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EXTREMELY low weight elderly (23kg)...
Started by TillyTake2 , Dec 23 2012 01:47 PM
29 replies to this topic
Posted 23 December 2012 - 01:47 PM
A relative of mine is very elderly (mid 90s) & has been petite all her life. She has recently gone into hospital for dehydration & it turns out she weighs only 23kg!! I calculated her bmi & it would be around 9-10.
She can walk (with a walker) & apparently all her tests show that medically she is completely fine (apart from bloodworm showing signs of malnutrition).
There is a whole heap of background that I won't go into but I'm wondering how this is even possible?! How long can your body really live at that weight? I can't see her gaining any significant weight any time soon (she's been in hospital for 2 weeks and has not gained any weight). There is no medical reason for the weight loss, she is just fussy & would prefer not to eat than to eat something she doesn't want.
Posted 23 December 2012 - 02:05 PM
Sounds like my 91 yo grandma, she has mostly lost her sense of taste, so barely eats anything.
Posted 23 December 2012 - 02:07 PM
Any medical type people able to offer insight? Is this a long term sustainable thing? The nurses in the hospital seemed shocked. We are trying to work out what we should do in terms of planning. Obviously plans for her will be different if it's likely a matter of weeks or months vs potentially years. The thing that gets me is that they say medically she is "fine". How can you possibly be medically fine at 23kg?!!
QUOTE (Mousky @ 23/12/2012, 03:05 PM) <{POST_SNAPBACK}>
Sounds like my 91 yo grandma, she has mostly lost her sense of taste, so barely eats anything.
I'm sorry to hear that Is she in a nursing home or at home?
Posted 23 December 2012 - 02:08 PM
Not much you can do then I guess??
My Grandma lost a lot of weight before she died, she had Alzheimers and just stopped eating eventually. All I can suggest is that you do what you can to make her last days/weeks as happy as possible.
Posted 23 December 2012 - 02:10 PM
I should add that mentally she is totally with it & has been living (alone) at home up until I made her go to hospital a fortnight ago. She is still of the impression she will be going home. Unfortunately the wait list for in home help is huge & she's not even had an ACAT assessment yet.
Posted 23 December 2012 - 02:24 PM
As scary as those numbers sound, it's reassuring that your relative is still able to mobilise. Without prying, does she have a history of depression or low mood that may be causing her to lose interest in food? Her treating time are probably looking into whether her medications could be causing her to lose her appetite. Does she have swallowing issues or poorly fitting dentures that make eating difficult or painful?
It can be difficult for people to put weight on even in hospital because the nutritional supplements prescribed are not to everyone's taste.
Without knowing the investigations performed, their results and what other illnesses your relative may have, it's difficult to prognosticate but as I mentioned earlier, if she is mobilizing and cognitively well, she doesn't sound in danger of deteriorating rapidly.
How long has your relative been at this weight? Obviously a gradual decline would have different causes to a more rapid one.
With regard to the ACAT assessment, this would usually be done when medical and allied health teams are satisfied that she has reached her best functional capacity. The actual assessment takes a few hours and once you have the paperwork and know what level of care she may require then it takes a while to organise service packages or placement depending on what your relative wants. She sounds like she does have capacity to make this decision.
If there are concerns about discharge planning from the hospital's perseptive, a family meeting can be arranged where relatives can meet with the patient and the treating team (medical, OT, PT, nursing and social work) so that everyone's side of the story can be heard.
Hope this helps and isn't too vague.
Posted 23 December 2012 - 02:26 PM
Forgot to mention, for some patients, ongoing rehabilitation in a dedicated unit (as opposed to the medical wards of acute hospitals) may be suggested to give them more time to reach their best function and avoid nursing home / high level care. This would be suggested if the allied health team identify rehab goals for your relative that would be amenable to therapy.
Posted 23 December 2012 - 02:30 PM
She's been moved from a acute care unit to a rehab hospital but they can't give any indication on the plan.
She doesn't have a history of depression but they are trialling some antidepressants. Unfortunately she's not very compliant with medication & will just throw it away (& even though the nurses say they will supervise they don't).
She apparently has a history of abusing laxatives (although we only found this out recenty).
She has lost probably 10kg in the last few months & 10-15kg in the few years before that.
Posted 23 December 2012 - 02:36 PM
QUOTE (TillyTake2 @ 23/12/2012, 03:07 PM) <{POST_SNAPBACK}>
Any medical type people able to offer insight? Is this a long term sustainable thing? The nurses in the hospital seemed shocked. We are trying to work out what we should do in terms of planning. Obviously plans for her will be different if it's likely a matter of weeks or months vs potentially years. The thing that gets me is that they say medically she is "fine". How can you possibly be medically fine at 23kg?!!
I'm sorry to hear that Is she in a nursing home or at home?
She is currently in hospital as she had knee surgery but otherwise she is at home by herself. I work in very high care disability and when someone is under weight, there are things like Ensure puddings and drinks that you can order from the chemist. Aparently they are quite nice, but nan wont have them. Other than the knee, she is quite well, very with it, so hopefully will be like the durocell bunny
Posted 23 December 2012 - 03:13 PM
It does sound much more hopeful than I thought. Hope she keeps on!!!
Posted 23 December 2012 - 03:20 PM
I know an elderly person like this (a relative on my ex's side). She has been seriously underweight for a good two decades now. She seems to exist on cups of tea and takes great delight in cantankerously refusing all the lovingly prepared food that her close relatives, friends and neighbours make for her. She is in her mid 90s now, and continues to be in reasonably good health (although she did break her leg once) despite seemingly existing on pretty much nothing.
Posted 23 December 2012 - 03:26 PM
My grandmother was a chainsmoking alcoholic and anorexic and managed to live into her mid-90s at a weight in that range. She was a couple of inches under 5 feet tall to start with, and like a tiny shrivelled skeleton. She was very proud of how thin she was. She was active and lived at home alone right until the last 6 weeks of her life.
I have no idea how any of that is even possible, it defies all kinds of logic. She used to cackle and say "My hate keeps me alive." She was an awful person.
