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Chapter 2 The Pre-Travel Consultation
General Recommendations for Vaccination & Immunoprophylaxis
Recommendations for the use of vaccines and other biologic products (such as immune globulin [IG] products) in the United States are developed by the Advisory Committee on Immunization Practices (ACIP) and other groups, such as the American Academy of Pediatrics, the American Academy of Family Physicians, and the American College of Physicians. ACIP recommendations are based on scientific evidence of benefits (immunity to the disease) and risks (vaccine adverse reactions) and, where few or no data are available, on expert opinion. The recommendations include information on general immunization issues and the use of specific vaccines. Box 2-01 provides more information about ACIP. This section is based primarily on the ACIP General Recommendations on Immunization.
Evaluation of people before travel should include a review and provision of routine vaccines recommended based on age and other individual characteristics. Additionally, some routine vaccines are recommended at earlier ages for international travelers. For example, MMR (measles-mumps-rubella) vaccine is recommended for infants aged 6–11 months who travel abroad to protect them from measles. Recommendations for specific vaccines related to travel will depend on itinerary, duration of travel, and host factors. Vaccinations against diphtheria, tetanus, pertussis, measles, mumps, rubella, varicella, poliomyelitis, hepatitis A, hepatitis B, Haemophilus influenzae type b (Hib), rotavirus, human papillomavirus (HPV), and pneumococcal and meningococcal invasive disease are routinely administered in the United States, usually in childhood or adolescence. Influenza vaccine is routinely recommended for all people aged ≥6 months, each year. A dose of herpes zoster (shingles) vaccine is recommended for adults aged ≥60 years. If a person does not have a history of adequate protection against these diseases, immunizations appropriate to age and previous immunization status should be obtained, whether or not international travel is planned. A visit to a clinician for travel-related immunizations should be seen as an opportunity to bring an incompletely vaccinated person up-to-date on his or her routine vaccinations.
Both the child and adolescent vaccination schedules, and an adult vaccination schedule, are published annually in the Morbidity and Mortality Weekly Report (MMWR). Clinicians should obtain the most current schedules from the CDC Vaccines and Immunization website (www.cdc.gov/vaccines/schedules). The text and many tables of this publication present recommendations for the use, number of doses, dose intervals, adverse reactions, precautions, and contraindications for vaccines and toxoids that may be indicated for travelers. Recommendations for travelers are not always the same as routine recommendations. For instance, most adults born after 1956 are recommended to receive 1 dose of MMR vaccine; however, international travelers of this age are recommended to receive 2 doses. One dose of MMR vaccine is also recommended for infants aged 6–11 months before they travel abroad. For specific vaccines and toxoids, additional details on background, adverse reactions, precautions, and contraindications, refer to the respective ACIP recommendations (www.cdc.gov/vaccines/acip/index.html).
Box 2-01. The Advisory Committee on Immunization Practices (ACIP)
In 1964, the Department of Health and Human Services chartered the Advisory Committee on Immunization Practices (ACIP) to provide guidance to CDC for making immunization policy. Guidance includes scheduling of vaccine doses, specific risk groups for whom vaccination is recommended, and vaccine contraindications and precautions.
The ACIP is composed of 15 voting members selected by the Secretary of Health and Human Services. ACIP chair, a consumer representative, and 13 members are balanced among various sectors, including academic immunology, medicine, and public health. In addition to the 15 voting members, the committee includes 8 ex officio members representing federal agencies and 26 nonvoting representatives of liaison organizations with broad responsibilities for vaccine development, administration of vaccines to various segments of the population, and operation of immunization programs. ACIP is subdivided into 4 permanent workgroups that address child/adolescent immunization schedules, adult immunization schedules, influenza vaccine, and general immunization issues. In addition to the 4 permanent workgroups, 7 additional workgroups focus on particular vaccines. Input into the development of immunization schedules is shared with professional organizations, including the American Academy of Pediatrics, American College of Physicians, American Academy of Family Physicians, American Congress of Obstetricians and Gynecologists, and American College of Nurse-Midwives.
ACIP workgroups are led by a member of ACIP who works in close collaboration with a CDC workgroup lead staff member. Members of the vaccine pharmaceutical industry may not serve as workgroup members. The workgroup develops consensus on various policy points, then the CDC workgroup lead writes specific content for presentation to the ACIP at large. When it is difficult to achieve consensus, options with plans are developed and presented to the ACIP at large for a vote.
The ACIP meets 3 times a year in a public meeting during which the various workgroups present content that has been developed and is ready for ACIP discussion or voting. Sometimes ACIP members are involved in academic vaccine research supported by the pharmaceutical industry. These members must state these conflicts and must recuse themselves from votes regarding vaccines manufactured by companies from which they receive support. The end result of various discussions and votes is an ACIP document published in CDC's Morbidity and Mortality Weekly Report (www.cdc.gov/mmwr), representing the official policy of the Department of Health and Human Services.
Simultaneous Administration
All commonly used vaccines can safely and effectively be given simultaneously (on the same day) at separate sites without impairing antibody responses or increasing rates of adverse reactions. This knowledge is particularly helpful for international travelers, for whom exposure to several infectious diseases might be imminent. Simultaneous administration of all indicated vaccines is encouraged for people who are the recommended age to receive these vaccines and for whom no contraindications exist. If not administered on the same day, an inactivated vaccine may be given at any time before or after a different inactivated vaccine or a live-virus vaccine.
The immune response to an injected or intranasal live-virus vaccine (such as MMR, varicella, yellow fever, or live attenuated influenza vaccine) might be impaired if administered within 28 days of another live-virus vaccine (within 30 days for yellow fever vaccine). Whenever possible, injected live-virus vaccines administered on different days should be given ≥28 days apart (≥30 days for yellow fever vaccine). If 2 injected or intranasal live-virus vaccines are not administered on the same day but <28 days apart (<30 days for yellow fever vaccine), the second vaccine should be readministered ≥28 days (≥30 days for yellow fever vaccine) after the second vaccine was administered.
Measles and other live-virus vaccines may interfere with the response to tuberculin skin testing and the interferon-γ release assay. Tuberculin skin testing, if otherwise indicated, can be done either on the day that live-virus vaccines are administered or 4–6 weeks later. Tuberculin skin testing is not a prerequisite for administration of any vaccine. Oral typhoid vaccine, a live attenuated bacterial vaccine, has not been associated with suppressing the response to tuberculosis testing.
Missed Doses and Boosters
All vaccines require a primary dose or series to ensure immunity, and some require periodic repeat, or booster, doses to maintain immunity. Travelers may forget to return to complete a series or for a booster at the specified time. Occasionally, the demand for a vaccine may exceed its supply, and providers may have difficulty obtaining vaccines. Information on vaccine shortages and recommendations can be found on the CDC Vaccines and Immunization website at www.cdc.gov/vaccines/vac-gen/shortages/default.htm.
In some cases, a scheduled dose of vaccine may not be given on time. If this occurs, the dose should be given at the next visit. Available data indicate that intervals between doses longer than those routinely recommended do not affect seroconversion rate or titer when the schedule is completed. Consequently, it is not necessary to restart the series or add doses of any vaccine because of an extended interval between doses. The only exception to this rule is oral typhoid vaccine in some circumstances. Some experts recommend repeating the series of oral typhoid vaccine if the 4-dose series is extended to more than 3 weeks. Information on revaccination (booster) doses of vaccines is listed in Table 2-04.
Antibody-Containing Blood Products
Antibody-containing blood products, such as IG products, from the United States do not interfere with the immune response to yellow fever vaccine and are not believed to interfere with the response to live typhoid, live attenuated influenza, rotavirus, or zoster vaccines. When MMR and varicella vaccines are given shortly before, simultaneously with, or after an antibody-containing blood product, response to the vaccine can be diminished. The duration of inhibition of MMR and varicella vaccines is related to the dose of IG in the product. MMR or its components and varicella vaccines either should be administered ≥2 weeks before receipt of a blood product, or should be delayed 3–11 months after receipt of the blood product, depending on the vaccine (Table 2-05).
IG administration may become necessary for another indication after MMR or its individual components or varicella vaccines have been given. In such a situation, the IG may interfere with the immune response to the MMR or varicella vaccines. Vaccine virus replication and stimulation of immunity usually occur 2–3 weeks after vaccination. If the interval between administration of one of these vaccines and the subsequent administration of an IG preparation is ≥14 days, the vaccine need not be readministered. If the interval is <14 days, the vaccine should be readministered after the interval shown in Table 2-05, unless serologic testing indicates that antibodies have been produced.
If administration of IG becomes necessary, MMR or its components or varicella vaccines can be administered simultaneously with IG, with the recognition that vaccine-induced immunity can be compromised. The vaccine should be administered at a body site different from that chosen for the IG injection. Vaccination should be repeated after the interval noted in Table 2-05, unless serologic testing indicates antibodies have been produced.
When IG is given with the first dose of hepatitis A vaccine, the proportion of recipients who develop a protective level of antibody is not affected, but antibody concentrations are lower. Because the final concentrations of antibody are many times higher than those considered protective, this reduced immunogenicity is not expected to be clinically relevant.
IG preparations interact minimally with other inactivated vaccines and toxoids. Other inactivated vaccines may be given simultaneously, or at any time interval before or after an antibody-containing blood product is used. However, such vaccines should be administered at different sites from the IG.
Table 2-04. Revaccination (booster) schedules
|Hepatitis A
|Booster doses not recommended for adults and children who have completed the primary series (2 doses) according to the routine schedule.1
|Hepatitis B
|Booster doses not recommended for adults and children who have completed the primary series (3 doses) according to the routine schedule.1, 2
|1 annual dose (children aged 6 months to 9 years, and certain incompletely vaccinated children should receive 2 doses separated by ≥4 weeks the first time that influenza vaccine is administered). Live attenuated influenza vaccine is approved only for healthy, nonpregnant people aged 2–49 years.
|Japanese encephalitisn (JE)
(Vero cell formulation)
|For people aged ≥17 years, if the primary series of Ixiaro was administered ≥1 year previously, a booster dose should be given before potential reexposure or if there is a continued risk for JE virus infection. There are no data on the use of Ixiaro as a booster dose after a primary series with JE-Vax. People who have received JE-Vax previously and require further vaccination against JE virus should receive a 2-dose primary series of Ixiaro. See the booster dose information in Chapter 3, Japanese Encephalitis.
|Measles, mumps, and rubella (MMR)
|Two doses of MMR vaccine separated by ≥4 weeks or other evidence of immunity (such as serologic testing) are recommended for people born after 1956 who travel outside the United States. Revaccination is not recommended.
|Meningococcal quadrivalent A,C,Y, W-135
|Revaccination for people who received meningococcal polysaccharide vaccine or meningococcal conjugate vaccine, and who remain at increased risk for meningococcal disease (including some international travelers): Revaccination with meningococcal conjugate vaccine is recommended after 3 years for children who were previously vaccinated at ages 9 months to 6 years. Revaccination with meningococcal conjugate vaccine is recommended after 5 years for people who were previously vaccinated at ages 7–55 years, and every 5 years thereafter for people who are at continued risk.3 Revaccination with meningococcal polysaccharide vaccine is recommended for adults >55 years who remain at increased risk 3–5 years after the last dose.
|Pneumococcal (polysaccharide)
|One-time revaccination 5 years after original dose for people with certain underlying medical conditions (such as asplenia) or people who were first vaccinated at <65 years of age.
|Polio vaccine, inactivated (IPV)
