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Laura Witmer arrived home Wednesday night to find her dog severely beaten, her house ransacked and all her Christmas presents stolen from under the tree.
"They didn't even unwrap them," Witmer says. "They just took everything and figured they'd unwrap them later."
Police believe burglars cased this single mother's house, got down her family's routine, and then waited for Laura to leave on an errand at 5:30 Wednesday night.
How do police think the burglars got a big screen TV out of Laura's house without people in the neighborhood seeing that? "They opened the garage door, backed a truck in and closed the garage door so no one could see what was going on," Laura explains.
The only evidence left behind was a crutch they brought to beat her Jack Russell Terrier, Tido. "His mouth was bleeding because he was trying to fight back," says Laura. "He's a hero. He really tried hard for a little animal to fight them off."
The Witmer family needs your help to find these brazen burglars. Their house is located in the 23 thousand block of County road 18, just outside of Elkhart. If you passed by there between 5:30 and 6:30 this past Wednesday night, and you saw anything suspicious, you're urged to contact the Elkhart County Police.
If the Witmer's possessions are never recovered insurance will help replace some of them. "With the.. (sobs). I'm sorry," Laura says. "With the depreciation and stuff, it doesn't look like we're going to get a whole lot back out of it. The kids are understanding. It's all about Christ anyway."
And if burglars will steal Christmas from a scared single mother, police wonder who will be next?


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- New York magazine has a controversial piece about whether it's unethical — morally, biologically, etc. — to be 50+ and pregnant, which is now possible thanks to science. Rather than wrap my head around that conundrum, I'm going to marvel at what it must be like for this kid to have a big brother who's 35 years older. [New York]
- The first African woman to win a Nobel Prize has died at age 71. Wangari Maathai, an environmentalist and feminist, paid women to plant trees to fight erosion and create firewood. [New York Times]
- Amber Rose says people hate on her all the time because she's a woman. There's probably a lot of truth to that. [Clutch Magazine]
- Celebs who want you to know they are not feminists. [The Gloss]
Zergnet: Simply Irresistible
- Popular


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Hotel Whales And Dolphins
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Wednesday, June 18
... given our first taste of the "poor" of Costa Rica - and his house was quite nice compared to some of the others that we saw later in the day. Ronald lives with his sister because his wife also left him after all of this happened. We drove a little longer than an hour south to Ronald's house. I had the privilege of riding with Tim whom owns a hotel with his wife. They've lived here for two years, and he was able to tell me a lot about Osa and living in Costa Rica.
Whale Tail
... As we sat down at a table to wait, the owners wife turned up to serve our breakfast. And a very nice breakfast it was too - fruit, fresh juice, excellent coffee and the best gallo pinto (rice and beans) we have had so far on our travels.
Feeling full after our breakfast, we walked down the dirt road to Parque Nacional Marino Ballena. The marine park, although small in size, is considered very important in Costa ...
Another Day of Zip Lining in Costa Rica
... avaialbe to buy. To buy the fruit, you pick out the one you want, bring it to a stand - a person weighs the fruit for you and then puts a sticker price tag on it. We got a Papaya fruit - as this is my new favorite fruit.. :) We also got some ice cream. I was so hot in the store and from the day of zip lining, I actually welcomed the cold air from the freezer where the ice cream is kept. :) We got a three flavour type of ice cream - called Alaskan.
When we arrived back at the ...
Waking up in a Rainforest
Well after loosing the power for around 2 hours last night, I was nice to have it back on.
Luckily, we still have power at the cottage today.
It is currently 9:37 am in the morning. We plan to go down the hill to venture into Uvita today. I want to find the travel information centre so I can plan some adventures. I e-mailed Bodhi Surf Shop yesterday but still have not heard back from them. I will check my e-mail once again and then just go to the information centre to ...
Just a little history of Uvita
South Pacific Region of Costa Rica For a less crowded beach vacation, Uvita may be the ideal location. Sitting 11 miles (17 km) south of Dominical along Coastal Highway 34 (Costanera Sur), this tropical hamlet possesses great charm in an unspoiled, serene atmosphere. With palm trees swaying in the wind, providing shady relief from ...


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Learn more about the five boroughs that make up New York City with our complete guide.
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Even though it"s named for the superior brandy rating, this kitchen just happens to make an excellent XO sauce: It"s full of the traditional chewy bits of dried scallop, and the usual shrimp-and-chili paste is replaced by diced shiitake, preserved pork and pickle. Other than the XO-doused dishes, you"ll find good Hong Kong comfort food: creamy congee, succulent clams and clay-pot meat-and-noodle stews.


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DMV to Internet-less New Yorkers: Get in Line
By Jared Chausow
By Katie Toth
By Elizabeth Flock
City Hid Facts From Feds About Rikers
By Albert Samaha
Flood Wall Street Gets Pepper Sprayed and Arrested
By Anna Merlan
By Jon Campbell
Report Sheds Light on Anti-Muslim Bias
By Jon Campbell
Rikers Island Lawsuits Over Diabetic Care
By Albert Samaha
Price$868.32 (rent-stabilized) Square feet380
OccupantsJohn Porter (project manager, Pentagram Design; DJ); Chris Brady (computer trainer for large law firm)
You live around the corner from the Big Cup in Chelsea! The Big Cup is so famous. It's like Sardi's or something. All those men with big, bare chests nibbling on scones.[Chris] We call the sidewalk in front of the Big Cup the piazza di Chelsea. [John] The angriest man in New York lives above it. He puts down baby powder on the steps so no one will sit down. People sit down anyway. He's absolutely powerless in the face of the piazza.
I heard Chris gets excited about holiday decorations. Recently you had an assortment of Santas on the toilet tank. What are you going to do for Valentine's Day? Which reminds me, the two of you met at a Labor Day dance at the Palladium three years ago. Then John, you moved in with Chris, who had already lived here five years.[Chris] He didn't move in right away. [John] I thought it was important to keep my apartment in Park Slope for a while. I mean so if we had a fight, I wouldn't be trapped. [Chris] In the rest of the world when you meet someone, the sensible thing to do is make a home together but in New York it's . . .
. . . a big risk. You've really got this long skinny space organized! Antique-y living area in front with foldout couch for sleeping, John's 2000 records in the next section, a computer and clothes-closet area, bathroom, kitchen. What are those line drawings on the wall that all look like the same doodle? [John] I like to draw basket weave pattern systems inspired by Celtic manuscript designs. I really like systems, order.
Oh heck, let's hear it for chaos. Wasn't it Mao who said, "There's great chaos in the land and I'm responsible"? Such a comedian! So John, did you have a lot of chaos in Wellesley, Massachusetts, where you grew up in the '70s in a white house on a cliff and sometimes your father played the clarinet standing on a Scandinavian rug?My father was tidy and my mother was untidy. My sister and I were Dr. Spock children. If we were punished, we had to stand in the corner.
What if people in New York made each other stand in the corner? Of course life in New York is like standing in the corner.[Chris] I'm from Jackson Heights. My father was a sax player, piano tuner, Italian. My mother was fanatically clean. I'm clean but it's not as important to me anymore. You get older and say, Fuck this. [John] As you become more secure in life, you're not as concerned that the bathroom isn't perfectly clean. Of course I've always felt safe in the world anyway. [Chris] He has WASP entitlement. [John] I'm sloppy. I don't care. [Chris] Ah me, poor girl from streets weds WASP from Wellesley.
Gee, your sofa reminds me of this sofa I used to knowwell, that one was Early American with red, blue, and yellow flowers. It ended up in this office somewhere and three things happened on it, or so I'm told. One, there was an employee who used to keepPenthouse magazines underneath it and lie there and do you know what. Then there was another employee and the man she was having an affair with and they couldn't help themselves and they did it on the couch. Then another employee, he had lung cancer, he would lie down on the couch to rest after his chemotherapy treatments. All at different times, of course. Oh, the historical mythological landscape of our furniture . . .[John] See that black chair?
Yes?It was my grandmother's.
And?! I used to sit on it on Sunday afternoons at her house. And she . . .
You had anaffair with your grandmother!No, we used to watch Doris Day movies.


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Foundry Street, Dukinfield, Cheshire.
This church had a graveyard.
This church was founded in 1836. It closed in 1969.
We hope to include a brief summary of the general history of the church here in due course, but please note that that will not include any details of individual members of the clergy, congregation, or individuals who happen to be buried on this site.
Manchester Archives: Registers of Baptisms 1850-1964, Marriages 1892-1967.
Tameside Local Studies: Registers of Baptisms 1850-1953, Marriages 1892-1958.
This church was located somewhere near to OS grid reference SJ9444597861, which you can view on these on-line maps:
A special thanks to the following people who have contributed information for this page: Phil Stringer. If you can contribute any of the missing information, then please use the 'contribute information' link at the bottom of this page to get in-touch.
|GENUKI provides historical & geographical information about places and churches in the British Isles, as an aid to those researching local history or their family history; BUT has NO connection with those places or to those living there today. ALAS WE DO NOT HAVE ANY MORE INFORMATION THAN YOU CAN SEE ON THESE WEB PAGES!