Posted 23 December 2012 - 03:37 PM
Regarding the puddings that a PP mentioned. When my Dad was in hospital recently, we found that he had lost a lot of weight and lost more during his hospital stay. He had these pudding/custard type meals in hospital and ended up putting on a bit of weight. He doesn't really eat much due to having cancer, being very tired and also because the type of can we makes it almost impossible to eat solid food. He liked eating the puddings and they helped him gain some weight. He wouldn't eat the other puréed they made for him (meat, veges).
The puddings are expensive so Mum researched on the internet and managed to order the same ones a lot cheaper from overseas, so have a look I to that.
Posted 23 December 2012 - 03:45 PM
QUOTE (skylark @ 23/12/2012, 04:26 PM) <{POST_SNAPBACK}>
My grandmother was a chainsmoking alcoholic and anorexic and managed to live into her mid-90s at a weight in that range. She was a couple of inches under 5 feet tall to start with, and like a tiny shrivelled skeleton. She was very proud of how thin she was. She was active and lived at home alone right until the last 6 weeks of her life.
I have no idea how any of that is even possible, it defies all kinds of logic. She used to cackle and say "My hate keeps me alive." She was an awful person.
Lol. I had to laugh as my grandmother is also a horrible person (as awful as that is to say). I have joked with my husband that evil preserves you.
Posted 23 December 2012 - 03:48 PM
We have tried the puddings (& the 2 cal drink) but she refuses.
She insists the food is disgusting (it's not, she's in a lovely private hospital & I've personally sampled some of her food). She also has complaints about the "foreign" staff etc but we won't go there. All in all she's not particularly popular on the ward!
Posted 23 December 2012 - 04:06 PM
Keep in mind that as you get older your appetite does de tease significently. While you may be starving after 2 crackers and a cup of tea many older people in their 90's will find it filling. TBH with many over 90 year olds I have experience with eat very little, weigh very little but are active and medically ok. Your body as you get older appetite does decrease and weightloss in older people is common.
Have a chat to her Dr they will be in a better position to explain the good,bad or indifferent to her current needs.
Posted 23 December 2012 - 04:48 PM
Yeah tube feeding etc has been ruled out & at the end of the day it is her choice to eat or not. At this point our biggest fear is that she will be sent home without the support in place (as the waiting lists are too long) as they believe she should go into a nursing home which she refuses.
If they send her home then we will be forced to go morning and night to help her (or leave her to die on her own which obviously we can't do). She lives an hour from us & has only 2 living relatives (myself & my dad). Well technically my brother too but she alienated him many years ago.
It sounds horrible but at this point I think the best thing is for her to just peacefully go off to sleep & not wake up but the fact she seems to be "healthy" & surviving at such an insane weight makes me think this is pretty unlikely.
The fact she has refused any help in the past puts us in a really hard position as she's not had any of the assessments or gone on any of the waiting lists for help.
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Posted 23 December 2012 - 05:00 PM
If she's not interested then it's going to be really hard, but if she could force them down those Ensure and Sustagen drinks really help my mum, who battles with being underweight as well.
Good luck, it must be so difficult for family
Posted 23 December 2012 - 05:18 PM
Yeah we've tried making everything from puddings to biscuits to pies to lemon tarts, quiches etc. She will take a couple of bites & toss it or say that it lacks salt/pepper/herbs, has too much salt/pepper/herbs etc!!
Apparantly she also takes laxitives so basically even of she does eat something it just comes out. They (drs) think she's probably been doing it a long time.
I don't think she's trying to die (she's still very concerned about her clothes/makeup/appearance & makes sure we are caring for her huge gardens and pool!) so she doesn't seem to have lost the will to live.
It's just so crappy as she's so manipulative & selfish & she will just insist that we have to come every day or leave her to starve
Is there any emergency way of getting care at home when you haven't served the 6-12 month waiting list?
Posted 23 December 2012 - 05:24 PM
Keep in mind that as you get older your appetite does de tease significently. While you may be starving after 2 crackers and a cup of tea many older people in their 90's will find it filling. TBH with many over 90 year olds I have experience with eat very little, weigh very little but are active and medically ok. Your body as you get older appetite does decrease and weightloss in older people is common.
This. You also lose taste as you get older and eating becomes a chore rather than a pleasure. My MIL couldn't have weighed more than that when she died either.
The other option to get nutrients into her is Sustagen. The nursing home where my MIL spent her last days used to supply these and they could have as little or as much as they wanted when they wanted.
Another possibility, as much as it may upset you, is that this is her way of saying she has had enough. There comes a time when life is not what it used to be for our elderly. They have aches and pains and have seen and done all that they wanted. It could be that she is just tired of life and wants to do it in her own way.
I remember how crotchety and stubborn MIL got towards the end. Food had no taste so she didn't eat nearly enough. The staff were the wrong kind of person. They were mean and horrible to her etc etc. She was put on AD's as well but there was no improvement.
By all means push for ACAT but do not be surprised by what they may say.
Posted 23 December 2012 - 05:29 PM
My guess is that they have a done a heap of blood tests and they have all come back normal...she is cognitively OK, doesn't have any complaints regarding pain so theres not a lot they can say I guess.
Posted 23 December 2012 - 05:31 PM
She orders the laxatives from the chemist who home delivers. Because she is of sound mind we have no say in anything apparantly
I was told there was a 6-12 month wait by the 3 different social workers I've spoken to & they said the only other option is a nursing home which she refuses.
The biggest "problem" is that she is deemed to be of sound mind so she has total control over all decisions.
She has signed an advanced directive (but even this only happened a week ago & she still talks about how that was a mistake). My dad will have power of attorney but that only comes into effect if/when she is incapable of making decisions.
Posted 23 December 2012 - 05:33 PM
QUOTE (Alpha_Chook @ 23/12/2012, 06:29 PM) <{POST_SNAPBACK}>
My guess is that they have a done a heap of blood tests and they have all come back normal...she is cognitively OK, doesn't have any complaints regarding pain so theres not a lot they can say I guess.
She has plenty of complaints regarding pain lol
She has a bad back & takes panadol & iboprophene.