|For adults traveling to areas where poliomyelitis cases are still occurring, a single lifetime booster dose is recommended for those who have documentation of having completed a primary series.
|Rabies preexposure vaccine
|No serologic testing or boosters recommended for travelers. For people in high-risk groups (such as rabies laboratory workers), serologic testing and booster doses are recommended. See Table 3-15.
|Booster doses not recommended.
|Tetanus, diphtheria, and acellular pertussis (Td, Tdap)
|Tetanus and diphtheria booster dose is recommended every 10 years. A single dose of adolescent/adult formulation Td that includes acellular pertussis vaccine (Tdap) is recommended to replace 1 Td booster dose for people aged 11–64 years. Adults aged ≤65 years who have or who anticipate having close contact with an infant aged <12 months and who previously have not received Tdap should receive a single dose of Tdap to protect against pertussis and reduce the likelihood of transmission; all other adults aged ≥65 years who have not previously received Tdap may be given a single dose of Tdap instead of Td. See ACIP statement for details.
|Typhoid intramuscular
|Booster dose every 2 years for those who remain at continued risk.
|Typhoid oral
|Repeat series every 5 years for those who remain at continued risk.
|Revaccination is not recommended.
|Yellow Fever
|Repeat vaccination every 10 years for those who remain at risk.
|Revaccination is not recommended.
2Booster dosing may be appropriate for certain populations, such as hemodialysis patients.
3See: CDC. Updated recommendation from the Advisory Committee on Immunization Practices (ACIP) for revaccination of persons at prolonged increased risk for meningococcal disease. MMWR Morb Mortal Wkly Rep. 2009 Sep 25;58(37):1042–3.
Every opportunity should be taken to provide needed vaccinations. The decision to delay vaccination because of a current or recent acute illness depends on the severity of the symptoms and their cause. Although a moderate or severe acute illness is sufficient reason to postpone vaccination, minor illnesses (such as diarrhea, mild upper respiratory infection with or without low-grade fever, other low-grade febrile illness) are not contraindications to vaccination.
People with moderate or severe acute illness, with or without fever, should be vaccinated as soon as the condition improves. This precaution is to avoid superimposing adverse effects from the vaccine on underlying illness, or mistakenly attributing a manifestation of underlying illness to the vaccine. Antimicrobial therapy is not a contraindication to vaccination, with 3 exceptions:
- Antibacterial agents may interfere with the response to oral typhoid vaccine.
- Antiviral agents active against herpesviruses (such as acyclovir) may interfere with the response to varicella-containing vaccines.
- Antiviral agents active against influenza virus (such as zanamivir and oseltamivir) may interfere with the response to live attenuated influenza vaccine.
A physical examination or temperature measurement is not a prerequisite for vaccinating a person who appears to be in good health. Asking if a person is ill, postponing a vaccination for someone with moderate or severe acute illness, and vaccinating someone who does not have contraindications are appropriate procedures for clinic immunizations.
Altered immunocompetence is a general term that is often used interchangeably with the terms immunosuppression, immunodeficiency, and a weakened immune system. It can be caused either by a disease (leukemia, HIV infection) or by drugs or other therapies (cancer chemotherapy, radiation therapy, prolonged high-dose corticosteroids). It can also include conditions such as asplenia and chronic renal disease.
Determination of altered immunocompetence is important because the incidence or severity of some vaccine-preventable diseases is higher in people with altered immunocompetence. Therefore, certain vaccines (such as inactivated influenza vaccine, pneumococcal vaccines) are recommended specifically for people with altered immunocompetence. Inactivated vaccine may be safely administered to a person with altered immunocompetence, although response to the vaccine may be suboptimal. The vaccine may need to be repeated after immune function has improved.
People with altered immunocompetence may be at increased risk for an adverse reaction after administration of live attenuated vaccines because of reduced ability to mount an effective immune response. Live vaccines should generally be deferred until immune function has improved. This is particularly important when planning to give yellow fever vaccine (see Chapter 3, Yellow Fever). For HIV-infected people with mild or moderate immunosuppression, MMR is recommended and varicella vaccine can be considered.
For an in-depth discussion, see Chapter 8, Immunocompromised Travelers.
Table 2-05. Recommended intervals between administration of antibody-containing products and measles-containing vaccine or varicella-containing vaccine1
|Tetanus (TIG)
|250 units (10 mg IgG/kg) IM
|3 months
Hepatitis A (IG), duration of international travel
< 3-month stay
≥ 3-month stay
0.02 mL/kg (3.3 mg IgG/kg) IM
0.06 mL/kg (10 mg IgG/kg) IM
3 months
3 months
|Hepatitis B prophylaxis (HBIG)
|0.06 mL/kg (10 mg IgG/kg) IM
|3 months
|Rabies prophylaxis (HRIG)
|20 IU/kg (22 mg IgG/kg) IM
|4 months
|Varicella prophylaxis (VZIG)
|125 units/10 kg (60–200 mg IgG/kg) IM (maximum 625 units)
|5 months
Measles prophylaxis (IG)
Immunocompetent contact
Immunocompromised contact
0.25 mL/kg (40 mg IgG/kg) IM
0.50 mL/kg (80 mg IgG/kg) IM
5 months
6 months
|Botulism immune globulin, intravenous
|1.5 mL/kg (75 mg IgG/kg) IV
|6 months
Blood Transfusion
Red blood cells (RBCs), washed
RBCs, adenine-saline added
Packed RBCs (hematocrit 65%)2
Whole blood (hematocrit 35%–50%)2
Plasma/platelet products
10 mL/kg (negligible IgG/kg) IV
10 mL/kg (10 mg IgG/kg) IV
10 mL/kg (60 mg IgG/kg) IV
10 mL/kg (80–100 mg IgG/kg) IV
10 mL/kg (160 mg IgG/kg) IV
3 months
6 months
6 months
7 months
|Cytomegalovirus prophylaxis (CMV IGIV)
|150 mg/kg (maximum)
|6 months
|Respiratory syncytial virus (RSV) monoclonal antibody3
|15 mg/kg IM
Intravenous immune globulin (IVIG)
Replacement therapy
Immune thrombocytopenic purpura (ITP)
Postexposure varicella prophylaxis4
ITP or Kawasaki disease
300-400 mg/kg IV
400 mg/kg IV
400 mg/kg IV
1 gm/kg IV
1.6–2 gm/kg IV
8 months
8 months
8 months
10 months
11 months
Abbreviations: IG, immune globulin; IM, intramuscular; IV, intravenous.
1Adapted from Table 5, Kroger AT, Sumaya CV, Pickering LK, Atkinson WL. General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2011 Jan 28;60(RR-2):1–61. This table is not intended for determining the correct indications and dosage for the use of IG preparations. Unvaccinated people may not be fully protected against measles during the entire recommended interval, and additional doses of IG or measles vaccine may be indicated after measles exposure. Concentrations of measles antibody in an IG preparation can vary by manufacturer's lot. For example, more than a 4-fold variation in the amount of measles antibody titers has been demonstrated in different IG preparations. Rates of antibody clearance after receipt of an IG preparation can also vary. Recommended intervals are extrapolated from an estimated half-life of 30 days for passively acquired antibody and an observed interference with the immune response to measles vaccine for 5 months after a dose of 80 mg IgG/kg. Does not include zoster vaccine. Zoster vaccine may be given with antibody-containing products.
2Assumes a serum IgG concentration of 16 mg/mL.
3Contains only antibody to respiratory syncytial virus.
4IVIG is an alternative to VZIG for postexposure varicella prophylaxis. Both VZIG and IVIG should be administered within 96 hours of varicella exposure. Unlike VZIG, IVIG is a licensed product and in some situations might be obtained more quickly. For pregnant women who cannot obtain VZIG within 96 hours, monitoring for signs and symptoms of varicella disease and instituting treatment with acyclovir are an alternative to IVIG.
As noted, for people anticipating imminent travel, most vaccine products can be given during the same visit. Unless the vaccines given are booster doses of those typically given during childhood, vaccines may require a month or more to induce a sufficient immune response, depending on the vaccine and the number of doses in the series. Some vaccines require more than 1 dose for best protection. Recommended spacing should be maintained between doses (Table 2-06). Doses given at less than minimum intervals can lessen the antibody response. It is important to note that if a traveler needs yellow fever vaccination to meet a country requirement under the International Health Regulations, the yellow fever vaccine is not considered valid until 10 days after administration. Intervals between doses longer than those routinely recommended do not affect the immune response when the schedule is completed. Consequently, it is not necessary to restart the series or add doses of any vaccine because of an extended interval between doses.
Administration of a vaccine earlier than the recommended minimum age or at an interval shorter than the recommended minimum is discouraged. Table 2-06 lists the minimum age and minimum interval between doses for vaccines routinely recommended in the United States.
Because some travelers visit their health care providers at the last minute, studies have been performed to determine whether accelerated scheduling is adequate. This concern is primarily the case for hepatitis B vaccine or the combined hepatitis A and B vaccine. An accelerated schedule for combined hepatitis A and B vaccine has been approved by the Food and Drug Administration (FDA). It is unclear what level of protection any given traveler will have if he or she does not complete a full series of multidose vaccination.
Vaccine components can cause allergic reactions in some recipients. These reactions can be local or systemic and can include anaphylaxis or anaphylactic-like responses. The vaccine components responsible can include the vaccine antigen, animal proteins, antibiotics, preservatives (such as thimerosal), or stabilizers (such as gelatin). The most common animal protein allergen is egg protein in vaccines prepared by using embryonated chicken eggs (influenza and yellow fever vaccines). Generally, people who can eat eggs or egg products safely may receive these vaccines, while those with histories of anaphylactic allergy (swelling of the mouth and throat, difficulty breathing, hypotension, shock) to eggs or egg proteins ordinarily should not. Screening people by asking whether they can eat eggs without adverse effects is a reasonable way to identify those who might be at risk from receiving yellow fever and influenza vaccines. Protocols have been developed for testing and vaccinating people with anaphylactic reactions to egg ingestion. Recent studies have indicated that other components in vaccines in addition to egg proteins (such as gelatin) may cause allergic reactions, including anaphylaxis in rare instances.
Some vaccines contain a preservative or trace amounts of antibiotics to which people might be allergic. Providers administering the vaccines should carefully review the prescribing information before deciding if the rare person with such an allergy should receive the vaccine. No recommended vaccine contains penicillin or penicillin derivatives. Some vaccines (MMR and its individual component vaccines, inactivated polio vaccine [IPV], varicella, rabies) contain trace amounts of neomycin or other antibiotics; the amount is less than would normally be used for the skin test to determine hypersensitivity. However, people who have experienced anaphylactic reactions to this antibiotic generally should not receive these vaccines. Most often, neomycin allergy is a contact dermatitis—a manifestation of a delayed-type (cell-mediated) immune response rather than anaphylaxis. A history of delayed-type reactions to neomycin is not a contraindication to receiving these vaccines.
Thimerosal, an organic mercurial compound in use since the 1930s, has been added to certain immunobiologic products as a preservative. Thimerosal is present at preservative concentrations (trace quantities) in multidose vials of some brands of vaccine. Receiving thimerosal-containing vaccines has been postulated to lead to induction of allergy. However, there is limited scientific evidence for this assertion. Allergy to thimerosal usually consists of local delayed-type hypersensitivity reactions. Thimerosal elicits positive delayed-type hypersensitivity patch tests in 1%–18% of people tested, but these tests have limited or no clinical relevance. Most people do not experience reactions to thimerosal administered as a component of vaccines, even when patch or intradermal tests for thimerosal indicate hypersensitivity. A localized or delayed-type hypersensitivity reaction to thimerosal is not a contraindication to receipt of a vaccine that contains thimerosal.
Since mid-2001, vaccines routinely recommended for infants have been manufactured without thimerosal as a preservative. Additional information about thimerosal and the thimerosal content of vaccines is available on the FDA website (www.fda.gov/cber/vaccine/thimerosal.htm).
Table 2-06. Recommended and minimum ages and intervals between vaccine doses1,2
|Diphtheria and tetanus toxoids and acellular pertussis vaccine, pediatric (6 weeks through 6 years) (DTaP)-14
|2 months
|6 weeks
|4 weeks
|4 months
|10 weeks
|4 weeks
|6 months
|14 weeks
|6 months5,6
|15–18 months
|12 months
|6 months5
|4–6 years
|4 years
|Haemophilus influenzae type b (Hib)-14,7
|2 months
|6 weeks
|4 weeks
|4 months
|10 weeks
|4 weeks
|6 months
|14 weeks
|8 weeks
|12–15 months
|12 months
|Hepatitis A (HepA)-1
|12–23 months
|12 months
|6 months5
|≥18 months
|18 months
|Hepatitis B (HepB)-14
|4 weeks
|Hep B-2
|1–2 months
|4 weeks
|8 weeks
|Hep B-39
|6–18 months
|24 weeks
|Herpes zoster10
|≥60 years
|60 years
|Human papillomavirus (HPV)-111
|11–12 years
|9 years
|4 weeks
|2 months after dose 1
|9 years, 4 weeks
|12 weeks12
|6 months after dose 1
|9 years, 24 weeks
