text:
Carolyn Vachani, MSN, RN, AOCN
Updated by: Lara Bonner Millar, MD
The Abramson Cancer Center of the University of Pennsylvania
Last Modified: February 18, 2011
The rectum is located at the end of the colon and is about 5 inches in length. The rectum is normally empty, except when stool is propelled by the upper colon into the rectum just prior to a bowel movement. At that time, stool is ready to be excreted through the anal canal. The anal canal has two muscular "valves", called the internal and external sphincters, through which the stool must pass. The sphincters allow us to retain stool until we are ready to have a bowel movement, at which time the sphincters relax, releasing the stool.
Rectal cancer is malignant (or cancerous) tissue that grows in the wall of the rectum. The majority of tumors begin when normal tissue in the rectum wall forms an adenomatous polyp, or pre-cancerous growth, projecting from the rectal wall lining. As this polyp grows larger, the tumor is formed. This process can take many years, which allows time for early detection with screening tests.
In 2008, there will be an estimated 40,740 new cases of rectal cancer in the United States (23,490 in men and 17,250 in women). In general, colon and rectal cancers are grouped together and have the same risk factors associated with them. The average age of diagnosis is 66 years of age, and risk increases with age. Individuals with a personal or family history of colorectal cancer or polyps, inherited colorectal cancer syndromes (i.e., FAP and HNPCC, and patients with ulcerative colitis or Crohn's disease are at higher risk, and thus may require screening at an earlier age than the general population. A person with one first degree relative (parent, sibling or child) with colon cancer is 2 to 3 times as likely to develop the cancer as someone who does not have an affected relative.
However, this does NOT mean that people without a family history are not at risk. About 80% of new colorectal cancer cases are diagnosed in people who would not be identified as "high risk". Studies of colorectal cancer cases found that lifestyle factors may put a person at higher risk. These factors include: a diet high in fat and red meat but low in fruits and vegetables, high caloric intake, low levels of physical activity, and obesity. In addition, smoking and excessive alcohol intake may play a role in colorectal cancer development.
Despite avoiding all of these factors, some people will still develop colon or rectal cancer. With screening and early detection, these patients can be cured in a majority of the cases.
Given the things that put a person at higher risk, a low-fat diet high in fruits and vegetables and low in red meat, regular exercise, and maintaining a healthy body weight may all aid in prevention. The term chemoprevention can be defined as 'the use of a chemical compound to prevent, inhibit, or reverse the formation of the cancer'. There are ongoing studies looking at vitamins A, E, D, and C, folic acid, calcium, selenium, aspirin, cox-2 inhibitors, and hormone replacement therapy as potential chemopreventive agents that may prevent or reverse the formation of polyps and colorectal cancer. Thus far, these studies have been inconclusive, and thus no specific recommendations have been made for the general population. Some of these agents continue to be evaluated in clinical trials. Recently, an interesting case-control study of 1,800 Israeli women found that women taking bisphosphonates (medication for osteoporosis) for a year or more had about a 50% reduction in the diagnosis of colorectal cancer compared to women not taking the drug. This reduction has not yet been "proven" by a randomized clinical trial, but many in the oncology community are calling for more studies on the use of bisphosphonates as chemoprevention.
The one screening test that is specific to rectal cancer is a digital rectal exam (DRE). This test consists of a physician inserting a gloved finger into the patient's rectum and feeling for abnormal growths or strictures. Studies have not proven that screening with DRE actually decreases deaths due to rectal cancer. Other screening tests are the same as those used for colon cancer screening, including fecal occult blood testing, colonoscopy, and sigmoidoscopy. These tests screen both the colon and the rectum.
Some tumors and polyps may bleed intermittently, and this blood can be detected in stool samples by a test called fecal occult blood testing (FOBT). By itself, FOBT only finds about 24% of cancers. It is recommended by the American Cancer Society that FOBT be done annually, in conjunction with a flexible sigmoidoscopy every 5 years, after age 50. This combination of tests detects about 76% of colorectal tumors. The sigmoidoscope is a slender, flexible tube that has the ability to view the rectum and the lowest part of the colon. If a polyp or tumor is detected with this test, the patient must be referred for a full colonoscopy.
The colonoscope is similar to the sigmoidoscope, but is longer and can view the entire rectum and colon. If a polyp is found, the physician can remove it and send it to a pathology lab to determine if it is adenomatous (cancerous). As a screening method, the American Cancer Society recommends that a colonoscopy be done every 10 years after age 50. Patients with a family or personal history should have more frequent screenings; these should begin at an age that is ten years younger than their relative was at diagnosis. Patients with a history of ulcerative colitis are also at increased risk and should have more frequent screening than the general public. Patients should talk with their physicians about which screening method is best for them, and how often it should be performed. You can learn more about screening by reading Basic Information about Colorectal Cancer and Colorectal Cancer Screening.
Unlike colon cancers, most rectal cancers cause symptoms. These include: red blood seen in the stool, unexplained constipation alternating with diarrhea, changes in the diameter of stool (patients may notice "pencil-thin stools"), and tenesmus, which is a sensation of needing to have a bowel movement when you don ' t and/or being unable to empty the rectum. If tumors have become more advanced, they can invade the nearby tissues and cause bladder incontinence or pain due to pressure in the buttocks or perineum.
Once rectal cancer is found by the screening tests, further tests are needed to determine the extent of the tumor. The tests used to determine spread of the tumor are CT scans, MRIs, and endoscopic ultrasound (EUS). The EUS is a type of ultrasound that uses sound waves to determine the depth of the tumor and whether or not surrounding lymph nodes are involved. A biopsy is typically done during an EUS, colonoscopy or proctoscopy (a test which allows the doctor to view only the rectal area) to verify the type of tumor. Carcinoembryonic antigen (CEA) level is a marker for colon cancer that is found in the blood and which is elevated in 95% of cases. Women with advanced tumors should also have a pelvic exam to assess if the tumor has invaded into the vagina or cervix. With these tests, a stage is determined to help dictate the necessary treatment. The TNM staging system assesses the extent of the tumor, nodal involvement, and distant metastases.
Primary Tumor:
Lymph Nodes:
Distant Metastasis:
Stage Grouping:
Because the staging system is relatively detailed, a more simplified way of understanding the stage groupings is:
There are other staging systems used in clinical practice, but this one is the most commonly used. See Understanding Your Pathology Report for more information.
Over the past twenty years, there have been significant improvements in surgical techniques for the treatment of rectal cancer. In the past, a majority of patients required a colostomy after rectal cancer surgery and developed significant side effects (such as incontinence and male impotence) from nerve damage that frequently occurred during the surgery. The utilization of pre-operative chemoradiation (combination of chemotherapy and radiation) and improved surgical techniques has led to fewer side effects and fewer patients requiring colostomy.
Surgery is the most common treatment for rectal cancers. If the tumor is relatively small, it can be removed by a surgical procedure called local excision, which removes only the cancerous area.
A larger tumor requires a resection (removal of the tumor and some healthy tissue surrounding it) and anastomosis (the two tumor-free ends of the bowel are reconnected). If the bowel ends cannot be reconnected, a colostomy is made. Preoperative chemotherapy & radiation (called neoadjuvant therapy) can improve how successful the surgeon is at completely removing the tumor.
The most commonly performed surgical procedure today is the total mesorectal excision or TME. This procedure removes the rectum and the mesorectum, an area of fatty tissue below the rectum that contains lymph nodes, which are the most common area for the cancer to spread. In the hands of an experienced surgeon, the number of patients requiring colostomy with this procedure is low. TME, along with neoadjuvant chemoradiation, has led to decreases in recurrences in the rectal area from 40% to less than 10% and has improved overall survival from 50 to 75% in the last 40 years.
Diagram of TME excision
In addition, surgeons used to perform the resection through the abdomen (called abdomino-perineal resection or APR). Today, the TME is most often performed with a low anterior resection (LAR), which typically allows the rectal sphincter to remain intact.
In some cases, even though the surgeon is able to remove all of the visible tumor, a person may also be recommended chemotherapy and/or radiation therapy to prevent the cancer from coming back (also called recurrence). These recommendations are based on what the pathologist finds when examining the tumor under a microscope, including if the margins of the specimen are free of tumor, the tumor size, and if any blood vessels or lymph nodes are involved.
The normal rectum acts as a holding area for stool. When an ultra low rectal resection and anastomosis are needed, the holding area is lost, leading to more frequent bowel movements and/or incontinence. To alleviate this problem, the colonic J-pouch was developed. This procedure uses the remaining bowel to create a J-shaped pouch, which then acts as a new holding area for the stool. It is usually about 5-6 cm in length and significantly reduces the number of bowel movements and incontinence.
Patients with stage 0 and I disease are typically treated with surgery only. Patients with stage II and III disease are at a high risk of recurrence and should be treated with chemotherapy and radiation either pre-operatively (called neoadjuvant therapy) alone or in conjunction with post-operative therapy (called adjuvant therapy).
Due to the large size of the pelvis (the bony structure in which the rectum lies), it is often difficult for a surgeon to remove enough normal surrounding tissue to obtain adequate tumor-free margins. This is especially true for larger tumors. Giving chemoradiation pre-operatively can shrink a tumor that would not have been surgically removable initially, therefore making these patients candidates for potentially curative surgery. This is known as "downstaging" the tumor. Downstaging with chemoradiation has also allowed patients with tumors that would otherwise require a colostomy to now have a resection and anastomosis following treatment. Studies have shown that giving fluorouracil (5-FU) in combination with radiation therapy (called chemoradiation) before surgery (called neoadjuvant therapy) results in less short and long term toxicity and fewer recurrences of the tumor in the rectal area, when compared to giving the therapy after surgery. Because of this, neoadjuvant therapy has become the standard of care for rectal cancer.
Patients with stage IV rectal cancer may be offered resection of the tumor, radiation and/or chemotherapy. Some patients may be candidates for surgical management of cancer that has spread to other nearby organs (i.e. liver, ovaries). Most of these treatments are to alleviate symptoms, but are not considered curable.
Therapy for patients with advanced disease includes a combination of fluorouracil, leucovorin, and irinotecan (CPT-11 or Camptosar) or oxaliplatin (Eloxitin). Regimens incorporating irinotecan or oxaliplatin were found to be more effective than fluorouracil and leucovorin alone in these patients.
Bevacizumab (Avastin) is a type of treatment called anti-angiogenic therapy. Tumors need nutrients to survive and are able to get these nutrients by growing new blood vessels. This medication works by attacking the new blood vessels the tumor has formed -- in other words, by cutting off its food source. Bevacizumab is used in combination with chemotherapy.
Cetuximab (Erbitux) and panitumumab (Vectibix) are types of monoclonal antibodies that target cancer cells specifically, sparing the normal cells and therefore causing fewer side effects. Cetuximab causes the patient's immune system to recognize the cancer cells as foreign and attack them and is given either alone or in conjunction with chemotherapy agents.
Epidermal growth factor receptor (EGFR) is abnormally over expressed in many cancers (including those of the colon and rectum), so inhibition of EGFR can result in a decrease in tumor cell growth and decreased production of other factors responsible for metastasis (tumor spread). Panitumumab exerts its cancer fighting properties by competitively inhibiting the binding of epidermal growth factor to EGFR, which prevents epidermal growth factor from working and hence not allowing cancer growth to occur.
Capecitabine (Xeloda), an oral form of fluorouracil, is also being used in the treatment of rectal cancers when the patient cannot tolerate the above therapies or has progressed on these therapies.
Once a patient has completed chemotherapy, he or she must be followed closely for recurrence. The guidelines for follow-up surveillance, written by the National Comprehensive Cancer Network, are: physical exam (including digital rectal exam) every 3 months for 2 years, then every 6 months for 3 years; CEA level checked (if elevated at diagnosis) every 3 months for 2 years, then every 6 months for 3 years; and colonoscopy in 1 year, with a repeat in 1 year if abnormal, or every 2-3 years if no polyps are found. There is not enough evidence to support or refute the use of chest x-ray or CT scan for surveillance at this time, so this varies from physician to physician and is more likely used in higher risk cases.
Clinical trials have played and continue to play an important role in the treatment of colorectal cancer. In the past 20 years, considerable improvements have been made in colorectal cancer therapy, with overall survival rates increasing from 45 to 75 percent. The treatments we have today were refined through clinical trials, and many new avenues continue to be explored. Talk with your physician about current clinical trials for rectal cancer available in your area.
This article is meant to give you a better understanding of rectal cancer. Use this knowledge when meeting with your physician, making treatment decisions, and continuing your search for information.
You can also learn more about colorectal cancer on OncoLink through the related links on the left.


