text:
Deadly Puzzles: Toymaker
When a quiet town is shaken by a series of murders targeting young women, authorities are left running in circles trying to piece together the madman's devious games. Nicknamed "the Toymaker" by the local media, the only clue to his identity is a grim calling card – strange toys left with his victim's bodies. Just as any hope of catching the killer begins to dwindle, the lead investigator receives a package containing a disturbing video, sent by the Toymaker himself. To track down the psychopath, our heroine must scour over video frames of the crime scenes, search for clues left by the killer, and unravel the twisted plot connecting the Toymaker with each of his victims. Will she discover the killer's identity in time to stop him from taking another life, or has accepting the killer's challenge only put her in his sights?
- Challenging puzzles and addictive mini-games
- Interactive location map and journal
- White-knuckled crime story with thrilling plot twists
Game System Requirements:
- CPU: 2.0 GHz (INTEL ONLY)
- Hard Drive: 210 MB
Game Manager System Requirements:
- Browser: Safari 4.0 or later
The Big Fish Guarantee:
- Quality tested and virus free.
- No ads, no adware, no spyware.
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Deadly Puzzles: Toymaker
Customer Reviews
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text:
Health & Environment
Fracking Action Coffee House & Film Screening
Come out to hear about actions taking place here in Atlantic Canada to stop fracking from damaging our precious water resources! Sierra Club Atlantic will share stories of what local citizens are doing to stop fracking, followed by a screening of Josh Fox's Gasland 2.
The Garden of Eat'n Café & Food Fare event will support our efforts to educate people about the risks of fracking and to defend Jane Doe, an indigenous community leader who is protecting the voices of the people speaking out against fracking in New Brunswick.
Please RSVP by calling (902) 431-8050 so we make sure no one is turned away!
WHAT: Gasland 2 Film Screening and Fracking Action Coffee House
WHERE: Garden of Eat'n Café & Food Fare, 6293 Quinpool Road, Halifax
WHEN: 7:00 pm -9:30 pm, Tuesday, January 28th... Read more »
Goodbye to Nanticoke, and all that coalSubmitted by Kristina Jackson on Thu, 2014-01-16 12:18
Sierra Club Canada's Ontario Chapter was instrumental in the decision by our provincial government to shut down all coal plants. The day has come! Toronto environmental lawyer Dianne Saxe has a nice piece on her website about it:
Goodbye to Nanticoke, and all that coal
Overwhelming Crowd Packs House for a Star Studded PanelSubmitted by Guest on Tue, 2013-12-10 16:14
TORONTO – The overwhelming response to a panel interview with David Crombie, Paul Bedford, Jane Fairburn and Jack Diamond, moderated by renowned journalist John Lorinc and keynote address by former mayor David Miller, resulted in NOJetsTO looking for a larger venue. Supporters for the NOJetsTO campaign flocked from across Toronto to fill the OISE auditorium on a chilly Monday night, making the event an outright success.
"The event was a success and the packed house confirmed that the support for NOJetsTO is enormous, spans the GTA and is growing day by the day." NoJetsTO chair Anshul Kapoor said. "It is clear that Torontonians can see beyond Porter Airlines misleading advertising campaign, and want to save their waterfront."... Read more »
Halifax, NS – Sierra Club Atlantic welcomes the ban of the import of dangerous fracking waste announced today in Nova Scotia. Last spring, Sierra Club launched a petition calling for the ban, and the NS Liberal Party promised to ban the import of fracking waste in the lead up to the provincial election last September.
"This is a relief for Nova Scotians and Nova Scotian municipalities who feared that we were going to be tasked with dealing with toxic fracking waste in the region," according to Gretchen Fitzgerald, Director of Sierra Club Atlantic, "I am thrilled to see the leadership in this province demonstrate they are taking the threat represented by toxic fracking waste seriously."... Read more »
Southwestern Energy (SWN) Resources is suing New Brunswick citizens attempting to protect their land, air, and water from the impacts of fracking by protesting seismic testing. In addition to naming 13 individuals, SWN named "Jane Doe" and "John Doe" as being responsible for costs they are claiming are caused by protestors. This Wednesday in Moncton, Jane Doe will speak out in response to SWN's suit.
WHAT: Press Conference: Jane Doe Makes Her Case
WHEN: 11:00 a.m – 12 noon, Wednesday, Dec. 4... Read more »

subset: commoncrawl


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Big day tomorrow - Please say a prayer.
Find a Conversation
Big day tomorrow - Please say a prayer.
|Tue, 10-19-2010 - 8:38pm
Yeppers, tomorrow I get to have an angiogram and most likely angioplasty and a stent. Needless to say, I'm a bit stressed, which isn't helping, but I can't help it. They expect it all to go well, and probably I'll be discharged on Thurs. if all goes well.
|Wed, 10-20-2010 - 12:17pm
Done, Jan.
Rest assured, you are in the best hands.
Please let us know how it goes.
Hugs, Red
|Wed, 10-20-2010 - 9:48am
Jan sending those prayers your way and I don't blame you for feeling nervous. This is all going to go fine my friend.
Will be thinking of you!!
|Wed, 10-20-2010 - 9:11am
Best wishes, Jan. I hope all goes well and you are soon back at home as planned.
Sending you some cyber ((((hugs))))!!
|Wed, 10-20-2010 - 5:03am
I hope all goes well with the doctor! :) Healing thoughts are sent your way and prayers as well!


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We have seen several green concept cars lately that explore the idea of automatic driving for a safer or more efficient commute. Now, Volkswagen is putting the idea to the test in the real world. At the final presentation of the EU research project HAVEit (Highly Automated Vehicles for Intelligent Transport) in the Swedish city of Bords, Executive Director of Volkswagen Group Research Professor Dr. Jürgen Leohold presented the Temporary Auto Pilot system by Volkswagen. While monitored by the driver, Volkswagen's TAP system can drive the car up to 80 miles per hour. Volkswagen hopes the system will represent the link between today's assistance systems and tomorrow's fully automated green cars.
"Above all, what we have achieved today is an important milestone on the path towards accident-free car driving," said Leohold at the presentation. According to Volkswagen, "TAP maintains a safe distance to the vehicle ahead, drives at a speed selected by the driver, reduces this speed as necessary before a bend, and maintains the vehicle's central position with respect to lane markers. The system also observes overtaking rules and speed limits. Stop and start driving manoeuvres in traffic jams are also automated." What do you think of automated driving tech? Is it part of our sustainable future or does it encourage distracted driving? Let us know in the comments.
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19-Year-Old Develops Ocean Cleanup Array That Could Remove 7,250,000 Tons Of Plastic From the World's Oceans
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BACK TO SCHOOL GIVEAWAY: Enter to Win a HP Pavilion dv6 Laptop and Green Prize Package (Worth $1155!)
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LAST CHANCE: Enter to Win a Voltaic Laptop-Charging Solar Backpack Filled With Green School Supplies (Worth $500)!
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GIVEAWAY: Enter to Win a Sloan AQUS Grey Water Toilet System That Recycles Your Sink Water (Worth $189)!
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LAST CHANCE: Enter Inhabitat's Back To School Contest to Win $250+ of Green Goodies Including a Voltaic Solar Backpack (Worth $129)
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Jill FehrenbacherDid you know that there are wolves living near you in almost every state in the country? Sadly most of these wolves are not living in the wild, but in wolf sanctuaries, which are conservation organizations set up to protect them and help grow their populationREAD MORE >
Yuka YonedaNamba Parks was conceived when Osaka Stadium closed down, presenting a great redevelopment opportunity for a new commercial district right next to the Namba Train Station, which is just one stop away from Kansai Airport. Since it's one of the first placesREAD MORE >
Beth BuczynskiTop image: A child is put to work at a militia-run mine in Watsa. © Marcus Bleasdale/National Geographic Captured during a 2004 visit to the war-torn Democratic Republic of Congo, Bleasdale's images "tell the story of the country's mineral resourceREAD MORE >
Jill FehrenbacherYou've all heard the tired mantras about changing your lightbulbs and recycling at home in order to save the planet - are you yawning yet? Many consumers think that going green is a gesture of self-sacrifice that often comes at great expense and inconvenienceREAD MORE >
Yuka YonedaBANANAS You might have heard that bananas are favored by athletes because they contain potassium and it's that same reason that makes them great hangover cures. When you're hungover, your body has lost a lot of potassium that needs to be replenished, so eatingREAD MORE >
Yuka YonedaImages © Graham King "The shopping cart tree symbolizes both generosity and abundance, as well as acknowledging those less fortunate where their whole world may be housed in a cart. We see shopping carts every day and take them for granted. IndividuallyREAD MORE >
Jill FehrenbacherTIP 1: Wrap Your Home in Insulation - "The More, The Better!" Proper insulation is probably the most important factor you can control in creating an energy-efficient home. I always say insulation is like chocolate, the more you have, the better! On average,READ MORE >
Kestrel JenkinsWhile conjuring up comfort in the home seems like a basic principle, it's a far more complex process for architect & remodeling guru Sarah Susanka, who believes that comfort can significantly influence the sustainability of your personal abode. WithREAD MORE >
Lidija GrozdanicTwo architects, Jos Burger and Wouter Keijzer of BK. Architecten, in charge of the renovation of the old church decided to preserve the atmosphere of the existing place with a spatial intervention that preserves its historical value. The three new floors wereREAD MORE >
Morgana MatusFor centuries, the Dutch have manipulated the landscape to move water away from their dwellings. Instead of battling the elements, Netherlands-based firm Waterstudio just announced plans to construct the world's first floating apartment complex in 2014! TheREAD MORE >
Tamsin Woolley-Barker, PhD.The Biomimicry Manual: What can We Learn About Resilience, Weight Loss, and Kidney Disease from the Grizzly Bear?I'm off to the wilds of Montana this week, doing some in-person, up-close biomimicry research, and I've got my fingers crossed I'll see a grizzly bear. But you know, over there, not over here. With five inch long claws, massive muscular shoulders and forearms,READ MORE >
Bridgette MeinholdINHABITAT: How does the term Colorfast describe your latest show? R Nelson Parrish: The term Colorfast originally is a textile industry term derived at the beginning of the last century. It defines how a color cannot fade, wash out, or be diluted over time,READ MORE >


text:
Narrow your search
Ubi is a $299 voice-control gadget designed to integrate seamlessly into your SmartThings- and Belkin WeMo-connected smart home.
Pricing not available
Call it a Christmas miracle for the First Amendment, or perhaps Sony again bowing to pressure, this time from Washington instead of terrorists. Either way, the movie will be released to some theaters.
The tech titan makes available to the public for the first time two independent security audits, as it works to prove its commitment to customer data protection.
At SXSW, a team of filmmakers said they're ready to start shoveling garbage out of a New Mexico landfill in the hunt for millions of units of the buried treasure. Their film will document the whole tragic story.
Sony Pictures gets the controversial film online a day before it hits some theaters. Eager viewers can rent the film for $6 or buy it for $15.
Only current customers enrolled in a discount plan will get to keep their lower rates -- new customers are still stuck with no discounts.
A new salvo in the wireless price war cuts the price of shared data on two lines by 29 percent.
Data breaches are on the rise, but cybersecurity experts say employees and companies can still make broad changes to cut back on hacks.
After less than four hours of deliberation, the jury in the class action antitrust case finds Apple not guilty of anticompetitive conduct almost a decade ago.
San Francisco and Los Angeles district attorneys claim Uber is misleading passengers on driver background checks and fraudulently charging "safe rides" fees. Lyft chooses to settle similar claims against it.


