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Appendicitis is the most common surgical emergency in children; yet, diagnosis of equivocal presentations continues to challenge clinicians.
The objective of this study was to investigate the hypothesis that the use of a modified clinical practice and harmonic ultrasonographic grading scores (MCPGS) may improve the accuracy in diagnosing acute appendicitis in the pediatric population.
Patients & Methods
Main outcome measures
Sensitivity, specificity, and accuracy of the modified scoring system. Five hundred and thirty patients presented with suspected diagnosis of acute appendicitis during the period from December 2000 to December 2009 were enrolled in this study. Children's data that have already been published of those who presented with suspected diagnosis of acute appendicitis- to whom a special clinical practice grading scores (CPGS) incorporating clinical judgment and results of gray scale ultrasonography (US) was applied- were reviewed and compared to the data of 265 pediatric patients with equivocal diagnosis of acute appendicitis (AA), to whom a modified clinical practice grading scores (MCPGS) was applied. Statistical analyses were carried out using Z test for comparing 2 sample proportions and student's t-test to compare the quantitative data in both groups. Sensitivity and specificity for the 2 scoring systems were calculated using Epi-Info software.
The Number of appendectomies declined from 200 (75.5%) in our previous CPGS to 187 (70.6%) in the MCPGS (P > 0.05).
Specificity was significantly higher when applying MCPGS (90.7%) in this study compared to 70.47% in our previous work when CPGS was applied (P < 0.01). Furthermore, the positive predictive value (PPV) was significantly higher (95.72%) than in our previous study (82.88%), (P < 0.01). Overall agreement (accuracy) of MCPGS was 96.98%. Kappa = 0.929 (P < 0.001). Negative predictive power was 100%. And the Overall agreement (accuracy) was 96.98%.
MCPGS tends to help in reduce the numbers of avoidable and unnecessary appendectomies in suspected cases of pediatric acute appendicitis that may help in saving hospital resources.
Acute appendicitis in Children; Tissue Harmonic Imaging (THI); Ultrasound scan; Appendicitis clinical scoreIntroduction
Certainty of clinical diagnosis is the most challenging task in clinical practice. It is relatively straight forward to look up the treatment once a correct diagnosis has been made. A single perfect diagnostic test for acute appendicitis does not exist [1-3].
Despite the number of algorithms and diagnostic tests available, about 20% of patients with appendicitis are misdiagnosed [3-9].
Presence of normal appendix ranges from 5-25% out of suspected cases of acute appendicitis [5,10-13]. Negative appendectomies were thought to be relatively harmless; nevertheless, they result in considerable unnecessary clinical and economic costs [14]. Even despite the uncertainty of diagnosis, appendicitis demands prompt treatment in order not to be neglected and misdiagnosed leading to progression of the disease with its associated morbidity and mortality that may include the risk of perforation which happens in approximately one third of the cases [5,15,16].
In an attempt to improve diagnosis, attention has turned to radiological imaging. The use of ultrasound scan (US) has been advocated as the readily available simple and fast imaging modality particularly in thin patients and children. A normal appendix is not frequently observed using gray-scale US [17,18]. On the other hand Harmonic imaging (HI) increases the contrast and spatial resolution resulting in artifact-free images, and has been shown to significantly improve abdominal ultrasonography. Only a handful of reports exist regarding its application in pediatric patients. Most of them do not encompass its use in acute appendicitis [19].
This work aimed to investigate and assess the hypothesis that the use of a modified clinical grading judgment and Tissue Harmonic Imaging ultrasonography (THI), as a modified score-aided diagnosis; MCPGS may improve the accuracy in the diagnosis of children with equivocal pictures of acute appendicitis and to compare these results with those of previously published data of CPGS [1,2].
Patients and Methods
This two centers study was carried out during the period from December 2000 to December 2009. Data of pediatric patients with suspected acute appendicitis who underwent the clinical judgment and US score aided CGPS were reviewed; this data was published before [1].
This was a modification of previously published scoring methods [2,3] including certain subjective clinical parameters measured as 1 point such as fever of 38, anorexia and vomiting, tachycardia of more than 120 beats/minute. Abdominal pain parameters were also measured with special emphasis on guarding or rigidity, positive per-rectal examinations, however, positive rebound tenderness was given 3 points in this score method as well as other clinical, laboratory and harmonic US measurements (Table 1).
Two hundred sixty five (265) pediatric patients were the core of our current study. In those patients; the proposed usage of THI, clinical judgment and practice as a modified score aided system MCPGS was applied.
The MCPGS with twenty five variables including harmonic ultrasound (US) examination and a marker of inflammatory response was assessed in multivariate analysis using the finding of acute appendicitis at operation as the end point were enrolled in this study (Table 2). Exclusion criteria included those who were proved to have other causes of acute abdominal pain rather than acute appendicitis.
Table 2. Modified clinical practice and harmonic ultrasonographic grading score (MCPGS):
Ultrasonography was performed using linear and curved transducers with ultrasound frequencies ranged between 2.5 and 7.5 MHz, commercially available ultrasound systems (Siemens Sonoline Elegra, Germany). The examination was performed with both conventional and THI- US. Scanning parameters were optimized for each method, and all images were obtained with use of the same focal zone. A cine playback mode was used to obtain identical images in two standard planes, longitudinal and transverse scans. Images were obtained with the two methods in random sequence to facilitate their masking for the observers. Harmonic images were acquired at a transmitting frequency of 2.0 MHz and a receiving harmonic bandwidth of 4.0 MHz. Conventional US images were obtained at a frequency of 3.5 MHz, which is the commonly used frequency at abdominal imaging in adults. The harmonic and conventional US modes were switched by means of a toggle switch on the scanner control panel. In both the previous CPGS and the current MCPGS rationale of active watchful waiting in suspected appendicitis was a prudent and safe strategy with the use of at least one time repetition of conventional US or THI- US with no increase in the risk of perforation (Figures 1,2,3). All appendices were routinely sent for histopathological examination.
Figure 1. Acute appendicitis by conventional US in a longitudinal scan using linear transducer with 7.5 MHz frequency showing a thick walled blind ended apristaltic non compressible inflamed appendix..
Figure 2. Acute appendicitis by tissue harmonic imaging sonography (THI) using linear transducer with 7.5 MHz revealed: A. Longitudinal scan showing aperistaltic non compressible blind ended tubular structure with distinct thickened wall layers and diameter > 6 mm. B. Transverse scan showing target sign appearance.
Figure 3. Acute appendicitis by tissue harmonic imaging sonography (THI) using linear transducer with 7.5 MHz revealed: A. Longitudinal scan showing a well defined adequately demarcated aperistaltic non compressible blind ended tubular structure with distinct thickened wall layers and diameter > 6 mm associated with intraluminal curvilinear calcification with posterior acoustic shadowing that reflects an appendicolith. B. Transverse scan showing target sign appearance with the appearance of the appendicolith with its characteristic posterior acoustic shadowing.
Collected data were statistically analyzed using χ2 test. Continuous variables were analyzed using student's t-test. P≤0.5 were considered statistically significant. Sensitivity and specificity were calculated for the CPGS. Kappa test was used to verify the specificity. All calculations were performed using SAS version 8.2.
In the current studied group of patients; age and sex analysis shows that cases with and without appendectomy are similar and there is no aggregation of cases in a certain age group or in a certain sex (Table 3). In 187 patients (70.6%) appendectomy was performed, out of them 90 patients (48.1%) showed MCPGS between 15 and 22, those patients were kept with no oral feeding (NPO), intravenous fluid infusion (IV fluid) of appropriate type and amount according to patient's age before undergoing appendectomy. Only 8 out of the total appendectomies (4.3%) were normal at histopathological evaluation. The remaining 97 patients (36.6%) initially showed MCPGS of 8-14. On repeated evaluation every 2 hours for a maximum of 6 times and repetition of THI- US during the repeated evaluation for at least one time, their score progressed to 15 or more [61 patients (62.9%) with a MCPGS of 15-17, 11 patients (11.3%) with MCPGS of 18, and 25 patients (25.8%) with MCPGS of 19]. During the observation period, no antibiotics were given in order not to alter the clinical picture. However, antibiotics were started once the diagnosis was confirmed. No false negative cases were recorded when using MCPGS. (Tables 3, 4)
Table 3. Characteristics of studied children with clinically suspected appendicitis
Table 4. Comparing characteristics of children with and without appendicitis
On the other hand, 78 children (29.4%) did not undergo appendectomy, 48 of them (61.5%) showed MCPGS of 8 or less at the initial examination, they were referred to the Pediatric Medical Care with no need for surgical interventions. Thirty patients (38.5%) showed MCPGS between 9 and 14 declining with repeated examinations until their score became definitely 8 or less, they were managed medically. (Tables 5, 6)
Table 5. Significant predictors of acute appendicitis using forward likelihood multiple logistic models
Table 6. Diagnostic screening criteria of MCPGS to detect children with acute appendicitis
Specificity of MCPGS was higher than that of CPGS, this may be attributed to the use of harmonic US in this modified scoring system that seems to be significantly superior to the conventional grey scale US 90.69% in group I (Table 5) compared to a specificity of 70.47% in group II (Z = 5.999, P < 0.01). Also the Positive Predictive Value for group II (95.72%) was significantly higher than that of group I (Z = 4.727, P < 0.01). Applying Kappa analysis revealed the Kappa Measure for over all agreement to be (96.98%). These results show the high specificity of our finding for the MCPGS. (Figure 4)
Figure 4. Receiver operating Characteristics curve of MCPGS to detect children with acute appendicitis. Area under the curve = 0.970 (P < 0.001), with 95% confidence limits of 0.945 and 0.994