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Circuit Analysis/Optimization Program Speeds Synthesis of Active Filters
A series of computer programs for ac-circuit analysis and optimization and measurements will be explained. The analysis program plots graphs for gain, phase, phase delay, group delay, square wave response, impulse response, step response, or output waveform for any stimulus waveform impedance magnitude (ohms), and impedance phase (degrees), given the schematic diagram in resistors, capacitors inductors, and current-controlled current sources, which can characterize transistors or opamps. This type of analysis is useful for passive and active filters and studies of opamp feedback circuits for closed-loop gain and stability.
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SocioCultural Ecology
The SocioCultural Ecology theme focuses on the study of the fields, processes and codes of assigning meaning and value to the built environments. It involves the histories of environments and how these are transformed and negotiated through theoretical and applied practices.
Key research areas
- meaning and value of the built environment, how this is produced and by whom
- histories of architecture and urbanism
- international collaborative practices, globalisation, management of parties
- power and negotiation of the built environment and its impact on people's lives
- social, cultural and intellectual capital
Group coordinator
Dr Mirjana Lozanovska
Geelong Waterfront Campus
Phone: + 61 3 522 78332
Email: firstname.lastname@example.com
Associated staff
Associate Professor Richard Tucker


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One of the most popular community sports events, the "Over the Hill Softball Game," is making its return. (more…)
One of the most popular community sports events, the "Over the Hill Softball Game," is making its return. (more…)
They're not all ready to embrace the possibility that the national economy is showing long-term signs of recovery, but most Shelter Island business owners are boasting about a remarkable summer season. (more…)
Here's what happening, music-wise, around the Island from August 18 to August 24. (more…)
Two young waitresses in jeans and black T shirts quietly shuttled burgers on the back deck of the Dory to a group of boaters on a picturesque Tuesday afternoon.
As the lunchtime rush wound down, Dory owner Jack Kiffer polished the bar while the waitresses headed into the kitchen, whispering with heavy accents in a language not often heard around here. The two 20-year-old servers, Olga and Nataliia (they preferred not to give their last names) hail from the other side of the world. They call Mykolaiv, Ukraine home, a city of 500,000 in the southeastern part of that war-torn country. (more…)
Sandra Waldner's was a familiar face on Shelter Island even before she landed her job as full-time cashier at the new Schmidt's Market this year.
She's been here since age five, grew up working at the Ram's Head Inn, Gardiners Bay Country Club and the Dory, among other gigs, and graduated from Shelter Island High School.
For 20 years, she worked at the Heights post office. Then in 2006, she and her new husband Peter Waldner — the Island artist and Reporter cartoonist — opened Wish Rock Studio, where they sold Peter's works and those of other Islanders and where Sandra started a custom framing service.
They were so busy Sandra decided to quit the post office job — something she felt compelled to do also because her mother was ailing and so was her sister Kris, who had cancer. Her mom died just a few days before Sandra's last scheduled day at the post office. Kris, who worked on South Ferry, died in 2010. Most of that time she lived in her own apartment at Sandra's Greenport house.
"I was able to spend the last three years of my sister's life with her, going to Riverhead to see doctors. We shopped, we laughed. She was just incredible," Sandra said.
Meanwhile, all had gone well at the gallery until the crash of 2008. After that, sales took a nosedive, forcing Sandra and Peter to finally close at the end of 2010. Peter returned to house painting and Sandra found jobs as a pet watcher, aide and driver, even as demand for her framing services remained strong. But she needed something solid.
When she read in the paper that Schmidt's would be hiring local people, she went in to apply and ran into landlord Danny Calabro, a classmate from her Shelter Island School days.
"I asked him to put in a good word for me with Dennis," Sandra said, referring to the proprietor of Schmidt's, "and he said 'Oh sure.' And I got the job."
"I love seeing so many people" at the market — "people I haven't seen because I've been down here all the time," she said during a long talk at her framing studio on Worthy Way. "I saw more people there in my first three days on the job than I'd seen in the past three years."
"I was so sure the gallery was the right thing for us to do," Sandra said. "I felt it was going to work out. I had complete faith. I was so tired of being afraid."
A conversation with Sandra reveals a warm, thoughtful and generous person, a member of the poetry group at the library (at least before work complicated her schedule) and the kind who never talks about the little things she does for people. Someone else told us that she was the one who made sure a 90-something-year-old customer got a cake on his birthday because she knew no one else would think of it.
Sandra was born in Washington, D.C. in 1954, the youngest of Kathryn Waddington's three kids. Her brother Glenn is a former town councilman and supervisor candidate and a veteran captain at South Ferry.
Kathryn Hawkins had gone to live in Washington with three girlfriends after graduation from Shelter Island High School and met serviceman Robert Waddington there at a USO dance. He later took the family to Ohio when he got a job with the postal service near Dayton.
He and Kathryn divorced when Sandra was five. She brought the kids back to the Island to live with her mother, Mary Conrad Hawkins, and eventually went to work for the postal service herself as a clerk at the Center post office.
When she was 14, Sandra started her first of many jobs, working as a waitress and chambermaid at the Ram's Head. She continued to work summers through school and her two-and-a-half years at SUNY Oneonta. A Regents scholar, she nevertheless needed student loans. She left because she felt as if the economy were in free-fall at the time.
"I was really affected by that," she said. "What am I doing here, I asked myself, accruing debt with no real plan?"
Thinking maybe she'd picked up some great stories for a writing career, she went to work tending bar outside Oneonta at a place called the Evening Inn, where she learned how to play pool and eventually realized — much to the amusement of the working-class bar crowd — that she wasn't supposed to stay open until the last patron stumbled out the door after 3 a.m.
As for good stories, "You realize when people are drunk you wind up hearing the same stories over and over," she said.
After a trip west with a boyfriend, she wound up living with her sister Kris and Kris's boyfriend in a no-water cabin outside Fayetteville, Arkansas working at a fast-food restaurant.
"I found out on that trip I wasn't a pioneer woman," Sandra said.
Back on Shelter Island, Len Bliss gave her work at his department store. Playing pool at the Pub, where La Maison Blanche is today, she met Thomas Corcoran, the son of a Heights summer family who'd been going to college in Ithaca but was finishing his degree at Southampton College.
They were married in 1979 at Union Chapel. After some false starts in businesses in Manchester, New Hampshire and Jersey City that his father had steered him into, they settled in Greenport "for the diversity," Sandra explained.
Thomas worked as a house painter with Jim Brewer for years. Sandra had various jobs until her mother alerted her that a position was opening at the Heights post office. Sandra took the Civil Service test and got the job in 1985, the same year she had her firstborn, Christopher.
Eight years later, after their daughter Alexandra had been born and a few years after Thomas launched his own investment advisory firm, he died at age 39 following a horrible ordeal brought on by severe alcoholism.
On New Year's Eve at the end of 1998, Sandra was throwing a "kid-friendly" buffet at her home in Greenport and asked Peter Waldner, an old friend of Tom's, to come over because she knew he'd be alone that night. Peter's daughter Lindsay was a close friend of Alexandra. His ex-wife Kathy had been Sandra's best friend.
"It was a sparkling night," Sandra said, remembering their stroll down to the First Night celebration going on in town.
When they were married in 2006, "It was a banner year," Sandra said: they opened the gallery, bought their Worthy Way house, and their youngest kids both graduated from college. Alexandra, who went to Boston College, now lives in San Francisco, where she is a barista. Son Chris, who went to Green Mountain College in Vermont, is a captain on North Ferry.
It's hard to work seven days a week — five at Schmidt's and two at her studio, Sandra said. "My choices led me to where I am financially," she added. "I can't blame this on anybody … I would never regret the time I spent with my sister; I wouldn't regret what I learned by opening the gallery and also what we learned about what we believe, Peter and I," about the value of art, no matter what the market may say.


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Rick Owens' Smoke and Mirrors
Rick Owens calls his runway shows "a cheap magic act." But to his audience, they're the most amazing spectacles in fashion. On assignment for Style.com/Print, Alexander Fury braves the elements to see how he does it.
Rick Owens calls his runway shows "a cheap magic act." But to his audience, they're the most amazing spectacles in fashion. On assignment for Style.com/Print, Alexander Fury braves the elements to see how he does it.
This season, no single moment dominated the fashion conversation. But there was still lots to talk about. Today, BoF brings you our bi-annual post-fashion month feature, The Season That Was.
PARIS, France — Straight from Paris, BoF's contributing photographer Sonny Vandevelde brings us backstage imagery from the Anthony Vaccarello, Damir Doma, Dries van Noten, Felipe Oliveira Baptista, Gareth Pugh, Mugler, Manish Arora, Balmain, Rick Owens and Lanvin shows, held on the first and second days of Paris Fashion Week.
Today, BoF founder and editor-in-chief Imran Amed kicks off Right Brain, Left Brain, a new column on his observations at the intersection of business, creativity, and the global fashion industry. LONDON, United Kingdom — In 2006, when I first started exploring the fashion industry, there was one book that became my bible. It wasn't a book about the fashion business. It was a book called Sample, published by Phaidon, which showcased
PARIS, France — As the Paris menswear shows concluded on Sunday evening with Hedi Slimane's menswear debut for Saint Laurent, some notable figures in the crowd of menswear buyers and editors quietly grumbled that this was a lacklustre season. But as always, the enterprising Sonny Vandevelde was backstage to capture those off-the-cuff moments that can make even a ho-hum fashion week feel a bit more exciting. Standout shows
PARIS, France — Ahh, Paris. The spiritual home of fashion where the wonderful diversity of creative ideas and fashion dreams comes together in a veritable cornucopia of collections that close off fashion month. We've selected ten fashion moments from the Autumn/Winter 2012 collections in Paris, with photographs by Morgan O'Donovan, whose camera was focused on all the goings on backstage — before, during and after the runway shows.
Ferré Struggles to Find Its Feet (WSJ) "After Mr. Ferré passed away in 2007, the brand's parent company IT Holding SpA went into government-backed bankruptcy administration in 2009. The brand functioned under bankruptcy receivership until Dubai-based retailer Paris Group bought the Italian label in March. Now, just seven months later, the house's future is in question again after allegations of mismanagement under the new owners."
Kris Van Assche By Rick Owens (Interview) "The last two years have marked a subtle turning point for the 35-year-old Van Assche, who has weathered the early storms, turned back the critics, and started to carve out his own territory. But as he confesses to Rick Owens, beneath his organized, controlled surface lies a quiet intensity that continues to fuel his work." The height of fashion (Marketing Week) "'If
Rick Owens: The prince of dark design (Independent) "In a fashion climate ruled by luxury-goods conglomerates and an excess of merchandise that is both overwhelming and, increasingly, banal, Owens' less-than-conventional career trajectory – his business turned over more than $50m last year – is an inspiration. " The Golden Shears – the Oscars of the tailoring world (FT) "Sometimes we can be so
The Tribes of Westwood, Owens and Demeulemeester (The Cutting Class) "While some designers tend to beat to the drum of being on-trend, others have already cultivated their own communities and are even referencing it within their collections. In the recent Ann Demeulemeester, Rick Owens and Vivienne Westwood collections you feel that they are speaking in a language that their customers already know and understand."
LONDON, United Kingdom — The passing of Alexander McQueen and the future of his namesake brand provided the defining background narrative of the Autumn/Winter 2010 collections. Everywhere a fashionista went, in every conversation, at every show, party and presentation, the ghost of Alexander McQueen seemed to linger as the industry struggled to come to terms with its most sudden loss of creative genius since Gianni Versace was
Imitate That Zipper! (New York Times) "In recent months, a veritable industry has sprung up around [Rick] Owens, who may be fashion's most imitated designer. Rival houses are racing to produce their own distillations of his angular flaps, zigzagging zippers, gossamer T-shirts and biker jackets pliant as second skins." Burberry May Speed U.S. Growth Amid Deals on NYC, Indiana Space (Bloomberg) Burberry may accelerate plans to open U.S. stores as premium shop space becomes available at cheaper prices. "Spaces we thought may not have been available a couple of years ago are available now," said Stacey Cartwright, CFO. Versace ends licence deal with IT Holding unit (Reuters) "Italian fashion house Versace has ended its licensing deal with IT Holding unit…
PARIS, France — Sitting through the Paris collections, I was struck by how unappealing much of it seemed. I find that the editors who attend shows season after season get caught up in analysing a brand in terms of its recent history. Has it moved on, they ask? Where is it going? The ultimate compliment they pay is: "I'd wear that." Now that I'm slightly removed from the day-to-day of it all, I tend to sit