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The Week in Gay: Gay Asians, PrEP, and religion in the workplace
By Cupcake
The Most Cake's weekly round-up of lesbian-ish/gay lady/queer grrrl news from around the world.
Sheryl Swoopes of the WNBA is a sexually fluid unicorn:
American basketball champ Sheryl Swoopes, who came out as gay a couple years ago, has announced that she is now engaged to a man. Coverage ranges from "who cares?" to some serious snarkiness, like someone on Queerty called her a "lie-sexual", which is mean and bi-phobic. Let's all just be happy for her!
Who could possibly not heart gay Asians who want to adopt:
Gay couples from Asian backgrounds report that they still have a hard time adopting in the UK. Race and religion are officially not factored into decisions to match kids with parents, but apparently gay people from communities that are perceived as prejudiced or unaccepting of their lifestyle encounter more obstacles than straight parents.
This is what we call progress, this is what we call really loud music:
Keith Caputo of Life of Agony (that's a metal band) has come out as MtF transgender. Whoo!
Civil partnerships in Jersey States:
You can get civil-partnered in the Jersey States as of Tuesday! Yay for gay Jerseyans! There's one difference to the UK's civil partnership law, which is that apparently this one has no provision for the performance of civil partnership ceremonies in religious buildings. But that will probably change quite soon.
Um, no:
Marcus Bachmann, quack psychologist and frankly swishy husband of Michele Bachmann, says he only performed ex-gay conversion quackery on his patients when they asked him to. Dan Savage would like to remind you that this type of therapy is recognized as harmful by every serious psychiatric and counseling body in the world.
The BBC visited Alex and Jose, the first gay couple to be legally wed in Argentina. At the time, they received a special permission from a judge. That was 18 months ago, and since then, gay marriage has been officially signed into law for all couples.
Equality vs equality:
Does anyone remember Ms Ladele, the Christian registrar lady from Islington who didn't want to marry gay couples? She's taking her case to the European Court for Human Rights along with a lady who wasn't allowed to wear a cross at work and a relationship counselor who refused to talk to teh fags. A UK equality commission says that in their cases, equality law was interpreted too narrowly and they all deserve compensation. I don't know about this, because to me it seems like a totally different thing that a BA air hostess wants to wear a necklace than if someone is actively incorporating their prejudice into their work while receiving a government salary. What do you think?
A daily dose of a combination of antiretroviral drugs seems to go a significant way in preventing HIV contraction in negative study subjects. This will be known as PrEP and is absolutely controversial.
New York continues its month-long streak of being awesome and, in my opinion, newsworthy:
Next Sunday, which is when you can officially be gay and married at the same time in New York State, Niagara Falls is gonna be illuminated to that it's rainbow-coloured. Just for your gay-married honeymoon! How cool is that?


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Boquete Mountain Guest House
Official Contact Details - Boquete Mountain Guest HousePhone: 507-6613-1472
The River View Casita is walking distance to the village of Boquete; just around the corner from Isla Verde hotel. One bedroom and 1 bath, with a view of the river and lush tropical garden.
- Price from 80 USD / Day
- 1 bedroom
(click on a photo to view it)
Last updated: 01/20/2009
This is your property ?
The River View Casita is walking distance to the village of Boquete. One bedroom and 1 bath, next to main house and lush tropical garden. Light maid service daily: towels changed, beds made. Kitchen is equipped with microwave, small refrigerator, and coffee from owners Organic coffee farm.Fresh fruits available to pick when in season. TV and fireplace on patio; wi-fi possible. High Season: $80 per night, 2 night minimum.
Prices & deals
- Lowest Daily Price:
- Highest Daily Price:
- Lowest Weekly Price:
- Highest Weekly Price:
- Cleaning fee:
- Charging Method:
- Payment Types:
- Cash
- Credit Card
- Cheque
- Travellers cheque
- Paypal
- Wire Transfer
Location & area
This accommodation is walking distance to town, but off the main road. Quiet residential area with an abundance of tropical trees. Shopping, restaurants, and activities nearby.
- Address:
- 13097 Mail Boxes Etc, Boquete, Panama
- Accommodation located in:
- countryside, leisure area, mountainside, near biking trails, near golf course, near historical interest, near horse riding, near restaurants & bars, near shopping area, near walking trails, old town, town!
Amenities & services
# of Units: 1... and each unit includes:
- Bedrooms: 1
- Bathrooms: 0
- Single beds: 0
- Double beds: 0
- Baby cots: 0
- Single sofa beds: 0
- Double sofa beds: 0
- Towels:
- Bath:
- Hair Drier:
- Shower:
- Telephone:
- DVD Player:
- Fax:
- Washing Machine:
- Work Desk:
- Bed Sheets:
- Bikes:
- Cable/Satelite TV:
- Internet Broadband:
- Internet Dial Up:
- Ironing Board:
- Library:
- Stereo/Radio System:
- Local Guides:
- Local Transportation:
- 24h Concierge:
- Tours & Excursions:
- House Chef:
- Butler Service:
- Dish Washer:
- Microwave:
- Oven:
- American Kitchen:
- Fridge & Freezer:
- Crockery & Utensils:
Living room
- Table & Chairs:
- Fireplace:
- Sofa Bed:
- Lift / Elevator:
- Swimming Pool:
- Disabled Facilities:
- Tennis Court:
- Terrace:
- Parking:
- Pets Welcome:
- Private Beach:
- Barbecue:
- Garden:
- Sauna:
- Shared Bathroom:
- Spa / Jacuzzi:
- Daily Cleaning:
- DVD/Music Collection:
- Air Conditioning:
- Ensuite Bathroom:
- Balcony:
- Safe:
- Sea View:
- Central Heating:
- City View:
Review - Boquete Mountain Guest House
Boquete Mountain Guest House - Contact the owner
Important Notice : Avoiding Fraud
It's rare, but some helpful hints to watch out for with regards to fraud:
- It is important to NEVER wire funds or use/employ other fund transfer mechanisms such as western union: Always use a credit card to protect yourself against fraud. If owners pressure you into providing a deposit or refuse to accept credit cards, there is a high probability that this is a scam.
- If at all suspicious of fraud, ask to see their website, or any other literature they can provide or send to you. Ask them for contact details for guests who have previously stayed on their property insisting on telephone numbers. Be suspicious of emails that originate from free email services (yahoo, hotmail, gmail, etc)
- Research the property thoroughly on the internet to see if there is any history or mention of scams associated with the property.


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Message from the Dean
Above the doors to Mitrani Hall, students and visitors to Sparks Building read the words, "Live to Learn, Learn to Live." The slogan reflects the mission and the balance of the College of the Liberal Arts at Penn State. In particular, it articulates a vision for a college that combines in its work the classical concerns of the liberal arts with the exigencies of our global society. Our college includes distinguished humanists, social scientists, and life scientists who provide education for every Penn State student. Typical undergraduate students take nearly one-third of their courses in Liberal Arts, endowing us with a tremendous responsibility.
We fulfill the responsibility through a variety of in and out-of-class academic experiences that introduce students to unfamiliar topics and perspectives. Alumni of all ages often remark about how their eyes and minds were opened by the new things learned in liberal arts classes.
In addition to our teaching mission, our outstanding faculty have led our departments to national leadership positions. We are proud of the recent National Research Council rankings of our departments and continue to work to make the College the premier institution for study and work in the liberal arts disciplines.
The College's research and teaching help to shape the future by studying human populations, history, ethics, families, crime, language, and more: from the state of our nation's ethical moorings to the burgeoning developments in cognitive neuroscience, from the continuing effects of our nation's Civil War to the multiple effects of the global spread of terrorism. Through such inquiries, Liberal Arts faculty and students are working together to build a better future for all of us.
Susan Welch
Susan Welch Dean of the College of the Liberal Arts


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'Great product, bargain price!'
Bargain Hunter - Birmingham
In the market for baby wheels? Look no further. Shop our brilliant value Kiddicare pushchairs or big brands like Britax, Maclaren, Quinny and Phil and Teds. And remember, we offer a no-nonsense price promise that says: We'll match any competitor's price for up to 7 days after you've made your purchase. Guaranteed!
©Kiddicare 2014


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Jeff A. Larkin, 49, of Old Bridge passed away suddenly on January 22, 2013. Jeff was born in Old Bridge and was a life long resident of the Township. He attended Madison Township High School. Later, he entered the construction industry most... View Obituary & Service Information
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Share and view memories of Jeff...View Photos & Videos
Flowers & Gifts
Send comfort and support when it's needed most.Send Flowers


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When you walk down the streets of Cleveland County, do not be surprised if you are greeted by a warm smile and a friendly hello. Cleveland County boasts the perfect location, desirable climate, heritage and, most importantly, friendly people.
Warm summers, mild winters and spectacular springs and falls provide enjoyable living year round. In Cleveland County, our family-oriented communities make the most out of the climate with a wide array of recreational activities to meet every interest.
Sorry, but your browser doesn't support this java applet.
Ribbon Cutting at "Pleasant Memories" Kings Mountain Mural Wall
November 19th
4:45 pm
located behind Wells Fargo, Kings Mtn.


