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Ofloxacin and ciprofloxacin
Common Questions and Answers about Ofloxacin and ciprofloxacin
I will quote something I found on the internet: "Cipro (ciprofloxacin) and the other quinolone antibiotics (ofloxacin, etc) are contraindicated in pregnancy for theoretical reasons because of their effects on ADOLESCENT dogs' cartilage (i.e., joint problems). There has never been an adverse effect on HUMANS like this, to my knowledge, and no problems in pregnancy that I am aware of. We still advise against their use in pregnancy, but only for theoretical reasons.
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As a fluoroquinolone, it is in the same class of agents as ciprofloxacin, enoxacin, levofloxacin, lomefloxacin, norfloxacin,
. Nalidixic acid is also a quinolone drug. Reproduction studies, conducted in male and female rats, found no evidence of impaired fertility or reproductive performance at oral doses approximately 15 times the maximum human dose on a mg/m2 basis (MHD) (1).
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Other antibiotics used for the treatment of tuberculosis that should be avoided in pregnancy are amikacin, kanamycin, clofazimine cycloserine, capreomycin, ciprofloxacin,
, levofloxacin, sparfloxacin,
ethionamide. Myrin-p forte 3 which your friend is taking contains pyrazinamide. It would be better if she takes only Ethambutol, Rifampicin, Isoniazid. She should discuss this with her treating doctor. Take care!
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After taking Tosufloxacin for 2-3 days, i start to have some pain in my back, and i consulted another urologist who has put me again on
for 7-10 days. I read on the internet that
can deal with Chlamidyia
other STDs. Is it correct ?
Read More
The reactivity of 13 quinolones (levofloxacin, ofloxacin, pefloxacin, enoxacin, moxifloxacin, gatifloxacin, trovafloxacin, sparfloxacin, lomefloxacin,
, clinafloxacin, norfloxacin,
nalidixic acid) was tested in 5 commercial opiate screening assays from September 1998 to March 1999. In 6 healthy volunteers, we confirmed the cross-reactivity of levofloxacin or ofloxacin with these opiate screening assays.
Read More
To come back to your problem ask your doctor for
try to drink if possible pure Cranberry juice it will also help. Hope I was of some help? Take care.
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i was teated with
about a month ago
was cured of gonorrhea. unfortunately it showed up again after having sex with the same person. i have taken ofloxacin 200mg for 4 days now and still i still have yellowish/whitish discharge as well as pain during urination. what should i do. tomorrow is the last dose.
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Peripheral neuropathy is damage to the nerves that send information to
from the brain
spinal cord
the rest of the body. Damage interrupts this connection, and the symptoms depend on which nerves are affected. In general, the symptoms are in the arms and legs and include numbness, tingling, burning, or shooting pain. Peripheral neuropathy has been listed as a side effect of fluoroquinolones since 2004.
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coli isolated Sensitivity Testing Ampicillin - R Amoxycillin + Clavulanate - S Cephalothin - S Cefuroxime - S Ceftazidime - S Cotrimoxazole - S Gentamicin - R Tobramycin - R Amikacin - S Imipenem - S Ciprofloxacin - S Levofloxacin
Read More
Avelox (moxifloxacin) Cipro (ciprofloxacin), Factive (gemifloxacin), Floxin (
), Levaquin (levofloxacin), Noroxin (norfloxacin),
Tequin (gatifloxacin). If you have taken any of these drugs, do you remember if you took them before or after you developed cardiac symptoms. I am wondering if my cardiac symptoms are due to taking Avelox for a sinus infection. If you do need an antibioitic make sure that your doctor does not prescribe any of these drugs.
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One thing that worries me, I read in some websites, Ofloxacin will mask Syphilis test or symptoms.
I think, Inoflox is
? How about Amoxicilin
Zinnat? My concern is all these antibiotics might mask the Syphilis infection, if I was infected from the exposure causing false negative in the test. Need your advice on this, doctor. What should I do next?
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This problem started from July'09 and attacked once
twice each month. Senitive bacterias are IMEPENEM,
, GENTAMICIN, PIPERACILLIN, TAZOBACTUM, NITROFURONTOIN and TETRACYCLINE found in my latest unrine culture report. (Organism Isolated: Psedomonas sps). Only AMICACIN works while UTI infection. I have found everything normal in Ultrasound report. Prevoid volume is 180cc and postvoid volume 16cc. At the time of UTI, I have faced frequent urination and buring in vagina.
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, monofloxacin, fusicid acid, chlortetracycline... Also anti-inflamatory drugs like Tobradex and FML which help reduce inflamation but not treat the cause. What worries me now is that inflamation has reached near the cornea, as an incomplete bluish ring. May this threaten the cornea? My vision is not normal and i have had watery eye for about half a year now. What treatment do you think will be best for this condition? Ciclosporine after a steroid, another antibiotic?
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after my periods i get this white/clear discharge but i went to the doctor and i had an std but the medcine that the doctor gave me did not work i took it right im still having the same discharge is it a yeast infection an not another std
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Do you hold the pills with the left hand perhaps?
Levaquin (Levofloxacin) are in the same drug class (fluroquinolones). It makes sense that you would be allergic to both. You probably are allergic to other drugs in the same class such as moxifloxacinI, Ofloxacin, etc. You can tell by the drugs generic name usually (all have floxacin in their name). I would report any allergies to your doctor. What are you taking the antibiotic for a urinary tract infection?
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I have completed several doses of (ciprofloxacin, Tarvid , pefloxacin , ofloxacin (400mg per day for 10days) Erythromycin and gentamycin(IV five days ).
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About a year ago, my doctor diagnosed me with Epididymitis (swelling of the tube on the back of the testicle) on my right side
I took
(500mg twice a day for 10 days) and the very severe pains went away. My doctor also said the pain in my lower back when I run might be due to sciatica - swelling of a major nerve that runs from the lower back into the leg. He told me to take ibuprofen after my workouts if it still bothered me, and I've been doing that off and on.
Read More
The reactivity of 13 quinolones (levofloxacin, ofloxacin, pefloxacin, enoxacin, moxifloxacin, gatifloxacin, trovafloxacin, sparfloxacin, lomefloxacin,
, clinafloxacin, norfloxacin,
nalidixic acid) was tested in 5 commercial opiate screening assays from September 1998 to March 1999. In 6 healthy volunteers, we confirmed the cross-reactivity of levofloxacin or ofloxacin with these opiate screening assays. be positive, therefore some will and have failed these test.
Read More
After some episode of urination I started passing blood
blood clots in my urine with severe pain. I had
which I brought from my country. I took 200mg of Ofloxacin that night and second 200 mg dose next day morning. My hematuria completely stopped. But pain continued. Then I decided to go to the hospital and consult a physician. The hospital sent urine routine & microscopy and urine culture. Urine microscopy showed plenty leukocytes and RBCs.
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Pharmacokinetic evidence demonstrates that plasma levels of oral contraceptive steroids are unchanged with the concomitant administration of antibiotics, including ampicillin,
, clarithromycin, doxycycline, metronidazole,
, roxithromycin, temafloxacin, and tetracycline. However, reduced steroid levels have been reported in women taking rifampin with oral contraceptives.
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I called the doc and told him what I knew, his atitude was I'am the doctor
I guarantee this will work. He said take the medicine for 3-weeks
then get retested
you'll see. I'am really pissed at his atitude.
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coli isolated Sensitivity Testing Ampicillin - R Amoxycillin + Clavulanate - S Cephalothin - S Cefuroxime - S Ceftazidime - S Cotrimoxazole - S Gentamicin - R Tobramycin - R Amikacin - S Imipenem - S Ciprofloxacin - S Levofloxacin - S
- S Tetracycline - R The doctor did tell her that she had some Enterococcus bacteria,
he recommended she buy an over the counter anti-bacteria vaginal wash.
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Ellison also lists quinolones, the most commonly prescribed class of antibiotics, as dangerous as well, noting that antibiotics like Cipro (
), Avelox (moxifloxacin HCL),
Floxin (
) can cause severe and permanent disability. 4) Antipsychotics.
Read More
Fluoroquinolone Antimicrobial Drugs [
(marketed as Cipro
extended-release (marketed as Cipro XR and Proquin XR), gemifloxacin (marketed as Factive), levofloxacin (marketed as Levaquin), moxifloxacin (marketed as Avelox), norfloxacin (marketed as Noroxin), and ofloxacin (marketed as Floxin)]" "FDA ALERT [7/8/2008]: FDA is notifying the makers of fluoroquinolone antimicrobial drugs for systemic use of the need to add a boxed warnin
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i took ciprofloxacin (500mg) for 2 days
(400mg) for 4 days.. the pain was gone but im a bit of confused because there is still this white discharge that comes out of my penis when i try to push my penis up. could someone explain to me what this is? im really confused and i want this gone. thanks.
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In the end I told him that I have
more Flagyl on hand. He said I should take 500mg of Levofloxacin
Flagyl every day for 7 days and that I have prostatitis.?? Awesome. Again, just placated, brushed off and given a generic diagnosis - Didn't seem concerned that I've already taken every anti-biotic under the sun / He seemed 100% confident that Levo would work (or he really wanted to leave the office for lunch) I'm going to cross my fingers.
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Information for Healthcare Professionals. Fluoroquinolone Antimicrobial Drugs [
(marketed as Cipro
), ciprofloxacin extended-release (marketed as Cipro XR and Proquin XR), gemifloxacin (marketed as Factive), levofloxacin (marketed as Levaquin), moxifloxacin (marketed as Avelox), norfloxacin (marketed as Noroxin), and ofloxacin (marketed as Floxin)] Also go to the ask a patient site for some real people experiences.
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Arguably it was overkill to use both cefixime (Suprax)
to cover gonorrhea, but it wouldn't do any harm. My guess is that "avon" is azithromycin (trade name Zithromax); and indeed doxycycline for 7 days or azithromycin 1.0 g (single dose) are the two treatments of choice for NGU. (It is clear your doctor friend is very knowledgeable about STDs.