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14 Things We Were Freakin' Obsessed With in 'Napoleon Dynamite'
Napoleon Dynamite turns 10 and there is still no escaping it.
Napoleon Dynamite turns 10 and there is still no escaping it.
For all the changes Facebook has seen in the past 10 years, it's relatively similar to how CEO Mark Zuckerberg imagined it back in 2004: a discovery site for meeting new people and learning new information. In a CNBC interview from 2004 (above), a 19-year-old Zuckerberg spoke with Rebecca Quick on her Bull's Eye show, outlining growth for the new social network and his vision for the future.
Mark Zuckerberg launched "Thefacebook" while he was a student at Harvard University on Feb. 4, 2004. Unlike many trends from 2004, Zuckerberg's creation remains one of the most influential in the world today. But it begs the question: What else was popular that year? See also: Technostalgia: 20 Misty Memories of Personal Computing In the gallery above, we take a look back at some of the most popular people, events and styles from the year Facebook was built.


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Tel Aviv Ben Gurion Airport Private Arrival Transfer
- Stress-free meet-and-greet arrival in Tel Aviv
- Private door-door transfer between Tel Aviv Airport and your centrally located Tel Aviv hotel
- Comfortable seats with generous leg room, air conditioning and luggage storage
- Enjoy smooth, friendly and hassle-free transfer service
- Meet and greet by a professional driver
- Private transfers operate 24 hours, 7 days a week
What You Can Expect
Your transfer will be confirmed instantaneously and you will be provided with a travel voucher to present to the driver. Transfer services are available 24 hours a day, 7 days a week
Customer Reviews
August 2014
Excellent service, and an easy way to begin a trip in this fascinating and fabulous country.
June 2014
The trip from the airport to the hotel was made so interesting by the woman (sorry I can't remember her name at this time) who drove us to our hotel. She was informative and so welcoming. What a pleasant beginning to our trip.


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Jacob Hafter
Attorney Wants Federal Prosecutor On Case
Compares man shot near Redrock Canyon to shooting in St Louis
Berkley Defends Judge On Anti-Semitism Charge
A former Las Vegas Congresswoman has come to the defense of a local judge who was accused of being anti-Semitic for failing to halt a trial for the Shavuot holiday observance.
Live And Local With Kevin Wall 05/23/13: Clark County School District, Illegal Immigrants, And The Gripe Line
The search for a new Clark County school superintendent is over.
Live And Local With Kevin Wall 09/07/12: Open Meeting Law, The DNC, And The NFL
Jacob Hafter Attorney at Jacob Hafter & Associates and he helped the Nevada Policy Research Institute (NPRI) while they were in court fighting the Open Meeting Laws.


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November 28, 2014
Stay up-to-date with KAKE News:
Many of the greatest names in Kansas
history are Lawrence for a big reunion this weekend. And coach Bill
Self says he's sure his Jayhawks will appreciate the presence of
The coach says Kansas players are drenched in the history of
Jayhawks basketball, which includes 50 conference championships and
a long list of great players and coaches.
Self planned to make sure his players seized the opportunity to
get acquainted with coaches like Dean Smith and Larry Brown, and
with players like former All-American Clyde Lovellette.
About 230 former players, coaches and trainers are in Lawrence
to be part of the 110th anniversary of Kansas basketball.
Click Here to access the online Public Inspection File
Viewers with disabilities can get assistance accessing this station's FCC Public Inspection File by contacting the station with the information listed below. Questions or concerns relating to the accessibility of the FCC's online public file system should be directed to the FCC at 888-225-5322, 888-835-5322 (TTY), or firstname.lastname@example.com.


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kitschy ring made of recyling materials and scraps
kitschy necklace made of med lids. and other recycling materials.
A simple glass vase becomes a shabby candlestick!
DIY Stemmed Cherry Blossoms
All Things Paper
Create a collection of hobnail milkglass with a secret ingredient
A tissue paper decorated vase that's easy and inexpensive to make.
A summery decoration which will last all year long!
Vase for only one thing decorated with a balloon XD
Flowers! For me?
Make a cupcake stand out of a Halloween staple
A quick and easy way to add some color to simple bud vases.
How to redecorate an old vase!
These candy corn vases are so cute, you might just want to eat them!
DIY Mercury Glass
Made from old branches
Bake and decorate your own royal wedding cake.
Cheap and easy...just like your mother... Just Kidding (:
Now you can have flowers all year long :D whoooo!!!
Glittery Vase Made with Dollar Store Items
Candy, bouquet. Budget.
kitschy necklace made of med lids. and other recycling materials.
kitschy ring made of recyling materials and scraps
Pretty pens made for the office.
Floral Table Decorations
A coffee filter flower!
How To: Bamboo Knife Holder
We will turn this onion sack from BLAH TO TADA! by re-purposing it as a flower frog.
They lighten up your room.
Red & Ivory Vases of Flowers
EcoGlue Mosaic Vase from JunkMailGems
Sweets for your sweetie
for my froggy
button flowers and fabric cuff
How to arrange a bouquet of flowers.
Hand painted vases
Decoupage Vase


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Signal Energy
based in Chattanooga, TENNESSEE (USA)
Signal Energy is a major design/build general contractor in the North American renewable energy industry with over 7GW of utility scale EPC experience. Signal Energy is a full service design/build contractor providing Engineering, Procurement and Construction (EPC) services for renewable energy projects across North America. As a subsidiary of EMJ Construction, we are the ...
SunChiller Inc
based in Glendale, CALIFORNIA (USA)
SunChiller is distributor of SUNDA solar thermal collectors in the USA. Applications are cooling, heating, domestic, process, and pool heating. SunChiller offers innovative solar cooling, heating, and hot water solutions to customers that are intense users of energy and air conditioning and are susceptible to energy price volatility risk. We distribute SUNDA solar thermal ...
German Academy for Renewable Energy and Environmental Technology
based in Berlin, GERMANY
German Academy mission is to train students and professionals in the field of renewable energies and eco-friendly technologies, thus helping them to become experts in the field. We offer seminars, training programs and conferences in the field of renewable energies, water management and environmental technology. Our courses, that attract students and professionals from ...
My Solar Power Info
based in Bloomington, ILLINOIS (USA)
Encouraging the use of solar power technologies through the promotion of quality products and reliable consumer information. This site is dedicated to encouraging the use of solar power technology by promoting quality products and providing reliable information. The products here are widely varying and range from things useful to a camping enthusiast, all the way to those ...
Silicon Valley Microelectronics, Inc. (SVM)
based in Santa Clara, CALIFORNIA (USA)
Silicon Valley Microelectronics, Inc. (SVM) is a leading distributor of Silicon Wafers and provider of wafer services for the semiconductor industry. As the world's largest distributor of silicon wafers and services, SVM maintains an extensive inventory with a variety of specifications in all diameters. SVM offers an array of wafer processes ranging from thermal ...
Global CSP
based in Manchester, UNITED KINGDOM
A start up company, innovation in CSP products, designers, developers of precision engineered products, the worlds first sealed trough parabolic trough system, niche market of small to medium scale CSP application for industry, off grid and remote communities. In collaboration with Cranfield University for the development of a range of Organic Rankine Cycle power blocks ...
based in Jiangsu, CHINA
Seasun, the company was established in 2007 by a group of experienced and professional engineers. The manufactory is located in the Changzhou Jiangsu China. We employ the most advanced and sophisticated production machines and processes. Seasun strives for continuous improvement to provide the best quality products you can trust. The factory has grown into the ...
Eurus Energy America Corporation
based in San Diego, CALIFORNIA (USA)
Eurus Energy America is responsible for renewable energy development in North America on behalf of Eurus Energy Holdings, owned jointly by Toyota Tsusho Corporation (Toyota Tsusho) and Tokyo Electric Power Company (TEPCO). As one of the pioneers behind early wind energy development, Eurus Energy America has been active in wind energy development in the United States since ...
Samlex America Inc.
based in Burnaby, BRITISH COLUMBIA (CANADA)
Samlex is your complete source for commercial, industrial and consumer power conversion products. Innovative product design, strict quality control, as well as responsible before and after sales service provide customers with superior power conversion products at extremely competitive prices.
Tata Power Solar Systems Limited
based in Bangalore, INDIA
Tata power solar is India's largest integrated solar company committed to enabling solar everywhere. Tata Power Solar (TPS) is India's largest integrated solar company that is driven by the singular vision – harness the power of sun to enable solar everywhere. Headquartered in Bangalore, TPS operates in three distinct segments – cutting-edge manufacturing, large-scale ...


