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VIEWS: 92 PAGES: 22 CATEGORY: Nutrition & Healthy Eating POSTED ON: 3/26/2010
get the diet nutrition tips for your body
Module 2 How to Follow a Low-Sodium Diet The Heart Failure Society of America (HFSA) is a non-profit organization of health care professionals and researchers who are dedicated to enhancing quality and duration of life for patients with heart failure and preventing the condition in those at risk. These educational modules have been developed to help patients, their families, and individuals at risk for heart failure understand and cope with the disease. For more information about the Society please visit our web site www.hfsa.org. www.hfsa.org © copyright 2002 Heart Failure Society of America, St. Paul, MN Reprinted 2006 C o n t a c t In f o rm a t i o n Introduction Please write down important contact information in the space It is important to decrease the amount of sodium you eat when below. You may also want to share this information with family you have heart failure, because heart failure causes the body to members and friends. hold on to extra sodium. The sodium causes extra fluid to build up in your body. The extra fluid makes your heart work harder. Doctor Treating Me for Heart Failure: It also causes symptoms such as swelling of the ankles, feet or abdomen, shortness of breath, or weight gain. Name: A low-sodium diet can help you, even if you do not have Address: symptoms of fluid build up, or if you are already taking a diuretic (water pill). City: State: Zip code: You may have heard your doctor or nurse talk about a low-sodium diet or a low-salt diet and may wonder whether Phone number: they are the same or different diets. In practical terms, there is no difference between the two. Doctors and nurses usually Fax: use the terms sodium and salt to mean the same thing. This module will use the word sodium except when actually E-mail: referring to table salt. The typical American diet is very high in sodium. Even if you do Other Important Phone Numbers: not add salt while cooking or do not use the salt shaker at the table, you are probably eating too much sodium. That is because Ambulance, fire department, or emergency services: 911 we eat processed foods, like frozen dinners, boxed noodle and rice dishes, canned soups, and canned vegetables. Most Pharmacy: processed foods are high in sodium. It may take some time to adjust to a low-sodium diet, but it is Other doctors or nurses: worth the effort. A low-sodium diet can help you feel better and allow your heart failure medicines to work better. It may even keep you out of the hospital. © copyright 2002 Heart Failure Society of America, St. Paul, MN 1 What is a Low-Sodium Diet? Note that while this module concentrates on following a low- A low-sodium diet includes no more than 2,000 to 3,000 sodium diet, other nutritional issues may be of concern to you as milligrams (mg) of sodium per day. That is the same as 2 to well. For example, everyone should watch the amount of fat they 3 grams of sodium a day. To give you an idea of how much eat. Also, if you have diabetes, you should watch the amount that is, 1 teaspoon of salt = approximately 2,300 mg sodium. of sugar you eat. These issues are discussed in more detail in People with mild heart failure (no or mild symptoms with Module 8: Lifestyle Changes. vigorous or moderate exercise) are usually asked to limit This module provides information on: their sodium intake to 3,000 mg per day. ❚ How to follow a low-sodium diet. People with moderate to severe heart failure (symptoms with light exercise, household chores or at rest) are usually asked ❚ The sodium content of selected foods and condiments. to limit their sodium intake to 2,000 mg per day. ❚ Substitutes for high-sodium foods and condiments. Check with your doctor or nurse on the sodium limit that is It will help you: best for you. ❚ Reduce your sodium intake. ❚ Cook meals with low-sodium foods. How Do I Follow a Low-Sodium Diet? ❚ Make good choices when you eat in a restaurant. This module has a lot of information in it. You don't have to You can take four basic steps to reduce the amount of sodium read it all at once. You may find it helpful to read it by sections in your diet: and to come back whenever you have questions about a low- sodium diet. 1. Stop adding salt to your food. 2. Adapt your preferred foods to low-sodium versions. 3. Pick foods naturally low in sodium. 4. Learn to read food labels. 2 3 Step 1: St op Adding Salt to Food To accomplish this step, try the following tips: ❚ Take the salt shaker off of the table. ❚ Do not add salt when cooking. You can reduce your sodium intake by as much as 30 percent by following the first two tips. People often say that food tastes bland without salt. You can make foods taste good without salt by trying the following tips: ❚ Experiment with low- or no-salt herbs, spices, and seasoning mixes. Try using seasonings like black, cayenne, or lemon pepper. Dried and fresh herbs such as garlic, garlic or onion powder (not salt), dill, parsley, and rosemary are also naturally very low in sodium. Combination spice mixes in a bottle are great as long as sodium or salt is not one of the ingredients. ❚ Sprinkle fresh lemon juice over vegetables and salads. Season or marinade meat, poultry, and fish ahead of time with onion, garlic, and your favorite herbs before cooking to bring out the flavor. ❚ Avoid spices and seasoning mixes with the word salt or sodium in the name. They will be high in sodium. For example, just a teaspoon of a seasoned salt such as garlic salt or celery salt contains about 1,500 mg of sodium. The chart on page 27 lists high-sodium seasonings. It can be fun learning new ways to eat. The chart on page 26 lists low-sodium seasonings to use when cooking. There are many salt-free seasoning mixes in your supermarket. Look in the spice section for seasonings labeled "salt-free". 4 5 St e p 2 : Adap t Yo u r Pre f e r re d Fo o d s to L ow - So d i u m Ve r s i o n s To do this, try these tips: ❚ Consider getting a low-salt cookbook. ❚ Look for low-sodium versions of the foods you like. You can find excellent low-salt cookbooks at your local Many types of canned goods are now available in library. You can also buy one at a bookstore or on the low-sodium versions. Look for canned foods labeled Internet. After getting used to low-sodium eating, sodium-free, no-salt, low-sodium, light in sodium, very you will be able to adapt your favorite recipes to low-sodium, reduced-sodium, less-sodium, or unsalted. low-sodium versions. You can also remove some sodium from canned foods by For example, if you like soup, make your own rinsing them. Keep in mind that this does not remove all low-sodium version with fresh meat and vegetables. of the sodium. Toss the ingredients into a slow cooker, and use herbs ❚ Select low-sodium cheeses or yogurt when making sauces. and spices for seasonings. Make extra and freeze some for later meals. ❚ Use low-sodium substitutes for foods that you like. For example, prepare a fresh lean pork roast instead of a country ham. You can cook fresh chicken, turkey, roast beef, or pork without adding salt and use the meats for sandwiches instead of packaged lunch meats. Use fresh lettuce, tomato, and onion for flavoring. The chart on page 35 lists a variety of low-sodium alternatives for high-sodium foods. 6 7 Step 3: Pick Foods Naturally Low in Sodium To accomplish this step, try the following tips: ❚ Choose fresh foods. Fresh fruits and vegetables including freshly squeezed fruit and vegetable juices have very little sodium. The same is true for fresh meat, poultry, and fish. Generally, you can eat as much fresh food as you want without counting the sodium content. So, think fresh when choosing foods. ❚ If you are not eating fresh foods, choose other low-sodium foods as much as possible. Other good options include canned fruits and plain frozen vegetables. Dried beans, peas, rice, and lentils are also excellent low-sodium foods, but make sure not to add salt or other ingredients such as salt pork when cooking them. 8 9 Step 4: L e arn to Read Food Labels By reading food labels, you can learn which foods are high and low in sodium. As a rule, most processed foods whether they are frozen, canned, or boxed, are high in sodium. For example, most frozen TV dinners, frozen snack foods such as pizza rolls and egg rolls, canned vegetables, and instant hot cereals are high in sodium and should be avoided. But not all processed foods are high in sodium. Some packaged foods are available in low- or no-salt versions. Sometimes it is hard to know what to eat. The only way to know for sure is to read the food label. It is especially important to read the labels of processed foods or any foods with which you are unfamiliar. The charts on pages 28-31 list some high- and low-sodium foods, so you can get an idea of which foods you should choose and which ones you should avoid. The next section will teach you how to read a food label for sodium content. 10 11 Re a d i n g a Fo o d L a b e l fo r So d i u m C o n t e n t 1. Begin by reviewing the serving size and sodium content Nutrition Facts information. See the shaded areas on the sample label to the left. Serving Size 5 oz The serving size for the food above is 5 oz. (ounces). Servings Per Container 4 The sodium content for that serving is 440 mg. 2. If you eat the same sized serving as the one listed on the Amount Per Serving label, then you are eating the amount of sodium that is listed. Calories 90 Calories from Fat 30 3. But if the amount you actually eat is either larger or smaller, % Daily Value* the amount of sodium you will be eating will also be larger Total Fat 3g 5% or smaller. Saturated Fat 0g 0% For example, if you eat a double portion of the food shown Cholesterol 0mg 0% on the label to the left, you will also be eating twice as much Sodium 440mg 19% sodium as listed on the label. A 10 oz. serving of the food Total Carbohydrate 13g 4% above would contain 880 mg of sodium. Dietary Fiber 3g 4% Sugars 3g Protein 3g Vitamin A 80% • Vitamin C 60% Calcium 4% • Iron 4% * Percent Daily Values are based on a 2,000 calorie diet. Your daily values may be higher or depending on your calorie needs: More nutrients may be listed on some labels. 12 13 Ot h e r Tips to Help You Get Star ted It can be difficult to change your eating habits. It may take weeks before you enjoy the taste of low-sodium foods, but your taste buds will adjust. Eventually you may not even miss the salt. The tips listed below can help you get off to a good start: ❚ Make changes slowly instead of all at once. ❚ Adapt things you like to eat so they are lower in sodium, rather than trying to totally change your diet. ❚ Keep a list of low-sodium foods in the kitchen. The refrigerator is a good spot. The chart on page 33 lists some low-sodium foods. To detach this chart, tear along the perforated line. ❚ Learn which foods are high-sodium, and do not buy them. That way you will not be tempted to eat them. The chart on page 34 lists some high-sodium foods. ❚ When picking entrees or main food items, no more than one food item should have more than 500 mg of sodium. Think about it this way – if your doctor or nurse recommended that you eat 2,000 mg of sodium in a day, 500 mg is one-fourth of your daily amount. ❚ Make a list of the amount of sodium you eat with each meal for a few days. The next section explains how to track your sodium intake. 14 15 Tr a c k i n g t h e S o d i u m i n Yo u r D i e t Keep a record of everything you eat and drink for four days of typical eating. Review your chart To find out how much sodium you are eating, keep a record of everything you eat and drink for four days. Do not forget to with your nurse or dietitian to be sure that you are not consuming too much sodium. include snacks. Snacks You can use the chart on the next page to track what you eat. A full-page version of the chart can be printed from our web site: www.abouthf.org. If you don't know the sodium content of a particular food, write Tr a c k i n g t h e So d i u m Yo u E a t down the food anyway. Your nurse or dietitian will work with you to estimate the sodium content. You can also look up the sodium content of foods on the Internet. Dinner Add up the amount of sodium you ate each day. If you find that you ate more than 2,000-3,000 mg of sodium each day, look at each item on the list to figure out which foods caused the trouble. Think about where you might be able to cut down on sodium. You can also review the list of what you ate with your nurse, doctor, or dietitian to find out how your sodium intake compares to what is best for you. Lunch Breakfast Day 1 Day 2 Day 3 Day 4 16 17 Qu e s t i o n s t o A s k Yo u r Do c t o r o r Nu r s e Your doctor or nurse should check your blood potassium level and tell you if you need to do anything special to keep your What is my sodium limit per day? potassium level normal. If you have low potassium, your doctor or nurse may advise you to eat foods high in potassium. They may also prescribe a Reason for asking this question: Most people with heart failure potassium pill to make sure you are getting enough potassium. should limit their sodium intake, even if they do not have If your doctor or nurse suggests that you eat foods high in symptoms. Following a low-sodium diet will help prevent fluid potassium, try the following: from building up in your body and may even decrease your need for some medications. Avocados Potatoes and Your doctor or nurse is the best person to tell you exactly how sweet potatoes Bananas much sodium you can eat each day, but they may forget to Spinach Broccoli discuss this important aspect of your care. So ask them about Strawberries your sodium limit. Cantaloupe Tomatoes Dried fruits (prunes, I hear a lot about sodium, but what about potassium? dates, raisins) Whole grains Should I be on a diet that is high or low in potassium? Nuts Winter squash Oranges and other citrus fruits Reason for asking this question: Your body needs potassium to work properly, so it is important that you have the right amount But if your potassium level is high, your doctor or nurse may in your blood. advise you to avoid eating certain foods and salt substitutes containing potassium. Always check with your doctor or nurse Some heart failure medicines can cause potassium levels to go before using salt substitutes that contain potassium. either up or down. For example: ❚ Water pills may cause a drop in potassium. ❚ Angiotensin-converting enzyme (ACE) inhibitor and spironolactone pills may cause an increase in potassium. (See Module 3: Heart Failure Medicines for definitions and more information). 