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Plumas County Fair entertainment acts announced
"My goal is to have something going on within eyesight of anyone attending the fair!" That's the guideline Fair Manager John Steffanic goes by when lining up entertainment at the Plumas-Sierra County Fair. This year's fair begins Wednesday, Aug. 14, and runs through Sunday, Aug. 18.
"Entertainment is much more than magicians and jugglers," explained Steffanic. "The quilt show is entertainment, so is an amusing or informative sign." He looks for ways to make every nook and cranny of the fairgrounds entertaining. Look for scavenger hunts, historical displays and special contests. Steffanic invites the entire county to come and spend a day enjoying what the fairgrounds has to offer.
Music is an important part of any celebration, and there's not a bigger celebration in both Sierra and Plumas counties. Old Town will feature live music on Thursday, Friday and Saturday nights showcasing local bands. The Quincy Elks will be serving the beer, and Portola Rotary will be mixing the margaritas.
Friday and Saturday evenings will be special nights with free concerts in the huge Wold Amusement tent next to the front gate. The Tiki Lounge Lizards will take the stage Friday night with surf music that will make you want to hit the dance floor. These Central Valley musicians will channel The Ventures, The Chantays and The Surfaris. There's a good chance the audience will hear "Wipe Out"!
The Plumas-Sierra County Fair is especially excited to present the Decades of Music group Saturday evening. There will be three shows, each showcasing a different decade of music. This fantastic musical group shows its versatility by performing as three groups in full costume. "These guys are big-time!" says Steffanic. "They nail every song. You can't get enough of their act."
The first performance will be at 6 p.m. in the Wold Amusement tent. As the '60s Summer of Love, the group brings back Jefferson Airplane and Paul Revere and the Raiders hits. The 8 p.m. performance features Weird Science, with a rockin' tribute to the '80s. Finally, Big Bad Boogie Rock covers the 1990s at 10 p.m. All the performances in the Wold Amusement tent are free of charge.
Although the Plumas-Sierra County Fair has always been held the second Wednesday of August, the calendar pushed it back a bit, and that opened up lots of opportunities for entertainment. That calendar helped bring pig racing to the fair. Nothing says county fair more than pig racing! There will be races throughout the week. Pedal tractor pulls will also return. Families can get the kids involved in racing miniature John Deere tractors — it's not as easy as it looks!
The Swan Brothers Circus will set up their big top again in the Kidland! Area with several shows a day. The Calvary Chapel once again will have supervised kids' activities like the corn bin, face painting and old-fashioned races. Look for Dr. Solar's Magical Medicine show and the Science Wizard, both alumni of the annual fair.
Probably the greatest entertainment, says Steffanic, comes from the exhibits entered by the residents of Plumas and Sierra counties. The Art Barn will be back with the best exhibition in all of California. The Home Arts building will be chock full of things from home-brewed beer to raw wool. The livestock barns will be open for visitors to wander through and look at the lambs, pigs, goats and steers. Don't forget the chickens, rabbits and guinea pigs too.
There will also be an opportunity farm available, where kids can come in and meet some of the animals up close and personal. Finally, many people forget there is a full horse show going on the first few days of the fair. It is worth the trip out to the horse arena to watch driving competitions, horsemanship and gymkana.
The horse arena will also be the location for the bull riding and rough stock competitions produced by the Feather River College rodeo team. Tickets for this event will be sold separately.
It all wraps up Sunday night with American Valley Speedway races. This is usually the biggest race of the year, kind of like homecoming. DART Dwarfs and IMCA Modifieds will take the track.
A final schedule will be posted on the fair website, plumas-sierracountyfair.net, by Aug. 1. Each day's schedule will also be available in the daily fair program, the Chipper Gazette.


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Putting aside the authors more inflammatory statements and taking his proposal on its own I am left with a one big question. Where will the customers come from? The commercial software houses spend much (most?) of their income on marketing and advertising. They get their goods put in pretty boxes and sold at retail outlets like Amazon, Best Buy, Fry's, etc. Where will the guy who comes up with a better compression scheme find a market?
I like that people are thinking about alternative schemes to make money off software. Not that this is completely new, Ghostscript tried something very much like this years ago with Aladdin and failed mostly due to lack of clients. I guess this is the classic business problem and up to each to solve for itself, but I'm skeptical.


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The IUP Research Institute co-sponsors Research Appreciation Week.
The IUP Research Institute also sponsors Nuts and Bolts Training Sessions in the Fall semester.
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One of the most important rules for everyday food prep: use the right knife for the job. To create a durable cutlery set that equips cooks for essential daily tasks, we hand-selected four of the most frequently used knives in the kitchen—as well as versatile shears and a sharpening steel. For convenient storage and display, the set also includes a solid beechwood cutlery block.
7-Piece Set includes:


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Mera Peak Climb
Nepal, Climbing, 21 days - from $3,540 (land only)
Our holidays are generally organised to maximise the time spent on the activity you have chosen to come to Nepal for, with downtime in Kathmandu kept to a minimum. However if you have the time, it is well worth extending your stay in the capital both before and after your main holiday. Not only will this give a more relaxed feel to your holiday but the cities that make up the Kathmandu Valley are rich in ancient culture and architecture, while shopping for bargains in the maze-like bazaars is a memorable experience. We can arrange extra nights in Kathmandu staying in any of the hotels displayed. The prices shown are a guideline only, as they are dependent on the time of year and room type. It is usually the lowest price which is displayed. Please contact us for a quote or simply request your additional nights hotel requirements on your booking form. Please note that all hotels are subject to availability.
Shanker Hotel
Situated next to the grounds of the former Royal Palace and only a 10-minute walk from the popular Thamel district, this former Rana residence was converted into a hotel in 1964. The original architecture was based on a French palace and the hotel has a grand appearance. Set in a large and beautifully tended garden, it provides... More
Malla Hotel
The Malla Hotel is located between the Royal Palace (now a museum) and the central tourist district of Thamel. Built in a Newari architectural style and set in its own gardens the Malla is an oasis in the bustling heart of the city. It has well-appointed spacious en-suite rooms, whilst facilities include a gym, sauna, massage,... More
Hotel Shangri La
Another of Kathmandus original luxury hotels. While the sophistication of its amenities may be upstaged by Kathmandus more modern concrete and glass hotels, the Shangri La maintains an old world charm that cannot be beaten. Located in the diplomatic enclave of Lazimpat, away from the hustle and bustle... More
Dwarikas Hotel
Dwarikas is a heritage hotel modelled on the grandeur of the palaces of the Newar Kings. Consisting of several buildings arranged around a quiet courtyard, the hotel incorporates many original 15th 17th century features in its architecture from the lifetime collection of its founder. The rooms are in the same Newari... More
With elephants, tigers and rhinos in the national parks of Chitwan and Bardia the colourful Himalayan state of Nepal has hidden gems which can be visited either as a starter or a relaxing end to your main holiday. We offer short visits to these parks as well as day tours of the Kathmandu Valley or an exploration further afield to neighbouring Tibet and Bhutan. These extensions can be easily added to your Nepal holiday. Since extensions may affect your international flight schedule you should consider booking these at the same time as your main holiday. We can assist with any arrangements such as extra hotel nights, transfers or internal flights that you may require. All extensions can be reserved during the online booking process.
Bardia National Park
The largest untouched wilderness Nepals Terai, Bardia National Park protects 968 sq km of forest and grassland and is an ideal environment for wildlife studies. More than 30 different mammals and 200 species of bird (both resident and migratory) have been recorded as well as many of Nepals legally protected species, including... More
Chitwan National Park
Regarded as Nepals third attraction after trekking and the Kathmandu Valley, Chitwan Nature Reserve protects 932 sq km of jungle, water marshes and grassland and is one of the last refuges of the endangered one-horned Indian rhino as well as many other mammals including tigers, sloth and the rare Gangetic dolphin. A visit... More
Tiger Mountain Resort
Tiger Mountain Pokhara Lodge sets the standard for comfortable and luxurious mountain lodge accommodation with its relaxed atmosphere, tranquil setting, eco-tourism and conservation ethos. Located just a half hour's drive from Pokhara on a spectacular hilltop ridge a thousand feet above the valley, it has panoramic mountain... More
Bhutan An Enchanted Realm
Bhutan lies in a hidden corner of the eastern Himalaya and forms a giant staircase, from a narrow strip of lowland in the south, to a string of 7000 metre peaks in the north. It is often likened to Switzerland because of its small size, jealously guarded isolation and stunning mountain scenery. Buddhist teachings and philosophy... More
Ancient Kingdom of Tibet
The Tibetan Plateau is known as the roof of the world with an average elevation above 4000 metres. There are no trees at this height and the starkly beautiful landscape is characterised by rolling brown and orange hills, with a backdrop of the distant snow-covered Himalayas. The city of Lhasa can be accessed by air or land... More


