom created class.
A Tour of WPF in Visual Studio 2008
Take a look at the various features of Visual Studio for working with WPF.
Slow Chat with the MS Visual Basic Team
VBForums had a Slow Chat with some of the members of the Microsoft Visual Basic team. Find out what's new and important with VB here.
Latest Developer VideosMore...
Latest CodeGuru Developer Columns
MFC Integration with the Windows Transactional File System (TxF)
The Transactional File System (TxF), which allows access to an NTFS file system to be conducted in a transacted manner through extensions to the Windows SDK API. MFC 10, has been extended to support TxF and related technologies. This support allows existing MFC applications to be easily extended to support kernel transactions.
Webforms to MVC: Handling the User Control Transition
Explore the differences that webforms programmers moving to MVC might encounter in user controls.
Sending SMS Messages with Visual Basic
Work through the basics of how to send and receive an SMS with your Windows Phone.
Working with State Machines in the .NET Framework
Arun Karthick introduces you to the state machine model and shows you how to create a simple working state machine sample using the .NET framework in the C# language.


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Articles in Kitesurf gear
Some more photos, taken at the Hood River, of the new Ozone C4.
While some of us are traveling to some hot and windy places other are getting ready for the winter season on northern hemisphere.
For those of you already thinking about snowkite
Video made during Nobile's dealers meeting. The event took place from 26th-28th August in Hurghada, Egypt.
The Kiteboarder Magazine interviews RRD on their 2010 Gear at the 2009 AWSI demo in Hood River, OR.
In the second part, The Kiteboarder Magazine interviews Liquid Force on their 2010 Gear at the 2009 AWSI demo in Hood River, OR. For the whole scoop check out all of our kiteboarding videos from …
Soon the new Advance Kaiman 3 will be available for sell.
Until then we show you some more photos.
Some pictures of the new kite from North Kiteboarding, the Fuse.
Check out the new Slingshot Octane kite in action and SS global team riders Erik Volpe and Ben Wilson killing it freestyle and surf style!


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That sure is the coolest pics i have seen!
If you were asking yourself "Was the Black Mesa the only facility complex of its kind on earth?", Well, the answer is 'No'. The number of cooperating facilities and laboratories from all around the world, was enormous. Welcome to the Black Mesa Arctic Complex, the coolest place on earth!
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That sure is the coolest pics i have seen!
"coolest place on earth" Hehehe...
Looks promising. tracking.
This looks surprisingly....... awesome! Tracking this! Good luck with your project.:)
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Weekend Movie Reviews, Dave's Multiple Affairs, and the Kanye/Gaga Tour Gets Canceled!
Weekend Movie Reviews, Dave's Multiple Affairs, and the Kanye/Gaga Tour Gets Canceled!
by Molly Goodson 0 Reactions 0 Shares Print
Trying to figure out which movie to go see this weekend? Check out our one-sentence movie reviews of Whip It!, Zombieland, and The Invention of Lying. Plus, find out what we're thinking about the David Letterman affair/extortion bombshell and possible reasons behind why Kanye West and Lady Gaga canceled their tour. Watch the weekend edition of PopSugar Rush now!
Read More POPSUGAR NewsLady GagaJon GosselinZombielandThe Invention Of LyingWhip ItDavid LettermanKanye West
Kanye West
David Letterman
Lady Gaga
Link Love
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- Check out this amazing concept art from The Dark Knight Rises — Moviepilot
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- Conan visits a tofurkey farm in this hilarious skit — Splitsider
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- 10 Oscar winners whose wins boosted their paychecks — HitFix
- Watch a clip from the new episode of Pretty Little Liars — Pretty Little Liars
- The most epic young adult romances of 2014 — POPSUGAR Love & Sex


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The world's premier push-to-talk suite of services.
iPhone 4S on 3G data network too slow to be useful
No more frustration now,eft sprint a couple of weeks ago and the iphone family as well! CRICKET 4g LTE is my new family and not only am I getting > ...beeay , Regular Visitor
KK4BFN, Have you tried to bring your phone into a Sprint repair store for this issue? Please let me know. Thank you. Menia Sprint Social CareHTC One (M8) Harman Kardon (Updated Nov 27, 2014)


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Three Ways to Slash Your IT Costs
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A significant share of CFOs say they are really in charge of making key, strategic tech decisions, according to a new survey from Accenture. The accompanying report, titled "The CFO as Architect of Business Value: Delivering Growth and Managing Complexity," covers a broad range of finance-related topics. But CIOs will want to skip right to the section about CFOs'... Read More »
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The Open Compute Project can change the way organizations think about and manage their data. Stanford University research fellow Jonathan Koomey offers insights about the Facebook-led initiative.Read More »
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Despite Gains, Companies Don't Budget for Mobile
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Publications (89)117.94 Total impact
Article: Guidelines for the Care of Pregnant Women Living With HIV and Interventions to Reduce Perinatal Transmission: Executive Summary.08/2014; 36(8):721-734.
Article: Transversus abdominis plane block does not improve early or late pain outcomes after Cesarean delivery: a randomized controlled trial.[Show abstract] [Hide abstract]
ABSTRACT: Cesarean delivery is a common surgical procedure with anticipated substantial postoperative pain. The addition of a transversus abdominis plane block (TAPB) to a multimodal analgesic regimen that includes intrathecal morphine may provide improved early pain outcomes and decrease the risk of chronic post-surgical pain. The purpose of this research was to assess the ability of an ultrasound-guided TAPB with low-dose ropivacaine to decrease early postoperative pain, opioid consumption, and risk of developing persistent pain when compared with a placebo block. Eighty-three women were randomly assigned to either a treatment (0.25% ropivacaine) or control group (0.9% saline) in this double-blind trial, and 74 women were included in the final analysis. Ultrasound-guided TAPBs were performed with an injection of 20 mL of study solution per side. The primary outcome measures of this study were: pain at rest and pain after movement measured with a numeric rating scale, results of the Quality of Recovery-40 (QoR-40) questionnaire, and opioid consumption at 24 hr. These were used with an a priori sample size calculation to detect a 30% reduction in pain scores, a 10% improvement in QoR-40 score, and a 50% reduction in opioid consumption. Health quality and physical functioning were assessed using the Short Form 36 (SF-36®) Health Survey at 30 days and six months. Assessment at 24 hr after Cesarean delivery revealed no clinically important differences between groups in postoperative pain, QoR-40, or opioid consumption. There were no clinically important differences between groups regarding measures of nausea, pruritus, vomiting, urine retention (2, 24, and 48 hr postoperatively), 24-hr QoR-40 sub-dimensions, or the SF-36 Health Survey (30 days and six months postoperatively). Ultrasound-guided TAPB did not improve postoperative pain, quality of recovery, or opioid consumption 24 hr following surgery. Similar health and functioning (SF-36) at 30 days and six months were reported by both groups. This trial was registered at ClinicalTrials.gov number: NCT01261637.Canadian Anaesthetists? Society Journal 04/2014; · 2.31 Impact Factor
Article: Trends in the prevalence of cerebral palsy among very preterm infants (<31 weeks' gestational age).[Show abstract] [Hide abstract]
ABSTRACT: The birth prevalence of cerebral palsy varies over time among very preterm infants, and the reasons are poorly understood.Paediatrics & child health. 04/2014; 19(4):185-9.