18 19 Qu e s t i o n s a n d A n s we r s Abou t a L ow - So d i u m Di e t Question: Are there sources of sodium that I need to watch Question: How can I follow a low-sodium diet when I eat out? out for? Answer: Many people go out to eat several times each week. Answer: Most of the sodium we eat comes from salt, but sodium Eating out, whether it is at a restaurant, a friend's house, or a can also be found in many foods, drinks, and medicines. party, can be challenging if you are on a low-sodium diet. Some things you should know about sodium that can help you But you can go out to eat and maintain a low-sodium diet, eat less of it: if you are careful. ❚ If your doctor or nurse prescribes an antibiotic, ask for one Use the following tips while eating out: without sodium. ❚ Choose restaurants that offer fresh food choices. ❚ The chemical symbol for sodium is Na. You may also see ❚ Pick preparations without breading, because breading the symbol NaCl for sodium chloride. contains salt. ❚ Watch for the word soda on food labels. For example you ❚ Be specific about what you want and how you want it may see sodium bicarbonate (baking soda) or sodium prepared when ordering. carbonate on packages. These products contain sodium compounds. Try to avoid them if possible. For example, ask that your food be prepared without added salt, monosodium glutamate (MSG) or soy sauce. ❚ Preservatives account for much of the sodium in processed foods. The names of some high-sodium preservatives are: ❚ Do not be afraid to question your waiter about how the sodium alginate, sodium sulfite, sodium caseinate, and food is prepared. sodium benzoate. ❚ Some over-the-counter drugs have large amounts of sodium. Carefully read the labels. Avoid products such as fizzing drugs. 20 21 Questi o n s a n d A n s we r s ( c o n t . ) ❚ Choose foods without sauces or ask for sauce and salad ❚ Choose the salad bar. It can be an excellent way to eat dressing "on the side". a low-sodium meal in a restaurant. If you use salad dressing, dip the tines of your fork into the But remember the following guidelines when dressing cup and then pierce your food, instead of pouring selecting items: the dressing over your food. That way you get the flavor • Choose fresh vegetables, fruits, and eggs without all the sodium. served in their natural state. That includes Use the same technique with other types of sauces such as lettuce greens, spinach greens, tomatoes, barbecue, steak, creamed, cheesy, Hollandaise, Alfredo, or cucumbers, onions, radishes, green peppers, red spaghetti sauces. It also works with gravies. red peppers, alfalfa sprouts, fresh mushrooms, broccoli, cauliflower, carrots, red cabbage, and ❚ Limit use of condiments that are high in sodium such hard boiled eggs. as Worcestershire sauce, steak sauce, or ketchup. • Avoid high-sodium foods including croutons, ❚ Avoid dishes named au gratin, Parmesan, hashed, green olives, black olives, shredded cheese, Newberg, casserole, and Devonshire, because they bacon bits, macaroni salad, potato salad, are high in sodium. coleslaw, sunflower seeds, pepperoni, Chinese noodles, pickles, and creamy salad dressings. ❚ Be careful of foods that are labeled as good for your heart. • Choose the following salad dressings: oil and These foods are usually low-fat, but they may be high in vinegar, lemon, and flavored vinegars such as sodium. In many cases, salt is used to flavor low-fat foods. balsamic and raspberry. • Avoid the regular, light, and fat-free dressings unless you order on the side and dip your fork tines in the dressing. They are all high in sodium. ❚ If you are at a party, eat fresh fruits and raw vegetables instead of snack foods such as potato chips, salted popcorn, pretzels, or peanuts. Avoid the dips and party spreads because of their high sodium content. If you decrease your sodium intake before and after a big event where you may be eating a lot of high-sodium foods, you can help prevent your body from retaining fluid. 22 23 Questi o n s a n d A n s we r s ( c o n t . ) Question: What can I do to stay on my diet at a fast food At a deli, choose: restaurant, pizza parlor, or deli? ❚ The salad bar. Answer: Eating at a fast food restaurant, pizza parlor, or deli can be especially difficult, because most of the menu items are very ❚ Vegetarian sandwiches with fresh vegetables, including high in sodium. lettuce, spinach, tomato, onion, fresh mushrooms, radishes, cucumbers, and sprouts. The chart on page 37 lists the sodium content in some typical types of fast foods. ❚ Use small amounts of mayonnaise (1 tablespoon contains 75 mg of sodium) or mustard (1 teaspoon contains 55 mg Still it is possible to make lower sodium choices, if you try of sodium) as condiments. the following: ❚ Avoid items such as the deli meat and cheese sandwiches, At fast food restaurants, choose: sardines, caviar, and pickled or brined foods such as olives. ❚ A hamburger or grilled chicken sandwich At a pizza parlor, choose: without condiments. ❚ Less sauce. Add small amounts of mustard or mayonnaise yourself. ❚ More vegetable toppings. ❚ French fries without salt. ❚ Ask for fresh mushrooms, green peppers, fresh tomatoes, onions, and other fresh vegetables. ❚ The salad bar. ❚ Part-skim mozzarella cheese. ❚ Avoid pepperoni or sausage and processed cheeses such as Parmesan. 24 25 Measurement Key Ounce = oz. Milligram = mg Tablespoon = tbsp. Teaspoon = tsp. Examples of low-sodium spices, herbs, seasonings, Examples of high-sodium spices, seasonings, and condiments and condiments Allspice Garlic powder Alfredo mixes Pickle relish Basil Ginger Barbecue sauce Plum sauce Bay leaves Lemon juice Celery salt Poultry seasoning Black pepper Low-sodium ketchup Cocktail sauce Regular ketchup (limit to 1-2 tbsp.) Cayenne pepper Dry meat marinade mixes Salt Nutmeg Celery powder Dry salad dressing mixes Salt sense Onion powder Chili powder Fish sauce Sea salt Oregano Chives Garlic salt Seasoned salt Paprika Cinnamon Generic sauce mixes Soy sauce Parsley Cloves Horseradish Steak sauces Pimento Cocoa powder Kosher salt Stir fry mixes Red pepper Cumin Lite salt Stir fry sauce Sage Curry Lite soy sauce Taco sauce Salt substitute Dill (with physician's approval) Meat tenderizer Taco seasoning Dry mustard Tabasco pepper sauce MSG Teriyaki sauce Flavored extracts (1 tbsp. OK) Onion salt Worcestershire sauce (vanilla, almond, etc.) Thyme Fresh garlic Vinegar 26 27 Examp l e s o f So d i u m C o n t e n t o f Se l e c t e d Fo o d s Foods with less than 10 mg of sodium per serving Foods with 40–65 mg of sodium per serving Fruit and fruit juices Sugar Beef, pork, lamb, and Fish (fresh, 3 oz.) (fresh, frozen or canned) poultry (fresh, 3 oz.) Unsalted nuts Fruit-filled cookies (1) Honey Corn tortilla (1) Unsalted peanut butter Shrimp (2 oz.) Hot cereals such as (but not regular peanut Egg (1) oatmeal, wheat, and oat butter) bran (regular cooking, not instant which is high in Unsalted butter sodium, 1 cup with no salt or margarine (but added while cooking) not regular) Foods with 65–120 mg of sodium per serving Jelly beans (10 large) Unsalted dry curd cottage cheese (1/2 cup) Clams, steamed (3 oz.) Milk (whole or skim, 1 cup) Macaroni, noodles, rice, Ice cream (1/2 cup) Mustard, chili, and hot and barley (cooked in Vegetables (most types fresh or frozen except sauce (1 tsp.) unsalted water with no Mayonnaise (1 tbsp.) added salt, 1 cup) those in the 10–40 mg Yogurt (1 cup) section) Milk (evaporated,1/2 cup) Salt-free herbs and spices (most) Vinegar Shredded wheat or puffed rice type cereals (1 cup) Foods with 120–175 mg of sodium per serving Bread (some types, 1 slice) Olives (ripe, 5) Chocolate covered peanut Sardines (1 large) Foods with 10–40 mg of sodium per serving butter cups (2) Peanut butter (regular, Beets (1/2 cup) Kale (3/4 cup) English muffin (1/2) 2 tbsp.) Beet greens (1/3 cup) Soda pop (8 oz.) Ketchup and steak sauce (1 tsp.) Carrots (1 cup) Spinach (1/2 cup cooked) Celery (2 stalks) Vanilla wafers (2 cookies) Club soda (8 oz.) White wine (4 oz.) Granola type cereal (1/2 cup) 28 29 Examp l e s o f So d i u m C o n t e n t of Se l e c t e d Fo o d s ( c o n t . ) Foods with 175–350 mg of sodium per serving Foods with more than 800 mg of sodium per serving Buttermilk (1 cup) Cereal (ring, nugget, and Baking soda (1 tsp.) Main dishes (canned flaked, 2/3 to 1 cup) or frozen) Cheese (grated packaged, Bouillon cube (1 cube) 1/4 cup) Tuna (canned, 3 oz.) Pork and beans (canned, Chicken broth (canned, 1 cup) Clams (canned, 1/4 cup) Vegetables (canned, regular, 1 cup) 1/2 cup) Pudding (instant Corned beef (3 oz.) chocolate, 1 cup) Dill pickle (1 large) Sauerkraut (2/3 cup) Ham (lean, 3 oz.) Soup (canned, 1 cup) Foods with 350–500 mg of sodium per serving Lunch meats (2 oz.) Soy sauce (regular, 1 tbsp.) Beans (canned, 1/2 cup) Cottage cheese (low-fat, Macaroni and cheese 1/2 cup) Spaghetti sauce (bottled, Cheese (2 oz. of cheddar, (packaged, 1 cup) 1 cup) 3/4 cup of cottage cheese, Pancake (1, 6-inch) 1/2 cup of Parmesan, 1 1/2 oz. of processed Tomato juice (canned, cheese, 2 oz. of Swiss 3/4 cup) cheese) Foods with 500–800 mg of sodium per serving Chicken broth, canned and Salad dressing (average, reduced sodium 2 tbsp.) (1 cup) Soups (some canned, Chili beans (1/2 cup) 1 cup) Cornbread (2-inch square) Soy sauce (lower sodium, 1 tbsp.) Hot dog (beef and chicken, 1) Stuffing mix (boxed and prepared, 1/2 cup) Pork sausage (2 links) Pot pie (beef and chicken, 1/3 of 9-inch diameter) 30 31 Low-Sodium Foods Beans, peas, rice, lentils, or pasta (dried and fresh, cooked without salt) Cereals (hot, regular cooking) Club soda Coffee (regular and decaffeinated) Fruits (fresh, frozen, and canned) Fruit drinks Herbs and spices (non-salt) Lemonade To detach, tear along perforated line. Meats, fish, and poultry (fresh) Milk (chocolate skim) Milk (evaporated skim) Milk (nonfat dry) Milk (skim, low-fat, and regular) Seltzer water (flavored) Soda pop (regular and diet) Soy milk Tea (iced) Vegetables (fresh and plain frozen) Yogurt (plain and fruit flavored) 32 33 Hi g h - So d i u m Fo o d s Examples of high-sodium foods and low-sodium alternatives Meats Vegetables Anchovies Pickles (sweet and dill) Instead of these high-sodium foods Amount of Consider these low-sodium alternatives sodium Bacon Pizza sauce Beef jerky Regular canned vegetables Baking powder (1 tsp.) 400–550 mg Low sodium baking powder (1 tsp.) 5 mg Bologna Regular jarred and canned tomatoes Garlic salt (1 tsp.) 1,480 mg Braunschweiger Sauerkraut Garlic powder (1 tsp.) 1 mg Breaded meat (frozen) Spaghetti sauce Peanut butter (2 tbsp.) 150–250 mg Breakfast sausage Stewed tomatoes Unsalted peanut butter (2 tbsp.) 0 mg Chipped ham Tomato and vegetable juice Canned pasta sauce (1/4 cup) 125–275 mg Corned beef No salt added pasta sauce (1/4 cup) 25 mg Tomato sauce Dried beef (jarred) French fries (small order) 150-700 mg Herring (jarred) Milk products Unsalted French fries 10–20 mg Hot dogs Buttermilk Salted nuts (1 oz.) 120–250 mg Hot sausage Canned milk Unsalted nuts (1 oz.) 3–10 mg Knockwurst Starches Saltine crackers (1 cracker) 70 mg Kielbasa Baked beans (canned) Low-sodium saltine crackers (1 cracker) 7 mg Pastrami Batter mixes Self-rising flour (1 cup) 1,600 mg Pepperoni Biscuit and pancake mixes Enriched white or whole wheat flour (1 cup) 3–6 mg Pickled loaf Corn and potato chips Ham (3 oz.) 1,025 mg Pickled meats and eggs Fresh pork (3 oz.) 60 mg Hot cereals (instant) Pimento loaf Macaroni and cheese (boxed) Instant oatmeal (3/4 cup) 180 mg Pot pies (frozen) Regular cooking oatmeal (3/4 cup) 5 mg Popcorn (regular microwave) Salami Stuffing mixes Turkey ham (3 oz.) 865 mg Turkey (3 oz.) 75 mg Sardines Waffles (frozen) Tuna, salmon, and chicken Corned beef (3 oz.) 800 mg (canned regular) Other Roast beef (3 oz.) 60 mg Vienna sausage Bouillon cubes and broth Soups (canned regular) 34 35 Examples of sodium content of fast foods Food Sodium content per serving Fried chicken (1 piece or serving) 500–800 mg Mashed potatoes with gravy 297 mg Small hamburger 506 mg Small cheeseburger 743 mg Large cheeseburger 1,220 mg Chef salad 850 mg Bean burrito 922 mg Taco 273 mg Enchilada 1,260 mg Taco salad 1,368 mg 36 37 Learn More You can learn more about how to take control of your heart failure by reading the other modules in this series. You can get copies of these modules from your doctor or nurse. Or you can visit the Heart Failure Society of America web site at: www.hfsa.org. The topics covered in the other modules include: ❚ Introduction: Taking Control of Heart Failure ❚ Heart Failure Medicines ❚ Self-Care: Following Your Treatment Plan and Dealing with Your Symptoms ❚ Exercise and Activity ❚ Managing Feelings About Heart Failure ❚ Tips for Family and Friends ❚ Lifestyle Changes: Managing Other Chronic Conditions ❚ Advance Care Planning ❚ Heart Rhythm Problems ❚ How to Evaluate Claims of New Heart Failure Treatments and Cures These modules are not intended to replace regular medical care. You should see your doctor or nurse regularly. The information in these modules can help you work better with your doctor or nurse. 38 39 No t e s : 40