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Hi, I was at a Cultus Lake Sub meet back in September of 2002. I thought it was great.
Is there going to be one this fall? I recall seeing the dates of September 27 & 28 mentioned in the beginning of the year. But I can't find any information if these are still valid.
Does anyone know?

subset: commoncrawl


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Action/Adventure, Comedy
A murdered cop is recruited to work for an afterlife police force that battles spirits not yet ready to depart this world.
Cast: Jodie Foster, Jeff Bridges, Ryan Reynolds
Produced by:
Directed by: Robert Schwentke
Written by: Phil Hay
Running time:
1hr 36min
Opens: Jul 19, 2013 Nationwide
Theaters for Today |
Pick a day
on this day. |


text:
Terminal Block Jumpers f/2400 Series - Blue Sea Systems
This item is found in the following Product Families
Combines independent circuits on a terminal block. Jumpers allow creation of common circuits on independent connectors. 9218 fits 20 Ampere terminal blocks (2400 Series). 9217 fits 30 Ampere terminal blocks (2500 Series).
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Add to Cart and enter your Postal Code to determine the shipping charges and estimated delivery date.
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text:
ULTRAK 499 Series 2000 Lap Memory Stopwatch with Printer
Eligible for 25% off a Single Item! (see promotion details) |
Eligible for Free Shipping on Orders $49 or More! (see promotion details) |
Members of The League get 5% back when you spend $100! (see promotion details) |
Product Details
The Ultrak-499 Series 2000 lap memory stopwatch and printer features a memory that's set-up to keep multiple events segmented by date and run number. The memory stores wither lap times and cumulative times or lap times and lap speeds from up to 2000 laps. The easy-to-use universal speed or frequency function displays speed or frequency in any distance and time units you desire, including miles per hour or strokes per minute.
- 2000 dual split recallable memory
- Memory segregated by event
- Multiple event memory
- Selective memory deletion by event
- Memory review during operation
- User selects desired output
- Distance (in English or metric units), strokes, cycles
- Time in second, minute or hour
- Automatic split release
- Continuous display of event time
- Dual countdown timers
- Measures to 10 hours
- Time and calendar
- Daily alarm
- Prints 13 digits per line
- Printing speed of 1.5 lines per second
- Printout selection of lap and/or cum splits and speed
- Automatic printout of year, month, date, and time


text:
How To Tie Bow Ties
Bow ties are part of a gentleman's attire for formal white- or black-tie events. These ties -- long ribbons of fabric tied around the neck to form a bow -- are worn primarily with dinner jackets and suits. There are also pre-tied and clip-on versions. The process of tying a bow tie may appear complicated because it requires more movements than you'd expect for such a small accessory. Once you do it successfully, however, you'll see it is a simple process.