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Ubuntu 12: BIND issue
I have been working on this issue on my ubuntu server 12 vm for hours. I got the zone file to read correctly by named earlier in the day then changed some syntax somewhere and could not figure out the issue so I used a web based PHP zone file creator and just plugged in a hosts file. This works, except for the raw domain itself. Other domains seem to work fine with nslookup such as google.com, amazon.com, etc.
I have a domain that has been pointed to my IP for months. I have no problem looking it up from anywhere, but the DNS on my server is not working 100%. I can query nslookup for all hosts on my domain (www.example.com, mail.example.com, etc), except I cannot query for the domain itself (example.com). Reverse DNS works fine as well. The last line is the one I added which doesnt specify a host but I thought might help resolve example.com without a hostname.
Here is the contents of my domain's zone file:
; BIND db file for example.com
@ IN SOA lateralus.example.com. amplex.example.com. (
2013012702 ; serial number YYMMDDNN
28800 ; Refresh
7200 ; Retry
864000 ; Expire
86400 ; Min TTL
NS lateralus.example.com.
MX 10 mail.example.com.
$ORIGIN example.com.
lateralus IN A 192.168.2.22
gw IN A 192.168.2.1
mail IN A 192.168.2.5
www IN CNAME lateralus
IN CNAME lateralus
Here is the output from nslookup:
root@lateralus:/etc/bind/zones# nslookup example.com
Server: 127.0.0.1
Address: 127.0.0.1#53
*** Can't find example.com: No answer
root@lateralus:/etc/bind/zones# nslookup www.example.com
Server: 127.0.0.1
Address: 127.0.0.1#53
www.example.com canonical name = lateralus.example.com.
Name: lateralus.example.com
Address: 192.168.2.22
|All times are GMT +2. The time now is 06:35.
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AHA issues 2011 data on hospitals' uncompensated care
U.S. hospitals provided $41.1 billion in uncompensated care in 2011, according to the latest data from the AHA's Annual Survey of Hospitals. That's $1.8 billion more than in 2010. The total includes "bad debt" (services for which hospitals anticipated but did not receive payment) and charity care (services for which hospitals neither received nor expected payment because they determined, with help from the patient, the patient's inability to pay). It does not include Medicaid and Medicare underpayment.
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Fiberglass can be found in everything. Everyday applications like washing machines and power tools use fiberglass because it is strong and durable. Intricate applications like circuit boards use fiberglass because it is non-conductive. Cars and planes that take us where we want to go use fiberglass because it is light weight and strong, providing a good substitute for steel and aluminum. Fiberglass is leading renewable energy by being main component in wind energy.
With a variety of fabrication processes, fiberglass is leading composite in many markets.


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If for some reason you are not completely satisfied with your purchase this holiday season, choose our FREE pre-paid shipping label and we'll cover your return! This offer is only good on eligible orders placed between November 1, 2014 and December 24, 2014. We've extended our normal return period to January 15, 2015 or 30 days after your order is received - whichever comes later. Learn more about our return policy.
Enjoy free shipping this holiday season! Shop now and get Free Value Shipping on most orders over $29.95 to contiguous 48 states, DC and to all U.S. Military APO/FPO/DPO addresses.
Constructed to be the greatest tool for any endeavor, the Servus 16in Black Pvc Knee Bootsw/pla 617-18822-7 is a superb way to have the capability to accomplish any work. These Tools by the experts at Servus, is built applying a lot of of the very best components to choose from as a way to supply you with a resilient and trustworthy tool. Servus has been doing business for a rather long time period and the Servus 16in Black Pvc Knee Bootsw/pla 617-18822-7 is the ultimate result of their tireless efforts and enthusiasm to delivering some of the finest products for the cost. Here at OpticsPlanet, our purpose is to ensure that you have the most beneficial equipment, and the Servus 16in Black Pvc Knee Bootsw/pla 617-18822-7 is one that we are excited to provide you with. For an outstanding way to handle any improvement endeavor, select the Servus 16in Black Pvc Knee Bootsw/pla 617-18822-7.
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text:
Blue Buffalo Family Favorite Recipes Turducken Canned Dog Food, 12.5-oz, case of 12
By Blue Buffalo
|List Price:
|You Save:
|$5.71 (15%)
Select Autoship at checkout and get this item for $30.67 (save 5%)
In Stock
Blue Buffalo Family Favorite Recipes Turducken Canned Dog Food, 12.5-oz, case of 12
Choices, choices, choices. No need for Gretta to decide on her favorite meat when she can have them all with Blue Buffalo Family Favorites Turducken Canned Dog Food. Turkey, chicken, and duck all in one can makes for a pretty perfect feast. Add in peas, potatoes, and carrots and she's got a meal that's just as balanced as it is delicious.
Key Benefits
- Made with real chicken, turkey, and duck
- Free from harmful byproducts
- Balanced, nutritional content makes a great everyday food
- Made without wheat, a common allergy trigger for dogs
|Item Number
|Special Diet
|Country of Origin
Chicken, Chicken Broth, Water, Turkey, Duck, Peas, Egg, Potato Starch, Whole Potatoes, Carrots, Guar Gum, Natural Flavor, Salt, Sodium Phosphate, Potassium Chloride, Vitamin A Supplement, Thiamine Mononitrate (Vitamin B1), Riboflavin (Vitamin B2), Niacin (Vitamin B3), d-Calcium Pantothenate (Vitamin B5), Pyridoxine Hydrochloride (Vitamin B6), Biotin(Vitamin B7), Folic Acid (Vitamin B9), Vitamin B12 Supplement, Vitamin D3 Supplement, Vitamin E Supplement, Iron Amino Acid Chelate, Zinc Amino Acid Chelate, Copper Amino Acid Chelate, Manganese Amino Acid Chelate, Sodium Selenite, Calcium Iodate, Choline Chloride.
Pet lovers who bought this item also bought...
Blue Buffalo Family Favorite Recipes Turducken Canned Dog Food Customer Reviews
Blue Buffalo Family Favorite Recipes Turducken Canned Dog Food 2 2
My dog loves Blue Buffalo especially canned Turducken Good prices, fast shipping. I am very pleased with Chewy.com and their products. I will order from them again. March 21, 2014
Great product from Blue My 11 month old miniature Schnauzer really likes this dog food. It is more like a thick stew with chunks of the meat with potatoes and peas. I mix it with the Blue dry food and she really enjoys her meal. December 10, 2013
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Life is getting very complicated. Clint and i had our one year anniversary the night before homecoming, on october 10th. HC was fun i guess... Could have been better... my dress fucking kicked butt! It was pretty.. I was pretty... and clint was dressed in khaki cargos and a black t-shirt... I WORE A 100 DOLLAR DRESS!! CMON!!!!!!! AHHHHHHH *slams head on desk and throws things* Okay i'm better.... Its just frustrating i guess. Ya know sometimes i feel like i dont matter... I mean yea i KNOW i matter to him cuz hes always saying i love you and stuff, but, sometimes, its like i'm just another friend. ITS WEIRD! RELATIONSHIPS SUCK!!!! AHHHHHHH heh i'm estatic i know... hehehehehe
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Grease Sing-A-LongHollywood Bowl
2301 N Highland Ave, Los Angeles, CA
The campy, giddy delights of the 1978 musical Grease return to the Hollywood Bowl. The Grease Sing-A-Long offers lovers of the musical the chance to publicly belt out the soundtrack with a crowd of like-minded fans, many of whom definitely dress up for the occasion. Featuring subtitled songs for the audience's group-karaoke pleasure, the sing-a-long is hosted by Didi Conn, AKA Frenchy, Pink Lady and beauty-school dropout. The pre-show begins at 7:30 and includes a performance by Sha Na Na (who played Johnny Casino and the Gamblers in the film). The movie begins at 8:30.
Karin E. Baker, Editor


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Jeremy Carroll wrote: > So, I am hoping to participate in the task force, Welcome back! You're still in all of our acknowledgment sections, given all the work you did at the start of the task force, and I'm glad to have you back on board! Mountain View, eh? Maybe we should grab a beer :) -BenReceived on Monday, 30 June 2008 18:34:02 GMT
This archive was generated by hypermail 2.2.0+W3C-0.50 : Monday, 30 June 2008 18:34:03 GMT


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A myth is an image in terms of which we try to make sense of the world.Alan Watts
History is the present. That's why every generation writes it anew. But what most people think of as history is its end product, myth.E. L. Doctorow
Myths which are believed in tend to become true.George Orwell
Myths are public dreams, dreams are private myths.Joseph Campbell
Myths and creeds are heroic struggles to comprehend the truth in the world.Ansel Adams
All the great legends are Templates for human behavior. I would define a myth as a story that has survived.John Boorman
Heresy is the life of a mythology, and orthodoxy is the death.Joseph Campbell
We can keep from a child all knowledge of earlier myths, but we cannot take from him the need for mythologyCarl Gustav Jung
Myths are clues to the spiritual potentialities of the human lifeJoseph Campbell
If you dream the proper dreams, and share the myths with people, they will want to grow up to be like you.Ray Bradbury
Old myths, old gods, old heroes have never died. They are only sleeping at the bottom of our mind, waiting for our call. We have need for them. They represent the wisdom of our race.Stanley Kunitz
Man seeks to escape himself in myth, and does so by any means at his disposal. Drugs, alcohol, or lies. Unable to withdraw into himself, he disguises himself. Lies and inaccuracy give him a few moments of comfort.Jean Cocteau
I drag my myth around with meOrson Welles
We must not be hampered by yesterday's myths in concentrating on today's needs.Harold S. Geneen
But myth is something else than an explanation of the world, of history, and of destiny.Paul Ricoeur
Myth is the hidden part of every story, the buried part, the region that is still unexplored because there are as yet no words to enable us to get there. Myth is nourished by silence as well as by words.Italo Calvino
What a myth never contains is the critical power to separate its truth from its errors.Walter Lippman
All cultures have grown out of myths. They are founded on myths. What these myths have given has been inspiration for aspiration. The economic interpretation of history is for the birds. Economics is itself a function of aspiration. Its what people aspire to that creates the field in which economics works.Joseph Campbell
One thing that comes out in myths is that at the bottom of the abyss comes the voice of salvation. The black moment is the moment when the real message of transformation is going to come. At the darkest moment comes the light.Joseph Campbell