Article: Effects of socioeconomic position and clinical risk factors on spontaneous and iatrogenic preterm birth.[Show abstract] [Hide abstract]
ABSTRACT: The literature shows a variable and inconsistent relationship between socioeconomic position and preterm birth. We examined risk factors for spontaneous and iatrogenic preterm birth, with a focus on socioeconomic position and clinical risk factors, in order to explain the observed inconsistency. We carried out a retrospective population-based cohort study of all singleton deliveries in Nova Scotia from 1988 to 2003. Data were obtained from the Nova Scotia Atlee Perinatal Database and the federal income tax T1 Family Files. Separate logistic models were used to quantify the association between socioeconomic position, clinical risk factors and spontaneous preterm birth and iatrogenic preterm birth. The study population included 132,714 singleton deliveries and the rate of preterm birth was 5.5%. Preterm birth rates were significantly higher among the women in the lowest (versus the highest) family income group for spontaneous (rate ratio 1.14, 95% confidence interval (CI) 1.03, 1.25) but not iatrogenic preterm birth (rate ratio 0.95, 95% CI 0.75, 1.19). Adjustment for maternal characteristics attenuated the family income-spontaneous preterm birth relationship but strengthened the relationship with iatrogenic preterm birth. Clinical risk factors such as hypertension were differentially associated with spontaneous (rate ratio 3.92, 95% CI 3.47, 4.44) and iatrogenic preterm (rate ratio 14.1, 95% CI 11.4, 17.4) but factors such as diabetes mellitus were not (rate ratio 4.38, 95% CI 3.21, 5.99 for spontaneous and 4.02, 95% CI 2.07, 7.80 for iatrogenic preterm birth). Socioeconomic position and clinical risk factors have different effects on spontaneous and iatrogenic preterm. Recent temporal increases in iatrogenic preterm birth appear to be responsible for the inconsistent relationship between socioeconomic position and preterm birth.BMC Pregnancy and Childbirth 03/2014; 14(1):117. · 2.52 Impact Factor
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ABSTRACT: To assess and compare multiple measurements of socioeconomic position (SEP) in order to determine the relationship with adverse perinatal outcomes across various contexts. A birth registry, the Nova Scotia Atlee Perinatal Database, was confidentially linked to income tax and related information for the year in which delivery occurred. Multiple logistic regression was used to examine odds ratios between multiple indicators of SEP and multiple adverse perinatal outcomes in 117734 singleton births between 1988 and 2003. Models for after tax family income were also adjusted for neighborhood deprivation to gauge the relative magnitude of effects related to SEP at both levels. Effects of SEP were stratified by single- versus multiple-parent family composition, and by urban versus rural location of residence. The risk of small for gestational age and spontaneous preterm birth was higher across all the indicators of lower SEP, while risk for large for gestational age was lower across indicators of lower SEP. Higher risk of postneonatal death was demonstrated for several measures of lower SEP. Higher material deprivation in the neighborhood of residence was associated with increased risk for perinatal death, small for gestational age birth, and iatrogenic and spontaneous preterm birth. Family composition and urbanicity were shown to modify the association between income and some perinatal outcomes. This study highlights the importance of understanding the definitions of SEP and the mechanisms that lead to the association between income and poor perinatal outcomes, and broadening the types of SEP measures used in some cases.BMC Pregnancy and Childbirth 03/2014; 14(1):96. · 2.52 Impact Factor
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ABSTRACT: Background: Intrauterine devices provide an extremely effective, long-term form of contraception that has the benefit of being reversible. Historically, the use of certain intrauterine devices was associated with increased risk of pelvic inflammatory disease. More recent evidence suggests that newer devices do not carry the same threat; however, certain risk factors can increase the possibility of infection. Objectives: To review the risk of infection with the insertion of intrauterine devices and recommend strategies to prevent infection. Outcomes: The outcomes considered were the risk of pelvic inflammatory disease, the impact of screening for bacterial vaginosis and sexually transmitted infections including chlamydia and gonorrhea; and the role of prophylactic antibiotics. Evidence: Published literature was retrieved through searches of PubMed, Embase, and The Cochrane Library on July 21, 2011, using appropriate controlled vocabulary (e.g., intrauterine devices, pelvic inflammatory disease) and key words (e.g., adnexitis, endometritis, IUD). An etiological filter was applied in PubMed. The search was limited to the years 2000 forward. There were no language restrictions. Grey (unpublished) literature was identified through searching the web sites of national and international medical specialty societies. Values: The quality of evidence in this document was rated using the criteria described in the Report of the Canadian Task Force on Preventative Health Care (Table). Recommendations 1. All women requesting an intrauterine device should be counselled about the small increased risk of pelvic inflammatory disease in the first 20 days after insertion. (II-2A) 2. All women requesting an intrauterine device should be screened by both history and physical examination for their risk of sexually transmitted infection. Women at increased risk should be tested prior to or at the time of insertion; however, it is not necessary to delay insertion until results are returned. (II-2B) 3. Not enough current evidence is available to support routine screening for bacterial vaginosis at the time of insertion of an intrauterine device in asymptomatic women. (II-2C) 4. Routine use of prophylactic antibiotics is not recommended prior to intrauterine device insertion, although it may be used in certain high-risk situations. (I-C) 5. Standard practice includes cleansing the cervix and sterilizing any instruments that will be used prior to and during insertion of an intrauterine device. (III-C) 6. In treating mild to moderate pelvic inflammatory disease, it is not necessary to remove the intrauterine device during treatment unless the patient requests removal or there is no clinical improvement after 72 hours of appropriate antibiotic treatment. In cases of severe pelvic inflammatory disease, consideration can be given to removing the intrauterine device after an appropriate antibiotic regimen has been started. (I-B) 7. An intrauterine device is a safe, effective option for contraception in an HIV-positive woman. (I-B) 8. An intrauterine device can be considered a first-line contraceptive agent in adolescents. (I-A).Journal of obstetrics and gynaecology Canada: JOGC = Journal d'obstetrique et gynecologie du Canada: JOGC 03/2014; 36(3):266-74.
Article: A Population-Based Case-Control Study of Drinking-Water Nitrate and Congenital Anomalies Using Geographic Information Systems (GIS) to Develop Individual-Level Exposure Estimates.[Show abstract] [Hide abstract]
ABSTRACT: Animal studies and epidemiological evidence suggest an association between prenatal exposure to drinking water with elevated nitrate (NO3-N) concentrations and incidence of congenital anomalies. This study used Geographic Information Systems (GIS) to derive individual-level prenatal drinking-water nitrate exposure estimates from measured nitrate concentrations from 140 temporally monitored private wells and 6 municipal water supplies. Cases of major congenital anomalies in Kings County, Nova Scotia, Canada, between 1988 and 2006 were selected from province-wide population-based perinatal surveillance databases and matched to controls from the same databases. Unconditional multivariable logistic regression was performed to test for an association between drinking-water nitrate exposure and congenital anomalies after adjusting for clinically relevant risk factors. Employing all nitrate data there was a trend toward increased risk of congenital anomalies for increased nitrate exposure levels though this was not statistically significant. After stratification of the data by conception before or after folic acid supplementation, an increased risk of congenital anomalies for nitrate exposure of 1.5-5.56 mg/L (2.44; 1.05-5.66) and a trend toward increased risk for >5.56 mg/L (2.25; 0.92-5.52) was found. Though the study is likely underpowered, these results suggest that drinking-water nitrate exposure may contribute to increased risk of congenital anomalies at levels below the current Canadian maximum allowable concentration.International Journal of Environmental Research and Public Health 01/2014; 11(2):1803-23. · 2.00 Impact Factor
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ABSTRACT: As pregnant women are considered a high-risk group for severe influenza illness, current recommendations advise vaccination of all pregnant women with inactivated influenza vaccine. Nevertheless, rates of maternal influenza vaccination have historically been low, possibly reflecting ongoing concerns about vaccine safety. Until recently, the majority of evidence concerning safety of influenza vaccination during pregnancy was limited to post-marketing pharmacovigilance studies; however, in the past 5 years, one randomized clinical trial and a number of observational studies reflecting seasonal trivalent inactivated influenza vaccines and monovalent H1N1 influenza vaccines have been published. This review summarizes the evidence pertaining to fetal and neonatal outcomes following influenza vaccination during pregnancy for comparative analytic studies published between 2008 and August 2013. Since the majority of these studies are observational in nature, issues related to study quality are also addressed.Expert Review of Vaccines 12/2013; 12(12):1417-30. · 4.22 Impact Factor
- Journal of obstetrics and gynaecology Canada: JOGC = Journal d'obstetrique et gynecologie du Canada: JOGC 12/2012; 34(12):1132-3.