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I suppose a girl crush on Inès is a bit passé ... but really ... hasn't she the best eyebrows? |
Anyway, whether it's from hormonal fluctuations, reactions to anesthesia or medications, thyroid conditions or other medical issues, or overzealous tweezing in our younger days, we often find ourselves with eyebrows lacking the lushness associated with youth. For me, the answer has been a little miracle called minoxidil.
I know: Rogaine. It's crazy. |
A few drops of men's extra strength Rogaine (5% minoxidil, generic brands work just fine) on a cotton swab dabbed on my brows at bedtime has made a massive difference for me in only a few months.
I know: it's not FDA approved for use on the eyebrows.
I know: it might get in my eyes.
What else do I know? It worked perfectly for me. My brows look truly even for the first time since ... forever. A bald spot where I overtweezed years ago has filled in with new growth. My "tails" have thickened beyond their former wispy selves. And, I'm pleased to say, there have been no side effects or mishaps. I love it.
Here are a few more little tricks:
- When those coarse, wiry strands poke through (and up and out and left and right and over), resist the urge to tweeze them. You will lose fullness to your brows. Instead, give them a close snip with cuticle scissors.
- Darken your brows at home in between salon visits. It still stuns me to notice grey roots to my eyebrows -- and it happens so quickly! I freshen mine up about once a month with a few strokes of at-home hair coloring on an old, clean mascara wand. Just mix an equal proportion of color with toner, and apply carefully to avoid staining your skin. Because brow hair is thicker and more resistant to coloring than regular hair, you may need to leave the color on for 20 to 25 minutes.


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Designed by Lisa from CANVAS.
I often compare the Holy Spirit with "The Force." We as Christians should strive to be one with the Holy Spirit just as a Jedi is one with the force. This shirt reflects my longing for "Jedi Status."
Item No: 255713 Product Reads: Jedi For Jesus |


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leadership Wanted: Bold And Courageous Business Leaders Are we in economic recovery or just in another phase of the recession? As economists bicker about the facts as they see them, what can we do that will make a difference? This article asks some compelling questions that every business leader should be asking today, the answers pointing to what we can do as individuals to control our economic destiny. Read More » By Greg Selker
leadership It's Time To Change Outdated Corporate Models, Marc Morgenstern Leadership Interview Part 2 The structures and models of corporate governance, reporting and accountability are the same as they were in the mid-20th century, yet the ways in which we communicate and do business has dramatically changed. This thought-provoking exchange between Marc Morgenstern and Selker Leadership explores corporate models for today's and tomorrow's world. Read More » By Greg Selker
leadership The SEC: What's Wrong And How To Fix It Noted legal expert, Marc Morgenstern speaks his mind in this Selker Leadership interview on what is wrong with the SEC and potentially how it can be fixed, coming to the conclusion that the natural human tendency towards greater regulation is exactly the wrong approach to deliver safety, transparency and liquidity. This is part 1 of a 2 part series Read More » By Greg Selker
leadership From H1N1 to Q2H2 Our global business culture is infected with a "virus" of bad habits around interviewing, assessing and hiring. Q2H2 are 2 Questions to ask yourself before Hiring another employee that take the mystery out of whether or not someone is a successful hire, and will stop spreading the "bad hire" virus which permeates companies around the globe. Read More » By Greg Selker
leadership Stop Incenting Executives to Act Badly! We're all upset about the worst excesses in executive comp but why do they continue? Until now no one has connected the dots between compensation, culture and values and how comp drives behavior. This article explains how comp policies approved by boards are consistent with a company's culture and points to the levers to change behavior with values. Read More » By Greg Selker ADVERTISEMENT
leadership The Enron Syndrome The names, dates, and companies have changed, but like the gerbil on a wheel we're right back where we were in 2001. Corporate policies that reward executives for behaving badly, all with seemingly no connection to stated company values. You see, true values-based behavior is the key and until we all demand otherwise, the Enron Syndrome continues. Read More » By Greg Selker
Fast Company Don't Waste A Recession!, Top Silicon Valley CFO Speaks Out About the Economy, Madoff and Wall Street Executive Comp Limit What does a top Silicon Valley CFO have to say about our economic crisis, Bernie Madoff and Wall Street executive compensation caps? Find out in this smart leadership interview with Ken Goldman, a long-term tech CFO with a well-deserved reputation for running one of the tightest financial ships in Silicon Valley. Read More » By Greg Selker
leadership The Model "Has Been" Broken Most executives admit that up to 50% of their senior staffing are hiring mistakes. This means that whatever percentage of hiring is done via executive search, 50% fail to deliver the goods. This article exposes how the executive search model is broken. And don't look to the big boys to fix it. They just want to sell you more services without fixing the process. Read More » By Greg Selker
leadership Even Madoff Had Great References With the daily revelations about executives acting in their own self-interests while their companies, shareholders and the marketplace suffers, you have to wonder who hired all these Nero-clones while Rome burns to the ground? The irony is that they all had stellar references. This article identifies how even great references can lead to hiring mistakes. Read More » By Greg Selker
Fast Company Clorox Goes Green Since Clorox enlisted the Sierra Club to hype a new green product line, sales are booming. But the club is dealing with a nasty little stain. Read More » By Anya Kamenetz


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Alessi Dressed Red Wine Glass
About the Designer
Marcel Wanders Netherlands (1963 - )
Marcel Wanders grew up in Boxtel, the Netherlands, and graduated cum laude from the School of the Arts Arnhem in 1988. Marcel Wanders' fame started with his iconic Knotted Chair, which he produced for Droog Design in 1996. He is now ubiquitous, designing for the biggest European contemporary design manufacturers like BandB Italia, Bisazza, Poliform, Moroso, Flos, Boffi, Cappellini, Droog Design and Moooi of which he is also art director and co-owner. Founded in 2000, Moooi has grown into an internationally renowned design label. Additionally, Marcel Wanders works on architectural and interior design projects and recently turned his attention to consumer home appliances. Marcel was the editor of the International Design Yearbook 2005. In the same year, together with Chef Peter Lute, he established the extraordinary LUTE SUITES hospitality-concept, the first "all over city suites" hotel in the world. He also designed the interior of Blits, a new restaurant in Rotterdam and the interior of the restaurant 'Thor' at the Hotel on Rivington in New York including bar, lounge and private club. Marcel is the first and among the most important designers of Droog design. He was a juror for various prizes like the Rotterdam Design Prize (for which his own products were nominated several times) and the Kho Liang Ie prize. He lectured at SFMoMA, Limn, the Design Academy, Nike, IDFA, FutureDesignDays and has taught at various design academies in the Netherlands and abroad. Various designs of Marcel Wanders have been selected for the most important design collections and exhibitions in the world, like the Museum of Modern Art in New York and San Francisco, the VandA Museum in London, the Stedelijk Museum in Amsterdam, Museum Boijmans van Beuningen in Rotterdam, the Central Museum in Utrecht, Museum of Decorative Arts Copenhagen and various Droog Design exhibitions. Coverage on Marcel has been published in all leading design magazines and newspapers such as Domus, Interni, Blueprint, Design Report, Frame, I.D. magazine, Abitare, Wallpaper, Nylon, Elle decoration, Icon, Esquire, the International Herald Tribune, Washington Post, the Financial Times, the New York Times and Business Week. The table set Dressed was designed by Marcel Wanders. Traditionally, the rules would require that decoration be applied in the most important and most visible areas of the object. Wanders, on the other hand, applies it to secluded areas, a little out of sight, sometimes even in areas that aren't normally visible at all, so much so that we could call it a sort of introverted decoration. In this way, even though he uses a language of signs that is very rich and complex, a bit flowery, a little baroque, Wanders manages to maintain a certain level of overall elegance and lightness.
Alessi Dressed Red Wine Glass
Weights & Dimensions
Product Type: Red wine glass | Style: Contemporary |
Color: Clear | Primary Material: Lead Crystal |
Number of Items Included: 4 | Pieces Included: Four wine glasses |
Glass/Crystal Component: Yes | Number of Glasses In Set: 4 |
Capacity: 21.25 Ounces | Country of Manufacture: Germany |
About the Manufacturer
Alessi's intention, from the beginning, was to be highly innovative and ready to experiment with cookware. With this in mind, the Alessi family venture explored new materials and novel design in becoming one of the finest and most well-known contemporary cookware brands. Alessi prides itself on its unique collaboration with designers and architects to produce beautiful, quality cookware. Among some of the best known of the Alessi's products are Richard Sapper's kettle with a two-tone whistle, Michael Graves' kettle with bird shaped whistle, and Philippe Starck's Juicy Salif citrus squeezer.Style
Alessi Dressed Red Wine Glass
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Antigua Ottawa Senators Men's Ice Jacket
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Product Details
Even when conditions get chilly at the rink, this Antigua® NHL® men's Ice full-zip jacket keeps your spirits high through every perfect pass and glorious goal. The cozy microfleece fabric lets you concentrate on the action instead of being uncomfortably cold.
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- Made in Taiwan


