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93 Rentals · Port Elizabeth
93 Rentals · Port Elizabeth
The comfortable double bedroom comes with private access, a king size bed, lots of cupboard space, work desk, coffee-maker, en-suite bathroom, free wifi, access to the garden with swimming pool and pool-table. The house is walking distance to the beach, many shops & restaurants. Learn More
Our comfortable and modern house is totally geared towards spending time outdoors, around the pool or in the garden. Our guests will have access to all the outside areas, enjoying a swim or a game of pool with partial sea-views. The beautiful beach front is in walking distance with a wide variety of entertainment- and restaurant options. We know the local bars, restaurants and other attractions very well and will make sure you have a great time. However, you will have your own private acces...
Port Elizabeth
Beautiful, sunny and cosy bedroom with separate lounge in a quiet residential area, close to beaches, airport and shopping centres. Light continental breakfast. Private entrance and secure free parking. 5 minutes from the airport. With full DSTV. Learn More
The space consists of a bedroom, separate lounge area and separate toilet. Will comfortably accommodate two adults. Under-cover off-street parking behind remote gates. We strive to continuously upgrade the space to make it more appealing and comfortable. Access to our beautiful garden and swimming pool. A full breakfast can be provided on our covered patio by special arrangement Interaction with our guests is determined solely by them, as much or as little as you want. Neighbourhood i...
Port Elizabeth
Sleeps up to 3, we offer dinners & packed lunches-to-go on request. We're centrally located & have a beautiful view overlooking the bay. Walking distance from the NMB Stadium, Collegiate, Greenacres Mall and Hospital & quick access to the freeway. Learn More
You will be welcome to your second home :) Secure parking, own garden entrance, TV, WIFI, bar fridge & microwave. Pool in the premises. Guests are welcome to bring their drinks and join us around the bar for a social chat while watching the ships in the bay. Friendly and upmarket with beautiful views. 650m from the Greyhound bus, and Spar Acres shopping centre, and 1.3 km from Greenacres Mall and Hospital.
Port Elizabeth
This is a beautiful, newly restored heritage home in the heart of the old city. It has a stunning view over the baakens valley, Fort Fredrick, and out towards the (website hidden) contains all you need for an easy, peaceful, and fun stay in Port Elizabeth. Learn More
The home is a registered heritage property built in the 1800's. It has stunning wooden floors and high ceilings, and gets great light throughout the day. Guests will have full access to the two-bedroom downstairs apartment, as well as an outdoor barbecue area and garden. I live in the house right next door so will be available if you need any help during your stay. The house is situated in a very central neighborhood, only 5 minutes from the beach. There are many nice coffee shops, resta...
Port Elizabeth
4 luxury on suite rooms, fits two, with double bed, exposed brick,tranquil surroundings, swimming pool, tv, private barbecue, communal kitchen. Very private and separate from main house. 15 Minutes walk from the swimming beach and 5 minutes to casino Learn More
Private, tranquil, safe, upmarket area and close to beach and casino and entertainment area. Beach 15 minutes walk, Casino and entertainment area 5 min walk, swimming pool. Only when required, but happy to assist with any information or help. Upmarket, quite, tranquil, Yes taxis are available
Port Elizabeth
The cottage is cosy and has a lounge/ kitchen area, separate character bathroom and 1 bedroom comprising either a king or twin beds as required. There is also a king-size sleeper couch. Serviced weekly, has wifi and full DSTV. German is spoken. Learn More
My space is unique in that you feel at home as care has been taken to equip the unit with nice finishes. There are oregan pine floors, handmade Zimbabwean tiles and it has a stylish feel. You have assistance should you require but otherwise can operate completely independently. Guests will have access to a braai (barbeque) area and quiet and tranquil garden with a sense of community. The neighbourhood is safe and historic situated on the hill with views of the sea. Pleasant for walks. Shop...
Port Elizabeth
Centrally located in the viby suburb of Richmond Hill, this room with en-suite facilities and lounge area is were you want to stay. By car: 7 min to the airport, 5 min to the beach and 10 min to Green Acres shopping centre. Learn More
Port Elizabeth
Porshe 911 soft top available for rent. Be part of a working optometric practise. Best spot in pe and gorgeous views of the bay. Walking distance from beach, shopping mall and 5 minutes drive from airport. Very save . Learn More
Eclectic house. Worth the visit To a Porsche 911 : Booking in advance essential. Depends on quest requirements Quaint central and awswim views of the harbour. Walking distance to shopping centre, beach front, eateries & cbd Owners Porshe 911, Metered taxis(expensive), African taxis( very cheap) various car rental companies.
Port Elizabeth
Relaxing self catering garden cottage situated 100m from PE's beautiful beaches and comfortable walking distance from the Boardwalk Casino and Entertainment Complex. Short drive to major highways, airport and leading tourist attractions. Learn More
A stones through away from magnificent beaches, this property is perfect for a quick weekend getaway. The guestroom includes an en-suite bathroom as well as its own kitchen. The garden cottage has access to its own entrance overlooking the garden and pool area of the main house. . Located within the Adventure Province, this property is located along the official Nelson Mandela Bay Ironman route, providing road and mountain bike trails with magnificent and tranquil views. The property is...
Port Elizabeth
Our comfortable 2 sleeper garden cottage is situated in our leafy garden behind our house with off street parking. The open plan cottage has a size bed and dining/kitchen and sitting area. It is walking distance to shops & amenities 5 min drive to the airport. Learn More
Our apartment is private "home from home" accommodation situated in a tranquil garden in Walmer. Our self catering cottage is fully equipped with microwave,fridge and two plate hob, kettle, toaster etc. The beautifully decorated accommodation consists of king-size/or twin bedded room with comfy chairs, plus luxury en suite bathroom with bath and shower. A small sun room with single bed is perfect to accommodate an extra guest. DSTV. English and Afrikaans spoken. We are now able to acco...
Port Elizabeth
• Stylish and fully serviced self-catering or B&B accommodation./Breakfast at extra cost(R50 per Person) • Free WiFi internet • Two minute walk to Pollock beach • 5 minutes from the Boardwalk Casino and NMMU • 5 minutes from the Humewood Golf Course • A large sheltered swimming pool plus Bar-B-Q facility is available for Guest's use • Less than a hour away from popular Game Parks like Addo,Schotia and Shamwari in a malaria free environment • Shops, restaurants and other amenities within ...
Port Elizabeth
This executive apartment, suitable for the business executive or upmarket international traveler, offers breathtaking sunrise sea views of the bay and harbour. Enjoy watching the dolphins, stunning view or simply relax in the rooftop pool. Learn More
Upmarket accommodation on the only hill overlooking the bay and only 100 m from PE's blue flag beaches and close to several outstanding restaurants including "Brookes on the bay" entertainment complex with the best restaurants in town. Rooftop pool, free parking with security, safety deposit box, satellite TV, high speed wifi, many more extras and cleaner available. Guest are totally private but have 24 hour access to landlord.