text:
Sale Price: $442.89
Sale Price: $48.54
Sale Price: $44.99
Sale Price: $34.99
Sale Price: $31.99
Sale Price: $48.99
Sale Price: $129.99
Sale Price: $75.99
»» Description:
The Empire Breckenridge Deluxe 32 Firebox - Louvered - Aged Brick Ceramic Liner features characteristics such as a tall, deep stage for the log set, compact outer dimensions, and low profile top and bottom. The visual effect is a lot more fireplace with less of the firebox face showing. Creating the illusion of a site-built fireplace at only part of the cost, the floor height allows for installation at or near floor level for that natural integrated look. This firebox is easy to install because it is lighter and more rigid and its hem-bent seams provide a better seal while dismissing the mess of dozens of screws and fasteners. Allowing the firebox to be installed at floor level because it has no lower louvers, it still provides the benefit of a recirculating firebox.
»» Application:
For use indoors
»» Features:
»» Product Notes / Warranty / Manufactures Websitete:
Manufacturer's Website


text:
Scientists are working to pinpoint the source of a giant mass of methane hanging over the southwestern U.S., which a study found to be the country's largest concentration of the greenhouse gas.
Mother turns son's tragedy into crusade
Heather Simonsen |
posted 55 minutes ago
Alexis Carroll's son, Alex, was a popular kid before he suffered a traumatic brain injury while skateboarding without a helmet two years ago. He's come a long way, but he can still only say seven words and his days are filled with therapy.
Three Salt Lake City golf courses slated for closure, reassignment
Katie McKellar |
posted Apr 18th - 1:25pm
Glendale and Wingpointe have joined the Jordan River Par-3 as golf courses that will be cut from Salt Lake City's program.
Million tabs: Fourth-grade teacher, students complete 6-year project
Ben Dowsett |
posted Apr 18th - 11:40am
A fourth-grade teacher and her students at Foxboro Elementary in North Salt Lake donated 1 million pull tabs from soda and other cans to the Ronald McDonald House, culminating a six-plus-year project that doubles as an exercise in place value.
First teaser trailer for 'Batman v Superman: Dawn of Justice'
John Clyde, KSL.com Contributor |
posted Apr 18th - 11:18am
The first trailer for the highly anticipated "Batman v Superman: Dawn of Justice" has landed online.
Man in critical condition following Saturday morning ATV crash
Ben Dowsett |
posted Apr 18th - 11:02am
A man is in critical condition following an ATV crash early Saturday morning in Clinton, police say.
Woman arrested following alleged mail theft, drug possession
Ben Dowsett |
posted Apr 18th - 10:45am
A woman is under arrest following a citizen report of mail theft , police say.
USU frat lifts suspension imposed after sex abuse arrest
The Associated Press |
posted Apr 18th - 9:56am
A Utah State University fraternity voluntarily suspended after a former chapter president was accused of sexually abusing a female partygoer has resumed activities.
Police: Woman tending boy with health problems beat him with ice scraper
Ben Lockhart |
posted Apr 18th - 9:20am
A woman has been charged with felony child abuse after allegedly beating the boy she was babysitting with an ice scraper.
Utah lawmakers won't override governor vetoes
Dennis Romboy |
posted Apr 18th - 8:45am
State lawmakers have decided not to override any of the five bills Gov. Gary Herbert vetoed after the 2015 legislative session.
'Telemedicine' gives rural-area hospitals immediate access to specialists
Sam Penrod |
posted Apr 18th - 8:05am
Intermountain Healthcare is rolling out a new system to take the doctor to the patient. It's called telemedicine.
Grizzlies defeat Idaho 3-2, even first-round series at a game apiece
Ben Dowsett |
posted Apr 17th - 10:50pm
The Utah Grizzlies defeated the Idaho Steelheads 3-2 Friday night at the Maverik Center, evening their first-round ECHL playoff series at 1-1.
Cheerleading coach who worked as youth counselor arrested in sodomy case
Pat Reavy |
posted Apr 17th - 10:41pm
A high school cheerleading coach and former counselor from BYU's Especially For Youth program has been arrested and accused of sexually abusing a teenage boy who attended the camp.
Couple surprises family with on-air pregnancy announcement
Ashley Kewish |
posted Apr 17th - 10:41pm
Dave and Lanora Robinson have struggled with infertility for years. They've had eight miscarriages since 2012. Friday they announced on-air to their families in Utah that Lanora is 35-weeks pregnant with a baby boy.
Conversion rate lags behind Mormon missionary increase
Brady McCombs, Associated Press |
posted Apr 17th - 10:41pm
A record number of young Mormons signed up for missions after church leaders lowered the minimum age in 2012, but new figures show the onslaught of proselytizing Latter-day Saints didn't lead to an equally dramatic spike in converts.
Police: Woman, young boys ordered to hide while armed robbers stole goods
Ben Lockhart |
posted Apr 17th - 10:32pm
A woman and two young boys were forced to hide under a blanket inside their home Friday afternoon while armed robbers made off with stolen electronics, police say.
2-alarm house fire in Draper extinguished
Angela Treasure |
posted Apr 17th - 10:31pm
A two-alarm fire at a home in Draper Friday evening is out, officials say.
Funeral services Saturday for former Utah Gov. Norm Bangerter
posted Apr 17th - 8:29pm
Funeral services for former Utah Gov. Norm Bangerter will be held Saturday at the Salt Lake Community College Jordan campus.
Dinosaur park kicks off 100th anniversary during national parks fee free weekend
Geoff Liesik |
posted Apr 17th - 8:21pm
Of the 407 national parks in America, only 128 charge an entry fee. On Saturday and Sunday, those entry fees will be waived as part of the kickoff of National Park Week.
Video: Utah parents offer 10 things to know before becoming a parent
Megan Marsden Christensen |
posted Apr 17th - 8:11pm
A new video shows Utah parents offering funny, sound and sweet advice that they wish they had known before they became parents.
Uintah County man faces murder charge in brother's death
Geoff Liesik |
posted Apr 17th - 7:51pm
A Uintah County man was charged Friday with murder in the shooting death of his brother.
Hundreds of Utah children at center of identity theft
High bacteria counts on cellphone doesn't determine rate of infection
By end of high school, nearly all kids have seen pornography, experts say
KSL Investigates: SLC out millions of dollars in unpaid parking tickets
Social media kicks up sales of bronzed baby shoes
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text:
I will get this game for sure.
I'm picking it up. I'm wondering who is voicing Deadpool as well as some of the others, and how well they are done.
Roqueja- Deadpool will be voiced by Nolan North, as always. Nolan North is to Deadpool as Kevin Conroy is to Batman. It may be possible to use another voice actor for that particular part, but it's not possible to find a better one.