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Drain line Jetting
What Are Drain Line Jetters?
Drain line jetter systems are used for cleaning and maintaining drain and sewer lines. A typical drain line system consists of a controlled high-pressure pump or pressure washer, a flexible high pressure hose, and a nozzle that utilizies a hydraulic force to pull the hig pressure hose down drain and sewer lines cleaning the sides, unstopping clogs, and flushing out debre.
Jetters come in a variety of makes, styles, and capabilities. There are units made specifically for residential use and units built to handle larger commercial and municipalities sites. Jetter sizes range from handheld units to large trailer-mounted jetters.
Typical drain and sewer line jetting applications include de-icing, thawing frozen drain lines, Hydro Excavating, degreasing restaurant lines, clearing residential sewer lines, root cutting, removal of mineral deposits and corrosion, descaling cast iron pipes, industrial pipe and tube cleaning, and locating damaged areas within drain and sewer lines.
Other possibilities include cable pulling for voice and data communications cable, hydro excavation, and fountain maintenance.
The goal of drain line jetting is to get a solution in contact with whatever is obstructing the line and flush it through the pipe. Cleaning restaurant lines, especially restaurants with heavy grease build up, require higher pressure along with lower flow rates giving a the spray better scouring action on the pipe. Larger commercial plants like packing plants, food plants, etc. require a higher flow volume to flush solution down the pipe and break up debre.
When approaching a jetter job nozzle selection is critical for getting the job done. Different nozzles have different spray patterns and in turn do different things inside a pipe. Nozzles with spray angles closer to the center line of the hose or parallel with the hose's center have "more pulling power" which is necessary to tow the hose down the line. Nozzles with wider angles (pointed more directly at the pipe walls), are more effective at cleaning the pipe. To break it down, if a nozzle has better cleaning power, it has less pulling power.
Research and experience will mostly determine which nozzles will wokr best in different situations. The basic rule of thumb is to break through any clogs in the line first then go through and scrub the line.
See www.hotjetusa.com for more information on trailer-mounted jetters.


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Select () or exclude () categories to narrow your recipe search.
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Find exactly what you're looking for with the web's most powerful recipe filtering tool.
1/2 Photos of New Orleans Style Crabmeat Salad
Prep Time:
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2 hrs
A flavorful twist to crab salad. Ingredient amounts can be adjusted to suit individual tastes. I usually add extra celery and olives.
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pimento stuffed olives
Every recipe, menu, tip and how-to is right here, at your service.


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November 25, 2014
DALLAS (AP) - A convicted felon from Dallas has been sentenced to 20 years in prison in a deadly drug smuggling and weapons case.
A federal judge in Dallas on Monday sentenced 33-year-old Jose Inez Zapata. Zapata last August pleaded guilty to using and discharging a firearm during a drug trafficking crime and being a felon in possession of a firearm.
Investigators say Zapata in 2011 shot and killed a person during a marijuana deal in a parking lot.
A Mesquite police officer in 2012 tried to stop Zapata as he drove a stolen truck. Zapata led officers on a chase, eventually stopped, then tried to disarm an officer but was arrested. Two guns and counterfeit cash were seized.
Zapata has previous convictions for aggravated robbery and aggravated assault on a public servant.
(Copyright 2014 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.)
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Bangalore to Shimla
Direct trains to Shimla from Bangalore are not available. Tourists can book YPR-Chandigarh Karnataka Karnataka Sampark Kranti Express that takes around 52 ½ hours to reach Chandigarh from Bangalore. Tourists can also take Rajdhani Exp from Bangalore to Delhi that will take around 35 hours. From Delhi, tourists can conveniently book trains, buses or taxis for Shimla. Tourists are recommended to take up the toy train from Kalka to Shimla as it is a heritage attraction that reveals the best of Shimla beauty.
Direct buses or taxis from Bangalore to Shimla are not available due to the long distance. Tourists have the option of ether flying to Delhi to Chandigarh or taking a train to either of these destinations. From here taxis, trains and buses are available for Shimla. While flights are the fastest way to reach Shimla from Bangalore, taking the train will be the most economical option.
Bangalore to Shimla Trains
Bangalore to Shimla Flights
Bangalore to Shimla by Cab / Taxi
Shimla Packages
Bangalore to Shimla Driving Directions
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What's your travel style? Are you itinerary and schedule driven, needing to have every step mapped out in advance or are you content to arrive without a plan and let happenstance be your guide?
Comments are always closed on prompts. Pingbacks are enabled; if you link to the prompt post on your blog, your post will appear in the list below the prompt.


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Army Sgt. 1st Class Samuel C. Hairston, 35, was killed in Ghazni, Afghanistan on Aug. 12, when he was hit by small-arms fire during combat, according to the Department of Defense.
KPRC-TV reports Hairston attended the University of Houston, and was a defensive lineman for the school's football team from 1997 to 2000.
He joined the Army in 2003.
Hairston was assigned to the 1st Battalion, 504th Parachute Infantry ...


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User Reviews for Tivicay
The following information is NOT intended to endorse drugs or recommend therapy. While these reviews might be helpful, they are not a substitute for the expertise, skill, knowledge and judgement of healthcare practitioners in patient care.
Learn more about Tivicay.
Reviews for Tivicay to treat HIV Infection
Review by James42yearsold2014:
|User Rating:
I've been on Tivicay for about 5 months now. I have more energy and no common side effects except for two very important ones to me. The first one is the "wasted look" on my face. I began to notice this a about month a go. My cheeks have becomes more hollow, I'm terrified to think what they'll look like a year or two from now. I just don't want to be prejudice against for having HIV. The second problem is my liver. My recent blood test showns that it's 50% above normal. I don't drink, smoke, I don't know what to do now. I don't want to end up having to go to dialysis weekly.
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October 31, 2014 1:05 AM
Review by Speed of Light (taken for less than 1 month):
|User Rating:
I have been on Tivicay for close to 4 weeks now. I was previously taking Atripla for about 5 years and we switched to Tivicay. I have not been feeling so well on this. I experience headaches frequently, faintness, and moments of memory loss. I am switching this medicine as soon as possible
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September 22, 2014 10:48 PM
Review by TampaGuy1000 (taken for 1 to 6 months):
|User Rating:
Started to Tivicay and Epzicom on May 6th. Viral load was 200,000 and CD4 was 208. After 6 weeks my viral load was 367 and CD4 was 337. Doctor said it was working very well and I don't have to go back for Labs until September. The first 2-3 weeks were pretty rough with diarrhea, headaches and very low energy, but I'm feeling a bit better now. I was freaked out that the test did not come back as undetectable, but I asked my expert doctors and they said my results have been superb so far. I think people get hung up on being undetectable very quickly. If you start with a high viral load above say 100,000 it can take a few months to reach undetectable.
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July 15, 2014 8:10 AM
Review by LadyDocNC (taken for 1 to 6 months):
|User Rating:
Better option for my patients that cannot take STRs or for those patients that I would not start on STRs due to potential issues with compliance, easy to add to either NRTIS regimen, once daily is better for compliance
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October 23, 2013 4:13 PM
Learn more about HIV Infection
Micromedex® Care Notes:
- Acquired Immune Deficiency Syndrome
- Human Immunodeficiency Virus And Acquired Immune Deficiency Syndrome
- Human Immunodeficiency Virus Infection
- Sexually Transmitted Diseases
- Sexually Transmitted Diseases In Adolescents
Medical Encyclopedia:
- Botulism
- Choroidal dystrophies
- ELISA/Western blot tests for HIV
- HIV infection
- Pets and the immunocompromised person
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Who's Your Favorite Lara Croft?
Thursday 19 August By Justin Massoud
Asylum Around the World -- Of Poles and Poultry
Monday 01 December By Julieanne Smolinski
Most Popular Posts
Most Commented Articles
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Asylum Originals
The Best Political Freudian Slips
Awesomely Revealing Gaffes ...
- Photobombers -- Ruining Your Pictures, One Click at a Time
- Hot Weather Girls -- Vote For Your Favorite
Page Turners
Asylum goes to the Batman Live auditions
Our Oli brings a camera along to meet the gang -- and even finds himself a real hero on the way.
Meet the hottest women on YouTube!
World's most amazing survival stories?
The streaker fail to end all streaker fails


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Belle's clearly not enjoying being back at school when Chas realises the teenager is faking an illness so she can stay at home.
Belle's clearly not enjoying being back at school when Chas realises the teenager is faking an illness so she can stay at home.
*Second episode*
*First episode*
Pete gets a big shock when he's accused of selling ecstasy which resulted in a girl dying, but that's not all – he's arrested for supplying drugs, too!
After having his vasectomy reversed, Jimmy's feeling a bit sore down below and is in no mood for any hanky panky with Nicola, so while she's keen to put their baby-making plan into action, he just
Jai may have got his son, Archie, back but he's clearly lying about how he made it happen.
As the Sugdens gather for a memorial service for their mum, Sarah, Robert is saddened to hear that his brother Andy still blames himself for her death, while Victoria's pleased to see her brothers
*Secondnd episode*
*First episode*
Nicola's changed her tune about having another baby so she excitedly tells her sister Bernice that she and Jimmy are going to try for another baby.
Marlon tries to give Belle a boost by asking her to look after April, but soon retracts the offer when Gabby reveals that the teen threatened to kill her!
Belle's back in the village after her incarceration, but it's becoming clear she's having trouble trying to settle back into her old life.
Belle gets a warm welcome when she's released and allowed to return home.
*Second episode*
*First episode*
Charity's sold Shirley's car for the parts, but Ross reckons that taking apart the vehicle is too big a job for one mechanic to handle.
As April continues to have trouble sleeping, Laurel suggests to Marlon that they take her to a specialist, but he shuts her down and denies his daughter needs help.
Jimmy was petrified about what Nicola would do when she found out that he had secretly been spending time with baby Carl.
It's not been long since the shock death of her mum, Donna, and April is still having trouble coming to terms with the fact her mum is gone.
*Second episode*