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18 months ago I took
it caused me some effects: Started as balanitis with blisters, discharge but these symptoms have gone, I still have: minor inflammation/redness), skin of penis wrinkled- loss of sensation, stinging/swelling after ejaculation, painful erections.
Read More
In 6 healthy volunteers, we confirmed the cross-reactivity of levofloxacin or
with these opiate screening assays. be positive, therefore some will
have failed these test.
Read More
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If you are serious about using kettlebells, then it's best to learn the right way from the beginning.
Depth jumps are a risky way to train explosive strength. Today I'll show you how to use kettlebell swings to get the same benefits.
"Well, that sucked." My client put his kettlebells on the ground, contemplating how in the world he got crushed by such little weight.
If you're new to kettlebell training or thinking you want to set up a home gym and use them, then this article is for you.
I may not be the strongest or the most technical lifter on the platform, but I will suffer. And I'd rather die than put the bells down.
I treat kettlebell sport like a job. I've even practiced technique in front of mirrors in public restrooms. Here's what it looks like to train for kettlebell sport.
For beginners, it is probably best to focus on building a powerful hip hinge movement before moving on to the kettlebell snatch.
Here are three workouts for the experienced kettlebell user, as well as templates on how to lay out your workouts for the week.
The following are some of the ways you can improve your pressing, or just change the feel of it, by using different variations to work on your weak points.
I came up with two different carry-based kettlebell workouts that are both equally challenging, but for different reasons.
I've been training for the Iron Maiden Challenge. As a very small person, in order to achieve this goal I had to learn how to lift heavy on a regular basis without overtraining.
Which kettlebell is best for which purpose? Which one is the best deal? Which one is most durable? Here are the answers to all those questions and more.
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Our 9 month old Vizsla male has a very good nose. Does very well in the field, except for retrieving. He loves to retrieve a dummy, or anything that is thrown, however in the field he goes to the down bird and barks and continues to hunt. Advice?
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Chapel Grille
- Address:
3000 Chapel View Blvd
Cranston, RI 02920Neighborhood:
- Cuisine:
Global, InternationalPrice: $30 and under
Chapel Grille
- Dining Style: Casual Elegant
- Website: http://www.chapelgrilleri.com/
- Phone: (401) 944-4900
- Hours of Operation:
Mon - Tues
11:00 am - 9:00 pm
Weds - Thurs
11:00 am - 10:00 pm
Fri - Sat
11:00 am - 11:00 pm
10:00 am - 9:00 pm
- Payment Options: AMEX,MasterCard,Visa
- Cuisine: Californian, Mediterranean, Global, International
- Executive Chef: Tim Kelly
- Dress Code: Smart Casual
- Accepts Walk-Ins: Yes
- Additional Details: Banquet/Private Rooms, Bar Dining, Bar/Lounge, Fireplace, Full Bar, Gluten-free Menu, Patio/Outdoor Dining, Private Room, View, Weekend Brunch, Wine
A word from Chapel Grille
Nestled within a hilltop village, Chapel Grille is the crown jewel of Rhode Island's restaurant scene. Relax on their terrace overlooking stunning panoramic horizon views, sunset-washed Providence skyline and the beautifully lit bridges at dusk. Featuring hearth style cuisine and a Mediterranean Italian influenced menu focusing on locally foraged ingredients prepared with care and served with ceremony. Watch your pizza being fired in their woodstone hearth oven while enjoying a glass of wine in the soaring cathedral bar or cozy up by the fireplace for a dining experience second to none.Continued
Foodspotting photosSee all photos
Awards voted by OpenTable diners
- Diners' Choice WinnerMost Booked
Chapel Grille - Best Restaurants in Cranston ›
Chapel Grille reviews from OpenTable diners
201 reviews since July 31, 2014
- Food4.2Service4.2
- Ambiance4.6Noise LevelModerate
special occasion (135)romantic (110)fit for foodies (71)notable wine list (62)great for outdoor dining (59)good for groups (56)neighborhood gem (56)scenic view (51)vibrant bar scene (47)great for lunch (42)hot spot (32)great for brunch (26)late-night find (15)kid-friendly (6)Show More
- Very good with one exception.MarkDined on 11/22/2014We enjoyed everything about our dining experience except for one issue. Our appetizer had chicken in it and there were chicken bones. We informed our waitress and she informed her boss. The manager came to our table to express his apologies. If you want to separate yourself from the competition, he should have taken the item off the bill!Special Features:I would recommend this to a friend.
- OpenTable Diner Since 2014Dined on 11/22/2014It was my first visit to Chapel Grille and I loved the decor and atmosphere. The food was outstanding. I had Mediterrenean Chicken and my friend had balsamic chicken on farfalle pasta. The ceasar salads were very good but could have had a touch more dressing. The triple chocolate mousse was to die for. Light and delicious. Wish they had a kids menu so I could bring my daughter. It would be nice for her to experience fine dining once in a while. I'd love to come back, it's top notch.Special Features:I would recommend this to a friend.
- wjv4Dined on 11/15/2014The food was fabulous. I had the Paella and it was one of the best I have ever had. Started with the Cleopatra salad and the ingredients were some of the freshest I have had. We were seated in the bar area and it was very noisy. Have been there before and every time I booked through open table was seated in this area. Not sure if this is where the open table reservations are always located or that was just how it happened to work out.Special Features:I would recommend this to a friend.
- CCccDined on 11/9/2014The service marred to otherwise lovely evening. The hostess graciously made an adjustment to our bill.Special Features:I would recommend this to a friend.
- Fantastic experiencedinner4twoDined on 11/8/2014From the moment we walked in the door, Chapel Grille was inpressible. The exterior walkways and decorations are beautiful. As soon as you enter, the ambience and environment is stunning. A beautiful two floor dining area, with the second level overlooking the bar. Wonderful decorstions, and the pleasant, comfortable seating is great. The staff is exceptionally pleasant, helpful, and courteous. Our waitress went out of her way to ensure we got excellent service, even though she was high tasked with many tables. The food was outstanding. From the appetizer through to desert, each dish was presented beautifully and had incredible flavor. I would highly recommend Chapel Grille.Special Features:I would recommend this to a friend.
- Outstanding as alwaysOpenTable Diner Since 2010Dined on 11/8/2014Dine there numerous times. Food, service, and ambience never changes "outstanding"Special Features:
- Food was ExcellentDave8765Dined on 11/8/2014I had the risotto and my guest had fish and chips. Both prepared correctly, and very tasty. Service was perfect. Great ambiance. Will definitely add to my list of restaurants to book a party in the future. Thank youSpecial Features:
- TJ13Dined on 11/7/2014This was the first time at Chapel Grille for both myself and boyfriend. We were celebrating his birthday and were more than satisfied with every aspect of the evening! The food, service and atmosphere was incredible. Thank you for a great night!Special Features:I would recommend this to a friend.
- A night at ChapelOpenTable Diner Since 2014Dined on 11/7/2014First time ever going and I really enjoyed the food. Only con was the seating arrangement. Looks like they tried to jam up too many tables in one seating area and we were way too way to the next table and I had no room behind me. Didn't complain but Just make sure this doesn't happen and you get moved.Special Features:I would recommend this to a friend.
- AbbyDined on 11/7/2014Service of food was very slow, food was very salty, coffee was old, the atmosphere was the only thing that was nice. We were there for my mothers birthday very disappointed.
- OKOpenTable Diner Since 2014Dined on 11/3/2014The restaurant for a Monday night was a little busy, this usually says a lot for a restaurant. Our food seemed a little rushed and not timed very well. the waitress was not very schooled in the wine menu and needed some help from us with this. Finally the wait staff Assistance was a little "rough" around the edges and not very personable when presenting the different Olive Oils to the table. We had questions and just shrugged them off and walked away..... If I can have a different wait staff, I would give it one more try!Special Features:
- A special place to dineLove2DineDined on 11/1/2014My husband and I ate here for our anniversary. There were many wonderful choices. The sirloin was cooked to perfection and there was a wonderful amount of seasoning on the sides. Service was good, even with it being a crowded Saturday evening. The prices are moderately high but well worth it!Special Features:I would recommend this to a friend.
- May have been an off nightjiggspoochDined on 11/1/2014This was not the first time we had been there to eat and the other times I would have given them a raving review. This time they were 15 minutes behind our reservation time then tried to sit us at a table that was so close to the other tables that you could not pull the chairs out. When we told them we could not sit there they made us wait for another 15 minutes while they sat reservation after us. Once we got a table the service was five star and the food was excellentSpecial Features:I would recommend this to a friend.
- SurprisedAylaDined on 11/1/2014I had been to Chapel View once before and found it to be Excellent on all points. So I was suprised that there was seating upstairs, which was more casual, than the dining room, which I found disappointing. Next time I reserve I will know to request seating in the dining room. It was a special occasion so I would have loved to be in the beautiful dining room. It was very noisy upstairs. The service was about as good as it could be considering there were only 2 waiters upstairs. They needed as least 4. We were never asked if we wanted anything else to drink, or checked on. The waiter did apologize but was in such a hurry all the time. Anyways, the food was wonderful! Every dish was amazingly good so we will most certainly go back.Special Features:
- Anniversary DinnerJimmyJenDined on 11/1/2014Great service, wonderful place for our special dinner. Great food and wine list. Highly recommend to all.Special Features:
- Great food and servicedogfriendDined on 11/1/2014We really enjoyed our dinner at Chapel Gille . our server was excellent and food wonderful. Only complaint was we were seated in the outer bar area and it was a little noisy. Next time we will request the inner dining room . a great night.Special Features:
- Superb dining experienceOpenTable Diner Since 2014Dined on 11/1/2014With so many fine dining options in the RI area it is not easy to stand out, but Chapel Grille certainly manages to do just that. We are regulars at this outstanding culinary delight. Great ambiance, convenient location, outstanding staff, and of course fantastic food with lots of variation and creativity on a weekly basis. Main dining room, with best fireplace in RI, is romantic and beautiful. Wine list and cocktails are superb. Wait staff are always attentive without being intrusive. The weekly specials are truly special in that they are always changing and very creative. The Bar area is large, beautiful, and exciting with lots of energy, great service and uniques cocktails. Our biggest challenge here is finding something to criticize.Special Features:
- Great findjlwk57Dined on 10/31/2014I was traveling on business and found Chapel Grill on OT. The food was great, but the staff and service made the evening amazing. The larger than life portraits of the town founders are a little much, but the overall experience was second to none. I had a nice bottle of wine (half-off), local and seasonal oysters (also half-off) lamb chops and scallops. I would recommend them all.Special Features:
- First time but will returnOpenTable Diner Since 2014Dined on 10/29/2014We just went there for our first time last night. It was amazing and we fully intend to return. The service was amazing and our food was even better. The parking isn't the best but it is New England. I will definitely be returning on a regular basis for date night.Special Features:I would recommend this to a friend.