text:
Drugs A - Z
Phenylephrine Tannate Chewable tablet
It is used to relieve a stuffy nose from allergies, colds, or sinus problems
Generic Name: phenylephrine | Brand Name: Ah-Chew D
Brand Names:
Mydfrin, Little Noses Decongestant, Triaminic Toddler Congestion Thin Strips, Afrin Nasal, Triaminic Thin Strips Cold, Ah-Chew D, Nasop, Triaminic Thin Strips Infant Decongestant, Wal-Phed Pe, Sudafed Pe Extra Strength, See more brands »
What is this medicine?
PHENYLEPHRINE (fen il EF rin) is a decongestant. It is used to relieve a stuffy nose from allergies, colds, or sinus problems.What should I tell my health care provider before I take this medicine?
They need to know if you have any of the following conditions:- diabetes
- heart disease
- high blood pressure
- phenylketonuria
- prostate problems
- taken an MAOI like Carbex, Eldepryl, Marplan, Nardil, or Parnate in last 14 days
- thyroid disease
- trouble passing urine or change in the amount of urine
- an unusual or allergic reaction to phenylephrine, other decongestants, other medicines, foods, dyes, or preservatives
- pregnant or trying to get pregnant
- breast-feeding
How should I use this medicine?
Take this medicine by mouth. Chew it completely before swallowing. Follow the directions on the package label. Take this medicine with food, water, or milk to prevent stomach upset. Take your medicine at regular intervals. Do not take it more often than directed.Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 2 years old for selected conditions, precautions do apply.
Patients over 60 years old may have a stronger reaction and need a smaller dose.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.What may interact with this medicine?
Do not take this medicine with any of the following medications:- bromocriptine
- cocaine
- dihydroergotamine, ergotamine, ergoloid mesylates, methysergide, or ergot-type medication
- MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
- other stimulant medicines
This medicine may also interact with the following medications:
- anesthesia
- medicines for blood pressure
- medicines for mental depression
What should I watch for while using this medicine?
Tell your doctor or healthcare professional if your symptoms do not start to get better or if they get worse. See your doctor if you are not better in 7 days or if you have a fever.What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:- allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
- breathing problems
- chest pain
- difficulty sleeping
- fast, irregular heartbeat
- feeling faint or lightheaded, falls
- nervousness
- pain, tingling, numbness in the hands or feet
- unusually weak or tired
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
- headache
- loss of appetite
- stomach upset, nausea
Where should I keep my medicine?
Keep out of the reach of children.Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light. Throw away any unused medicine after the expiration date.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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text:
How to Be a Woman (Paperback)
Though they have the vote and the Pill and haven't been burned as witches since 1727, life isn't exactly a stroll down the catwalk for modern women. They are beset by uncertainties and questions: Why are they supposed to get Brazilians? Why do bras hurt? Why the incessant talk about babies? And do men secretly hate them?
Caitlin Moran interweaves provocative observations on women's lives with laugh-out-loud funny scenes from her own, from the riot of adolescence to her development as a writer, wife, and mother. With rapier wit, Moran slices right to the truthwhether it's about the workplace, strip clubs, love, fat, abortion, popular entertainment, or childrento jump-start a new conversation about feminism. With humor, insight, and verve, How To Be a Woman lays bare the reasons why female rights and empowerment are essential issues not only for women today but also for society itself.
About the Author
Caitlin Moran was named the Columnist of the Year by the British Press Awards in 2010, and Critic and Interviewer of the Year in 2011 for her work at the Times of London. You can follow Caitlin on Twitter @caitlinmoran.
Praise for How to Be a Woman…
�eoeThere are lots of things to love about Caitlin Moran�e(TM)s How to Be a Woman�e�.A glorious, timely stand against sexism so ingrained we barely even notice it. It is, in the dour language [Moran] militates so brilliantly against, a book that needed to be written.�e
-New York Times
�eoeThe UK�e(TM)s answer to Tina Fey, Chelsea Handler, and Lena Dunham all rolled into one.�e
-Marie Claire
�eoeMoran�e(TM)s frank wit is appealing.�e
-The New Yorker
�eoeIt is bracing in this season of losing [Nora] Ephron to discover a younger feminist writer who scrimmages with the patriarchy and drop kicks zingers with comic flair�e�.A must-read for anyone curious to find out just how very funny a self-proclaimed �e~strident feminist�e(TM) can be.�e
-Maureen Corrigan, NPR's Fresh Air
�eoeA fresh, funny take on modern feminism that shines a light on issues facing every woman, lovingly boiled down to the basics with insight and humor.�e
-Today Show
�eoeScathingly funny�e�.Moran makes us think about femininity and feminism, and whether you agree or not, she�e(TM)s fascinating.�e
-People (3 � stars)
�eoeA hilarious neo-feminist manifesto�e�.Moran reinvigorates women�e(TM)s lib with her personal and political polemic.�e
�eoeCaitlin Moran taught me more about being a woman than being a woman did. I�e(TM)m pretty sure I had testicles before I read this book.�e
-Jenny Lawson, author of Let's Pretend This Never Happened: A Mostly True Memoir
�eoeThere is a good reason for [its success]: it is pretty phenomenal�e�.[Moran] wrote the book in just 5 months�e�.Chances are you�e(TM)ll read it in far less time than that, turning down the corners of extra-resonating pages to come back to later.�e
-Jenn Doll, The Atlantic Wire
�eoeWith her drunk-on-gin-with-my-lady-friends honesty and humor, Moran, a Times of London columnist, snips the man out of manifesto, spinning her message of radically sensible female empowerment.�e
-Vanity Fair.com
�eoeBravely and brilliantly weaves personal anecdotes and cutting insight into a book that is at once instructional, confessional, and a call for change�e�.Moran shifts effortlessly between her own hilarious experiences and larger questions about women�e(TM)s place in the modern world.�e
-Interview Magazine
�eoeAs funny and careerist as Tina Fey�e(TM)s Bossypants, as divulging as Ayelet Waldman�e(TM)s Bad Mother and as earthy as Cheryl Strayed�e(TM)s Wild.�e
-Holloway McCandless, Shelf Awareness
�eoeIngeniously funny�e�.In her brilliant, original voice, Moran successfully entertains and enlightens her audience with hard-won wisdom and wit�e�.She doesn�e(TM)t politicize feminism; she humanizes it.�e
-Publishers Weekly (starred review)
�eoeCaitlin Moran is so fabulous, so funny, so freshly feminist. I don�e(TM)t want to be like her�e"I want to be her. But if I can�e(TM)t, at least I can relish her book. You will, too.�e
-Peggy Orenstein, author of Cinderella Ate My Daughter
�eoeHer arguments are hilarious and spot on�e�.This isn�e(TM)t a self-help guide, and Moran�e(TM)s not really telling you how to be a woman. Instead, she�e(TM)s giving you permission to laugh: at ourselves, at her, and at anyone who think there�e(TM)s only one way to be a woman.�e
-Shannon Carlin, Bust Magazine
�eoeHow funny is Caitlin Moran�e(TM)s neo-feminist manifesto and memoir, How to Be a Woman? Don�e(TM)t read it with a full bladder�e�.You could spend a whole book group session flagging favorite lines�e�..There�e(TM)s some comfort in Moran�e(TM)s book coming out so soon after Nora Ephron�e(TM)s death.�e
-Heller McAlpin, Barnes & Noble Review
�eoeA spirited memoir/manifesto�e�.With equal amounts snarky brio and righteous anger�e�.That such an important topic is couched in ribald humor makes reading about Moran�e(TM)s journey hilarious as well as provocative�e�.Rapturously irreverent, this book should kick-start plenty of useful discussions.�e
-Kirkus Reviews (starred review)
�eoeCaitlin Moran is a feminist heroine for our times. I can�e(TM)t wait to give this book to my daughters.�e
-Zoë Heller, author of The Believers
�eoeCaitlin Moran is the profane, witty and wonky best friend I wish I had. She�e(TM)s the feminist rock star we need right now; How to Be a Woman is an hilarious delight.�e
-Ayelet Waldman, author of Bad Mother


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Charge your Galaxy Tab at home or in any domestic US wall outlet. Compact & Convenient with a rotating charger that's easy to plug in, even the most-crowded outlets. Folding prongs make it simple to stick in a travel bag or purse. 4-foot Charge Sync cable lets you charge and sync on your desktop or laptop computer too.
- Folding prong wall adapter
- 90° rotating prongs
- Rapid-charge USB ports
- 4-foot Charge Sync cable
Galaxy Tab 2 - 7"
Galaxy Tab - 7"
Galaxy Tab - 10.1"
Galaxy Tab - 8.9"
Galaxy Tab 2 - 10.1"


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2000 Lexus SC400 Remote key
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2000 LEXUS SC400 Remote key must be cut to match your original key before you can use it. Not all locksmiths or dealerships have the proper equipment to cut high security remote keys, so you will need to call around before purchasing. If you are unable to find anyone to cut the key for you, we offer a key cutting service for $29.95. Please see the listing In Lexus category for more information. Once the new remote key is cut you can program it by yourself if you have one master working key (not valet), you can use the printed programming instructions that we send to make the remote key work for 2000 LEXUS SC400. The instructions are very easy to understand and can be performed in less than 2 Min. If you have lost all Transponder Chip Keys or remote keys for the vehicle you will need to contact an automotive locksmith or dealership to discuss your options. This Lexus Remote key comes with Brand new battery Installed and is tested for functionality before sending.


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Overzicht van de beschikbare titels in deze serie:
Building Stories
Review by Lambiek Staff - Mar 20, 2015
After years of sporadic work on other books and projects and following the almost complete loss of his virility, it's here: a new graphic novel by Chris Ware.
Building Stories imagines the inhabitants of a three-story Chicago apartment building: a 30-something woman who has yet to find someone with whom to spend the rest of her life; a couple, possibly married, who wonder if they can bear each other's company another minute; and the building's landlady, an elderly woman who has lived alone for decades. Taking advantage of the absolute latest advances in wood pulp technology, Building Stories is a book with no deliberate beginning nor end, the scope, ambition, artistry and emotional prevarication beyond anything yet seen from this artist or in this medium, probably for good reason.


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Embroidery in Whitney is the art or handicraft of decorating fabric or other materials with needle and thread or yarn. Embroidery may also incorporate other materials such as metal strips, pearls, beads, quills, and sequins. A characteristic of embroidery is that the basic techniques or stitches of the earliest work- chain stitch, buttonhole or blanket stitch, running stitch, satin stitch, cross stitch- remain the fundamental techniques of hand embroidery today. Machine embroidery mimics hand embroidery, especially in the use of chain stitches, but the satin and hemming stitches of machine work rely on the use of multiple threads and resemble hand work in their appearance, not their construction.