She reports she is "allergic" to almost every medication under the sun so this makes things difficult.
Posted 23 December 2012 - 05:37 PM
I guess if we had any idea how long this could go on for we could make decisions like paying for private help etc but the problem is, we can't really do that if this could go on for a year or more.
I can't believe she can continue to live in this state but my gut says she will still be chugging on this time next year so we can't really go paying for private help for years to come.
Posted 23 December 2012 - 05:58 PM
QUOTE (Dylan's Mummy @ 23/12/2012, 03:37 PM) <{POST_SNAPBACK}>
Regarding the puddings that a PP mentioned. When my Dad was in hospital recently, we found that he had lost a lot of weight and lost more during his hospital stay. He had these pudding/custard type meals in hospital and ended up putting on a bit of weight. He doesn't really eat much due to having cancer, being very tired and also because the type of can we makes it almost impossible to eat solid food. He liked eating the puddings and they helped him gain some weight. He wouldn't eat the other puréed they made for him (meat, veges).
The puddings are expensive so Mum researched on the internet and managed to order the same ones a lot cheaper from overseas, so have a look I to that.
Gosh, this is pretty much my Dad too. I'm so glad I stumbled over this thread because I'd never heard of the Ensure Puddings before. My Dad has put on weight with each hospital stay but loses it almost immediately after returning home despite all the meals my Mum tries to get him to eat.
Can I ask where you were able to order them through? Would you mind pm'ing me if its not allowed to mention it publicly?
Sorry OP, didn't mean to butt in.
Edited by Peanut, 23 December 2012 - 05:58 PM.
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The Multi-Jurisdictional Task Force conducted two street crime operations during the past two weeks. The first was conducted July 21st, 22nd and 23rd. The second was conducted July 31st, August 1st and August 2nd. All areas of Ouachita Parish, including the municipalities of Sterlington, Monroe and West Monroe were targeted. ...Read more
Category Archives: Press Release
Deputies Investigate theft of ATV
Ouachita Sheriff's Deputies are investigating the theft of a Kawasaki 650 Brute Force ATV. It is described as being black in color with Kawasaki green front and rear racks. The ATV was taken from a residence in the Slocum Road area on or about July 22-23, 2014. Anyone with...Read more
Deputies Investigate Theft of UTV
Ouachita Parish Sheriff's Investigators are currently investigating a theft of a 2011 Polaris Ranger Razor UTV. The UTV is described as a 4 seat model, black in color, with dual exhausts and a roof panel. The right rear fender is missing. Based on witness testimony, the theft occurred during daylight...Read more
Missing Juveniles – Chyanne and William Taylor
UPDATE: Both juveniles have been located. Ouachita Sheriff's Deputies are asking your help in locating two reported runaway juveniles from the Calhoun Area. Chyanne Taylor, age 12 and William Taylor, age 13, reportedly left their residence during the early morning hours of Wednesday,...Read more
Ouachita Sheriff's Office Investigates Attempted Child Abduction
UPDATE: COMPOSITE DRAWING OF SUSPECT The investigation is continuing. Below is a composite drawing of the suspect based on testimony given. Ouachita Sheriff's Deputies are investigating an attempted child abduction in the Bawcomville area of West Monroe. Investigation revealed two young children were playing near Brown St....Read more


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Note: Residents of the other Nordic countries (Denmark, Finland, Iceland, Norway) need only show a valid national ID card to prove eligibility for public healthcare in Sweden.
Call 112
1177 is the national service for healthcare advice online and by phone, 24 hours a day, 365 days a year. Nurses at 1177 will answer your questions, determine the need for further care, provide advice and/or recommend other healthcare assistance. 1177 offers service in English.
Telephone: 1177
Website: www.1177.se information available in several languages
The European Health Insurance Card entitles you to treatment at any public healthcare facility.
Private healthcare is in general not covered by the card but some private practitioners are affiliated to the public insurance scheme and accept the European Health Insurance Card. Before you visit a doctor or hospital, make sure that they accept the card in order to avoid unexpected costs.
Most dentists can provide treatment under the public healthcare scheme.
There is no reimbursement system in Sweden. With your European Health Insurance Card you should only be charged the standard patient fee, which is not refundable.
If you have had to pay for care, contact your national health insurance provider once you return home to seek reimbursement.


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Bought this mascara on a whim, and got home to read tons of negative reviews here. I was fairly anxious to see how it fared on my short, straight, fine lashes, however was not disappointed. The formula is lightweight, seems to hold curl, and definitely makes my lashes look quite full. Two coats on my lashes actually creates quite a dramatic look (especially considering most reviews suggested this as an "everyday mascara"). I haven't experienced any clumping either. Contrary to what many other people have experienced, I have worn this for 21 hours, and out clubbing, and have not experienced any smudging. Only downside for me is the brush. The bendy bit is ridiculous and just makes it feel unstable and difficult to apply. I also find the applicator itself to be too big. I like this mascara, however I don't love it, and I'm sure I could find something better in the price range. Might buy again, but would most likely keep searching for my HG mascara.
This is one of the worst mascaras I have used. It ended up under my eyes by lunchtime (in splatters from my lashes, like it hadn't dried properly) so I cleaned up &, yep, it was there again after work. Also, the wand has a weird "joint" that makes it unstable & difficult to apply the mascara. Two goes &...in the bin - a total waste of money. While it is cheap, I have rated the price higher because it was such poor value.
More reviews by asdfghjklrachel
When I finally see this available I'm stores in Australia, I grab it straight away. It is a bit pricey ($19.95) but considering all cosmetics in Australia are overpriced it's alright for me. It keeps my curl and make my asian lashes looks long and adds volume. Even with the non-waterproof version it works great, doesn't smudge and doesn't leave your lashes brittle and doesn't clump. Sometimes I use this over my maybelline volum' express magnum which I think is only available in Asia countries (I bought it in Malaysia) for extra volume and curl. But that's not really necessary. Also, it is very easy to take off so no big mess. Overall, this is an excellent mascara and I would definitely repurchase and would recommend to anybody.