- Special Anniversary dinner!DaliceDined on 10/29/2014The restaurant entrance was extraordinary and continued into the full restaurant. Table seating was easily assigned with a great view of the area with a "sky view". The meal was nicely presented and the wine list was extensive. The food was cooked as we requested and seasoned nicely. The waite staff, James, was friendly and attentive to our needs. The whole experience was another anniversary dinner we will long remember.Special Features:
- Pleasant placeHornblowerDined on 10/26/2014Beautiful venue. Wife had an oriental style noodle/shrimp dish which was quite good. I had the small lamb chop dish of 3 chops and mashed; was tasty and adequate for my appetite. Clam/lobster chowder was very good and loaded with seafood, carrot and potato. Traditional calamari was very tender and mild flavored but the finger peppers had little heat. Service was timely, though not particularly warm or friendly. Deficiency for not offering to refill water glass, even though we were drinking it.Special Features:I would recommend this to a friend.
- nice brunchLover4foodDined on 10/26/2014We had a good experience having SUnday brunch. We arrived at 1:15 and the closing was at 2. We had to wait for a guest coming from Boston. Because it was near the end things were not as plentiful on the buffet. What we had was quite good especially the roast beef and the Italian vegetables. Our server was very helpful with beverages and the dessert cookies were quite good. When the time came to close they wanted us to finish so the staff could clean up. Our server stopped them from taking things away before we finished out meal. If we return we will try to schedule the time for the buffet to allow for better timing.Special Features:I would recommend this to a friend.
- Great Ambiance.MoveMe2VIPDined on 10/25/2014We had the special of the night, 9oz tenderloin with 2 stuffed shrimp. Food was delicious. The only complaint would be it was soooooo loud in there! There was a party of 30 right behind us and they were extremely loud and obnoxious. They should of been in their own room. Other than that, it was good.Special Features:
- Shattered ExpectationsDinnerfor4Dined on 10/25/2014When we were seated, someone asked is we would like water. When our server came , she asked if we knew what we wanted and finally realized that we were not given menus. She asked if we wanted a drink and proceeded to tell us about the specials. Two of the four meals were Surf and Turf and one was supposed to be medium well and the other was supposed to be rare. The medium well was labeled rare and was cooked medium rare. The rare one was labeled medium well and was cooked well. We sent back the one cooked well. One of the sides for those two meals were not delivered until we were practically finished. The manager came over and apologized. There was no compensation for the mix ups and the meals were not cheap!Special Features:I would recommend this to a friend.
- Sat night-CRAZYbzgirlDined on 10/25/2014Have been to Chapel Grille and food is good...but whew, it was crazy Sat night (think there was a HUGE party somewhere)...service and noise level started out fine but by 7 it was really bad...noisy, servers literally threw the spoons for our dessert on the table (one short) and they just lost it. I know it was Family Weekend at Brown so we specifically left Providence hoping it would be less crazy in Cranston. Guessed incorrectly. Would return but never on a Sat night (assume Friday night is just as bad). Unfortunate since we had out of town guests...
- chapelisciousmassexcitementVIPDined on 10/25/2014It is like your in a fairy tale and the set is gorgeous. Can't believe the work that was done to bring this alive. Would love to share this with my daughter. Lovely presentation of the building and the food. The chefs were having a competition as to which one would sell the most of their special entree of the evening. I hope the 2 lb. stuffed lobster won because is was heavenly. And, the triple chocolate mousse was excellent. My husband loved his chocolate martini...said that could have been dessert all by itself. 3.5 hours flew by....look forward to going back.Special Features:
- Beautiful place, priceyLunchingLadiesDined on 10/25/2014Chapel Grille is lovely, the decor is stunning, menu reads well but is pricey and portions are skimpy. This was the second time our group met there but it will be the last. There are other places in the area that are more reasonable and the food is better.Special Features:
- Great FindCWETaylorDined on 10/24/2014We just bought a home in Warwick and our friend told us about this restaurant. Very glad he did!Special Features:
- OpenTable Diner Since 2013Dined on 10/22/2014When I dine at Chapel Grille, I always request a certain table. I did this when I made the reservation and when I arrived they said it was reserved for someone. I realize this is not major but it is to me.Special Features:I would recommend this to a friend.
- Mediocre BuffetRhodyGirlVIPDined on 10/19/2014The buffet food was tepid at best. Disappointing.
- Bday girlOpenTable Diner Since 2014Dined on 10/19/2014I had brunch here for a birthday celebration. It was excellent! The food was of the highest quality!Special Features:
- chic, expensive, good serviceRathernotsayDined on 10/18/2014The restaurant is always busy (at least on Saturday evenings). The tables are quite close and the service was a little slow. Considering the number of people there, it is really not THAT bad. I wished the service was a little quicker. Food was good, the specials ended up being the most expensive items. Overall, it is a great place to be on a first date because it does not make you look cheap.Special Features:I would recommend this to a friend.
- Scenic Fine Dining - Special NightFoodie253Dined on 10/17/2014Went for our anniversary last week, enjoyed very much. The service and food were outstanding. Thanks very much to our server Michael and his assistant George! Atmosphere was very busy and maybe even a bit loud, but probably because there was a large party next to us. However, the service, food and the view made up for it. Beautiful location, interesting layout and interior design. We would love to go back again and will do so soon.Special Features:
- JoanVIPDined on 10/11/2014Beautiful restaurant. The food was excellent. Will definitely return.Special Features:
- Eh...pickyeaterDined on 10/11/2014For the amount of money spent i probably wouldn't go back. The food, service, and ambience were great, but i could've received the same service and better food on the hill for $100 less. Drinks were really expensive and very strong.Special Features:
- great experienceOpenTable Diner Since 2014Dined on 10/9/2014This was the first time that we visited.Every great food etc. Waiter was very attentive and professional.Special Features:I would recommend this to a friend.
- lacklusterSio927Dined on 10/5/2014We were very excited to try this restaurant. We got there and much of the menu was unavailable for two people and required a larger group to order. The service was subpar but the manager was very nice. The food wasn't very good but it was okay. I would give it three out of five stars. Bad service, food that wasn't great, extremely limited menu for only two people, and very pricey... I am not sure if I would recommend Chapel Grille yet to anyone, it could certainly use some work.Special Features:
- Great food and servicewineanddineoftenDined on 10/3/2014We were able to make a reservation on very short notice for the same evening. The table was close to a window where we had a great view of the city. The food, service and view were excellent. The only negative part of the evening (and I realize this is almost impossible for the restaurant to control) was that the noise level was quite excessive with others around us saying the same. However, the quality of the food and service was so good that we will go back.Special Features:
- Always a delightFineDinerVIPDined on 10/3/2014The restaurant's beauty says, "I have arrived" and the food does not disappoint. The cocktails have clever names. Their take on a Cosmo was quite good.Special Features:I would recommend this to a friend.
- Great SpotOpenTable Diner Since 2013Dined on 10/2/2014The bar is great. It is the Chapel. This was our first time eating in the bar, but it won't be our last.Special Features:I would recommend this to a friend.


text:
New Shows: Rick Owens, Balmain, Giles Deacon, and More
New full-screen slideshows from the Paris runways.
Skip to content, or skip to search.
Skip to content, or skip to search.
New full-screen slideshows from the Paris runways.
"A color palette one more normally associates with seeing on the shelves of a discount supermarket ran through this whole collection."
The coolest label ever hath walked!
Also: giant, crisp bouffants.
He sat next to Carine Roitfeld at Gareth Pugh.
Milan left him a little frustrated.
Men, on the other hand ...
Zoom in on the best shoes, bags, and beauty looks from Milan.
Also, Carla Bruni got dressed up and had her picture taken last night.
"[T]his collection was almost too Gucci centered, too rooted in the past, and did not take enough risks with newer fashion."
This season left very little breathing room for any model that wasn't already established.
See slideshows of the latest collections out of Milan.
It doesn't help that Bryanboy announced on Twitter that Dolce & Gabbana gave him a fur coat for free.
"Did it push the limits of good taste? Yes."
Milan continues to harp on the 'Vogue' editor's perceived slight.
See slideshows of the latest collections from Milan.
London's runways were a mix of the past, present, and future faces of modeling.
Go backstage with Mr. Marc Jacobs.
Beauty this season showcased new ways to do your lips, eyes, and hair, from heavily done to undone.
New York was all about fur, shearling, and relaxed evening.


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The interest rate paid on 10-year U.S. Treasury notes fell to it's lowest point ever recently. What does that super-low rate mean for your and the nation's economy? Mike Walden discusses.
North Carolina's economy and quality of life are linked inextricably with natural resources — the air, land and water upon which we all depend. To help protect the environment today and into the future, CALS faculty members have wide-ranging expertise they put to use through teaching, research and extension programs. Read More >>
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Posts by Murray Pearson
50 posts • joined 26 Nov 2007
Boffins: Ordinary lightbulbs can be made efficient, cheaply
Another advantage...
Femtosecond-zapped tungsten doesn't have the hideous environmental impact of mercury.
Yahoo! shuts! failed! social! networking! site!!
I have a suggestion
Instead of referring to them as "Y!", refer to them as "Y?"
Y indeed.....
Net closes on NZ bank error fugitives
Use of a computer...?
Um, wouldn't it be the BANK's use of the computer which gave them access to the cash?