Acute appendicitis traditionally has been a clinical diagnosis and remains so to this day. The diagnosis can be difficult to make in many children who may present with typical symptoms or an equivocal physical examination [18].
In our current study, we evaluated the newly advocated modified clinical practice grading score (MCPGS); based on clinical judgment, laboratory investigations for inflammatory response and THI- US examination studies in association with the strategy of active watchful waiting performing repeated clinical examinations as well as at least one time repetition of THI before the decision-making process. It was highly accurate in the diagnosis of acute appendicitis in children. The specificity of the MCPGS was 90.69% compared to a specificity of 70.47% in the children to whom CPGS and active watchful waiting strategy was applied. In addition, we observed a statistically significant decrease in the negative appendectomy rate in MCPGS compared with those in CPGS.
Our study aimed at avoiding the selection bias mentioned before in similar scoring system [19]. Age and sex analysis shows that cases with and without appendectomy are similar and there is no aggregation of cases in a certain age group or in a certain sex. Therefore, the MCPGS can be used at any age and for any sex. Moreover, even those patients who were referred by pediatricians expected to be appendicitis were included as well as self referral that can be appendicitis or not. This illustrates that even if the cases are referred by pediatricians the score can still be used to differentiate cases.
The decrease in negative appendectomies occurred without a rise in the perforation rate. In fact, the perforation rate was lower under the MCPGS, although this change was not significant. Screening ultrasound scanning for pediatric appendicitis has suboptimal accuracy, particularly in obese children with a low likelihood of appendicitis who should not routinely undergo ultrasound scanning. However, when followed by a second ultrasound scanning or a clinical reassessment, it offers high diagnostic accuracy in lean children [20].
Targeted abdominal examination as well as THI constituted around 75% of our MCPGS scoring system with the aim of increasing its specificity without affecting the system sensitivity.
In our previously published data [1]; traditional clinical judgment and grey scale US score aided CPGS was performed, 200 patients (75.5%) underwent appendectomy, of them 35 appendices (17.5%) were normal at histopathological evaluation. The remaining 65 patients (24.5%) were discharged from the Pediatric Surgical Facility as not having appendicitis. Yet, out of those 65; 3 children (4.6%), (2 males and 1 female) were re-admitted. US was repeated suggesting acute appendicitis. They underwent appendectomy with positive pathological results. A total of 203 appendectomies (76.6%) were performed in this CPGS group.
Moreover, our current results showed the superiority of THI over conventional US for lesion visibility, with THI being preferred over conventional US for 65% of cases. The findings were clearer and better defined with THI which thereby improved the detection of subtle lesions. Tissue harmonic imaging theoretically improved signal-to-noise ratios by reducing noise from side lobe artifact in the near field and echo detection from multiple scattering events.
This reduced noise was most likely responsible for the superiority of THI over conventional US in the visualization of the findings and improved the confidence of diagnosis for most cases. THI was superior to conventional US in the visualization of lesions containing highly reflective tissues such as fat, calcium and air. It is therefore recommended to be used in obese patients. Better definition of the posterior acoustic shadows in calcifications and appendicolith(s) [21-28].
In our previous study the negative appendectomy rate was 17.5% compared to 4.3% in the current work. Contrary to our previous results [1] some published data expressed a negative appendectomy rate of 5.5% by applying somewhat similar scoring system [19]. The reason for such difference may be their use of computerized tomography scanning (CT) in their system. However, the difference in the negative appendectomy rate does not support the use of such an expensive sophisticated and hazardous radiological tool to children. CT scanning is not always available in all centers limiting its incorporation in clinical practice guideline scoring system. A recently published study of a practice guideline found that CT scan did not improve the accuracy of diagnosis in patients with suspected appendicitis [29]. Their guideline did not specifically address the appropriate use of CT scan.
Our MCPGS results, however, did show a great decline in the rate of negative appendectomies. This goes with data of some authors who showed that an imaging protocol using US followed by CT in their patients with equivocal presentations improved the accuracy of diagnosis of appendicitis [30].
We presented our results of MCPGS which evolved from this and other studies recommending ultrasound as the imaging modality of choice in most patients. In addition the recommendation of MCPGS was not limited to imaging alone. Most clinical practice scoring guidelines encourage, but do not require complaints with recommendations [31]. Measuring complaints can be challenging because scoring guidelines can include numerous recommendations and because patients, especially children do not always match preconceived scenarios [32]. Although many barriers limit physician acceptance of scoring guidelines [33], the compliance with our MCPGS is consistent with other developed practice scoring guidelines [2,3,6-9,34]. A considerable portion of the improvement seen in our study could be because of the utilization and accuracy of suitable imaging.
Practice scoring guidelines and clinical pathways have been implemented for many conditions [26], including acute appendicitis [16,30,35]. Analysis of such guidelines can focus on any combination of patient outcome, resource utilization or complaints with recommendation [16,34-38].
Although most appendicitis scoring guideline and pathways focus on decreasing postoperative treatment cost, a few concentrate diagnosis itself. One such pathway in a pediatric hospital achieved a significant reduction in the number of laboratory tests and X-rays without adversely affecting the incidence of negative appendectomies or perforation [34].
In our proposed MCPGS we included the minimum necessary laboratory investigations to measure the inflammatory response and time and effort saving tissue harmonic abdominal ultrasound scan in order to decrease the probabilities of misdiagnosing acute abdominal pain due to other reasons as acute appendicitis.
In our previous and current studies; all patients underwent the active watchful waiting strategy. This excludes that the decision-making process did result strictly from the MCPGS, and was not rather based on the repeated clinical re-evaluation that was adopted also on CPGS. This exactly shows that our proposed score is superior to the real life common clinical practice.
It may be concluded that the use of a modified clinical and THI ultrasonographic grading score (MCPGS) with the rationale of active watchful waiting in suspected appendicitis with at least one time repetition of THI-US was a prudent and safe strategy. It may improve the accuracy of diagnosing acute appendicitis in the pediatric population as it is superior to the real life common clinical practice.
It leads to fewer negative appendectomies compared with those children to whom it was not applied or other scoring systems were applied as the CPGS with the same strategy of active watchful waiting and repeated US, without a significant change in the perforation rate. Moreover, inpatient observation for serial examinations was reduced significantly. Our clinical practice grading scores can have considerable impact on the diagnosis of acute appendicitis in children. A larger cohort is necessary to validate our findings.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
OMZ has inspired the idea, collected the data and created the analysis and wrote most of the manuscript. TAS helped in collecting the data, analysis and writing of the manuscript. THK and TW have performed the sonography, collected the data and helped on manuscript writing. All authors read and approved the final manuscript.
We would like to acknowledge Dr Essam Abd El Bari and Dr. M Yasser Ibrahim for their assistance in revising the manuscript.
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**Breaking News** Jurors Find Love & Hip Hop's Mendeecees Harris NOT Guilty In Teen Sex Trial
- By Bossip Staff Categories: Arrests, For Discussion, For Your InformationJurors in New Jersey this afternoon acquitted "Love & Hip Hop" star Mendeecees of sexually assaulting his stepdaughter by coercing her with money and other manipulation when was 15-years-old.
According to Cliffview Pilot reports:
Fellow "Love & Hip Hop" star Yandy Smith was among those in the courtroom who leapt to their feet and stomped, clapped, shouted and sobbed, raising arms skyward, as the verdicts to the eight individual charges were read just before 4 p.m.
"I love you!" one of them shouted to the jurors, who returned the verdicts after a few hours of deliberations.
Sheriff's officers then asked them to return to order.
When they wouldn't, Presiding Superior Court Judge Liliana DeAvila-Silebbi directed the officer to escort the group out of her courtroom.
"The reality of celebrity life is, unfortunately, you sometimes walk around with a target on your back," defense attorney Emil Lisboa told CLIFFVIEW PILOT. "You don't know if your friends are your friends or are just trying to get something out of you."
Assistant Bergen County Prosecutor Demetra Maurice, in turn, said: "I respect the jury's decision and the time and attention they gave this case."
The alleged victim's grandmother and aunt left as the verdicts were being read.
"It's in God hands," the grandmother, who is a pastor, told CLIFFVIEW PILOT. "The truth will come out."
She was among those who remained, despite the weather, as the day wore on. She prayed at times, as did Smith, who wept as she and several people who accompanied her throughout the trial huddled together.
Harris's troubles are far from over. Instead of going free, he was returned to the Bergen County Jail, where federal marshals have been holding him on a detainer.
He'd been free on bail pending the start of the trial, but he surrendered here last week after being named in a federal indictment out of Rochester, N.Y. that accuses him and two other men with trafficking $2.5 million worth of drugs
The government is expected to bring that case against him now. Arrangements are expected to be made to extradite him to New York early next week.
Although Mendeecees was found not guilty today, the court of public opinion is probably less favorable for the reality TV star. It's going to be hard to shake off the pedo label once it's stuck onto you like a bad smell.
Do you think Yandy and her baby daddy should continue to be featured on VH1 'Love & Hip Hop' or should their story be canceled??