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LEGO Shop Home Themes City Heavy-Lift Helicopter
Track down the robbers with the Heavy-Lift Helicopter!
The Heavy-Lift Helicopter flies over the forest treetops in search of the pesky robbers. Help the pilots with the forest policeman on his ATV! It won't be long before they track down those pesky robbers. Includes 2 pilots and a forest policeman minifigure.
- Includes 3 minifigures: 2 pilots and a forest policeman
- Vehicles include Heavy-Lift Helicopter and police ATV
- Features large interior, opening cockpit, opening rear door, moving rotors and articulated wheels
- Accessories include 2 life jackets and a cup
- Load the ATV into the heavy lift helicopter!
- Seat 3 minifigures in the cockpit!
- Measures over 17" (45cm) long, 7" (19cm) high and 5" (15cm) wide
- Police ATV measures over 2" (6cm) long
- Add to your LEGO® City police collection with 7286 Prisoner Transport, 7288 Mobile Police Unit or 7498 Police Station!


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Call 1-800-82-SHARP to speak to a physician referral nurse. Monday through Friday, 8 am to 6 pm.
Choosing a new primary care doctor is done through your insurance company. Call the number on the front or back of your card and tell the representative that you would like to change your PCP.
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If you have questions about your insurance coverage or anything else, our physician referral nurses are here to help you. Call 1-800-82-SHARP (1-800-827-4277). Nurses are available Monday through Friday, 8 am to 6 pm, to take your call.
A physician referral nurse will contact you within one business day. Fields are required unless otherwise noted.
We have received your request. A physician referral nurse will contact you within one business day.


text: 138 min | PG13 Written by and starring two-time Oscar nominee Sylvester Stallone, THE EXPENDABLES 3 tells the story of Barney (Stallone), Christmas (Jason Statham) and the rest of the team as they come face-to-face with Conrad Stonebanks (Oscar winner Mel Gibson), who years ago co-founded The Expendables with Barney. Up until now, Barney thought he had killed Stonebanks after his turn to ruthless arms trading. Now, Stonebanks is on a mission to end The Expendables. But Barney will bring in a new era of Expendables team members to fight old blood with new blood in the Expendables� most personal battle yet.


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This is the first time hendra has been detected in that state. Area horse owners are urged to take precautionary measures to minimize their animals' contact with flying foxes.
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Description: Out of all the vagina tightening creams being sold on the market found out which one we've rated as #1. Watch the video and find out!
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Herbs | Kegels | Surgery | Products |
Tighten Your Vagina Naturally Using Creams, Herbs & Kegels
Category : Videos
Description: Out of all the vagina tightening creams being sold on the market found out which one we've rated as #1. Watch the video and find out!
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Website Disclosure: Thank you for visiting Tightening The Vagina webpage, we encourage all readers to quickly read over our disclosure to be informed what this site is about and general facts you should know about the product. This website disclosure is put in place to inform the consumer and offer basic information about helpful products, we may receive a compensation based on consumer action be it a purchase or otherwise. Be advised we are not the official vendor nor the official site of any vaginal tightening products. Please ensure you are familiar with this disclosure, we always remain as accurate as possible in our claims and that they match up with scientific or clinical evidence which is provided by the merchant or found across the web. We believe in this product but recommend our visitors treat every new product they are interested in with a healthy degree of initial skepticism at least until learning the ins and outs of the product in question. Here are some of the readers protections we attempt to build into our reviews and articles: Many of the reviews contain lots of factual information that is easily verifiable. We always try to provide an honest and accurate assessment and we highly encourage all readers to double check and cross-verify facts for themselves to see they are indeed accurate and truthful. Any product review may includes a section that is a subjective summary this may be based on the personal experience of the reviewer or might be a collective summary based on feedback acquired across the Internet. Attempts are made to establish the general consensus in relation to specific products by reading reviews of those products on other sites, along with user testimonials and we attempt to portray this overall perception in our reviews fairly and accurately as possible. We always provide links to the manufacturers' website to provide additional information that is not available in our reviews or so you can make your purchase if you feel it is right for you. Some of this information found on the merchant site can include customer testimonials, specific product details, sales information, free newsletters and even samples during times of promotion. These are good rules of practice we strive by and encourage you to do so as well. It is important for you as a consumer to understand the relationship between a person reviewing the product and the manufacturer. Thank you for reading this disclosure, we work to bring you a very useful and meaningful experience as a direct result of our detailed reviews and articles. We welcome any feedback that may help us to improve your experience when visiting this website.


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Click here to check out the setlist and notes from yesterday's rockin' show in New Orleans.
Added the setlist from two nights ago in Houston, TX. Pieced together more of the early 1994 gigs. Check them out.
The band is back out on the road supporting their current release, "Burn To Shine". Check out unconfirmed setlists from the first night in Dallas, TX and the second night in Austin, TX, where Ben was joined by Patty Griffin.


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Cymax has over 10 years of selling and shipping home furnishings and decor online. We are positive that you will be excited and satisfied with your purchase.
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Contemporary ultra modern interior design features very strong lines and solid colors including black, white, espresso and gray. You'll often find a pop of color as well, but modern coffee tables always feature simple design with defined edges. Modern coffee tables don't have to cost much to be stylish. Read More
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American Sleep Nightstand, Chest, Dresser & Mirror
About this item
The American Sleep Collection features hand-crafted North American Red Oak furniture made in the U.S.A. The transitional styling of the American Sleep Collection fits any motif from traditional to Southwest to contemporary and a variety of other décors, adding beauty and style to any room. This furniture collection features solid oak face framing with rounded solid oak molding, steel ball bearing glide systems, solid oak drawer fronts, and an interlocking solid oak superstructure.
Dresser, Chest and Nightstand:
Curbside Delivery provides delivery made to the curb at the end of your driveway. It is not the driver's responsibility to bring freight into house, garage, etc. Drivers do not assist with unpacking, set-up or clean up. Service does not provide: Inside Placement, Assembly, Unpacking, Debris Removal, Movement of Old Furniture or Bedding, etc. Carrier will call to schedule a delivery appointment. Appointments are available Monday through Friday during normal business hours and span a 4-hour period. Please include a daytime phone number in the shipping information at the time of check out. Signature is required for delivery, but before accepting and/or signing for your delivery, please inspect your order thoroughly. The consumer must inspect all products and cartons prior to signing delivery documentation. Verify that all cartons are intact and in good condition. In the event an item appears to be damaged the consumer should notify the delivery driver and a notation should be made identifying the items with damage on the delivery documentation. Notify Specialty Sleep Services upon completion of the above to arrange for replacement or parts delivery. Items damaged by the carrier will be redelivered at no additional delivery charge. Member returns require an attached receipt for verification upon pickup, delivery or return. No refunds will be issued until returned merchandise is received by Specialty Sleep Services. Shipping fees are non-refundable. For return information contact Specialty Sleep Services 9:AM-5:PM MST by phone at 1-866-879-1994, or via email at firstname.lastname@example.com. Extraordinary delivery requirements may necessitate an additional fee to the carrier. The estimated delivery time will be approximately 4-6 weeks from the time of order.
Assembled Country
Component Country
USA And Imported
Member reviews & questions
Ask & Answer
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Shipping Information
Standard - 3 to 8 business days
Warranty Information
This product is covered by the SAM'S CLUB Member Satisfaction Guarantee.
For return information and complete warranty details call Specialty Sleep Services at 1-866-879-1994.