|Inactivated poliovirus (IPV)-14
|2 months
|6 weeks
|4 weeks
|4 months
|10 weeks
|4 weeks
|6–18 months
|14 weeks
|6 months
|4–6 years
|4 years
|Influenza, inactivated14
|≥6 months
|6 months15
|4 weeks
|Influenza, live attenuated14
|2–49 years
|2 years
|4 weeks
|Japanese encephalitis, Vero cell (Ixiaro)-116
|≥17 years
|≥17 years
|28 days
|28 days after dose 1
|≥17 years, 28 days
|Measles-mumps-rubella (MMR)-117
|12–15 months
|12 months
|4 weeks
|4–6 years
|13 months
|Meningococcal conjugate (MenACWY-1)18
|11–12 years
|9 months (Menactra) or 2 years (Menveo)
|8 weeks19
|16 years
|11 months (Menactra) or 2 years, 8 weeks (Menveo)
|Meningococcal polysaccharide (MPSV4)-118
|2 years
|5 years
|7 years
|Pneumococcal conjugate (PCV)-17
|2 months
|6 weeks
|4 weeks
|4 months
|10 weeks
|4 weeks
|6 months
|14 weeks
|8 weeks
|12–15 months
|12 months
|Pneumococcal polysaccharide (PPSV)-1
|2 years
|5 years
|7 years
|Rabies-1 (preexposure)
|See footnote 21
|See footnote 21
|7 days
|7 days after dose 1
|7 days after dose 1
|14 days
|21 days after dose 1
|21 days after dose 1
|Rotavirus (RV)-122
|2 months
|6 weeks
|4 weeks
|4 months
|10 weeks
|4 weeks
|6 months
|14 weeks
|Tetanus and reduced diphtheria toxoids (Td)
|11–12 years
|7 years
|5 years
|Tetanus toxoid, reduced diphtheria toxoid, and reduced acellular pertussis vaccine (Tdap)23
|≥11 years
|7 years
|Typhoid, inactivated (ViCPS)
|≥2 years
|≥2 years
|Typhoid, live attenuated (Ty21a)
|≥6 years
|≥6 years
|See footnote 24
|Varicella (Var)-117
|12–15 months
|12 months
|12 weeks25
|Yellow Fever
|>9 months26
|>9 months26
|10 years
1Adapted from Table 1, Kroger AT, Sumaya CV, Pickering LK, Atkinson WL. General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2011 Jan 28;60(RR-2):1–61.
2Combination vaccines are available. Use of licensed combination vaccines is generally preferred over separate injections of their equivalent component vaccines (CDC. Combination vaccines for childhood immunization. MMWR Recomm Rep. 1999 May 14;48(RR-5):1–14.). When administering combination vaccines, the minimum age for administration is the oldest age for any of the individual components; the minimum interval between doses is equal to the largest interval of any of the individual components.
3See Table 2–4 for recommended revaccination (booster) schedules.
4 Combination vaccines containing the HepB component are available (HepB-Hib, DTaP-HepB-IPV, HepA-HepB). These vaccines should not be administered to infants aged <6 weeks because of the other components (Hib, DTaP, IPV). HepA-HepB is not licensed for children aged <18 years in the United States.
5 Calendar months.
6 The minimum recommended interval between DTaP-3 and DTaP-4 is 6 months. However, DTaP-4 need not be repeated if administered ≥4 months after DTaP-3.
7 For Hib and PCV, children receiving the first dose of vaccine at ≥7 months of age require fewer doses to complete the series (see the current childhood and adolescent immunization schedule at www.cdc.gov/vaccines).
8 If PRP-OMP (Pedvax-Hib, Merck Vaccine Division) was administered at 2 and 4 months of age, a dose at 6 months of age is not indicated.
9 HepB-3 should be administered ≥8 weeks after Hep B-2 and ≥16 weeks after Hep B-1; it should not be administered before age 24 weeks.
10 Herpes zoster (shingles) vaccine is approved as a single dose for people aged ≥60 years.
11 Bivalent HPV vaccine is approved for girls/women aged 10–25 years. It is recommended to prevent cervical and other anogenital cancers and precursors for girls/women aged 11–26 years. Quadrivalent HPV vaccine is approved for boys/men and girls/women aged 9–26 years. It is recommended to prevent cervical and other anogenital cancers, precursors, and genital warts for girls/women aged 11–26 years. It may be given to girls aged 9–10 years to prevent the same diseases, and to boys/men aged 9–26 years to prevent genital warts.
12 The third dose of HPV should be administered ≥12 weeks after the second and ≥24 weeks after the first. Dose 3 need not be repeated if administered ≥16 weeks after dose 1.
13 For people receiving an all-IPV or all-OPV series, if the third dose is given after the fourth birthday, a fourth dose is not needed.
14 Two doses of influenza vaccine are recommended for children aged <9 years who are receiving the vaccine for the first time, and for certain incompletely vaccinated children (see reference 4). All others need only 1 dose annually. The doses of inactivated influenza vaccine are 0.25 mL for children aged 6–35 months and 0.5 mL for people aged ≥3 years.
15 The minimum age for inactivated influenza vaccine varies by vaccine manufacturer. See package insert for vaccine specific minimum ages.
16 Ixiaro is approved by the Food and Drug Administration for people aged ≥17 years.
17 Combination MMR-varicella can be used for children aged 12 months through 12 years. Also see footnote 25.
18 Revaccination with meningococcal vaccine is recommended for people previously vaccinated who remain at high risk for meningococcal disease (see Table 2–4). MenACWY is preferred when revaccinating people aged 2–55 years (Bilukha OO, Rosenstein N. Prevention and control of meningococcal disease. Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2005 May 27;54(RR-7):1–21.).
19 Children aged 9–23 months who are vaccinated using Menactra (Sanofi Pasteur) should receive a 2-dose primary series administered 3 months apart (CDC. Recommendation of the Advisory Committee on Immunization Practices [ACIP] for use of quadrivalent meningococcal conjugate vaccine [MenACWY-D] among children aged 9 through 23 months at increased risk for invasive meningococcal disease. MMWR 2011: 60(40);1391–2.) People aged 2–55 years with persistent complement component deficiency (such as C5–C9, properdin, factor H, or factor D) and functional or anatomic asplenia, and for adolescents with human immunodeficiency virus (HIV) infection should receive a 2-dose primary series administered 2 months apart (CDC. Updated recommendations for use of meningococcal conjugate vaccines—Advisory Committee on Immunization Practices [ACIP], 2010. MMWR 2011;60(03); 72–6).
20 A second dose of PPSV is recommended for people aged ≥65 years who received a first dose at an age <65 years and at a five year minimum interval. A second dose is also recommended for people aged <65 years at highest risk for serious pneumococcal infection and those who are likely to have a rapid decline in pneumococcal antibody concentration (CDC. Prevention of pneumococcal disease: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 1997 Apr 4;46(RR-8):1–24.).
21 There is no minimum age for preexposure immunization for rabies (Manning SE, Rupprecht CE, Fishbein D, Hanlon CA, Lumlertdacha B, Guerra M, et al. Human rabies prevention—United States, 2008: recommendations of the Advisory Committee on Immunization Practices. MMWR Recomm Rep. 2008 May 23;57(RR-3):1–28.).
22 The first dose of RV must be administered by 14 weeks and 6 days of age. The vaccine series should not be started at ≥15 weeks of age. The final dose in the series should be administered by age 8 months, 0 days. If Rotarix rotavirus vaccine is administered at 2 and 4 months of age, a dose at 6 months of age is not indicated.
23 Only 1 dose of Tdap is recommended. Subsequent doses should be given as Td. Children aged 7–10 years who are not fully vaccinated against pertussis and for whom no contraindication to pertussis vaccine exists should receive a single dose of Tdap. If additional doses of tetanus and diphtheria toxoid-containing vaccines are needed, then children aged 7–10 years should be vaccinated according to catch-up guidance, with Tdap preferred as the first dose. Tdap vaccine, when indicated, should be administered regardless of the interval since the last dose of Td vaccine. For management of a tetanus-prone wound, the minimum interval after a previous dose of any tetanus-containing vaccine is 5 years.
24 Oral typhoid vaccine is recommended to be administered 1 hour before a meal with a cold or lukewarm drink (temperature not to exceed body temperature—98.6°F [37°C]) on alternate days, for a total of 4 doses.
25 The minimum interval from Var-1 to Var-2 for people beginning the series at ≥13 years of age is 4 weeks.
26Yellow fever vaccine may be administered to children aged <9 months in certain situations (Staples JE, Gershman M, Fischer M. Yellow fever vaccine: recommendations of the Advisory Committee on Immunization Practices [ACIP]. MMWR Recomm Rep. 2010 Jul 30;59[RR-7]:1–27.).
Modern vaccines are extremely safe and effective. Benefits and risks are associated with the use of all immunobiologics—no vaccine is completely effective or completely free of side effects. Adverse events after immunization have been reported with all vaccines, ranging from frequent, minor, local reactions to extremely rare, severe, systemic illness, such as that associated with yellow fever vaccine. Adverse events following specific vaccines and toxoids are discussed in detail in each ACIP statement. In the United States, clinicians are required by law to report selected adverse events occurring after vaccination with tetanus vaccine in any combination; pertussis in any combination; measles, mumps, or rubella, alone or in any combination; oral polio vaccine (OPV); IPV; hepatitis A; hepatitis B; varicella; Hib (conjugate); influenza; pneumococcal conjugate; rotavirus vaccines; HPV; and meningococcal vaccines (conjugate and polysaccharide). In addition, CDC strongly recommends that all vaccine adverse events be reported to the Vaccine Adverse Event Reporting System (VAERS), even if a causal relation to vaccination is not certain. VAERS reporting forms and information are available electronically at www.vaers.hhs.gov, or they may be requested by telephone: 800-822-7967 (toll-free). Clinicians are encouraged to report electronically at https://vaers.hhs.gov/esub/step1.
Injectable vaccines are administered by intramuscular, intradermal, and subcutaneous routes. The method of administration of injectable vaccines depends in part on the presence of an adjuvant in some vaccines. The term adjuvant refers to a vaccine component distinct from the antigen, which enhances the immune response to the antigen. Vaccines containing an adjuvant (DTaP, DT, HPV, Td, Tdap, pneumococcal conjugate, Hib, hepatitis A, hepatitis B) should be injected into a muscle mass, because administration subcutaneously or intradermally can cause local irritation, induration, skin discoloration, inflammation, and granuloma formation.
Routes of administration are recommended by the manufacturer for each immunobiologic. Deviation from the recommended route of administration may reduce vaccine efficacy or increase local adverse reactions. Detailed recommendations on the route and site for all vaccines have been published in ACIP recommendations; a compiled list of these publications is available on the CDC website at www.cdc.gov/vaccines/pubs/ACIP-list.htm (also see Table C-01 in Appendix C).
- Ball LK, Ball R, Pratt RD. An assessment of thimerosal use in childhood vaccines. Pediatrics. 2001 May;107(5):1147–1154.
- Bilukha OO, Rosenstein N. Prevention and control of meningococcal disease. Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2005 May 27;54(RR-7):1–21.
- CDC. Combination vaccines for childhood immunization. MMWR Recomm Rep. 1999 May 14;48(RR-5):1–14.
- CDC. Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP)—United States, 2012–13 influenza season. MMWR Morb Mortal Wkly Rep. 2012 Aug 17;61:613–8.
- CDC. Updated recommendations for prevention of invasive pneumococcal disease among adults using the 23-valent pneumococcal polysaccharide vaccine (PPSV23). MMWR Morb Mortal Wkly Rep. 2010 Sep 3;59(34):1102–6.
- CDC. Updated recommendations for use of meningococcal conjugate vaccines—Advisory Committee on Immunization Practices (ACIP), 2010. MMWR 2011;60(03):72–6.
- CDC. Updated recommendations for use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis (Tdap) vaccine from the Advisory Committee on Immunization Practices, 2010. MMWR Morb Mortal Wkly Rep. 2011 Jan 14;60(1):13–5.
- Kretsinger K, Broder KR, Cortese MM, Joyce MP, Ortega-Sanchez I, Lee GM, et al. Preventing tetanus, diphtheria, and pertussis among adults: use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine recommendations of the Advisory Committee on Immunization Practices (ACIP) and recommendation of ACIP, supported by the Healthcare Infection Control Practices Advisory Committee (HICPAC), for use of Tdap among health-care personnel. MMWR Recomm Rep. 2006 Dec 15;55(RR-17):1–37.
- Kroger AT, Sumaya CV, Pickering LK, Atkinson WL. General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2011 Jan 28;60(RR-2):1–61.
- Manning SE, Rupprecht CE, Fishbein D, Hanlon CA, Lumlertdacha B, Guerra M, et al. Human rabies prevention—United States, 2008: recommendations of the Advisory Committee on Immunization Practices. MMWR Recomm Rep. 2008 May 23;57(RR-3):1–28.
- Nuorti JP, Whitney CG. Prevention of pneumococcal disease among infants and children—use of 13-valent pneumococcal conjugate vaccine and 23-valent pneumococcal polysaccharide vaccine: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2010 Dec 10;59(RR-11):1–18.
- Plotkin SA. Vaccines: correlates of vaccine-induced immunity. Clin Infect Dis. 2008 Aug 1;47(3):401–99.
- Staples JE, Gershman M, Fischer M. Yellow fever vaccine: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2010 Jul 30;59(RR-7):1–27.
- Varricchio F, Iskander J, Destefano F, Ball R, Pless R, Braun MM, et al. Understanding vaccine safety information from the Vaccine Adverse Event Reporting System. Pediatr Infect Dis J. 2004 Apr;23(4):287–294.
- Watson JC, Hadler SC, Dykewicz CA, Reef S, Phillips L. Measles, mumps, and rubella—vaccine use and strategies for elimination of measles, rubella, and congenital rubella syndrome and control of mumps: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 1998 May 22;47(RR-8):1–57.
- Wood RA, Berger M, Dreskin SC, Setse R, Engler RJ, Dekker CL, et al. An algorithm for treatment of patients with hypersensitivity reactions after vaccines. Pediatrics. 2008 Sep;122(3):e771–7.
- Page created: August 01, 2013
- Page last updated: August 01, 2013
- Page last reviewed: August 01, 2013
- Content source:


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WeatherBug Widget for Nokia
Tandag, Philippines
WeatherBug Mobile
WeatherBug offers a weather widget which allows Nokia mobile users interested in the weather to stay informed and be prepared with up-to-date live, local weather conditions, severe weather alerts, forecast, satellite or radar maps and weather station camera images for your location and thousands of cities around the world.
- Live, local current weather conditions
- National Weather Service (NWS) alerts*
- Three (3) days detailed forecast
- Radar and satellite images*
- Weather camera images*
- Metric and English units
- Links to WeatherBug WAP site for more detailed information
* Alerts, camera images and radar/satellite animation limited to US Only.
WeatherBug Mobile Weather for Nokia is a JAVA application available for the following devices:
Note: Features may vary depending upon your Nokia device.
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- Jun 16, 2015Earth Networks Promotes Dave Oberholzer to Vice President of the WeatherBug Home Business Unit
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Severe Weather Expected In The Plains, Southeast Today
Unsettled weather will trigger Mother Nature`s fireworks across the Plains and Southeast today, with damaging winds and…More >
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Authorities in Puerto Rico say a worsening drought has killed thousands of fish in one reservoir as a result of dwindling…More >
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You too can help save our planet and put money back in your wallet. Learn how you can take the first steps to reduce your environmental impact, including driving green, easy ways you can conserve water, and energy saving tips. To learn more and discover the benefits of going green, visit WeatherBug's green living section. More >