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When it comes to raising children, controversy abounds. Should toddlers watch TV? Is it better to spank or use time-out? Public school or private? Day camp or residential? All of these issues are personal. Personal decisions. Personal values. Perfectly understandable. But camp things? I never thought doing camp-type activities with my family could stir up a cross-country debate challenging my personal parenting style. After all, don't all parents think camp is a positive experience? Apparently not. Reality Show? As a …
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Thanks to the following who have played a major role in the development of this website:
2010: Site refresh and redesign into a multi-language publishing engine connected to Facebook and other social engines thanks to Lawrence Meckan
2005: Matt Patterson now manages the site, with Bradley acting as 'consultant'. Lawrence Meckan is studying ways to enhance the website.
2003-4: Bradley Gouldson redesign of site and development of MSAccess database to manage and generate the site. Editing and uploading of new material. (http://www.comcen.com.au/~bradley/)
2002: Dave Sanders, Ali, and Bradley – site redesign and conversion Up to 2000: Martin Gleeson Site structure & style design, programming for automated updating & site management. (http://martin.gleeson.com/)
Also: Daniel Ngu, Tim Tang and Ray Haverfield – general coaching and help to keep my computer happy!
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Are Social Networking Sites Good For Our Society? ProCon.org Injects Nonpartisan Research Into Both Sides Of The Debate
SANTA MONICA, Calif., Dec. 12, 2012 /PRNewswire-USNewswire/ -- The 47% of Americans who use social media sites like Facebook, Twitter, and LinkedIn have spent billions of minutes social networking in 2012.
The increasing prevalence of social communication via computers, apps, and mobile devices has been constant and controversial. Is social media advancing beneficial social, political, and business changes, or is it causing a harmful dependence on screen-based technology and spawning less meaningful interpersonal relationships? Are we better off in our new world of constant connectivity, or has more communication brought more problems?
ProCon.org, a nonpartisan research organization devoted to critical thinking on controversial issues, debuts its revamped website Social Networking ( http://socialnetworking.procon.org) and delves into the pros and cons of the core question "Are social networking sites good for society?"Proponents of social networking sites say that the online communities promote increased interaction with friends and family; offer teachers, librarians, and students valuable access to educational support and materials; facilitate social and political change; and disseminate useful information rapidly. Opponents of social networking say that the sites prevent face-to-face communication; waste time on frivolous activity; alter children's brains and behavior making them more prone to ADHD; expose users to predators like pedophiles and burglars; and spread false and potentially dangerous information. In addition to in-depth pro and con research, the revamped ProCon.org social networking website contains a historical background section, videos, photos, over 200 footnotes and sources, and Did You Know? facts including:
- Social networking sites are the top news source for 27.8% of Americans, ranking below newspapers (28.8%) and above radio (18.8%) and print publications (6%).
- Students who used social networking sites while studying scored 20% lower on tests, and students who used social media had an average GPA of 3.06 versus non-users who had an average GPA of 3.82.
- 35 global heads of state, every US Cabinet agency, 84% of US state governors, every major candidate for US President, and more than 40% of top global religious leaders are on Twitter.
- 10% of people younger than 25 years old respond to social media and text messages during sex.
- In July 2012 Americans spent 74.0 billion minutes on social media via a home computer, 40.8 billion minutes via apps, and 5.7 billion minutes via mobile web browsers for a total of 121.1 billion minutes on social networking sites in one month.
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Sign up for our newsletter and stay on top of the latest news and events from CHA
CHA conducts surveys (industry-wide and targeting specific segments of the industry) and trend analysis to assist biopharmaceutical companies in strategic planning and investment justification. Surveys can cover a broad range of scientific areas through a database of more than 500,000 leading scientists and managers across industry and academia.
Surveys may be implemented in conjunction with expert interviews or other channels to optimize the project plan on behalf of the biopharma company, eg. to leverage outsourcing opportunities in China, or to explore the industry's use of a new process or technology.