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Category: Home of the Week
Shades of Gray
A standard cliché of home decorating, probably not politically correct anymore, is that the house "needed a woman's touch."
Crazy About Christmas
If you've found it difficult to find glitter, batting, ribbons, feathers and little elves for your home Christmas display this season, it's because Sherlin Owen and Charlotte Hudson might just have bought it all.
Not-so-Empty Nesters
When Marsha and Mark Riggle bought their property in Gardiner Park of Eastern Jefferson County a year ago, they could have built pretty much anything they wanted.
Crossing the Bridge
Mechelle Artis has two big posters of the Brooklyn Bridge on the walls of her apartment. She's never been to New York, but she likes the posters because they remind her of Louisville's bridges.
Six Degrees of Separation
Once a year, Sarah Mitchell puts on the Julep Ball for 1,400 people at the Yum! Center.
The Wildcat Formation in Mockingbird Valley
You almost think that if Teri Wells Cullinan had her way, she'd have recreated her Mockingbird Valley house to be a replica of Rupp Arena.
A Hippie in Anchorage
Candace Welch's motto is, "Life is too short for beige."
The Mansion that Becomes a Haunted House for Halloween
Just a shame what happens to Amelia Place this time of year.
Louisville's Homes of the Centuries
The Homes series is intended to be more than just a tour of interestingly designed living spaces. It's also a look into how today's Louisvillians live their lives – their tastes, customs, preferences.
Haunted Hillcrest
On Hillcrest Avenue This Month, The Devil Walks Among You


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Books filed under "Beginner"
How to Buy the Right Plants, Tools & Garden Supplies
With this essential guide in hand, you'll never experience buyer's remorse again! $14.95
Keshiki Bonsai: The Easy, Modern Way to Create Miniature Landscapes
A revolutionary, stylish approach to creating living pieces of art. $19.95
The Anxious Gardener's Book of Answers
Identifies over 100 of the most common gardening mistakes and how to prevent them. $12.95
The Beginner's Guide to Growing Heirloom Vegetables: The 100 Easiest-to-Grow, Tastiest Vegetables for Your Garden
Growing the best vegetables doesn't have to be hard. $19.95
Sugar Snaps and Strawberries: Simple Solutions for Creating Your Own Small-Space Edible Garden
Inventive growing techniques to get the most out of tight spaces and little time. $19.95
The Nonstop Garden: A Step-by-Step Guide to Smart Plant Choices and Four-Season Designs
All you need to create a productive, beautiful garden from the ground up. $19.95
Bloom-Again Orchids: 50 Easy-Care Orchids That Flower Again and Again and Again
Highlights fuss-free varieties and includes invaluable tips on how to keep them in bloom. $14.95
Black Plants: 75 Striking Choices for the Garden
Explore 75 dusky denizens of the plant kingdom — plants with black (or near-black) foliage, flowers, or fruit. $14.95
Perennial Companions: 100 Dazzling Plant Combinations for Every Season
Eliminate garden guesswork with 100 dazzling perennial combinations and practical information on care. $14.95
The Art of Botanical Drawing: An Introductory Guide
A beginner's guide to botanical illustration that shows artists the basics of painting and drawing plants. $19.95
50 High-Impact, Low-Care Garden Plants
The 50 best low-maintenance, show-stopping plants that anyone can grow. $16.95
Air Plants: The Curious World of Tillandsias
Shows how simple and rewarding it is to grow, craft, and design with these modern beauties. $19.95


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Ed Miliband the latest Western politician "taken in" by Sderot Fails to keep election promise to see the situation in Gaza for himself By Stuart Littlewood - Sabbah Report Ed Miliband, UK Labour Party leader and younger brother of former British Foreign Secretary David Miliband, has just been on a visit to Israel and occupied Palestine. Ed, who is Jewish, is a wannabe … [Read more...]
And after the ceasefire
Oppression will resume, the land-grab will continue, more rewards for Israel will flow... And it will be business as usual for Western leaders and their Zionist friends In 2009 when Israel's 22-day blitzkrieg was over, nearly 1,400 Palestinians had been wiped off the planet of whom four-fifths were civilians and 350 children, and over 5,000 wounded. Israel had destroyed … [Read more...]
Hell-on-Earth in Gaza four years ago
"If the world grants the Palestinian people their human rights there will surely be peace in the Middle East" – Pastor Manuel Musallam This seems a very good moment, on the sixth day of "Operation Cast Lead" Mark-2, to remember what happened when Israel unleashed its last blitzkrieg on Gaza – "Operation Cast Lead" Mark-1 – over the Christmas/New Year holiday period … [Read more...]
Has David Miliband changed his spots?
Medical Aid for Palestinians (MAP) has been providing vital help to vulnerable Palestinian communities ever since the Sabra and Shatila massacre 30 years ago. Eyebrows therefore shot up when MAP announced that former foreign secretary David Miliband will be speaking at its Annual Gala Fundraising Dinner tomorrow (Thursday) held in the posh Sheraton Park Lane Hotel. It … [Read more...]
Murdoch is not the only maggot in the rotten apple
By Stuart Littlewood * | Sabbah Report | www.sabbah.biz Having disposed of the Murdoch menace - for the moment anyway - it's time for the British public to turn the spotlight on the other villains our craven politicians pay homage to. Public enemy Number One is the pro-Israel lobby. An organization called the Conservative Friends of Israel states it has "twin aims of … [Read more...]


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Goat Ribs...Any recipes?
I bought two racks of goat ribs at the farmers market. They're dethawed and I rubbed them with some salt and pepper. I'd love to make some delicious with them tomorrow...but I have no idea where to start.
I love birria tacos...any kind of birria, really; but I'm I'm to anything (although I do have much better access to Mexican ingredients as opposed to Indian).
Any advice?
I hope some suggestions come here. We're heading to Brazil in a few weeks where we can get goat easily. That sounds so good.
i like to do braises with ribs. if it's young goat, i'd use white wine, older goat would hold up well to red wine or beer. i brown the meat and remove from the pan. saute aromatics like onions, carrots, bay leaf and garlic. add the meat back to the pan and pour enough liquid in to nearly cover the meat. bring to a simmer, then just let it bubble away til falling off the bone tender.
again depending on the relative youth of the animal this could take 2 hours or 6. you can strain the cooking liquid and reduce it for a sauce. i often add an acid here, like oj or lemon juice.
You could do Jamaican curry with them the ingredients should be easy to obtain.
Birria is a great idea as well.
To do an Indian version you really do not need a lot of specialty ingreadints. Just look for Mutton recipies (goat is ofter called Mutton in India(southern)).
This is my typical goat rib recipe.
The goat that I usually get from Indian groceries might be called 'cubed goat', frozen goat that has been cut into cubes on the band saw. As such it includes all sorts of cut bones, some clearly being the shoulder. This makes a great stew or braised meat dish that can have Indian, Mexican, Caribbean, or other character depending on the spices and vegetables. I don't know if the ribs require the same lengthy braise, or whether you get by with something similar to slow roast pork ribs.
re: DiveFan
Can u give your pozole recipe? Do you use pork in it as well?
re: DiveFan
Sorry if I was unclear - most posole is made with various pork parts but I include some chicken parts as well. I haven't tried goat in posole, yet.
As for a recipe, I usually 'wing it', go non-traditional and use pork shoulder and red canned hominy. Posole corn is larger, usually in dried form that requires treatment with cal before cooking. Here's a recipe that is close: http://www.chow.com/recipes/28152-poz...
I'd use less hominy, add pork parts, substitute fresh poblano and serrano chiles. Cook until hominy is tender, remove the meat and hominy, blend the broth until smooth and recombine.
I found this pic of an example of something: sometimes the butcher gives these really gristly and boney goat meat chunks and just a few nice pieces, and to avert that and be sure I get a lot of good meaty pieces, I occasionally make 'curries' with goat ribs. This is roghan josh made in that way that I made a couple months. (yes that really is a centimeter of oil on the top of the Roghan Josh, and it is red from the Kashmiri chile)