Article: Achievement of the 2015 Millennium Development Goal 5A (Maternal Mortality) by Belize in 2011.[Show abstract] [Hide abstract]
ABSTRACT: Objective: Millennium Development Goal 5A, to decrease the maternal mortality ratio by three quarters between from 1990 to 2015, is proving difficult to achieve in many developing countries, including those in Mesoamerica. In this preliminary report from Belize we describe the major steps taken recently to improve maternal outcomes, leading to the achievement of Millennium Development Goal 5A in 2011, confounding all predictions. Methods: In mid-2007, Belize deployed the world's first integrated countrywide health information system (BHIS), with eight embedded prevention/management domains. These included one centred on maternal health and covering best practices in prenatal, intrapartum, and postpartum care. The Ministry of Health and local maternal health care leaders used ongoing BHIS maternal data aggressively to detect health care system problems and to intervene to change outcomes. The maternal mortality ratios per 100 000 live births for 2005 to 2011 (i.e., from two years before BHIS deployment to four years after) were calculated from death and live birth data using Belize vital statistics. Results: The maternal mortality ratio fell from 134.1 in 2005 to zero in 2011, with the major sustained drop occurring from 2008 onwards, coincident with implementation of the BHIS. The annual number of live births did not change over this time. Conclusion: Exceeding all expectations, Belize achieved Millennium Development Goal 5A in 2011, with a reduction in the maternal mortality ratio of well over three quarters. The drop in maternal mortality ratio was temporally associated with the introduction of the BHIS and its embedded maternal health domain. BHIS data were used aggressively to monitor and continuously improve maternal health care.Journal of obstetrics and gynaecology Canada: JOGC = Journal d'obstetrique et gynecologie du Canada: JOGC 10/2012; 34(10):913-6.
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ABSTRACT: Objective: To determine whether neonatal outcomes differ between women vaccinated during pregnancy and those not vaccinated. Methods: Self-reported history of receipt of influenza vaccination during pregnancy was collected from women at the time of admission for obstetrical delivery at the IWK Health Centre in Halifax, Nova Scotia, beginning in April 2006. The cohort for this study included women who delivered a singleton infant prior to November 2009, reflecting the pre-pandemic H1N1 vaccination period. Neonatal outcomes were compared using logistic regression between vaccinated and non-vaccinated women. Results: Overall, 1957 of 9781 women (20%) included in the cohort received influenza vaccine during their pregnancy. The adjusted odds ratio and 95% confidence interval for a small for gestational age infant (lowest 10th percentile birth weight for gestational age and sex) was 0.80 (95% CI 0.65 to 0.95) for vaccinated women relative to non-vaccinated women. The adjusted odds ratio for a low birth weight infant was 0.74 (95% CI 0.58 to 0.95). Rates of preterm birth and a composite indicator of adverse neonatal outcomes were lower among vaccinated women, but were not statistically significant. The effects of maternal vaccination on neonatal outcomes did not differ between high- and low-risk women. Conclusion: As evidence continues to mount in support of improved neonatal outcomes associated with receiving influenza vaccination during pregnancy, enhanced public health measures are necessary to encourage pregnant women to receive the influenza vaccine.Journal of obstetrics and gynaecology Canada: JOGC = Journal d'obstetrique et gynecologie du Canada: JOGC 08/2012; 34(8):714-20.
Article: Application of a national administrative case definition for the identification of pre-existing diabetes mellitus in pregnancy.[Show abstract] [Hide abstract]
ABSTRACT: Accurate ascertainment of pregnant women with pre-existing diabetes allows for the comprehensive surveillance of maternal and neonatal outcomes associated with this chronic disease. To determine the accuracy of case definitions for pre-existing diabetes mellitus when applied to a pregnant population, a cohort of women who were pregnant in Nova Scotia, Canada, between 1991 and 2003 was obtained from a population-based provincial perinatal database, the Nova Scotia Atlee Perinatal Database (NSAPD). Person-level data from administrative databases using hospital discharge abstract data and outpatient physician services data were linked to this cohort. Various algorithms for defining diabetes mellitus from the administrative data, including the algorithm suggested by the National Diabetes Surveillance System (NDSS), were compared to a reference standard definition from the NSAPD. Validation of the NDSS case definition applied to this pregnant population demonstrated a sensitivity of 87% and a positive predictive value (PPV) of 66.4%. Use of ICD-9 and ICD-10 diagnostic codes among hospitalizations with diabetes mellitus in pregnancy showed important increases in sensitivity and PPV, especially for those pregnancies delivered in tertiary centres. In this population, pregnancy-related administrative data from the hospitalization database alone appear to be a more accurate data source for identifying pre-existing diabetes than applying the NDSS case definition, particularly when pregnant women are delivered in a tertiary hospital. Although the NDSS definition of diabetes performs reasonably well compared to a reference standard definition of diabetes, using this definition for evaluating maternal and perinatal outcomes associated with diabetes in pregnancy will result in a certain degree of misclassification and, therefore, biased estimates of outcomes.Chronic Diseases and Injuries in Canada 06/2012; 32(3):113-20. · 0.68 Impact Factor
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ABSTRACT: To provide information regarding the management of group B streptococcal (GBS) bacteriuria to midwives, nurses, and physicians who are providing obstetrical care. The outcomes considered were neonatal GBS disease, preterm birth, pyelonephritis, chorioamnionitis, and recurrence of GBS colonization. Medline, PubMed, and the Cochrane database were searched for articles published in English to December 2010 on the topic of GBS bacteriuria in pregnancy. Bacteriuria is defined in this clinical practice guideline as the presence of bacteria in urine, regardless of the number of colony-forming units per mL (CFU/mL). Low colony counts refer to < 100 000 CFU/mL, and high (significant) colony counts refer to ≥ 100 000 CFU/mL. Results were restricted to systematic reviews, randomized controlled trials, and relevant observational studies. Searches were updated on a regular basis and incorporated in the guideline to February 2011. Grey (unpublished) literature was identified through searching the websites of health technology assessment and health technology assessment-related agencies, clinical practice guideline collections, clinical trial registries, and national and international medical specialty societies. Recommendations were quantified using the evaluation of evidence guidelines developed by the Canadian Task Force on Preventive Health Care (Table). The recommendations in this guideline are designed to help clinicians identify pregnancies in which it is appropriate to treat GBS bacteriuria to optimize maternal and perinatal outcomes, to reduce the occurrences of antibiotic anaphylaxis, and to prevent increases in antibiotic resistance to GBS and non-GBS pathogens. No cost-benefit analysis is provided. 1. Treatment of any bacteriuria with colony counts ≥ 100 000 CFU/mL in pregnancy is an accepted and recommended strategy and includes treatment with appropriate antibiotics. (II-2A) 2. Women with documented group B streptococcal bacteriuria (regardless of level of colony-forming units per mL) in the current pregnancy should be treated at the time of labour or rupture of membranes with appropriate intravenous antibiotics for the prevention of early-onset neonatal group B streptococcal disease. (II-2A) 3. Asymptomatic women with urinary group B streptococcal colony counts < 100 000 CFU/mL in pregnancy should not be treated with antibiotics for the prevention of adverse maternal and perinatal outcomes such as pyelonephritis, chorioamnionitis, or preterm birth. (II-2E) 4. Women with documented group B streptococcal bacteriuria should not be re-screened by genital tract culture or urinary culture in the third trimester, as they are presumed to be group B streptococcal colonized. (II-2D).Journal of obstetrics and gynaecology Canada: JOGC = Journal d'obstetrique et gynecologie du Canada: JOGC 05/2012; 34(5):482-6.