I love this mascara!! The brush did take a bit of getting used to, but once i did i loved it. I do seem to have quite a thing with maybelline mascaras though, so i wouldn't expect anything less. Would defiantly recommend to friend.
I tend to like maybelline mascaras, but I was disappointed with this one. The brush was flimsy and I found myself having to use another wand. :/
1 out of 1 people found this review helpful. Did you? Yes No
Not a fan at all. Formula is ok but the brush is flimsy. Meh.
The formula is very light which is good for my asian eyelashes which droop down. The brush im not really a fan of. It is too flimsy to brush my lashes up because they stick down. But when i used a different brush it worked well! It doesnt give a lot of volume but it gave me separated natural looking eyelashes.
I only used this once I didn't love or hate it ill have to get use to the brush then ill probably like it
More reviews by daniheartsmakeup
Info: Oily lids, double lidded (w fold closer to the lash line), Chinese Bought this in waterproof blackest black. Love, love, love! I've only used this once but it's truly amazing! My lashes (asian lashes but longer than typical asian lashes...although still not very long or voluminous or curled) stayed curled all day after I put this mascara on after curling my lashes. I went for really dramatic lashes (as much as I can) and this builds up really well! Although I can get a bit clumpy, just brush the wand through again and get rid of the clump! This made my lashes really long, full, and black! Makes my lashes look like actual decent sized lashes compared to my normal asian lashes! And I haven't tried removing it with an eye makeup remover because I didn't have it at the moment, but it's quite hard to remove with just face wash! Meaning it truly is waterproof! LOVE!
I've never found a Maybelline mascara that has really impressed me, though once again I was compelled to try Mega Plush. It's not awful, but it's nothing special and definitely not worth the price. The flexible wand makes application really difficult, and I found it didn't give my lashes a decent curl because it's not strong enough to push against them. I had to use a lot of it to get any decent length or volume and it dries quickly creating spider lashes. The packaging is a little tacky and you don't get enough of it so I have to pump it 2 or 3 times which I usually avoid doing because it dries out. It was on the higher price end for Maybelline mascaras though I feel I could get the same result from a product a third of the price. I definitely won't be repurchasing and have been disappointed by their mascara once again.


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Looking for a Used Taurus in your area?
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Sho by Ryan — its a quick car, keeps up with v6 mustangs and camaros, but has the ability to drive in snow. only 68,000 miles :) a little rare on these cars. all leather, mach sound system, 6 disk cd, all the goodi... Read More
The Prefect Family Car by Lawrence — love this car. mom got it back in 2000. still goin strong wit almost 170 thousand miles on it. 3.0 liter duratec is still goin strong. pretty damn fast and passes like hell. very comfortable for long ... Read More
Ford Taurus by David — reliable family car, that still runs. The worst part is having to replace the heater core, it's in the dash. Not a job for rookie like me. Good on gas and roomy enough for a family of three. The v... Read More
Looking for a Used Taurus in your area?CarGurus has 19,055 nationwide Taurus listings starting at $1,600.
Ford Taurus Questions
My 98 Ford Taurus Driver Window Is Not Rolling Up It Makes Noise When You P...
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Left rear tire is staggered almost
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after changing my water pump my car still leaks
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Location Of Fuse Box On 1998 Taurus Se Wagon
Just need location of box and are there more than one box.
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Erm. . . Did you take the Part of the Name, "Tenebris Lake" off? I mean, did you make this mode like. . . Slightly related to Tenebris Lake?
Order of the Temple. Many Knights were sent to investigate on witchcraft in a lonesome manor hidden by dark woods, but they didn't came back. One year later, a messenger empowered to find them follows their tracks up to the castle, finding himself lost, or at least confused, after just a few steps in it. Rather than scare, this mod puts the player in front of riddles and puzzles of growing difficulty in a scenery where thinking isn't always the easiest thing. We hope you'll have fun playing it as much as we're enjoying developing it.
0 comments by iropicci on Oct 5th, 2013
Greetings to all the mod's watchers and visitors.
It's been a few months since we last worked on the mod development, that because we're doing this in our spare time which hasn't been so much lately.
The mod itself, however, is very near the end (and the release) and we're at it right now, so I dare to say we'll be able to release Volume 1 before December starts. It may seem still a long time, but then again: we're doing this in our spare time. I'm sure most of you will understand.
Again, we're sorry for the delay, but wait just a bit more and your wait will be rewarded!
Stay sharp.
The PT team
Erm. . . Did you take the Part of the Name, "Tenebris Lake" off? I mean, did you make this mode like. . . Slightly related to Tenebris Lake?
Sorry for the late response.
We actually didn't know about Tenebris Lake, it's a coincidence based on the fact that the latin word Tenebræ (from which the word Tenebris, which is the possessive form) means darkness (or murkiness and so on...) so it's very possible to find different horror games and mods with a name like that.
FYI, Pactum Tenebris means Covenant of the Darkness ;)
However, thanks for the notice!
And apologies to all the watchers for the HUGE late running of the project. Our time is more limited every day but I think I can put more effort into it. Plus, we just got the soundtrack done; that's neat, so we're at it again!
Need a female voice actress? I'm in! :D
Thanks for the offer. For now the storyline doesn't include a female character, but who knows what the future holds... if the next chapters will feature one, we'll contact you right away ;)
Thanks again and sorry for the late response
Thank you so much!! Either way, I'm incredibly excited for this mod. It looks so creative.
First no one said it
No one said it for a reason. It's lame
good custom :)
Thanks ^^
We'll be posting updates soon, so keep an eye on this!
Promote Pactum Tenebris on your homepage or blog by selecting a button and using the HTML code provided (more).