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It's Time to Rise and Shine
- Animals
- Environment
- Esoteric
- Health
- Home & Garden
- Love & Life
- Recommended
- Science & Tech
- Society
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It's Time to Rise and Shine
Sep 14th
By Lee Speigel – huffingtonpost.com
"The theme of the program is that UFOs exist, but there's a small percentage of sightings that are significant and haven't been explained," said Leslie Kean, author of The New York Times bestseller UFOs: Generals, Pilots and Government Officials Go On The Record,, which forms the basis of the History Channel special and can be watched below.
• In 1986, a Japan Airlines pilot saw what he described as an unidentified flying object over Alaska closely tailing his 747. He made an evasive move. His career was thrown into turmoil, but he never recanted what he claimed he saw.
• In 1987, a Federal Aviation Administration executive says the CIA warned him not to talk about UFOs because the public would panic.
• In 1997, former Arizona Gov. Fife Symington mocked thousands of people who said they saw mysterious lights over Phoenix, calling out a staffer dressed in a cheesy ET costume at a press conference. Ten years later, he apologized for lying to the media and the public as he witnessed this event for himself.
Continue Reading – Watch UFOs: Generals, Pilots and Government Officials Go On The Record


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We created Pandora to put the Music Genome Project directly in your hands
It's a new kind of radio –
stations that play only music you like
UP! (Beat The P**sy UP)
Features of This Track
exaggerated enunciationhardcore rap influence
west coast rap roots
club rap influences
These are just a few of the hundreds of attributes cataloged for this track by the Music Genome Project.
show more