subset: commoncrawl


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Book your room at Hotel Villa Dei Giuochi DelfIci
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Hotel Villa Dei Giuochi DelfIci features tour/ticket assistance, multilingual staff, and a garden. Event facilities include a conference center and a meeting room. Public areas are equipped with high-speed wireless Internet access (surcharge). A bar/lounge is on site where guests can unwind with a drink. For a surcharge, a roundtrip airport shuttle (available on request) is offered to guests. This business-friendly inn also offers concierge services, laundry facilities, and a television in the lobby. Complimentary self parking is available on site.
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Cash transactions at this property cannot exceed EUR 999.99, due to national regulations. For further details, please contact the property using information in the booking confirmation. This property offers transfers from the airport (surcharges may apply). Guests must contact the property with arrival details 24 hours prior to arrival, using the contact information on the booking confirmation. Children 2 years old and younger stay free when occupying the parent or guardian's room, using existing bedding. Only registered guests are allowed in the guestrooms. The property has connecting/adjoining rooms, which are subject to availability and can be requested by contacting the property using the number on the booking confirmation. No pets and no service animals are allowed at this property.


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Malcolm Gladwell takes us on an intellectual journey through the world of "outliers"--the best and the brightest, the most famous and the most successful. He asks the question: what makes high-achievers different? His answer is that we pay too much attention to what successful people are like, and too little attention to where they are from: that is, their culture, their family, their generation, and the idiosyncratic experiences of their upbringing. Along the way he explains the secrets of software billionaires, what it takes to be a great soccer player, why Asians are good at math, and what made the Beatles the greatest rock band. Brilliant and entertaining, Outliers is a landmark work that will simultaneously delight and illuminate.
CLICK HERE to watch how UNF Instructor Dawn M. Wessling, M.Ed, NIC Master, is currently using Outliers in her courses!
Dawn is an instructor in Exceptional, Deaf and Interpreter Education within the College of Education and Human Services.


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Salad Fingers A strange cartoon about a creature who loves to touch rusty metal.
Author Comments
This is my Salad Fingers/Tim Burton Tribute thing.
Rated 4.5 / 5 stars
needs more quality
for me was very funny ( if that was your intention), the chomp sound was very fun.
Rated 3 / 5 stars
The chomp sound at the beginning is a very cartoony effect and threw the mood off for me. Need to be more careful. Also, the voices were kinda lame.
For what it was, I enjoyed it.
Rated 2.5 / 5 stars
could be better
try giving it more realistic blood and a longer storyline
Rated 0 / 5 stars
no offence, but that wuz soooo bad, it was nothing like salad fingers, it wasnt freaky or anytin, u shud make more of a plot and hav a few GOOD ideas before you start making it
Rated 1.5 / 5 stars
no offense but....crap..
this movie didn't have any plot or any sense all the time and it wasn't random like Salad Fingers and I can't say that this was creepy because the goat made me feel more silly than creeped out!


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Posted: Monday, July 1, 2013, 9:06 am
Mark your calendar with our upcoming special hours.
All Worthington Libraries locations will close early at 6:00pm on Wednesday, July 3 and will remain closed on Thursday, July 4 in observance of the Independence Day holiday.
The Library will open again for normal hours on Friday, July 5 from 9am-6pm.
To keep current with all our upcoming closures, visit our Calendar.
We wish you a safe and happy Fourth of July!
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Boss 6 Series
by PaceSaver (Model No. BOSS 6 SERIES)
In-Stock |
Leaves Warehouse In: Ships 3-5 Business Days, Red ships 5-7 Business Days
Ground Shipping: FREE for orders over $50! | |
2nd Day: $0.00 Overnight: $0.00 | |
Expedited Shipping: Unavailable |
- FREE Curbside Delivery
- 110% Low-Price Guarantee
- Free Batteries
- Free Shipping for Orders over $50
- Spring Suspension
- Removable Arms
- Lifetime Limited Warranty
- 675 lb. weight capacity available
- Three frame colors
- Solid seat unit available
- Transportable - separates into six pieces
- Multiple seating options
Key Specs
- Top Speed: 4.50 mph
- Turning Radius: 27.00"
- Heaviest Piece: 147 lbs.
- Battery Charge Distance: 20.00 miles
- Weight capacity: 600 lbs.
- Weight: 350 lbs.
- View All Specs
Overview of the Boss 6 Series
The PaceSaver Scout Boss 6 Series Power Wheelchair offers maximum comfort and power. The Boss 6 Series offers two models with either 600 or 675 lbs. weight capacity and heavy-duty 4-pole motor with 90 amp modular controller. The orthopedic contoured "Com-for-Back" seat is standard and designed for maximum comfort. The Boss 6 Series Power Wheelchair also features shock absorbing spring suspension for a smooth ride and the chair is made in the U.S.A. so you can be assured that is it well-built and durable.
What Makes This Different
The Boss 6 Series is the only power chair available with a 675 pound weight capacity. Not only does it have the highest weight capacity of any of our power chairs, but it also has an 18 mile drive range between charges and an impressive 8º incline rating. This chair can go longer and farther than most chairs.
Why We Like It
The Scout Boss 6 has a low center-of-gravity for enhanced stability, control and drivability. It is made with top-notch materials and is built to take a beating.
What You Need to Know When Ordering
This chair ships via a standard Curbside delivery or with an optional upgraded White Glove delivery. The Curbside delivery ships the chair directly to you, via a freight company, and the chair is delivered to the ground level of your home. If you have any stairs leading to your door, the delivery company will leave the box at the base of the stairs. For additional assistance, choose the upgraded White Glove delivery option. This option delivers the chair to a local trained agent where the box is unpackaged and inspected for damage. The agent will call to schedule a delivery and bring the chair directly to you, into your home. Though our White Glove Delivery option includes the set-up of your power chair, comfort adjustments, like foot rest height, will need to be done by the caregiver or user.
Measuring Guide
Depth1 Measure from the most posterior point of the body to the inside of the knee, minus at least two inches. Some prefer more leg overhang to make room for their hand when lifting their leg. Back Height2 Measured from the seat base to the top of the chair back. Power wheelchair riders need upper back support, particularly for the moment of initial acceleration. Hanger Angle3 Determines how far the toes extend away from the body, measured from the horizontal. A tighter angle allows the electric power wheelchair to turn around in less space. Depends in part on ability of the knee to bend towards the perpendicular. Seat Width4 Determined by the widest point of the body from knee to hip, plus an inch to ensure room to move. Consider bulk of clothing, particularly a heavy winter coat, if relevant. Front Seat to Floor5 Measure the leg from the back of the knee to the sole of the foot. Then subtract the thickness of the cushion when it is compressed. Next, add a minimum of two inches for footrest clearance. Electric power wheelchairs are almost never foot-propelled by the user - so excluding the additional two inch footrest height for propelling is very rare. |
More Information on the Boss 6 Series
- See also:
- Details & Specs
- Warranty
- Returns
Specifications for the Boss 6 Series
Top Speed: | 4.50 mph |
Turning Radius: | 27.00" |
Ground Clearance: | 3.00" |
Heaviest Piece: | 147 lbs. |
Maximum Incline Rating: | 8 º |
Battery Charge Distance: | 20.00 miles |
Drive Type: | Mid Wheel Drive |
Foldable: | Yes |
Disassembles: | No |
Armrest Options: |
Height Adjustable Flip-Back |
Legrest Options: |
Footplate Elevating Legrests Swing-Away Legrests |
Seat Options: |
Reclining Back High-Back Seat Captain's Seat |
Seat Widths: |
20" 21" 22" 24" 25" 26" 27" 28" 29" 30" |
Seat Depths: |
18" 20" 21" |
Maximum Seat to Floor Height: | 21" |
Overall Width: | 28.50" |
Overall Length: | 48" |
Joystick Options: |
Right Left |
Adjustable Hanger Brackets: | No |
Frame Type: | Heavy-duty |
Batteries Included: | Yes |
Battery Charger Type: | On Board |
Expedited Shipping Available: | No |
Approximate Shipping Dimensions and Weights
Product Weight: | 350 lbs. |
Box 1 | |
Shipping Weight: | 425.00 lbs. |
Length: | 56.00" |
Width: | 27.00" |
Height: | 32.00" |
Warranty Information for the Boss 6 Series
The following parts will be repaired or replaced at our discretion, free of charge, for the following allowable time periods from the date of purchase.
Lifetime Limited: Main frame components
5 Years: Transaxle
2 Years: Virtually all internal components including the electronics
6 months: Batteries (covered by battery manufacturer, not Pacesaver)
All of the previous parts are covered for defect in material and/or workmanship. Any abuse or intentional misuse of the scooter will void the warranty.
More Information on the Boss 6 Series
- See also:
- Overview
- Details & Specs
- Returns
SpinLife Return Policy for the Boss 6 Series
This item is custom-made by the manufacturer to suit your specific needs and is therefore non-returnable.If you have questions about this item please call a SpinLife Expert at 1-800-850-0335.
More Information on the Boss 6 Series
- See also:
- Overview
- Details & Specs
- Warranty
Customize & Buy