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Alice's Attic: Putting on Ted stockings and everything else
If you've had surgery, then you have worn Teds stockings. It is not hard to wear them, but first you need to put them on.I had hip surgery earlier this month. The nurse who was getting me ready had the Teds on me within seconds, plus a needle in my arm, the latest style hospital gown, dark green slipper socks with plastic knobs on the bottom so I wouldn't slip. I don't think that I would attempt to go anywhere once I was on the surgery table. There wouldn't have been time, because the anesthesiologist had a mask on me before I was totally lying down and said to breathe. That was it.I was taken to my room after recovery and discovered that the Teds were on securely, plus lots of bandages over the surgery spot and a big wrap around my waist and stomach that went all the way down my thigh – nice and tight with Velcro holding everything in place.I don't ever wear anything tight around my stomach because there has to be plenty of room for food. For breakfast the next morning at 7:30 I was served steak. Yes, steak. And a cheese omelet, potatoes, fruit dish and a scone. I knew that I was in the right place! Never mind the wrap, I didn't even notice it.Everything went well while in the hospital, thanks to all the great doctors and nurses, and the whole staff, until I came home and had to take off the Teds.My home instructions were not to bend, twist or lean forward. I was to keep my feet straight, and no alcohol while on pain pills.Well, all of the above are required while putting on Teds. So, this had to be Dave's job. Since he already has a hard time to bend, it was a difficult chore. He picked up the stockings, that look about a half-inch wide, and wondered where to begin. I told him to get them over my toes, then slowly begin to pull up over the foot, put your thumbs inside and yank them over the heels. He was able to pull them the rest of the way to my knees.Are you kidding me? The toe part was underneath and the heel was on top. He finally had to lie down on the floor in order to get them straightened out and began again.In two hours time, we managed to get the Teds on, changed my bandages and put on the torture wrap.I am now waiting for Dave's recovery.
Argus Leader
Dell Rapids Public School
Dell Rapids St. Mary's Catholic School
Dell Rapids Chamber of Commerce
City of Dell Rapids


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Best Baby Boy Clothes for Newborns
When you're preparing for your new little boy to arrive, you'll want plenty of baby boy clothes to wrap him up in. There are plenty of baby clothes out there to choose from, but finding the right clothes for your little guy means more than just buying the baby clothes you find cute. Some baby clothes are better for little girls, and others may not be the best for newborns. The following tips can help you find the best baby boy clothes for newborns.


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Achieve the effects of watercolor with the convenience of a marker! Letraset AquaMarkers are twin-tipped markers that feature waterbased, watersoluble pigmented ink that can achieve different tonal effects and blending even after the ink has dried.
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Flu Headlines
Homemade survival kits battle the flu
Fighting the flu on the First Coast
Drugstore chain CVS stops carrying Tylenol in some stores
Can the flu vaccine cause the flu?
Flu strikes stars at Golden Globes -- and leaves some back at home
Kids' flu drug runs short
N.Y. declares flu emergency
CDC: Florida no longer a "high risk" state for flu
USA needs more effective flu shots, experts say
Flu widespread in 47 states
Holistic approach to staying flu free
Businesses take precautions against spread of flu
First for You: Flu facts and tips
Flu vaccines still available for eligible veterans
Death toll climbs, misery mounts as flu sweeps the nation
Liquid flu drug Tamiflu in short supply in some areas
Teen who died from flu mourned by classmates
Overwhelming flu outbreak on the First Coast
How to protect yourself from the flu? Wash your hands
Boston mayor declares flu emergency; 700 cases reported
Flu medicine for children is in short supply in some parts of the country. Many pharmacies can make up an alternative when needed - but parents may need to ask for it.
The medicine, Tamiflu, is a prescription drug that directly attacks the flu virus and can lessen the duration and severity of the flu in adults, children and infants. It may also help protect people exposed to someone with the flu from getting sick. It should be taken within 48 hours of the onset of flu symptoms.
Adults can take Tamiflu capsules, but because most children can't easily swallow pills - especially when they're sick - they are given the drug in liquid form.
It's the liquid form that's in short supply "due to recent increased demand," said Sarah Clark-Lynn, a spokeswoman for the Food and Drug Administration.
"We are seeing intermittent shortages at some stores in some areas," CVS Pharmacy spokesman Mike DeAngelis said from the company's Woonsocket, R.I., headquarters. "It's a combination of the fact that the supplier has had an issue with getting enough liquid Tamiflu in the market and the demand caused by the early influenza season."
The FDA is monitoring the situation "and will post information on our website. "We are also working with the company to increase supplies," FDA spokeswoman Sarah Clark-Lynn said.
Tamiflu is made by Genentech in South San Francisco.
"If a particular CVS pharmacy does not have the liquid in stock and is not able to get it from a nearby store, our pharmacists can compound the capsules, which are still in ample supple, into the liquid form," DeAngelis said.
There's no connection between the process of making a liquid suspension of Tamiflu and the problems associated with the New England Compounding Pharmacy and tainted steroid injections that caused meningitis last year.
Compounding liquid Tamiflu is simple. "Basically, the capsules are emptied out and the contents combined with Ora-Sweet to make a liquid suspension," DeAngelis said. Ora-Sweet is a thick, sweet syrup used as a base for many liquid children's medicines.
Canada has released a supply of liquid Tamiflu from its National Emergency Stockpile to address a potential shortage.
USA Today


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Peter van Buren, a retired 24-year-veteran of the U.S. State Department, offers an ANSWER to the question in the headline above:Not to put too fine a point on it, but the invasion of Iraq turned out to be a joke. Not for the Iraqis, of course, and not for American soldiers, and not the ha-ha sort of joke either. And here�s the saddest truth of all: on March 20th as we mark the 10th anniversary of the invasion from hell, we still don�t get it. In case you want to jump to the punch line, though, it�s this: ...
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Location, ST | website.com


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Title | Article summary | Date |
Editorial Introduction to Issue 61: The Double-edged Web |
Richard Waller introduces Ariadne issue 61. |
Editorial Introduction to Issue 65: Ariadne in Search of Your Views |
Richard Waller introduces Ariadne issue 65. |


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One of the great unanswered questions of our time is why the major television networks — ABC, CBS, NBC, CNN and Fox — so often feel the need to book Republican Sen. John McCain on their Sunday morning talk-fests.
McCain chairs no Senate committees and hasn't authored any significant legislation since his campaign-finance bill, which was mostly shot down by the Supreme Court.
Still, more often than not, the Arizona septuagenarian and presidential-election loser is on the boob tube on Sunday mornings.
And yesterday was no exception, as Steve Benen notes HERE:There have only been 19 Sundays so ...
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Location, ST | website.com


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Aaron Rodgers of the Green Bay Packers warming up before a game... News PhotoAaron Rodgers - American Football Quarterback,American Football - Sport,Green Bay,Green Bay Packers,Horizontal,Lambeau Field,Match - Sport,Minnesota,Minnesota Vikings,NFL,Sport,USA,Waist Up,Warming Up,WisconsinPhotographer Wesley HittCollection: Getty Images Sport Classic 2012 Wesley HittGREEN BAY, WI - DECEMBER 2: Aaron Rodgers #12 of the Green Bay Packers warming up before a game against the Minnesota Vikings at Lambeau Field on December 2, 2012 in Green Bay, Wisconsin. The Packers defeated the Vikings 23-14. (Photo by Wesley Hitt/Getty Images)