Port Elizabeth
we're creating an eco sustainable riverfront home,travel accommodation and platform for responsible travelers to relax in the quiet Redhouse village in PE. Quiet village home with a veg garden,10km from good surfing beach, 45km from ADDO Game Park Learn More
The house has a country farm rustic feel, with its wooden floors and large bedrooms with high ceilings. an indoor garden, a large lounge that encourages yoga, farm-style - kitchen, big bathroom with a shower and bath, and the main bedroom has a ensuite bathroom. The best feature of the house is sitting the front veranda, watching the sunrise over the river. There is a large back garden which offers off- street parking We are creating a sustainable home and using permaculture practices in ...
Port Elizabeth
The Studio Room is a private apartment with small bedroom, ensuite shower and toilet, kitchenette and lounge area. Both lounge and bedroom have air-conditioning and there is a flat screen TV in lounge and TV in bedroom. It also has its own courtyard. Learn More
Port Elizabeth
Rose Cottage is located in the leafy suburb of Glendinningvale and provides the perfect base to access most of PE easily. As part of a meditation centre there is always the option to drop in for a yoga class or simply to enjoy the quiet space. A great working space. Learn More
As part of a meditation Centre, Rose Cottage is a unique and tranquil, self catering environment Fully self catering cottage with private entrance. Laundry on request and meditation centre facilities available by arrangement Friendly and available to assist with requests and information as required. Owners stay on site Garaging facilities are available on request, however guests must be prepared to share the facility with the hosts. Fully self catering cottage with private entrance. Lau...
Port Elizabeth
Our budget room accommodates one gay friendly person within our home. Facilities are shared. Close to St Georges Park and Cricket Grounds. The historic city centre and the Donkin Reserve is within walking distance. Popular restaurants are close by. Learn More
Cosy little single room with shared amenities/bathroom. Comfortable living room, dining room, conservatory and patios. Chaise lounges on the patio for lazy afternoons. Fully equipped kitchen. Secure off street parking. The house is serviced daily. We are perfectly located to allow you to get the most from your stay. The popular Route 67 is close by and the architectural delights of the historical central city can be explored at leisure on a self-guided walking tour. Amble along the 5km D...
Port Elizabeth
Cosy two bedroom house. Sleeps three comfortably. Close to lively Stanley Street, beachfront and city centre. Experience PE's warmest welcome in comfort and style! Learn More
Renovated 1880s cottage in trendy area. Eclectic decor. Wooden floors. Fully fitted kitchen. Bathroom with shower. Garden. Off street parking. Myself and Neal or our parents will open up and settle you in, beyond that just as needed! We love chatting though, and can happily share a cup of tea or glass of wine if the opportunity presents! Just around the corner from Stanley Street which has some fantastic restaurants and quirky shops. Vovotellos in Irvine street is a must for coffee and f...
Port Elizabeth
This cosy three bedroom home with amazing sea views. Located very central in the vibey suburb of Richmond Hill. 7min drive from the airport, 7 min drive to the beach. 7 min from the Nelson Mandela stadium. Come and relax. Learn More
Daybreak cottage is a double storey home with fantastic sea views. We have a plunge pool with an amazing deck to enjoy lovely days looking at the bay. We are situated in the centre of the city, which means easy access to the beach, the Boardwalk, awesome restaurants (which is within easy walking distance) and you are a hop a skip and a jump from the high way to take you to Addo Elephant park or anywhere else. We offer off street parking, however our driveway is a bit of an adventure, it...
Port Elizabeth
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STO: TrekBBS Armada and House of TrekBBS - Fleet discussion and FAQ
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June 7 2013, 09:52 AM
Timelord Victorious
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Location: Germany, Earth, the Solar System
Re: STO: TrekBBS Armada and House of TrekBBS - Fleet discussion and FA
pymfan2000 wrote:
Is the Embassy house warming party really at 3-4 am or is that a typo?
The am part might be the mistake.
Edit: it was a mistake. I set up a new event, now on Sunday at a correct time. Turns out I missed the date, too, since on saturday the upgrade would still be under construction.
So now sunday evening (Europe)/early afternoon (USA).
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The Message audio Bible is now available on Bible Gateway! Click to learn more.
22:9 Whoever has a bountiful eye. One who is willingly disposed to the needy. Our own well-being is bound up with that of others, so that what we do for their good benefits ourselves as well (19:17).


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E. Guigal Ex Voto Rouge 2007
E. Guigal - Rhone Valley - France - Crozes Hermitage
Professional Wine Reviews for E. Guigal Ex Voto Rouge 2007
Rated 98 by Robert Parker
Just being released, the spectacular 2007 Hermitage Ex-Voto exhibits a discrete hint of oak (despite its 42 month aging in 100% new French oak) along with plenty of creme de cassis, lead pencil shaving and blackberry liqueur characteristics. Full-bodied with magnificent concentration and richness, silky tannins and a long, long finish, this remarkable 2007 is the Hermitage of the vintage. It should drink well for 30-40+ years.
Rated 95 by Wine Spectator
This has gorgeous espresso and roasted mesquite aromatics,...
read more...
Professional Wine Reviews for E. Guigal Ex Voto Rouge 2007
Rated 98 by Robert Parker
Just being released, the spectacular 2007 Hermitage Ex-Voto exhibits a discrete hint of oak (despite its 42 month aging in 100% new French oak) along with plenty of creme de cassis, lead pencil shaving and blackberry liqueur characteristics. Full-bodied with magnificent concentration and richness, silky tannins and a long, long finish, this remarkable 2007 is the Hermitage of the vintage. It should drink well for 30-40+ years.
Rated 95 by Wine Spectator
This has gorgeous espresso and roasted mesquite aromatics, followed by dense but velvety-textured plum sauce, blackberry paste and cassis flavors. The long, suave finish smolders with Lapsang souchong tea and singed iron, showing ample grip for the cellar. Best from 2012 through 2025. 667 cases made.