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River Oaks & Grande Villas
Check Rates & Availability at River Oaks & Grande Villas
River Oaks Resort & Grande Villas of World Tour Overview For a memorable family or golf vacation, plan your next Myrtle Beach trip with a stay at River Oaks Resort or Grande Villas at World Tour!
Situated just west of the Intracoastal Waterway, the River Oaks Resort and Grande Villas of World Tour are only a short drive from the heart of Myrtle Beach and the beautiful South Carolina coast. All properties within the resort offer great golf options at the River Oaks and World Tour courses, both featuring pristine 27-hole layouts ideal to challenge your game. This, along with the over 90 other area courses make it obvious why Myrtle Beach is known as the Golf Capital of the World!
Like the golf options, our units are designed to impress. Clean and modern accommodations are waiting at each area property. Offering one, two or three bedroom floor plans, various group sizes can be accommodated. And with fully-equipped kitchens, washer/dryer combinations and WiFi, the conveniences of home will be there during your vacation! Great property amenities are available, including indoor/outdoor pools, Jacuzzis, tennis courts and BBQ grilling areas.
Make the most of your next Myrtle Beach getaway, and plan your next stay with us at our lovely River Oaks and Grande Villas resort condos!
A multitude of on-site amenities are waiting for you during your stay at River Oaks Resort and Grande Villas, including:
On Site:
- Free Parking
- Free WiFi
- Laundry Facilities
- On-Site Restaurant
- Outdoor Grilling
- Swimming Pool - Indoor
- Swimming Pool - Outdoor
- Tennis Court
River Oaks Resort Golf Villas
All units at River Oaks Resort and Grande Villas of World Tour are designed to offer the convenience of home on your vacation. Fully-equipped kitchens, washer/dryer combinations and multiple TVs are standard in every unit. Many of our units also offer complimentary WiFi. A variety of bedding options will ensure groups of all sizes are comfortably accommodated. Each unit also features a private balcony, offering tranquil views of the area golf courses.
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2 Bedroom Golf Villas from $89 per night. Great savings for a couple or the whole family!
Where to See Live Animals in Myrtle Beach
Add an exotic experience to your vacation to-do list with a visit to one of several live animal sanctuaries, zoos and aquariums in the Myrtle Beach area. From a native species sanctuary to beautiful sea habitats to zoos featuring wild animals in all their glory, you'll delight at the wonder of nature's wild creatures at several animal attractions in the area.> read more
Fly fishing in Myrtle Beach is off the hook
When most people think of fly fishing, they picture old men standing in a mountain stream wearing floppy hats and hip-waders while casting their lines at trout and salmon. The Atlantic Ocean and, more specifically, Myrtle Beach? Not so much. Ocean angling is more commonly associated with deep-sea fishing for the big bottom-feeders, or tempting the predatory fish to the surface with spinner baits. Fly fishing and surf fishing do not mix. But that line of thinking has changed in recent years as fly fishermen are finding prime territory in the ocean flats and inland rivers and estuaries. While the direct ocean waves and wind make it difficult to properly and accurately pop your line, there are friendlier waters both inland and out to sea. In fact, many anglers consider saltwater fly fishing to be the most fun way to fish.> read more
Grand Strand Piers Offer Great Fishing, Views
For ocean fishing without a boat and for walking on the water without getting wet, you can't be the access of one of the eight fishing piers located on the Grand Strand. While most pier may charge a buck tor two to walk out to the end of the wooden docks, and even a little more to use it is a fishing platform, it's worth every penny to stroll out over the ocean. And you arms will get a workout just like your legs if you decide to drop a line. Here are the best piers to check out during your stay on the Grand Strand.> read more
A Day on the Myrtle Beach Boardwalk
Your stay at the Driftwood Resort wouldn't be complete without a day spent on the Myrtle Beach Boardwalk just steps away. Great food, fun activities, beautiful views ... it certainly has a lot to offer. Here are our suggestions for a full day of fun on the Boardwalk. Start your day off right with a quick stroll south to the Boardwalk Coffee Shop, where you'll find a full range coffee beverages, plus some breakfast offerings that will fuel you up for a day spend walking and taking in the activities the Boardwalk has to offer.> read more
Calendar of Events, July 27-Aug. 2
Come check out some great events happening this week in and around Myrtle Beach.> read more
Calendar of Events, July 6-12
Get out and about this week with some of the best events going on around the Grand Strand this week in July!> read more
Calendar of Events, July 20-26
Come check out what's happening this week in and around Myrtle Beach!> read more
Calendar of Events, July 13-19
Come see all that's happening in and around Myrtle Beach this week in July!> read more
How to "Unplug" in Myrtle Beach
Vacations are supposed to rejuvenate, relax and revive you. But when crouched over a device, the effects of time away are completely lost. And let's not get started on teens and those phones…Short of "forgetting" your device chargers at home, how do you truly unplug in Myrtle Beach?> read more
Calendar of Events, June 29-July 5
Check out all that's going on this week in and around Myrtle Beach!> read more
River Oaks & Grande Villas
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The Iowa City Old Capitol Kiwanis Group presented $1,000 to the ARC's pArk...more
The Iowa City Old Capitol Kiwanis Group presented $1,000 to the ARC's pArk...more
Three members of Iowa City Old Capitol Kiwanis recently traveled to Audubon,...more
Each year Iowa City Old Capitol Kiwanis holds a prayer breakfast on Good Friday. ...more
Members from the U of I Circle K joined us for our Thursday morning meeting.... more
Old Capitol Kiwanis is pleased to welcome Jim Maxey to our club. Pictured...more
The Old Capitol Kiwanis Club of Iowa City is a service organization comprised of caring men and women from all walks of life. Our objective is to bring aid to children in need, and the majority of our efforts benefit children in our neighboring community. We love to serve, and we love to have fun. At Old Capitol Kiwanis, we are a community of people who want to change the world one person at a time. We believe that one person can make a difference.
This year's Kiwanis Chili Supper raised almost $15,000! Thank you all for making it such a success!
We meet every Thursday morning at 6:30 at St. Mark's United Methodist Church located at 2675 East Washington Street in Iowa City IA. Please join us for a meeting… we would love to have there!
Old Capitol Kiwanis Mailing Address:
Old Capitol Kiwanis
Larry Kral, President
P.O. Box 405
Iowa City, IA 52244


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Pizza Vs. Skeletons is an epic, ridiculous, 2D platform game designed from the ground up for iOS. You control a 25-foot-tall pizza as it smashes through a horde of undead rivals on land, sea, and in outer space.
Recent Upgrades:
1.3: New ingredient: rule the seas with Pirate Beard!
1.3: Sound effects now play on the TV via AirPlay and HDMI
1.3: Improved sound effect volume levels
1.3: Sound effects now properly play through headphones while the silent switch is on
1.3: New achievement
1.2: 10 All new levels in an 11th chapter, 100% free!
1.2: New level style: Pizza takes to the skies
1.2: Improved graphics for the new iPad (3rd gen.)
1.2: New secret ingredient: celebrate Cinco de Mayo with a sombrero
1.2: New achievement
1.1: Support for French, Italian, German, and Spanish
1.1: Support for the new iPad (3rd gen.)
1.1: New Easter Egg Crust
1.1: Mute all sounds from the Pause menu
1.1: New health indicator
OUR PROMISE TO YOU: No ads. No getting suckered into buying more stuff later. The whole game, for one price, for all updates, forever.
⚠ WARNING: This is not a casual game! Each level has three tiers of challenges and things can get pretty tough by the end! (Don't worry, we'll ease you in gently!) It requires iOS 5.0+ running on an iPhone (3GS, 4, 4S), iPod Touch (3rd, 4th generation), or iPad (1, 2, 3). This is a big download and will require a Wi-Fi connection.
What can a 25-foot-tall pizza do? Well, pretty much EVERYTHING*
★ Crush fossilized ostriches ★ Rescue Schnauzer puppies ★ Stomp obnoxious cupids ★ Learn Karate ★ Sumo wrestle an alien ★ Ski with comrades ★ Demolish a haunted skyscraper ★ Eat fugu ★ Bounce on space marshmallows ★ Smash the great pyramids ★ Celebrate Dia de los Muertos ★ Grow a mohawk ★ Visit the moon ★ Protect civilians ★ Raid a meat factory ★ Thwart a UFO abduction ★ Teach baseball players a lesson they will never forget ★ Plunder cash ★ Be a pirate ★ Don't be a pirate ★ Be a pirate with an ant's mouth ★ Destroy a perfectly good log cabin ★ Get pummeled by teddy bears ★ Go nuclear ★
*Yes, you can actually do all this and far more!
✔ 110 fantastically ridiculous levels
✔ 3 distinct challenges in each level
✔ Dozens of enemies
✔ Huge bosses
✔ Customize the perfect hero--add peppers, a powdered wig, be a peanut butter and jelly sandwich... design over A QUARTER MILLION PIZZAS!
✔ Facebook and Twitter: post pictures of your tricked-out hero and brag about your hi-scores
✔ Universal App: buy it once, play on iPhone, iPad, and iPod Touch
✔ Game Center: online leaderboards and challenging achievements
✔ High-definition "Retina" graphics for iPhone 4/4S
Not convinced? Try the first 10 levels in the FREE version! Once you're ready to upgrade to this version, your progress will transfer over automatically.
Riverman Media is two brothers who have dedicated their lives to the art of 2D game making
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My ex-Mother-in-Law gave me this recipe when I first got married. She didn't stay around for long, but her recipe did. Each time I make it, everyone raves over it. This cheese ball goes best with Ritz crackers.
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Every girl dreams of a FROW spot at Burberry, right? In the past, A-list types - we're talking Gwyneth Paltrow, Victoria Beckham, the Olsens - have been lucky enough to bag a golden ticket to Mr Bailey's show and for his A/W'11 extravaganza, the designer nailed yet another star-studded guestlist. Among them was Ellie Goulding, she of the beautifully wispy voice and pale pink hair. Naturellement, Grazia Daily wanted the low-down on how to secure the hottest seat in town so we met the popstrel before her Vodafone performance at London Fashion Weekend to chat Burberry buddies, dip-dying her hair and why she wants to be a Barbie...
Ellie arrives at the Burberry show with her stylist
Hi Ellie! Can you tell us the story behind your invite to the Burberry show?
Greg, my boyfriend, has done some presenting for Christopher Bailey [Radio One presenter Greg James hosted Burberry's S/S '11 live stream] and they've become friends, so he asked Greg if I wanted to go. But I've been mental busy recently and had a promo booked so couldn't make it. Then on Monday morning, the promo was cancelled so Burberry picked me up, took me to the Covent Garden Hotel and dressed me for the show. It was pretty last minute but they'd saved a studded trench for me and when I saw it, I thought, 'This is the one.'
Wow! Did you get to choose the rest of your outfit?
Yeah, my stylist was with me. The trousers are Acne, which I was already wearing, and I love the pointy shoes - they're Burberry too.
And underneath the coat?
I wasn't wearing anything! [laughs] No, I was actually wearing a camisole dress which we cut into a top.
Ellie's pink hair and matching lippy
And we're loving the pink hair and matching lipstick...
I've always had my hair pink, purple or blonde but I think pink complements my skin best and purple was a bit like a granny's rinse. I want to go orange next.
Do you change your beauty products depending on your hair colour?
Not really. I wore pink lipstick to the Burberry show because that was the only one I had at the time. It's really not that thought out.
Ellie on the Burberry FROW sitting between Ben Lovett & Jamie Hince
What was it like when you got inside the venue?
Some people are used to the whole thing but I've only been to one fashion show before, which was in Germany. So at Burberry, it was very lovely to be on the front row so I could see everything! I was sitting next to my friend Ben [Lovett from Mumford & Sons] and we both said to each other, 'What are you doing here?!' It was quite bizarre.
It must've been pretty exciting!
It was. And there was real snow! And they were playing Dusty Springfield. It was really classic.
You were sitting next to Jamie Hince too...
I told him the reason we couldn't all fit on the front row was because my bum's too big!
Can you see what Kate Moss sees in him?
Oh yeah! He's very attractive and very cool. He dresses amazingly as well.
What have you got your eye on from the collection?
Oh, the bags, the shoes, the amazing hats...
Is there a collaboration on the cards, maybe for Burberry's acoustic album?
Maybe. I'm very fond of Burberry and I'd do a lot for them. Chris is lovely - it was really nice that he took time out to meet me and he's always provided me with clothes for events.
Ellie on tour wearing Dolce & Gabbana's Johnny Depp tee and a Temperley jacket
What other designers do you like?
I've got to know smaller ones [than Burberry] through my stylist and from doing shoots. Acne is really good for live performances and I love Temperley [pointing to the leather motocross trousers she's wearing] and Whistles do really nice shirts [pointing to her printed blouse] - they're quite expensive but gorgeous. I'm obsessed with Urban Outfitters too. My favourite T-shirt in the world is a leopard print cross and I wanted to wear it every day on tour. Also, Dolce & Gabbana made a top with a picture of Johnny Depp on it [above] and these amazing beaded leggings...
And for eveningwear?
I love Vivienne Westwood - I was so happy I got to wear her dress at the Brits [below centre]. And Dolce also do really classic stuff so if I need a dress, I go to them because they're big fans.
Are there any designers you haven't worn yet but really want to?
Erdem! His dresses are beautiful.
Ellie's tomboy-meets-girlie-girl style and THAT Chanel necklace
So how would you describe your style?
Tomboyish. When I was younger, I had my lip pierced and I had black hair so I like gothic crosses and grungy leather. But sometimes, I want to be girlie so I go for florals and pink. Maybe I've rebelled from my grunge phase and just want to be a Barbie now! Because one side of me wants to be this sophisticated London girl and the other side wants to be rebellious, especially on stage when I like the idea of being a rock star.
Who are your style icons?
Courtney Love and Chloe Sevigny. And I know everyone says it, but I love Sienna Miller's style. She never over, or under, dresses. She's really effortless. And then there's Nicky Minaj. Oh my God, I'm in love with her.
Would you try that dip-dye hair of hers?
I did once for a video, which never got used, so maybe I will again...
And finally, what was your last fashion splurge? Go on, you can tell us.
I've got a Chanel necklace that cost £800 [in the images above]. I popped out to buy a smoothie, saw it and bought it just like that. I wore it to the Brits and will probably wear it every day. And it'll last forever too.
Money well spent, we say. Thanks for chatting to us, Ellie!
PS. Check back here later to WATCH Ellie Fashion Jury-ing herself!
Interview by Jessica Vince
Vodafone UK is title sponsor at London Fashion Weekend as part of Vodafone VIP, a reward scheme for all its customers which gives unrivalled access to the biggest events in the world of fashion, festival, Formula 1(tm). To join in visit vodafone.co.uk/vip