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Duration: 10 minutes
When there's a job to be done, or an adventure to be had, you can bet that Clutch Powers will be there. Follow Clutch and his team in this edge of your seat 4-D action-packed show!
A brand new LEGO character, Clutch Powers is the best builder and explorer in the LEGO universe! Clutch and his team head out on a mission where they are forced to battle with an evil Rock Monster. The movie features amazing 3-D effects combined with wind, water and snow for an action packed and fun 4-D adventure.
** For showtimes, click your visit date on the calendar to the right.**
Please note that showtimes are subject to change or cancellation without prior notice.


text: Advanced search RSVP name search Search This form defaults to the values of your last search Main options I'm a Male Female Seeking a Male or Female Male Female for dating relationship Male or Female Male Female for friendship companionship Age to Location Within 2 km 5 km 10 km 25 km 50 km 75 km 100 km 250 km 500 km of Type in a location such as a postcode, suburb, city, state or country. Selecting a postcode or suburb will allow you to search within a specific radius from that particular location. Photo Not important Must have Keyword List New members Not important In the last week In the last month In the last two months Last online Not important Online now In the last week In the last month In the last three months In the last six months In the last year Additional Search Criteria Lifestyle Smoking habits Don't smoke Occasionally / socially Trying to quit Regularly Drinking habits Non-drinker Occasionally / socially Often Dietary preferences No special diet Vegetarian Vegan Other special diet Children & pets Should they have children? No Yes, living with me Yes, sometimes living with me Yes, don't live with me Should they want (more) children? No, but happy to talk about it Undecided Yes No, but yours are fine No Have pets No No, like pets but don't have any Yes Physical Height From under 5'0/152 cm 5'0/152 cm 5'1/154 cm 5'2/157 cm 5'3/160 cm 5'4/162 cm 5'5/165 cm 5'6/167 cm 5'7/170 cm 5'8/172 cm 5'9/175 cm 5'10/177 cm 5'11/180 cm 6'0/183 cm 6'1/185 cm 6'2/188 cm 6'3/190 cm over 6'3/190 cm to under 5'0/152 cm 5'0/152 cm 5'1/154 cm 5'2/157 cm 5'3/160 cm 5'4/162 cm 5'5/165 cm 5'6/167 cm 5'7/170 cm 5'8/172 cm 5'9/175 cm 5'10/177 cm 5'11/180 cm 6'0/183 cm 6'1/185 cm 6'2/188 cm 6'3/190 cm over 6'3/190 cm Body type Slim Athletic Average A bit overweight Large-ish Eye colour Other Black Blue Green Hazel Brown Grey Hair colour Other Blonde Red Black Light Brown Dark Brown Grey White Auburn Bald Identity Relationship status Single Attached/married seeking friends only Separated Divorced Widowed Personality Very Private Private Average Social Very Social Ethnic/cultural background North European South European East European Hispanic / Latino Other Caucasian Black / African Middle Eastern Asian Indian Aboriginal / TSI Other Islander Mixed Race Other Star sign Capricorn Aquarius Pisces Aries Taurus Gemini Cancer Leo Virgo Libra Scorpio Sagittarius Career & education Education level High School Some college Diploma Degree Post Graduate Job role Business Owner Senior Management Management Professional Technical Executive Admin / Clerical / Secretarial Customer Service Role Tradesperson Student Other Industry Accounting Administration Agricultural Arts / Entertainment / Sport / Recreation Construction Consulting Customer Service / Call Centres Defence / Emergency Services Education / Science Financial Services Government Healthcare / Medical Hospitality / Tourism / Travel HR/Employment / Training IT / Telecoms Legal Manufacturing / Industrial / Engineering Advertising / PR / Media Mining Pharmaceutical / Biotechnology Property / Real Estate Retail / Consumer / Personal Services Sales / Marketing Trades / Services Transport / Logistics / Warehousing Volunteer / Charity / Community Retired Student Unemployed Other Religion & politics Religion Catholic Anglican Other Christian Born Again Christian Jewish Islamic Buddhist Hindu Sikh New Age Atheist Agnostic Other Political persuasion Right wing Left wing Swinging voter No strong beliefs Search


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Product Details
Jeep Wrangler 4 Door 2007-2015, "L-Type" Rocker Panel Trim by SAA®, 10 Pieces, 3.75" Wide, Bottom of Door Kit. Bring style to your car with SAA rocker panel trim that looks like chrome. Made of high-quality mirror polished stainless steel. Easy stick-and-go installation.
- Gives your vehicle a distinct look
- Adds protection against minor dents and scratches
- Uses 3M adhesive for easy installation
- Will stay on for the life of the vehicle when installed according to the included instructions
- Made from high quality stainless steel with smooth mirror polished finish that looks like chrome
- Made in USA
Customize your vehicle trim with nifty rocker panel molding kit by SAA. This brightly polished, high gloss trim looks and feels like chrome, and adds a touch of elegance to your car. It's crafted of high-quality stainless steel that will not rust or corrode. Moreover, the SAA trim kit protects your paint-job from minor scratches and dents caused by road debris. The rocker panel trim is installed along the bottom of the doors. It uses high-quality 3M acrylic adhesive for effortless installation. You don't need to drill or screw to put your new rocker panel trim in place - simply seal it on according to instructions and drive with style!
SAA is a leading designer and manufacturer of stainless steel and chrome accessories for cars, trucks and SUVs. With over 25 years of experience, SAA continues to deliver high-quality products and services to customers throughout the world. All SAA car accessories are fully made in the United States with the use of latest design and production technologies. The company is permanently expanding its product lineup to satisfy the most demanding clients.
Product Reviews (1)Every Customer can leave a review about our service and the product that was purchased. In order to leave your review for your new product, please follow the link in the email you receive after completing your purchase. You can rate appearance, ease of installation, price/value and product quality.
SAA® - "L-Type" Rocker Panel TrimAverage Rating: 4.5 of 5APPEARANCEEASE OF INSTALLATIONPRICE/VALUEQUALITYAll SAA Reviews(4.5)APPEARANCEEASE OF INSTALLATIONPRICE/VALUEQUALITY2011 Jeep Wrangler
| Posted by John f skivington | (Nokomis, FL)These Rocker Panel give the Jeep a custom look. Installation was easy, took about 20 minutes to install. You have to have them!!!
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You will never pay more with CARiD! Not only will we match prices from any competitor's website or other reputable source, we will continue to honor that promise for up to one year after your purchase.
We'll match the price at time of purchase, or refund you the difference if done after the purchase. Either way, we are totally committed to providing you the best online shopping experience.
We're car and truck enthusiasts, just like you! And it's enthusiasts we hire in our Sales and Service Centers. Many of our staff are ASE certified and have spent years in the retail auto business.
We conduct our own in-house training, and we even bring vendors to us for hands-on product training demonstrations. You're getting true expertise when you phone or email us!
With hundreds of vendors, and tens of thousands of components for sale, we put tremendous effort into coordinating our data with our vendors' data in order to guarantee that you get the correct part.
Our huge database is regularly cross-checked to keep it current and optimized. At times, our thoroughness makes our data even more accurate than our suppliers! This rigorous process means that you can always order with confidence.