subset: commoncrawl


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I have a litter of AKC registered great dane babies that are 11 weeks old. I have black with a little white for $500 each and a blue merle for $800. I also have 2 13 week old ckc registered ones. I have a male fawn with black mask for $500 and a fawnequin...More info Email a friend
SMALL, MALE YORKIE MISSING FROM THE PARKING LOT OF BRANTLEY & JORDAN VET AT 5698 THOMASTON RD, MACON, GA. AFTERNOON OF JULY 1ST. LAST SEEN ON NORTH TUCKER RD. WEARING RED COLLAR WITH RED LEASH ATTACHED. CALL LINDA AT 478/957-8906. REWARD OFFERED FOR SAFE...More info Email a friend
LOST YORKIE SMALL MALE YORKIE LOST IN 5698 THOMASTON RD. AREA MACON ON JULY 1ST. LAST SEEN ON NORTH TUCKER RD CONTACT LINDA 478-957-8906. REQARD FOR SAFE RETURN. 478-957-8906.More info Email a friend


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July 7th, 2015
Browse Archive by Day
Archive: News / Biz / Business & Finance (17 Stories)
Ahold profit falls after unit disposal; sales rise
08/22/2013 1:10amRoyal Ahold NV, the Dutch operator of US supermarket chains Stop & Shop and Giant, says its underlying profit rose in the second quarter due to slow but steady economic growth.
China flight delays show military grip on airspace
08/22/2013 6:36amChina's fast growing air travel market is the world's second biggest. But when it comes to flight delays, it's No. 1.
Older brides with fancy gowns, garter belts, DJs
08/22/2013 8:04amSherryLynne Heller-Wells always wanted a fairytale wedding.
Report: Lilly paid kickbacks to Chinese doctors
08/22/2013 9:02amEli Lilly and Co. has spent millions of dollars on kickbacks to doctors in China for new patients who started using the drugmaker's insulin products, according to a report from a Chinese newspaper.
Halo recalls 27K infant blankets over choking risk
08/22/2013 10:17amBaby products maker Halo is recalling 27,000 of its SleepSack wearable blankets due to a choking hazard.
News Summary: Gauge of US economy's outlook rises
08/22/2013 10:31amSTRONGER GROWTH: A measure of the U.S. economy's future health rose in July, pointing to stronger growth in the second half of the year.
Regado Biosciences shares soar in trading debut
08/22/2013 10:43amShares of Regado Biosciences Inc. are soaring in their trading debut.
Municipal bonds are demanding attention, again
08/22/2013 11:45amMunicipal bonds usually don't get much attention unless something's wrong. They're getting attention now.
Stock of Nasdaq exchange owner drops after glitch
08/22/2013 2:03pmA glitch that stopped trading on the Nasdaq also hurt the stock of the exchange's owner.
Wal-Mart pushes 'made in America' at summit
08/22/2013 3:03pmWal-Mart Stores Inc. spearheaded an effort Thursday to bring together retailers, suppliers and government officials so they can figure out how to bring more manufacturing jobs to the United States.
JC Penney adopts 'poison pill' plan
08/22/2013 3:06pmStruggling retailer J.C. Penney is adopting a plan to prevent a takeover attempt just two days after reporting its sixth straight quarter of big losses and steep revenue declines.
Abercrombie & Fitch 2Q results miss expectations
08/22/2013 3:12pmAbercrombie & Fitch is the latest retailer to catch a case of the teenage blues.
Aeropostale latest teen store to post weak sales
08/22/2013 3:40pmAeropostale Inc. posted a loss in its latest quarter on poor sales, issued a weak outlook and increased the number of stores that it plans to close.
A look at other stock trading glitches
08/22/2013 4:14pmThe Nasdaq stock exchange was shut down for three hours Thursday because of a technical problem with a system for disseminating stock prices. Here's a look at other glitches that have affected stock trading. Twice, Nasdaq's trading was interrupted by power problems caused by squirrels getting electrocuted.
What is the Nasdaq stock exchange?
08/22/2013 4:34pmTrading on the Nasdaq stock exchange was halted for three hours Thursday after a computer malfunction.
Decision on next Fed chief a rare political battle
08/22/2013 5:01pmBette Midler wouldn't normally be expected to trumpet her opinion on who should be the next chairman of the Federal Reserve.
UPS to end health coverage for working spouses
08/22/2013 5:40pmUnited Parcel Service Inc. plans to drop health-insurance benefits for working spouses of nonunion employees if they can get coverage elsewhere. It blames the change partly on the new health-care law.
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"Lord, what fools these mortals be!" UNCW Theatre Presents A Midsummer Night's Dream
Tuesday, February 05, 2013
The University of North Carolina Wilmington Department of Theatre continues its 2012-13 season with William Shakespeare's famous comedy A Midsummer Night's Dream, Feb. 14-17 and 21-24. Shakespeare's classic pastoral world of romantic comedy is re-imagined for the observational technologies of the 21st century with a lush pop-tinged soundscape, film fantasies, and dazzling dance and movement. After this re-visioning by director and theater chair Andy Belser, falling in love will never look the same again.
In this classic tale, star-crossed lovers defy their domineering parents by escaping to a conveniently located magic forest where the king and queen of the fairies need marital therapy, a love potion leads to interspecies romance, and a band of actors stage the funniest tragedy you've ever seen. It all ends with happy marriages (at least everyone has a good time at the weddings), but only after a mischievous sprite sets all the foolish humans aright.
This will be the first Shakespearean work presented on the UNCW stage since 2008. A Midsummer Night's Dream has spoken to different eras and societies on the nature of romantic love. UNCW Theatre's resident dramaturg, Charles Grimes, notes, "This production of Shakespeare's classic asks questions about love in our Internet- and media-saturated society. Given all these new ways to present real and virtual selves, what are the metaphors and stories we use to explain our need for romantic love?"
UNCW's production features collaboration with several guest professionals. Set and lighting designs are by Randy Ward and John Ambrosone respectively. Ward and Ambrosone are the heads of the Departments of Graduate Design and Lighting at Virginia Tech, as well as founding members of The Gravity Project alongside department chair Andy Belser. Additionally, guest choreographer Karola Lüttringhaus, Artistic Director of Alban Elved Dance Company, lends her movement aesthetic to this innovative take on Shakespeare's classic.
A Midsummer Night's Dream contains some content that may not be appropriate for all audiences.
Shows will run at 8 p.m. Thursday through Saturday with Sunday matinees at 2 p.m. Feb. 14-17 and 21-24 in the Mainstage Theatre in the Cultural Arts Building. Tickets are $12 for members of the general public, $10 for seniors and UNCW employees, and $5 for students. They are available at the Kenan Box Office on campus, by calling 910.962.3500, or on online at www.uncw.edu/arts/box-office.html.
A complete schedule for this show and details about the rest of the season can be found at www.uncw.edu/theatre.
Other 2012-13 Department of Theatre Productions include:
- Student Lab Series – March 21-24 – SRO Theatre
- PROM, launching the Professional Partner Series with Whit MacLaughlin in March/April residence – April 11-14 & 18-21 – Mainstage Theatre
- Nearly Lear, launching the Solo Genius Series with a solo piece that premiered on Broadway in 2011 by Susanna Hamnett- April 25 &26 – Mainstage Theatre


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May trip to Chocolate Bayou, June trips to South Llano and Skimmer saltwater trip
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The wind does not look very promising for Saturday. Windfinder http://www.windfinder.com/forecast/san_luis_island is pretty ugly. I am open to suggestions if it looks like this forecast is goning to hold. Shall we reschedule? Find a protected area? What would everyone like to do? I am out of town on business, but will be back Thursday. I will have some phone & email access, it just might take a little time to reply.


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Set in South America, a sense of foreboding causes 10-year-old Mia to go in search of her father who is working on an enormous building site to transform a tropical forest into a luxury hotel. During her expedition, she discovers the forces and spirits of nature, in particular the Migoos.
Rated PG for thematic elements, some peril and brief mild language.
Visit the official site
Cast: Wallace Shawn, Whoopi Goldberg, Matthew Modine, Dany Boon, James Woods, Pierre Richard, Garance Lagraa, Laurent Gamelon, Charlie Girerd, John DiMaggio
Produced by: Matthew Modine, Jacques-Rémy Girerd
Directed by: Jacques-Rémy Girerd, Jacques-Rémy Girerd
Written by: Benoît Chieux, Jacques-Rémy Girerd, Iouri Tcherenkov, Antoine Lanciaux, Jacques-Rémy Girerd, Benoît Chieux
Running time: 1hr 32min
Opens: Mar 25, 2011 NY


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Oddly, it was a real email address, real user, and a brand new IP address that's never been used for spam. Even looked like a real name. I haven't let many through here in about 2-3 years. I guess I'll take a mulligan on that one.
But I'm not a useful mod lol.