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Additional Information on E. Guigal Ex Voto Rouge 2007
E. Guigal
Vintage: 2007
2007 was the year that saw California's wine industry pick up once again, after a troubling couple of years. Indeed, all across the state of California, fantastic harvests were reported as a result of fine weather conditions throughout the flowering and ripening periods, and Napa Valley and Santa Barbera wines were widely considered amongst the best in the world in 2007, with Pinot Noir and Cabernet Sauvignon grapes packing in all sorts of fine and desirable features in this year. South Africa, too, had a much-needed fantastic year for red wines, with Pinotage particularly displaying strong characteristics, alongside the country's other flagship red wine grape varietals. Over in Europe, France had another fine year, especially for white wines. Champagne wineries were very happy with their Chardonnay harvests, and the Loire Valley and Graves in Bordeaux are proclaiming 2007 to be a memorable year due to the quality of their white wine grapes. For French red wines, Provence had their best year for almost a decade, as did the Southern Rhone. However, 2007 was most favorable to Italy, who saw high yields of exceptional quality across almost all of their major wine producing regions. Tuscany is claiming to have produced its best Chianti and Brunello wines for several years in 2007, and Piedmont and Veneto had a wonderful year for red wines. For Italian white wines, 2007 was an extremely successful year for Alto Adige and Campania. Germany also had a very good 2007, with Riesling displaying extremely dry and crisp characteristics, as did Portugal, where Port wine from 2007 is said to be one to collect.
Varietal: Syrah
There continues to be much debate surrounding the name of the Shiraz/Syrah grape varietal, with many experts still quite unsure which came first. Indeed, even the origins of this varietal are more or less unknown, despite it being most commonly associated with the Rhone Valley of France, and New World countries, most notably Australia. However, its popularity and unique characteristics have seen it planted all over the world, where it continues to impress with its powerful flavors and wonderfully spicy notes of pepper and clove. Shiraz/Syrah wines are renowned also for their versatility, and are regularly used in single variety still and sparkling wines, as well as blended and oak aged wines which demonstrate its ability to express its terroir and secondary flavors very well.
Region: Rhone Valley
The southern French wine region of the Rhone Valley has been home to wine-makers for over two thousand years, with the first grapevines of the region being cultivated in around 600 BCE when the ancient Greeks arrived with their knowledge of viticulture and eagerness to produce more wine. Today, the region is famed around the world for the excellence of its produce, and has dozens of wineries making the most of the wide range of grape varietals which flourish there. In the northern sub-region, the continental climate and brisk winds coming off the Central Massif allow wineries to grow a smaller range of varietals – predominantly Syrah, Marsanne, Roussane and Viognier, whereas the southern, more Mediterranean sub-region allows far more range. Here, dozens of varietals are grown for the production of white, red and rosé wines, all packed full of flavor and able to express the unique terroir they are grown on.
Country: France
It is widely understood and accepted that the finest wines in the world come out of France. Whether you are drinking a vintage bottle from one of the famed Grand Cru wineries of Bordeaux - such as Chateau Margaux or Chateau Lafite-Rothschild - or a more simple and affordable bottle from one of the lesser known appellations in Burgundy, the likelihood is that the wine is packed full of intense and interesting flavors, and has a fine, balanced structure typical of almost all French produce. This reputation for excellence is taken extremely serious by the French, with dozens of regularly updated laws and regulations ensuring the quality and accurate labeling of wines. Such dedication and passion for fine wine, representative of the region in which it is produced, means customers can be assured that when they buy a bottle from France, they are buying something almost certain to please and delight.
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The fund invests primarily in the stocks of companies of any size, from larger, well-established companies, which are preferred by the Adviser, to smaller companies. It will invest at least 80% of its net assets (plus any borrowings for investment purposes) in dividend paying equity securities. The fund may invest up to 25% of its net assets in the securities of foreign issuers that are publicly traded in the United States or on foreign exchanges, including American Depositary Receipts ("ADRs").
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To travel or not to travel this summer?
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If the buzz in the room at the education forum sponsored by Young Involved Philadelphia Thursday was any indication, there's a lot of energy aimed at fixing Philadelphia schools right now.
About 80 parents and experts gathered to discuss ways to make it easier for parents to live in the city and find good schools for their children.
Many of the parents there were already working to try to improve their local public schools, and they mentioned a lot of barriers. Volunteers must go through extensive background checks, for example. Most schools have no one on staff dedicated to reaching out to - and getting help from - the community.
But participants also wondered if some schools simply need to sell themselves a bit. Often, test scores for individual schools, available on the Internet, are the only information parents can easily access.


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MEA is the nation's largest state electrical association for electrical contractors. We provide the best in education and training that keeps our members on the forefront, industry books, business forms, and government representation to electrical contractors and their stakeholders.
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Be Careem: 6 Ramadan initiatives the car hire app is supporting
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Lee Hyun Woo of "To The Beautiful You" Shows Multiple Charms in "CeCi" Magazine
Lee Hyun Woo of "To The Beautiful You" Shows Multiple Charms in "CeCi" Magazine
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Sources from the photo shoot commented, "Lee Hyun Woo seemed like a boy who likes to play around but he certainly showed a new image by following the concept of the photo shoot. Lee Hyun Woo definitely showed a unique charm through this pictorial."
Luhan sings of wild youth with David Tao in full MV for "Please Come to the Great Wall to Ski"
Luhan paired up with top Chinese artist, David Tao, for the theme song to China"s 2022 Winter Olympics, "Please Come to the Great Wall to Ski."