Article: The influence of changing post-term induction of labour patterns on severe neonatal morbidity.[Show abstract] [Hide abstract]
ABSTRACT: To estimate the influence of changing practice patterns of post-term induction of labour on severe neonatal morbidity. This population-based cohort study used data from the Nova Scotia Atlee Perinatal Database to evaluate the effect of post-term induction of labour on stillbirth and neonatal mortality and severe neonatal morbidity in low-risk pregnancies. The study population included all pregnant women ≥ 40 weeks' gestation delivering in Nova Scotia from 1988 to 2008 who underwent induction of labour with a single fetus in cephalic presentation. Major congenital anomalies and pre-existing or severe gestational hypertension and diabetes were excluded. Women delivering post-term from 1994 to 2008 (after the Post-term Pregnancy Trial) were compared with women delivering from 1988 to 1992 to evaluate outcomes with changing maternal characteristics and obstetric practice patterns. Evaluation and comparison of time epochs (1988 to 1992, 1994 to 1998, 1999 to 2003, and 2004 to 2008) demonstrated an increased risk for perinatal mortality or severe neonatal morbidity, especially low five-minute Apgar score, among both nulliparous and multiparous women. There were no significant differences in the risks for stillbirth or perinatal mortality over time. Comparable relationships were demonstrated in a subgroup of lower risk women. The increase in post-term induction of labour with time is associated with a significant increase in severe neonatal morbidity, especially among infants born to multiparous women. Evaluation of the antepartum and intrapartum management of these low-risk pregnancies may provide additional information to reduce morbidity.Journal of obstetrics and gynaecology Canada: JOGC = Journal d'obstetrique et gynecologie du Canada: JOGC 04/2012; 34(4):330-40.
Article: Resident research training objectives and requirements of the association of academic professionals in obstetrics and gynaecology.Journal of obstetrics and gynaecology Canada: JOGC = Journal d'obstetrique et gynecologie du Canada: JOGC 10/2011; 33(10):1044-6.
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ABSTRACT: The purpose of this study was to determine whether maternal hospitalization for a respiratory-related condition during influenza season results in an increased risk of neonatal morbidity. With the use of a 13-year population-based cohort study of all singleton live births in Nova Scotia (1990-2002), neonatal outcomes were compared between women with and without hospital admission for respiratory illness during influenza season at any time in pregnancy. Logistic regression analyses were performed to examine infant outcomes and to estimate relative risks and 95% confidence intervals. Infants who were born to mothers who had been hospitalized for respiratory illness during influenza season at any time during pregnancy were more likely to be small for gestational age (15.3% vs 9.7%; adjusted relative risk, 1.66; 95% confidence interval, 1.11-2.49) and to have lower mean birthweight (3348.5 ± 498.2 g vs 3531.3 ± 504.1 g; β score, -86.67; P < .009) than were infants who were born to women without an influenza-season respiratory hospitalization during pregnancy. Our findings in a cohort of singleton infants who were born in a high-resource setting support the findings that were described in Bangladesh that demonstrated an increased number of small-for-gestational-age infants and a lower mean birthweight among babies who were born to mothers who were not protected by influenza vaccine.American journal of obstetrics and gynecology 06/2011; 204(6 Suppl 1):S54-7. · 3.28 Impact Factor
Article: Difficult and failed intubation: Incident rates and maternal, obstetrical, and anesthetic predictors.[Show abstract] [Hide abstract]
ABSTRACT: Difficult and failed tracheal intubation may be more common in the obstetrical population. The objective of this study was to determine the incidence of difficult and failed tracheal intubation in a Canadian tertiary care obstetric hospital and to identify predictors. Maternal, perinatal, and anesthetic information on all pregnant women or recently pregnant (up to three days postpartum) women undergoing general anesthesia (GA) from 1984 to 2003 at the Izaac Walton Killam Health Centre (IWK) was abstracted from the Nova Scotia Atlee Perinatal Database, and the information was augmented by chart review. The incidence and predictors of difficult and failed tracheal intubation were determined. Analyses using logistic regression were performed for the complete GA cohort and for the subgroup that had Cesarean delivery under GA. There were 102,587 deliveries of ≥20 weeks gestation in the study population, with 3,107 GAs identified, 2,986 records reviewed, and 2,633 GAs (88%) retained in the complete cohort. Difficult tracheal intubation was encountered in 123 of 2,633 (4.7%) women in the complete cohort and 60 of 1,052 (5.7%) women in the Cesarean delivery subgroup. Only two failed tracheal intubations were identified (0.08%) in the complete cohort, and both occurred during GAs for postpartum tubal ligation. The combined rate of difficult/failed tracheal intubation remained stable over the 20 years reviewed despite decreasing GA rates. Amongst the complete cohort, maternal age ≥35 yr, weight at delivery 90 to 99 kg, and absence of labour predicted increased risks; while weight at delivery 90 to 99 kg and absence of labour amongst the Cesarean delivery subgroup predicted difficult/failed tracheal intubation. Previously accepted risk factors, such as labour, pre-existing medical conditions and obstetrical disorders, did not predict an increased risk of difficult tracheal intubation, while maternal age ≥35 yr, weight 90 to 99 kg, and absence of active labour were found to predict increased risk.Canadian Anaesthetists? Society Journal 04/2011; 58(6):514-24. · 2.31 Impact Factor
Article: The Canadian Perinatal Network: a national network focused on threatened preterm birth at 22 to 28 weeks' gestation.[Show abstract] [Hide abstract]
ABSTRACT: The Canadian Perinatal Network (CPN) maintains an ongoing national database focused on threatened very preterm birth. The objective of the network is to facilitate between-hospital comparisons and other research that will lead to reductions in the burden of illness associated with very preterm birth. Women were included in the database if they were admitted to a participating tertiary perinatal unit at 22+0 to 28+6 weeks' gestation with one or more conditions most commonly responsible for very preterm birth, including spontaneous preterm labour with contractions, incompetent cervix, prolapsing membranes, preterm prelabour rupture of membranes, gestational hypertension, intrauterine growth restriction, or antepartum hemorrhage. Data were collected by review of maternal and infant charts, entered directly into standardized electronic data forms and uploaded to the CPN via a secure network. Between 2005 and 2009, the CPN enrolled 2524 women from 14 hospitals including those with preterm labour and contractions (27.4%), short cervix without contractions (16.3%), prolapsing membranes (9.4%), antepartum hemorrhage (26.1%), and preterm prelabour rupture of membranes (23.0%). The mean gestational age at enrolment was 25.9 ± 1.9 weeks and the mean gestation age at delivery was 29.9 ± 5.1 weeks; 57.0% delivered at < 29 weeks and 75.4% at < 34 weeks. Complication rates were high and included serious maternal complications (26.7%), stillbirth (8.2%), neonatal death (16.3%), neonatal intensive care unit admission (60.7%), and serious neonatal morbidity (35.0%). This national dataset contains detailed information about women at risk of very preterm birth. It is available to clinicians and researchers who are working with one or more CPN collaborators and who are interested in studies relating processes of care to maternal or perinatal outcomes.Journal of obstetrics and gynaecology Canada: JOGC = Journal d'obstetrique et gynecologie du Canada: JOGC 02/2011; 33(2):111-20.
Article: Resident Research Training Objectives and Requirements of the Association of Academic Professionals in Obstetrics and Gynecology (APOG)Journal of Obstetrics and Gynecology Canada. 01/2011; 22(10):1044-1046.
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ABSTRACT: The Canadian Perinatal Surveillance System has provided a comprehensive review of maternal mortality and severe maternal morbidity in Canada, and has identified several important limitations to existing national maternal data collection systems, including variability in the detail and quality of mortality data. The Canadian Perinatal Surveillance System report recommended the establishment of an ongoing national review and reporting system, as well as consistency in definitions and classifications of maternal mortality and severe maternal morbidity, in order to enhance surveillance of maternal mortality and severe maternal morbidity. Using review articles and studies that examined maternal mortality in general as opposed to maternal mortality associated with particular management strategies or conditions, maternal mortality and severe morbidity classifications, terminology, and comparative statistics were reviewed and employed to evaluate deficiencies in past and current methods of data collection and to seek solutions to address the need for enhanced and consistent national surveillance of maternal mortality and severe maternal morbidity in Canada.Journal of obstetrics and gynaecology Canada: JOGC = Journal d'obstetrique et gynecologie du Canada: JOGC 12/2010; 32(12):1140-6.