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Preservation Alliance unveils list of 10 most endangered historic places
What do a church, a school, a water tower, and a drive-in have in common? These sites all joined the Preservation Alliance of Minnesota's 2011 list of the state's 10 Most Endangered Historic Places.
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Ratings based on 1 Verified Reviews
They paid and stayed. We double-checked.
3.0 Room cleanliness
1.0 Service & staff
2.0 Room comfort
2.0 Hotel condition
They paid and stayed.
We double-checked.
We double-checked.
by A verified travelerfrom College Station, Texcas
Posted Sep 18, 2011The location and service was very bad--For a bed and breakfast---we were told our breakfast was in the refrigerator


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Gecko grippers get a microgravity test flight (w/ Video)
There are no garbage trucks equipped to leave the atmosphere and pick up debris floating around the Earth. But what if we could send a robot to do the job?
There are no garbage trucks equipped to leave the atmosphere and pick up debris floating around the Earth. But what if we could send a robot to do the job?
The moment a team of technicians, gowned like hospital surgeons, wraps the Sentinel-3A radar altimeter in multilayer insulation to protect it from the temperature extremes found in Earth orbit.
NASA's experimental Orion spacecraft left Florida by rocket and returned by truck.
The space station astronauts will have to wait until next month for their Christmas delivery.
Despite a massive explosion in October, authorities say a state-owned launch pad at NASA's Wallops Flight Facility should be repaired and ready for testing late next year.
ESA's Venus Express has ended its eight-year mission after far exceeding its planned life. The spacecraft exhausted its propellant during a series of thruster burns to raise its orbit following the low-altitude ...
Researchers in Spain have discovered that if lead atoms are intercalated on a graphene sheet, a powerful magnetic field is generated by the interaction of the electrons' spin with their orbital movement. ...
Astronomers could soon be able to find rocky planets stretched out by the gravity of the stars they orbit, according to a group of researchers in the United States. The team, led by Prabal Saxena of George ...
Long ago, in the largest canyon system in our solar system, vibrations from "marsquakes" shook soft sediments that had accumulated in Martian lakes.
On Friday, NASA successfully launched its next-generation spaceship farther than any astronaut has flown since the Apollo program of the 1960s. Though the Orion was unmanned during the test flight, which ...
Today's flight and splashdown of NASA's first Orion spacecraft paves the way for future human exploration beyond low orbit powered by ESA's European Service Module.
An Ariane 5 has lifted off from Europe's Spaceport in Kourou, French Guiana and delivered two telecom satellites into their planned orbits.
A navigation satellite sent astray by a mislaunch in August, has sent a signal from its faulty orbit, and may yet prove useful, the European Space Agency (ESA) said Tuesday.
The Earth is often compared to a majestic blue marble, especially by those privileged few who have gazed upon it from orbit. This is due to the prevalence of water on the planet's surface. While water itself ...
Computer Scientists from The University of Manchester have boosted NASA space missions by pioneering a global project to develop programs that efficiently test and control NASA spacecraft.


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Developers chime in on six months of using iCloud in apps
It's been six months since Apple released iOS 5 and launched iCloud. During this time, iCloud has grown to over 85 million users and developers are integrating the cloud service into a variety of apps. To find out what developers think about Apple's push into the cloud, you should read this recent article from MacStories's Federico Viticci, who talked to several developers about their experiences programming for iCloud.
Viticci says iCloud is "promising in the long-term benefits it aims to achieve," but the "adoption of iCloud sync and storage features has turned out to be a bit trickier, and possibly less intuitive than Apple's own implementation due to the early nature of the platform." Hopefully, these early wrinkles will be smoothed out and iCloud will continue to deliver on its promise to make data syncing between devices automatic, effortless, and seamless.
Software Updates
more updates- Apple Remote Desktop updated with Yosemite support
- OS X Yosemite 10.10.2, iOS 8.1.3 updates now available
- Sports Illustrated 120 SPORTS channel comes to Apple TV
- Logic Pro X update brings AirDrop support, new effects, tools, and more
- Parallels Access 2.5 released, adds file manager, computer-to-computer remote access
- The Google Translate iOS app is about to get a lot smarter


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We are a restaurant/bistro serving traditional English cuisine. Our menu is full of English favourites and specials include our fish and chip nights.
Oscars has a tv and movie theme, with famous faces and memorabilia hanging from the walls (in a non over the top planet hollywood style!).
Oscars Restaurant, 20a Ironmarket, Newcastle, Staffs.ST5 1RF Tel: 01782 614912 Email
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Weekend watch: Western Minnesota Steam Threshers Reunion
Things will be hot all weekend, so why not blow off some steam at Western Minnesota Steam Threshers Reunion in Rollag, Minn. The idea started when some area farmers decided to give a nod to the past and fire up an old Gaar Scott steam engine to thresh like the good old days. The basic concept still holds, but the scale continues to grow with more and more old machinery on display and in use.
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TD-Complete Submission
What to expect when you're expecting (an acceptance letter)
4.13 / 5.00 4,657 ViewsIn the fourth episode of the Dubya-Doo series, "maverick" John McCain visits George W. Bush and the gang (Karl Rove, Paul Wolfowitz) to accept the Republican nomination.
Written, Animated, and Voiced by:
Samuel T Nelson
All Music by:
Daniel ML
Mitt Romney voiced by:
Jeffrey Wisenbaugh
http://jeffrey.tumblr.com /
To see more of the Dubya-Doo series, and other great cartoons by Sam T, visit:
Shong1up, newgrounds isn't NEWSgrounds... go to youtube and preach about your political garbage. This video isn't about accuracy it is about making fun of politicans and their two face ways. Your comment doesn't improve the creators' skills on animating films. Anyways this is funny stuff. I was hoping to hear Bush Jr say, "Tacos rule!" LOL The animation of this was great and smooth. The voices sequenized well with the scenes. John McCain sleeping standing up was hilarious. Zzzzz... XD Keep it up.
He lost but, no other republican could have won 47% of the popular vote in a year where republicans were fated to lose. McCain was never for torture, He is famous for criticizing Rumsfeld on waterboarding. He wasn't for the Tax Cuts for the rich, he voted against the Bush Tax Cuts and reformed healthcare by making a patient's bill of rights with, Ted Kennedy and John Edwards. He is not a right-wing Republican, The McCain-Feingold act was the most audacious Bi-Partisan bill in recent history. Know your facts before making a political flash movie. This man accomplished more alone than the other 99 senators put together. He is a hero not a laughing stock.
John McCain was funny as hell
The angry episodes he had was hilarous as was Bush,it just seemed like a total soap oprea that was going on in the White House this whole time but it sure was funny also the end was rather wrong in some ways. :P
On target
I love how on target these are, they are just great! I would love to see some new ones when President-Elect Obama takes office in January 2009.
song shoulda gone on longer
it should have and the voices and animations were great


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2007 Porsche 911 Owner Reviews
- Exterior Styling
- Interior Comfort
- Performance
- Quality & Durability
No comparison

With a simple computer chip upgrade, it goes zero to 60 in 3.5, 200 MPH top speed, stops on a dime, gets 25 mph, and my whole family can ride along. What more could one want in a family car? Granted, my 2 children are age 7 and 5, but we all fit nicely and enjoy a spirited weekend drive. At the track, I was blown away at how easy it was to drive fast. My previous 2006 C2S and 2001 M3 would have been easily lapped. There is no better four seater car made. I drove them all just to make sure. I drove the two seaters too, nothing comes close to the daily drivability, great looks, and outstanding performance. At almost 3000 miles and six months, I found nothing to complain about. Too bad I can't marry her.

- Trim:
- 2dr All-wheel Drive Turbo Coupe Carrera
- Date Purchased:
- June, 2007
- Current Mileage:
- 0-7,500
- My Age:
- 36-45
- Location:
- Maryland
- Type of Driving:
- Suburbs
- Driving Style:
- Spirited
- Primary Use:
- Fun or Weekend Car
- Secondary Use:
- Performance
- After Market Modifications:
- Chip
- Vehicles Considered:
- RS4, M5, Aston Martin V8, S6, GT 500
2007 White Carrera

Superior quality fit and finish. Drives like it's on rails with the Porsche Stability Management on and with it off it can be driven like the old tail happy 911. The car is scary fast but unlike a Corvette, you won't see seven of them every time you take it out. Because it is a pure sportscar, ride can be a little harsh and the cabin loud over rough roads.