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Shrinking global workforces will dampen economic growth and make it difficult for governments to shoulder the burdens of an aging society.
James C. Capretta is a Senior Fellow at the Ethics and Public Policy Center and a Visiting Fellow at the American Enterprise Institute.
Fletcher Forum articles by James C. Capretta:
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GradeSort Ascending and Descending by Grade | CommentsSort Ascending and Descending by Comments | PriceSort Ascending and Descending by Price | Qty | Buy Now |
"EXCELLENT PLUS" rates 90 to 96 percent of original condition. Exceptionally nice, but may have slight wear on finish visible only under close inspection. Glass will be very clean. | With Battery and Charger | $115.00 |
Item Added To Cart NIKON COOLPIX 8800 DIGITAL CAMERA {8 M/P} Excellent Plus / With Battery and Charger |
"EXCELLENT CONDITION." 80 to 89 percent of original. Shows moderate wear for the age of the item, with the possibility of small dings or blemishes. Glass may have slight blemishes but will not affect picture quality. | With Battery and Charger | $109.00 |
Item Added To Cart NIKON COOLPIX 8800 DIGITAL CAMERA {8 M/P} Excellent / With Battery and Charger |
Nikon Coolpix 8800 Digital Camera, introduced September 2004 by the Nikon Corporation, was designed for photographers who desire to take professional grade images. The Nikon Coolpix 8800 employs 8 megapixels with a high powered 10x zoom Nikkor ED glass lens with vibration reduction. The 10x Nikkor ED lens has a focal length of 8.9-89mm and incorporates an extra-low dispersion to minimize chromatic aberrations for sharp clear photos. Macro option allows shooting as close as 3cm. It also features continuous shooting at 1.6 frames per second.
The Coolpix 8800 has automatic selection of the best relative exposure using Auto-Exposure-BSS (AE-BSS) and exposure modes to give you the highest degree of creative control possible. Cooplix 8800 has one touch dial operation for ease of control. Nikon D-Lighting accommodates for underexposed areas or inadequate flash without an impact on properly exposed areas. Coolpix 8800 includes in-camera red-eye fix, PictBridge for direct printing capabilities, and PictureProject Software for organization and transfer of your photos.


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So work is sending me to Golden for a week, staying at the Candlewood Suites on Tabor Street. I'll be there August 11th through the 16th. I am wondering if anyone can recommend a shop that may do rentals? Also if there are any nearby trails? I ride a heavier 6" travel bike, but do most types of riding, so as long as the trail is nice, has sights to see, and I am on a bike, I'll be happy. I also have lights I can bring if there are any good night rides, as I am unsure how late my classes get out. I really appreciate any help. Thanks.
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Route Maps
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Black Diamond & White Gold "Quadrifoglio" Drop Earrings
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Anaconda floral "Quadrifoglio" drop earrings crafted of 19k white gold set with five black diamonds.
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Features: Club News: School News: Travel Essay: Close-ups: |
EducationAlumni from the School of Education and Social Policy's Master of Science in Education Program spent part of last summer mentoring Cook and DuPage county 9- to 14-year-olds in the Big Brothers Big Sisters of Metropolitan Chicago's Summer Scientists program. Funded by a BP America Leader Award, the pilot program gave students a hands-on look at science at local museums, colleges, laboratories and nature preserves. |


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Texans FO frustrated with Kubiak?
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Serving Koolaid
Join Date: Dec 2010
Location: Houston, TX
Section: 2" from the TV, Screaming.
Age: 30
Posts: 7,476
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Re: Texans FO frustrated with Kubiak?
I see nothing wrong with how this team was being built, they built through the draft like any good team should, BUT the problem is that you get these good players and then when it comes pay day you cannot afford them all. Just imagine what Watt is going to cost us here very soon.
And as far as Schaub goes, he was an above average QB until this year, and before Haynesworth flopped on his foot he was a very good QB imo. Theres certain things you cant control.
AND this staff has been very good in drafting players, well they were before this seasons draft cause as of now it looks like the worst we've had in a while. This team is not as bad as the record indicates IMO. I believe next season we will return to the top of the AFC.
"Oh, yes, and one more thing, dear Lord about our enemies? Ignore their heathen prayers and help us blow those little bastards straight to hell. Amen again."
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Legal Notices Platte County Official Legal Notices
TO CONTACT US by email Click Here! or by phone 816.858.0363
Advertise Your Company Here
Contact Lawmakers by Congress Click here to: Find Federal Officials & Find State Officials
by Alan McArthur Landmark reporter
Weston city collector Lori Cogan was fired at a special board of aldermen meeting on June 26.
The board voted 3 to 1 to terminate the employment of Cogan. The only dissenting vote was from alderman Greg Hoffman.
"It's not that I disagree with the other aldermen," said Hoffman. "I wanted to wait until after the audit to find out exactly what happened. It was only about timing."
All of the aldermen then voted to hire Todd Karlin of Karlin & Company to conduct an audit of the 2007 deposits to bank records and water postings.
The aldermen then hired former city clerk Mary Hayworth to fill in as a part-time temporary worker for $16 per hour.
According to the Weston Police Department, officials at Weston City Hall requested them to ask the Platte County Sheriff's Department to investigate Lori Cogan. The sheriff's department this week declined to comment on the alleged investigation.
All Rights Reserved. The material on this web site may not be published, broadcast, or redistributed without the permission of The Landmark.