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Hello, darlings. We're back in the ballroom, this time with a bunch of new dancers. That All-Star season had its moments, but was kind of a dud overall.
Lordie. Someone's given Barbara Barrie's hair to Kellie Pickler. (Relevant fact about Barrie: She's 81-years-old.) I get that Kellie shaved her head in solidarity with a friend being treated for cancer. But that doesn't answer why the hairstylist tonight hates her.
This new Lindsay pro (who I have a vague recollection of from "So You Think You Can Dance") looks all of 12 years old. Like, the Disney kid star looks older than this pro. Ai-yi-yi. Speaking of Zendaya, she's all about the hand gestures. Stop it, kid, you're bothering me.
- Ravens' Jacoby Jones shows off moves on 'Dancing with the Stars'
- VIDEO Ravens' Jacoby Jones teaching his touchdown dance
- Jacoby Jones dishes on dance skills of Ravens
- 'Dancing with the Stars' Season 16 cast [Pictures]
- Baltimore Ravens' DVD premiere [Pictures]
- Athletes on 'Dancing with the Stars'
See more photos »
- Dance
- Music
- Football
See more topics »
"The Bachelor" guy has stolen Hugh Hefner's smoking jacket, which somehow seems appropriate. (Full disclosure: I have never watched "The Bachelor." But, it's a guy who lived in a house and "dated" a lot of women and yet manages to remain unmarried. Not far off from the Playboy Mansion for many years.)
Wynonna Judd looks about like I'd like if you put me in that dress — like something that should be on the front of an old-timey ship. "Prow" is never a word you want to bring to people's minds with your outfit.
Jacoby Jones is in purple (not quite Ravens' purple, but more like the Mardi Gras purple of his native New Orleans, especially since it's paired with gold), as is Karina.
As the theme music ends and the announcer finishes his introduction, Tom looks ceilingward and says, "Thank you, disembodied voice." Y'all, I know it's early in the episode, but I'm ready for my first "I LOVE HIM SO MUCH" of the season.
Kellie Pickler and Derek Hough: Cha Cha Cha
Kellie talks about how much "American Idol" changed her life. Regarding their nearly identical hair lengths, Kellie tells Derek that she'll be his Tinkerbell and he can be her Peter Pan. That's cute. Derek thinks she's got the tools to go really far. He's impressed with her flexible back.
It's a basic-enough routine, but Kellie looks comfortable with it and has some great sharpness to her poses and finishing her moves.
Tom introduces Len Goodman as a newlywed. What? What? I don't want to think about Len's sex life. It's like thinking about your school prinicipal that way. Ew.
Len liked it, saying her legs were a little bit stiff but it was a great start. Bruno is happy about the "shapes of things to come." Bruno looks critically at her leg movements as well. Carrie Ann tells her she has "incredible torso movement."
Kellie describes Derek as "a big brother," thereby cutting off at the pass any showmance speculation about these two.
Scores: Carrie Ann: 7; Len: 7; Bruno: 7
Fair. It was a good showing for the first week. Derek says 21 is his lucky first-week score.
Victor Ortiz and Lindsay Arnold: Foxtrot
Victor's mom left when he was 7 and his dad left when he was 12. He and his siblings raised themselves and then Victor made his pro-boxing debut at 17.
He has a new pro Lindsay and their first dance is the Foxtrot. He tells Lindsay he assumes that means he'll be in a fox suit, trotting around. Nice try, Victor, but you're not dancing with Mark Ballas.
Victor's got a million-dollar smile, but he misses at least one move and they're probably going to carp on his hunched-up shoulders.
Tom mentions Victor's smile, predicting that it alone will get him some votes. Ohmigod, I'm thinking like Tom Bergeron. This may be my definition of nirvana.
Bruno tells him to work on his foot placement, his frame and to watch his arms ("It's not 'Gorillas in the Mist.'") Carrie Ann likes his posture. Len wants more wows and thinks Victor can knock him out with the jive next week.
Lindsay uses the word "amazing" three times in one sentence while answering a question from Brooke. I find that ... not so amazing, actually.


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Industrial Shelf Basket Set of 3
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Industrial Shelf Basket Set of 3
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Capture the sweet joy of playing ball with a young Twins fan even during the holiday season with the Number One Fan ornament from Precious Moments. Made from bisque porcelain, this ornament features a child poised on top of a baseball sporting a spirit finger with "#1" printed on it for a delightful take on your everlasting Minnesota pride.
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Special event items are produced by manufacturers only after the outcome of a game or event. These are advanced sale items and will ship immediately after they are received in our warehouse.
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Customized items can be personalized with options such as your name, your favorite number, and/or designs. Some options may be limited by league rules.


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HTC One M8 review10 April 2014
The HTC One (M8) is HTC's play for the high-end. It's a flagship device that HTC has poured all its design prowess into. Announcing the HTC One (M8) and making it immediately available in stores, HTC was looking to get this device into the hands of people... >>


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Drama, Family
Bavootty is the driver of Sethu Madhavan, a rich businessman. He is so faithful that Sethu Madhavan likes him very much. He believes that Bavootty is the reason for all his successes, both in his personal life and business. Because of this Bavootty enjoys all freedom in that house.
Visit the official site
Cast: Mammootty, Kavya Madhavan, Sudheesh, Vineeth, Shankar Ramakrishnan
Produced by: Ranjith
Directed by: G.S Vijayan
Written by: Ranjith
Running time: 2hr 30min
Opens: Feb 01, 2013 Limited


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I am Lindie and her lvl is 17 now =)
btw i go on earth2
I am Lindie and her lvl is 17 now =)
btw i go on earth2
O ya i play on earth 2 mostly . Thats where all my friends are
Impossible is Nothing
class: Bowsman
Level: 33
Server: Earth 2
Last edited by Legacyweapon; 02-20-2007 at 04:57 AM.
The Infamous "That Woman Speech"
"Sweat saves blood, blood saves lives, and brains save both."
WtfItsStevz/Bowman/20/Earth 1
OmfgItsStevz/Healer/8/Earth 1
TY iKai for influence of the names.
Homepage | DA page | My first Flash game >=( | Favorite Flash | Random YT Vid
+ Zappa has died. Lest us forget... +
IGN = GarFeeLD
Class = Spearman
Level = 7
Server = Earth 2


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Ethics reform was the No. 1 priority this session for incoming Florida Senate President Don Gaetz.
He was able to convince the Senate this week to join him in passing a bill that, it is said, could do more to clean up state government than anything that has come along in the last 38 years.
"If the session ended tomorrow, I would be very pleased with the results," Gaetz said Friday.
Not only did Senate Bill 2 pass by a 40-0 vote, Gaetz said, but every senator signed on as a co-sponsor.
"Every single member of the Senate wanted their name next to mine on this piece of legislation," the Niceville Republican said. "It's a very good sign that we were able to earn the support of every single senator for legislation which in previous years had never gotten off first base."
S.B. 2 and a companion, Senate Bill 4, call for sweeping changes. Among them is a provision that would prevent a member of the Legislature from becoming a lobbyist until two years after he or she has served as an elected state official.
A provision in the version of S.B. 2 that went to the floor would have left lawmakers currently in office exempt from that regulation until the end of their ongoing term.
Okaloosa County Commissioner Dave Parisot and some others protested the provision, which was added late as an amendment. In the end, senators removed the language before Tuesday's vote.
Parisot commended the Senate for removing the language he found offensive.
"If Sen. Gaetz had a hand in doing that, I will have to commend him," Parisot said.
Gaetz wasn't in the mood to share the love.
"It was amusing to get a lesson on ethical controls from Dave Parisot, and as it turned out his input had no bearing on what happened," he said.
Gaetz has been critical of the County Commission and ethics lapses that have occurred throughout county government.
He said Friday he was inspired in part to introduce ethics reform "in a negative way, by many of the events that occurred in my home county in the last four years."
Gaetz said the language Parisot criticized was removed as one of "four or five amendments taken up on the floor for technical clarification."
The state House, headed by Speaker Will Weatherford, is working on an ethics bill of its own.
"I have complete confidence we will see a strong ethics bill pass the House," Gaetz said.
Contact Daily News Staff Writer Tom McLaughlin at 850-315-4435 or firstname.lastname@example.com. Follow him on Twitter @TomMnwfdn.


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Patients that you think would be appropriate for live patient viewing, please send an email to firstname.lastname@example.com
April Live Patient Viewing Dermatology Grand RoundsDate: 04/15/2014 - 04/15/2014
Live patient viewings begin at 7:45am and are held at 50 Staniford Street, Suite 200. Due to patient privacy guidelines, only approved staff may attend patient viewing portion in the dermatology clinic.
Live patient viewings begin at 7:45am and are held at 50 Staniford Street, Suite 200. Case Discussiona are at Simches, 185 Cambridge St. Charles River Plaza, Room 3120 beginning at 8:30am.
The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Harvard Medical School designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of participation in this activity.
The Massachusetts General Hospital Dermatology Grand Rounds (Program # 30100) is recognized by the American Academy of Dermatology for 1.5 AAD Recognized Category 1 CME Credit(s) and may be used toward the American Academy of Dermatology's Continuing Education Award.
Due to patient privacy guidelines, only approved medical staff may attend the live patient viewings in the dermatology clinic.


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(801) 442-2836
Experts point to a complex set of reasons for the current epidemic of overweight and unprecedented obesity in America. They include a rise in soft drink consumption, bigger food and beverage portions, the increase in daily screen time-from TV and computers to video games, and a decrease in recommended physical activity.
As children go back to school, they can easily go back to a more sedentary lifestyle that is becoming the norm for many Americans. Social and environmental changes have added to the inactive lifestyles. Neighborhoods have fewer sidewalks, more neighborhoods feel unsafe, fewer children walk to school, we spend more time in cars, and we're eating fewer meals at home. We find ourselves less active and sitting more in front of TV or computer screens as we work, study, shop, socialize, and seek entertainment.
In fact according to a recent American Cancer Society study, sitting too much may shorten the average life span. Published in July's American Journal of Epidemiology, research showed exercise, even a little per day, lowered the mortality risk tied to sitting.
Tamara Sheffield, MD, Intermountain Healthcare director of Community Health, chooses to accentuate the positive. "It's true," she says. "We live in a different world than our parents and grandparents did, but with some awareness and effort, it's not all that difficult to build activity back into our daily lives." Sheffield points out that everyone can benefit from regular exercise-walking, running or working out for at least 30 minutes five days a week. "With a little bit of planning, anyone can build more calorie-burning and strengthening activities into everyday life."
As part of Intermountain Healthcare's "LiVe" campaign, an educational program designed to give kids, teens and families "8 Healthy Habits to Live By," Sheffield offers these tips for meeting the challenges of today's sedentary lifestyles:
Parents and teens can find more expert advice on diet, activity and attitudes about weight management at IntermountainLiVe.org