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Acute respiratory distress syndrome
|Acute respiratory distress syndrome
|Classification and external resources
Chest x-ray of patient with ARDS
|518.5, 518.82
|Patient UK
|Acute respiratory distress syndrome
|This article may be too technical for most readers to understand. (October 2013)
Acute respiratory distress syndrome ("ARDS"), previously known as respiratory distress syndrome ("RDS"), adult respiratory distress syndrome, or shock lung, is a severe, life-threatening medical condition characterized by widespread inflammation in the lungs. Although it can be triggered by a respiratory infection, such as pneumonia, it is more often a result of sepsis or significant trauma.
ARDS is a disease of the lung parenchyma that leads to impaired gas exchange. It is associated with pulmonary cytokine release, impaired endothelial barriers, loss of surfactant, fluid accumulation in the distal airspaces, and fibrotic changes. The mortality rate varies widely based on disease severity and patient age, with an average mortality somewhere between 20% and 50%.
The acronym ARDS formerly signified "adult respiratory distress syndrome" to differentiate it from "infant respiratory distress syndrome", which occurs in premature infants. However, as this type of pulmonary edema also occurs in children, ARDS has gradually shifted to mean "acute" rather than "adult". The differences from the typical infant syndrome remain.
- 1 Signs and symptoms
- 2 Cause
- 3 Diagnosis
- 4 Pathophysiology
- 5 Treatment
- 6 Complications
- 7 Epidemiology
- 8 History
- 9 See also
- 10 References
- 11 External links
Signs and symptoms[edit]
ARDS is an acute injury to the lungs that results in alveolar flooding, atelectasis and a severe oxygenation defect, but is not due to heart failure. In its early stages, it can cause shortness of breath (dyspnea), increased rate of breathing (tachypnea), and low oxygen saturation (hypoxemia).[1][2]
ARDS is characterized by the following criteria:[3][4]
- lung injury of acute onset, within 1 week of an apparent clinical insult and with progression of respiratory symptoms
- bilateral opacities on chest imaging not explained by other pulmonary pathology (e.g. pleural effusion, pneumothorax, or nodules)
- respiratory failure not explained by heart failure or volume overload
- decreased arterial PaO
2 ratio:
- mild ARDS: ratio is 201 - 300 mmHg (≤ 39.9 kPa)
- moderate ARDS: 101 - 200 mmHg (≤ 26.6 kPa)
- severe ARDS: ≤ 100 mmHg (≤ 13.3 kPa)
(a minimum PEEP of 5 cmH
2O is required; it may be delivered noninvasively with CPAP to diagnose mild ARDS). A decreased PaO
2 ratio indicates reduced arterial oxygen content relative to that of the inhaled gas, indicating a failure of the lung to transport oxygen into the blood.
The above characteristics are the "Berlin criteria" of 2012 by the European Society of Intensive Care Medicine, endorsed by the American Thoracic Society and the Society of Critical Care Medicine. They are a modification of the previously used criteria:[5][6]
- Acute onset
- Bilateral infiltrates on chest radiograph sparing costophrenic angles
- Pulmonary artery wedge pressure < 18 mmHg (obtained by pulmonary artery catheterization), if this information is available; if unavailable, then lack of clinical evidence of left atrial hypertension
- if PaO
2 < 300 mmHg (40 kPa) acute lung injury (ALI) is considered to be present
- if PaO
2 < 200 mmHg (26.7 kPa) acute respiratory distress syndrome (ARDS) is considered to be present
The predisposing factors of ARDS are numerous and varied. Sepsis, multiple blood transfusions, pulmonary contusion, aspiration of gastric contents and drug abuse or overdose are common.[2] Also, burns, pancreatitis, smoke inhalation, pneumonia and near drowning can cause this condition. The inhalation of irritants, chemical warfare agents such as phosgene, chlorine gas and such can also cause ARDS.
Some cases of ARDS are linked to large volumes of fluid used during post-trauma resuscitation.[7] Other causes include shock, near-drowning and inhalation of irritants or toxic fumes that damage the alveolar epithelium.
The list of predisposing factors is extensive and some do not necessarily seem to have anything to do with injuring the lungs. Therefore, this syndrome is best diagnosed and managed on its criteria first, with retrospective management on whatever conditions may have precipitated it.
|This section does not cite any references or sources. (October 2013)
An arterial blood gas analysis and chest X-ray allow formal diagnosis. Although severe hypoxemia is generally included, the appropriate threshold defining abnormal PaO
2 has never been systematically studied. A severe oxygenation defect is not synonymous with ventilatory support. Any PaO
2 below 100 (generally saturation less than 100%) on a supplemental oxygen fraction of 50% meets criteria for ARDS. This can easily be achieved by high flow oxygen supplementation without ventilatory support. While CT scanning leads to more accurate images of the pulmonary parenchyma in ARDS, it has little use in the clinical management of patients with ARDS and remains largely a research tool.
ARDS is a clinical syndrome associated with pathological findings including pneumonia, eosinophilic pneumonia, cryptogenic organizing pneumonia, acute fibrinous organizing pneumonia, and diffuse alveolar damage (DAD). Of these, the pathology most commonly associated with ARDS is DAD, which is characterized by a diffuse inflammation of lung parenchyma. The triggering insult to the parenchyma usually results in an initial release of cytokines and other inflammatory mediators secreted by local epithelial and endothelial cells.
Neutrophils and some T-lymphocytes quickly migrate into the inflamed lung parenchyma and contribute in the amplification of the phenomenon. Typical histological presentation involves diffuse alveolar damage and hyaline membrane formation in alveolar walls. Although the triggering mechanisms are not completely understood, recent research has examined the role of inflammation and mechanical stress.
|This section does not cite any references or sources. (October 2013)
Inflammation, such as that caused by sepsis, causes endothelial dysfunction, fluid extravasation from the capillaries and impaired drainage of fluid from the lungs. Dysfunction of type II pulmonary epithelial cells may also be present, with a concomitant reduction in surfactant production. Elevated inspired oxygen concentration often becomes necessary at this stage, and may facilitate a 'respiratory burst' in immune cells. In a secondary phase, endothelial dysfunction causes cells and inflammatory exudate to enter the alveoli. This pulmonary edema increases the thickness of the alveolo-capillary space, increasing the distance the oxygen must diffuse to reach blood, which impairs gas exchange leading to hypoxia, increases the work of breathing and eventually induces fibrosis of the airspace.
Edema and decreased surfactant production by type II pneumocytes may cause whole alveoli to collapse or to completely flood. This loss of aeration contributes further to the right-to-left shunt in ARDS. As the alveoli contain progressively less gas, the blood flowing through the alveolar capillaries is progressively less oxygenated, resulting in massive intrapulmonary shunting. Collapsed alveoli and small bronchi do not allow gas exchange. It is common to see patients with a PaO
2 of 60 mmHg (8.0 kPa) despite mechanical ventilation with 100% inspired oxygen.
The loss of aeration may follow different patterns depending upon the nature of the underlying disease and other factors. In pneumonia-induced ARDS for example, large, more commonly causes relatively compact areas of alveolar infiltrates[clarification needed]. These are usually distributed to the lower lobes, in their posterior segments, and they roughly correspond to the initial infected area. In sepsis or trauma-induced ARDS, infiltrates are usually more patchy and diffuse. The posterior and basal segments are always more affected, but the distribution is even less homogeneous. Loss of aeration also causes important changes in lung mechanical properties that are fundamental in the process of inflammation amplification and progression to ARDS in mechanically ventilated patients.
Mechanical stress[edit]
Mechanical ventilation is an essential part of the treatment of ARDS. As loss of aeration and the underlying disease progress, the end tidal volume grows to a level incompatible with life. Thus, mechanical ventilation is initiated to relieve respiratory muscles of their work and to protect the usually obtunded patient's airways. However, mechanical ventilation may constitute a risk factor for the development—or the worsening—of ARDS.[5] Aside from the infectious complications arising from invasive ventilation with tracheal intubation, positive-pressure ventilation directly alters lung mechanics during ARDS. When these techniques are used the result is higher mortality through barotrauma.[5]
In 1998, Amato et al. published a paper showing substantial improvement in the outcome of patients ventilated with lower tidal volumes (Vt) (6 mL·kg−1).[5][8] This result was confirmed in a 2000 study sponsored by the NIH.[9] Both studies were widely criticized for several reasons, and the authors were not the first to experiment with lower-volume ventilation, but they increased the understanding of the relationship between mechanical ventilation and ARDS.
One opinion[who?] is that the forces applied to the lung by the ventilator may work as a lever to induce further damage to lung parenchyma. It appears that shear stress at the interface between collapsed and aerated units may result in the breakdown of aerated units, which inflate asymmetrically due to the 'stickiness' of surrounding flooded alveoli. The fewer such interfaces around an alveolus, the lesser the stress. Even relatively low stress forces may induce signal transduction systems at the cellular level, thus inducing the release of inflammatory mediators.[citation needed]
This form of stress is thought to be applied by the transpulmonary pressure (gradient) (Pl) generated by the ventilator or, better, its cyclical variations. The better outcome obtained in patients ventilated with lower Vt may be interpreted as a beneficial effect of the lower Pl. Transpulmonary pressure is an indirect function of the Vt setting on the ventilator, and only trial patients with plateau pressures (a surrogate for the actual Pl) were less than 32 cmH
2O (3.1 kPa) had improved survival.[citation needed]
The way Pl is applied on alveolar surface determines the shear stress to which lung units are exposed. ARDS is characterized by a usually inhomogeneous reduction of the airspace, and thus by a tendency towards higher Pl at the same Vt, and towards higher stress on less diseased units. The inhomogeneity of alveoli at different stages of disease is further increased by the gravitational gradient to which they are exposed and the different perfusion pressures at which blood flows through them. Finally, abdominal pressure exerts an additional pressure on inferoposterior lung segments, favoring compression and collapse of those units.[citation needed]
The different mechanical properties of alveoli in ARDS may be interpreted as having varying time constants—the product of alveolar compliance × resistance. A long time constant indicates an alveolus which opens slowly during tidal inflation, as a consequence of contrasting pressure around it, or altered water-air interface inside it—loss of surfactant, flooding.[citation needed]
Slow alveoli are said to be "kept open" using positive end-expiratory pressure, a feature of modern ventilators which maintains a positive airway pressure throughout the whole respiratory cycle. A higher mean pressure cycle-wide slows the collapse of diseased units, but it has to be weighed against the corresponding elevation in Pl/plateau pressure. Newer ventilatory approaches attempt to maximize mean airway pressure for its ability to "recruit" collapsed lung units while minimizing the shear stress caused by frequent openings and closings of aerated units. The prone position also reduces the inhomogeneity in alveolar time constants induced by gravity and edema. If clinically appropriate, mobilization of the ventilated patient can assist in achieving the same goal.[citation needed]
Stress Index[edit]
Mechanical ventilation can exacerbate the inflammatory response in patients with ARDS by including cyclic tidal alveolar hyperinflation and/or recruiting/derecruiting.[10] Stress index is measured during constant-flow assist-control mechanical ventilation without changing the baseline ventilatory pattern. Identifying the steadiest portion of the inspiratory flow (F) waveform fit the corresponding portion of the airway pressure (Paw) waveform in the following power equation:
Paw = a × tb + c where the coefficient b—the Stress Index—describes the shape of the curve. The Stress Index depict a constant compliance if the value is around 1, an increasing compliance during the inspiration if the value is below 1, and a decreasing compliance if the value is above 1. Ranieri, Grasso, et al. set a strategy guided by the stress index with the following rules:
- Stress Index below 0.9, PEEP was increased
- Stress Index between 0.9 and 1.1, no change was made
- Stress Index above 1.1 PEEP was decreased.
- Adjustment of PEEP was suspended if any one of the following conditions ensued: plateau pressure > 30 cmH
2O, SaO
2 < 88%, or hemodynamic instability.[citation needed]
Alveolar hyperinflation in patients with focal ARDS ventilated with the ARDSnet protocol is attenuated by a physiologic approach to PEEP setting based on the stress index measurement.[11]
|This section does not cite any references or sources. (October 2013)
If the underlying disease or injurious factor is not removed, the quantity of inflammatory mediators released by the lungs in ARDS may result in a systemic inflammatory response syndrome or sepsis if there is lung infection.[5] The evolution towards shock or multiple organ failure follows paths analogous to the pathophysiology of sepsis. This leads to the impaired oxygenation which is the central problem of ARDS, as well as to respiratory acidosis—which is often caused by ventilation techniques such as permissive hypercapnia, which attempt to limit ventilator-induced lung injury in ARDS. The result is a critical illness in which the 'endothelial disease' of severe sepsis or SIRS is worsened by the pulmonary dysfunction, which further impairs oxygen delivery.
Acute respiratory distress syndrome is usually treated with mechanical ventilation in the Intensive Care Unit. Ventilation is usually delivered through pro-tracheal intubation, or by tracheotomy whenever prolonged ventilation (≥2 weeks) is deemed inevitable. The possibilities of non-invasive ventilation are limited to the very early period of the disease or to prevention in individuals with atypical pneumonias, pulmonary contusion, or major surgery patients, who are at risk of developing ARDS. Treatment of the underlying cause is imperative. Appropriate antibiotic therapy must be administered as soon as microbiological culture results are available. Empirical therapy may be appropriate if local microbiological surveillance is efficient. More than 60% ARDS patients experience a (nonsocial) pulmonary infection either before or after the onset of lung injury.[citation needed]
The origin of infection, when surgically treatable, must be operated on. When sepsis is diagnosed, appropriate local protocols should be enacted. Commonly used supportive therapy includes particular techniques of mechanical ventilation and pharmacological agents whose effectiveness with respect to the outcome has not yet been proven. It is now debated[by whom?] whether mechanical ventilation is to be considered mere supportive therapy or actual treatment, since it may substantially affect survival. Survivors of ARDS have an increased risk of lower quality of life, persistent cognitive impairment, depression and post-traumatic stress disorder.[citation needed]
Mechanical ventilation[edit]
The overall goal is to maintain acceptable gas exchange and to minimize adverse effects in its application. The parameters PEEP (positive end-expiratory pressure, to maintain maximal recruitment of alveolar units), mean airway pressure (to promote recruitment and predictor of hemodynamic effects) and plateau pressure (best predictor of alveolar overdistention) are used.[12]
Conventional therapy aimed at tidal volumes (Vt) of 12–15 ml/kg (where the weight is ideal body weight rather than actual weight). Recent studies have shown that high tidal volumes can overstretch alveoli resulting in volumetric (secondary lung injury). The ARDS Clinical Network, or ARDSNet, completed a trial that showed improved mortality when ventilated with a tidal volume of 6 ml/kg compared to the traditional 12 ml/kg. Low tidal volumes (Vt) may cause hypercapnia and atelectasis[5] because of their inherent tendency to increase physiologic shunt. Physiologic dead space cannot change as it is ventilation without perfusion. A shunt is perfusion without ventilation.