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BREAKING: Berenice Marlohe Is The New Bond Girl
No offense to Daniel Craig but the driving question behind most James Bond films is not who will be playing Bond himself but who will be the often deadly and always alluring female leads next to him. The Bond Girl is one of the most iconic roles in all of film, one littered with high profile misfires - Denise Richards, Madonna and Halle Berry in recent years - and star making turns from young unknowns.
Producers have opted to go the latter route with the casting for Sam Mendes' upcoming, still untitled 23rd Bond film.
Sources tell Twitch that Berenice Marlohe has been cast opposite Daniel Craig in Mendes' upcoming installment of the long-standing franchise. A young French actress currently making the transition from television to film - she is currently filming Un bonheur n'arrive jamais seul with Lucky Luke and Hellphone director James Huth - while the photo above provides ample evidence as to why she would be of interest to the Bond team. Bond 23 is currently in pre-production.
Around the Internet:


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Zombie Nation 5K Fun Run/Walk
Des Moines Water Works
Sat 10/12/2013
Date | Time | Race | Distance |
About us:
We are a local Organization specializing in fun runs but with a cause. All Races put on by Run4Fun LLC will have a fun theme and be for a cause.
Runners and Walkers can register as individuals, or sign up as part of a team. Teams are made up of four or more runners. All runners and walkers participating in Zombie Nation 5K will receive the following items:
· Custom "zombie Nation" Finisher's Medal.
· Zombie nation 5k T-shirt.
· Entry to the Post Race after Party.
· One of the best race experiences of your life.
The After Party
Come for the 5K, but stay for the party, participants will enjoy one of the best Zombie nation parties ever assembled with thousands of Zombie runners and walkers dancing the night away as local DJ's keep the party going. Participants over the age of 21 will also be able to enjoy the alcohol vendors.
Event schedule and times
October 12th 2013
Des Moines Water Works
Gates open at 7am for special effects make up etc. First wave of runners/walkers releases at 12:30 AM.
- Address:2201 George Flagg Pkwy
Des Moines, IA 50321


text: If 3d-performance is not so important: Any Radeon < X2*** realy. They all should work with good 2d acceleration, Compositing and Xv out-of-the-box with most current distros. I hear the 9**** and X8** are the best supported (around long enough to be well supported and not old enough to be too slow) and you should be able to get one for a few bucks used somewhere.


text: Page 1 of 2 First · Prev · Next · Last PavolSatala Slovakia Author develops in various programming languages included: C++, Javascript, and PHP. Last year he creates mobile cross platform applications in Moscrif SDK. Follow on Twitter Jay Surovy United States No Biography provided Jozef Prídavok Architect Casperise Slovakia Jozef Pridavok is the author of the Moscrif SDK - the most efficient solution for mobile development currently on the market. Jozef has more than 10 years of experience in software development. Prior to the establishment of Mothiva, Jozef founded company called Inlogic Software, development studio focusing on creation of mobile applications and games. Jozef has keen eye and a great passion for mobile technologies and software development and he believes that building software for smartphones and tablets can be more appealing, simpler, more fun and enjoyable as it is now. Follow on Twitter Member 10052772 Student AOT India No Biography provided waituu China No Biography provided Vasim889 India No Biography provided vasim sajad Software Developer kameda infologics India No Biography provided Follow on Google Sahil Mahajan Mj India No Biography provided MuskanMer123 Romania No Biography provided mirtahmid Sweden No Biography provided mangal86 Team Leader Sahyadri educational Institute India I am a specialist in Image and video processing . At the same time i am comfort with Web technologies . Erich Duda Software Developer Slovakia Developer of various desktop application in: C/C++, C# or Java. Currently he develops mobile games or applications in Moscrif SDK. Follow on Twitter Anurag Athram India No Biography provided Anil KumarM Software Developer hirecraft software pvt ltd bangalore India No Biography provided amanpavanker United States No Biography provided Member 8611080 United States No Biography provided Member 11038012 India No Biography provided WhiskyLiu Software Developer (Senior) Wistron China No Biography provided 梁文龙 United States No Biography provided Page 1 of 2 First · Prev · Next · Last


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The average Compliance Analyst in the United States can expect to rake in roughly $54K per year. Including potential for bonuses and profit sharing — peaking near $8K and $10K, respectively — total cash payment to Compliance Analysts can bottom out near $36K or peak near $79K depending on individual performance. Earnings for this group are mostly affected by location, followed by years of experience and the specific company. A large number enjoy medical while most get dental coverage. Vision coverage is also available to a majority. Women account for the majority of Compliance Analysts who responded to the questionnaire — 64 percent to be exact. The majority of Compliance Analysts claim high levels of job satisfaction. The data for this synopsis comes from respondents who took the PayScale salary survey.
Compliance analysts are responsible for ensuring that compliance has been achieved inside and/or outside their organizations.
Read More...J.P. Morgan Chase & Co. (JPMCC) pays the most with a median salary of $51K, though with a large amount of variation, going from a low of $39K to a high of $82K.
Survey results suggest that Compliance Analysts put a wide range of professional skills to use. Most notably, skills in Project Management, Regulatory Compliance, Legal Compliance, and Compliance are correlated to pay that is above average, with boosts between 7 percent and 12 percent. At the other end of the pay range are skills like Bank Security Act Compliance and Microsoft Excel. Most people familiar with Data Analysis also know Research Analysis.
Median of all compensation (including tips, bonus, and overtime) by years of experience.
For Compliance Analysts, more experience in the field does not usually mean bigger paychecks. Relatively untried employees who have less than five years' experience make $50K, but folks with five to 10 years under their belts enjoy an appreciably larger median of $60K. Compliance Analysts who work for 10 to 20 years in their occupation tend to earn about $61K. Old hands boasting more than twenty years of relevant experience report pay that is more or less commensurate with that extensive experience; average earnings for this group come out to approximately $64K.
New York offers some of the highest pay in the country for Compliance Analysts, 32 percent above the national average. Compliance Analysts will also find cushy salaries in San Francisco (+26 percent), Chicago (+15 percent), Boston (+14 percent), and San Diego (+14 percent). Trailing the national average by 11 percent, Tampa is the market with the smallest paychecks. Two other places where employers offer below-median salaries are St. Louis (5 percent less) and Houston (4 percent less).
Highly satisfied |
Rated 4 out of 5 based on 380 votes. |
64 % |
36 % |
Medical: 89% | Dental: 82% | ||
Vision: 68% | None: 8% |


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Bees, sheep, and chimps are just a few of the animals known to self-medicate. Can they teach us about maintaining our own health?
Bees, sheep, and chimps are just a few of the animals known to self-medicate. Can they teach us about maintaining our own health?
The blogosphere voices widespread condemnation for a sexist comment made by a researcher attending this week's annual Society for Neuroscience conference.
An African rat helps detect tuberculosis in Tanzania, prompting the Mozambique government to pursue a similar project.
The commonly abused hallucinogen shows promise in extinguishing fear in rats, pointing to possible benefits for patients with post-traumatic stress disorder.
New research shows that the growth of long-range connections between brain regions predicts how well a child will learn to read.
John B. Gurdon and Shinya Yamanaka win this year's Nobel Prize in Medicine for learning how to reboot cellular development.
John B. Gurdon and Shinya Yamanaka jointly take home this year's Nobel Prize in Medicine for turning back the developmental clock.
Brain cells called pericytes can be reprogrammed into neurons with just two proteins, pointing to a novel way to treat neurodegenerative disorders.
Researchers find that a deadly bacterial disease hitchhikes in people infected with the virus that causes AIDS to spread throughout sub-Saharan Africa.
A new rhabdovirus may be responsible for an outbreak of fatal hemorrhagic fever.


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Winterizing For Cold Weather
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Winterizing For Cold Weather
I do not belive in counting on things like shore power. Almost evey one I know that will tell you to just keep a heater going is going to change there mind on a cold and stormy night when the Ice takes out the power or a car hits a telphone pole. That hapens mostly when the whether is at its worst. develope a quike and easy way to winterize. It will only take a few minates at the end of a nice sail. I caqn do mine in less that 5 minets. You will sleep better. Also preach it at your dock. You just might save some one else a real expensive mistake.
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Richard S. Braddock
Chairman and Chief Executive Officer
Fresh Direct
Mr. Braddock, began his business career in 1965 spending a number of years in product management at General Foods. He joined Citicorp in 1973, was elected to the board of directors in 1985 and was elected president and chief operating officer of Citicorp and its principal subsidiary, Citibank, N.A. in January, 1990. Mr. Braddock resigned from Citicorp in November, 1992, and subsequently served as chief executive officer of Medco Containment Services, Inc. until its acquisition by Merck & Co., Inc., and then spent a year as a principal at Clayton, Dubilier & Rice, Inc. He served as chairman (non-executive) of True North Communications Inc. from December, 1997 to January of 1999. He served as chairman and chief executive officer of priceline.com from August of 1998 to April 2004. Mr. Braddock served as chairman of MidOcean Partners from April of 2003 until December 2007, and also became chairman of FreshDirect in 2005. In March of 2008 Mr. Braddock became chairman and chief executive officer of FreshDirect. Mr. Braddock serves on the board of directors of Eastman Kodak Company (lead director), FreshDirect Holdings, Inc., Lincoln Center for the Performing Arts, Cristo Rey Network, and several private companies. He is a trustee of the Manhattan Institute and a member of the Council on Foreign Relations. |