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You are here
New Report Analyzes Florida's Small Businesses
Small Businesses Employ 42.9 Percent of Private-Sector Workers, Key to Economic Recovery
WASHINGTON – Small businesses significantly impact Florida's economy, employing 2.8 million workers in 2010 with most of the employment coming from firms with 20 – 499 employees, according to a new state-by-state report released today by the U.S. Small Business Administration (SBA) Office of Advocacy.
The Small Business Profile for the States and Territories, an annual analysis of each state's small businesses, also finds that self-employment in Florida improved over the last decade, while minority self-employment saw the largest growth. All in all, Florida's 2.1 million small businesses represent 98.9 percent of all employers, and they employ 42.9 percent of the private-sector labor force. Nationwide, there are 27.8 million small businesses representing 99.7 percent of all employers and employing nearly half – 49.1 percent – of the private-sector labor force.
"Like many states across the nation, small businesses are helping to strengthen the economy in Florida," said Dr. Winslow Sargeant, Chief Counsel for Advocacy. "Most of the country's small businesses continue to be very small, having fewer than 20 employees, but they paint a big picture of a recovering America. Advocacy's analysis gives us a clear understanding of just how important small businesses are in Florida."
Florida's small business profile contains detailed information about the number and type of businesses in the state, business owner demographics, industrial makeup, business turnover and income and finance. Most data are also presented in comparison with similar data over time. Each state's small business profile can be read or downloaded by visiting the Office of Advocacy's website at www.sba.gov/advocacy/848.
Highlights of the Florida small business profile include:
Overall Economy
Florida's economy was was strong in 2011, with real gross state product increasing 2.5 percent and private-sector employment increasing 1.5 percent.
The state's unemployment rate decreased by 0.8 percent in 2011.
During the midst of the economic recession, the employment situation from 2007-2010 was weak, and small businesses in Florida had a net job loss.
Small Businesses
Small businesses in Florida employed 2.8 million workers in 2010, with most of the employment coming from firms with 20 – 499 employees.
Most of the state's small businesses are very small as 80.8 percent of all businesses have no employees, and most employers have fewer than 20 employees.
In 2011, the number of opening establishments was higher than closing establishments, resulting in a positive change in net employment.
Self-employment in Florida improved over the last decade by 11.0 percent.
Minority self-employment saw the largest growth in Florida over the last decade.
The Office of Advocacy of the U.S. Small Business Administration (SBA) is an independent voice for small business within the federal government. The presidentially appointed and Senate confirmed Chief Counsel for Advocacy advances the views, concerns and interests of small business before Congress, the White House, federal agencies, federal courts and state policymakers. Regional advocates and an office in Washington, D.C., support


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Is It Bad Luck to See the Bride Before the Wedding Day?
Okay, so we aren't exactly talking about just any bride when we talk about this wedding superstition. We're referencing The Bachelor, which premiered last night as Sean Lowe met the 26 women he would pick from to be his eventual fiance (that is, if all goes as planned, which it never does). If you watched, one of the contestants showed up in a white wedding dress to make a memorable first impression. She even approached him saying "You may now kiss the bride" and locked lips with the shocked Bachelor!
Traditionally, the final reveal of the bride in her wedding dress comes later. WAY later. Does this mean contestant Lindsay's bold move may hurt her chances at getting the final rose? That's up to whether you believe in the superstition or not. Sean was clearly thrown aback though, and when he told viewers "God had another plan for me" after he was cut from a previous Bachelorette season, we don't think his "plan" was to get a bride the first day of his reality show romance. We can't wait to see how this dramatic series plays out! Fingers crossed Sean does find his bride. And believe it or not, Lindsay is still in the running!
> Superstitions from Around the World
> The Rings from 'The Bachelor' & 'Bachelorette'


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Brady Maccabi A vs Faithfold A
By Danny Caro, January 7, 2013
League leaders Faithfold needed a late goal to keep them top of the JC MSFL after they were given a testing morning against Brady at Rowley Lane. Here are some of the key moments. Photos: Marc Morris
Last updated: 3:07pm, January 7 2013


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Perry names Houston lawyer secretary of state
By Peggy Fikac | December 19, 2013 | Updated: December 20, 2013 1:06am
Photo By University of Houston
Nandita Berry is vice chair of the University of Houston Board of Regents.
Photo By Justin Hayworth/FREFILE - In this Nov. 7, 2013 file photo, Texas Gov. Rick Perry speaks at the Polk County Republican Party dinner in Des Moines, Iowa.
Photo By E. Joseph Deering/Houston ChronicleIn this 2003 file photo, Nandita Berry walks next to her husband, Michael Berry, when he announced his intentions to run for Houston mayor.
Photo By Texas GovernmentTexas Gov. Rick Perry has appointed attorney Nandita Berry as the 109th Texas Secretary of State, effective Jan. 7, 2014. The first Indian-American to fill the post, Berry will serve as the state's chief elections officer, the governor's liaison on border and Mexican affairs, and Texas' chief protocol officer for state and international matters.
AUSTIN - Gov. Rick Perry on Thursday appointed Houston lawyer Nandita Berry to be secretary of state, succeeding John Steen Jr. of San Antonio, who announced his resignation this month.
Berry's appointment, effective Jan. 7, will make her the first Indian-American to hold the position of chief elections officer for Texas, Perry said.
"Nandita Berry personifies what is possible through hard work and dedication in the state of Texas," Perry said in a statement announcing the appointment. She was 21 when she arrived from India "with nothing but $200 to her name" and has become "one of the most accomplished attorneys in the state."
"I am truly humbled to follow in the footsteps of Stephen F. Austin, Texas' first secretary of state," Berry said in a statement. "Like him, I came to Texas in search of a better life and the limitless opportunities to be found across our great state."
Berry has been on the University of Houston board of regents as a Perry appointee but resigned that post to become secretary of state, according to the governor's office. She is senior counsel at Locke Lord LLP, a position the firm said she also will resign.
She is married to radio talk-show host and former Houston City Councilman Michael Berry, who drew attention in 2010 for saying on his show he hoped that if a mosque were built near the New York City site of the 9/11 terrorist attacks that it would be blown up. He later apologized for his words but maintained that the mosque should not be built. He also has referred to Houston Mayor Annise Parker as Annise "Porker," and refers to liberals as "libtards."
As secretary of state, Nandita Berry will be the state's chief elections officer as well as the governor's liaison on border and Mexican affairs and the state's chief protocol officer for state and international matters. The secretary of state's office also is the repository for business records, among other responsibilities.
"This is great news for Nandy and for the citizens of Texas," said Ken Simon, managing partner of Locke Lord's Houston office. "Nandy is skilled, experienced and a natural leader. Her colleagues and clients at Locke Lord will greatly miss her - but we know she will be a dedicated and respected secretary of state and she will do an outstanding job representing the state of Texas."
Rep. Jessica Farrar, D-Houston, said she is not familiar with Nandita Berry's work and does not want to prejudge her but that her husband's profile "could cause some concern."
"He makes his living being controversial now," Farrar said. "This is an office that is supposed to be totally impartial to either party, even though it is a political appointment. You have to reach a really high level of public trust. I think his activities are a hindrance to that public trust."
Rice University political scientist Mark Jones said the new secretary of state is coming in at "an especially sensitive time, given the controversy surrounding the Texas voter ID legislation."
Jones said that "at a superficial level," Perry's decision to appoint a minority could help deflect Democratic criticism that the law is disenfranchising voters. Republicans say the measure is meant to promote ballot security.
Nandita Berry is "quite likely very qualified, very talented and an excellent person for the job," Jones said, but her husband's job "just adds one other source of friction and noise in an area of debate that is already quite full of controversy and conflict."
Berry will succeed Steen, who said he is leaving the post to focus on his private law practice and management of his family's investments.


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Venta SV Jacket
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The Venta SV jacket is ideal for cold, windy, alpine environments, delivering the highest level of protection in our Softshell category. Constructed with three distinctly different WINDSTOPPER® Soft Shell textiles to enhance comfort and performance characteristics, this alternative to a Hardshell, blocks wind while providing increased breathability for active use on frigid days.
Windstopper® fabric is a softshell textile that blocks wind and has an exceptionally high level of water resistance. The three different weights of Windstopper® fabric used in the Venta SV are strategically placed to provide combinations of durability and warmth where they are most needed.
There are advantages to managing wet weather other than with the use of hardshell. Windstopper® fabric is warm, it has stretch and it's quiet, in addition to being highly water resistant. For lower output activities in cold, wet, windy weather, the Venta SV is a solid softshell option.
When the weather is primarily cold and wind can be expected, a Venta SV maintains body temperature during activity without overheating. Lower aerobic output requires an outer layer that is thermally efficient, blocks wind and yet remains breathable.
Within in the range of softshells – see Gamma series – the Venta SV is a severe weather piece with the highest degree of wind resistance and warmth, with less breathability and air permeability.
Learn More About This Product
Full Feature List
- Moisture-resistant outer face fabric
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- N72s WINDSTOPPER® 3L (lo-loft)
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- Machine wash in warm water (30°C) or dry clean.
- Do not use fabric softener.
- Tumble dry on low heat.
- Do not iron.