In the simple MV, the focus on the cheerful and inspirational message of the song. You get to see both singers record their parts and the cool camaraderie that they have achieved in a short period. The pair look happy and chummy with David Tao as they cutely sing the upbeat track before the camera. . ... Read more
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text: Home Recipes Holiday Celebration Recipes Holiday Cookie Recipes Share: Holiday Cookie Recipes Looking for holiday cookies? Get easy to make holiday cookies. Taste of Home has recipes for holiday cookies including holiday cookie ideas, holiday themed cookies, and more holiday cookie recipes. Recipe Spotlight Nanny's Fruitcake Cookies My grandmother always made a holiday fruitcake. I took her recipe and made it a cookie that's perfect any time with a cup of tea. —Amanda Digges, South Windsor, Connecticut View Nanny's Fruitcake Cookies Recipe More Holiday Cookie Recipes Sort: Highest Rated Alphabetical Contest Winning Newest < prev | 1 | 2 | 3 | 4 | 5 | ... | next > Chocolate Peanut Butter Grahams Chocolate Peanut Butter Grahams Because so many people seem to love the combination of chocolate and peanut butter, I came up with this no-bake cookie recipe.—Geraldine Sliwa, Elgin, Illinois View Recipe Frosted Red Velvet Cookies Frosted Red Velvet Cookies During college, my student job was in the bakery. These Red Velvet Cookies take me back to that special place and time. —Christina Petri, Alexandria, Minnesota View Recipe Molasses Cookies with a Kick Molasses Cookies with a Kick This is a combination of spices that I have used for a long time. It's also one of my mother's favorite cookies. I get requests from her to make them year-round! —Tamara Rau, Medina, North Dakota View Recipe Advertise with us ADVERTISEMENT Spicy Oatmeal Cookie Mix Spicy Oatmeal Cookie Mix Brown sugar and spice and everything nice—like cinnamon, coconut, oats and chips—are layered together in pretty jars of yummy, ready-to-bake cookies. A quick and easy gift idea that's appreciated any time of year, it was shared by our Test Kitchen. Remember to include preparation instructions and a list of any additional ingredients needed with your gift tag. View Recipe Split-Second Cookies Split-Second Cookies I love baking cookies, and this is a recipe I've used for many Christmases over the years. Raspberry jam makes these cookies flavorful and colorful. View Recipe White Chocolate-Cranberry Biscotti White Chocolate-Cranberry Biscotti The original version of this recipe was handed down from my great-aunt. Through the years, my mother and I have tried different flavor combinations...this is a favorite for all. —Brenda Keith, Talent, Oregon View Recipe Coconut Pecan Cookies Coconut Pecan Cookies These golden brown cookies will remind you of German chocolate cake, with chocolate chips and coconut in the batter and a yummy pecan-coconut frosting. A drizzle of chocolate tops them off in a festive way. -Diane Selich Vassar, Michigan View Recipe Holiday Biscotti Holiday Biscotti A twice-baked Italian cookie, biscotti makes a wonderful "dunker". A pretty way to present a batch is on a Christmasy plate arranged in a wagon-wheel fashion. View Recipe Jumbo Coconut Chocolate Chip Cookies Jumbo Coconut Chocolate Chip Cookies Jackie Ruckwardt of Cottage Grove, Oregon writes, "These gourmet cookies are my 'most asked for' recipe." Chockfull of coconut and chocolate chips and dipped in white candy coating, they are truly a chocolate-lover's delight. View Recipe Crackle Cookies Crackle Cookies THIS cookie recipe comes close to the wonderful taste of chocolate that Mama was able to produce in her cakes and cookies. Because of the "crackles" in these cookies, my granddaughter tells me I've made a mistake when I bake them. "But they taste so good," she adds. -Ruth Cain, Hartselle, Alabama View Recipe Mom's Soft Raisin Cookies Mom's Soft Raisin Cookies With four sons in service during World War II, my mother sent these favorite cookies as a taste from home to "her boys" in different parts of the world. These days, my 11 grandchildren are enjoying them as we did, along with my stories of long ago.— Pearl Cochenour, Williamsport, Ohio View Recipe < prev | 1 | 2 | 3 | 4 | 5 | ... | next > Advertise with us ADVERTISEMENT Advertise with us ADVERTISEMENT


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PROFILE AND PREDICTORS OF OUTCOME IN PATIENTS WITH HEMATOLOGICAL MALIGNANCIES ADMITTED TO THE PEDIATRIC INTENSIVE CARE UNIT ATUL JINDAL, ARUN BANSAL From Department of Pediatrics, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India. Correspondence to: Dr. Arun Bansal, Assistant Professor, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh - 160012, India. E-mail: firstname.lastname@example.com. Background: Haematological malignancies requiring critical care support are associated with increased morbidity and mortality. Data is scarce from developing economies. We present the profile and predictors of outcome of children with hematological malignancies admitted to a PICU. Objectives: To study the profile of patients and predictors of outcome in children with hematological malignancies admitted in pediatric intensive care unit(PICU). Design: Retrospective cohort study in PICU of a tertiary referral center. Methods: Data of 72 critically ill, previously diagnosed children with hematological malignancies admitted to PICU of a tertiary centre from July 1999–August 2010 were retrieved retrospectively. Primary outcome was defined as survival or death. Survivors and non survivors were compared to determine predictors of outcome. Variables significant on univariate analysis were subjected to multivariate analysis to determine significant predictors of outcome. Results: Median (IQ range) age was 7years (4-10) and duration of PICU stay was 4 days (2- 10). Acute lymphoblastic leukemia was seen in 48 and 9 had acute myeloid leukemia. Respiratory failure was present in 22 children, septic shock and CNS complications in 11 each and both respiratory failure and shock in 21. Forty-nine children were ventilated and 39 required inotropes. There were 41(56.9%) deaths. Age >3 years (p=0.014), absolute neutrophil count < 1500 mm3 (p=0.019), thrombocytopenia<10,000/mm3 (p=0.007), prothrombin index <75% (p=0.0005), hypoalbuminemia < 2.5 gm/dL (p=0.0009), BUN >18 mg/dL (p=0.0008), creatinine > 0.7mg/dL (p=0.026), inotrope score > 20(p=0.0001), oxygenation ratio < 200 (p=0.004) , oxygenation index > 15(p=0.026) and acidosis (p=0.001) were associated with poor outcome. Presence of respiratory failure, ventilator associated pneumonia (VAP), ARDS, shock, increasing duration of mechanical ventilation, positive aerobic blood culture and fungal sepsis were significantly associated with death. In a multivariate logistic regression model, inotrope score >20 (p=0.000), albumin<2.5g/dl (p=0.001), age < 3 years (p=0.011), VAP (p=0.05), but not presence of shock, respiratory failure and increasing duration of ventilation, predicted outcome. Conclusion: Simple clinical and laboratory parameters can help in predicting outcome in critically ill children with haematological malignancies. Key Word: Hematological malignancy, PICU, Outcome Introduction Over the past 20 years, with the introduction of increasingly intensive protocols, the nature of paediatric oncology has changed