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Home > Devotionals > Today's Verse |
Today's Verse for Sunday, February 3, 2013In this was manifested the love of God toward us, because that God sent his only begotten Son into the world, that we might live through him.
—1 John 4:9 (KJV)
Thoughts on Today's Verse...Showing love is about sharing life with someone else. No one quite epitomizes this principle like Jesus! His sacrifice, however, is what saved us and brought us to our new life in Christ. Now God wants us to show his love to others by sharing it in ways that they can understand and appreciate. Prayer...Holy LORD, my heavenly Father, thank you for today. Help me share my life with someone else who needs to experience your grace. Please help me notice those who are wounded and please give me the wisdom on the best way to lead them back to you. In Jesus' name I pray. Amen. Today's Verse IllustratedComments on '1 John 4:9': |


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My flight from Calgary lands at 6:50 AM at Pearson on the morning of the Euro GP. Any suggestions where I can watch on TV? Doubtful that I could get into my hotel room downtown at that hour. Thx.
View Euro GP at Toronto Int'l Airport?
Started by
, May 12 2005 21:25
1 reply to this topic


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Old Gringo Dragon Embroidered Cowgirl Boots - Pointed Toe
No longer available to purchase
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Artisan handmade Old Gringo Dragon cowgirl boots
Shimmering tonal dragon design embroidery
Cascading down outside of shaft and along boot vamp, extending to heel counter
Decorative silver-tone studding details wingtip and collar
Leather upper, lining, insole, heel, & sole
Tinting, abrasions, & scarring on leather add vintage boot character
FIT NOTE: If you wear a wide width, we recommend ordering 1/2 size larger than your normal size
Old Gringo Boot Co. was founded on a single goal: creating western footwear that combined the best materials with the skills of exceptional craftsmen. Each boot is handmade following an incredible 110-step process. To meet the rigorous demands of their designs, Old Gringo produces and tans its own leathers, developing exclusive textures, colors, and finishes. The Old Gringo Dragon cowgirl boot is just that! This Old Gringo women's boot features an attractive, black distressed leather foot under a 13" matching leather shaft. Black shaft stitching offers a touch of shimmer. Sanded leather sole with a rubber grip heel. Height-boosting 3" cowboy boot heel. Single stitched welt. Hand-driven lemonwood pegs. Pointed toe profile. Imported.
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just received these this morning, I love them. I collect dragons and when I saw these I had to have them. I might go back and get the tan ones also. The fit is great. I do not have a wide foot but got the half size larger anyway and the fit is perfect with socks or an insert, not both. The boots are beautiful. I have a purse that matches perfectly, also one that matches the tan boots. I have worn them around the house today and they are very comfortable. I hope the tan ones will be around in my size for a couple of months so I can save to get them.
October 2, 2012
Cowboy Boot Fit Guide
Old Gringo Dragon Embroidered Cowgirl Boots - Pointed Toe
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- Equipment World - http://www.equipmentworld.com -
Family of erosion control products unveiled at EC10
Posted By Equipment World Staff On February 25, 2010 @ 11:25 am In Boomerang | No Comments
Carthage, Missouri (February 17, 2010) – Diversified manufacturer Leggett & Platt (NYSE: LEG) unveiled its new Landmark Earth Solutions [1] product line today in Dallas, Texas, at Environmental Connection 2010, the International Erosion Control Association's annual conference and exposition. Landmark Earth Solutions is a new line of civil engineering products combining the latest scientific and technological advances with more than 125 years of manufacturing expertise. The product line is an initiative of Leggett & Platt's Industrial Materials Segment.
The initial Landmark Earth Solutions product offering includes ScourStop™ transition mat technology; Safe Slope® hydraulically applied mulch; and BarriCage™, a welded wire gabion system.
The flagship product, ScourStop, is a transition mat system that provides a no-maintenance, vegetated, NPDES-compliant alternative to rock rip rap. Typical applications include culvert outfalls, overflow structures, stream banks, bridge drains, and levee and shoreline protection.
ScourStop transition mats provide impact resistance, tensile strength and ease of maintenance when placed over a turf reinforcement mat and/or sod and anchored to the native topography of the site. Areas of the highest hydraulic stresses, and potential for scour, are protected by the transition mat while other soil cover BMPs are used in downstream, lower stress areas.
"ScourStop is an engineered technology that's been performance tested at one of the nation's premier hydraulics laboratories, Colorado State University," said Bill Murphy, P.E., Applications Engineer for ScourStop. "No other erosion control product provides a proven vegetated solution with comparable performance values for mitigating scour under extreme hydraulic conditions."
Prototype performance results for ScourStop have been shown to meet or exceed those of conventional hard armor solutions for scour outlet protection. Murphy said ScourStop, fully vegetated, could withstand hydraulic velocities of 31 ft/sec and 16 pounds of shear on a 2:1 slope.
Safe Slope is a natural fiber hydromulch made from a blend of cotton plant byproducts, other crop residue and polymers to protect against seed and soil loss from the elements. The product's patent-pending technology utilizes both chemical and mechanical techniques to create a flexible, porous seal, absorbing and holding enough moisture to facilitate seed growth and reduce erosion. Safe Slope has been developed through a Cooperative Research and Development Agreement with the U.S. Department of Agriculture – Agricultural Research Service. It will be available for sale in mid-2010.
BarriCage is a welded wire gabion system for soil retention and slope stabilization, erosion and flood control at levees and stream banks, and architectural applications. Leggett & Platt's vertically integrated wire production enables it to offer a consistent, high quality, cost effective gabion product.
For more information, visit www.landmarkearthsolutions.com [1], or call (888) 574-6473.
Article printed from Equipment World: http://www.equipmentworld.com
URL to article: http://www.equipmentworld.com/family-of-erosion-control-products-unveiled-at-ec10/
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[1] Landmark Earth Solutions: http://www.landmarkearthsolutions.com/
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Copyright © 2012 Equipment World -- Development. All rights reserved.


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North Park Soccer Celebrates One of its Brightest Stars
"Isaac Lee has given us a lot of credibility in the soccer community."
CHICAGO, IL (May 18, 2009) – When Isaac Lee returns to South Korea to play professional soccer this summer, he will leave North Park University as one of the most accomplished athletes in the school's history, says Coach John Born.
Lee has distinguished himself on and off the field. A four-year letter winner and All-American, he was a 2006 CCIW champion and the 2009 North Park Male Athlete of the Year. He also played on the development team for the Chicago Fire in the Major Soccer League, and just missed making the cut for the South Korean Olympic team. (Read more about Lee's
in our
Lee came to the United States when he was 15 so that he could play soccer and receive a strong education. He attended high school at Marmion Academy in Aurora, Ill., and was courted by Division I schools such as Indiana and Ohio State universities. But it was the relationship Lee built with a North Park coach that made the difference.
"A lot of coaches say, 'I'll help you,' but Coach John—I felt like I could trust him," Lee says. It also helped that Born was serious about his Christian faith and that his wife is Korean.
Lee came to North Park in 2003 and played one season for the Vikings before moving to Germany to play European soccer. He quickly advanced up the amateur ranks and was scouted by large professional clubs, but ultimately decided that he needed to finish his college degree and returned to North Park. He will complete his final two classes this summer, and then plans to return to Korea to be closer to family.
While he looks forward to the next chapter of his life, Lee says, "I have really had a great experience at North Park." Born, too, is grateful to have had Lee be a part of the North Park team. "It's been a big privilege to have him," he says. "He has given us a lot of credibility in the soccer community."


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Just Trying to Help
Those funny guys over at the Jerry Dumas campaign for state Senate continue to amaze and amuse with their broadsides at opponent Jon Lindsay in the 7th District GOP primary. Most recently, Dumas has offered "to help Lindsay clear his name" by providing him a free polygraph to test the truthfulness of accusations that he had accepted bribes from a contractor pal while he was county judge. Dumas also helpfully volunteers to provide and pay for a handwriting expert to peruse a contract purporting to show Lindsay accepted $5,520 from the sale of a piece of land by the same contractor. Lindsay has admitted signing the contract but says a second signature indicating he accepted the money is a forgery. And if those gifts go unclaimed, next week Dumas is expected to offer Lindsay a free injection of sodium pentothal. What a guy!
Party of the People
Under chairman David Mincberg, the Harris County Democratic Party has a track record for putting more slugs in its own feet than in Republicans. The latest casualty is Michael Moon, a Dallas operative brought in by Mincberg at $2,500 a month to run this spring's party primary. Moon didn't last long -- he was forced to resign after just three months on the job. The precipitating incident was a squabble with Mincberg over a returned filing-fee check from Alvin Roy, a last-minute challenger to incumbent Garnet Coleman in state House District 147.
While a bounced check is a justification for disqualifying a candidate, Roy claimed that his bank had made an error and he had the funds to cover the draft. Moon says after checking with the bank, which confirmed Roy's story, he redeposited the check rather than remove Roy from the ballot. That angered Mincberg, who called Moon in the following week, demanded his resignation and then bounced Roy off the ballot. Other sources say Coleman was also angry at Moon, since having an opponent would put the brakes on his plans to devote the next few months to serving on the transition team for incoming state Democratic chairman Bill White. Coleman denies having anything to do with Moon's ouster and says he even offered to help him find another job. Roy, who had filed suit over his removal from the ballot, has now been reinstated by the party. Moon should be so lucky.
Drop a dime on the hypocrites, malefactors and other disturbers of the commonweal by dialing 624-483 or 624-1496 (fax).