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I bought one to wear on my arm that has lymphedema resulting from radiation for breast cancer/lymph nodes. It's good quality and still not too heavy on my wrist. Sizing worked out great and I still have some room in case my arm swells up a bit. I also ordered the leather braided bracelet but haven't worn it yet. It too is good quality and the size is right.
Customer Reviews
- Great! Review by LD
This bracelet is great! It matches a lot of the jewelry I wear and it's very stylish. Plus I love the fact that its waterproof so it can be worn to the beach & the pool! Well done! (Posted on 5/1/15)Rated: - Just right for me Review by Red
I love my bracelet , has style !Rated:
Has very readable info back
Will be back to shop again!
Thank you n-styleid (Posted on 4/30/15)- Daughter loves it! Review by Hailey's mom
We always receive excellent items through the N-Style ID website. This time was no exception. My daughter loves her bracelet! The quality is great and she can wear it with anything. (Posted on 4/30/15)Rated: - excellent Review by amy
I have bought several braclets for my son through your company all have been fantastic done correctly and shipped quickly couldn't be happier! (Posted on 3/23/15)Rated: - Perfect Review by McGee
I am very pleased with my bracelet. Looks very nice on my wrist. Contains all the info I wanted on it nicely & is easy to read with the bold lettering. Had another brand but it broke frequently.Rated:
(Posted on 12/30/14)- Absolutely perfect Review by Maggiegirl
it's attractive but the thing I was most concerned about was the fit. My wrist was 6" and you adding the 3/4" makes a perfect fit. (Posted on 10/2/14)Rated: - Satisfied Review by dz6g56
I purchased this bracelet because my wife and daughter did not like the one I picked out while unsupervised. They like this one, and for me it is comfortable, and was reasonably priced. (Posted on 9/18/14)Rated: - So happy with the bracelet I ordered for my husband Review by Susan
I can not be happier with my purchase. My husband has dementia and I always worry we become separated or he may wander off. Before I ordered, I became confused as to which bracelet would best suit our needs. I called and left a message asking for assistance. Within 5 minutes I received a call back and was helped to make the correct decision. The bracelet is very masculine and beautiful, my husband shows it off to anyone who will listen. When he wanted to take off to shower, I told him it was just like a wedding ring, you never remove it. I actually was referred to N-Style ID by a friend in an Alzheimer's class I attended, and I intend to share with my church support group! Thank you so much (Posted on 9/17/14)Rated: - Pleased Review by Linda
I am very pleased with my medical ID bracelet. I like the look of it and the fit. I have a very small wrist and it is not bulky. I added the breast cancer ribbon to mine, as I am a survivor.Rated:
(Posted on 9/3/14)- works for me Review by Catmomma
I have very small wrists so I did not want anything too chunky but I also wanted something that was obviously a medical bracelet in case of emergency. This one works well for me. It does tend to spin around my wrist but i am getting used to wearing it still. I also got the little butterfly charm which added a nice touch (Posted on 7/22/14)Rated: - Exactly what I wanted Review by Joanna
This not onlly is excellent quality and comfortable, but it's more stylish than the typical medical ID bracelets I've seen; it has the allergy information I need but the look of it is of a real bracelet which I really like. Also, I love that I could choose the color of the emblem to suit my taste. (Posted on 4/23/14)Rated: - Happy with my new bracelet Review by Nokie
I am happy with my new ID bracelet. I really like the "gold" medical alert symbol, as opposed to the typical red. I feel like it goes well, whether I am wearing yellow gold or white gold jewelry. I bought the smallest size bracelet you offer, and it's still a tad bit too large (small wrists), so I might have a couple of links removed, because the ID does not stay on top of my wrist (wants to slide around to the underside). All in all, I think the quality is good, and I am quite happy with my purchase. Would highly recommend. (Posted on 4/20/14)Rated: - At last! Review by Linda
Thank you for understanding the need to change out the look of the bracelet without the expense of purchasing multiples. When we are faced with an illness over which we have no control, it is a huge breakthrough to offer us choices that are both functional and stylish. Thank You! (Posted on 3/21/14)Rated: - Fine quality Review by Linda1977
I. Am very happy with my ID bracelet. I need to order a bracelet, since I recently had a spinal cord stimulator implanted, and I need to be sure to let anyone know that info: in case of an emergency. I love all the great styles you offered, and I will probably order some different styles down the road. The quality of the bracelet is excellent. (Posted on 1/13/14)Rated: - A winner. Review by Just right!
Great value for money, personalized option. Very happy with this product! Nothing like it in NZ. Thanks n-styleid. (Posted on 1/10/14)Rated: - Beautiful! Review by Granny
This is an attractive medical alert bracelet. I purchased it, as I am a "body donor" and this works perfectly. The lobster clasp is awkward for my arthritic fingers but I discovered I can slip it on and off without the clasp. The gold is an attractive alternative to the red. Great service by N-Style. (Posted on 10/30/13)Rated: - Happy Camper Review by Holly
Bracelet looks great, I wear it 24/7, not high style, basic, but that's me. Got the bracelet in record breaking time, great website, easy to order, liked that I could get 6 3/4 inches length. (Posted on 10/12/13)Rated: - Good value for the money Review by DeirdreU
Overall I like the look & ease and of taking on & off. My disappointment is the smallness of the charm. (Posted on 9/20/13)Rated: - Love it! Review by Lori
I bought one to wear on my arm that has lymphedema resulting from radiation for breast cancer/lymph nodes. It's good quality and still not too heavy on my wrist. Sizing worked out great and I still have some room in case my arm swells up a bit. I also ordered the leather braided bracelet but haven't worn it yet. It too is good quality and the size is right. (Posted on 9/20/13)Rated: - Excellent value! Review by Susan
I am very happy with my bracelet. It came unbelievably fast, too. I shopped all over the internet for a bracelet and other companies had high prices, high shipping costs and some said it would take weeks to get the product. I am SO happy I ordered my bracelet from here. It looks nice, the value to dollar is excellent, and it was on my wrist in a couple of days! (Posted on 9/19/13)Rated: - Very Satisfied Review by Dina
I bought one for myself and my mom saw it and wanted one. She is very happy because she receives a great deal of compliments about the bracelet. (Posted on 8/23/13)Rated: - Very Happy Review by Kim R.
I have been wearing the bracelet for over a week now and am very happy with it. It is very easy to get on and off. The chain is very nice and the medical id serves the purpose that I need. (Posted on 7/16/13)Rated: - I was very pleased Review by Cynthia N
I was surprised how easy it was to order and how fast I received it. It is very nice looking and have had complements on it. I would by again from this company. (Posted on 6/12/13)Rated: - Love this Review by Aana B.
This was exactly what I wanted. I looked for several months and was uncertain about what would work for a busy mom of three boys, but it is perfect! It's attractive and functional and just the right size. I love that I can change it out for another band. I went ahead and ordered a second dressier band, but honestly, this one is pretty enough on it's own. (Posted on 6/12/13)Rated: - Happy customer Review by Iona
Just received my bracelet today. I'm very pleased with the quality of the material and engraving. Very fast service to Canada. Thank you. You've got a regular customer now. (Posted on 6/5/13)Rated: - Simple Review by Flick
I was looking fire something exactly like this. It is not too showy, but overt enough that it would be noticed and helpful in an emergency situation.Rated:
I gave this bracelet 3 stars only because I am not sure if the laser writing on the back will last longer than a year. I hope so! (Posted on 5/20/13)- Hard to put on Review by Peggy
It's nice looking and sturdy, but it's very hard to put it on. I am right-handed and wear a watch on my left wrist, so I'd prefer to wear the bracelet on my right wrist, but it's difficult to put it on. It's a little easier to put it on my left wrist, but still hard. Maybe I should have gotten the necklace. (Posted on 5/7/13)Rated: - Awesome bracelet for small wrists Review by Elizabeth Berry
I've been buying my medical alert bracelets through you guys since my heart surgery. Since then I've had to add somethings, and decided now that I was older, that I would go to a bracelet from a kids bracelet. This bracelet doesn't overpower small wrists, it is lightweight, and is just absolutely amazing. THANK YOU so much for being able to have such beautiful bracelets for those of us with small wrists and chronic issues. (Posted on 4/17/13)Rated: - Good Choice Review by Sheila James
I was recently told I will be on Coumadin for the rest of my life and a medical bracelet would be recommended. I spent quite a while checking out bracelets and came across yours. I love this bracelet - the size, the look, the engraving was just what I needed and wanted. I made a very good choice and would recommend you to anyone. Your service was fast and very professional. (Posted on 4/12/13)Rated: - pleased with purchase Review by Elaine
I had been thinking of purchasing a medical ID bracelet and when I found this one I bought it right away. I wear it all the time, and much to my surprise, I don't find it annoying on my wrist.Rated:
I am reassured in knowing that in case of emergency my information with be noted.
Additionally, the bracelet is attractive and can be worn with other jewelry. (Posted on 4/9/13)- Nice looking bracelet Review by Cara
This bracelet looks really nice and the engraving is done well. Only complaint is it is a little difficult for my husband to attach to his own wrist. (Posted on 3/21/13)Rated: - OK, was bigger than I had measured, need to remove some links. Review by Barbara Stophel
Product very nice. I choose the pink as I wear such colors a lot.Rated:
Size was a little big, seems some inches were added to what I measured and sent. I will try to have a couple of links removed professionally.
A previous medical bracelet had a toggle catch and it was easier to put on. Now I need help with this one. (Posted on 2/25/13)- Love my bracelet Review by Gigi Diekmann
I love my I'd bracelet. It is very elegant and I can wear it everyday. I work in a bank and dress up everyday and it goes well with anything I wear. Now I feel safe and have a stylish bracelet all in one. Thank you (Posted on 2/18/13)Rated: - medical id bracelet Review by susan smith
I love my new bracelet. I was worried recently when I had to have a neuro stimulator implanted in my back. I came upon your site and I found everything looked fashionable. It just looks like im wearing a bracelet with my peace symbol charm. Than you very much. (Posted on 2/18/13)Rated: - Great Bracelet Review by Alice Jordan
I had an awful allergic reaction to Morphine in the recovery room after surgery. The MD was with me, saw the reaction, and changed my pain medication. I got the bracelet since Morphine is given so often in many emergencies. I wanted to be spared another scary reaction. The bracelet is attractive enough to wear and look like jewery, while saving my life. (Posted on 1/28/13)Rated: - Medic Bracelet Review by Mrs Dorothy Morton
Thankyou so much for Medic Bracelet,I was trilled with it and also with the quick service, I live in new Zealand and this had to come all the way from the U>S>A and i only waited 8 days so was very pleased, i would recomend you to all my friends and family who may need to buy some thing you give an excellent service so thankyou so much from a very greatfull Great Grandmother. (Posted on 1/25/13)Rated: - Beautiful Review by Patti
The bracelet is beautiful. I had to exchange the first one I received because it was too small. They were out of the next size up so I had to take two sizes up and take links out. However, the bracelet is beautiful and I still like it very much. The delivery time is incredibly fast. I will recommend this company to everyone I know that needs a medical id. (Posted on 1/9/13)Rated: - Perfect Safety... Review by Sandy
The bracelet is light weight, lays flat and hooks on and off theRated:
ID to change the band with ease. I can actually get it off without
undoing it, so I might remove a link down the road, but I wanted to make sure it did not squeeze my arm. My cousin had one and
we have the same medical alert, so I thought...hey I need to get
one for myself. Glad I did :) (Posted on 1/7/13)- Good fit and fast delivery Review by Tina
I purchased the bracelet for my mother who has dementia. The fit was perfect and it was good quality. It was delivered quicker than I expected, which I appreciated. I was not completely pleased with the engraving. I was expecting actual engraving and not the black lettering which was kind of difficult to read. Overall, I liked the bracelet and would recommend it. (Posted on 12/27/12)Rated: - Very Pleased with Bracelet Review by Jean Hunsecker