significantly. This has been accompanied by improved survival figures for children with both haematological and solid malignancies. It has, however, resulted in children spending extended periods in hospital with severe and life threatening complications of their malignancy and/or the associated treatment. Close cooperation with an intensive care facility is therefore an essential part of any regional oncology centre. Admission to an intensive care unit has many costs that include emotional and social factors, as well as those that are medical and financial in nature. An understanding of the benefits of an intensive care unit is therefore important for decision making and for counselling of the families involved. It was for these reasons that we undertook the present study. Patients and Methods: This retrospective study was conducted in a 12 bedded PICU of Post Graduate Institute of Medical Education and Research, Chandigarh. Duration of study: This study was performed over a eleven years period, from July 1999 to August 2010. Data Collection: Retrospective record review of all patients with diagnosed haematological malignancies, who required admission to the pediatric intensive care unit. Charts were reviewed for disease, treatment and admission characteristics as shown in table 1. The following conditions were evaluated during the ICU stay: the need for mechanical ventilation, addition of inotrope therapy, neurological complications, appropriate antibiotics or steroids, the presence of microorganisms in the bloodstream or fungal infection, the duration of ventilation and the length of stay in the PICU and in the hospital. Fungal infection was defined as a growth of fungus from clinical specimen or any clinico-radiological finding suggestive of fungal infection and the initiation of treatment for that organism. Septic shock and respiratory failure were defined as per PALS guidelines 2006. Inotrope score is given by formula, inotrope score = dose of dopamine x 1 + dobutamine x 1+ adrenaline x 100 + noradrenaline x 100. All intubated and ventilated patients were looked for development of VAP and ARDS. Raised intracranial pressure (ICP) was labelled when children had any clinical signs like coma, hyperventilation, unequal pupils or fixed dilated pupils, posturing or ICP reading if on ICP monitor. If any measures for controlling raised ICP were done were recorded. Status epilepticus was defined according to International League Against Epilepsy definition.3 The data were analysed to identify factors related to PICU mortality. PICU outcome was recorded as survival and death. Statistical analysis Statistical analysis was performed using the unpaired Student's t-test or the Mann– Whitney U test for continuous variables and the chi-squared or the Fisher's exact test for categorical values, as appropriate. A logistic regression model with forward stepwise variable entry was fitted to analyse outcome adjusting for patient age, sex, disease and disease stage, treatment of underlying disease, main reason for PICU admission. Variables with a p value less than 0.05 in the univariate analysis were used for multivariate analysis. Values are expressed as median and interquartile range. The p values were two-sided, with p = 0.05 considered to be statistically significant. The analyses were performed using SPSS 17.0 (Chicago, IL, USA) and Epi info 6. Discussion Several studies have addressed outcome of patients with haematological disease admitted to the ICU.4-31 Very scant data is available for pediatric patients. The rationale for ICU admission is often discussed and strategies to maximise survival are weighed against limiting unnecessary suffering and costs.10 Surviving patients may return to a life of good quality.13 Many studies attempted to identify prognostic factors at the time of ICU admission, to guide clinicians and patients in decision making about intensity of treatment. Several patient- and disease-related factors have been shown to be associated with poor survival: age 7,14 although cut-off levels varied; type of disease;15 disease stage, remission status and response to chemotherapy6,14,17 stem cell transplantation including donor type 6,17,18 , time 7 interval between stem cell transplantation and ICU admission (> versus <90 days) , grade of acute GvHD19; and degree and duration of neutropenia6,16,19–21. Some of these factors were however not predictive of adverse outcome in other reports10,12, 21–25. We analysed a heterogeneous population of patients with hematological malignancies admitted to the PICU. The only similar paediatric report comes from a combined study of three hospitals in Australia and Canada.32 and one study from UK.33 Our study and studies published by Park et al40 and Thakker et al39 show that denying admission to a patient purely based on leukemia diagnosis is unreasonable. Forty three percent of patients in the present study and 40% and 32% of patients in the study by Park et al and Thakker et al. respectively survived ICU care. In our study age was an independent predictor of worse outcome with the mortality being higher for children who were more than 3 years of age. This finding is in contrast to earlier studies where age had no bearing on the mortality39 .Children who had low absolute neutrophil count, low platelet count, deranged coagulation profile, and hypoalbuminemia had more mortality. They were the ones who were probably more susceptible to nosocomial infections, fungal sepsis and pulmonary hemorrhage. High admission PRISM scores were also associated with poor outcome. The most difficult decision about ICU admission of patients with haematological malignancies is whether to intubate and mechanically ventilate a patient. As patients are suffering from a potentially terminal illness, end of life decisions become important. The mortality was higher for those children who required ventilation (71.4%). Six patients out of those who were not ventilated died subsequently. Thirty two patients developed ARDS and 10 patients developed VAP. Both ARDS and VAP were predictors of poor outcome. But in multivariate analysis presence of respiratory failure, duration of ventilation, low P/F ratios and high OI were not found as predictors of mortality except VAP which was an independent predictor of mortality which is in contrast to the studies done earlier which showed increased duration of ventilation to be an independent predictor of mortality. We reviewed in detail the case notes of the septicemic patients in an attempt to identify factors that may have contributed to mortality. Factors examined included the time from the onset of marked cardiovascular symptoms to the use of inotropes, the subsequent time to admission to the ICU and to intubation, the indications for intubation, and the time the patient died. There were no common patterns. In seven patients a possible factor for increased mortality may have been inadequate volume resuscitation and delayed use of inotropes which were given more than 24 hours after the onset of marked cardiovascular symptoms leading on to these patients having increased inotrope scores of > 20 during their hospital stay. If the prognosis is to be improved then rapid and adequate fluid resuscitation followed by early institution of inotropes is to be considered which is now the standard practice