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Health Guide
Drug Guide
Etanercept (Injection)
Etanercept (ee-TAN-er-sept)
Treats rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and plaque psoriasis in adults. Also treats juvenile idiopathic arthritis in children.
Brand Name(s):
EnbrelThere may be other brand names for this medicine.
When This Medicine Should Not Be Used:You should not use this medicine if you have had an allergic reaction to etanercept, or if you have sepsis (a serious infection in your blood).
How to Use This Medicine:
If a dose is missed:
How to Store and Dispose of This Medicine:
Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Warnings While Using This Medicine:
Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:
If you notice these less serious side effects, talk with your doctor:
If you notice other side effects that you think are caused by this medicine, tell your doctor
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088
Last Updated: 4/4/2014
Copyright © 1984- Thomson Micromedex. All rights reserved.


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This is a really good way to eat proper Lasagna! I have always eaten this since I was small and really enjoyed it.
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The state agency that's supposed to protect you is a captive of the industry you need protection from.
August 1, 2005 | by Patricia Hart -- DUPE | Patricia Kilday Hart
Twenty-three other people with more clout than they know what to do with. (Well, they know exactly what to do with it.)
February 1, 2005 | by Paul Burka , Patricia Hart -- DUPE | Feature
As we head into the most critical legislative session in decades—maybe ever—the question is not just, Who are the people with the most clout at the Capitol? It's also, What do they want?
February 1, 2011 | by Paul Burka , Patricia Hart -- DUPE , Nate Blakeslee | Feature