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KND, Or Codename:Kids Next Door is a television cartoon produced by mr. Warburton for Cartoon Network, the show ran for six seasons before being cancelled, it has a small fanbase. The show is about an organisation of kids, aged 7-12 who battle `evil adults` while referring to others using their codenames, which is usually a number or something of similar nature.
Fan 1: "Hey, did you see the new KND episode?
Fan 2: "Yeah, Numbuh 362 was amazing."
Fan 2: "Yeah, Numbuh 362 was amazing."
de Numbuh208
04 Ianuarie 2013
1 more definition
the capital of central province in sri lanka,better known as hill capital.2nd biggest city and hip hop is really happing there.(also known as 'city by the lake' bcuz there is a beautiful lake in there & chicks r goin around vt their mens).
*city by the lake ,yeah! da knd.
*baggin in da east zide of da knd.
*we got g's from knd to da cmb (colombo)
*baggin in da east zide of da knd.
*we got g's from knd to da cmb (colombo)
de ckmsd
08 Februarie 2008


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The GALAXY Note combines the market's largest HD Super AMOLED display, supreme portability and advanced S Pen interface, creating a new type of smartphone.
Features include a 1.4GHz dual-core processor, Android 2.3 (Gingerbread), 8-megapixel camera, 2MP front camera, and even a massive 2500mAh battery.
Announced Date:
September 1, 2011
Android Central Reader Rating:
Average: 4 (43 votes)


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Keep Yankee open
Last Friday morning, on my way to work in Montpelier, as I zipped on my bike down Berlin Street past Al Blakeys house and solar array, I began thinking about his letter (Vermont Yankee Who needs it? June 20). As might be expected from someone who has put his money where his mouth is, he raises many thoughtful ideas. In particular, he cites some new solar and wind power construction statistics and then says, so much for the belief that green energy cannot replace nuclear.
In one important sense low-carbon content nuclear power is already green. The lifecycle (including mining, processing, everything) of its carbon footprint is virtually identical to that of wind, solar and hydro power, according to the U.S. Energy Information Administration. It makes little sense to replace a large, existing, reliable source of very low-carbon power, in the name of climate change activism.
Furthermore, wind and solar energy cannot replace nuclear, any more than heating oil can replace gasoline. Fill a gas tank with heating oil, and the car stops. Replace a 24/7 baseload generator like Vermont Yankee with intermittent, weather-dependent wind and solar, and the carefully balanced transmission grid will crash in a flurry of brownouts, electrical fires and blackouts. The modern transmission grid can accept about 20 percent intermittent power. More than that, and service and equipment will degrade.
Mr. Blakey calls for a new microgrid transmission system, which to my knowledge has never been successfully built and used in a large area. Is it doable? If so, how much will it cost? And how long would it take to build? Vermont Yankee or no Vermont Yankee, our existing need for baseload power remains. Sadly, Vermonts utilities, once almost entirely carbon-free, now rely more heavily than ever on carbon-emitting natural-gas burning plants in southern New England.
Renewables proponent David Blittersdorf estimates that by 2050, Vermont will need 18,000 million megawatt/hours, or three times the electricity we use now. Last year, all of the industrial solar generators in the Vermont SPEED program produced just slightly more than a millionth of that amount 19,000 mw/h. Or to bring the matter closer to home for both Mr. Blakey and myself: According to the Vermont Department of Public Service, moving just 5 percent closer to the states goal of 90 percent total renewable energy would require solar panels on every square inch of an area 1.3 times the size of the city of Barre.
As technology improves, Vermont may very well have a sparkling (and not merely sparking) renewable power future. But at present, intermittent renewable power alone cannot be its backbone. Perhaps we can avoid the fate of pro-renewables Germany, which opted to close nuclear plants and then was forced by demand for baseload power to order the construction of many new coal-burning plants. At least until a clean, safe, economic, reliable alternative is up and running in Vermont, we should not throw out the Vermont Yankee baby with the bathwater.
Guy Page
Communications director, Vermont Energy PartnershipMORE IN LettersAs the school year begins to wind down, we would like to take a moment to thank all of the... Full StoryVermonts cherished social fabric dates from when typical rural Vermonters were born and... Full StoryIt seems that there was a lot of extra security from private firms at the May Day celebration for... Full Story -
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Press inquiries please email: nycbeekeeping.net AT gmail.com
4/4/2014 PLEASE NOTE: Our Facebook account has been hijacked. Please take what appears there with a grain of salt.
Welcome to the 2015 Season!
We've been out to the yards and found good survival rates despite the long hard winter.
Lots of great programming is coming this season. We welcome everyone to participate with us!
Click here to get on the "Actives" list
Please scroll down to read more and for calendar
Upcoming Events
Spring Walkabout Workshop Sessions MAY 2-3-4 with Peter Borst Info & Signup HERE. To receive a teaching visit or join the rounds, please click through to the form provided so we can plan our itinerary.
Program dates for Beginner Mentoring Series and Aspiring Beekeeper Field Days will be up shortly.
Those seeking a full season commitment can apply for Field Studies Group. Please email a letter of interest and a resume/CV so we can follow up with you to admin AT nycbeekeeping.org
We'll have a number of other useful workshops and harvest in season, and we will be doing a group order for Varroa treatment MAQS strips, so keep an eye on our calendar.
Are you an organization that wants to team up to plan an activity with us? An individual or corporation that wants to give us some support? Please email admin AT nycbeekeeping.org
Please scroll down for Calendar and other ways to connect.
You can email by clicking the "Contact" link at left, or firstname.lastname@example.com.
We're also now on twitter
Learn with us
Beekeepers and aspiring beekeepers, Jim's Winter Lecture series has wrapped up, and we are adding new learning options this year to our award-winning program.
Click here to learn more.
Connect with us:
Want to host a hive or bring other pollinators to your garden or rooftop, looking for honey from your neighborhood, or beekeeper seeking assistance? Want to join summer hands-on activities, harvest with us, or connect with a program for your school?
Get on the Actives List and let us know!
Conserve with us
To Support Bees & Beekeeping with a charitable donation, or to partner on corporate responsibility programs, please contact us.
We will try to match you with a beekeeper seeking a site.
Join a Community harvest! We have room for BeeLovers as well as BeeKeepers. It's always a celebration! You can get on the list now, and we'll be in touch as sessions are scheduled in season.
Honey & Hive Products inquiry form
For honey or other products of the hive grown or made locally in NYC, please click here for an inquiry form and we will connect you in season.
IMPORTANT: Beekeepers, please remember to send your mandatory notice to the Dept of Health (more here) by March 31st, 2015.
Bee Rescue Hotline: 917-740-4BEE
April to June is typically "swarm season," when bee colonies naturally reproduce. Though we teach how to minimize swarming, there are no guarantees, and they may need to be collected. A swarm left undisturbed is typically calm as it awaits scouts bringing information about possible new homes.
If you see a swarm that needs a home - we may be able to help. Please call 917-740-4BEE (4233), tell us when & where, and leave contact info for followup. Please be as specific as you can & if possible send a photo to firstname.lastname@example.com. A beekeeper will survey the situation and call in support if needed.
Come, learn, enjoy!
nycbeekeeping.org™ (NYC Beekeeping) is an all-volunteer conservation and education group for beekeepers and beelovers.
We organize beekeeper training, expert and peer mentoring, and community service & outreach activities throughout the year. We work with urban farms, community gardens, the NYC Parks Dept., schools and other organizations to foster a strong community of Responsible Urban Beekeepers, to bring training & economic opportunity through beekeeping to underserved areas, to conserve and protect honeybees and other pollinators, and to contribute to the program and fundraising capacities of selected 501(c)(3) organizations.
Thank you for supporting the Trees for Bees event!
Thanks Lloyd & Molly!
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Top Definition
(DNAC) A more fun way to say: "deoxyribonucleic acid" A.K.A. : DNA while in Biology class.
Kyle, please read sentence number two...BE QUIET, CHILDREN! okay, kyle, go ahead" "donkey neuralizer anal cannon is a neuralizing anal cannon that contains the genetic instructions used in the development and functioning of all known living orgasms with the exception of some viruses." "GO TO I.S.S. KYLE
από Gothkid13
27 Οκτώβριος 2010


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Wednesday, May 06, 2015 10:39:11 PM
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"A meow massages the heart." -Stuart McMillan
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I might be picking up a cheap 150$ Lenevo 3000 N200 laptop and I want to know if anyone has any experience with it using a modern Linux distribution.
CPU: 2.16 Ghz Intel T3400 Dual Core processor
GPU: Intel GMA X3100 graphics
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So is this a good deal, and how well would say Fedora 16 run on it?
Mostly software development and school use, though we would also would like to do some light gaming.