Top Journals
University of Prince Edward Island
Charlottetown, Prince Edward Island, Canada
- Department of Health Management
Dalhousie University
Halifax, Nova Scotia, Canada
- Department of Obstetrics and Gynaecology
Society of Obstetricians and Gynaecologists of CanadaMontréal, Quebec, Canada
IWK Health CentreHalifax, Nova Scotia, Canada


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Chemistry Central Journal publishes peer-reviewed open access articles in all areas of chemistry. The journal comprises 8 subject sections:
- R. Stephen Berry, University of Chicago
Research article
LC–MS/MS determination and pharmacokinetic study of columbianadin in rat plasma after intravenous administration of pure columbianadin
Research article
Comparison of binder compositions in Pompeian wall painting styles from
Insula Occidentalis
Research article
Analyses of chlorogenic acids and related cinnamic acid derivatives from
Nicotiana tabacumtissues with the aid of UPLC-QTOF-MS/MS based on the in-source collision-induced dissociation method
Research article
Characterization of the Vitrocell® 24/48
in vitroaerosol exposure system using mainstream cigarette smoke
Research article
Importance of halide involving interactions at Hoogsteen sites in supramolecular architectures of some coordination metal complexes of N6-benzyl/furfuryl adenine
Research article
Cytotoxic Benzophenanthridine and Furoquinoline Alkaloids from
Zanthoxylum buesgenii(Rutaceae)
Mini review
Boronic acids for sensing and other applications - a mini-review of papers published in 2013
Erratum: General peroxidase activity of a parallel G-quadruplex-hemin DNAzyme formed by Pu39WT - a mixed G-quadruplex forming sequence in the Bcl-2 P1 promoter
Research article
Potentiometric determination of moxifloxacin in some pharmaceutical formulation using PVC membrane sensors
Research article
Selective phenol methylation to 2,6-dimethylphenol in a fluidized bed of iron-chromium mixed oxide catalyst with o–cresol circulation
- View more articles
Correction: Frontier battery development for hybrid vehicles After publication, we found that not all authors were listed. A full author list is provided here. We regret any inconvenience this error may have caused.Heather Lewis, Marion Paolini, Haram Park, Matthew Streit, Alan Tsui
Chilean wines absent I found very interesting this article and just missed the absent of Chilean wines in the study. Chile is 9th in the list of World Wine producers and 5th in the wine exporting countries. On the other side, Chile is also atractive for this study because of its geographical situation and heavy metal production (first world cooper producer). I consider that in future studies to determine the influence of soil type and geographical regions chilean wines should be consider.
Editor's Profile
Stephen Berry is James Franck Distinguished Service Professor Emeritus in Chemistry at the University of Chicago.
Research interests include the study of protein folding and interaction, atomic collisions, thermodynamics, efficient use of energy resources, nanoscale particle behavior, and intellectual property and electronic scientific communication.
Indexed by
- Google Scholar
- PubMed
- PubMed Central
- Science Citation Index Expanded
- Scopus


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ians._.world : 😍 Yep Yep
bigdaddyfoodporn - gus_hdz19 - miisteradams - thasnizzle -
iskyracingcams - msd - v8s10 - chevrolet - s10 - proformparts -
dabber_matt : Lookin clean and sounding mean bro!
jbmfsuits : 305-562-3070 shoot me a text when you can man!
jbmfsuits - classiccolt - wlamb002 - rightcourt -
lts - pontiac - pacesetters - ws6 - proformparts - headers - slantedgevalvecovers - comingtogether - ls1 - lswut - transam - lsx - engineporn -
bagina95 : 👍 nice
quicktripca : Looks amazing. Rebuilding my KZ440 and I wish I could get it to look that purdy ;-).
sickimages : God I want that in my car! :O
lswut : She is pretty 😏 @sickimages
sickimages : I love them black headers too!
lswut : They're just regular ceramic coated Pacesetter LTs that I got powdercoated! @sickimages
sickimages : Well the black makes em look sick lol.
lswut : @sickimages haha thanks. I didn't like how they looked all anodized from heat so I fixed it haha
elcamaros67 - boostedlifestyle_ - adrian_williamsb87 - xaviccino -
lts - pacesetters - garagedog - proformparts - headers - slantedgevalvecovers - ls1 - lswut - lsx -
g_man_607 : Aye! @lswut I mounted my coils on the flat part of the "frame" in the bay, where the heater hose and ac lines usually run
wellsf848 : Fancy arps holding the headers on too? Can't cheap out now
lswut : @gman_607 I'll check that out. My engine bay has never been really cleaned up as far as wiring goes and I have a LOT to tend to 😞 @wellsf848 those aren't ARPs, they came in the box with my Pacesetters. I need to order new ones. I have so much crap to order still haha
wellsf848 : You working all by yourself?
lswut : @wellsf848 for the most part. My dad was out putting a new rear main seal in his 454 while I was using his shop to work on it. So he helped me find tools to use in the disarray that is his toolbox. Haha
wellsf848 : Well, if you need some help with sorting your wiring, I like playing with it.
lswut : @wellsf848 you are crazy for enjoying that! Will do :)
jstrats77 : Happy doggie!!
junkmansalvage - ahmed75alali - _5leeld - theelmo82 -
@proformparts has teamed up with multiple big name companies and all of them have given a handsome donation to the Susan G Komen Breast Cancer Foundation and to celebrate, we are giving away this beautiful pink engine! The engine is a brand new Chevrolet Performance ZZ383 with a Proform 750cfm Street Series carburetor and a few other fun extras along with the appropriate Proform Parts Pink Dress Up kit to celebrate the cause! Make sure you sign up to win before January 21st and we will announce the winner that week and ship it to you! Sign up here! www.pinkenginegiveaway.com
proform - chevroletperformance - pri - free - breastcancer - digitalthrottle - sema - roushyates - charity - pink - pinkengine - chevrolet - racingjunk - proformparts - imis - fun - giveaway -
lswut : #pinkengine #proformparts #proform #giveaway #free #pink #charity #fun #breastcancer #sema #imis #pri #chevrolet #chevroletperformance @chevroletperformance #roushyates #racingjunk #digitalthrottle
lswut : Please feel free to share and tag myself & @ProformParts !!!
rodbuilder - scoggindickeypartscenter - badassrodz - johneld89 -
My #wcw this week is #proformparts #model, #monsterenergy girl, & my #midwest #sister @mofkntep . Can't wait to cause some trouble together on national radio & web TV at #PRI2013 . #follow #racer #lsxfan #mechanic #inkedmodel #tattooed_dolls #hotness #indyrpm
indyrpm - sister - mechanic - wcw - inkedmodel - tattooed_dolls - proformparts - racer - pri2013 - monsterenergy - follow - model - hotness - midwest - lsxfan -
official_jessegordon : One of the first things I designed for you :))) forgot all about it
kristaelyse : @official_jessegordon this is one of my favorites
lswut : @kristaelyse thanks gal :-*
fitzygt - bodatiousbodey -
#tbt to this past summer from the third season of our @proformparts #stephaniespowershop ... My job rules and most people don't have a clue what my job has done for me or what I do 😉 #blessed #thankful
pontiac - chevroletperformance - cars - tbt - blessed - thankful - mac - video - ls1 - stephaniespowershop - toolbox - lsx - youtube - proformparts - ws6 - transam - stephanielynn -
lswut : #lsx #ls1 #chevroletperformance #cars #stephanielynn #proformparts #youtube #video #mac #toolbox #transam #ws6 #pontiac
marshockey27 : Those are sick shades Stephanie!
cleancutcreations : You go girl...
lswut : @marshockey27 $9 target lol
cleancutcreations - theelmo82 - _5leeld - johnfingkirk -
My #wcw pick and #midwest sister @mofkntep on the left. She & I will be making an appearance together at #PRI2013 in Indianapolis as #models and #media with #proformparts and #inthepitsmedia and #indyrpm . Come see us and get some pics and posters. It's rare we get to appear together. #lsx #chevyperformance #fordracing #monsterenergy #cargirls #fasterthanyou #ourpostersarelaminatedforyourpleasure
indyrpm - chevyperformance - inthepitsmedia - wcw - fasterthanyou - models - media - cargirls - proformparts - fordracing - pri2013 - monsterenergy - ourpostersarelaminatedforyourpleasure - midwest - lsx -
sassy_gt86_ : @foxracin23 u would lmao
cer_88_ : @sammi3_ann28 lol why not. Not like I have posters n do it geez.