Why isn't the bank facing charges in this case? Or, better yet, why aren't they being compelled to swallow the result of THEIR unilateral cockup?
iPhone apps - the 10 smartest and the 10 stupidest
While Jared is staggeringly pointless and yet strangely amusing, you completely overlooked Freeverse Software's single greatest asset: their side-splitting documentation.
Also worth a peek (though just on a Mac, not an iPhone): SimStapler. If you don't have a Mac to run it on, just read the docco. The program itself is just as pointless as you'd think.
Smiley because he's the nearest approximation to Jared.
Geeks make least selfish lovers: Official
I'd be interested to see how often "manual workers" masturbated.
Paris because she makes me feel like a manual worker.
Jacqui's secret plan to 'Master the Internet'
"National Security"
"GCHQ does not discuss 'how' we use data, as this may lead to revelations about our capability which damage national security."
In other words, if you knew what we were doing, you'd throw a revolution. Ever notice how modern Western "democratic" governments are fond of invoking "national security" to avoid revealing their criminal plans? I thought they worked for the people. Ha ha ha! Silly me.
Love on the buses: The S-100 and me
Reminds me of Dad
In 1981 or so, I went with my father to his office at a satellite campus of UC Berkeley. He showed me an 8" floppy and said, "This thing can hold almost a megabyte!" It was the very first time I heard the word "megabyte". I was about 10 years old, and SOME kinda impressed.
US lawmakers to de-silence electric cars
This isn't a new problem
When the Pennsylvania Railroad introduced their sleek brown electric locomotives in the 1930s they painted a brilliant gold stripe on them. It wasn't just for aesthetics, it was for safety; the stripe was intended to heliograph and catch the attention of rail workers on the tracks who were accustomed to hearing great thundering steam locomotives from miles off and simply didn't notice the 'leccy locos bearing down on them at 60 mph.
Personally, I'd say the solution is to change the laws to make drivers explicitly responsible for pedestrian fatalities they cause, with colossal penalties. That'll cause responsible drivers to PAY ATTENTION DAMMIT and eliminate the irresponsible ones.
Apple medical leave halts Jobsian jet-setting
Here's to you, Steve.
I, too, hope The Black Turtleneck Man continues to surprise, delight and/or infuriate us all for a long time to come. The world will be a duller place when he's gone.
Boffins build super-accurate atomic clock
Even more inaccurate terminology
Saying "it doesn't need to be wound for 300MY" means it needs no power input, which is clearly wrong. You mean it doesn't need to be SET for that time period, assuming it has power input — meaning it's being CONSTANTLY wound up for that entire time period. Winding ain't the same as setting.
Researchers dissect world's first Mac botnet
Trojan Schmojan.
This is a sucker-punch purely for suckers.
I'll just continue using open source software, rather than warez, on my Mac, and use my brain when I use my computer. Problem solved.
Student sentenced for F-ucked up grade hack
Now that's what you call higher education: were those tw@tdanglers on crack?
How the government uses dirty data to legislate morality
The effect is not restricted to sexuality
You raise many valid points about biased and blinkered statistics dictating public "justice" policy, which results in the vilification of people not engaged in dangerous activities.
This effect is by no means restricted to pornography (which I recognize is the subject of this particular article). There is another, similar, and equally widespread bias against men when domestic violence is discovered. In essence, when police are called to domestic disturbances, almost invariably the man is removed — even when he is the victim, not the perpetrator. After that, there is basically no way for a male victim to receive police protection. This continues into the family law courts, where the violent perpetrator is typically given custody of the children; she may claim nonexistent child support arrears to cause her victim to be harassed and criminalized without recourse; the victim may, in fact NEVER have an opportunity to testify about their situation or treatment.
I am well aware of this phenomenon, as I was homicidally assaulted by my ex-wife in August 1999 after two previous assaults. All three times I was removed, the third time despite the fact my neck was ringed with bruises from when she strangled me in front of our daughter. I have not been allowed to press charges — ever. I have never seen a judge — ever. I have had no contact whatsoever with my two daughters since August 2005. My ex has committed perjury, fraud, contempt of court and physical and emotional child abuse: none of this matters. I have permanent physical health issues arising from this, and was recently told the only reason I am not appropriate for a diagnosis of post-traumatic stress disorder is because the trauma continues unabated to this day with no prospect of stopping. I was dragged to the hospital a week ago because I was suicidal; of course, they just imprisoned me until I promised I wouldn't kill myself, while doing nothing to remedy the actual problem.
And they wonder how the cycle of abuse continues from generation to generation? How 'bout because THEY ENSURE IT DOES WITH ALL OF THE RESOURCES AVAILABLE TO THEM?
Statistics Canada has reported that, in the general population, 7% of women and 6% of men will experience domestic battery. And yet, an Canada, there exists 3,200 battered women's shelters and two battered men's shelters. 85% of convicted domestic violence perpetrators are male. And, here in Quebec, the suicide rate is 80% male. All coincidence? You decide.
The skull and crossbones: because this experience should have killed me seven times over by now. I cannot explain the fact I have a pulse today.
Kiwi telecom inks contract with convicted hacker
Well, maybe he's "rehabilitated"...
...but it's still obnoxious for a downtrodden ethical bloke like myself to behold. SPLITTER!
ISS space bio-experiment freezer to return on Discovery
Hanging it out the door
Would be a really lousy way of keeping it cold. You see, there's that big bright yellow thing called the sun that would cause the freezer's external temperatures to fluctuate wildly.
Martian volcano could harbour hot underground pondlife
Another use for Olympus Mons.....
....since Mars's atmosphere is tenuous at its thickest, and since Olympus Mons rises 76,000 feet above the surrounding plains, its caldera must be damn near in outer space.
So put a Gauss gun in there and use it to launch iron-rich ore into orbit, to build interstellar spacecraft or orbiting power stations, or what have you..... the savings in bulk material delivery to space would cover the exploration and development costs many time over in the long run.
Plus, it would satisfy mankind's deep-seated desire to rape and plunder nature for a looooooooooooooooong time to come.
Paris because, well, it's Paris.
Apple fights iPhone unlocking (again)
@ Cody: Macs ain't "locked down"
Cody clearly has not a stuffing idea what he's talking about. OS X — every single copy of it — ships with XCode, a complete IDE. I've been using it to learn Objective-C. Why on Earth would Apple do that if they didn't promote the idea of developing for Macintoshes? So can the FUD, bonehead.
Now, as far as Apple's iPhone behaviour, I think it's obnoxious, heavy-handed and hypocritical. I'm 100% with the EFF here. So can the FUD, Apple.
I wish there was a way to put TWO icons on a post; instead I'll settle for none.
Ticketmaster and Live Nation forge unholy alliance
Ticketmaster and scalping
The Canadian charges are worse than you imply: Ticketmaster in Ontario is charged with diverting tickets for fast-selling shows not just to "a scalping site" but to THEIR OWN scalping site — with price increases as much as 1,000%.
"They'll be first against the wall when the revolution comes" — Douglas Adams
Apple banishes Macs to old folks home
By an interesting coincidence...
...I found a still-functioning Power Mac 7200/120 in the hall today. Not fast, but still working and twelve years old.........
Mac malware tide on the rise
Low-hanging fruit...
....deserve to be picked.
If you can't be bothered learning a legitimate open source option (which abound on Macs) and you don't want to pay for commercial software, well, then, I guess you're nailed.
I'm no Mac hater either; I have been using them since before the days of Scores, nVIR and WDEF..........
LaCie showcases hella-expensive display
The colour of God's green Earth...
...is a pretty good approximation of Pantone 348C.
However, I no longer need that sort of accuracy; alsom I don't have five friggin' grand burning a hole in my pockets.
However, many many moons ago, I once approximated the effect of that hood by placing a big black keyboard case over my head to overcome hideous glare on a bright winter day in Edmonton, Canada.
Mine's the one with four Pantone books (regular, metallic, pastel, and tinted varnish) in the back pocket. And not $5,000 with nowhere to go.
La Cie's quiet fans
Humpback whales...
...Frank beat me to it.
The bumps on the front of humpback whale fins (called tubercules) greatly extend the range of windspeeds at which laminar airflow occurs. There is a company called Whalepower ( http://www.whalepower.com/ ) which is testing wind turbine blades with bumpy leading edges; they apparently work quite well.
2008 goes into one-second overtime
Re: John Widger
You forgot to account for continental drift. That's 5 cm a year on average!
Apple more closed than Microsoft
Apple ain't so bad, but could be better
I've been using Macs since there was exactly one kind to choose from. In the meanwhile I've used just about every flavour of Windows as well as Linux, FreeBSD, OpenBSD, Solaris and AIX.
My machine right now? A Mac Mini, with a Samsung 24" LCD, a Logitech gaming mouse and Altec Lansing speakers, generic network and an HP LaserJet. (My only Apple hardware besides the CPU is the keyboard, since my reflexes expect the splat key at the THIRD from the left.) I do almost everything using open source and free software: Firefox, MacMegaPOV, XCode, TextWrangler, MAMP, MacPython with Numpy and Scipy, QCAD, Qucs........... The only exception is my occasional use of Illustrator and Photoshop (I used to be a graphic designer; they're familiar, and no software has a better Bézier curve tool.)
Who says Apple's closed? You're a power user? Go ahead and power-use. (Boffin because, well, RTFM.)
Now I won't hesitate to lambaste Apple's business practices. Since I agree the appreviation A$ is MFG, why not A$$?
Royal Society of Chemistry requests 'Italian Job' ending
It's easy.
Just ask the aliens flying past in their UFO to hold up the end of the bus!
The latest EDI money saver? Paper invoices
To save even more money.....
Instead of blowing a quarter-million bucks on a document reader, hire cheap human labour to enter the data. As I understand it, human beings work rather well with paper.
I for one welcome our new accounting-department overlords!
GooTube snubs McCain's call for DMCA favoritism
That'll show the fossilised old tw*t to maybe consider RAMIFICATIONS before he votes.