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Girls Velvet Skirt
[55 results priced between £10 – £100]
55 girls velvet skirt £10 £100 /l/girls-velvet-skirt
Miss Understood Girls' Velvet-Trim Maxi SkirtPlush velvet panels add cool texture to this statement-making Miss Understood maxi skirt.£21.48
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uttam kids Flower Velvet A-Line Girl's Skirtuttam kids Flower Velvet A-Line Girl's Skirt£12.00
Monnalisa Baby Girls Pink Roses Velvet SkirtA beautiful ethereal floral printed skirt in pink by Monnalisa, this pleated design will ensure fabulous movement and feminine flair. Elasticated waistband Pleated silhouette Fully lined 100% Cotton Made in Italy Hand wash For more details or assistance please contact us. read more Hide£73.00
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Girl's Korean Fashion Cotton Long-Sleeved Velvet Dress Gauze SkirtKids Apparel:Dresses; Season:Fall,Spring,Winter; Size:140,130,120,110,100; Look After Me:Wash seperately,Wash inside out; THICKNESS:Medium; Elasticity:Micro-elastic; Fabric:Cotton Blends; Dress Length:Knee-length; Sleeve Length:Long Sleeve; Clothing Length (cm):90:50,100:52,110:54,120:6 0,130:62,140:66,150:70,160:74; Clothing Shoulder Width (cm):90:15,100:18,110:21,120:2 4,130:27,140:30,150:33 ; Clothing Sleeve (cm):90:38,100:40,110:38,120:4 1,130:44,140:47,150:50,160:53; Clothing Bust (cm):90:56,1... read more Hide£10.91
Girl's Rabbit Head Add Velvet and Thicked Cashmere Divided SkirtsKids Apparel:Leggings; Season:Fall,Winter; Color:Black; Size:130,120,110; Look After Me:Machine wash,Hand wash; THICKNESS:Thick; Elasticity:Micro-elastic; Fabric:Cotton Blends,Cashmere; Clothing Length (cm):110: 63, 120: 68,130: 73; Clothing Waist (cm):110: 48, 120: 50, 130: 52; Clothing Hips (cm):110: 59, 120: 62, 130: 65 read more Hide£8.55
Il Gufo Girls Grey Tulle Skirt With Velvet TrimFull details of this product will be available here shortly, meanwhile please contact us for any questions such as fitting, materials, etc.£90.00
Monnalisa Girls Boucle Net SkirtGirls Skirt by MonnalisaProduct Reference: 00350144* Boucle glitter skirt with velvet trimming* Elasticated waist* Full netted skirt for a full look* 95% Polyester 5% WoolWashing Instructions: Wash at 30°c read more Hide£77.00
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Girls #TammyGirl Pale Pink Skater Skirt, pale pinkThis older girls pale pink skater skirt has a beautiful velvet stretch waistband and features heatfix diamantés over the mesh top layer.Machine Washable100% Polyester read more Hide£14.00
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Rare Editions Little Girls' Velvet-to-Embroidered DressFrom the striking red velvet sash to the glinty sparkles on the skirt, this Rare Editions dress is a festive must for the merry season ahead.£38.34
International Girls - Pleated Net SkirtThe Demisha tutu has a nylon Lycra bodice with two velvet Lycra panels in the front, the right shoulder strap is of a clear plastic material whilst that on the left and the top edge of the bodice is finished with a ribbon of silk flowers. The tutu has eight layers of our unique pleated net approx. 11 inches (28cm) long reducing to seven layers and 10 inches (25cm) long at size C1, and a full length zip fastener at the back. read more Hide£388.73wearmoi.co.uk
BETTY FLY SKIRTS Skirts GIRLS on YOOX.COMStretch Velvet Solid colour Mid Rise Brooch No pockets Lined interior Dry cleanable Iron at 110° c max Do not bleach Hand-washing recommended Do not tumble dry No fastening Woven not made of fur read more Hide£27.00
Dani Girls Stunning Skirt and Top D4624 D4625Quick Overview Special Little Outfit from Dani, great for all those Christmas Parties. The Top is in Grey and Pink which matches the Bubble Skirt. The skirt has a grey velvet bow with a diamonte in the middle, very French chic. See the Baby Girl dress we have for little sister D4626 100% Acrylic read more Hide£43.95littlewhispers.co.uk
Girls Tutus - Pleated Net Skirts - Aurora Dancewear Girls Tutu Skirts - Ballet Tutus - Girls Dance WearDemisha tutu has a nylon bodice with two velvet panels in the front, the right shoulder strap is of a clear plastic material whilst that on the left and the top edge of the bodice is finished with a ribbon of silk flowers. The tutu has eight layers of our unique pleated net approx. 11 inches (28cm) wide reducing to seven layers and 10 inches (25cm) wide at size C1, and a full length zip fastener at the back. read more Hide£375.33auroradancewear.co.uk
Tall Women's Girls Faux Fur Animal Print Pencil SkirtTall Women's Clothing Tall Girls Soft touch velvet feel very low pile faux fur cream and black animal print pencil skirt with wide waistband, belt loops and split vent at rear. read more Hide£39.99tallandall.com
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KI6?(CHI SEI?) SKIRTS Skirts GIRLS on YOOX.COMVelvet Solid colour Mid Rise Logo detail Drawstring waist No fastening Multipockets Dry cleanable Iron at 110° c max Do not bleach Hand-washing recommended Do not tumble dry Woven not made of fur read more Hide£22.00
Yumi Girls Girls starry sparkle skirt BlackDescription Delivery Returns Reviews Product code: D499933 Product Description Yumi Girls: Add a touch of sparkle this season with our star printed tu tu skirt. It features a contrast textured waistband and velvet bow.SkirtHand wash only100% PolyesterGirl Buy & Collect - FREE (7 days a week) Order before 7pm for collection instore from 12noon the NEXT DAY or on a day of your choice (For Belfast and Dundrum please allow up to 48hrs for delivery. Our City store is closed on Sunday.) Standard... read more Hide£24.00
Girls Black Velvet Spot Panelled Dress, blackThis velvet spot dress is very on trend, as it has a gold spot detail with matching gold piping. The skirt of the dress has netting to give it extra volume, making it special for any occasion.Machine WashableShell: 100% PolyesterLining: 100% PolyesterKeep Away From Fire read more Hide£22.00
SILVIAN HEACH SKIRTS Skirts GIRLS on YOOX.COMLightweight jumper Velvet Houndstooth Brooch Zip closure Side closure No pockets Lined interior Dry cleanable Iron at 110° c max Do not bleach Wash at 30° c Do not tumble dry Woven not made of fur read more Hide£18.00
Sarah Louise Girls Red Tarten Skirt 9572Quick Overview Lovely Red and Royal Blue Skirt from Sarah Louise. The Skirt has a large band at the waist adorned with a Royal Blue Velvet Ribbon, the skirt is fully lined. Would make a stunning outfit with the Red Cardigan 9576, sold separately. Machine Washable Polyester and Cotton read more Hide£38.00littlewhispers.co.uk
GF FERRE' SKIRTS Skirts GIRLS on YOOX.COMDry cleanable Iron at 110° c max Do not bleach Wash at 30° c Do not tumble dry Velvet Solid colour Pleated detailing Logo detail Zip closure Side closure No pockets Lined interior Woven not made of fur read more Hide£32.00
FIORUCCI YOUNGWEAR SKIRTS Skirts GIRLS on YOOX.COMVelvet Solid colour Logo detail Multipockets Lined interior Dry cleanable Iron at 110° c max Do not bleach Wash at 30° c Do not tumble dry No fastening Woven not made of fur read more Hide£26.00
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2014-11-26 00:56:51.540620


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Inspired Living
How Giving Thanks Can Change Your Life
In our goal-oriented world, it can be hard to stop the constant striving and start savoring the riches you already have (monetary and otherwise). Yet feeling thankful — instead of obsessing about what more you want — can bring about many...