Low tidal volume ventilation was the primary independent variable associated with reduced mortality in the NIH-sponsored ARDSnet trial of tidal volume in ARDS. Plateau pressure less than 30 cm H
2O was a secondary goal, and subsequent analyses of the data from the ARDSnet trial and other experimental data demonstrate that there appears to be no safe upper limit to plateau pressure; regardless of plateau pressure, patients fare better with low tidal volumes.[13]
Airway pressure release ventilation[edit]
It is often said[by whom?] that no particular ventilator mode is known to improve mortality in airway pressure release ventilation (APRV).
Some practitioners favor airway pressure release ventilation when treating ARDS. Well documented advantages to APRV ventilation[14] include: decreased airway pressures, decreased minute ventilation, decreased dead-space ventilation, promotion of spontaneous breathing, almost 24-hour-a-day alveolar recruitment, decreased use of sedation, near elimination of neuromuscular blockade, optimized arterial blood gas results, mechanical restoration of FRC (functional residual capacity), a positive effect on cardiac output[15] (due to the negative inflection from the elevated baseline with each spontaneous breath), increased organ and tissue perfusion and potential for increased urine output secondary to increased renal perfusion.
A patient with ARDS, on average, spends between 8 and 11 days on a mechanical ventilator; APRV may reduce this time significantly and conserve valuable resources.
Positive end-expiratory pressure[edit]
|This section does not cite any references or sources. (October 2013)
Positive end-expiratory pressure (PEEP) is used in mechanically ventilated patients with ARDS to improve oxygenation. In ARDS, three populations of alveoli can be distinguished. There are normal alveoli which are always inflated and engaging in gas exchange, flooded alveoli which can never, under any ventilatory regime, be used for gas exchange, and atelectatic or partially flooded alveoli that can be "recruited" to participate in gas exchange under certain ventilatory regimens. The recruitable aveoli represent a continuous population, some of which can be recruited with minimal PEEP, and others which can only be recruited with high levels of PEEP. An additional complication is that some alveoli can only be opened with higher airway pressures than are needed to keep them open, hence the justification for maneuvers where PEEP is increased to very high levels for seconds to minutes before dropping the PEEP to a lower level. PEEP can be harmful; high PEEP necessarily increases mean airway pressure and alveolar pressure, which can damage normal alveoli by overdistension resulting in DAD. A compromise between the beneficial and adverse effects of PEEP is inevitable.
The 'best PEEP' used to be defined as 'some' cmH
2O above the lower inflection point (LIP) in the sigmoidal pressure-volume relationship curve of the lung. Recent research has shown that the LIP-point pressure is no better than any pressure above it, as recruitment of collapsed alveoli—and more importantly the overdistension of aerated units—occur throughout the whole inflation. Despite the awkwardness of most procedures used to trace the pressure-volume curve, it is still used by some[who?] to define the minimum PEEP to be applied to their patients. Some new ventilators can automatically plot a pressure-volume curve.
PEEP may also be set empirically. Some authors[who?] suggest performing a 'recruiting maneuver'—a short time at a very high continuous positive airway pressure, such as 50 cmH
2O (4.9 kPa)—to recruit or open collapsed units with a high distending pressure before restoring previous ventilation. The final PEEP level should be the one just before the drop in PaO
2 or peripheral blood oxygen saturation during a step-down trial.
Intrinsic PEEP (iPEEP) or auto-PEEP—first described by John Marini of St. Paul Regions Hospital—is a potentially unrecognized contributor to PEEP in patients. When ventilating at high frequencies, its contribution can be substantial, particularly in patients with obstructive lung disease. iPEEP has been measured in very few formal studies on ventilation in ARDS patients, and its contribution is largely unknown. Its measurement is recommended in the treatment of ARDS patients, especially when using high-frequency (oscillatory/jet) ventilation.
Prone position[edit]
Distribution of lung infiltrates in acute respiratory distress syndrome is non-uniform. Repositioning into the prone position (face down) might improve oxygenation by relieving atelectasis and improving perfusion. If this is done early in the treatment of severe ARDS, it confers a mortality benefit of 26% compared to supine ventilation.[16]
Fluid management[edit]
Several studies have shown that pulmonary function and outcome are better in patients that lost weight or pulmonary wedge pressure was lowered by diuresis or fluid restriction.[5]
A study found improvement in ARDS using modest doses of corticosteroids. The initial regimen consists of methylprednisolone. After 3–5 days a response must be apparent. In 1–2 weeks the dose can be tapered. But high dose steroid therapy has no effect on ARDS when given within 24 hours of the onset of illness.[5][17] This study involved a small number of patients in one center. A recent NIH-sponsored multicenter ARDSnet LAZARUS study of corticosteroids for ARDS demonstrated that they are not efficacious in ARDS. The benefit of steroids in late ARDS may be explained by the ability of steroids to promote breakdown and inhibit fibrosis as well as decreases edema.[citation needed]
Nitric oxide[edit]
Inhaled nitric oxide (NO) potentially acts as selective pulmonary vasodilator. Rapid binding to hemoglobin prevents systemic effects. It should increase perfusion of better ventilated areas. There are no large studies demonstrating positive results; its use must be considered individually.[citation needed] Almitrine bismesylate stimulates chemoreceptors in carotic and aortic bodies. It has been used to potentiate the effect of NO, presumably by potentiating hypoxia-induced pulmonary vasoconstriction. In case of ARDS it is not known whether this combination is useful.[5]
Surfactant therapy[edit]
To date no prospective controlled clinical trial has shown a significant mortality benefit of exogenous surfactant in adult ARDS.[5]
Since ARDS is an extremely serious condition which requires invasive forms of therapy it is not without risk. Complications to be considered are:[5]
- Pulmonary: barotrauma (volutrauma), pulmonary embolism (PE), pulmonary fibrosis, ventilator-associated pneumonia (VAP)
- Gastrointestinal: hemorrhage (ulcer), dysmotility, pneumoperitoneum, bacterial translocation
- Cardiac: arrhythmias, myocardial dysfunction
- Renal: acute renal failure (ARF), positive fluid balance
- Mechanical: vascular injury, pneumothorax (by placing pulmonary artery catheter), tracheal injury/stenosis (result of intubation and/or irritation by endotracheal tube
- Nutritional: malnutrition (catabolic state), electrolyte deficiency.[5]
The annual incidence of ARDS is 13-23 people per 100,000 in the general population.[18] Its incidence in the mechanically ventilated population in intensive care units is much higher. According to Brun-Buisson et al (2004), there is a prevalence of acute lung injury (ALI) of 16.1% percent in ventilated patients admitted for more than 4 hours. More than half of these patients may develop ARDS.[citation needed]
ARDS may be triggered by mechanical ventilation, sepsis, pneumonia, Gilchrist's disease, circulatory shock, aspiration, trauma—especially pulmonary contusion—major surgery, massive blood transfusions,[19] smoke inhalation, drug reaction or overdose, fat emboli and reperfusion pulmonary edema after lung transplantation or pulmonary embolectomy. Pneumonia and sepsis are the most common triggers, and pneumonia is present in up to 60% of patients and may be either causes or complications of ARDS. Alcohol excess appears to increase the risk of ARDS.[20] Diabetes was originally thought to decrease the risk of ARDS, but this has shown to be due to an increase in the risk of pulmonary oedema.[21][22]
Elevated abdominal pressure of any cause is also probably a risk factor for the development of ARDS, particularly during mechanical ventilation. The death rate varies from 25-40% in centers using up-to-date ventilatory strategies and up to 58% in all centers.[23][24][25] [26] Usually, randomized controlled trials in the literature show lower death rates than those shown by observational studies, both in control and treatment patients. This is thought to be due to stricter enrollment criteria.[citation needed]
Acute respiratory distress syndrome was first described in 1967 by Ashbaugh et al.[5][27] Initially there was no definition, resulting in controversy over incidence and death. In 1988, an expanded definition was proposed which quantified physiologic respiratory impairment.
In 1994, a new definition was recommended by the American-European Consensus Conference Committee.[5][6] It is simple to use and it recognizes that severity of pulmonary injury varies.[28]
ARDS was defined as the ratio of arterial partial oxygen tension (PaO
2) as fraction of inspired oxygen (FiO
2) below 200 mmHg in the presence of bilateralinfiltrates on the chest x-ray. These infiltrates may appear similar to those of left ventricular failure, but the cardiac silhouette appears normal in ARDS. Also, the pulmonary capillary wedge pressure is normal (less than 18 mmHg) in ARDS, but raised in left ventricular failure. A PaO
2 ratio less than 300 mmHg with bilateral infiltrates indicates acute lung injury (ALI). Although formally considered different from ARDS, ALI is usually a precursor to ARDS.[citation needed]
In 2012 the Berlin Definition of ARDS was published, removing the ALI/ARDS differentiation. It opts instead to classify ARDS as mild, moderate or severe.[29]
See also[edit]
- ^ Bakowitz, Magdalena (August 2012). "Acute lung injury and the acute respiratory distress syndrome in the injured patient". Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. doi:10.1186/1757-7241-20-54.
- ^ a b Marino (2006), pp 435
- ^ Ranieri VM, Rubenfeld GD, Thompson BT, Ferguson ND, Caldwell E, Fan E, Camporota L, Slutsky AS (Jun 2012). "Acute respiratory distress syndrome: the Berlin Definition. ARDS Definition Task Force". JAMA. 307 (23): 2526–33. doi:10.1001/jama.2012.5669. PMID 22797452.
- ^ Ferguson ND, Fan E, Camporota L, Antonelli M, Anzueto A, Beale R, Brochard L, Brower R, Esteban A et al. (Oct 2012). "The Berlin definition of ARDS: an expanded rationale, justification, and supplementary material". Intensive Care Med. 38 (10): 1573–82. doi:10.1007/s00134-012-2682-1. Erratum in: Intensive Care Med. 2012 Oct;38(10):1731-2. PMID 22926653
- ^ a b c d e f g h i j k l m n Irwin RS, Rippe JM (2003). Irwin and Rippe's Intensive Care Medicine (5th ed.). Lippincott Williams & Wilkins. ISBN 0-7817-3548-3.
- ^ a b Bernard G, Artigas A, Brigham K, Carlet J, Falke K, Hudson L, Lamy M, Legall J, Morris A, Spragg R (1994). "The American-European Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination". Am J Respir Crit Care Med 149 (3 Pt 1): 818–24. doi:10.1164/ajrccm.149.3.7509706. PMID 7509706.
- ^ Cherkas, David (Nov 2011). "Traumatic Hemorrhagic Shock: Advances In Fluid Management". Emergency Medicine Practice 13 (11).
- ^ Amato M, Barbas C, Medeiros D, Magaldi R, Schettino G, Lorenzi-Filho G, Kairalla R, Deheinzelin D, Munoz C, Oliveira R, Takagaki T, Carvalho C (1998). "Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome". N Engl J Med 338 (6): 347–54. doi:10.1056/NEJM199802053380602. PMID 9449727.
- ^ MacIntyre N (2000). "Mechanical ventilation strategies for lung protection". Semin Respir Crit Care Med 21 (3): 215–22. doi:10.1055/s-2000-9850. PMID 16088734.
- ^ Slutsky AS (May 2005). "Ventilator-induced lung injury: from barotrauma to biotrauma". Respir Care 50 (5): 646–59. PMID 15912625.
- ^ Grasso S, Stripoli T, De Michele M, et al. (October 2007). "ARDSnet ventilatory protocol and alveolar hyperinflation: role of positive end-expiratory pressure". Am. J. Respir. Crit. Care Med. 176 (8): 761–7. doi:10.1164/rccm.200702-193OC. PMID 17656676.
- ^ Malhotra A (2007). "Low-tidal-volume ventilation in the acute respiratory distress syndrome". N Engl J Med 357 (11): 1113–20. doi:10.1056/NEJMct074213. PMC 2287190. PMID 17855672.
- ^ Hager et al., American Journal of Respiratory and Critical Care Medicine, 2005
- ^ P. Milo Frawley, Nader M. Habashi. Airway Pressure Release Ventilation: Theory and Practice. AACN Clinical Issues. Volume 12, Number 2, pp. 234–246. (archived from the original on 2009-03-05)
- ^ a positive effect on cardiac output
- ^ Sud S, Friedrich JO, Adhikari NK et al. (8 Jul 2014). "Effect of prone positioning during mechanical ventilation on mortality among patients with acute respiratory distress syndrome: a systematic review and meta-analysis". CMAJ 186 (10): E381–90. doi:10.1503/cmaj.140081. PMC 4081236. PMID 24863923.
- ^ Meduri G, Tolley E, Chrousos G, Stentz F (2002). "Prolonged methylprednisolone treatment suppresses systemic inflammation in patients with unresolving acute respiratory distress syndrome: evidence for inadequate endogenous glucocorticoid secretion and inflammation-induced immune cell resistance to glucocorticoids". Am J Respir Crit Care Med 165 (7): 983–91. doi:10.1164/ajrccm.165.7.2106014. PMID 11934726.
- ^ Lewandowski K, Lewandowski M. Epidemiology of ARDS. Minerva Anestesiol. 2006 Jun;72(6):473-7.
- ^ Vlaar AP, Binnekade JM, Prins D, et al. (2010). "Risk factors and outcome of transfusion-related acute lung injury in the critically ill: a nested case-control study". Crit Care Med 38 (3): 771–8. doi:10.1097/CCM.0b013e3181cc4d4b. PMID 20035217.
- ^ Moss M, Bucher B, Moore FA, Moore EE, Parsons PE. (1996). "The role of chronic alcohol abuse in the development of acute respiratory distress syndrome in adults". JAMA 275 (1): 50–4. doi:10.1001/jama.1996.03530250054027.
- ^ Moss M, Guidot DM, Steinberg KP, et al. (2000). "Diabetic patients have a decreased incidence of acute respiratory distress syndrome". Crit Care Med 28 (7): 2187–92.
- ^ Koh GC, Vlaar AP, Hofstra JJ, et al. (2012). "In the critically ill patient, diabetes predicts mortality independent of statin therapy but is not associated with acute lung injury: A cohort study". Crit Care Med 40 (6): 1835–1843. doi:10.1097/CCM.0b013e31824e1696. PMC 3379571. PMID 22488007.
- ^ The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome" N Engl J Med 2000;342:1301–1308.
- ^ Wiedemann HP, Wheeler AP, Bernard GR et al. (2006). "; National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials Network. Comparison of two fluid-management strategies in acute lung injury". N Engl J Med 354: 2564–2575.
- ^ Wheeler AP, Bernard GR, Thompson BT et al. (2006). "; National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials Network. Pulmonary-artery versus central venous catheter to guide treatment of acute lung injury". N Engl J Med 354: 2213–2224.
- ^ Brun-Buisson C, Minelli C, Bertolini G, et al; ALIVE Study Group. Epidemiology and outcome of acute lung injury in European intensive care units. Results from the ALIVE study. Intensive Care Med. 2004;30:51–61.
- ^ Ashbaugh D, Bigelow D, Petty T, Levine B (1967). "Acute respiratory distress in adults". Lancet 2 (7511): 319–23. doi:10.1016/S0140-6736(67)90168-7. PMID 4143721.
- ^ Ware L, Matthay M (2000). "The acute respiratory distress syndrome". N Engl J Med 342 (18): 1334–49. doi:10.1056/NEJM200005043421806. PMID 10793167.
- ^ CV. Marco Ranieri, MD (2012). "The ARDS Definition Task Force*. Acute Respiratory Distress Syndrome: The Berlin Definition". JAMA 307 (23): 2526–2533. doi:10.1001/jama.2012.5669. PMID 22797452.
Further reading[edit]
- Marino, Paul (2006). The ICU book. Baltimore: Williams & Wilkins. ISBN 978-0781748025.
- Martin GS, Moss M, Wheeler AP, Mealer M, Morris JA, Bernard GR (2005). "A randomized, controlled trial of furosemide with or without albumin in hypoproteinemic patients with acute lung injury". Crit. Care Med. 33 (8): 1681–7. doi:10.1097/01.CCM.0000171539.47006.02. PMID 16096441.
- Jackson WL, Shorr AF (2005). "Blood transfusion and the development of acute respiratory distress syndrome: more evidence that blood transfusion in the intensive care unit may not be benign". Crit. Care Med. 33 (6): 1420–1. doi:10.1097/01.CCM.0000167073.99222.50. PMID 15942365.
- Mortelliti MP, Manning HL (May 2002). "Acute respiratory distress syndrome". Am Fam Physician 65 (9): 1823–30. PMID 12018805.
- Metnitz PG, Bartens C, Fischer M, Fridrich P, Steltzer H, Druml W (February 1999). "Antioxidant status in patients with acute respiratory distress syndrome". Intensive Care Med 25 (2): 180–5. doi:10.1007/s001340050813. PMID 10193545.
External links[edit]
- ARDSNet — the NIH / NHLBI ARDS Network
- ARDS Support Center — information for patients with ARDS
- ARDS Foundation — a charitable organization offers support to families/victims of Acute Respiratory Distress Syndrome