Bebo users release interstellar spamgasm at Gliese 581
With any luck I'll be on my death bed, or incinerated and scattered across the Rocky Mountains, before the response arrives.
Say hi to Haumea - our fifth dwarf planet
These Hawaiians are crazy!
'The second is "Namaka", a water spirit who emerged from Haumea's body.'
Hawaiian is a weird language. I call the water spirit that emerges from my body 'recycled lager'.
Northrop offer supersonic robot stealth raygun cyber-bomber
9/11 and American Treason Against Humainty
'Sure, a planefull of fuel exploding in a tower would certainly not be enough - the conspiracists had to imagine lasers to "melt" the steel supports.'
The jet fuel could NOT melt steel, it was an oxygen-starved hydrocarbon-and-office-material fire burning about a thousand degrees too cold for that. The raygun stuff for 9/11 is absolute hogwash. There is a perfectly feasible explanation which is ACTUALLY SUPPORTED BY PHYSICAL EVIDENCE, and that is high-tech thermate of a type possessed only by — guess who? — the Pentagon.
@Pete and others: Being nice is for chumps. That doesn't thickly line the pockets of your "defense" contractor friends. And, besides, everyone knows the Americans are the GOOD GUYS, remember? It has nothing to do with their behaviour, it's by f*cking definition.
I'm not AC because, well, it's pointless pretending I can hide.
Caterpillar plans 600 tonne godzilla-lorry robots
"asking no more than an occasional few thousand gallons of diesel as recompense."
That would make it the most highly-paid staff member, with today's fuel prices.......
Mine's the one with the Terex Titan in the extra-large pocket.
Erotic artist urges spanking for Jacqui Smith
I can't say it better than that!
"We cannot just lie back and watch this ludicrous Act slip in the back door."
Not without poppers we can't!
IT pay jumps as skills gap widens
This is all no mystery, people!
I could tell seven years ago that IT was a totally dead field for those in the west, simply because there is no way to compete with outsourced labour. Granted, India's getting expensive; but they'll get undercut by Bangladesh or some other place where people are hungrier and the cost of living is lower.
For that reason professional IT is a fool's game. The only way to avoid the imploding-job-market trap (which, in the case of the print industry in the 1990s, caught me and wrecked an apparently good career) is to get in an industry where you CAN'T be undercut. In order for that to happen there must be (a) stringent local standards, and (b) no possibility of foreign competition. If you can get (c), an expanding future workload and (d) an elderly, retiring incumbent workforce as well, you've got a golden opportunity. THAT is worth working for!
And that is precisely why I'm going into civil engineering.
Anatomy of a malware scam
Social engineering knows no OS bounds
It's already been pointed out that this is not so much a technical cracking job as a social engineering racket, and it'd be straightforward (given the effort these thugs are clearly willing to invest) to use the browser user-agent string to make transparent Mac and Linux versions too.
And Mac (or any OS) users can be PEBCAKs too; a few weeks I tore a strip off my mom when, FOR THE FOURTH TIME, I found out that her Macbook Pro was running with NO PASSWORD WHATSOEVER, and then she asked me to set the password to an identical string to her user name, which is her real name! Needless to say I lectured her long and hard about that; which will probably mean she doesn't have her cheeks to the wind for system hijacking for, oh, a few weeks.............. until she gets tired of typing in a password again! *banghead*
Mars suitable for growing asparagus
@ Chris C
We *CAN* assume that the laws of physics, and thus chemistry, apply; it's a totally reasonable statement.
Bell Canada chokes P2P and privacy?
*ALL* P2P is legitimate in Canada...
Since we pay exorbitant fees on CD-ROMs, the government has okayed music sharing. So isn't Bell's deep packet inspection flat-out illegal?
W3C 'clarifies' HTML 5 v XHTML
Oh, FFS
XHTML/CSS = extensible HTML, built on a coherent logical basis, with equally extensible styling. How much REAL need for breaking the codebase of the entire World Wide Web is there?
Colliding galaxies mark Hubble anniversary
Re: Redshift
Attn: AC
The universe did not start at any one "single point" that is identifiable. The ENTIRE universe was that one point, so we can say this was the point of origin of the universe or anything else. The expansion of space does not imply that no matter will ever meet any other matter (good thing, that, or we wouldn't exist); it just implies that ON AVERAGE and particularly on large scales things are flying apart at an impressive clip. If what you said was accurate then there would exist NO blueshifted objects at all in the cosmos which is not the case. There are simply more redshifted objects than blueshifted objects.
A good example of an approaching body is the Andromeda Galaxy, which is moving towards the Milky Way at an impressive clip and in a few hundred aeons or something it'll collide with our own galaxy.
A380 passengers to enjoy 'military-style' urinals
I can't believe nobody's said this yet...
...but this really adds a dimension to "whizzing off on an adventure."
Apple sued over 'inflated' iMac claims
@ Steve Todd
Thanks, Steve, you're right on the money in terms of colour intensity vs. fidelity. A low-bit-depth monitor will not look "flat", it will have posterized gradients.
I know what I'm talking about; I'm prepress journeyman with 20 years experience, using a Mac Mini with a pretty decent (but *not perfect*) Samsung 24" widescreen that cost under $500 Cdn last fall. I wouldn't use this display in a demanding professional environment (I'd stick with CRTs still if colour REALLY matters), but at home it's Jim-dandy.
Snort coke, shaft the environment, say boffins
Unfair comparisons
Your points about the environmental destruction of the drug industry are correct, and not at all limited to the rainforest, cf. the toxic mess of a methamphetamine lab.
What would be the fastest way to correct this? Legalization and regulation, FFS. Prohibition means the most short-term-lucrative and easily concealed producers are the ones who succeed, and toss the rest of the planet.
Meanwhile, you compare the worst-practice cocaine labs with the most sustainable coffee plantations, then act like you're stating a significant fact when you point out that the latter has less impact than the former. If coffee was banned like coca, would it be cultivated the same way? Not on your life.
The GWOD is antithetical to human nature and is as unlikely to succeed as Prohibition. It's also responsible for the colossal epidemics of violent crime in the US and for the fact that one PERCENT of their entire population is now incarcerated.
Meanwhile, the GWOD places substantial barriers to the economic feasibility of hemp, which could singlehandedly reduce humanity's planetary impact. But it remains banned despite the plainly obvious fact it was banned in the first place because it threatened the wood pulp industry. THC was a scapegoat.
When will this lunacy stop?
Apple forbids Windows users from installing Safari for Windows
That's not impossible!
You just have to install Windows on your Intel Mac.
Then you'd be compliant. And totally stupid.
Sequoia attack dogs kill review into e-voting discrepancies
That reminds me of the old song...
"And They Call it Democracy" by Bruce Cockburn.
Trade secrets? Like the fact the &*^$%@)#$ voting machines are totally rigged, f'r instance?
Cambridge brain touts wind-n-server combo farms
The Québec Solution
We have cheap, clean hydroelectricity coming out of our ears here in Québec; that's why we have so many aluminum smelters here. Why not drop a massive data centre out in James Bay? It could service all of North America *and* Europe, and save colossal amounts of carbon emissions.
This is a uniquely northern advantage; tropical hydro dams actually have methane emissions that make them about as bad as coal-fired plants but it's clean as a whistle in cold climates.
Antarctic meteorite points to smashed dwarf planet
An actual serious suggestion
Might these meteorites be part of the protoplanet that crashed into Earth 3-4 billion years ago, resulting in the formation of the Moon?
IBM clubs nano noise with graphene sandwich
No headwhacking
Well, of course. The problem is the boffins couldn't say "whacked in the head" and still sound sagacious.
Judge accuses hacks of hacking cannibal ruling
It's her own fault.
Hasn't she ever heard of a USB memory stick, FFS?
PH because Paris could outsmart this judge!
Rendition lawsuit against Boeing subsidiary tossed
I wonder if these plaintiffs were sent down the rabbit hole on a Jeppesen Airplane? Just ask Alice.
My coat's the green ski jacket, thanks.
DHS accepts buggy Eye-o-Sauron™ border scan towers
Re: Postcard calc
I love the idea of hiring illegal immigrants to work as border guards. What could POSSIBLY go wrong? Ha ha!
Tasers can be instrument of torture, says UN
I was threatened by a Taser....
.....because my ex-wife's father, who has a history of pedophilia, was interfering with my visitation with my daughters, and he hit me with his car; but since he had a cell phone and I did not the first indication the cops had arrived was the Taser pressed against my spine. At the time, November 2004, I was seriously ill (two weeks later I would be admitted to hospital for an ailment that would prove almost lethal) and discharging the weapon would undoubtedly have killed me on the spot. The cops made no effort whatsoever to determine my side of the story. Instead, they handcuffed me and let that fücking pedo leave, unquestioned, with my daughters.
So, how, exactly, did I "earn" that treatment?
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1/1 Photo of Chocolate Macaroons
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I've been saving this since 1997 from McCall's magazine. Here are the last three recipes. Go to Chicken Soup With Matzo Balls to read more. Here is the last Macaroon recipe. Here is a few other interesting things they had in the artical. A taste of history: The seder plate...Every food represents portions of the Passover story. Zeroah, a roasted shank bone, symbolizes the lamb sacrificed on Passover eve. A roasted egg, betzah, signifies eternal life. Haroset, a mix of apples and wine, is inspired by the mortar used to build Pharaoh's cities. Horseradish is a reminder of life in slavery. Karpas, a vegetable dipped in salt water, commemorates spring. Calling all kids...The afikomen, or ceremonial matzo, is hidden at the beginning of dinner by the seder leader. A prize (usually candy or money) goes to the child who finds it. The matzo is then shared by everyone at the table.
Units: US | Metric
Serving Size: 1 (363 g)
Servings Per Recipe: 1
Make this season merry, bright and manageable with our easy ideas.


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- Written by George Werner
- March 12th, 2014
Sedona Red Rock High School swimmer Colin Hurkett will have a senior year tale to end them all someday.
Hurkett, co-record holder for SRRHS in the 50-yard freestyle from the state swimming meet Nov. 12, is in the running to be a National Merit Scholar after a held passport made him miss a medical mission of mercy the last week of January to the alleged "murder capital of the world" — San Pedro Sula, Honduras.