- Trim:
- 2dr Rear-wheel Drive C2 Coupe Carrera
- Date Purchased:
- July, 2007
- Current Mileage:
- 7,501-15,000
- My Age:
- 36-45
- Location:
- California
- Type of Driving:
- Suburbs
- Driving Style:
- Spirited
- Primary Use:
- Performance
- Secondary Use:
- Fun or Weekend Car
- After Market Modifications:
- None
- Vehicles Considered:
- Nothing
Porsche International
2195 Millburn Ave, Maplewood, NJ 11.3 miles from you -
Princeton Porsche
3333 Us Highway 1, Lawrence Township, NJ 27.6 miles from you -
Porsche of Rosyln
22 Mineola Ave, Roslyn Heights, NY 37.0 miles from you -
South Shore Porsche
185 W Sunrise Hwy, Freeport, NY 37.2 miles from you
$99,900Edison, NJ
$87,290Ridgefield, CT
$129,900Edison, NJ
*The data and content on this web site is subject to change without notice. Neither AOL nor any of its data or content providers shall be liable for errors in the content, or for any actions taken in reliance thereon.


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Claims renew iTunes 8 expectations, slate iPhone 2.1 for event
Despite some expectations to the contrary, iTunes 8 is now allegedly a lock for Apple's "Let's Rock" special event and may come with new iPhone firmware that packs surprises of its own.Ars Technica recants its previous doubts and now says its beliefs that iTunes 8 would miss the September 9th Apple gathering were "unwarranted."
Moreover, it also says that much of Kevin Rose's predicted feature set is also true. The earlier leak pointed to a Genius auto-playlist feature as well as support for a second-generation iPod classic and the expected iPod nano and touch upgrades.
The revised outlook also has the surprise news that Apple may not only announce its known iPhone 2.1 firmware update but release it at the event itself. At a minimum, the software is known to sport the background push notification feature for third-party apps as well as directional GPS that could lead to more advanced navigation.
As a further surprise, Apple could additionally include more features than what it has revealed ahead of time, Ars says. Similar to Apple's frequent practice of keeping larger feature updates out of Mac OS X beta builds to avoid spoiling major introductions, the alleged sources say the company has deliberately stripped out important features from iPhone 2.1 betas seeded to developers to save them for a higher-profile debut.
What these new features may be is still very much unknown, although Apple in an unusual move had removed push notification in one of its last developer betas. The company is said to sometimes remove features or to halt build seeds outright to focus on internal development.
Ars has been historically reliable regarding iTunes-related leaks.
On Topic: iTunes
- Jury orders Apple to pay $533M for infringing gaming patents
- Apple, AOL ending iTunes login partnership, users must migrate to Apple ID by March 31
- Grammy-nominated DJ Zane Lowe leaving flagship BBC Radio show, joining Apple
- Beats Music integration only part of the story as Apple wants to 'be the music business'
- How to move your Mac's iTunes Library onto an external drive


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Cotton, Suffolk
From Wikipedia, the free encyclopedia
Cotton | |
Church of St Andrew |
Cotton shown within Suffolk
Population | 510 [1] |
District | Mid Suffolk |
Shire county | Suffolk |
Region | East |
Country | England |
Sovereign state | United Kingdom |
Police | Suffolk |
Fire | Suffolk |
Ambulance | East of England |
EU Parliament | East of England |
Coordinates: 52°15′41″N 1°02′01″E / 52.26149°N 1.03358°E
Cotton is a village and civil parish in the Mid Suffolk district of Suffolk in eastern England. Located to the east of the Great Eastern Main Line, the parish also includes the hamlet of Dandy Corner. In 2005 its population was 510.[1] Cotton is located to the west of the A140, and nearby villages include Mendlesham and Bacton. In the 1870s, Cotton was described as
- "a parish in Hartismere district, Suffolk; on the Eastern Union railway, 1½ mile S of Finningham r. station, and 6 N by E of Stowmarket. The church is good; and there are a Wesleyan chapel, a parochial school, and charities."[2]
According to the 2011 census, it had a total population of 526.[3]
- ^ a b Estimates of Total Population of Areas in Suffolk Suffolk County Council
- ^ Wilson, John Marius (1870-72). Imperial Gazetteer of England and Wales. Edinburgh: A. Fullerton & Co. Retrieved 27 January 2015. Check date values in:
(help) - ^ "Cotton (parish): Key Figures for 2011 Census: Key Statistics". Neighbourhood Statistics. Office for National Statistics. Retrieved 27 January 2015.
External links[edit]
Media related to Cotton, Suffolk at Wikimedia Commons
This Suffolk location article is a stub. You can help Wikipedia by expanding it. |


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Cryosurgery Or Sclerosing Injections: Which Is Better For Neuromas?
Issue Number:
It appears the long lasting relief is due to the reduction of neural edema and fibrosis of the neuroma. Researchers have also reported similar long-term relief using cryosurgery to treat painful trigeminal nerve pathology.5,6 Pertinent Pointers On The Cryosurgery Technique In regard to the specific technique, I first palpate the area of the greatest neuroma pain on the plantar surface of the foot and mark it with a surgical pen. Then I inject the local anesthetic, injecting 3 cc of 1% plain lidocaine into the intermetatarsal space and injecting an additional 1 cc of lidocaine with epinephrine just below the skin dorsally for homeostasis. One should prep the surgical site with betadine and make a 3-mm incision dorsally with a number 65 beaver blade. Use a trocar or angiocatheter to separate the tissue as you advance to the area of pain that you have marked. You will see the deep transverse metatarsal ligament, which you may section if you prefer. Proceed to insert the 2-mm cryoneedle into the area of the neuroma and administer a three-minute freeze cycle. This is followed by a 30-second defrost and another three-minute freeze cycle. Irrigate the wound with 2 cc of 0.5% plain Marcaine and 0.25 cc of steroid. How Should You Handle Postoperative Care? No sutures are required but you should apply a mildly compressive dressing. Give the patient a NSAID to reduce postoperative discomfort. If the patient has only undergone the percutaneous cryosurgery procedure performed, have him or her reduce activity for the next two to three days and apply ice to the surgical site when resting. These patients can remove the dressing the next morning, shower and use a Band-Aid with a topical antibiotic. The incision usually heals in about three days. The destruction of the axons is immediate with cryosurgery so the patients should only feel mild discomfort, which usually resolves in about one week. The patients are usually able to wear normal shoes and be reasonably active during this period. However, if the deep transverse ligament has been released, the surgical site is more uncomfortable and may take two to three weeks to heal. Reviewing Results, Potential Limitations And Contraindications Of Cryosurgery The majority of patients obtain complete relief or significant improvement following cryosurgery. All of my patients who have had cryogenic neuroablation have maintained full motor function with no greater loss of sensation than they had prior to the procedure. The results from this procedure are not considered permanent but, in my experience, some of my patients have reached the three-year mark with no recurrence of neuroma pain. When no relief occurs, it is usually because of dense scar tissue related to a previous excision of the neuroma.7 Performing a percutaneous adhesiotomy or inserting the cryoneedle through the plantar aspect of the foot can overcome this obstacle. Another limitation of this procedure appears to be the size of the neuroma and excessive fibrosis from previous neurectomy. If the neuroma is 3 cm diameter or greater, the 1 cm ice ball may not be able to penetrate the entire mass. In my experience, patients with very large neuromas and excessive scar tissue have also failed all previous treatment including alcohol injections. There is a very low incidence of complications associated with cryosurgery. Infections are rare as is abscess formation at the incision site. However, since cryosurgery involves very cold temperatures, one should avoid performing this procedure for patients who have peripheral vascular disease and conditions such as Raynaud's phenomena. Final Notes Cryogenic neuroablation is a very safe, minimally invasive procedure that one can perform in the office and achieve very good relief of Morton's neuroma pain. The postoperative recovery period with this procedure is short as patients only need to reduce activity for two to three days. Unlike alcohol injections, the procedure is not painful and patient acceptance is excellent. Dr. Fallat is a Clinical Assistant Professor within the Department of Family Medicine at the Wayne State University School of Medicine in Detroit. He is the Director of Podiatric Surgical Residency for the Oakwood Healthcare System in Dearborn, Mich. Dr. Fallat is board-certified by the American Board of Podiatric Surgery and is a Fellow of the American College of Foot and Ankle Surgeons. References 1. Dockery GL, Nilsson RZ.