official_jessegordon : Love
autoaddictions : Need posters down the shop ! Walls are lil bare and boring
kristaelyse : @autoaddictions got u covered :-)
autoaddictions : Haha awesome
itx_gq : @hiso__ material!!! Everybody check out the page!
kclcreations : Should have been twins. Both sweet young ladies
wuanquin - al_ain_fc1 - impossiblesr - carshowz -
stolen from bf's phone while he slept. his line from dinner tonight, "who says you can't turn a ho into a housewife!!?" ... ahaha
chevroletperformance - ss - chevrolet - proformparts - waterpump - 6 - ironblock - 120kstrong - stephanielynn -
lswut : @ladymechanics @girlscantwhat @indyrpm #proformparts #chevroletperformance #chevrolet #ss #stephanielynn #waterpump #ironblock #120kstrong #6.0
kristaelyse : Classy bf lol. . Geezus
girlscantwhat : @mofkntep Great photo. What are you fixing?
lswut : @girlscantwhat boyfriend's 2005 Silverado SS. The water pump wen out. Thanks! 😊
girlscantwhat : @mofkntep Sweet! Can I use the pic on my site?
lswut : @girlscantwhat of course :) thank you!
lswut : @v8_chicks
zombiemachete - slowmaross - la_mirr - brotherstrucks -
I was published as a "Top 5 SEMA Booth Babe" on Wednesday, lol! #SEMA #boothbabe #proformparts #tattooed #lsx #blown
murphysworld1 : HAWT!!! @mofkntep
bagina95 : Prob only booth babe who knew what LSX means too.
lswut : @murphysworld1 thank you :) @bagina95 I think you're right... Lol ;)
boosted54 : @mofkntep great booth, you made it rock ;) killer front row view of chevrolet
lswut : @boosted54 thanks! I did have a pretty sexy pair of C7s to look at all week ;)
lswut : @babeswithtattoos
mustang_freak5_0 - _5leeld - rafael_gonzalez_209 - rpickles45 -
Shawn is a standup guy, super cool! And he runs a @ProformParts carburetor! #StreetOutlaws #Farmtruck #chevroletperformance #proformparts #SEMA
svt_sam : Hey he's from Oklahoma! @mofkntep
johnfingkirk : Awesome!
adamsdriveshaftoffroad : Yeah, he's pretty cool guy...
nxgonzo : My buddy!
lswut : @nxgonzo he's such a cool guy!
nxgonzo : Hell yeah, laidback and funny as hell
johneld89 - camdout68 - nsdark - jc306na -
good morning #sema - come visit #proformparts booth 23667 next to #chevroletperformance in Central Hall! I have LSX goodies to see!
lifted_diamond : @mofkntep are you sponsored by monster
lswut : @diamondj94 not at all
lifted_diamond : @mofkntep hit me up man let's talk more
lswut : @diamondj94 let's talk. My FB page is listed on my info on here
lifted_diamond : @mofkntep I will forsure add you tonight
lifted_diamond : @mofkntep hey sorry it has been so long since we have talked I have been dealing with some family issues; today i will for sure be adding you on Facebook and hope I can still talk to you more!
martyvit - johnfingkirk - 99everest -
taracingengines - 376 - lsx - sema - proformparts -
slow_maro_ss : Slp supercharger?
lswut : @slow_maro_ss Harrop
tonyzurb : Totally jealous right now
thasnizzle : Can has? That'd look good in my truck
dzmedia : @subydude this "Broad" oh call her a broad. She loves that shit.
subydude : Haha dude sema is over
dzmedia : Sonofacraka!!! @subydude I'm always late to the party!!
dantheman4663 - joseluischivas - _5leeld - addictedtwoboost -
Going to @semashow2013 ?? Come find me & @proformparts !! I have lots of LSX goodies to talk about plus we have something for everyone. Can't wait to be in Vegas Monday!
chevroletperformance - girlswhobuildengines - aftermarket - sema - fordracing - lasvegas - proformparts - mopar -
lswut : #sema #proformparts #lasvegas #girlswhobuildengines #chevroletperformance #fordracing #mopar #aftermarket
kimtastic618 : YAAAAAY! I CAN'T WAIT TO SEE YOU! Were gonna tear it UP
lswut : It's gonna be like our own Hangover movie. It's gonna be bad. Hahaha 😳😳😳 @kimtastic618
kimtastic618 : Hahaha lets not lose anyone. I don't have money for that
kimtastic618 : It'll be a cheaper trashier version
lswut : @kimtastic618 hahahahaha
murphysworld1 - kimtastic618 - anthonyphilleo - marshockey27 -
lingenfelter - chevroletperformance - sema - proformparts - lswut - lsx - brianthompsonmotorsports - tradeshow - lasvegas - bestexperience - 2013 -
lswut : #sema #2013 #lasvegas #bestexperience #proformparts #chevroletperformance #tradeshow #lingenfelter #brianthompsonmotorsports #lswut #lsx
1hightoy : One day like to go there...
norcal510psd : Ill be there again in a new truck with american force wheels!
mishimoto - kimtastic618 - monsternika - therealmattguts -
Crunch time begins next week after Chicago... Just got my headers & valvecovers powdercoated. Awaiting a paycheck to buy my cam, springs/locks/retainers, front suspension and new dashboard. Oh and I need a stock LS1 oil pan if anyone has one!
pontiac - chevroletperformance - 4thgen - fbody - ls1 - gm - girlswhobuildengines - 1998 - proformparts - project - build - ws6 - lswut - girldriven - transam - girlbuilt -
lswut : #LS1 #Pontiac #TransAm #WS6 #LSwut #build #project #1998 #4thgen #fbody #gm #chevroletperformance #proformparts #girlswhobuildengines #girlbuilt #girldriven @lsxnation
lswut : @lsxworld
mmarine1080 : I will check around tomorrow for an oil pan
lswut : @mmarine1080 thanks!!! My LS1 crate has the shallow Holden pan and it won't clear my headers 😑
ambyr_sti : 😍😍
lswut : @ambyrlayne 😘
_adan92 : u live in chicago ?
lswut : @_adan92 no, I live in St Louis. I'm going for bf's hockey tourney Wed-Sun
slowmaross - stroker489 - 1kwikf - lsxworld -
cheapmike13 : #proformparts
lovelyb1223 - lstevieo -
r0lando_perez - rlem13 - johnfingkirk - lsxworld -
lswut : This one is my dads. It's a 66 SS. He had me build the 496 in it, power glide with an overdrive unit, ect ect ect @kdanz899
rlem13 - mattlundrigan - tschmitt296 -
lswut : @skypilgram but rockers will remain stock. Can't really beat stock LS rockers in an aggressive daily driver...
skypilgram : @mofkntep oh... Cause I know the stock valve covers don't have clearance for big lift cams with aftermarket rockers
skypilgram : @mofkntep those covers do look badass though...
lswut : Yup. @skypilgram
shermantank85 : @mofkntep hurry it up! Your lucky theres not a garage fee:p
lswut : @shermantank85 LOL. I'm lucky it's under construction bc it's 110* in the shop.
shermantank85 : My buddy just bought a cattle cooler for his garage and he swears by it! But I hear yea! Hard to :-) in helllllll!
kimtastic618 : Nice shorts ;)
mocreeker - rlem13 - 312martin - lsxworld -
tonyzurb : Love the covers! Who did them?
groundedimages : Want to find covers like that for my 350
lswut : @proformparts / Chevrolet Performance LS Slant Edge Valve Covers. They're super nice, come in MANY colors & finishes and are very reasonable. Just google search for a dealer who carries them @tonyzurb @groundedimages
mc__paigey10 - mocreeker - 312martin -
Gus has no manners. Or he's saying "I have an Electric Piston Ring Grinder and you don't!" 😜 @proformparts #proformparts
farrahrenee : Heheee! What a cute pic
lswut : @farrahrenee haha thank you! He's a ham!