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This is what I hope to be a complete survey of all my dance writings in the last ten or so years. Several contributions are available online and are linked. All questions and comments about these articles can be addressed by email. A visit to the respective websites of the magazines and journals is always helpful (See: Links).2015
Don Quixote (Royal Ballet Flanders, Flanders Opera Ghent - February 7, 2015)2014
Dance on DVD/Blu-ray. Roland Petit's Notre-Dame de Paris, Teatro alla Scala (Opus Arte)2013
Dance on DVD/Blu-ray. The Bolshoi Ballet HD Collection: La Bayadère (BelAir)2012
Amsterdam with a Spanish flavour (Dutch National Ballet - Paquita, Bolero, Carmen)2011
Swan Lake (Dutch National Ballet, Muziektheater Amsterdam - October 17, 2011)2010
Citizens of the World, but Russians through and through2009
The Ballets Russes: Paris-Moscow: Paris Opéra Ballet and Bolshoi Ballet, Palais Garnier, Paris - December 16, 20092008
Triple Bill (Paquita Grand Pas, Russians Seasons, Symphony in C) - Bolshoi Ballet, New Stage, Moscow, 15-16 November 20082007
"The Nutcracker" in Paris - Paris Opera Ballet, Opera Bastille, Paris, 8 December 20072006
Russian Profile: The Mariinsky and the Bolshoi in London, Summer 20062005
Perfect Gems: The Grey Area (Dawson), In The Night (Robbins), Theme and Variations (Balanchine) - The Royal Ballet of Flanders2004
Russian Profile: Poklitaru's Romeo and Juliet at the Bolshoi2003
Moscow's "Great" Ballet Company and its Stars2002
The Kirov Ballet: Ready for the New Century2001
Rules of the Game: Retiring Paris Opera Ballerina Isabelle Guérin in conversation with Marc Haegeman2000
Stardust: Altynai Asylmuratova talks to Marc Haegeman1999
The Kirov Ballet in Amsterdam, "Swan Lake" and "The Nutcracker" (21, 22 and 23 December 1999)


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New Delhi: Two weeks before Budget Session of Parliament, the Samajwadi Party gave the strongest indication so far that it was itching for General Elections this year. Speaking at a party function in Lucknow, party chief Mulayam Singh Yadav said, "Congress is the master of double speak and is misleading people. After not governing for four years, Congress will use the forthcoming Budget Session to implement populist measures. Still smarting from the outrage over Delhi gangrape, Congress is trying its best to change the discourse and mislead people. Elections can be held anytime till September 2013, people should beware."
Another SP leader Ram Asrey Kushwaha unveiled the party's strategy. "SP is ready with its strategy. We have already announced 63 candidates for the forthcoming Lok Sabha elections," he said.
But why is Mulayam keen for an election this year? Within the SP, there is growing resentment against Mulayam's decision of constantly bailing the Congress out at key moments, while the disproportionate assets case verdict has gone against him. With steady decline in law and order, the SP regime is becoming increasingly unpopular. Mulayam doesn't want to go below his present figure of 22 MPs. He is also keen to prevent the Congress of reaping political dividends from social welfare schemes that the party is focusing on.
Two weeks before Budget Session of Parliament, the SP gave the strongest indication so far that it was itching for LS polls this year.
The Congress, however, says it is not worried. "There is nothing to worry. All this is just morale boosting talk from Mulayam," said Rajiv Shukla.
Yes, it's true that in the past few years, Mulayam Singh Yadav has always been the knight in shining armour for the Congress. Now though, Mulayam is literally playing the last big political match of his career. And in this last inning, he wants to ensure he gets the timing right.
Government will push land Bill for passage in this session: Minister
Yet to decide whether to pursue defamation case: Arvind Kejriwal to Delhi High Court
Over 3,700 dead, several injured in Nepal quake but SP MP wants fellow MP's relative to be saved first


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- Filed Under
Family, friends and complete strangers gathered Saturday to say their final goodbyes to 12-year-old Autumn Pasquale.
"It is just so sad what happened to her," said 18-year-old Clayton resident Lacey Brown. "I had to come and pay my respects to her and the family."
Cars flooded the roadway near Our Lady of Lourdes Church in Glassboro on Saturday. Those that wished to say their final goodbyes waited in a long line that at times wrapped around much of the ...


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You are here
RegisterLegalizing your Small Business: Permits, Licenses, Certifications, oh my!
Legalizing your Small Business: Permits, Licenses, Certifications, oh my!
Aside from questions about loans, grants and generally getting started in small business, one of the most commonly asked questions on the Small Business Administration (SBA) Web site is 'How do I get a business license?'
The answer, posted here, loosely points small business owners to their state or local government. And while your local jurisdiction is often the source of business licenses and permits, the federal government also oversees the licensing of federally regulated small businesses.
It's a confusing arena, and even the simplest licensing requirements - such as getting a permit for your home-based business - are often overlooked by eager entrepreneurs.
Below are some simple pointers to help you understand basic business licensing requirements and take the steps towards obtaining and maintaining the correct licenses for your business type.
What Business Licenses do I need and how do I Apply?
The quickest and easiest way to find an answer is to take advantage of an invaluable tool developed by the government - 'Permit Me' . Simply enter your zip code and business type and the Web-based tool will match your profile information to the federal, state and local permits, licenses, and registrations you'll need to run a business in your locality.
The results page also provides links to forms and information about how to go about licensing your small business. Even better, it integrates information from the government about other business registration and legal requirements such as employer obligations with regard to workplace posters, business insurance, income tax withholding, and employee eligibility verification.
What if my Business is Involved in Activities that are Supervised and Regulated by a Federal Agency?
Federal business licenses are diverse and are regulated separately by a variety of government agencies and departments, such as the United States Department of Agriculture (for the transportation of livestock and plant life), Alcohol and Tobacco Tax and Trade Bureau (for manufacturers, wholesalers, importers and retailers of alcohol beverages), the Federal Communications Commission (for those involved in media broadcasting), and so on.
The good news is that you can find most of the information you will need to know about federal business license requirements in one place.
Business.gov's Federal Licenses for Regulated Businesses lists the types of business activities licensed by the federal government and provides direct links to all the forms and information you'll need to comply.
As a rule, if you are involved in any of the following business areas you will need to verify what federal licenses, permits or excise taxes apply to you before you even start your business venture. Business activities licensed by the federal government are:
- Agriculture - Specifically the import and transportation of livestock, animal products, biologics, biotechnology and plants.
- Alcoholic Beverages - Whether you import, export, produce, wholesale, or retail alcoholic beverages, you will need a license.
- Aviation - Airmen, aircraft, airports, airlines, aviation mechanics, and medical aviation services are all regulated.
- Firearms, Ammunition and Explosives - Manufacturers, dealers and importers of firearms and ammunitions are subject to licensing standards and must also pay excise taxes.
- Fish and Wildlife - If you are engaged in any wildlife related activity, including the import/export of wildlife and derivative products, you'll need a permit.
- Commercial Fisheries - Regulated by NOAA, you'll need a permit for any commercial fishing venture.
- Maritime Transportation - The Federal Maritime Commission's Office of Transportation Intermediaries issues licenses for ocean freight forwarder and non-vessel-operating common carrier.
- Mining and Drilling - Businesses involved in the drilling for natural gas, oil or other mineral resources on federal lands may be required to obtain a drilling permit from Minerals Management Service.
- Nuclear Energy - If you are involved in the development, distribution and disposal of nuclear materials, you'll need a license.
- Radio and TV Broadcasting - Radio, television, wire, satellite and cable is licensed by the FCC. Internet service providers, however, are not.
- Transportation - Oversized vehicles of a certain weight require a permit.
If your business touches one or several of these activities, Business.gov connects you with the appropriate licensing process and forms here.
Maintaining Your Business License
Licenses aren't indefinite, so keep track of renewal dates and be sure to display any appropriate license and permit paperwork at your premise. More tips here.
Other Resources
- Essential Government Forms - This directory categorizes forms by what you're trying to accomplish (starting a business, operating a business, etc.).
- Licensing Your Small Business: Quick Tools at Your Fingertips - Whether you are in the early exciting stages of starting your own business or are already well established, you are required to meet both general and business-specific government licensing and permit regulations. Here is a quick checklist of common licenses.
- Doing Business in Your Town: Navigating the State and Local Government Maze - Tools and resources provided by the government - from seminars, to in-person assistance - that can help you start-up, build and operate a successful, and compliant, business.
- Operating a Restaurant within the Law: A 101 in Compliance (Part 1) - Focusing on minimum wage, tips, and overtime.
- Operating a Restaurant within the Law: A 101 in Compliance (Part 2) - Focusing on understanding and achieving compliance with restaurant-specific labor laws, food safety and nutritional labeling, working with immigrants, and taxes.
About the Author:
Caron Beesley