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On 9/13, I'll be delivering a free, one-hour webinar on "How to Hack Your MBA and Get the Most Out of Your Degree". We'll have an estimated 300 attendees from most of the major business schools in Europe and the US. It's hosted by Evisors, a career advice resource delivered by industry experts, and formerly a regional finalist at the HBS Alumni New Venture Contest.
When: Thursday, September 13th, 11:30 am EST
For background, since 1992, I've been (slowly) working on a book tentatively titled "Hack your Education: How to Squeeze Maximum Value from College or Graduate School". I've attached a presentation below I've given on the topic, plus a draft of the book. Among the topics I cover: career planning, time optimization, and selective short-term learning programs and scholarships. I am basing this book on interviews I conducted of graduates from Yale, Harvard Business School, and other leading universities, asking them questions like, "What is the best thing you did to leverage your education? What would you have done differently? What is your advice for someone just starting your program?"
I welcome feedback! You might like some other upcoming Evisors webinars.
[slideshare id=844418&doc=mbasuccessteten-1229289206216650-2]


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Control Operations
Stay in control of your energy operations.
Control and critical operations in the energy industry are highly complex, specialized and unique. Your technical operations are at the heart of the effective operation of your business, yet you must often rely on an aging workforce of highly skilled technical staff and disparate legacy systems. Ventyx delivers robust network control solutions and demand response management capabilities to help you plan, streamline and manage your critical operations. Our targeted solutions for technical energy challenges deliver high impact technologies built on years of global experience.
Featured Customers
Click on a logo to learn more about a featured customer. View all customers »
Eskom is South Africa's public electric utility, established in 1923. Eskom generates approximately 95% of the electricity used in South Africa, and approximately 45% across all Africa.
Based in the Öresund region and owned by the city of Helsingborg, Öresundskraft is one of Sweden's largest energy companies. The company delivers electricity, district heating, natural gas, district cooling and broadband services to consumers and businesses.
As India's largest private power distributor, Reliance Infrastructure Limited (RInfra) energizes two out of every three homes in Delhi and Mumbai.
CPS Energy is the largest municipally owned natural gas and electric utility in the US, providing service to approximately 717,000 electricity customers and 325,000 natural gas customers in and around the city of San Antonio, Texas.
Xcel Energy provides energy related products and services to 3.3 million electricity customers and 1.8 million natural gas customers. It has regulated operations in 11 western, midwestern, and southwestern states.
BGE is a subsidiary of Constellation Energy, a Baltimore-based Fortune 500 energy company that is a major generator of electricity throughout the U.S. and Canada.
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Author(s): Rosalia R Osias MD, Daniel H Pomerantz MD, Jeffrey M Brensilver MD, FACP
Background Telephone notification to family members about a death is one of the most challenging and stressful communication skills, especially for cross-covering housestaff who may have had no direct interactions with the patient or family. Unpredictable variables are involved; telephone notification does not allow the same level of interaction possible with direct personal contact. This Fast Fact offers some guidelines when telephone notification is unavoidable; Fast Fact #77 discusses issues surrounding whether or not to delay notification of death until loved ones arrive at the hospital.
Preparing for the Call
The Actual Notification
Fast Facts and Concepts are edited by Drew A Rosielle MD, Palliative Care Center, Medical College of Wisconsin. For more information write to: email@example.com. More information, as well as the complete set of Fast Facts, are available at EPERC: www.eperc.mcw.edu.
Version History: This Fast Fact was originally edited by David E Weissman MD. 2nd Edition published October 2006. Current version re-copy-edited April 2009.
Copyright/Referencing Information: Users are free to download and distribute Fast Facts for educational purposes only. Osias RR, Pomerantz DH, Brensilver JH. Telephone Notification of Death – Part I, 2nd Edition. Fast Facts and Concepts. October 2006; 76. Available at: http://www.eperc.mcw.edu/EPERC/FastFactsIndex/ff_076.htm.
Disclaimer: Fast Facts and Concepts provide educational information. This information is not medical advice. Health care providers should exercise their own independent clinical judgment. Some Fast Facts cite the use of a product in a dosage, for an indication, or in a manner other than that recommended in the product labeling. Accordingly, the official prescribing information should be consulted before any such product is used.
ACGME Competencies: Interpersonal and Communication Skills, Patient Care
Keyword(s): Communication


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Top 10 Last Minute Valentine Gifts NOT To Buy For Your Woman. Unless You Want To Get Kicked In The Nuts.
Today is Valentine's Day. That made up by Hallmark day created to boost sales of greeting cards, stress out the men who forgot and make women without a love of their own play Adele's Someone Like You on an endless loop while crying the ugly cry.
Yes, the day where you are either blissfully in love or thisclose to crawling into a bottle of Stoli. There is no in between today. No happy medium. You either have a Valentine or you feel like no one will ever love you. During lunch hours and rush hours today, the stores will be packed with those who failed to plan ahead. Or who received a not so subtle reminder from their wives last night. And no doubt, these poor saps will purchase things that no woman would consider a gift that represents the giver's enduring love.
So I give you a warning. Call it a public service announcement, if you will.
These are the top 10 last minute gifts not to buy for your woman unless you want to get kicked in the nuts:
- A Snuggie – what, you can't be bothered to keep your woman warm?
- Cookware – unless you plan on being the one to use it.
- Any cleaning implement
- A Chia Pet
- Lingerie – we buy that to wear for you, dumbass, not the other way around.
- An empty jewelry box – there better be something in there or you're toast.
- Chocolates – we buy those tomorrow when they're half price, numnuts. Stop spending frivolously or you'll be in bigger trouble than you already are.
- A Forever Lazy – although my friend Jenny from The Shed loves the one she stole from her husband. But she's the exception to the rule. Most women will kick you twice in the nads for this one. Also see #1.
- A child's Valentine card – knowing that you were too lazy to get a real card so you raided what was left of the kids' class cards will put you in the dog house until at least the 4th of July, if not 'til Christmas.
- A Valentine card not meant for the love of your life — using the excuse "it's all they had left" will not help your argument. Trust me on this.
Should you lose your damn mind and buy any of these taboo items, I highly suggest you take tomorrow off, get thee to the jewelry store and buy her something sparkly. Add a few spa treatments to that gift for good measure. Oh, and clean the house for her. The right way. It's the only way you might get yourself out of the dog house and laid before the 2012 Apocalypse. Otherwise, it'll be just you and your hand for the foreseeable future.
Category: I Got Your Funny Right Here!