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We're almost there!
Our launch date for the new TuDiabetes website has been moved back 24 hours
When you log into TuDiabetes tomorrow (April 21st) you will find yourself in our new home!
If you want to join the TuDiabetes community please send an e-mail to firstname.lastname@example.com. We will send you an invitation to join after the migration is completed.
JDRF's Chief Scientific Officer, Dr. Richard Insel, discusses JDRF's research strategy (March 3, 2010)
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Üdvözöllek! | Magyar |
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Greenpeace activists protest at a Shell gas station in Aarhus, Denmark, against Shell's plan to drill for oil in the Arctic seas of the coast of Alaska this summer. The activists, some of them dressed as polars, covered Shell's logo and covered the ground with black oil paw prints on the Arctic ice.
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- Message from DignityUSA Executive Director
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The work of DignityUSA on April 28, 2015 could have been sponsored by you. Click here for more information.DignityUSA works for respect and justice for people of all sexual orientations, genders, and gender identities—especially gay, lesbian, bisexual, and transgender persons—in the Catholic Church and the world through education, advocacy, and support. -- DignityUSA Mission Statement


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Home Hemodialysis
On this page:
- How does home HD work?
- What are the risks of home HD?
- What are the advantages of home HD?
- What are some barriers to home HD?
- Points to Remember
- Hope through Research
- For More Information
- About the Kidney Failure Series
Hemodialysis (HD) is a life-preserving treatment for hundreds of thousands of Americans with kidney failure. But the standard schedule of in-center HD three times a week is, at best, inconvenient, and at worst, hard on the heart.
People who receive in-center HD travel to the clinic three times a week and sit in a chair for 3 to 4 hours each time while their blood is cleaned. Waiting for needle sites to stop bleeding and blood pressure to return to normal takes even more time. In-center HD patients must follow a strict schedule because the clinic treats three to five shifts of patients in the course of the day. Someone who gets to the clinic late often can't make up the time by staying longer because the machine is needed for the next patient.
Between treatments, in-center HD patients must limit drinking fluids to avoid gaining too much weight and raising their blood pressure. The standard HD diet also restricts phosphorus, salt, and potassium. The patient may have to take several drugs to control blood pressure and other problems like anemia and high phosphorus levels. Many people who dialyze three times a week complain of feeling exhausted or "washed out" for a few hours after a session. In the course of a week, the HD patient may feel highs and lows as the body builds up fluid and wastes and then has them washed away during treatments.
In recent years, many people have found that doing HD at home has many benefits. New dialysis machines are smaller and easier to use, making home HD more practical. Some machines may require special wiring or plumbing changes in the home, but others use standard household outlets. The home must have room for the HD machine, supplies, and in some cases a water purification machine.
How does home HD work?
A small but growing number of clinics offer home HD in addition to standard HD treatments. The patient starts learning to do treatments at the clinic, working with a dialysis nurse. Most people who do home HD have helpers who train with them at the clinic. The helper can be a family member, neighbor, or close friend. Some programs do not require a helper if the patient can do all the tasks alone.
The clinic will provide a machine for use in the home or help the patient get a machine from a supplier. The patient does not have to buy the machine. Supplies, such as dialysis solution, will be delivered to the home once or twice a month.
During training, the patient learns to
- prepare equipment and supplies
- place the needle in the vascular access
- monitor the machine
- check blood pressure and pulse
- keep records of the treatments
- clean the equipment and the room where dialysis is done
- order supplies
Training often takes 3 to 8 weeks. The training staff makes sure the patient is confident about performing each task before doing home HD. Someone from the clinic will be available to answer phone calls 24 hours a day. Some programs also monitor treatments over the Internet.
The patient returns to the clinic once a month to see the nephrologist, dialysis nurse, and dietitian. A blood sample will be tested to ensure the HD treatments are working and to detect any problems, such as anemia or high potassium levels, that should be treated.
What are the risks of home HD?
Home HD has the same risks for complications that exist with in-center HD, including low blood pressure and infection. The most serious risk is the possibility of an air embolism—a condition in which air is introduced into the blood stream accidentally, preventing the heart from adequately pumping blood. Another serious risk is blood loss if a catheter separates. Home HD patients and their helpers learn to watch for these problems and are trained to act quickly if they arise.
What are the advantages of home HD?
Home HD lets the patient set the schedule. The patient can choose treatment times to fit other activities, such as going to work or caring for a family member.
The patient can dialyze more often at home. People who dialyze at a clinic skip 4 days each week, so wastes and fluid build up in their bodies. Dialyzing at home five to seven times per week means wastes and fluid don't build up as much in the body. Muscle cramps that are common in people using the standard HD may be less common in those who choose home HD because wastes and fluid are cleared more often.
Treatment plans usually follow one of two schedules:
Short daily treatments—Some people dialyze at home during the day. Because they do it every day—or at least five or six times a week—they do not have to dialyze as long. They can finish in 2 or 3 hours. And they save even more time because they do not have to travel to and from the clinic. Daily treatments keep blood pressure more level than standard HD. Many people who do daily HD no longer need blood pressure pills.
Long nightly treatments—Some people dialyze at night while they sleep. Then they have the whole day free for other activities. The longer time of nightly HD allows for a slower blood flow rate. This gentle treatment is easy on the patient's access and heart. Because the treatments are so long, they remove more phosphorus and other wastes than short treatments can. Many people who do nightly HD no longer need blood pressure pills or phosphate binders. Nightly HD is done from 3 to 6 nights per week.
The schedule can be tailored to fit each person's needs.
Because use of home HD is still increasing, researchers have not been able to do large studies that compare home treatment with standard HD. But dozens of small studies have found better results in patients who do daily or nightly home HD. Reported benefits include
- better blood pressure control with fewer drugs
- better control of phosphate levels in the blood
- less limited diet and fluids than standard HD
- reversal of some heart damage caused by high blood pressure
People who do home HD say it improves their quality of life. Those who have switched from standard to more frequent home HD say they have more energy, feel less nauseous, and sleep better. Many say they value the control they gain by doing their own treatments.
What are some barriers to home HD?
Although growing, the number of clinics that offer home HD is limited. Some patients may find that the nearest home HD clinic is an hour or two away. See the Home Dialysis Central website at www.homedialysis.org to find clinics that train people to do home HD.
Insurers that pay for HD treatments, including Medicare, have set payment based on the standard schedule of three treatments a week. Clinics may limit daily HD to those who have employer group health plans because payment from Medicare alone would not cover their costs. Medicare rules state, "Claims for hemodialysis furnished more frequently than three times per week must be accompanied with medical documentation explaining the reasons for the additional dialysis sessions" (Medicare Provider Reimbursement Manual, Part 1, Chapter 27 § 2709). A doctor may need to write a letter saying that daily HD will help the patient have better outcomes. Patients should talk with their insurance provider or clinic social worker about whether payments for daily home HD will be covered. Nightly home HD can be done three times per week and can be paid for by Medicare alone.
Points to Remember
- New, smaller dialysis machines are making home hemodialysis (HD) more practical.
- Training for home HD takes 3 to 8 weeks.
- People doing home HD can choose between shorter daily treatments or longer nightly treatments.
- People who do home HD say it improves their quality of life.
- Patients should talk with their insurance provider or clinic social worker about whether payments for daily home HD will be covered.
Hope through Research
The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), through its Division of Kidney, Urologic, and Hematologic Diseases, supports the following programs and studies to help improve treatment for people with kidney disease and kidney failure, including patients on HD:
The End-Stage Renal Disease Program. This program promotes research to reduce medical complications of kidney failure, including bone, blood, nervous system, metabolic, digestive, heart, and hormone problems. The research focuses on improving dialysis equipment and procedures. The program also seeks to increase kidney graft and patient survival and to improve quality of life.
The Frequent Hemodialysis Network (FHN). This multicenter clinical trial will test whether HD done more than three times a week has better outcomes than the standard schedule. The FHN is testing two ways to increase the dialysis dose at Clinical Centers in the United States and Canada. The FHN Daily Trial compares standard HD, done for at least 2.5 hours, 3 days per week, with more frequent HD done for 1.5 to 2.75 hours, 6 days per week. The FHN Nocturnal Trial compares standard home HD done 3 days per week with nightly home HD done 6 nights per week.
The U.S. Renal Data System (USRDS). This national data system collects, analyzes, and distributes statistics on the use of dialysis and transplant to treat kidney failure in the United States. The USRDS is funded by the NIDDK and the Centers for Medicare & Medicaid Services. The USRDS publishes an Annual Data Report, which covers how many people have kidney failure, how many people get kidney failure each year, survival rates, and trends over time. The report also compiles data on the effects of the different treatment options and shares the findings of special research studies.
The Hemodialysis Vascular Access Clinical Trials Consortium. This program is conducting a series of multicenter, randomized, placebo-controlled studies of drug treatments to reduce the failure and complication rate of arteriovenous grafts and fistulas in HD. New drugs to stop blood clots and reduce inflammation are also being tested.
The U.S. Government does not endorse or favor any specific commercial product or company. Trade, proprietary, or company names appearing in this document are used only because they are considered necessary in the context of the information provided. If a product is not mentioned, the omission does not mean or imply that the product is unsatisfactory.
For More Information
American Association of Kidney Patients
3505 East Frontage Road, Suite 315
Tampa, FL 33607
Phone: 1–800–749–2257
Fax: 813–636–8122
Email: email@example.com
Internet: www.aakp.org
Home Dialysis Central
c/o Medical Education Institute, Inc.
414 D'Onofrio Drive, Suite 200
Madison, WI 53719
Phone: 608–833–8033
Email: firstname.lastname@example.com
Internet: www.homedialysis.org
National Kidney Foundation
30 East 33rd Street
New York, NY 10016
Phone: 1–800–622–9010 or 212–889–2210
Fax: 212–689–9261
Internet: www.kidney.org
You may also find additional information about this topic by visiting MedlinePlus at www.medlineplus.gov.
This publication may contain information about medications. When prepared, this publication included the most current information available. For updates or for questions about any medications, contact the U.S. Food and Drug Administration toll-free at 1–888–INFO–FDA (1–888–463–6332) or visit www.fda.gov. Consult your doctor for more information.
About the Kidney Failure Series
The NIDDK Kidney Failure Series includes six booklets and eight fact sheets that can help you learn more about treatment methods for kidney failure, complications of dialysis, financial help for the treatment of kidney failure, and eating right on hemodialysis. For free single printed copies of this series, please contact the National Kidney and Urologic Diseases Information Clearinghouse.
National Kidney and Urologic Diseases Information Clearinghouse
3 Information Way
Bethesda, MD 20892–3580
Phone: 1–800–891–5390
Fax: 703–738–4929
Email: email@example.com
Internet: www.kidney.niddk.nih.gov
The National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC) is a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The NIDDK is part of the National Institutes of Health of the U.S. Department of Health and Human Services. Established in 1987, the Clearinghouse provides information about diseases of the kidneys and urologic system to people with kidney and urologic disorders and to their families, health care professionals, and the public. The NKUDIC answers inquiries, develops and distributes publications, and works closely with professional and patient organizations and Government agencies to coordinate resources about kidney and urologic diseases.
Publications produced by the Clearinghouse are carefully reviewed by both NIDDK scientists and outside experts. This fact sheet was reviewed by Dorian Schatell, M.S., Medical Education Institute.
This publication is not copyrighted. The Clearinghouse encourages users of this publication to duplicate and distribute as many copies as desired.
NIH Publication No. 08–6232
February 2008
Page last updated December 12, 2013