in our institute. Admission to the ICU is then considered if the patient's condition remains unstable or if increased inotropic doses or double inotropic agents are required. The mortality, for patients admitted with a systemic infection, was 73.9% (17/23) as compared to 84% in the study done by Heney D et al.41 Febrile neutropenia is a common indication for admission to our oncology ward. We have an aggressive management policy for these patients, and the overall survival is in the order of 98%.' Patients are treated early with broad spectrum antibiotics and receive haematological and cardiovascular support when necessary. The septicemic patients admitted to the ICU in our study therefore represent those patients where initial intensive therapy had failed and in whom cardiovascular and/or ventilatory support was required. The majority of febrile neutropenic patients in whom a bacteraemia is diagnosed have a Gram negative infection.10 All four patients who had three indications for the admission to the PICU i.e. shock, respiratory failure and raised ICP died. Type and phase of treatment of the underlying disease were not significantly associated with outcome. This wide range can be explained by different equipment for patient monitoring in oncology wards and most certainly by different criteria for PICU admission among centres. This study has several limitations: it is retrospective, with a small and heterogeneous patient population. The retrospective nature of this study might bias the estimates, as criteria for interventions might differ in different patient groups. Multiorgan failure remains the most difficult problem in these patients. Despite the generally poor prognosis for pediatric patients with hematological malignancies admitted to the PICU, intensive care continues to play an important role in the care of these patients. Although it is clear that patient who require mechanical ventilation and are having shock have a worse prognosis, we were unable to identify them as an independent predictor of mortality. We conclude, that in this study of 72 PICU admissions of patients with haematological malignancies, factors such as age, inotrope score, serum albumin levels, and absolute neutrophil count can independently predict the poor outcome. Simple clinical and laboratory parameters can help in predicting outcome in critically ill children with haematological malignancies. Results Patient profile The baseline clinical characteristics of children are listed in table 1. Out of 72 patients, 56 were males and 16 females. The median age was 7 years (4-10). The most common primary oncological diagnosis was acute lymphoblastic leukemia in 48 children followed by acute myeloid leukemia in nine. All of them received acute pre PICU care in the hemato-oncology ward of the hospital with a median duration of pre PICU stay of 48 hours (30 minutes – 24 days). This long delay in PICU shifting was due to non availability of beds in PICU. The median PRISM score was 12(0-39) and PRISM III score 32(20-57) were high. The median duration of PICU stay was 4 days (2-10). The median absolute neutrophil count was <367/mm3 (50-18900), the median platelet count was 28000/mm3 (1300-589000). The main cause of septic shock was pneumonia in 22 children. One third of children(24) had bacterial culture positive from blood or body fluids. The most common organism being acinetobacter followed by klebsiella and methicillin resistant staphylococcus aureus. Fungal infections were suspected in 40 children(55.5%). Two children also had CMV pneumonia proved by PCR for CMV, both these kids died. The various complications that were noticed during the PICU stay were barotrauma(3), BSI(15), VAP(10), lung collapse(3), fungemia (8) and pulmonary hemorrhage(5). The various other complications included pressure sores in 13 children, peritonitis in 2 children. The outcome and prognostic factors of PICU mortality Forty-one (56.9%) children died. Median duration of stay in the PICU was 4 days (2– 10 days). On univariate analysis, there was no significant difference in gender, subtype of acute leukemia, duration of PICU stay and duration of pre PICU care between survivors and nonsurvivors. At admission, the PRISM (p=0.004) and PRISM III (p= 0.029) scores were significantly high amongst nonsurvivors. Twenty-five (92.6%) out of 27 patients with acidosis died. Other factors associated with mortality were age < 3 years (OR 5.2, 95% CI- 1.3-21.2; p= 0.014); presence of shock (OR 6.7, 95% CI-2.3-19.8; p=0.0001); inotrope score>20 (OR 19.4; 95%CI-4.9-75.7; p=0.0001), respiratory failure (p=0.0001); oxygenation ratio<200 (p=0.004), oxygenation index>15(p=0.026); VAP (p=0.023); ARDS (p=0.000); BSI (p=0.046) and fungal sepsis(p=0.012). Among laboratory parameters at admission, absolute neutrophil count < 1500 mm3 (p=0.019), thrombocytopenia<10,000/mm3 (p=0.007), prothrombin index <75% (p=0.0005), hypoalbuminemia < 2.5 gm/dL (p=0.0009), BUN >18 mg/dL (p=0.0008), creatinine > 0.7mg/dL (p=0.026), showed significant differences between the survivors and non-survivors (Tables II). In a multivariate logistic regression model, inotrope score>20 (p=0.000), albumin <2.5 g/dL(p=0.001), Age > 3 years (p=0.011), VAP(p=0.05) were found to be independent predictors of death. Table 1 – Patient and Admission characteristics Patient characteristics (n%) 72 Male (n%) 56 77.8% Age (yrs, median, IQR) 7 4-10 Diagnosis Acute lymphoblastic leukemia (n%) 48 66.67% Acute Myeloid Leukemia (n%) 9 12.5% Non Hodgkin's Lymphoma (n%) 7 9.72% Hodgkin's Lymphoma (n%) 2 2.78% Others (n%) 6 8.3% Disease stage Newly diagnosed 8 11.11% Induction 25 34.72% Consolidation 10 13.89% Intensification 9 12.5% Maintenance 20 27.78% Main reason for ICU admission Septic shock 11 15.28% Respiratory failure 22 30.56% Shock and respiratory failure 21 29.16% Central nervous system complications 11 15.28% Miscellaneous 7 9.72% Duration of PICU admission (days, median, IQR) 4 2-10 PRISM (median, IQR) 12 0-39 PRISM 3 (median, IQR) 32 20-57 Mechanical ventilation (n%) 49 68.05% Vasopressor use (n%) 39 54.17% Figure 1: Mortality by number and type of organ failing after PICU admission, expressed as number of deaths per number of patients observed. Respiratory Shock failure 18/21 5/11 3/22 4/4 2/3 2/2 Neurological problem 2/11 Table II: Univariate outcomes N/N eval % P Age 0.014 <3years 3/12 25% >3years 38/60 63.33% Primary Oncological diagnosis 0.239 ALL 29/48 60.41% AML 6/9 66.66% NHL 3/7 42.86% ANC 0.019 <1500 35/54 64.81% >1500 6/18 33.33% PTI 0.005 <75% 28/53 52.83% >75% 3/19 15.79% Platelets 0.043 <10000 12/15 80% >10000 29/57 50.9% Albumin 0.001 <2.5 28/37 75.7% >2.5 13/35 37.1% BUN 0.001 >18 17/19 89.5% <18 24/53 45.3% Creatinine 0.026 >0.7 11/13 84.6% <0.7 30/59 50.85 Shock 0.000 Yes 30/39 76.9% No 11/33 33.3% Inotrope score 0.000 >20 28/31 90.3% <20 13/41 31.7% Respiratory failure 0.000 Yes 35/49 71.4% No 6/23 26.1% VAP 0.023 Yes 9/10 90% No 32/62 51.61% ARDS 0.000 Yes 26/32 81.25% No 15/40 37.5% Positive culture 0.046 Yes 17/23 73.9% No 24/49 48.97% Fungal sepsis 0.012 Yes 28/40 70% No 13/32 40.62% Acidosis 0.001 Yes 25/27 92.59% No 16/45 35.55% References 1. Ralston M, Hazinski M, Zaritsky A, et al. Pediatric assessment. Pediatric advanced life support, provider manual. Dallas (TX): American Heart Association; 2006. p. 1–32. 