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"Reducing the risk of thrombosis and embolism during pregnancy and the puerperium." has been saved, and will be accessible from the My NGC page.
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This is the current release of the guideline.
This guideline updates a previous version: Royal College of Obstetricians and Gynaecologists (RCOG). Thromboprophylaxis during pregnancy, labour and after vaginal delivery. London (UK): Royal College of Obstetricians and Gynaecologists (RCOG); 2004 Jan. 13 p. (Guideline; no. 37). [52 references]
Thrombosis and embolism (venous thromboembolism) during pregnancy and the puerperium (postpartum period)
Note: This guideline excludes the management of pregnancy loss and other pregnancy complications, even in women with documented thrombophilia.
Women in the United Kingdom at risk of venous thromboembolism during pregnancy and the puerperium
Risk Assessment
The Cochrane Library (including the Database of Systematic Reviews and the Control Register of Controlled Trials), the Database of Abstracts of Reviews and Effects (DARE), Embase, the American College of Physicians (ACP) Journal Club and Medline (including in-process and other non-indexed citations) were searched from 2002 to 2008 to identify all relevant randomised controlled trials (RCTs), systematic reviews and meta-analyses published since the previous edition of the guideline. The databases were searched using the relevant Medical Subject Headings (MeSH) terms including all sub-headings. The principal search terms used were: 'venous thromboembolism', 'thrombosis', 'pregnancy', 'postpartum', 'puerperium', 'antenatal', 'prenatal'. The search was limited to humans and English language. The National Library for Health and the National Guideline Clearinghouse were also searched for relevant guidelines and reviews.
Current guidelines for the prevention of venous thromboembolism (VTE) in pregnancy and the puerperium were reviewed. A recent Cochrane systematic review of randomised trials comparing one method of thromboprophylaxis with placebo or no treatment and randomised trials comparing two (or more) methods of thromboprophylaxis concluded that there was insufficient evidence on which to base recommendations for thromboprophylaxis during pregnancy and the early postnatal period. Large-scale randomised trials of currently-used interventions should be conducted.
Not stated
Classification of Evidence Levels
1++ High-quality meta-analyses, systematic reviews of randomised controlled trials or randomised controlled trials with a very low risk of bias
1+ Well-conducted meta-analyses, systematic reviews of randomised controlled trials or randomised controlled trials with a low risk of bias
1- Meta-analyses, systematic reviews of randomised controlled trials or randomised controlled trials with a high risk of bias
2++ High-quality systematic reviews of case–control or cohort studies or high-quality case–control or cohort studies with a very low risk of confounding, bias or chance and a high probability that the relationship is causal
2+ Well-conducted case–control or cohort studies with a low risk of confounding, bias or chance and a moderate probability that the relationship is causal
2- Case–control or cohort studies with a high risk of confounding, bias or chance and a significant risk that the relationship is not causal
3 Non-analytical studies; e.g. case reports, case series
4 Expert opinion
Once the evidence has been collated for each clinical question, it needs to be appraised and reviewed. For each question, the study type with least chance of bias should be used. If available, randomised controlled trials of suitable size and quality should be used in preference to observational data. This may vary depending on the outcome being examined.
The methods used to appraise individual study types are available from the Scottish Intercollegiate Guidelines Network (SIGN) (www.sign.ac.uk/methodology/checklists.html ). An objective appraisal of study quality is essential but paired reviewing by guideline leads may be impractical because of resource constraints.
Once evidence has been collated and appraised, it can be graded. A judgement on the quality of the evidence will be necessary using the grading system (see the "Rating Scheme for the Strength of the Evidence" field). Where evidence is felt to warrant 'down-grading', for whatever reason, the rationale must be stated. Evidence judged to be of poor quality can be excluded. Any study with a high chance of bias (either 1– or 2–) will be excluded from the guideline and recommendations will not be based on this evidence. This prevents recommendations being based on poor-quality randomised controlled trials when higher-quality observational evidence is available.
Guideline Development
The development of guidelines involves more than the collation and reviewing of evidence. Even with high-quality data from systematic reviews of randomised controlled trials, a value judgement is needed when comparing one therapy with another. This will therefore introduce the need for consensus.
Royal College of Obstetricians and Gynaecologists (RCOG) Green-top Guidelines are drafted by nominated developers, in contrast to other guideline groups such as the National Institute for Health and Clinical Excellence (NICE) and the Scottish Intercollegiate Guidelines Network (SIGN), who use larger guideline development groups. Equally, in contrast to other guideline groups, the topics chosen for development as Green-top Guidelines are concise enough to allow development by a smaller group of individuals.
In agreeing the precise wording of evidence-based guideline recommendations and in developing consensus-based 'good practice points', the Guidelines and Audit Committee (GAC) will employ an informal consensus approach through group discussion. In line with current methodologies, the entire development process will follow strict guidance and be both transparent and robust. The RCOG acknowledges that formal consensus methods have been described but these require further evaluation in the context of clinical guideline development. It is envisaged that this will not detract from the rigor of the process but prevent undue delays in development.
Grades of Recommendations
The recommendations were graded according to the level of evidence upon which they were based.
At least one meta-analysis, systematic review or randomised controlled trial rated as 1++ and directly applicable to the target population; or
A systematic review of randomised controlled trials or a body of evidence consisting principally of studies rated as 1+, directly applicable to the target population and demonstrating overall consistency of results
A body of evidence including studies rated as 2++ directly applicable to the target population and demonstrating overall consistency of results; or
Extrapolated evidence from studies rated as 1++ or 1+
A body of evidence including studies rated as 2+ directly applicable to the target population and demonstrating overall consistency of results; or
Extrapolated evidence from studies rated as 2++
Evidence level 3 or 4; or
Extrapolated evidence from studies rated as 2+
A formal cost analysis was not performed and published cost analyses were not reviewed.
Following discussion in the Guidelines and Audit Committee, each green-top guideline is formally peer reviewed. At the same time the draft guideline is published on the Royal College of Obstetricians and Gynaecologists (RCOG) website for further peer discussion before final publication.
The names of author(s) and nominated peer reviewers are included in the original guideline document.
In addition to these evidence-based recommendations, the guideline development group also identifies points of best clinical practice in the original guideline document.
Levels of evidence and grading of recommendations (A–D) are defined at the end of the "Major Recommendations" field.
Prepregnancy and Antenatal Risk Assessment
What Are the Risk Factors for Venous Thromboembolism (VTE) in Pregnancy and the Puerperium? What Is the Magnitude of Risk for These Factors?
The risk factors for VTE are listed in the table below. For most risk factors the level of evidence is 2+ but it varies from 2– to 2++ depending on the risk factor.
Table: Risk Factors for Venous Thromboembolism in Pregnancy
Antithrombin deficiency
Protein C deficiency
Protein S deficiency
Factor V Leiden
Prothrombin gene G20210 A
Acquired (antiphospholipid syndrome)
Persistent lupus anticoagulant
Persistent moderate/high-titre anticardiolipin antibodies or beta2 glycoprotein 1 antibodies
BMI = body mass index; ERPC = evacuation of retained products of conception; PPH = postpartum haemorrhage; SLE = systemic lupus erythematosus
aMay develop at later stages in gestation than the initial risk assessment or may resolve and therefore continuing individual risk assessment is important
Admission to Hospital
C - All women should undergo a documented assessment of risk factors for VTE in early pregnancy or before pregnancy. This assessment should be repeated if the woman is admitted to hospital for any reason or develops other intercurrent problems. The assessment should be repeated again intrapartum or immediately postpartum.
C - Any woman with three or more current or persisting risk factors shown in Figure 1 of the original guideline and the table above (other than previous VTE or thrombophilia) should be considered for prophylactic low-molecular-weight heparin (LMWH) antenatally and will usually require prophylactic LMWH for 6 weeks postnatally; a postnatal risk reassessment should be made.
C - Any woman with two or more current or persisting risk factors shown in Figure 1 of the original guideline and the table above (other than previous VTE or thrombophilia) should be considered for prophylactic LMWH for at least 7 days postpartum.
Previous VTE
Which Women with Prior VTE Require Thrombophilia Testing?
C - Women with a previous non-estrogen-related VTE provoked by a minor risk factor should undergo testing for thrombophilia, as this will influence management and decisions regarding thromboprophylaxis antenatally.
Recommendations for Women with a Previous VTE
C - Women with a previous single provoked (excluding estrogen-related) VTE (and no other risk factors) require close surveillance antenatally and thromboprophylaxis with LMWH for 6 weeks postpartum.
C - Women with previous recurrent VTE or a previous unprovoked or estrogen/pregnancy-related VTE or a previous VTE and a history of VTE in a first-degree relative (or a documented thrombophilia) or other risk factors should be offered thromboprophylaxis with LMWH antenatally and for 6 weeks postpartum.
Asymptomatic Heritable Thrombophilia — How Should Women with Asymptomatic Thrombophilia Be Treated?
C - Women with asymptomatic inherited thrombophilia without other risk factors may be managed with close surveillance antenatally but should be considered for LMWH for at least 7 days postpartum.
Exceptions are in women with antithrombin deficiency or more than one thrombophilic defect (including homozygous factor V Leiden, homozygous prothrombin G20210A and compound heterozygotes) or those with additional risk factors where advice of a local expert should be sought and antenatal prophylaxis considered.
Recommendations on Thrombophilia
C - Women should be stratified according to level of risk associated with their thrombophilia and the presence or absence of a family history or other risk factors.
C - If thromboprophylaxis is given antenatally for a persisting risk factor, it should be continued postpartum for 6 weeks.
Acquired Thrombophilia (Antiphospholipid Syndrome) — How Should Women with Antiphospholipid Syndrome Be Treated?
C - Women with previous thromboses and antiphospholipid syndrome should be offered both antenatal and 6 weeks of postpartum thromboprophylaxis. Women with persistent antiphospholipid antibodies with no previous VTE and no other risk factors or fetal indications for LMWH may be managed with close surveillance antenatally but should be considered for LMWH for 7 days postpartum.
Timing of Initiation of Thromboprophylaxis
When Should Thromboprophylaxis Be Started?
B - Antenatal thromboprophylaxis should begin as early in pregnancy as practical.
Thromboprophylaxis after Delivery
For How Long Should Thromboprophylaxis Be Continued after Delivery?
C - Thromboprophylaxis should be continued for 6 weeks in women at high risk of postpartum VTE and for 1 week in women with intermediate risk.
Which Women with Previous VTE Need Postpartum Thromboprophylaxis?
C - All women with a previous history of confirmed VTE should be offered thromboprophylaxis with LMWH or warfarin for 6 weeks postpartum, regardless of the mode of delivery.
Which Women with Thrombophilia without Previous VTE Need Postpartum Thromboprophylaxis?
C - All women with known heritable or acquired thrombophilia should be considered for LMWH for at least 7 days following delivery, even if they were not receiving antenatal thromboprophylaxis. This could be extended to 6 weeks if there is a family history or other risk factors present.
Caesarean Section
What Is the Magnitude of Risk of VTE after Caesarean Section?
C - All women who have had an emergency caesarean section (category 1–3) should be considered for thromboprophylaxis with LMWH for 7 days after delivery.
C - All women who have had an elective caesarean section (category 4) who have one or more additional risk factors (such as age over 35 years, BMI greater than 30) should be considered for thromboprophylaxis with LMWH for 7 days after delivery.
Which Agents Should Be Used for Thromboprophylaxis?
Low-molecular-weight Heparin
B - LMWHs are the agents of choice for antenatal thromboprophylaxis. They are at least as effective as and safer than unfractionated heparin.
Agents for Postpartum Thromboprophylaxis
Which Agents Are Appropriate for Postpartum Thromboprophylaxis?
C - LMWH is appropriate for postpartum thromboprophylaxis although, if women are receiving long term anticoagulation with warfarin, this can be started when the risk of haemorrhage is low, usually 5–7 days after delivery.
B - Both warfarin and LMWH are safe when breastfeeding.
Grades of Recommendation
1++ High-quality meta-analyses, systematic review of randomised controlled trials or randomised controlled trials with a very low risk of bias
2++ High-quality systematic reviews of case–control or cohort studies or high quality case–control or cohort studies with a very low risk of confounding, bias or chance and a high probability that the relationship is causal
The original guideline document contains clinical algorithms for:
The type of supporting evidence is identified and graded for each recommendation (see the "Major Recommendations" field).
Appropriate thromboprophylaxis in pregnant women and the prevention of venous thromboembolism (VTE) during pregnancy and the puerperium
Contraindications to Low-molecular-weight Heparin (LMWH)
LMWH should be avoided, discontinued or postponed in women who are at risk of bleeding after careful consideration of the balance of risks of bleeding and clotting. Risk factors for bleeding are:
Auditable Standards
Not applicable: The guideline was not adapted from another source.
Royal College of Obstetricians and Gynaecologists
Guidelines Committee of the Royal College of Obstetricians and Gynaecologists
Committee Members: Dr C Nelson-Piercy MA, FRCP, FRCOG, Consultant Obstetric Physician, Guys & St Thomas' Hospital and Imperial College Healthcare Trust, London; Dr P MacCallum MD, FRCP, FRCPath, Senior Lecturer and Honorary Consultant Haematologist, Barts and the London School of Medicine and Dentistry and NHS Trust; Dr L Mackillop MA, MRCP, Consultant Obstetric Physician, Oxford Radcliffe Hospitals NHS Trust
Peer Reviewers: Association of Anaesthetists of Great Britain and Ireland; Dr R Arya, Head of Haemostasis and Thrombosis, King's College Hospitals NHS Trust, London; Dr TP Baglin, The British Committee for Standards in Haematology/BSH; Professor RM Bauersachs, Medical Department, Klinikum Darmstadt, Darmstadt, Germany; Mr RG Farquharson FRCOG, Liverpool; Professor M Greaves, Head of School of Medicine, University of Aberdeen, Aberdeen, Scotland; Professor IA Greer FRCOG, FRCP, York; Professor B Hunt FRCP, FRCPath, London; Professor MA Laffan FRCPath, Professor of Haemostasis and Thrombosis, Hammersmith Hospital, London; Dr A Mumford, MBChB, MRCPath, PhD, MRCP, Consultant Haematologist, St Michael's Hospital, Bristol; RCOG Consumers' Forum; Miss SM Sellers FRCOG, Bristol; Dr K Sheares, Chair of the Acute Pulmonary Embolism Group, British Thoracic Society; Dr A Shlebak, St. Mary's Hospital Haemophilia Centre, London; Dr J Voke, Consultant Haematologist, Luton; Professor I Walker, Director of UK NEQAS for Blood Coagulation, Sheffield
Guideline authors are required to complete a "declaration of interests" form.
Electronic copies: Available from the Royal College of Obstetricians and Gynaecologists (RCOG) Web site .
The following are available:
In addition, auditable standards are available in section 12 of the original guideline document.
The following is available:
Print copies: Available from the National Health Service (NHS) Response Line 0870 1555 455, ref: 23809. 11 Strand, London, WC2N 5HR.
Please note: This patient information is intended to provide health professionals with information to share with their patients to help them better understand their health and their diagnosed disorders. By providing access to this patient information, it is not the intention of NGC to provide specific medical advice for particular patients. Rather we urge patients and their representatives to review this material and then to consult with a licensed health professional for evaluation of treatment options suitable for them as well as for diagnosis and answers to their personal medical questions. This patient information has been derived and prepared from a guideline for health care professionals included on NGC by the authors or publishers of that original guideline. The patient information is not reviewed by NGC to establish whether or not it accurately reflects the original guideline's content.
This NGC summary was completed by ECRI on October 17, 2005. This summary was updated by ECRI on March 6, 2007 following the U.S. Food and Drug Administration (FDA) advisory on Coumadin (warfarin sodium). This summary was updated by ECRI Institute on June 22, 2007 following the U.S. Food and Drug Administration (FDA) advisory on heparin sodium injection. This summary was updated by ECRI Institute on September 7, 2007 following the revised U.S. Food and Drug Administration (FDA) advisory on Coumadin (warfarin). This summary was updated by ECRI Institute on March 14, 2008 following the updated FDA advisory on heparin sodium injection. This summary was updated by ECRI Institute on June 12, 2010. This summary was updated by ECRI Institute on March 7, 2014 following the U.S. Food and Drug Administration advisory on Low Molecular Weight Heparins.
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