This bracelet was a good choice for me. It looks nice and does not snag on knit clothing as some do. The service was very prompt. Would definitely order from you again.Rated:
(Posted on 12/3/12)- Love it Review by Sandra Kring
Excellent bracelet. Service was great and ID engraving was perfect. Thank you. (Posted on 11/27/12)Rated: - Love it Review by Katrisha Curtis
My 2 youngest daughters have a rare form of LONG QT DISEASE and I force them to wear a bracelet in case of an emergency, the older of the 2 loves her charm style bracelet. It makes her feel like its a more "normal" bracelet instead of a medical ID bracelet. Thank You... we love the quality and the overall look is beautiful. (Posted on 9/22/12)Rated: - Too big Review by Peggy
I used your sizing strips, ordered a medium, but it can actually slide off my wrist if I push it. I really needed a small, although your strip indicated that would be too tight. I will have to remove 3 or 4 links for the right size. I like it. (Posted on 9/6/12)Rated: - Great look and quality Review by Elka
Very satisfied shipping was fast the price was great the look is awesome it dosnt stick out so people dont ask a many questions.Rated:
Thanks (Posted on 8/11/12)- my preteen is happy to wear it! Review by Pam
This bracelet is light weight & nice looking while still keeping the integrity of a medical alert bracelet that will not be overlooked by professionals looking for this info if needed. It is stylish and low-key enough that my preteen has agreed to wear it & has not taken it off once! (Posted on 8/7/12)Rated: - Sturdy and Attractive Review by Andrew
This bracelet was just what I was looking for: simple, sturdy, and attractive enough for everyday wear. (Posted on 7/9/12)Rated: - perfect bracelet Review by Janice
This is a nice little bracelet. It's small enough to look feminine yet not so fancy looking that I can't wear it daily and worry that it doesn't match what I'm wearing. The chain is too long though so be careful of their 'add an inch to your wrist measurement' instructions, I had to shorten mine by an inch and it's still comfortably loose. I would have given it five stars had my condition been engraved rather than painted since I worry that the paint will wear off long before I need a new bracelet. (Posted on 6/15/12)Rated: - Good product Review by Rebecca Schenck
Well made. Engraving is clear. Exactly what I ordered. (Posted on 6/3/12)Rated: - excellent basic bracelet Review by Dorothy
I had ordered a couple of bracelets from N-Style ID several years ago and was very pleased with the bracelet and the service. This time was just as good! The bracelet came very quickly, within just a few days, and all the wording on the inside was accurate. It is a very nice-looking bracelet with a good, heavy, and very pretty flat-link chain. The only reason I didn't give it five stars is that the front of the bracelet, which was nice and shiny when it came, immediately began to get scratched just from light daily activities. Of course, it still serves its purpose, and it doesn't look bad at all; it just isn't all pretty and shiny! (Posted on 6/1/12)Rated: - Great Gift Idea Review by Janis
I bought this bracelet for my mom for her birthday. Everyone has commented that it looks like a really expensive piece of jewellery and how well it goes with all her other jewellery. The quality is excellent, the engraving with the black writing is very easy to read and my order was shipped within a day of ordering. I live in Canada and it was delivered to my door in four working days. I will definitely be recommending this site to everyone I know! (Posted on 5/28/12)Rated: - Love My New Medical Alert Bracelet Review by April Lewis
This is my second purchase from you and I really love my new medical alert bracelet; it is lightweight and simple. It was shipped quickly and I would most definitely recommend you to anyone I know who is looking for a stylish medical alert bracelet! (Posted on 5/25/12)Rated: - Excellent Review by Teri Leigh
I am wearing my bracelet 24/7 and it is comfortable enough that I'm not even aware of it most of the time! I too have a small wrist and was really happy to find someone who could accommodate that! I also felt that the customer service was excellent! I am EXTREMELY satisfied, and will definitely recommend N-Style and be ordering from you again! Thank you!!! (Posted on 5/15/12)Rated: - disappointed Review by Laura Kirschner
I emailed them before placing the order and spending $50, where was my name going to be.....anyway I have a bracelet with very minimal information and my name and ID nowhere. (Posted on 5/2/12)Rated: - So glad to have found this company! Review by Dawn
I love my bracelet. I made a mistake and got a bracelet too small. I still love it sooo much. You have items that are for everyone. Thank you for having a great selection. (Posted on 4/29/12)Rated: - Love to wear it Review by Linda
It is stylish yet simple and does not scream disability.Rated:
(Posted on 4/28/12)- good Review by CHRISTI
Very pleased. Very practical for everday wear. Size was very accurate to wrist size. (Posted on 4/24/12)Rated: - Cute and sturdy Review by Antoinette
I purchase the bracelet for my six year old daughter. She loves it! It is small enough for her wrist and strong enough for play. (Posted on 4/21/12)Rated: - Does the job very well Review by Keith
I have worn a medical bracelet for years. I bought this one for my wife when she had to go on a daily dose of warfarin (blood thinner). I selected stainless steel because it's durable and maintenance-free. The bracelet was sent promptly and we found it to be attractive and as advertised in all respects. (Posted on 4/17/12)Rated: - I like it! Review by Pamela
I am happy with my bracelet. It is a little large for my wrist, but I may have misunderstood the measurements so it could be my fault. I am glad that I will be able to alternate with other bracelets should I choose to do so. (Posted on 4/10/12)Rated: - Alligator clasps poke into my wrist. Review by Joyce D Billings
No matter which way I attach the clasps, either the release or the sharp edge of the clasp - which doesn't close completely - pokes into my wrist. I find it irritating and uncomfortable. The medallion part was as ordered and the service was very prompt, but I will only wear it when travelling. (Posted on 4/7/12)Rated: - great product Review by charlene
bought this for my daughter. It's cute and stylish and well made! (Posted on 4/6/12)Rated: - Great bracelet! Review by Stephanie
This bracelet is everything promised. Just the right size and stylish. I never take it off. The engraving is nice and dark and very easy to read. (Posted on 4/3/12)Rated: - very nice Review by DEBORAH
plain simple . doesnt scream disabilty but is effective to folks when needed . and to top it off great buy , quick service . (Posted on 4/1/12)Rated: - Nice bracelet Review by Pat
Very nice bracelet, fast delivery, simple but pretty and light weight. (Posted on 3/16/12)Rated: - Attractive and Comfortable Review by Joan
A great everyday bracelet....a tad hard to put on yourself, but comfortable and attractive to wear without feeling self-conscious about wearing a label! A great pick! (Posted on 3/2/12)Rated: - Very nice quality. Review by Terrin Holland
My Medical ID bracelet is of very nice quality. I am a teenage girl and I love the look of my bracelet, its very fashionable and blends in with my regular bracelets. I love wearing it everyday. (Posted on 2/29/12)Rated: - Pretty and Practical Review by Sarah
Perfect for a girl that loves to look pretty, and needs something that can get wet, and painted, and.... (Posted on 2/25/12)Rated: - happy with my choice Review by corinda gill
From the moment I put my bracelet on, I knew I made the right choice. It is so light, it's forgotten and slips under shirts and sweaters--no problem--There is no reason to take it off, thank heavens. the only drawback is the tag slips around to inside of my arm and has not been noticed as a medical bracelet by dr's (Posted on 2/20/12)Rated: - Great Medical Bracelet Review by judy S
I really like this Bracelet. The PrintingRated:
on the back is clear and easy to read. I
also like the way this bracelet feels on your arm.
I forget i have it on it is that comfortable. I would
like to get another one in a different color. (Posted on 2/17/12)- great bracelet Review by judy
I love this braceletRated:
I forget I have it on because it is that comfortable. I really keep thinking about getting another one in a different color, just to change them around. Also the Printing on the back is
very clear and easy to read.
Thanks for a great bracelet.
(Posted on 2/14/12)- Nice looking, easy to read Review by Lisa Smith
My bracelet came quickly, the engraving was accurate and is easy to read. The bracelet looks just like the advertisement and is nice looking. I'll see how well it wears over time. (Posted on 2/6/12)Rated: - Perfect for me! Review by Marlene M.
I adore my sweet Links Medical ID bracelet w/comtempo ID!! I love the simple style, the cute pink emblem on the ID and the charm I chose to have attached ! It is stylish and excellent quality. This bracelet would be perfect for the person that needs a lightweight bracelet for everyday wear. The customer service was perfect! (Posted on 2/2/12)Rated: - Attractive and efficient Review by Carol Jo Bays
It is pretty and does the job. Thanks. (Posted on 1/20/12)Rated: - Perfect for women with small wrists Review by Heidi
I was looking for months before i found this sight. I have very small wrists and play a musical instrument--I did not want a huge chunky bracelet. I also wanted the bracelet to be noticeable in case of an emergency.Rated:
This bracelet is the perfect size, and I love how you can change out the actual chain for other bracelets.
Also, It was a very reasonable price!
love it!!!!!! (Posted on 1/11/12)- great service Review by Leslie Hodson
I was extremely impressed with how fast the braclet was processed, shipped, and received. (Posted on 10/28/11)Rated: - Very pleased Review by Carolyn Long
I am very pleased with the ID bracedlet. I really like the lobster clasps on each side of the ID. The only comment is to offer different lengths. Once size would have been too small, the other I needed to have links removed (Posted on 10/14/11)Rated: - Nice and subtle! Review by LISA
I have small wrists and this bracelet doesn't look overpowering. The links lay nice and flat. I got a larger bracelet than I needed and had a jeweler custom-fit it so that it wouldn't annoy me by being too big or too small. I wear it on my left hand with my watch because I do a lot of writing/mouse-ing with my right hand and bracelets can be annoying there. I'll be wearing this for life! (Posted on 10/13/11)Rated: - Sturdy, attractive & lightweight Review by Gail
Three words that describe how happy I am with the Medical ID bracelet purchased recently. The flat links of the bracelet are smooth and lay flat on my wrist - and it looks like jewelry. The engraving is clear and and easily read. The bracelet arrived when promised and was well packaged. I will definitely be back. (Posted on 10/13/11)Rated: - Perfect!!! Review by Myra Igbeare
Everything was perfect the product, shipping time, and customer service. Thank you! (Posted on 9/29/11)Rated: - Great product. Review by Judy
My Husband and I have had a few bracelets and this is very well made. (Posted on 9/13/11)Rated: - Doesn't fit Review by Jessica
The quality of this product seems great, but at my own fault, I ordered the wrong size. Just sent them back... Can't wait to west it! (Posted on 9/1/11)Rated: - It's perfect! Review by CIndy Omatsuzawa
I love the versatility of my ID bracelet! I have to wear it every day and I can change it up to match my mood or my outfits. It doesn't scratch and I actually get compliments on it as if it were a regular bracelet. I can adjust the length at any time and add charms like the awareness ribbon that I ordered to go along with it. Thanks N-Style ID! (Posted on 8/24/11)Rated: - Liked the Contempo ID but not the bracelet Review by Shirley
I find the bracelet to short, but my size was not available. Would not order it again. (Posted on 7/23/11)Rated: - Two thumbs up Review by James
I like the stainless steel with no color on the bracelet. It feels more like jewelry than life-saving info. I am satisfied with my purchase. (Posted on 7/4/11)Rated: - He loves it Review by Caroline Rega
It was just what my 18 year old son was looking for. Something on the smaller side but with style....thank you for making at least this part of his epilepsy journey a little eaiser!!! (Posted on 7/4/11)Rated: - My Aunt Feels Safe Now Review by Renee Canady
This was a gift for my aunt who was recently diagnosed diabetic, so the special diabetes day you had was fantastic-she hasn't taken the bracelet off since she received it. Just as I haven't taken mine off, since I purchased mine several months back--you all, are LIFE SAVERS truly! (Posted on 4/9/11)Rated: - My Best Investment! Review by Caroline
This is my best decision ever. The service was outstanding. The delivery time was unexpectedly prompt. And best of all, my bracelet is quietly tasteful, sturdy and light enough you hardly remember your wearing it. Thank you N-Style, your the best. (Posted on 4/8/11)Rated: - Love this bracelet! Review by firstname.lastname@example.com
- This is a medical ID braclet to love. Very simple but quietly stylish. Mine never leaves my wrist and is tough enough to last through all my busy days. I've had first responders comment on how useful it was to them in emergency situations. (Posted on 10/7/10)