2. Valoor HT, Singhi S, Jayashree M. Low-dose hydrocortisone in pediatric septic shock: an exploratory study in a third world setting. Pediatr Crit Care Med. 2009 Jan;10(1):121-5. 3. Newton C. Status epilepticus in resource poor countries. Epilepsia 2009.Dec;50(suppl 12):54- 55. 4. Perry AR, Rivlin MM, Goldstone AH. Bone marrow transplant patients with life- threatening organ failure: when should treatment stop? J Clin Oncol 1999;17:298– 303. 5. Paz HL, Garland A, Weinar M, et al. Effect of clinical outcome data on intensive care unit utilization by bone marrow transplant patients. Crit Care Med 1998;26:66–77. 6. Epner DE, White P, Krasnoff M, et al. Outcome of mechanical ventilation for adults with haematologic malignancy. J Investig Med 1996;44:254–60. 7. Faber-Langendoen K, Caplan AL, McGlave PB. Survival of adult bone marrow transplant receiving mechanical ventilation: a case for restricted use. Bone Marrow Transpl 1993;12:501–7. 8. Bojko T, Nottermann DA, Greenwald BM, et al. Acute hypoxemic respiratory failure in children following bone marrow transplantation: An outcome and pathologic study. Crit Care Med 1995;23:755–9. 9. Denardo SJ, Oye RK, Bellamy PE. Efficacy of intensive care for bone marrow transplant patients with respiratory failure. Crit Care Med 1989;17:4–6. 10. Brunet F, Lanore J, Dhainaut JF, et al. Is intensive care justified for patients with haematological malignancies? Intensive Care Med 1990;16:291–7. 11. Rubenfeld GD, Crawford SW. Withdrawing life support from mechanically ventilated recipients of bone marrow transplants:A case for evidence-based guidelines. Ann Int Med 1996;125:625–33. 12. Jackson SR, Tweeddale MG, Barnett MJ, et al. Admission of bone marrow transplant recipients to the intensive care unit:outcome, survival and prognostic factors. Bone Marrow Transpl 1998;21:697–704. 13. Yau E, Rohatiner AZS, Lister TA, Hinds CJ. Long term prognosis and quality of life following intensive care for life-threatening complications of haematological malignancy. Br J Cancer 1991;65:938–42. 14. Crawford SW, Petersen FB. Long term Survival from respiratory failure after bone marrow transplantation. Am Rev Respir Dis 1992;145:510–4. 15. Tremblay LN, Hayland RH, Schouten BD, et al. Survival of acute myelogenous leukaemia patients requiring intubation/ventilatory support. Clin Invest Med 1994;18:19–24. 16. Lloyd-Thomas AR, Wright I, Lister TA, et al. Prognosis of patients receiving intensive care for lifethreatening medical complications of haematological malignancy. Br Med J 1988;296:1025–9. 17. Groeger JS, White P Jr, Nierman DM, Glassman J, Shi W, Horak D, Price KJ. Outcome for cancer patients requiring mechanical ventilation. J Clin Oncol 1999;17:991–7. 18. Price KJ, Thall PF, Kish SK, et al. Prognostic indicators for blood and bone marrow transplant patients admitted to an intensive care unit. Am J Respir Crit Care Med 1998;158:876–84. 19. Torrecilla C, Cortés JL, Chamarro C, et al. Prognostic assessment of acute complications of bone marrow transplantation requiring intensive therapy. Intensive Care Med 1988;14:393–8. 20. Hinds CJ, Martin R, Quinton P. Intensive care for patients with medical complications of haematological malignancy: is it worth it? Schweiz Med Wochenschr 1998;128:1467–73. 21. Schuster DP, Marion JM. Precedents for meaningful recovery during treatment in medical intensive care unit. Outcome in patients with haematologic malignancy. Am J Med 1983;75:402–8. 22. Crawford SW, Schwartz DA, Petersen FB, et al. Mechanical ventilation after bone marrow transplantation. Am Rev Respir Dis 1988;137:682–7. 23. Peters SG, Meadows AA, Gracey DR. Outcome of respiratory failure in haematologic malignancy. Chest 1988;94:99–102. 24. Hayes C, Lush RJ, Cornish JM, et al. The outcome of children requiring admission to an intensive care unit following bone marrow transplantation. Br J Haematol 1998;102:666–70. 25. Afessa B, Teferi A, Hoagland HC, et al. Outcome of recipients of bone marrow transplants who require intensive care unit support. Mayo Clin Proc 1992;67:117–22. 26. Warwick AB, Mertens AC, ou Shu X, et al. Outcome following mechanical ventilation in children undergoing bone marrow transplantation. Bone Marrow Transpl 1998;22:787–94. 27. Wagner A, Staudinger T, Kofler J. Ergebnisse der intensivmedizinischen Betreuung von Patienten nach Knochenmarkstransplantation.Wien Klin Wochenschr 1996;108:667–82. 28. Paz HL, Crilley P, Weinar M, et al. Outcome of patients requiring medical ICU admission following bone marrow transplantation. Chest 1993;102:527–31. 29. Estopa R, Torres-Marti A, Kastanos N, et al. Acute respiratory failure in severe haematologic disorders. Crit Care Med 1984;12:26–8. 30. Todd K, Wiley F, Landaw E, et al. Survival outcome among 54 intubated pediatric bone marrow transplant patients. Crit Care Med 1994;22:171–6. 31. Llyod-Thomas AR, Dhaliwal HS, Listal TA, Hinds CJ. Intensive therapy for life- threatening medical complications of haematological malignancy. Intensive Care Med 1986;12:317–24. 32. Guiguet M, Blot F, Escudier B, Antoun S, Leclercq B, Nitenberg G. Severity-of- illness scores for neutropenic cancer patients in an intensive care unit: Which is the best predictor? Do multiple assessment times improve the predictive value? Crit Care Med 1998;26:488–93. 33. Blot F, Guiguet M, Nitenberg G, Leclercq B, Gachot B, Escudier B. Prognostic factors for neutropenic patients in an intensive care unit: respective roles of underlying malignancies and acute organ failures. Eur J Cancer 1997;33:1031–7. 34. Hebert PC, Drummond AJ, Singer J, Bernard GR, Russell JA. A simple multiple system organ failure scoring system predicts mortality of patients who have sepsis syndrome. Chest 1993;104:230–5. 35. Marshall JC, Cook DJ, Christou NV, Bernard GR, Sprung CL, Sibbald WJ. Multiple organ dysfunction score: a reliable descriptor of a complex clinical outcome. Crit Care Med 1995;23: 1638–52. 36. Watts CM, Knaus WA. The case for using objective scoring systems to predict intensive care unit outcome. Crit Care Clin 1994;10:73–89. 37. Habicht JM, Reichenberger F, Gratwohl A, Zerkowski HR, Tamm M. Surgical aspects of resection for suspected invasive pulmonary fungal infection in neutropenic patients. Ann Thorac Surg 1999;68:321–5. 38. Butt W, Barker G, Walker C, et al. Outcome of children with hematologic malignancy who are admitted to an intensive care unit. Crit Care Med 1988;16:761-4. 39. Thakkar SG, Fu AZ, Sweetenhem JW, et al. Survival and predictors of outcome of patients with acute leukemia admitted to the intensive care unit. Cancer 2008; 112:2233-2240. 40. Park HY, Suh GY, Jeon K et al. Outcome and prognostic factors for patients with acute leukemia admitted to the intensive care unit for septic shock. Leukemia and Lymphoma, Oct. 2008;49(10):1929-1934. 41. Heney D, Lewis I J, Lockwood L, et al. The intensive care unit in paediatric oncology. Archives of Disease in Childhood 1992; 67: 294-298.
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The term was removed from a lunchtime episode after the broadcaster deemed that it was not suitable for a daytime audience.
The line was cut from a 1994 episode called "Homer Loves Flanders" which aired just before 1pm last Sunday.
In the episode Homer Simpson goes to an American football match with his God-fearing neighbour Ned Flanders but is initially embarrassed to be seen with him.