All before his 18th birthday, Friday, May 23, at which time Hurkett should know if he has won the National Merit Scholar award. As one of about 8,000 finalists, he already is guaranteed to receive $60,000 over the next four years at the University of Arizona, where he plans to be a pre-medical physiology major and help coach Ford Aquatics, a club swimming team.
"Being able to go back and do what I want, I'm kind of excited to get down there, because I'm only taking one legitimate class right now," said Hurkett, who moved to Sedona just after his eighth-grade graduation from east Tucson, where he lived and swam for a decade until the age of 14.
After rehabilitating a torn labrum he suffered last summer, Hurkett finished sixth in the boys 100-yard freestyle and then swam "the fastest he's gone," according to his head swimming coach A. Jay Bronson, tying the SRRHS record in the 50-yard freestyle at the Division II state tournament with a time of 22.68 seconds.
"He's done an amazing job this year after his injury," Bronson said. "He's been able to come back and lead the team.
"One of the big things was he wanted a school record of his own and now he gets his name up there ... with his own accreditation," he added. "With Colin getting the school record ... I'm ecstatic with how it ended."
Then the time came for Hurkett to undertake his senior year medical project. After a two-week November experience shadowing family friend Dr. Ted Rasoumoff and his team of anesthesiologists in Tucson, a medical mission to Guatemala that, according to Rasoumoff, "didn't pan out," led Hurkett to plan a trip to accompany Rasoumoff and his surgical team of 40 medical students during the last week of January to a hospital just outside of San Pedro Sula in northwestern Honduras — the country's second-largest city.
For the full story, please see the Wednesday, March 12, issue of the Sedona Red Rock News.
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Mobile Phone News
Mobile phone news, rumours, reviews and deals. Covering all the latest smartphones and feature phones.
Popular Phones:
|Apple iPhone 5S
|Apple iPhone 5C
|Sony Xperia Z2
|HTC One M8
Latest mobile phone news:
Nokia Lumia Advert Criticises iPhones Lack Of Colour !
3rd October, 2012
Nokia have released a video criticsising the iPhone's lack of colour.
Apple To Unveil iPad Mini On October 17th ?
3rd October, 2012
The iPad Mini is rumoured to be launching in November.
Everything Everywhere Now Selling 4G LTE Smartphones !
3rd October, 2012
EE have added a number of 4G LTE smartphones on Orange and T-Mobile.
Sony Xperia T Now Available On Vodafone
2nd October, 2012
The Sony Xperia T is now available to buy from Vodafone.
HP Unveil The ElitePad 900 - The Ultimate Business Tablet !
2nd October, 2012
HP have unveiled the ElitePad 900 which is a premium business tablet !
Blackberry London - Blackberry 10 Smartphone Leaked
2nd October, 2012
Details of the Blackberry 10 powered Blackberry London have leaked
Huawei E3256 HSPA+42 Dongle Now Available From Three
2nd October, 2012
Three are offering HSPA+42 in the UK thanks to the Huawei E3256,
Three's Euro Internet Pass Explained !
1st October, 2012
Three's Euro Internet Pass enables you to browse cheaply when abroad.
Samsung Galaxy Music And Music DUOS Leaked
1st October, 2012
The Samsung Galaxy Music and Music DUOS have been leaked online.
Samsung Galaxy Note II Now Available On Three
1st October, 2012
The Samsung Galaxy Note II is now available to buy from Three.
Samsung Galaxy Note II LTE Coming To EE
3rd October, 2012
EE have confirmed they'll be stocking the LTE version of the Galaxy
RBS and Natwest Announce iPhone NFC Trial
3rd October, 2012
Make NFC payments on your iPhone thanks to Touchpay.
4G LTE Launch Brought Forward To Appease Vodafone and O2
3rd October, 2012
The launch of 4G LTE has been brought forward in the UK.
Sony Xperia U, Xperia Go and Xperia Sola Get Updated !
2nd October, 2012
The Xperia Go, Xperia Sola and Xperia U can now be upgraded to
HTC One X and One S Getting Jelly Bean This Month
2nd October, 2012
The HTC One X and One S will be upgraded to Android Jelly Bean this
HTC One X+ Officially Unveiled
2nd October, 2012
The HTC One X+ has now been officially unveiled by HTC.
New Google Nexus Smartphone Launching Soon ?
2nd October, 2012
Will Google unveil the next Nexus smartphone at the end of October ?
Boost Your Home's Mobile Reception With Three Home Signal
1st October, 2012
Three's Home Signal boosts mobiles reception in your home.
Sony Xperia J Video Preview !
1st October, 2012
Vodafone have posted a video preview of the Sony Xperia J.
Vodafone And O2's Network Sharing Approved !
1st October, 2012
Vodafone and O2 will now share networks in the UK !


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January 11, 2011
NEWARK, N.J. — The Federal Transit Administration granted New Jersey Transit more time to decide on whether it will reimburse the U. S. Department of Transportation for $271 million spent on a Hudson River commuter rail tunnel Gov. Chris Christie canceled last October, according to the Record.
Christie cancelled ARC after projections showed the project could go at least $1 billion over its $8.7 billion budget. The new deadline is Jan. 18, 2011. For the full story, click here.
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Express Tuesday | Express Thursday | University Transit
Factors in Transit Bus Ramp Slope and Wheelchair-Seated Passenger Safety Nearly 3 million U.S. adults are wheelchair or scooter users1, and as the population ages this number is expected to rise. Many wheelchair users rely upon public transportation to access work, medical care, school and social activities.
Mass Transit Capital Planning An overview of the world-class best practices for assessing, prioritizing, and funding capital projects to optimize resources and align with the organization's most critical immediate and long-term goals.
The Benefits of Door-to-Door Service in ADA Complementary Paratransit Many U.S. transit agencies continue to struggle with the quality of ADA service, the costs, and the difficulties encountered in contracting the service, which is the method of choice for a significant majority of agencies. One of the most basic policy decisions an agency must make involves whether to provide door-to-door, or only curb-to-curb service.
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Watch this issue
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Volcom Pipe Pro Day 2 sees a plethora of rights and lefts
Words by Daniel Ikaika Ito
Photo Gallery by Ryan Foley
A photo journal of the recent West Coast surf bacchanal
The 2011 Volcom Pipe Pro gets weird on Day 1
First Kelly's tenth world title and now this! 2010 is literally one for the books, because Bill Laity, Swell.com's eternal […]
Jetski + Tow Rope + Wave Pool = Assisted Surfing
Dane Reynolds' art project Thrills, Spills and Whatnot is available — for the moment. There are only 5,000 copies
You gave us over 100 caption ideas for Nixon's Lodown giveaway, and now we're supposed to announce the winner. Turns out we need some help with that too. [UPDATE: The people have spoken. Click through for the winning caption.
Coming to Oahu's North Shore, the even is to run between January 24th and February 5th
Lo-fi Super 8 edit with plenty of ripping and unique delivery
Gather round, boys and girls! For there are tales to tell…
Where SURFING recognize surfers before they're recognizable.
A new beta-version surfboard puts some spring in Clay's step and has him over-rotating out of his boots
A couple sessions at Lowers plus an all-time, knee-high skatepark day at Rivi's to show what Taj is still capable of in the little stuff
SURFING's unique look at the 10x world champ through Sherm's lens hits the streets this week.
Introducing the Gatti, Runaway and Drydock from Zon Zipper
Single finned logs and no interference calls
Known Gallery and RVCA present the first solo photo exhibition by Keegan Gibbs
Wade Goodall delivers the goods — again. Unseen footage from NSW + Mundaka surfaces
They call him "Gold," Florida's golden surf child
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Record enrollment expected at CCC next term
Fall enrollment at Coahoma Community College may skyrocket to 3,000, and set the school's second consecutive registration record, agree many CCC administrators including President Vivian Presley.
She said this year's summer school registration has also been the highest in history, and the recent July 8-9 orientation for incoming freshmen and their parents topped 350.
Many are turning to professional careers vital to personal and community welfare; others are retraining and updating qualifications in their fields, she said.
Anne-Shelton Clark, vice president of Career Technical Education, reports large increases in several programs including culinary arts, cosmetology, business and office technology, welding, and carpentry.
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This blog post visits my top 8 features of SSMS Tools Pack for developing / administering Windows Azure SQL Database (WASD) instances.
Latest News
SQL Tools Review: SQL Search
Reviewing SQL Search as one of must have SQL Tools for Database Developers / DBAs/ SQL Server consultants.
SQL Collaboration
SQL Collaboration with Mickey Stuewe, Chris yates, Jeffrey Verheul and Julie Koesmarno.
Power BI In A Jiffy: Schedule Data Refresh
Schedule Data Refresh is a new feature in Power BI to allow users to refresh data sources in Power Pivot at a defined time or on demand.
Power BI In A Jiffy: Embedded Power View
Two recent blog posts from Mcirosoft exhibiting embedded interactive Data Visualisations via Power View, with anonymous access.
Free Business Analytics Learning #pass24hop
24 Hours of PASS Business Analytics edition is back on 6 Feb 2014 at 3 AM AEDT
Power BI In A Jiffy : Myth Busting Driver Fatalities
Myth Busting Driver Fatalities using Power BI
SQL Server 2014 In A Jiffy: Credential for Windows Azure Storage
#InAJiffy: The CREATE CREDENTIAL statement for creating SQL Server database file on Windows Azure Storage
HDInsight In A Jiffy: Executing Hadoop Commands
Hadoop commands can be useful to manage Windows Azure blob storage with HDInsight cluster. This "In A Jiffy" post outlines where to execute these commands.
Power BI In A Jiffy : Featured Reports
In this "Power BI In A Jiffy" post, we take a look at Featured Reports section recently added to the Power BI site.