The Science of Love at First Sight
No Money for a Monet, No Problem: How to Design and Decorate on a Budget
Do you dream of an HGTV designed home that won't break your budget? You're in luck! Spruce up your home with design tips from Vern Yip.
Not Enough Hours in the Day? What's Really Robbing You of Your Freedom
Tuning in will help you get more done with the time you have
Don't Be a Jerk! The Big Dos and Don'ts of Apologizing
We all screw up sometimes, and that's OK. The best thing to do when you make a mistake is to own up to it and make amends wherever they need to be made. There are also a few things NOT to do — unless you want to add insult to injury and make...
10 Famous Men Embracing Feminism
The "F" word. Yes, Feminism. Many men fear it — let alone choose to label themselves with it. But here are 10 famous men who truly get it, and by "it" we mean that men and women should enjoy the same rights and respect. These celebrities have used...
Warning: Lighting Can Make You Lose Sleep & Money
Once the sun, moon, and stars were our only sources of light. Then came fire, and much much later, electricity (and finally, phone screen glare). It's only been a few hundreds years — a mere blip in human history — that we have experienced the...
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It's supposed to be a time of year filled with celebration and merriment, but almost all Americans (90 percent, to be exact) say they dread some aspect of the holidays. From gift shopping to parties and dinner with the in-laws, the holiday season...
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In The University of Texas at Austin's Department of Kinesiology and Health Education, an exceptional team of health educators has built a reputation for conducting cutting-edge research on topics that define an individual's or community's quality of life and vigorously promoting to the public the best practices for achieving optimal health.
UT Home > Know > Health & Wellness > Health educator
Friday, Nov. 28, 2014
Health & Wellness - Health Educator
Learn about college's health educatorsBy Kay Randall
Kay Randall
Published: Nov. 24, 2008Comments disabled No Comments
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Dr. Jack H. Klausen, MD
Obstetrics & Gynecology, Vista Community Clinic
- 1000 Vale Terrace Dr
Vista, CA 92084
- 1 Office Location
- (760) 631-5000
Dr. Jack H. Klausen has been practicing medicine for 46 years. Dr. Klausen graduated from the University of Kansas School of Medicine in 1968. He practices medicine in Vista, CA and specializes in Obstetrics & Gynecology. Dr. Klausen is affiliated with Tri-City Medical Center and Palomar Health Downtown Hospital. He speaks English and Spanish.
Gender: Male
Years in Practice: 46 Years
Languages Spoken: English, Spanish
Medical School: University of Kansas School of Medicine
Graduation Date: 1968
Hospital Affiliations: Tri-City Medical Center, Palomar Health Downtown Hospital
Specialties: Obstetrics & Gynecology


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Favorite Candy Stores of New England
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We've been visiting a lot of New England resort towns this summer, which means we've also been to a lot of seafood shacks, bookstores, beachy home decor boutiques, and candy shops. And the candy shops have been the most thrilling because they're all about sweetness and fantasy. Even if you're not a huge fan of candy, its appeal is at least 30 percent visual, so it's fun to just go in and take a look. And I'm talking about all-purpose candy stores here, not just chocolate shops. Places where you find bags of malted milk balls and bins of Gummi Worms, salt water taffy and giant lollipops.
I've listed some of my favorites below. What are yours?
The Chatham Candy Manor, 484 Main St., Chatham, MA
The cottage-y pink and white interior is as sweet as the treats on the shelves. Sample the 16 flavors of fudge, a house specialty.
The Harbor Candy Shop, 248 Main Street, Ogunquit, ME
A wall of malted milk balls! Turtles in a dozen flavors! An entire fruit slice section! This small shop manages to cram in a tremendous amount of variety, and its old-time interior is as charming as it gets.
Chutters, 43 Main St.
Littleton, NH; 165 Main St.
Lincoln, NH
The world's largest candy counter, as measured by the Guinness Record folks. That alone is worth a visit!
Sweet Rexie's, 1552 Post Rd., Fairfield, CT
I didn't know there were two dozen shades of M&Ms, but you'll find them here. This store has quality chocolates, all the penny candy choices you'd ever need, and a great space to host a party. It's sugar heaven.
Okay, now it's your turn. What are your favorite candy stores in New England?
Please Note: This article was accurate at the time of publication. When planning a trip, please confirm details by directly contacting any company or establishment you intend to visit.


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9 Spring Cycling Essentials Every Guy Should Ride With
From gloves to socks, find the right layers for road biking in fickle weather. Here's everything you need to max your next workout.