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Phoronix: DragonEgg-ing Mesa & Banging It With Clang
What happens if you build Mesa/Gallium3D with LLVM's Clang compiler or the LLVM DragonEgg plug-in with GCC? It has been asked before, so here is an answer.
Since llvmpipe already tries to offload most of the slow bits through LLVM at runtime to speed things up, while the other cpu renderers use more plain C code.
I noticed from the screenshot that the linux kernel failed to compile because dragonegg does not support "asm goto" (asm goto is a fairly new gcc feature that allows inline assembler to change control flow, i.e. jump to other parts of the program). Dragonegg doesn't support "asm goto" because LLVM can't represent this construct yet. The Linux Makefile checks if the compiler specified by the $(CC) variable can compile "asm goto" statements, and if it only enables use of this feature if it can. The check doesn't make any use of CFLAGS or similar, so if you forced use of the dragonegg plugin by adding "-fplugin=.../dragonegg.so" to some CFLAGS like variable then the Makefile will think "asm goto" is supported (because the check only uses gcc without any flags, and gcc supports it) but the actual compilation will fail because, unlike for the check, the actual compilation will use dragonegg.


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Shippuuden episode 13 |
Contains 363 image(s) | |
These are the screenshots taken from Naruto Shippuuden episode 13. All screenshots are taken by Naruto-Kun admins. Please note that as a site you are not allowed to copy galleries and use them on your own site. This is called copyright!