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HIMYM Exclusive: The Final Robin Sparkles Performance You Didn't Get to See!
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How We Met These Memorable HIMYM Guest Stars
The Signs That Ted and Robin Were Always Meant to Be
Go Behind the Scenes of the HIMYM Series Finale
What HIMYM's Cast and Creators Have Said About the End


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Evaluation of a Computer-Based System Using Cell Phones for HIV People in Peru (Cell-POS)
Recruitment status was Recruiting
- Full Text View
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- How to Read a Study Record
The investigators propose to develop and evaluate a computer-based intervention using cell phones to enhance adherence to antiretroviral treatment (ART) and support of HIV transmission risk-reduction among adult HIV-positive patients in Peru.
Condition | Intervention |
HIV Adherence Sexual Behavior HIV Infections |
Other: Cell phone intervention |
Study Type: | Interventional |
Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Health Services Research |
Official Title: | Evaluation of a Computer-Based System Using Cell Phones for HIV People in Peru |
- Self-reported medication adherence [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- HIV-1 viral load [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- CD4 [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Self-reported HIV transmission risk behaviors [ Time Frame: 12 months ] [ Designated as safety issue: No ]
Estimated Enrollment: | 200 |
Study Start Date: | May 2010 |
Estimated Study Completion Date: | December 2011 |
Estimated Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
Experimental: Cell phone intervention
Participant receives short text messages
Other: Cell phone intervention
Participant receives short text messages, including: antiretroviral reminders, clinic appointment reminders, and preventive/educational messages
No Intervention: Standard of care
Participant receives standard of care support but not short text messages
Detailed Description:
Adherence to ART is critical for treatment success at the individual level and to avoid the onset of resistant strains of HIV. In Peru, where ART has recently been introduced, adherence to HIV treatment has not yet been addressed properly. Innovative approaches using information technologies such as cell phones are needed to increase adherence to ART for people with HIV/AIDS. The specific aims of the study are to: 1) Conduct formative research to assess culturally-specific behavioral messages to be included in the computer-based system; 2) Develop and test an interactive computer-based system using cell phones to enhance adherence to ART and to deliver HIV transmission risk reduction messages; 3) Evaluate the impact of the system on antiretroviral adherence and sexual risk behaviors.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- HIV-positive healthy male or female aged greater than or equal to 18
- Currently on ART
- Patients with a mobile phone for their personal use (not shared)
- Patients who know how to retrieve read text messages on their mobile phone
- Signed and dated written informed consent prior to admission to the study
Exclusion Criteria:
- Patients whose clinical condition might have interfered with the study (e.g., deafness, serious mental illness, mental retardation)
- Patients unable to give their informed consent.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01118767
Contact: Walter H Curioso, MD, MPH | 511 3190028 | firstname.lastname@example.com |
Peru | |
Universidad Peruana Cayetano Heredia | Recruiting |
Lima, Peru | |
Contact: Walter H Curioso, MD, MPH 511 3190028 firstname.lastname@example.com | |
Principal Investigator: Walter H Curioso, MD, MPH | |
Sub-Investigator: Patricia J Garcia, MD, MPH | |
Via Libre | Recruiting |
Lima, Peru | |
Contact: Walter H Curioso, MD, MPH 511 3190028 firstname.lastname@example.com | |
Contact: Robinson Cabello, MD 511 2039900 | |
Sub-Investigator: Robinson Cabello, MD | |
Principal Investigator: Walter H Curioso, MD, MPH |
Principal Investigator: | Walter H Curioso, MD, MPH | Universidad Peruana Cayetano Heredia |
Additional Information:
No publications provided
Responsible Party: | Walter H. Curioso, Universidad Peruana Cayetano Heredia |
ClinicalTrials.gov Identifier: | NCT01118767 History of Changes |
Other Study ID Numbers: | R01TW007896, R01TW007896 |
Study First Received: | May 6, 2010 |
Last Updated: | June 15, 2010 |
Health Authority: | Peru: Ethics Committee |
Keywords provided by Universidad Peruana Cayetano Heredia:
Adherence Appointment Cell Phone Cellular Phone Clinic Computers Controlled Clinical Trials, Randomized HIV/AIDS Health Informatics Health behavior Information Technology Internet Intervention Medication Patient Satisfaction |
Patient Self-Report Patients Peru Phone Public Health Public Health Informatics Randomized Randomized Controlled Clinical Trials Randomized Controlled Trials Research Secondary Prevention Self-Report Sex Behavior Sexual Behavior Sexually Transmitted Diseases |
ClinicalTrials.gov processed this record on May 05, 2015