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Wayne Roorda to Receive Rocky Stone Humanitarian Award at the HLAA Convention 2014
March 6, 2014
Nancy Macklin
Director of Marketing and Events
Hearing Loss Association of America
The Nation's Voice for People with Hearing Loss
March 6, 2014
Nancy Macklin
Director of Marketing and Events
Hearing Loss Association of America
Almost 10 years after consumer groups filed a petition with the FCC requesting standards for caption quality, the FCC has acted. On February 20, at their Open Meeting the FCC voted unanimously to upgrade TV closed captioning quality.
HLAA is invited to contribute to a panel discussing the future of IP-based Relay Services, by the Federal Communications Commission (FCC). The FCC is developing and funding interagency research on IP-based technologies. The workshop was convened to gather information on the kinds of research that is needed to improve TRS. The FCC is partnering with the National Institute on Aging for this grant.
Margaret Walhagen, Ph.D., Vice Chairperson of the HLAA Board of Trustees Speaks Out About Screening Older Adults for Hearing Loss
February 10, 2014
Anna Gilmore Hall, HLAA Executive Director
(301) 657-2248
Ronnie Adler, Director of Walk4Hearing
Hearing Loss Association of America Announces Inaugural
Walk4Hearing Ambassador to Raise Awareness of
Hearing Loss and the Walk4Hearing
HLAA filed comments with the Food and Drug Administration (FDA) regarding their draft guidance entitled:
"Regulatory Requirements for Hearing Aid Devices and Personal Sound Amplification Products.''
This draft guidance is intended to clarify the distinction between hearing aids and personal sound amplification products (PSAPs), as well as the regulatory controls that apply to each. This draft guidance is not final nor is it in effect at this time.
HLAA filed comments January 24, 2014, with the Architectural and Transportation Barriers Compliance Board (Access Board) regarding their Notice of Proposed Rulemaking covering passenger vessels.
HLAA Files a Friend of the Court Brief Supporting Equal Access to Captioned Telephones


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What if you held an election and nobody showed up to cover it? That's what the 2014 midterms were like in much of the country.
A funny thing happened on the way to my second column since the Los Angeles Times hired me back.
"Hundreds of Egyptian journalists objected on Sunday to a pledge by newspaper editors to refrain from publishing reports critical of the government, calling the curb on freedom of expression 'a victory for terrorism,' " The New York Times reports.
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Like every young reporter at the Post, I was scared to death of him at first.
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Fred was one of the bravest and most decent journalists I ever encountered.
Working as a journalist in Zimbabwe is a risky business for all members of the media, but it is doubly challenging for women.
In a revelation that seems to vindicate long-aired warnings about how state intimidation worsens the corruption of a press already defanged by the implosion of its financial model, documents obtained by The Intercept show that a prominent national security reporter for the Los Angeles Times "routinely submitted drafts and detailed summaries of his stories to CIA press handlers prior to publication."
This week on Truthdig Radio in association with KPFK: With the current vacuum of regulation, the biggest broadband Internet provider can legally censor content. Also: Why Gaza needs a war crimes trial, journalism struggles with prejudice, and the NFL gets serious about domestic abuse.
Despite a long run of journalistic tough times, the loss of advertising dollars and the challenge of the Internet, there's been a blossoming of investigative journalism across the globe from Honduras to Myanmar, New Zealand to Indonesia.
Through the perverse economics of Internet journalism, Facebook has become essential to the revenue of virtually every publication, including this one. So the social network's promise to cut down on spammy, deceptive posts has many sites atwitter.
The slain photojournalist was "drawn to the human rights side" of war reporting and spoke admiringly of the humanism of his colleagues and some of his early captors.
Light Brigading (CC BY-NC 2.0)
A journalist says he was singed by a flash-bang fired by St. Louis County police trying to disperse a crowd, raising questions about how to use these military-style devices safely and appropriately.
As states move to hide details of government deals with Wall Street, and as politicians come up with new arguments to defend secrecy, a study released earlier this month revealed that many government information officers block specific journalists they don't like from accessing information.
At the heart of what's happening in Ferguson, Mo., is an unbridgeable racial divide that has prevented too many whites from looking at African-Americans as human beings.
Several journalists have been arrested during protests held in Ferguson, Mo., over Michael Brown's shooting; Egypt issues a statement urging the U.S. to employ "restraint" in the Missouri suburb, seemingly mocking similar statements from the American government in the past; meanwhile, the Arctic's snow depth has fallen significantly in the past half century. These discoveries and more after the jump.
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Photo of James Foley by Jonathan Pedneault.
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New York Times/Sergey Ponomarev
Conservative commentator David Frum has tweeted no fewer than eight times his outrage over "faked" photos of Palestinian victims of Israel's military violence. Problem: The photos are real.
Shortly after Israeli Foreign Minister Avigdor Lieberman publicly accused Al-Jazeera of airing "anti-Semitic" propaganda, the media outlet's offices in Gaza reportedly "came under fire" Tuesday.
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NBC.com caught the Israeli shelling of children on the beach on film. Apparently some of the children had been playing soccer with the journalists before the barrages began.
DFree / Shutterstock.com
After the British tabloid printed a story (which was picked up by newspapers all over the world) that alleged his fiancee's mother is not in favor of her daughter's marriage on "religious grounds," George Clooney decided to speak out about "irresponsible" journalism and the "violent" effects this negligence can have.
Ken Wolter / Shutterstock.com
A BBC editor says his 2007 blog on the financial meltdown has been effectively deleted from the Internet thanks to a European court ruling meant to protect privacy.
DoD photo by Mass Communication Specialist 1st Class Eileen Kelly Fors, U.S. Navy
I have never been much of a fan of the journalistic self-examination practiced by folks identified as "ombudsman" or "public editor." I changed my mind Sunday.
New York Times public editor Margaret Sullivan did a quick study and found that critics of the paper of record over its preference for Iraq War hawks as sources and commentators in the past two weeks are justified in their feeling that Iraq War critics have been slighted.
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Journalism is not a crime. Neither death nor imprisonment should be the punishment for reporting the news.
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Aerospace & Defense
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Featured in Amazing Canadian Wildlife on July 1st, 2012.
Featured in Art for Sale on April 4th, 2012.