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Greetings Dance Enthusiasts!
If this is your first visit to Elitedance.com welcome, we hope you enjoy exploring the site but please note, this website is and has always been a work in progress. If you are a frequent visitor then welcome back, things have changed, again.
About Us
Elitedance was conceived in 1999 by professional ballet dancers Todd Fox and Raymond Rodriguez. The two wanted to create a centralized website which would gather and highlight dance related digital media content from a collective of "affiliate member" organizations. For the first several years these content creators consisted mainly of dance companies but slowly began to include professional dancers, choreographers, and eventually PR/Marketing firms from around the world.
Eventually the increased popularity of viewing high quality digital media at home and on mobile devices took off and there has been an explosion in dance related digital content creation ever since. As a result, we no longer highlight content exclusively from "affiliate member" companies. Many of those original companies are still very much present here at Elitedance.com but these days we highlight and promote digital media from a wide variety of syndicated sources across the world wide web.
Over the past 12 years we have experimented with many titles (Elitedance Broadcast Network, Elitedance Network, Cidveo) and approaches for highlighting content on this website. These days we try to keep things simple by operating under the title "Elitedance.com".
Important FYI's
Elitedance.com is free to use, does not require any membership signup and you will never receive unsolicited e-mails from us, in fact, you probably won't receive any e-mails from us at all.
Our title is spelled 'Elitedance' NOT 'Elite Dance'
We do our best to respect your right to privacy here at Elitedance.com and try to put as little tracking code and browser cookies on the site as possible. To review our current privacy policy click here.
Speaking of privacy, we do not maintain nor do we ever intend to maintain a Facebook page. You can breathe a sigh of relief knowing that we won't ever write on your super crazy weird wall, or inundate you with emails, pokes, like requests, fan requests, group requests, photo tags, or invites to help pick corn and blueberries on our virtual farm. No offense to those who use Facebook, it's just not our thing here.
Elitedance.com does maintain a Twitter listing under the name @elitedance and it is run by our co-founder Todd Fox. Our Twitter account is the quickest and easiest way to find out when we have posted anything new to the site. Feel free to follow along and or comment on our tweets. FYI, if you tweet us we will respond
Comments are only allowed on certain posts and must be approved by an administrator prior to going public for all to see.
Pingbacks/Trackbacks are allowed.
Only Elitedance.com administrators post information to this website. If you are a company or press representative and want to have your releases included in our circulations and promotions please e-mail us to inquire about becoming a contributing agent. Depending on your organization, certain fees may apply.
It is common during specific times of the year to see very little activity or updates on Elitedance, please keep in mind that this website is updated mostly by dancers and frequency of updates has a lot to do with seasonal performance calendars.
Do you have a commercial product , website, or project you want to advertise on Elitedance.com? We offer a simple, affordable, turnkey solution to reach tens of thousands of dance enthusiasts around the world on a monthly basis. The cost is a flat $1000.00 USD per year (12 months) or $600.00 USD for a half year (6 months). Click here to contact us regarding advertising on Elitedance.com
Want to collaborate?
Elitedance.com has access to vast resources around the globe and is always eager to hear from highly ambitious individuals or organizations with creativity and vision, to discuss how we can pool our resources and benefit one another. If you have a project, website, product, or idea you think we might be able to collaborate on feel free to drop us an e-mail.
Have a great day everyone and enjoy the site!


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Aurora and Private Label Nut Tray 6 Section
583 entries in list
Note: This list includes food subject to recall in the United States since March 2009 related to pistachios distributed by Setton Pistachio of Terra Bella, Inc. This list will be updated as new information is received. The information is current as of the date indicated. Once included, all food recalls will remain listed. If we learn that any information is not accurate, we will revise the list as soon as possible. When available, this database also includes photos of recalled food products that have been voluntarily submitted by recalling firms to the FDA to assist the public in identifying those products that are subject to recall.
Category: Snack and Snack Food
Brand Name: Aurora and Private Label
Product Description: Nut Tray 6 Section
Recalling Firm: Aurora Products, Inc.
Size: 26 oz Plastic Tray
Lot Numbers: Best By: 7/7/09 to 12/31/09
Stock Numbers:
Product Code: 65585200145


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|TV SerialsComedy ShowsHorror ShowsCrime ShowsReality ShowsDance ShowsIndian MythologyOld TV SerialsCartoon ShowsCookery Shows
|Hindi Movies Beauty Care ShowsHealth ShowsYoga ShowsHindi Movie TrailersBollywood ShowsBollywood Hindi SongsSong Shows
In episode 112 of Mahabharat, aired on 17th February 2014, Dhritarashtra decides to appoint Duryodhan as the king of Hastinapur
The Pandavas and Draupadi seek Drupad's blessings. Drupad, Krishna and Dhrishtadyumna bid farewell to the Pandavas and Draupadi. Krishna justifies to Vidur about Draupadi's wedding with the Pandavas, and alerts him about the upcoming emergencies. Dhritarashtra becomes worried about Duryodhan.
He decides to appoint Duryodhan as the king of Hastinapur. Kripacharya performs the rituals of the same. Later, Bhishma stops Dhritarashtra from crowning Duryodhan. Will Duryodhan become the king of Hastinapur? To know more, keep watching Mahabharat....
You are now watching : Mahabharat Star Plus
Please rate this show :
3.7 Ratings | 125 Reviews
Category: Indian mythology show
Hindi TV Channel: Star Plus TV
Watch more episodes on : mahabharat star plus | indian mythology show | tv serial | 17th february 2014 | star plus tv | mahabharat star plus episode no 112 |
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Columbia Business School
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Jack Mitchell is Chairman and CEO of Mitchells/Richards/Marshs and Wilkes Bashford, a three-generation family business that operates men's and women's specialty stores in Connecticut, New York and California. After completing a BA at Wesleyan University in 1961 and an MA at the University of California-Berkeley, Jack joined the family business, Ed Mitchell, Inc., which was founded by his parents and later became Mitchells of Westport. Mitchells went on to acquire Richards of Greenwich, CT, Marshs of Huntington, Long Island, and Wilkes Bashford in San Francisco and Palo Alto, CA. In 2003, Jack launched a second career as a speaker and author, keynoting at events for corporations including Morgan Stanley, Conde Nast, Payless, Nike, Starbucks, and Harvard University, addressing audiences with Hug Your Customers/Hug Your People presentations. Jack has appeared on The NBC Today Show, and Kudlow & Cramer TV show as well as numerous radio interviews and online and print articles. Jack has been quoted in national magazines as a customer service and management leadership expert. In April 2005, INC Magazine listed Jack as one of the 26 Entrepreneurs We Love. Jack shares with his family a number of Community leadership Awards from the Anti-Defamation league, The Menswear Division of UJA-Federation of New York, and Sacred Heart University. Jack is on the Yale Cancer Board and Greenwich Hospital Board of Trustees. Areas of interest: management of family businesses and retail, and customer service.


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Feds urge light sentences for cooperating Latin Kings leaders
By Teresa Auch Schultz firstname.lastname@example.com April 30, 2013 4:32PM
Updated: June 2, 2013 6:29AM
Federal attorneys say two Latin Kings leaders who pleaded guilty to racketeering and dealing hundreds of pounds of marijuana and cocaine have cooperated enough that they should not serve the recommended life in prison.
Instead, they suggest in two sentencing memorandums filed in U.S. District Court in Hammond, that Sisto Bernal of Chicago and Jose Zambrano, 33, of Sauk Village, Ill., should serve 288 months and 240 months, respectively, in prison.
Bernal and Zambrano were among the first defendants named in the case, which claimed that the Latin Kings sold drugs in Chicago's South Side and Northwest Indiana during the past two decades.
The case also claimed the Latin Kings used violence, including murdering people, to control their territories.
Indictments claimed Bernal, one of the gang's top leaders, helped plan the murders of rival gang leaders James Walsh and Gonzalo Diaz outside a Griffith restaurant in 2007 and also traveled to Latin Kings branches in Texas to get them in order.
Zambrano, also a high-ranking leader in the area, was one of the first defendants to plead guilty, including admitting responsibility for two murders.
The case grew from the original six defendants to more than 20 after Zambrano started cooperating with the government.
The new filings do not say specifically why their sentences should go below the recommended life in prison.
Zambrano's attorney, Michael Bosch, argues in his own filing that his client should serve just 180 months in prison, noting that Zambrano's father was convicted of murder shortly after Zambrano was born and that his grandparents kicked him out of their house when he was just 12, leaving him to fend for himself.
The Latin Kings soon took him in, his attorney says in a filing.
"He never had a chance," Bosch writes.
Bosch also notes Zambrano's early and continual cooperation, including testifying at the trial of a co-defendant..
Zambrano and Bernal are both scheduled to be sentenced Thursday, although Bernal has requested a continuance because of a schedule conflict with his attorney.


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A funeral Mass is scheduled Friday in San Juan Capistrano for Barbara "Bonnie" Banda, a 66-year-old Juaneno tribal elder who died Saturday after suffering a stroke April 15.
More than 350 people attended a fundraiser for her family Monday at El Adobe restaurant, said her son Nathan Banda.
The Mass will begin at 10 a.m. at Mission Basilica, 31520 Camino Capistrano, followed by a traditional walk to the old mission cemetery. The public is invited.
Preservation staff at Mission San Juan Capistrano is making repairs this week to help stabilize the display structure housing the original mission bells. The structure is in the footprint of the bell tower amid the ruins of the Great Stone Church.
The repairs are scheduled between 9 a.m. and 3 p.m. through Friday.
The third annual Casino Night fundraiser to benefit the Assistance League of Saddleback Valley will be Saturday at El Adobe restaurant, 31891 Camino Capistrano, San Juan Capistrano.
The event runs from 6:30 to 11 p.m. and includes a buffet dinner, gaming tables, silent auctions, raffles and prizes. Tickets are $50.
Tickets are available at www.eventbrite.com/event/2210024242. For more information, call 949-459-8988.
Zoomars Petting Zoo owner Carolyn Franks will be the new chairwoman of the San Juan Capistrano Chamber of Commerce board of directors.
Franks has been chairwoman-elect since last summer, but the controversy surrounding Zoomars' 40-foot dinosaur statue evicted by the City Council raised questions about whether she would serve as chairwoman, said Mark Bodenhamer, chamber president and chief executive. Bodenhamer and Franks met last week to confirm she would accept the role. "Our interest in her serving in that role never changed," Bodenhamer said.
Franks is to begin her duties July 1.
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"Good to the Last Sip" Labels
as seen in the August issue of Bon Appetit Magazine!
These are definitely going to find their way onto bottles of homemade lemonade
--adhere them to a sturdier piece of of cardboard, punch a hole, add some string and loop over the bottle neck.
-- or glue them directly to the bottle
--or laminate them and write a message onto the back before using as a tag
These are not self adhesive--but only require a quick swipe of a glue stick
Please note measurements on all items. Some items may appear
larger or smaller than they actually are due to magnification to show detail & color.