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With some of the seriousness of late, I thought it would be nice to just have a good old fashioned debate on something totally silly and to my knowledge, hasn't been done before.
O yeah.
This is a discussion on The most important debate of our time... within the Off Topic & Humor Discussion forums, part of the The Back Porch category; With some of the seriousness of late, I thought it would be nice to just have a good old fashioned debate on something totally silly ...
With some of the seriousness of late, I thought it would be nice to just have a good old fashioned debate on something totally silly and to my knowledge, hasn't been done before.
O yeah.
Last edited by JD; August 8th, 2009 at 10:46 PM.
While I have the utmost respect for you. I must say that a truely discerning palate will come to the conclusion that Pepsi is actually the One. So, your "Coke Rules" statement must obviously have been a typo. I am sure you will want to correct this ASAP.
If you have never broken your gun or bled on your gun in training, you're doing it wrong!
Train hard, live easy.
Coke is my favorite. Pepsi tastes like chemicals to me. I haven't bothered with it in many years. I think I liked that clear Pepsi from the early '90s a little better.
A cold can of Coke still takes me back to when I was about 5... family barbeques at Grandma's house.
I've always found Pepsi to be too sweet, and there's just something about an ice cold Coke that just seems more refreshing and ooooooohhhhh sooooooo good.
I looooove fountain coke. The stuff in the can is too much for me.
Do not go gentle into that good night.
Rage, rage against the dying of the light.
Coca Cola rules! Always has. However, not much is better than a bottle of Pepsi with a pack of salted peanuts dropped into the bottle. Very very awesome mixture!
I am consistently on record and will continue to be on record as opposing concealed carry.
- Barack Obama Chicago Tribune, April 27, 2004
Hands down, its no contest. Coke.
And JD, thanks for getting us all off the X.
coke is too syruppy. i like somethin with a little bite.
course i drink Grousch also.
If I need to oil a gun, I go to the beach.
8040 Couger, P95
1929 MN 91/30, 1927/28 MN Ex Dragoon, MN M44's, Lots of MN's
Swiss LG1911 1915 and 1916
Brazilian VZ-24 JC (2), Brazilian Model 1908
Spanish M1916
Iremember the "old recipe" for Coke that I grew up with as a kid. When they changed it some time ago, I quit liking it.
So, I went to Pepsi.
I would rather stand against the cannons of the wicked than against the prayers of the righteous.
AR. CHL Instr. 07/02 FFL
Like custom guns and stuff? Check this out...
I actually prefer diet coke, regular pop (NOT SODA) is way too sweet.
"America is a nation of laws; poorly written and randomly enforced." -Frank Zappa
Man will never be free until the last king is strangled with the entrails of the last priest. -Denis Diderot
Pepsi is nasty. Coke is good. Dr Pepper has no competition.
The preceding post may contain sarcasm; it's just better that way. However, it is still intended with construction and with the Love of my L-rd Y'shua.
NRA Certified Pistol Instructor, Tennessee Certified Instructor
Coke in the glass bottle. Otherwise Dr. Pepper
When drinking pop (it is not soda, or cola or everything a coke, it is pop), I usually drink coke, although Dr. Pepper or a good root beer are right up there.
Fortes Fortuna Juvat
Former, USMC 0311, OIF/OEF vet
NRA Pistol/Rifle/Shotgun/Reloading Instructor, RSO, Ohio CHL Instructor
Diet Coke! I'd rather re-do my hernia surgery than drink Diet Pepsi.
He is no fool who gives what he cannot keep to gain what he cannot lose. - Jim Elliott
The world is a dangerous place to live; not because of the people who are evil, but because of the people who don't do anything about it.
Albert Einstein


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In your quest to make a residing at residence with affiliate marketing, the path will not constantly be clean. Like any little organization there are roadblocks. One particular top quality that will figure out no matter whether you do well or are unsuccessful is an usually disregarded instrument. Emphasis. If you discovered yourself on a sinking ship, are you heading to be re-arranging the deck chairs or are you heading to look for a lifeboat?
But again to our concern of can you even now Amazon Affiliate with eBay? Positive, you can. But you need to be offering some thing with a fairly overall health margin.
Choose a method that you want to do. I individually use article composing and submission because it will get me all of the traffic and income I need. Think about way too that I'm also a writer so it's some thing I take pleasure in performing.
Next, you have PPL or Pay out Per Guide. A guide is fundamentally a type submitted by a person to a organization which contains personalized and get in touch with info (name, tackle, phone number etc.). The organization will then get in touch with the shopper for business functions.
How do you generate associations? Begin by offer some thing for cost-free. Supply a report or an e-book, some thing that can be digitally-shipped above their personal computer. You can generate it yourself or you can purchase it, along with the rights to give it away. It must be some thing valuable, very good info, not a piece of ineffective junk. No one appreciates getting junk.
Let's go again to our golfing illustration. How are we to make income with our golfing weblog? There are a complete great deal of advertising and marketing options out there. One particular of the least difficult and most basic is Google's AdSense program. Set basically, Google will pay out you for advertisements that you exhibit on your web site.
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Was £15.00
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Babies pack of three blue star and striped sleepsuits
Item No.2210102070
This baby boy's pack from bluezoo offers three long sleeved sleepsuits with blue striped and star designs. They each have popper fastenings running from head to toe for easy changing.
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Material Type: | Government publication, National government publication |
Document Type: | Book |
All Authors / Contributors: |
J Thomas Rosch; United States. Federal Trade Commission. |
OCLC Number: | 100053415 |
Description: | 13 leaves ; 28 cm. |
Other Titles: | Digital rights management |
Responsibility: | J. Thomas Rosch, Commissioner, Federal Trade Commission, at the Copyright, Digital Rights Management Technologies, and Consumer Protection Symposium, Berkeley, California, March 9, 2007. |
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- 182Promote
Laptop Skins
Skins are thin, easy-to-remove, vinyl decals for customizing your laptop . Skins are made from a patented material that eliminates air bubbles and wrinkles for easy application.
The color in this is not actually gold, but a blend of yellows and ochres in a gradient to give the appearance of light emanating from the center.
Awww. ... thank you so very much, Sharon, Beverly, Carina, Skye, Vanya, Laura, Greta, Moni, Meg & Jane!!!! I truly appreciate your comments!
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We will have live coverage of the Cabot vs. North Little Rock playoff game.
Kickoff is at 7p.m. Friday.
Will will have score updates and other information live from the game.
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March 10 to 16 is Brain Awareness Week. One important way to take care of your child's brain is to protect it from injury. Thankfully, wearing helmets has become common and cool while riding bikes. I hope helmets become just as natural during other fun activities, such as skateboarding, scootering, horseback riding, ATV or dirtbike riding, skiing, and even for those last few sled runs of the season.
As a child, I never wore a helmet while racing down a hill on a sled – or on a bike. Now I've seen too many serious head injuries, and too many children whose brains were saved by helmets, to ever feel comfortable seeing an un-helmeted racer again.
According to the Consumer Product Safety Commission, there are about 3 million head injuries related to activities like these treated in US emergency rooms each year. Almost half a million of them result in concussions or skull fractures.
Helmets can make all the difference. How cool is that?
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jakcul 5pts Haven't played this since Pokemon Yellow and there were only 150 of these bastards. Times have changed.
edpeterson 5pts Wow, they really just put mega in front of their name. I can tell they were super creative in the names LOL
SuprSaiyanRockr 5pts @edpeterson Eh. Since it's not an actual evo, I can see why they did that. Plus, it keeps things nice and simple.


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Yeti blue Microphones. Published by Blue Microphones (HL.754502).
The Yeti is one of the most advanced and versatile multi-pattern USB microphones available anywhere. Combining three capsules and four different pattern settings, the Yeti is an ultimate tool for creating amazing recordings, directly to your computer. With exceptional sound and performance, the Yeti can capture anything with a clarity & ease unheard of in a USB microphone. It features Blue's innovative triple capsule array, allowing for recording in stereo or your choice of three unique patterns, including cardioid, omnidirectional, and bidirectional, giving you recording capabilities usually requiring multiple microphones. The Yeti utilizes a high quality analog-to-digital converter to send incredible audio fidelity directly into your computer, a built-in headphone amplifier for zero-latency monitoring, and simple controls for headphone volume, pattern selection, instant mute, and microphone gain located directly on the microphone. There are no drivers to install – simply plug the Yeti into your PC or Mac, load up your favorite recording software, and record something amazing.
Customers Who Bought Yeti Also Bought:
Yeti Pro $249.99
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To the Editor:
Re ''Protesting the Vieques Bombing'' (editorial, May 25):
I take issue with your criticism of the federal judge in Puerto Rico who sentenced those who broke the law to serve jail time. Your editorial also does not mention readily available facts.
The sarcastic recommendation that the Navy should repair its fences surrounding federal property in Vieques doesn't note that the United States government spent nearly $2 million just in the last year to replace or repair more than four miles of fence line damaged by trespassers.
(Rear Adm.) S. R. PIETROPAOLI
Chief of Information
United States Navy
Washington, May 29, 2001


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Genre/Form: | Psychological fiction Fiction |
Material Type: | Fiction, Internet resource |
Document Type: | Book, Internet Resource |
All Authors / Contributors: |
Monica Ali |
OCLC Number: | 299151114 |
Description: | 436 pages ; 24 cm |
Responsibility: | Monica Ali. |
More information: |
In this story of the rich and fascinating London subculture of chefs and kitchen denizens, Gabriel Lightfoot, executive chef at the once-splendid Imperial Hotel, is trying to run a tight kitchen but his integrity--to say nothing of his sanity--is under constant challenge from the competing demands of an exuberant multinational staff, a gimlet-eyed hotel management, business partners with whom he is secretly planning a move to a restaurant of his own, and a worker found dead in the kitchen's basement.
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Related Subjects:(5)
- Hotels -- England -- London -- Fiction.
- Cooks -- Fiction.
- Restaurants -- Fiction.
- London (England) -- Fiction.
- Hotels and motels -- London (England) -- Fiction.
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Daily Archives: May 15, 2012
Blue Flag Awards for Withernsea and Hornsea
May 15, 2012 | Filled under Campaigns, East Riding of Yorkshire Council, Environment, Holderness, Withernsea |
KEEP BRITAIN TIDY have announced the results of the annual Blue Flag awards for 2012, with both Hornsea and Withernsea included in the 79 English beaches receiving the globally recognised award. Phil Barton, chief executive of Keep Britain Tidy, said "We're absolutely thrilled that England has more Blue Flag's this year. What a better way […] read more
Paull Scarecrow Festival 2012 – Monday 27th August 2012
May 15, 2012 | Filled under Community, Events, Newsletters, Paull |
A SCARECROW FESTIVAL will be held in the village of Paull over the August Bank holiday reports the Paull Village Hall website. Some people feared that the event might be cancelled because of the uncertainty over the Village Hall Lottery application (and the likelihood of construction work starting). However Paul Cross on the village hall website says […] read more
Promote your Jubilee Celebrations
May 15, 2012 | Filled under Community, East Riding of Yorkshire Council |
EAST RIDING RESIDENTS will be joining people across the UK and Commonwealth to celebrate The Queen's Diamond Jubilee to honour the 60-year reign of Her Majesty Queen Elizabeth II. Community groups hosting events can now promote these on the East Riding Council's online events calendar. The main weekend of celebration takes place from Saturday, 2nd […] read more