Featured in Even-toed Ungulates on April 2nd, 2012.
Featured in Amazing Wildlife on March 31st, 2012.
Two identical looking elk stand in the tall grass watching the people that are watching them. Taken near Waterton Lakes National Park, Alberta, Canada.
Canon EOS 50D
Focal length:300 mm
Exposure:1/400 at f/7.1
No post-processing
Beautiful capture and subtle tones!
Thanx Angie :)
– Alyce Taylor
2012/03/27 1 Image per 24hrs
Excellent capture!
Thank you Magaret :)
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2012/03/27 1 Image per 24hrs
Nice work Alyce.
Thanx DG :)
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Congratulations! Featured March 31b 2012. Great image!!!!
Thanx for the feature Sue :)
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Lovely work, congratulations on your feature! :)
Thank you Meladana :)
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Great capture, love the colour tones and simplicity of your editing.
Thanx for the feature Kay :)
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For those who want the best. show stopping 1958 Chevrolet Impala. loaded with matching numbers original drivetrain 348 TRI POWER. power glide duel antennas... More
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Novex Enterprises
B-407914: Apr 5, 2013
Additional Materials:
- Full Report:
Ralph O. White
(202) 512-8278
(202) 512-4800
(202) 512-8278
Office of Public Affairs
(202) 512-4800
Novex Enterprises, of Fort Lauderdale, Florida, protests the issuance of a purchase order to Polymer Technologies, Inc. (PTI), of Newark, Delaware, under request for quotations (RFQ) No. SPM7L2-13-3381, issued by the Defense Logistics Agency (DLA), for insulation panels. Novex argues it should have received the award as the lowest-priced vendor.
We deny the protest.
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Love these little ads for Aaron Draplin's upcoming pop-up shop in Nashville. Tempting to drive down there and check it out. Road trips are always a good idea.
Project Beyond
From the folks over at the Samsung Think Tank Team. This looks pretty dope, can't wait to see what other companies do with this technology.
Fucking powerful.
Artist Perspective: Natas Kaupas
Can't believe I only came across this video now. It's a shame that Nike Snowboarding is ending. Their latest full-length video Never Not was beyond EPIC. I had no idea that legendary skateboarder Natas Kaupas was the Art Director on the flick (among others).
Click the image above to view the short clip.
California Love
Some random photos from my honeymoon in October. All photos were shot on either my Mamiya RZ67 or Nikon F100.


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Ghost FestToday
Ghost Fest returns to Oxford Castle Unlocked, delivering a spine-chilling selection of events as the attraction stakes its claim as the spookiest festival in the UK calendar and the place to be this Halloween.
Christmas at Blenheim PalaceToday
Christmas at Blenheim Palace - There is nowhere better than Blenheim Palace to get into the festive spirit
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MailChimp WorkshopToday
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Gentle Movement to Music for Over 50'sToday
Classes are run by Age UK with leader Jean Foster.
Carousel at Oxford PlayhouseToday
Carousel at Oxford Playhouse performed by Oxford Operatic Society
Riverdance 20th Anniversary TourToday
Riverdance 20th Anniversary Tour at the New Theatre, Oxford
In Conversation with Sheila Hancock27/11/2014
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Don't Miss
- Men's basketball falls to Hartford
- Smaller budgets, fewer classes
- Student hockey tickets sell in record time
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Slideshow: Men's ice hockey ties Niagara
By Andrew Vazzano on January 23, 2010
Men's ice hockey skated to a 3-3 tied with the Niagara Purple Eagles on Saturday.
Photo credit: Andrew Vazzano


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I have tried many chocolate zucchini recipes, but this one, with 3 sources of chocolate, is the most delicious! The sour cream makes it a very moist loaf, and best of all, it is super easy to make! This recipe can easily be made into muffins (picture), by spooning batter into greased muffin tins, and baking for 25 minutes.
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Make this season merry, bright and manageable with our easy ideas.


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Women's Newton Running AhaItem #NWT161
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I am loving this shoe so far. It is a little light on the padding but that is to be expected with a minimalist shoe. I added RR stealth inserts and now it is fantastic! My Achilles pain is gone.
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Holiday Gift Guide: Games
Here at Smart Bitches, we like to help you do your holiday shopping. This week's theme? Games! My husband and I like to play games…wait, that sounds bad. We like to have friends over for game-night. Board games. Totally wholesome. STOP LOOKING AT ME LIKE THAT. Here are a list of some of my favorites….


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How can John McCain make himself more exciting to voters? He needs to team up with Madonna!
President Bush will seek to comfort victims of his presidency as they try to make sense of the destruction he has caused.
The Nation's Christopher Hayes discusses the Right's woeful misunderstanding of the country's gas prices crisis.
Richmond Mayor Douglas Wilder discusses the need to focus on rebuilding American cities from the inside out.
Keith Olbermann says that when it comes to FISA, the Democrats are doing 'a collective impression of Homer Simpson falling off a cliff.'
Progressive Congressman Robert Wexler discusses his new book and what liberalism means for America.
Inspired by The Nation's intrepid reporting, Stephen Colbert asks what would have been if he'd stayed on the South Carolina ballot.
Katrina vanden Heuvel debates the role of former President Clinton and the primary results from Nevada on Sunday's This Week with George Stephanopoulos roundtable.
From Tom Dispatch: The current economic crisis is caused by policies that tax the richest Americans at strikingly low levels and spend huge sums on defense projects that have no bearing on national security.
"Because Washington has no urban agenda, the cities in this country are doing poorly. Unemployment is up. Faith in the economy has gone down. Crime has gone up."
"Our cities across this country are proud. They have a great history. But like a boxer, they've taken one knee, and they have to bring themselves back."
"I want to see one of the candidates come up with a comprehensive plan to eliminate the tide of drugs coming into our country. I mean, we have wars here in our city."


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In news so #blessed that I can't help but praise the lord, it's been reported that Jim Bob and Michelle Duggar are trying to set up their spinster daughter Jana Duggar with acclaimed abortion survivor Tim Tebow. Can you believe it? More