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Visit the National Aquarium
Guest Resources
Special Offers
Exhibits & Experiences
Aquarium Membership
Support the Aquarium
Local Action
Special Global Places
Ocean Initiatives
There's always something new and exciting happening at the National Aquarium in Baltimore!
Activities and events are subject to change without notice. Please review the daily schedule once you arrive on-site.
The Aquarium's 4-D Immersion Films bring you closer to the sights, sounds and smells of the action. You will have an opportunity to select a showtime when purchasing your tickets.
The top 10 ways to have your BEST Aquarium experience EVER.
View the list


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Refresh your midi lengths with layers of tulle, cool metallics and perf pleats. Full A-line shapes come top of the class in occasion-ready jacquard and forever florals, while jersey pencil skirts in longer lengths are anything but basic.
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Foursquare roll outs self-serve ads for small businesses
New York—Location-based social network Foursquare has launched self-serve ads for small businesses designed to improve their rankings in user search results.
Small businesses have to pay extra for a more prominent search result only when users actually visit their Foursquare listing or check in at the businesses, Foursquare said on its blog.
Pricing for Foursquare ads is determined through bidding, similar to paid search ads on search engines. Foursquare Ads are currently available in the U.S., Brazil, Russia, Turkey and the U.K.


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Davico Catalytic Converter
Davico Manufacturing is committed to producing hard to find and specialized exhaust parts for the customer's satisfaction. Its catalytic converter is an example of the company's outstanding dedication.
Davico Catalytic Converter's design enables the conversion of harmful compounds into less dangerous gasses to help in pollution control without reducing its efficiency. Designed for many makes and models, this converter is easy to install.


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Ford's Evos – four-gullwing-door fastback plug-in hybrid concept connects to 'the cloud'
Article Summary
Ford's Evos may only be a concept car but with its four scissor doors reaching skyward to the heavens, it is both the most distinctive and important concept from Ford in many a year. The Evos is the first manifestation of the Blue Oval's "first truly global design language," a visual signature that Ford hopes will make its next generation of vehicles more recognizable than the current fleet. The plug-in hybrid will debut at the Frankfurt Motor Show two weeks from now and previews not just the new family resemblance, but the intuitive "cloud connected" functionality Ford will infuse into the next generation of vehicles.
« Back to Ford's Evos – four-gullwing-door fastback plug-in hybrid concept connects to 'the cloud'
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Introducing the SoftFlex™ Breast Size Teat
Overview: The new Breast Size Teats are designed to make breast-feeding and bottle feeding work better together. By mimicking the natural shape, feel, and function of a mother's breast, the Breast Size Teat's help to ease the transition from breast-feeding to bottle feeding. They feature a soft natural shape that gently flexes and elongates, allowing the baby to easily position the teat at the correct angle for feeding. In addition, the Breast Size Teat's also feature valves in the base which help prevent colic, and soft nubs on the teat's surface to massage and soothe sore gums.
Works with all Nûby™ Natural Touch™ bottles.
Flexing Action
Flexing Action: The soft feel and natural shape of the teat gently flexes and elongates like mum's breast. This allows your baby to position the teat at the correct angle for feeding and mimic the natural action of breastfeeding.
Anti-Colic Vents
Anti-Colic Vents: The superior anti-colic vents in the teat allow air to enter the bottle preventing a vacuum building up. This vents the bottle and allows your baby to feed continuously, reducing the risk of wind and painful colic.


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LMI for Hanford-Corcoran MSA, California
The files listed below are for the Hanford-Corcoran Metropolitan Statistical Area (MSA), California, which is comprised of Kings County.
Questions about these data and the local area economy may be addressed to the
local Labor Market Consultant.
Summary Reports
- Local Area Profile
An overview of local labor market information including employment and unemployment, industry data, wages, consumer price index and more!
Unemployment Rates and Labor Force
- Hanford-Corcoran MSA Current Month Labor Force with Descriptive Narrative (Press Release)
- Hanford-Corcoran MSA Labor Force Data (Excel)
- Current Month Labor Force Data for Cities & Places in Kings County
- Labor Force Data Search Tool
- Methods for Labor Force Estimates
Industry Employment Data
- Monthly and Annual Average Estimates (Methodology):
- Hanford-Corcoran MSA Current Month Industry Employment with Descriptive Narrative (Press Release)
- Industry Employment Data:
- Projections of Employment by Industry:
- Kings County Industry Employment Projections Table
- Methods and Economic Assumptions for Industry Projections
- Detailed Industry Data – Quarterly Census of Employment and Wages (ES 202)
Based on NAICS Classification:
Quick Query by Geography
QCEW Data Search Tool
(data across geography) - Major Employers by County
- Quarterly Workforce Indicators
- Size of Business – Businesses by Employment Size, Industry, and County
- Staffing Patterns by Industry and Occupation
- Agricultural Employment in California is produced monthly for California and six regions in the state. Kings County is in the San Joaquin Valley Region.
- Additional Industry Information
Downloadable Excel Files:
Area |
Monthly Data |
Annual Average |
Selected MSAs (Seasonally Adjusted) |
1990-1999 2000-present |
Not Available |
Hanford-Corcoran MSA | 1990-1999 2000-present |
1990–2012 |
Occupational Data
- Occupational Wages:
- Projections of Employment by Occupation:
- Kings County Occupational Projections
Occupational Projections Data Search Tool
Occupational Projections (Excel) - Occupations with Fastest Growth
- Occupations with Most Job Openings
- Methods and Economic Assumptions for Occupational Projections
- Staffing Patterns by Industry and Occupation
- Additional Occupational Information
Economic Indicators
- Income Data Search Tool
- Median Income and Poverty Level in 1999 for Places in Glenn to Lassen Counties
- Per Capita Personal Income by County from U.S. Bureau of Economic Analysis
- Taxable Sales for California and Counties from the California Board of Equalization
- Additional Economic Indicators Information
Data for Affirmative Action/EEO Plans
2000 Census population, labor force data, and summary occupational information for use in developing affirmative action programs, also known as Equal Employment Opportunity (EEO).WIA Planning Information Packet
- Kings County
Planning Information Packets were developed from a variety of sources to aid local organizations in identifying target group needs and in making appropriate resource allocations for employment and training activities.


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New Year can mean healthy spike in business for fitness clubs
by Clay Chandler Published: December 25,2011
Tags: business for health and fitness clubs, Courthouse Fitness, fitness clubs, January, John Black, Johnston Walker, LLC, New Year's resolution, yearly membership
It's as sure a thing as cold weather: Every January one of the more popular New Year's resolutions is to do whatever it takes to shed those pounds left over from November and December. It can also mean gaining business for health and fitness clubs. "You can definitely see a jump at the beginning of […] [...]