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Minnesota Motorcycle Roads and Trips
Motorcycle riders will find three great regions for motorcycle roads within the North Star State. The North Central/West region is where Midwest parries meet North Woods, home to Minnesota's (MN) largest lakes, and a paradise for outdoor lovers. The Northeast region, sometimes referred to as Arrowhead, is a home to numerous lakes and rapids bearing rivers, and the shores of magnificent Lake Superior. The Southern region shares it's scenery between the Mississippi River valley and the start of prairie land that dominates the Dakota states to the west.
new Route. View most popular
May 28, 2013 Starting in the Wheat fields and farmlands in the western part of the state, passing through some of the best forests and... Due to the length of the road and considering what Winter can do to them, it is best to check with the... At 346 miles (557 km) in length, Highway 1 is the longest state route in Minnesota! It runs from North Dakota Highway... | |
May 28, 2013 This route covers the plethora of Lake Minnetonka Bays and surrounding bodies of water. It takes you past beautiful lake views, marinas,... This road has plenty of nice curves through the lake area. Pavement is decent. Very few hills. This route begins in Wayzata, Minnesota. Starting out at the Starbucks on Lake Street East in Wayzata, head west down Lake Street... | |
July 21, 2012 You will see beautiful farms, houses and heavily treed areas. This drive offers rider nice pavement and a decent amount of curves. The road also has about 10 miles of straights. The Road connects Detroit lakes, MN with MN-113 W | |
June 26, 2012 Start at Lola's lakehouse on Lake Waconia, Its a great place to enjoy watching the boats for a short break and a... This is a somewhat winding route through hills and valleys, on well maintained highways. Start in Waconia,North Oak and East Lake Street. west on E lake to N Spruce, Left 1 block to Main, right to... | |
March 11, 2012 Waubun is a small minnesota town, gas station, church, and a bar or two. there are also a couple little rest stops... the pavement is good along the whole stretch. a good combination of long curves ok at 55 mph and short cuves down... from waubun, mn take MN 200 east to Itaska State Park. 113 is a great ride lots of curves, and minimal trafic.... | |
March 10, 2012 Good view of the Mississippi river and of the neighboring hills. The majority of the route, hugs the river and you'll be... Well use highway with good maintenance and the roads follow hills so you'll enjoy the turns and elevation changes. You start at Brownsville MN and head south on 26 you will go through Reno, MN and New Albin, IA. When you... | |
November 13, 2011 Lakes, parkland, downtown Minneapolis, Mississippi River, Minnehaha Creek. You will see most of the amazing beauty of the Minneapolis Park system and... This is a long route at slower speeds. Parkways and roads are mostly in decent condition, but it is not perfect. Parkway... Apologies in advance for how long and complicated this is...but it is WELL worth it. This site also has good info: http://www.minneapolisparks.org/grandrounds/home.htm... | |
May 23, 2011 On this route, you'll see what the heart of the lakes area of Minnesota is all about. Winding turning roads on State... Many twists and turns along the route from pine River to Longville. Emily to Crosby is flat and straight for the most... See map. | |
May 23, 2011 You can see the St. Croix river bluff, some pretty big hills and valleys, some creeks and small towns too. The route is fun, full of S curves going up and down through the hills. The road is a bit rough for... Starting in Stillwater, St Croix trail (21) is the main road through downtown. Follow it through Bayport, the Afton and all the... | |
May 23, 2011 This route closely follows the twisty Root River through some beautiful bluff country. This route has a few hills, lots of long, sweeping corners and some slightly tighter twists and turns. The pavement is in... The route starts in Preston, MN where Hwy 52 and MN-16 run together. Follow MN-16 through Lanesboro to Rushford, MN, where MN-16... | |
August 1, 2009 Mountains are along the western edge of the Mississippi, and a good place to stop and take pictures. Gentle mountains. Lots of... Some light construction early on, and throughout the state. the road is gentl and very smooth. The speed limit was 70 miles... The ride starts Just west of La Crosse Wisconsin, and ends Just west of Beaver Creek. It's all on 90 West with... | |
August 1, 2008 You'll be going through a valley that at times feels like being in the mountain valley out west. Overall beautiful scenery and... This is the twistiest road I have ridden in southern Minnesota ... I'm not exaggerating ... way better than the Rushford highway... Start in Red Wing, MN and head west on US Highway 61 for about 5.5 miles. Take a left on to highway... | |
December 1, 2007 Ocean-like views of the "Big Lake", open up from the heavily forested Saw-Tooth Mountains that run along side the shoreline! Work your... US Highway 61 all the way! The road is in good shape, mostly straight with some gentle curves. Grand Marias Bay Very easy to find and follow this ride. Starting in Duluth (a destination in itself!) and just take US Highway 61 (north)... | |
September 1, 2007 This route takes you through some great wooded areas, past lakes, through some farming country, and back into the woods. Ride it... Much of the route shown is new (or new-ish) so road conditions are above average. Start in Menahga Minnesota and follow 71 north to 87. Turn east and follow this highway over to the junction of 13.... | |
September 1, 2007 This route includes part of the "Historic Bluff Country Scenic Byway". Excellent scenery along the river between Lanesboro and Rushford. Lots of... The entire route is full of lots of great twisties and good, fast sweepers. The road is in better than average condition.... Start in Mabel, MN. Head North on 43 towards Rushford. You'll pass through Choice, MN (don't blink). Once in Rushford, head West... |
Top 100 Motorcycle Roads
See the top 100 rides & routes in the US according to the MotorcycleRoads.com - ''Riders' Rating'' voting system.
Click hereHow Popular is Motorcycling in Your State
See a state by state rundown of motorcycle popularity in each US state
motorcycle popularity infographic!


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"Night at the Museum" Heads Across the Pond, Hilarity Ensues
watch thisThe trailer for "Night at the Museum: Secret of the Tomb" previews the third installment in the series—and it looks like it will have even more laughs and thrills than the the previous two movies.
Aug 1, 2014 | 08:01 PM
Ben Stiller and his "Night at the Museum" exhibits are back—and going to London!
In the trailer for "Night at the Museum: Secret of the Tomb," the third installment of the series will take our hero and historical figures on a hilarious and action-packed adventure to a museum in London.
There, Stiller's security guard counterpart is played by "Pitch Perfect's" Rebel Wilson. Ben Kingsley, Robin Williams, Owen Wilson, Steve Coogan, and Ricky Gervais also star.
The "threequel" opens December 19. Check out the trailer below!
What do you think?