_jbarnes - jimmy60dash1 - skypilgram - 4n9 -
slowmaross : Get it done! Lol
lswut : @transamnation
slowmaross - mattlundrigan - tyjaru93 -
official_jessegordon : Cute pic
seso_89 - 312martin - deanamariespinelli - the_snowman5.0 -
lswut : @proformparts
brett1958 - groundedimages - _jbarnes - skypilgram -
rebelsnake - groundedimages - skypilgram -
Yay for car parts in the mail! My #ProformParts LS Slant Edge Valve Covers & Ignition Coil Relocating Brackets came in today! Tomorrow, they're off to be powdercoated & next week, we will be installing them on my new LS1 for one of our Power Shop videos! 👍
lswut : PS, they are puppy approved.
amandaisgold : Hahahaha the pup. So cute
nitrousexpress : Nice!
lswut : @amandaisgold haha she had no idea what to think about it but she was cute while being confused :) @nitrousexpress thanks pal! :)
rrwfrank : I think I shall have to put those on big red
la_mirr : Thought that was a box of vibrators until I put my glasses on...
lswut : @rrwfrank I'll text ya pics next week of how they look! @la_mirr hahahahahahaha
rlem13 - slowmaross - 99everest -
6speed - pontiac - chevroletperformance - 4thgen - t56 - stormtrooper - ls1 - gm - notstock - lsx - girlswhobuildengines - 1998 - girlcar - modified - fast - proformparts - black - bigcam - lswut - white - fourthgenfbodies -
lswut : @nocki9314 918 snapped, dropped the valve, hit the piston and made it (& the rod) turn into dust, minus one chunk that ended up in my intake. The cylinder wall cracked all the way thru. Then on the other side, the rod shot thru the pan after it snapped off the piston.
nocki9314 : Damn that's bad. You gonna build an LSX for it?
99everest : That sucks! But sure love them pontiacs! 😉
gconnoyer : Junk comp springs.
lswut : @gconnoyer ^^^ +1
gconnoyer : @mofkntep so many failures from those springs. I wouldnt use any of their valvetrain stuff.
lswut : @gconnoyer yeah I learned my lesson the hard way in 2011.
gconnoyer : @mofkntep lol yeah I saw all the carnage pics. I wore out a set of Patriot .660s and replacing them with some Brian Tooley's
rebelsnake - h8bumps - therealdarknrich -
NEW VALVE COVERS & AIR FILTER #knfilters #proformparts #fordracing #fordfalcon #ford #hotrod #musclecar #ohdang
hotrod - fordfalcon - ohdang - musclecar - proformparts - ford - knfilters - fordracing -
gforacing : @knfilters
skier933 - kibbetech - cmoore922 - bajarambo -


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Perla Hudson, Slash's Wife, Accused of Kicking Female Slash Admirerby Free Britney at . Comments
Slash's wife, Perla Hudson (also known as Perla Ferrar) has been accused of kicking a woman in the stomach at an Ozzy Osbourne concert in L.A. this week.
Slash and spouse were hanging out backstage after Slash performed at the concert when Perla saw him talking to the woman and flipped the f%*k out.
May explain the marital troubles of Slash and Perla Hudson of late.
Perla approached the two and kicked the other woman in the stomach. The alleged victim refused medical attention, but contacted police and filed a report.
Law enforcement sources say the matter is currently being investigated. So far, no charges have been filed. The couple separated last year but reconciled.
You're a musician yet so unknown the previously above has to ask if you play guitar? LOSER So delusional to think you attracted Slash at all. He was ' probably focusing on your Illiterate, filthy, gutter language trying to decipher any meaning to your ranting.He is too polite to just ignore anyone but I amsure he NEVER gave you a second thought Miss delusio al.! Go back to the Appalachions with your Banjo.I.hear they like to hear pigs squeal!
I know Perla personally and never had a friend both now or ever better than her.Extremely intelligent, funny, loyal, and.caring she is so charasmatic she is always the center of attention.People gravitate to her.Slash can have just about anyone or anything he wants and through the years it has always been Perla.Roxie, give Sl ash some credit ! You sound like a . insanely jeolous ,iliterate lowclass piece of TRAILER TRASH! LOL
Well said, Maria Anna!! I think trailer trash is probably too classy a word to describe her... Roxy sounds like a mad, delusional stalker living in a fantasy world who needs to start showing a little respect to Slash, his WIFE, and his family.
I know Perla personally and never had a friend both now or ever better than her.Extremely intelligent, funny, loyal, and.caring she is so charasmatic she is always the center of attention.People gravitate to her.Slash can have just about anyone or anything he wants and through the years it has always been Perla.Roxie, give Sl ash some credit
Because I personally know Perla,I feel much better qualified to make KNOWLEDGEABLE statements about her.Extremely, kind,intelligent and unpretencious are just a begining.Slash can have practically anyone or anything he wants, but he chose Perla all these years recogniseing both her special inner and outer amazing qualities.I never had a better or fun friend in all my life.
Sure wouldn't want to mess with you, Roxy Edge. Anyways, that's cool you're a musician...do you play guitar?
I agree with the both of you what you both said, she aint shit...she act like she better bitch please... perla looks cheat and she doesnt know how to dress I see some of her friends they look cheap and trashy...slash i know you fine but come on man really PERLA what the fuck do you see in her besides 2 fake ass breasts. you need a classy gal and even you do want another woman pick one that has some class. I think the only reason you stayed with her ass and renewed your wedding vows was probably cause it would cost more to divorce her. She has no respect for the law she should get a file charged on her as well go to jail if that was some other person that would have done that shit they would have gone to jail but because she with a celeb she dont that shit aint fair at all.She should take responsiblity for her actions...
So Slash married a whore whats new fuckin rock stars cant ever pickum right! Justed checked out this story @goggle.Why do they fall for all the groupies? SLASH you need a new wife or girlfriend I understand shes the mother of your kids and you want to work things out like good man would but are you happy??? SERIOUSLY??? If things dont work out between you and Perla in the future and you get a chick later STAY AWAY FROM GROUPIES THERYRE WHORES!!!! or if your liked a hard working latina woman hit me up!! LOVE YOU SLASH!!
Listen to yourself!! How Fucking STUPID do you sound!?! Completely fucking delusional!!!!!
Slash's wife aint shit. She know who to do that shit to. Cuz I went to Slash's and Myles Kennedy concert at the House of Blues and Perla came out to check me out cuz I'm a musician as well as being very pretty. That hooker bitch knew not to fuck with me. If she would have put her hands on me or kicked me I would have mopped that cuba hooker acrossed the the fuckin floor. PERLA AINT SHIT BUT SOME CHEAP ASS LOOKING WANNA BE HOOKER OR MADAM. Slash should pick better classy women. And my name is Roxy Fucking Edge.
Shut up Roxy, you sound like a fantasist. All in your imagination you stupid c*nt


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It's a recipe for healthy babies!
Enjoy culinary masterpieces from our Signature Chefs, along with a live and silent auction featuring one-of-a-kind chef experience packages, and entertainment for an incredible evening to benefit the March of Dimes.
Join Chair Amanda Walsh of Cheeser's Palace Café for the Annual Signature Chefs Auction.
Host Executive Chef Danny Connolly of Mission Inn Resort & Club will be joined by these top chefs as they showcase their culinary masterpieces.
• Jennifer Cappello of The Grille at Sanctuary Ridge Golf Club
• Nikolas Konstatatos of Luigino's in The Villages
• Leslie Kirkland of Sugar Mama's Bake Shoppe
• Stephanie Leady of Cheeser's Palace Café
• Keith Mullins of Bacchus Vino Etcetera
• and more
End the evening bidding on a unique assortment of live and silent auction packages, including experiences with the evening's chefs, once-in-a-lifetime opportunities, entertainment and travel, and our very special Fund the Mission.