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Revision as of 18:13, 29 November 2011
|Subject Specialist in Radiological Technology
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Prof. Monica Berger
This guide was prepared by Prof. Monica Berger
Getting Started with Radiological Technology Research
This guide will help you get started with research in Radiological Technology at the City Tech Library and beyond.
Please visit our new databases page and explore by the subject RADIOLOGICAL TECHNOLOGY AND MEDICAL IMAGING in the right hand drop down menu. Don't forget to select GO!
ACM Digital Library Citations and full text from Association for Computing Machinery journals, newsletters, and conference proceedings.
BioMed Central Open Access ejournals on biomedical research. Individual registration required for searching.
CINAHL with Full Text(EBSCO): Articles from scholarly and professional journals on nursing & allied health. Also indexes contents of books, conference proceedings, and dissertations.
Health Reference Center Academic (Gale): Nursing and allied health journals as well as other health information sources for college students.
Health Source Nursing/Academic Edition (EBSCO): Scholarly journals in nursing, the allied health professions and other medical disciplines. Includes EBSCO's Clinical Pharmacology database.
LWW Nursing & Health Professions Premier Collection (Ovid): Nursing ejournal collection. Includes American Journal of Nursing.
Medline with Full Text(Ebsco): Medical information full text and index on medicine, nursing, dentistry, veterinary medicine, the health care system, pre-clinical sciences. Created by the National Library of Medicine.
New England Journal of Medicine: Weekly general medical journal that publishes new medical research findings, review articles, and editorial opinion on a wide variety of topics.
PubMed: Medical information index on medicine, nursing, dentistry, veterinary medicine, the health care system, pre-clinical sciences. Created by the National Library of Medicine.
ScienceDirect: ScienceDirect is the world's largest electronic collection of science, technology, and medicine full-text and bibliographic information. It offers a wide variety of features and content.
Journals and Magazines
To find a specific journal or magazine:
- Click the Find Journals/eJournals tab on the Library website. Search or browse by journal or magazine title, or browse by subject in Health & Biological Sciences.
- To find magazines and journals in print at the library, search the online library catalog.
- If you need an article from a magazine or journal at another library, request it through Interlibrary Loan.
Finding Books and More in the Library
To find books, ebooks, and multimedia resources (including DVDs, videocassettes, and audio recordings), search the online library catalog.
- To find books at other CUNY libraries, select All CUNY Libraries. To request a book from another CUNY library, click Request a Copy.
Searching with Subject Headings
Using subject headings to search the library catalog can help you quickly find useful books and multimedia. Once you have found a book on your research topic, click on the Subjects links to find more books on that topic.
You can also search by subject from the Find Books tab on the Library website. Here's a sample of relevant subject headings for radiological technology research. These headings may also have sub-headings that can be browsed:
- Anatomy
- Diagnostic imaging
- Human anatomy
- Radiography, Medical
To find books on PACS, browse these headings:
- Radiography, Medical--Digital techniques
- Picture archiving and communication systems in medicine.
Reference Resources
The library has many reference books like encyclopedias, dictionaries and atlases that are useful for architecture research. You can search for reference books by keyword or subject in the library catalog.
Print reference books are located on the shelves behind the Reference Desk on the 4th floor of the library. Print reference books can only be used in the library.
Many of our reference books are available electronically (ebooks) -- read them by clicking through the links in the library catalog. For off-campus access to ebooks, login with library number on the front of your ID. For more information or to report a problem, see Off-campus Access on the Library website.
Here are a few popular reference books for radiological technology. These books are published in new editions every few years. The call number is the general call number without a specific year. Always check the books catalog for the specific location:
- Ballinger, Philip W. Merrill's atlas of radiographic positions and radiologic procedures. Mosby. RC 78.4 .B35
- Bontrager, Kenneth L. Textbook of radiographic positioning and related anatomy. Mosby. RC 78.4 .B66
- Greathouse, Joanne S. and Cynthia Cowling, eds. Delmar's radiographic positioning & procedures. Delmar Publishers RC 78.4 .D44
Anatomy and Physiology
- Gray's anatomy : the anatomical basis of medicine and surgery. Churchill Livingstone. QM23.2 .G73
- Netter, Frank H. Atlas of human anatomy. Novartis QM25 .N46
Rad Tech Dictionaries
- Pitman, Sally C., ed. Radiology imaging words and phrases: diagnostic imaging, interventional radiology, therapeutic radiology, nuclear medicine, neuroradiology, ultrasonography, computed tomography, magnetic resonance imaging. Health Professions Institute, RC78 .R2475
- Stedman's radiology words. Philadelphia: Lippincott Williams & Wilkins RC78 .A3 S74
Medical Dictionaries
- Dorland's illustrated medical dictionary. Philadelphia: W.B. Saunders Co. R121 .D73
- Mosby's medical, nursing, & allied health dictionary. St. Louis: Mosby, R121 .M89
Internet Resources
The following websites are large, comprehensive guides to the subject.
AuntMinnie.com A commercial site for both radiologists and radiologic technologists.
BrighamRad Home page for education and research of the Department of Radiology at Brigham and Women's Hospital. BWH is a nonprofit teaching affiliate of Harvard Medical School.
1 UltraRad.com Commercial site for imaging professionals.
Reference Resources, Anatomy, and Image Databases
CHORUS Collaborative Hypertext of Radiology
Vascular Anatomy (Harvard University)
The Whole Brain Atlas (Harvard University)
The Visible Human Project (National Library of Medicine)
U. Texas Medical School, Diagnostic and Interventional Imaging, Interesting Case Files (University of Texas Medical School, Houston) ? too high level?
Professional Organizations
AEIRS Association of Educators in Imaging and Radiologic Sciences
ARRT American Registry of Radiologic Technologists(certification & testing)
ASRT American Society of Radiologic Technologists
ISRRT International Society of Radiographers and Radiological Technologists


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Training Books and Videos
The Deadlift - Brad Gillingham Training Manual
Item # T2100 Learn how to build hip, back and leg strength like Deadlift King Brad Gillingham. Brad is the only person in history to deadlift 800+ lbs. in competitions 80 times and counting. The training manual will teach you how to execute perfect deadlift form using Brad's tips. The manual also provides you with numerous examples of Brad's squat and deadlift routines, plus great auxiliary lifts that will help increase your deadlift. 5 x IPF World Champion - 4 x runner up 12 x USAPL National Champion 5 x NAPF Champion 4 x Arnold Deadlift Champion Competed in 14 IPF World Championships IPF Open 120+ Deadlift IPF World Record Holder IPF Masters 120+ Deadlift IPF World Record Holder Learn More >


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In 2012, Hospitals Expand Real Estate Footprints, from Brooklyn to Harlem
The city's aging population, a drive for state-of-the-art facilities and strong hiring across the health care industry prompted unprecedented growth in leasing activity in the health care sector across the five boroughs in 2012.
Memorial Sloan-Kettering, Mt. Sinai, Montefiore Hospital and Inventa Health were among the dozens of hospitals and medical companies to announce bold new initiatives to expand their footprints in the city in 2012, and those developments are only a sign of what's to come, brokers and analysts predict. Read More


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Girl's Camouflage Clothing
Having a baby girl? The Camo Shop carries many choices: dresses, overalls, gift set outfits in the Realtree camo pattern. Girls camo clothing have either bows or pink trim. Shop for baby showers or everyday clothing.
Girls White w/Camouflage Trim Socks$7.95
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Climb Mera Peak, Island Peak and the Amphu Labtsa
Nepal, Climbing, 27 days - from £2,695 (land only) - from €3,775 (land only) - from $4,340 (land only)
Land only
Land only prices and availability - 27 days
|Trip Code
|Holiday dates
|Mon 28 Sep - Sat 24 Oct
|Mon 12 Oct - Sat 7 Nov
Booking your own flights
The LAND ONLY dates and prices are for the itinerary joining in Kathmandu on the dates shown above. For clients making their own flight arrangements, Kathmandu Airport is the most convenient for transfers to the group hotel. Please refer to the 'Joining arrangements & transfers' section in the trip dossier for further details.
Flights SHOULD NOT be booked until you have received your booking confirmation and this trip is showing the 'Guaranteed to Run or Limited' symbol. If your trip is still showing 'Spaces', we will contact you as soon as it has reached the guaranteed status.
Book a Private Group departure
If the holiday dates do not suit you, or you wish to travel in a private group of your own please contact our Private Groups team on firstname.lastname@example.com or see Private Group Departures for further information.Private Groups
Additional Pricing Information
The deposit for this trip is: $400
The group size for this holiday is: 5-12
Single Supplements
Optional Single Tent Hire from: $225
Optional Single Hotel Supplement from: $195
Group hotel nights in Kathmandu (single tent not included)
BOOK WITH KE CONFIDENCE - No surcharge guarantee*
* Against Land Only services.
|Group Size
|Holiday is available
|2 more to Guarantee
|Only two more bookings are required for this holiday to reach 'Guaranteed' status.
|Holiday is 'Guaranteed to Run'
|Limited Space
|Holiday is 'Guaranteed to Run' but with only limited places left. Please call KE
|Holiday full or unavailable


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Softball Preview: Cienega aiming for 4th straight state title game - Comments
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Hi EWN peeps!
djdylanmanov here back with my second blog, this two-part blog I will be focusing on the strength of having the fans invest emotionally into a feud with a slow build.
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Student Financial Services
FALL 2015Tuition Fee Payment Deadlines
|If you register between these dates:
|Your fees are due:
|April 13, 2015 through July 29, 2015
|July 29, 2015
|August 3, 2015 through August 14, 2015
|August 14, 2015
|After August 14, 2015
Registration and Tuition Fee Amounts*, **, and ***
(*Includes a $2 voluntary SIRF Fee)
|0-6 units
|6.1 + units
Dates & Deadlines
State Supported Summer 2015 - Fee payment deadline.
(Limited to Masters in Social Work, Education Grad Program, and limited English internships. All other courses administered through Regional and Continuing Education).
July 29, 2015
Fall 2015 - Fee payment deadline. Fees must be paid or you must have sufficient pending financial aid to avoid late fees, holds, and/or being dropped from classes.
August 14, 2015
Fall 2015 - Late fee payment deadline. Deadline for students who registered (including waitlisted only) July 29 through August 14, 2015. Fees must be paid or you must have sufficient pending financial aid to avoid late fees, holds, and/or being dropped from classes.
The CSU makes every effort to keep student costs to a minimum. Fees listed in published schedules or student accounts may need to be increased when public funding is inadequate. Therefore, CSU must reserve the right, even after initial fee payments are made, to increase or modify any listed fees, without notice, until the date when instruction for a particular semester or quarter has begun. All CSU listed fees should be regarded as estimates that are subject to change upon approval by The Board of Trustees.