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Twitter RSS 1.0
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Sandbeck Avenue, Skegness, PE25 3JS, United Kingdom – Show map
Excellent hotel. Staff very friendly. Breakfast was excellent. Beds were very comfy. Will use again and recommend
United Kingdom
The breakfast was lovely
United Kingdom
Near town centre...and train station...
United Kingdom
Sandra Baker who runs the hotel was very friendly and offered a very good service. She made a good breakfast and the room was a nice size and bathroom nice and roomy.
United Kingdom
Sandy was so welcoming will definitely stay here again as was a wonderful stay
United Kingdom
Friendly owner, location, off-road parking and breakfast
United Kingdom
Nice place situation good good breakfast friendly staff . Will go there again.
United Kingdom
Sandy was lovely very friendly,the room was nice and the breakfast was lovely will defiantly recommend to friends and will go back
United Kingdom
The location was excellent, The landlady was very friendly and welcoming. The hotel was a little tired and dated, but good value for money. The breakfast was nice and kept us going till lunchtime.
United Kingdom
close to centre, 24 hours, friendly staff, excellent breakfast
United Kingdom
Just 2 minutes' from lively Skegness centre, Whiteways Hotel is a 5-minute walk from Skegness Railway Station. With free parking and cooked breakfasts, the hotel offers a friendly welcome.
The bright and airy bedrooms at Whiteways are individually decorated and offer tea and coffee facilities and a TV. Some have an en suite bathroom and large bay windows.
A traditional full English breakfast is served daily at the family-run Whiteways Hotel. There are a number of restaurants, pubs and cafes within walking distance.
Whiteways boasts a quiet location, just 5 minutes' walk from the popular seafront and Grand Parade. Skegness Arcade is a 10-minute stroll away and Seacroft Golf Club is just 3 minutes' drive.
Hotel Rooms: 8 This property has been on Booking.com since 8 Sept 2010.
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58 properties in Skegness
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53 verified reviews
We verify all reviews from guests who have stayed at Whiteways Hotel. Find out more.
They speak your language!
Website and customer service in English (UK) and 41 other languages
Booking is safe
When you book with us your details are protected by a secure connection.
No internet access available.
Free private parking is possible on site (reservation is not needed).
Non-smoking rooms, Heating, Non-smoking throughout, Designated smoking area
16:00 - 18:00 hours
09:00 - 10:00 hours
Cancellation and prepayment policies vary according to room type. Please enter the dates of your stay and check the conditions of your required room.
Children and extra beds
Children cannot be accommodated at the hotel.
There is no capacity for extra beds in the room.
Pets are not allowed.
Cards accepted at this property
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Based on 53 reviews
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In a quiet residential location, The Homestar offers bed and breakfast accommodation, 10 minutes' walk from the sandy beach.
Score from 274 reviews
A family-run hotel, Clarence House Hotel offers panoramic views of the seaside town of Skegness.
Score from 77 reviews
This family-run hotel is situated on the relaxed South Parade of Skegness, with beautiful views of the sea, the boating lake, bowling greens and public gardens.
Score from 40 reviews
Very good
Coasters Hotel And Holiday Apartments On Skegness seafront, opposite the pier and the beach, Coasters offers rooms, apartments, free Wi-Fi and free parking.
Score from 211 reviews
Very good
The room is too small for shower.. And very dated
Excellent hotel. Staff very friendly. Breakfast was excellent. Beds were very comfy. Will use again and recommend
The breakfast was lovely
The pillows not enough.allergic to feather pillows
Near town centre...and train station...
Room bit small..and shower...
Nothing in particular
Bathroom: holes in walls, toilet loose/wobbly! Shower pole hanging off, & shower head cracked & leaking, extractor fan with a life time of dust in & around it, Bedroom: need to introduce carpet to a Hoover! Fag burn in duvet & blankets, holes & badly fraying in provided towels & bath mat, rubbish found in bottom of bedside cabinet. Don't appreciate an early wake up call at 7am on a Sunday by the landladys pet dog, constantly barking, breakfast adults advertised as egg,bacon, sausage, toms, fried bread& beans.. Toms were tinned, beans were cold, no fried bread, but 1 x half frozen hash brown, 1 egg, 1 bacon, 1 sausage..KIDS portions! You couldn't have juice & cereal , one or the other! Y? Told there is parking but there are only 4 tight spaces & all the roads have double yellow lines, however there were 5 rooms on our floor & they have 3 floors, all with rented rooms!
Sandra Baker who runs the hotel was very friendly and offered a very good service. She made a good breakfast and the room was a nice size and bathroom nice and roomy.
The walls were a bit thin and could hear the people in the next room.
Sandy was so welcoming will definitely stay here again as was a wonderful stay
Not being able to sign in till 4.30 but that was only a slight inconvenience and the pillows were a little hard
Friendly owner, location, off-road parking and breakfast
The room we were told were for overnight stayers, which was on the ground floor with the hoovers. I was not impressed by the room size, toilet facilities and the TV didn't work.
Nice place situation good good breakfast friendly staff . Will go there again.
Think the bed good do with a mattress topper or new mattress alittle confortable thats all xx
Sandy was lovely very friendly,the room was nice and the breakfast was lovely will defiantly recommend to friends and will go back
Bed was comfy and room was quiet.
Pillow cases were stained, toilet room, carpet and shower was dirty. Price was to high for room. TV didn't work.
Me and my partner have stayed once before and sandy and her friend are very friendly and welcoming. There is a nice atmosphere to the place. The place smells very clean as you walk in and has a nice smell to it. Breakfast is served quick and the full english is not greessy which i like. Fresh juice and cerial tea an coffee are availibe to. The bnb is located very close to the train station and beech about a ten minutes walk in both directions. My fav part is how friendly sandy is . makes the place feel homely and we was sad to go. I can see me and my partner staying again.
The tv reception was playing up alittle. But we wasnt there to watch tv so this didnt bother me.
The location was excellent, The landlady was very friendly and welcoming. The hotel was a little tired and dated, but good value for money. The breakfast was nice and kept us going till lunchtime.
The very old TV only showed BBC channels, but we were not there to watch tv and the pillows were a bit hard, but neither of these things spoilt our stay.
close to centre, 24 hours, friendly staff, excellent breakfast
Sandi is great ,but friendliness alone doesnt cover all other faults
The room would have been too small for even a single bed, the shower had no privacy and was too small to even wash in tv only recieved bbc 1 and 2, nothing else, all round, rubbish !!
outside smoke area owner friendly. staff good.breakfast ok.
rooms very basic. pillows dirty. 2 teabags per day any extras charged 10p each. 2 channel tv. stckers all over the doors. door not very secure when door shut.
I like how it was close to the pier and train station, the staff were all friendly and attentive, easy to access the b&b
The toilet and bathroom wasn't in the room, the door did not shut properly in the room we was given
Good location nice friendly lady
Bathroom floor not clean tv didn't work very well
Friendly landlady & a comfy bed!
Very dated design & decor. Hotel badly in need of some t.l.c. No flexibility on breakfast times.
The staff was very friendly and it was nice that we could go in the room before 4PM.
The room was very dated and the bed horrible. It could really do with a fresh up. Bit disappointed about all that!
Was very close to the beach
The bed was really uncomfortable all the springs were in your back all night didn't get much sleep at all
Everything was very clean.The owner very friendly & helpful.Breakfast was great, room very good size & comfortable.
Bed was hard.
room was tiny, toilet and basin behind a sliding door (which didn't work properly) in one corner of the room and a shower cubicle in the other, not hygienic! , two t-bags between two people for a weekend you had to pay for more! My husband banged his head on the television which was fixed on the wall just as you entered the room! No hot water because landlady had switched it off by 10 a.m. because she said normally everyone had had a shower by then!!! Ants crawling on windowsill, cobwebs hanging from ceiling. Bedside lamp and light above bed didn't work. Need I say more!
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License & Identifications
A medical license is required for a doctor to practice medicine in a particular state. Requirements vary by state but most require, at a minimum, post-graduate training in the doctor's specific specialty. An NPI number is a national identifier unique to an individual health care provider and is managed by the Center for Medicare & Medicaid Services (CMS).
Learn more about Dr. Vail Dewan:
View the full profile to get information on:
- Qualifications
- What's important to you
View full profile
Patient Reviews
The overall average patient rating of Dr. Vail Dewan is Poor.
Specialties & Research
Dr. Vail Dewan, MD is board certified in Internal Medicine.
- He has special expertise in 1 area:
- Flu (Human Influenza)
Education & Awards
Dr. Dewan graduated from American University of the Caribbean, Coral Gables.
Dr. Dewan has 3 hospital affiliations:
- Florida Hospital Wauchula
- Bay Pines Veterans Affairs Medical Center
- Ft Sanders Loudon Medical Center
Similar doctors nearby
- Additional Information
- Dr. Vail Lee Dewan MD is a male Internist, has 18 years of experience and practices in Internal Medicine.
- Where does Dr. Vail L. Dewan practice?
- Dr. Vail Dewan has 3 office locations.
Dr. Vail Dewan practices Internal Medicine near Lake Placid, FL.
Additional practice locations include: Bay Pines, FL and Lenoir City, TN.
See Lake Placid Internists.


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ESPN.com: Oregon Ducks | [Print without images] |
Chip Kelly has done a good job of keeping continuity on his coaching staff since taking over as Oregon's head man in 2009, which is a big reason behind the Ducks' sustained success. |
Nick Alliotti has been a fixture in Eugene, as the defensive coordinator has spent the better part of two decades with the Ducks. |


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Why Mattress Firm (MFRM) Stock Is Spiking Today
NEW YORK (TheStreet) -- Mattress Firm
(MFRM - Get Report) shares are climbing, up 13.9% to $54.70 on Monday, after the company reported a 35.5% increase in preliminary second quarter net sales to $410 million.
The increase in net sales led the company to increase its second quarter and full year adjusted earnings guidance ahead of analysts expectations to between $0.58 and $0.61 per diluted share, and between $2.03 and 2.13, respectively.
Analysts are expecting second quarter earnings of 49 cents per diluted share and full year earnings of $1.95 per diluted share.
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The company reports its second quarter results on September 5.
TheStreet Ratings team rates MATTRESS FIRM HOLDING CORP as a Hold with a ratings score of C+. TheStreet Ratings Team has this to say about their recommendation:
- The revenue growth came in higher than the industry average of 0.3%. Since the same quarter one year prior, revenues rose by 20.7%. This growth in revenue does not appear to have trickled down to the company's bottom line, displayed by a decline in earnings per share.
- MATTRESS FIRM HOLDING CORP's earnings per share declined by 37.1% in the most recent quarter compared to the same quarter a year ago. This company has reported somewhat volatile earnings recently. But, we feel it is poised for EPS growth in the coming year. During the past fiscal year, MATTRESS FIRM HOLDING CORP increased its bottom line by earning $1.54 versus $1.18 in the prior year. This year, the market expects an improvement in earnings ($1.94 versus $1.54).
- 39.09% is the gross profit margin for MATTRESS FIRM HOLDING CORP which we consider to be strong. Regardless of MFRM's high profit margin, it has managed to decrease from the same period last year. Despite the mixed results of the gross profit margin, the net profit margin of 2.30% trails the industry average.
- The company, on the basis of change in net income from the same quarter one year ago, has significantly underperformed when compared to that of the S&P 500 and the Specialty Retail industry. The net income has significantly decreased by 35.7% when compared to the same quarter one year ago, falling from $12.01 million to $7.72 million.
- Net operating cash flow has significantly decreased to $7.13 million or 55.34% when compared to the same quarter last year. In addition, when comparing to the industry average, the firm's growth rate is much lower.
- You can view the full analysis from the report here: MFRM Ratings Report
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