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Camille Snyder becomes youngest president in National Association of Insurance and Financial Advisors history
by MBJ Staff Published: September 8,2014
Tags: Business, Mississippi, NEWS, Newsmakers
Camille Snyder has been elected president of the National Association of Insurance and Financial Advisors (NAIFA) in Jackson for the 2014-2015 term. At age 29, she is the youngest NAIFA-Jackson president in the organization's 56-year history. Snyder is a sales manager with Allen Financial Group, the Guardian Life general agency in Mississippi. She successfully completed […] [...]


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Eshowe Hills Eco & Golf Estate in KwaZulu Natal
Hime StreetFirst Name | Gareth |
Last Name | Henderson |
Handicap | 36 |
Agree with this opinion? Do you think the writer missed the mark? If so fill your own reader ranking and get us your ratings and opinions.
By the way, the opinions expressed are subjective and are those of the reviewer. They do not necessarily represent the views of WorldGolf.com LLC.


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Released: Nov 10th, 2011
Running Time: 92 Min.
Director: Uncredited
Company: Tom Byron Pictures
Distribution Companies: Evolution Distribution
DVD Extras: Still Gallery(ies)
Julie Silver, Brenda (I), Others, Vanessa (I), Natalli, Danielle (VII)
Critical Rating: AAA
Genre: Anal
Bend me over, spread my legs, let me spit on your cock so you can slip it deep inside my warm, welcoming rectum.
These five scenes brought to us by some fine folks in Europe feature full-out sex with occasional emphasis on backdoor fun and games.
Julie Silver, the only woman credited who also possesses a given last screen name, has one of the most recognizable Euro-rears, and she does not disappoint as she assumes the familiar role of bikinied wench treating the pool boy to her pent-up desires. Aside from a brief oral warm-up, he dives directly into her ass and finishes with an external cream pie that oozes a bit inside her openness.
The four others tend to be equally eager to get thick dicks rammed up their butts. OK, not all—Brenda manages to avoid that particular hole and keep things a bit more conventional. But watching Natalii's pussy wink open and closed while getting rammed in her arse makes up for the other not following the overall theme.


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on 25.09.2012
firstname.lastname@example.com m: "This is the first time I have ordered from you, thank you for the excellent service and fast delivery."
on 03.12.2012
Steve from the UK: "If only British stores were as thorough & reliable as yours !!"
on 25.04.2014
firstname.lastname@example.com: "Thank you.I have now received all my items and I am very pleased with them all. As always with Thomann."
Your purchases at Thomann are backed up by our 3-year warranty, i.e. we extend the manufacturer's warranty period (usually 12 months) to a full 36 months - at our own cost, there's no extra charge for you!
Because we stand by the products we offer.We are an authorized dealer of all the popular brands and offer high quality own brand products as inexpensive alternatives.We take greatest care to offer quality products only. If a product does not meet our quality standards, we won't include it in our catalogue, no matter how cheap it is or how well that manufacturer's other products sell. Our quality control and our six service & repair workshops ensure the best possible quality for you and the fastest possible help in cases of failure. That's why we dare to extend the manufacturers' warranty period to three years.
Perishable items such as strings, drumsticks, batteries (also rechargeable ones), tubes, bulbs and crossfaders are of course not returnable (go figure :-) ). Signs of wear are only covered, if they occurred despite appropriate care or because of demonstrably bad workmanship. In other words: even an expensive trumpet looks pretty bad after a while if you don't wipe off sweat and spit. We're very obliging, but neither we nor the manufacturer can be held responsible for inappropriate care :-) From now on, the respective instruments are delivered with basic care tips. For perishable items as well as products whose manufacturer offers a warranty period longer than 3 years, the manufacturer's warranty is valid, of course.
Before you return an item, please contact our customer service department. Our warranty is valid for all purchases since 1 March 2005. You don't need any papers except your invoice number (your customer number usually suffices, too). Please contact our customer service team in the first instance as they can advise the next best possible step.
A product that is beyond repair is exchanged for a new product. If the same model is not available anymore, we'll offer you an alternative product in the same price range or will refund the full amount you paid. That's right, even toward the end of your 3-year warranty period. However this naturally applies to proper usage of the unit or article purchased.
The implied warranty of 24 months remains untouched, but since we extend the express warranty, that's of little consequence for our customers. Moreover, we spare both you and ourselves the trouble of explaining the difference between implied and express warranty (even offside rules are simpler than that). But if you're into correct legal terminology, take a look at our terms and conditions :-)
If you have questions, remarks or want to suggest improvements, we're always listening and help as best as we can. Please contact our Quality Control Department. Thanks a lot!
... that since 2002 Thomann has had its own dedicated department for quality control, which is concerned with nothing but enhancing the quality of our products? If a product does not meet our standards respecting quality, workmanship, and functionality, we won't put it in our catalogue. Our own brand products are continually improved in conjunction with the respective manufacturers, and even many renowned brand name manufacturers have come to rely on feedback from our quality control department in order to improve their products.


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Chant, Sylvia (2010) The unbearable heaviness of being: reflections on female altruism in Cambodia, Philippines, The Gambia and Costa Rica. Progress and Development Studies, 10 (2). pp. 145-159. ISSN 1464-9934
Full text not available from this repository.Abstract
Reviewing existing scholarship and drawing on our own experience of microlevel qualitative research on gender in countries in three regions of the Global South (Cambodia, the Philippines, Costa Rica and The Gambia), this article examines patterns of women's altruistic behaviour within poor family-based households. As a quality and practice labeled as 'feminine', the article illuminates the motives, dimensions and dynamics that characterise this apparently enduring female trait. It also makes some tentative suggestions as to how the links between women and altruism might be more systematically examined, problematized and addressed in development, and gender and development (GAD) analysis and policy.
Item Type: | Article |
Official URL: | http://pdj.sagepub.com/content/10/2/145.full.pdf+h... |
Library of Congress subject classification: | G Geography. Anthropology. Recreation > G Geography (General) H Social Sciences > H Social Sciences (General) H Social Sciences > HQ The family. Marriage. Woman |
Sets: | Departments > Gender Institute Departments > Geography and Environment |
Date Deposited: | 20 Dec 2010 12:10 |
URL: | http://eprints.lse.ac.uk/30840/ |
Actions (login required)
Record administration - authorised staff only |


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Al's Past Treasures
Pompano Beach
Florida 33062
954 283-6920
About Us
Sales Policy
Vintage Delft 5 Piece Blue & White Condiment Set
for item
This auction is for a vintage five piece blue & white condiment set from Delft made by Delft Holland. There is a 6x2 inch tray decorated with leafs, a pair 2 3/8 inch tall salt & pepper, a 2.5 inch tall mustard jar with lid. all in very good condition without any chips or cracks. All pieces are stamped "Delfts Handpainted Holland", except the salt & pepper. Shipping anywhere in the USA only $6.00. Insurance extra if requested. See all my many other great listings.


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You have to divide them into separate Ad Groups.
From the AdWords help:
An ad group contains one or more ads which target a set of keywords, placements, or both. You set a bid, or price, to be used when your ad is triggered by the keywords or placements in the ad group. This is called a cost per click (CPC) or cost per thousand impressions (CPM) bid. You may also set prices for individual keywords or placements within the ad group.At one time, Google did not allow you to bid on trademarked keywords. They changed that a few months ago.