Event Schedule:
6:00 p.m. - 9:30 p.m.
Silent Auction – 6:00 p.m.
Live Auction and Fund the Mission – 8:20 p.m.
Silver Sponsors: Leesburg Regional Medical Center and Bright House Networks
Bronze Sponsor: Mathias Foodservice & Equipment Company and South Lake Hospital
To become a Signature Chefs Auction sponsor, please email Annabelle Croy or call 352-942-3780.
Table Sales will begin on August 21, 2014.
Individual tickets, if available, will go on sale on September 18, 2014.
It's a recipe for healthy babies! Prepare to be delighted as you s... more
It's the crème de la crème of the culinary world as some of Saraso... more
Join the March of Dimes and Co-Chairs Sandra M. Mayor and Tricia K... more
Join us at Westwood Middle School-Entrance off 34th Street for 8.6 mile walk... more


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The fame and glamour of the Bugatti name grew very largely from racing success, Ettore Bugatti, 'Le Patron', was fully aware of the importance... More
Superb Type 44, strong engine. Ready to be enjoyed... More
More infos on www.themotorsgallery.com Description 1930 Bugatti type 49 Grand Sport Straight 8cyl, 3.3l Chassis number: 44116 Engine number: L260 Gearbox Number: 284 Same owner since 1988 French registration Available in our Showroom... More
Tribute to Ralph Lauren's $40,000,000 Masterpiece. BMW V-12 engine & auto. trans., AC/PW. Carbon fiber & composite body. Room for 6' 11' driver. Four... More
To be auctioned in Dallas, TX - November 21-23, 2014 at Dallas Market Hall. www.leakecar.com - Twin overhead cam supercharged straight 8 Grand... More


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Website URL:
Norfolk Southern said Monday, Sept. 23, 2013 it had again notched a new record for coal transloading at its Pier 6 at Lambert Point facility in Norfolk, Va., loading a record amount of coal into a single ocean-going vessel.
Figures released by the Surface Transportation Board show Class I railroads employed 163,420 people in mid-August, up 0.45% from August 2012, but down 536 people, or 0.33%, from the previous month of July.
New York's Metropolitan Transporation Authority has appointed six people to a Blue Ribbon Panel to study the causes of rail accidents and incidents, including the major derailment last May on Metro-North's New Haven Line and several train-car accidents on the Long Island Rail Road.
Canada Prime Minister Stephen Harper said Sunday, Sept. 22, 2013 that the federal government will support Ontario province's desire to convert Toronto's Scarborough Line into subway rapid rail.
Union Pacific's Moffat Tunnel route has been closed for repairs west of Denver for an undetermined period following flood damage afflicting wide portions of Colorado, resulting in a detour for Amtrak's California Zephyr.
Make it three weeks in a row, and the fourth week in the last five, that U.S. freight carload traffic increased when measured against the comparable week in 2012, according to data from the Association of American Railroads released Thursday, Sept. 19, 2013.
A plan to expand Kenosha, Wis.'s current PCC streetcar operation got the go-ahead Wednesday, Sept. 18, 2013, after the Transit Commission approved plans to add a north-south route, also approving design and engineering work.
Encouraged by results a pilot program tested in five key subway stations, MTA New York City Transit will add 120 additional digital kiosks at 21 subway stations by year's end, offering one-touch navigation assistance.
Norfolk Southern says it loaded a record amount of coal into a single ocean-going vessel on Tuesday, Sept. 17, 2013, at Pier 6 at Lamberts Point, Port of Hampton Roads, Va.
A double-decker OC Transpo bus struck a VIA Rail Canada passenger train at a fully protected grade crossing with functioning gates, lights, and bells in Ottawa, Wednesday morning, Sept. 18, 2013, killing six people, city and Ontario provincial authorities said. At least 30 other people were injured, with several in critical condition.
Remember Me


text:
Upcoming Events
Fall 2014
To be Announced
Recent Events
Fall 2014
Assessing the Household Credit Recovery: Post-Crisis Developments in Credit Use & Credit Repair
The community development divisions of the Federal Reserve Banks of New York and Philadelphia and Rutgers University organized this forum for researchers and practitioners to discuss various topics related to credit access and consumer debt. Speakers shared the latest research and emerging strategies for consumers to improve their balance sheets, repair credit, and gain access to mainstream financial products.
Spring 2014
Rethinking the City Speaker Series
Fall 2013
Rethinking the City Speaker Series
Flyer | Inclusionary Zoning Abstract


text:
Marshal.FreeHGlobal Method
Frees memory previously allocated from the unmanaged memory of the process.
Namespace: System.Runtime.InteropServices
Assembly: mscorlib (in mscorlib.dll)
- hglobal
- Type: System.IntPtr
The handle returned by the original matching call to AllocHGlobal.
You can use FreeHGlobal to free any memory from the global heap allocated by AllocHGlobal, ReAllocHGlobal, or any equivalent unmanaged API method. If the hglobal parameter is IntPtr.Zero the method does nothing.
FreeHGlobal exposes the LocalFree function from Kernel32.DLL, which frees all bytes so that you can no longer use the memory pointed to by hglobal.
In addition to FreeHGlobal, the Marshal class provides two other memory-deallocation API methods: DestroyStructure and FreeCoTaskMem.
Windows 95, Windows 98, Windows 98 Second Edition, Windows Millennium Edition Platform Note: Passing an invalid handle value to FreeHGlobal causes an ArgumentException.
The following example demonstrates calling the FreeHGlobal method. This code example is part of a larger example provided for the Marshal class.
The following example demonstrates how to convert the contents of a managed String class to unmanaged memory and then dispose of the unmanaged memory when done.
.NET FrameworkSupported in: 4.5, 4, 3.5, 3.0, 2.0, 1.1, 1.0
.NET Framework Client ProfileSupported in: 4, 3.5 SP1
Portable Class LibrarySupported in: Portable Class Library
.NET for Windows Store appsSupported in: Windows 8
.NET for Windows Phone appsSupported in: Windows Phone 8.1, Windows Phone Silverlight 8.1, Windows Phone Silverlight 8
- SecurityCriticalAttribute
requires full trust for the immediate caller. This member cannot be used by partially trusted or transparent code.
Windows Phone 8.1, Windows Phone 8, Windows 8.1, Windows Server 2012 R2, Windows 8, Windows Server 2012, Windows 7, Windows Vista SP2, Windows Server 2008 (Server Core Role not supported), Windows Server 2008 R2 (Server Core Role supported with SP1 or later; Itanium not supported)
The .NET Framework does not support all versions of every platform. For a list of the supported versions, see .NET Framework System Requirements.


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CMS Changes Course on Rebilling RAC-Denied Claims
The federal government announced this week that it will change its contentious policy of flatly denying any reimbursements to hospitals that provide medically necessary care determined by auditors to have been delivered inappropriately in an inpatient setting.
The interim rule (PDF) is seen as a major victory for hospitals, which had claimed that the existing rule prevented them from collecting hundreds of millions of dollars in reimbursements. The American Hospital Association and four health systems claimed, in a suit filed last November, that the Centers for Medicare & Medicaid Services had violated the Medicare Act by declining to reimburse the audited claims of hospitals, even though the claims were ultimately acknowledged by CMS to be reasonable and medically necessary.
"CMS has conceded that its current policy of refusing to reimburse hospitals for reasonable and necessary care when the only dispute is which setting, not whether care should have been delivered, is contrary to the law," AHA President/CEO Rich Umbdenstock said in prepared remarks. "That is a central issue in our lawsuit."
Hospitals have long complained about the process that allows private recovery audit contractors to comb hospital records months and years after care is delivered to flag questionable payments.
Recovery Audit Contractors (RACs), which are paid a percentage of the money they recover from hospitals and other providers, often retroactively determine that procedures billed as inpatient hospital care under Medicare Part A should instead have been delivered as an outpatient procedure under Medicare Part B.
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