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Macna Men's Summer Revenge Waterproof Outdry Motorcycle GlovePremium OUTDRY waterproof weather protection. Learn More$159.99
Macna Men's Summer Vortex Leather Sport Motorcycle GloveA sporty, full-featured glove with hard knuckle armor. Learn More$119.99
Macna Women's All-Season Candy Waterproof Motorcycle GloveMacna Women's "Candy" summer motorcycle soft goat leather riding gloves Learn More$99.99
Macna Men's Summer Talon Waterproof Motorcycle GloveA foul-weather companion. Learn More$99.99
Macna Men's "Contact" motorcycle riding glovesMacna's Contact summer motorcycle glove for men features soft goat leather and a mesh Bremberg liner for warm weather comfort.
Learn More$74.99
Macna Balaclava, 2.0Macna's Balaclava is made from Microfleece and Spandex and provides a comfortable base beneath your helmet, helping to regulate your body temperature. Learn More$37.99
Macna FacemaskMacna's Facemask is made from Microfleece and Spandex to provide a comfortable base beneath your helmet, helping to regulate your body temperature. Learn More$39.99
Macna BeanieMacna's Beanie is made from Coolmax to provide a comfortable base beneath your helmet, helping to regulate your body temperature. Learn More$25.99
Macna Vision Vest "N"The Macna Vision Vest is a bright neon yellow vest with large reflective areas that will boost your visibility day and night. Turn your Macna jacket into a highly conspicuous garment that will increase safety! The Macna Vision Vest attaches to any "Vision Vest ready" Macna jacket, including the men's Oasis and Geo jackets, as well as the women's Lily and Lunar jackets. Learn More$45.00
Macna Men's All-Season Alpine Waterproof Motorcycle PantMacna Alpine motorcycle pants for men provide all-season comfort and exceptional protection. Macna is known for their innovative features, attention to detail, excellent fit, superior comfort, stellar protection, and safety features that stand out from the crowd. Learn More$319.99


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Confirmed Bugatti owners!!
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- 7-케토
- 아싸이 베리 주스, 엑기스
- 에시도필러스
- 아미노산
- 항산화제품
- 아스타잔틴
- 뼈 포뮬라
- 칼슘
- 글루코사민
- 동종요법
- 히알루론산
- 크릴 오일
- 식사대용 제품, 쉐이크
- 멀티 미네랄
- 멀티비타민제
- 버섯, 약용
- 유산균, 에시도필러스
- 프로폴리스
- 피크노제놀
- 홍국
- 21st Century Health
- California Gold Nutrition
- Carlson Labs
- Country Life
- Doctor's Best
- Enzymatic Therapy
- Enzymedica
- Garden of Life
- Healthy Origins
- iHerb Brands
- Jarrow Formulas
- Life Extension
- Madre Labs
- California Extracts
- Doctor's Best
- Eclectic Institute
- Frontier Natural Products
- Himalaya Herbals
- Jarrow Formulas
- Life Extension
- Acure Organics
- Alba Botanica
- AnneMarie Borlind
- Aubrey Organics
- Avalon Organics
- Aveeno
- Derma E
- Desert Essence
- Acure Organics
- Alba Botanica
- Andalou Naturals
- AnneMarie Borlind
- Aubrey Organics
- Avalon Organics
- Bee Naturals
Customer Reviews
IsoCort works
20 people found the following review helpful
Posted by ZlatinVal on Aug 18, 2012
Purchased at iHerb
You have to know that the amount of cortisol in these pellets is 2.5mg the rest is Echinacea Purpurea. It really helps to preserve the adrenals when you have long therm adrenal fatigue. I recommend it to everyone. Don't buy glandulars. They are not standardized unlike Isocort. The only remark is too much fillers - magnesium stearate, silicate, lactose... I give four stars because cortisol in this product really works!
New Isocort
2 people found the following review helpful
Posted by 5164720073768635172 on Feb 11, 2013
Purchased at iHerb
It definately does something. I seem to be only able to take 1 pellet twice a day. Anything else wires me, so I believe no matter what others say that the new formula is doing something. I would like to know exactly how much cortisol is in each pellet. Someone said 2.5 mg. I'll try and remember to post again. I just starting using 1 week ago. I was tested and have very low cortisol especially in the morning. Because of that I am very sensitive and can't seem to take too much of anything without the feeling of overstimulation "being wired." Hopefully I will be able to handle a small amount of Isocort.
2 people found the following review helpful
Posted by Reviewer1544707 on Jul 06, 2011
Purchased at iHerb
So far I can say this product is working good for me. If taken according to the directions on the container, it makes you dizzy. And so I have to take 4 piils in the morning, 2 in the afternoon and another 2 in the evening. That help me alot.
Makes me a bit nervous
1 person found the following review helpful
Posted by Reviewer1972894 on Nov 01, 2011
Purchased at iHerb
I would say it definitely does it's job as a cortisol replacement. It's just that I feel an internal nervousness when I take it. It makes me so I can't sleep, so I have to take very low doses. (a half a tablet in the morning and with lunch) I do not feel more energetic but I'm sure it is giving my adrenals a break from proding their own cortisol and is helping them heal from adrenal fatigue.
1 person found the following review helpful
Posted by Reviewer1729743 on Nov 09, 2011
Purchased at iHerb
Started on Isocort 2 days after I ordered it. I was very impressed in the turn around time and the cost of shipping being so resonable. After 2 weeks I felt some improvement in my energy. Thank you.


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NHL Hockey - Preview
|Pittsburgh Penguins vs. Dallas Stars
The Pittsburgh Penguins and the Dallas Stars will both be gunning for a victory on Saturday when they meet at American Airlines Center. Last time out for Pittsburgh, they were a 6-4 winner as they battled the Islanders on the road. Moneyline bettors who got the Penguins at -136 were rewarded, while the 10 combined goals moved the game OVER for totals bettors. The Stars were a 7-1 winner in their most recent outing at home against the Maple Leafs. That made winners of bettors who got Dallas at -133 on the moneyline, while the total score (8) was good news for OVER bettors. Dallas:
Team record: 23-20-8 SU, ATS
Current streak: won 2 straight games.
The total has gone OVER in 6 of last 7 games at home
When playing on Saturday are 3-7
Team record: 36-13-2 SU, ATS
Current streak: won 2 straight games.
The total has gone OVER in 8 of last 9 games
When playing on Saturday are 5-5
Pittsburgh home to Buffalo, Monday, January 27
Dallas home to Colorado, Monday, January 27


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Darwin Awards III: Survival of the Fittest
Price: $11.00
Price reduced!! $9.66
Darwin Awards III: Survival of the Fittest1
Average rating:Write a review | Read all reviews
From the sheriff who inadvertently shot himself twice, to the highway robbers who blocked traffic with their car and were hit by a truck; from the artist who strung a "shell" necklace of live ammunition, to the man crushed by the branch he'd just severed, The Darwin Awards III proves again that when it comes to stupidity, no species does it like we do.
A graduate of UC Berkeley with a degree in molecular biology, Wendy Northcutt began collecting the stories that make up the Darwin Awards in 1993 and founded DarwinAwards.com soon thereafter. Her award-winning website is one of the most popular humor pages on the web, and has been profiled in USA Today, The Wall Street Journal, and Entertainment Weekly, and on NPR's All Things Considered. She is the author of the international bestsellers The Darwin Awards: Evolution in Action and The Darwin Awards II: Unnatural Selection.
Write a review | Read all reviews
Featured positive reviews:
The Darwin Award series is always an entertaining read, and number 3 is no exception. It had many moments of laugh-out-loud hilarity. The complete lack of common sense and amazing stupidity of some humans to do something so ridiculous as to cause their own death boggles the mind. A Hollywood scriptwriter couldn't make this stuff up! I hear that number 4 in the series is available; so I'm off to get me one right now!


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In the weeks leading up to the Houston Press Music Awards showcase on Sunday, August 4, Rocks Off will be profiling a handful of performers each day, mostly in their own words - part of the best top-to-bottum lineup the showcase has ever had, in our humble opinion. See the showcase schedule and tick ... More >>
Great local bands, one awesome evening.
Without fail, the Houston Press Music Awards sneak up on us. Last year, when the HPMAs returned to the dog days of summer after a one-year Thanksgiving holiday, only a few short months fell between the 2011 trophies and 2012 nomination ballot. This time it's been several months longer, but feels jus ... More >>
This Saturday night, Houston's The Suffers play the Continental Club with the Bandulus and Wilroy Black and The Boss on board as support. Widescreen ska/rocksteady act The Bandulus is also releasing a new album, The Times We Had, that night as well. You can give it a listen right here over on Band ... More >>
Rocks Off reached out to the artists playing this year's Houston Press Music Awards showcase Sunday, August 5, and asked them to introduce themselves. Here's what they sent back. Catch up with the other showcase nominees and see our the rest of our HPMA coverage Rocks Off: When and where was your ... More >>
The punk/ska band adds New Orleans funk.
Photo by alan5of5As we suspected, Houston's stellar ranking in the EPA's list of green buildings isn't necessarily all it seems.We spoke today with Patrick Kelly, the agency's coordinator of the Energy Star program here in Texas, and while the list is absolutely accurate -- there are 145 green build ... More >>
The Handsomes
A former king of the Texas metal world unites Houston's warring rock tribes and wins a passel of Music Awards
Tilman's tigers are on the prowl


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text: Almost-Daily Diary & Shop News http://www.chainreactionblogs.com/diary Ride reports & bike news from Chain Reaction's Mike J Sat Nov 22 16:45:20 2014 / +0000 GMT Universal Post Manager 1.1.2 [ www.ProfProjects.com ] My Madone never felt so good as it did this morning http://chainreactionblogs.com/diary/?p=5730 Sat Nov 22 16:45:20 2014 / +0000 GMT http://chainreactionblogs.com/diary/?p=5730 The six or seven rides Kevin and I did on our Bike Fridays in France were awesome; I wouldn't trade them for anything. But riding a 21 pound steel bike that's designed to fit into a suitcase, loaded down with packs filled with camera gear and food and extra clothing to deal with expected (and unexpected) weather... it's just not the same. You get used to it; used to riding in what I call "mule" mode, a bit slower than normal. How much slower? I can finally quantify differences in climbing speed, thanks to Strava. On my 16 pound Carbon fiber Trek Madone, I can do a bit better than 3000ft/hour. On the Bike Fridays, loaded down, about 2200. How much of that difference is from the bikes, vs the extra gear? Our pre-France test ride up Tunitas a few weeks ago showed it to be about 8% for the bikes alone. Not too bad. And on flatter terrain, considerably less. But it sure felt great getting that 8% back! I need that much, and could have used more, getting up for the regular 7:45am Tuesday/Thursday-morning ride, after having gotten home last night at 9:30, completing a 23-hour nearly-sleepless trip back from France. And y'know, while France is spectacular in its variety of roads to ride and things to see, it still blew me away looking at the coast from west Old LaHonda, noticing a light scattered fog just above the surface, and marveling at how, despite seeing that view hundreds of times, it never gets old. 5730 2013-07-23 20:38:19 2013-07-24 03:38:19


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|Quarrytown Lodge 15 Quarrytown Road, Ballymena, BT43 7LB, United Kingdom (1.8 miles from Rathkenny)
Score from 14 reviews: ExcellentQuarrytown Lodge offers bed and breakfast accommodation in Broughshane, 10 minutes' drive from the centre of Ballymena, Northern Ireland. More…
$79 Average price per night
|Blackthorn Cottage 105a Knowehead Road, Broughshane, Ballymena, BT43 7JD, United Kingdom (2.1 miles from Rathkenny)
Score from 5 reviews: ExcellentA 200-year-old traditional Irish cottage, a 15-minute drive from Ballymena, Blackthorn Cottage offers spacious accommodation featuring a tree-lined garden with barbecue facilities, garden furniture... More…
$111 Average price per night
|Adair Arms Hotel 1-7 Ballymoney Road, Ballymena, BT43 5BS, United Kingdom (4.8 miles from Rathkenny)
Score from 177 reviews: ExcellentSituated in Ballymena town centre, Adair Arms Hotel is within walking distance of all shops, theatres and restaurants that the town has to offer. More…
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|Leighinmohr House Hotel 57 Leighinmohr Avenue, Ballymena, BT42 2AN, United Kingdom (5.4 miles from Rathkenny)
Score from 32 reviews: Very goodLeighinmohr House Hotel features free WiFi, on-site dining options and free private parking. Situated in the large town of Ballymena in County Antrim, the property also offers conference facilities. More…
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|Galgorm Resort Fenaghy Road, Ballymena, BT42 1EA, United Kingdom (5.5 miles from Rathkenny)
Score from 33 reviews: ExcellentOn nearly 100 acres of lush parkland, the 4-star Galgorm Resort features a luxury spa and award-winning restaurant. The resort is just 3 miles from Ballymena, in beautiful Country Antrim. More…
$340 Average price per night
|Rosspark Hotel Kells 20 Doagh Road, Kells, Ballymena, BT42 3LZ, United Kingdom (8.5 miles from Rathkenny)
Score from 126 reviews: Very good There is 1 person looking at this hotel.The Rosspark Hotel is 3 miles from Ballymena in Country Antrim. It offers air conditioned rooms with free Wi-Fi and countryside views, a restaurant serving fine food and a gym. More…
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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.
1/6 Photos of Low Fat Bread Crumb Chicken
Prep Time:
Cook Time:
10 mins
25 mins
You can use plain bread crumbs mixed with Italian seasoning or Progresso brand Panko Italian Style Crispy Bread Crumbs. Just 7 grams of fat and 392 calories. I found this in a family circle magazine.
Units: US | Metric
Serving Size: 1 (189 g)
Servings Per Recipe: 4
The following items or measurements are not included:
italian seasoning
reduced-fat parmesan cheese
Every recipe, menu, tip and how-to is right here, at your service.


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4 guests maximum
47 m2
studio apartment
1 bathroom
1 double sofa bed
1 double bed
A few words about the apartment…
Day one: you're sat on the balcony with your morning coffee and the lonely planet. No need to look up the first one - that's the Charlottenburg Town Hall just opposite. And it's true what it says about being quiet round here. But crikey, there's a fair bunch of things to see downtown! Best get cracking- it'll be just as comfy here later on tonight.
Check-in / Check-out
The standard check-in time is from 15:00 and the check-out by 11:00.
Arrivals and departures outside this standard time are always tried to be accommodated depending on other guests.
Payment method upon arrival : cash
Refundable damage deposit upon arrival : € 50.00 cash. The damage deposit will be returned at check-out.
City tax : please check details after clicking the "book now" button
For a late check-in after 22:00 or an early check-out before 08:00 there is an extra cost of € 25.
Please note : smoking allowed, pets are not allowed, no parties please
Facilities and amenities
- Internet
- Pets allowed
- Smoking allowed
- International TV
- Air conditioning
- Heating
- Fan
- Bed linen
- Towels
- Baby cot
- Washing machine
- Dryer
- Dishwasher
- Microwave
- Oven
- Complete kitchenware
- Balcony
- Terrace
- Garden
- Swimming pool
- Parking
- Lift (apt. is on 3rd floor)
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"The Society of Thoracic Surgeons practice guideline series: transmyocardial laser revascularization." has been saved, and will be accessible from the My NGC page.
Go to My NGC
Alert me when this guideline summary is updated.
This is the current release of the guideline.
Chronic, severe angina
Transmyocardial laser revascularization (TLR):
Reviewed articles were obtained through a search of the MedLine database (1966-present), the National Center for Biotechnology Information (NCBI), PubMed database (using keywords including "TMR," "laser," "revascularization," "transmyocardial," "TMLR," "PMR," and "DMR" as well as subject headings to which these terms were mapped and logical combinations of these sets). Using the same databases, searches were performed by author for investigators active in the field. Additional references were obtained through direct communication with investigators. Selected manuscripts cited in the references were also reviewed.
2009 Currency Review Process
In keeping with the American College of Cardiology/American Heart Association guideline methodology and the National Guideline Clearinghouse requirements, the Society of Thoracic Surgeons (STS) has a process for updating guidelines in the STS Clinical Practice Guidelines Series. The objective of the process is to ensure that all STS guidelines are updated at least every 5 years in order to evaluate the impact of new research on recommendations contained within the original published guideline. A Guideline and its recommendations are considered to be still valid if results from post-publication clinical studies do not contradict earlier research results. An Update Task Force for the transmyocardial laser revascularization (TMR) guideline was convened in January, 2009.
Literature Review and Results
A search of the TMR literature from 2004-2009 was conducted using The Cochrane Central Register of Controlled Trials, Ovid Medline, PubMed and the Database of Abstracts of Reviews of Effects (DARE) and the words "transmyocardial revascularization" and "transmyocardial laser revascularization." Ninety-two records were identified of which 11 were selected for further review by the authors.
The literature was reviewed by Update Task Force members who concluded that data from studies conducted from 2004–2009 were not at odds with recommendations published in the 2004 STS TMR guideline. In agreement with a 2009 Cochrane Collaboration Intervention Review that concluded "application of TMLR in clinical practice should be restricted to research or special situations," the STS clinical guideline clearly identifies the special situations for which TMR is indicated and those situations in which it might be harmful.
The Update Task Force has determined that the 2004 "Society of Thoracic Surgeons Practice Guideline Series: Transmyocardial Laser Revascularization" is still valid.
Not stated
Level of Evidence
Level A: Data derived from multiple randomized clinical trials
Level B: Data derived from a single randomized trial or from several nonrandomized trials
Level C: Consensus expert opinion
Classification of Recommendations
Class I: Conditions for which there is evidence and/or general agreement that a given procedure or treatment is useful and effective
Class II: Conditions for which there is conflicting evidence and/or a divergence of opinion about the usefulness/efficacy of a procedure or treatment
II.a.: Weight of evidence/opinion is in favor of usefulness/efficacy
II.b.: Usefulness/efficacy is less well established by evidence or opinion
Class III: Conditions for which there is evidence and/or general agreement that the procedure/treatment is not useful and in some cases may be harmful
A formal cost analysis was not performed and published cost analyses were not reviewed.
The levels of evidence (A-C) and classification of recommendations (I-III) are defined at the end of the "Major Recommendations" field.
Recommendations for Transmyocardial Laser Revascularization (TMR) as Sole Therapy
Class I
Class IIB
Class III
Recommendations for TMR as an Adjunct to CABG
Class IIa
Class IIb
Patients in whom CABG is not the standard of care (Level of Evidence: C)
None provided
The type of evidence supporting the recommendations is specifically stated for each recommendation (see 'Major Recommendations' field).
Morbidity and mortality
Subgroup Most Likely to Experience Harms
Patients at highest risk for morbidity and mortality following transmyocardial laser revascularization (TMR) include patients with unstable angina, global myocardial ischemia, and diminished left ventricular function.
These guidelines should not be considered inclusive of all proper methods of care or exclusive of other methods of care reasonably directed at obtaining the same results. Moreover, these guidelines are subject to change over time, without notice. The ultimate judgment regarding the care of a particular patient must be made by the physician in light of the individual circumstances presented by the patient.
An implementation strategy was not provided.
Not applicable: The guideline was not adapted from another source.
Society of Thoracic Surgeons
Workforce on Evidence-Based Medicine
Workforce Members: Charles R. Bridges, MD (TMR Taskforce Chair), ScD; Keith A. Horvath, MD; William C. Nugent, M.D; David M. Shahian, MD; Constance K. Haan, MD; Richard J. Shemin, MD; Keith B. Allen, MD; Fred H. Edwards, MD
Electronic copies: Available from the Society of Thoracic Surgeons Web site .
Print copies: Available from The Society of Thoracic Surgeons, 633 N. Saint Clair St., Suite 2320, Chicago, IL, USA 60611-3658
None available
This NGC summary was completed by ECRI on March 30, 2005. The information was verified by the guideline developer on May 3, 2005. The information was reaffirmed by the guideline developer in January 2009 and updated by ECRI Institute on December 17, 2010.
© 2003 The Society of Thoracic Surgeons
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