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A work in progress for Drink Like a Pro. Trying to focus on a clean and elegant layout. I think I may need to make the navigation a little more pronounced, and adjust the kerning. Any thoughts?
More details and images can be found here.
More Jeremy Buff
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Style expert, TV personality and author of the new book 'The Cheap Chica's Guide to Style: Secrets to Shopping Cheap and Looking Chic' Lilliana Vazquez knows a thing or two about style & beauty. The stunning fashionista known for her frugal style and chic beauty finds shared exclusively with SMP her favorite summer must-haves including a lux face mask and must have blush stick! Click through the gallery below to see all 10!
This pool house is a study in chic; taking the essence of modern and Palm Beach and marrying them into an ultra cool, summer ready space. And would you believe that the fab designer behind this pretty little spot is still in high school? We're thoroughly convinced that Kevin O'Gara is a design genius. See even more including the before pictures for this fun project on his blog, Though Swell.
In a classic Neil Reid home in Atlanta, GA, high school student Kevin O'Gara transformed a gracious pool house from beige and wood trim to bright and modern, channeling the laid-back elegance of Palm Beach. With a mix of traditional and mid-century furniture, and a cool palette that balanced the terracotta floors, the space went from drab to fab, and became the perfect hangout spot by the pool!
Photographer: Kevin O'Gara | Designer: Kevin O'Gara
Last weekend, I went camping in the Catskills with new friends, where we bonded over conversations about the perfect toasted marshmallow and whether s'more counts as a verb (we unanimously decided it did). I miss those campfire mallows with their smoky char and creamy centers, but until the next trip this toasted marshmallow ice cream recipe from Jessica of A Happy Food Dance might help tide me over!
"It reminds me of camping, summer nights, the smell of tents and sticky fingers," says Jessica. "This toasted marshmallow ice cream brings all those wonderful memories back. Plus you can slide it in between graham crackers and some Hershey's chocolate squares and totally have a new twist on a s'more." Now that's some genius s'moring.
For the full post and more mouthwatering recipes, check out A Happy Food Dance!
|prep time
25 Minute/s
|cook time
|total time
25 Minute/s
- 1 pint (16 ounces) heavy whipping cream
- 1-14oz can sweetened condensed milk
- 1 teaspoon pure vanilla extract
- marshmallows, roasted
- In the bowl of a stand mixer fitted with the whisk attachment, add one pint of heavy whipping cream. Start beating slowly, and then once it starts to foam, increase speed whipping until soft peaks form.
- Carefully add the sweetened condensed milk, gently as to not to deflate the whipped cream. Add in vanilla in the same manner. I used a rubber spatula to fold in.
- Add toasted marshmallows. I toasted mine in the broiler, but you could easily do them on the stovetop of a gas oven or with a kitchen torch. You want to toast until there are a few charred edges, just like over the campfire.
- Pour toasted vanilla ice cream mixture into a 9x5-inch loaf pan and cover with aluminum foil.
- Place in freezer until hard.
- Serve!
Find more recipes perfect for summer below!
The Perfect Summer Cocktail | 3-Ingredient Banana Ice Cream | Lobster Roll Two Ways
Photography: A Happy Food Dance | Recipe: A Happy Food Dance
Got a serious case of wanderlust? Before you book that plane ticket, we recommend reading Kat Neunaber's travel advice from Waiting on Martha. It's a year's worth of research condensed into 11 must-know tips, where you can find out how to pack the ultimate carry on, discover the best travel websites and apps and more. Check it out in the slideshow below!
For the full post and more inspiration, check out Waiting on Martha!
For more travel inspiration, check out:
10 Best Beach Reads | How to Pack for a Week in a Carry On | Essential Travel Beauty Tips
Whether you've got plans to hit the beach or host BBQ in the backyard, the 4th of July is the perfect opportunity to hang out with friends & family. Nothing gets a party started quite like an epic playlist of #American hits, which is why we decided to create one for you! Check out our Spotify playlist below for the ultimate 4th of July playlist.


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Break celebrates 4th of July the American Way: by laying the smack down on ...
With the 4th of July around the corner, we celebrate the most kick-ass USA ...
Dude, are you drunk AND high? Or are you just being PRANKED?!
Where again are the Colts from
"Aww, he looks just like his DADDY!" Go Colts, beat the Bears!
Not a lot to smile about this season, though...
That kid is going places.
In This Picture: Photo of hot cheerleader
Stupid Tattoos
In This Picture: Photo of a crazy football fan
me at a concert
Funny halloween costume
CNN AT its best... i visit the site during the game because my tv wasn't wo...
16" Ar-15 with forward k grip
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A mare brings over her colt and makes her way to each window in the car let...
Left or right?
Left or right?
This is a hard one.


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Vacation Apartment in Berlin-Schöneberg - 570 sqft, comfortably furnished, well maintained, affordable…
From $89 / night
Description from the manager
Description from the manager
Bedrooms: 1/
Bathrooms: 1/
Sleeps: 3/
Type: Apt. / Condo
This colorful apartment is sure to please. It comes with a balcony and access to a large yard area. Free Wi-Fi and a dishwasher are just a couple of this apartment's numerous amenities. Up to 4 guests can comfortably stay here., key advantages: comfortably furnished, well maintained, affordable, 1 living/family room, , fully equipped kitchen, upgraded interiors, clean, well furnished, spacious design, very comfortable, makes you feel at home, bright and inviting, The unit is conveniently located close to the downtown area of Berlin-Schöneberg, There is parking in front of the house available for this object, There is also additional street parking...Read more
About the manager
About the manager
Live Like a German
Live Like a German
- Response rate: n/a
- Response time: n/a
- Calendar updated: today
Overall rating:
4.5 / 5.0
Vacation Apartment in Berlin-Schöneberg - 570 sqft, comfortably furnished, well maintained, affordable… Schoeneberg b. Angermuende, Brandenburg, Germany
Additional Location Information
Discover Berlin-Schöneberg and local activities:
* Great location in the area around the Winterfeldtplatz, between City West (Zoo area, Kudamm) and City East (Potsdamer Platz to Alexanderplatz)
* The Winterfeldtmarkt, on Wednesdays and Saturdays, is the largest vegetable and weekly market of Berlin, a popular meeting place for visitors from all over the city. And around it: a trendy neighborhood with restaurants and bars, arts and crafts and shops for antiques, close to the Nollendorfplatz
* Bus nearby, underground 5 minute walk. And 15 minutes to get to the KaDeWe, the Memorial Church, and the Kurfürstendamm, the most famous shopping street in Europe
* Cycling: For your own bike, there is a basement room. Bicycle rental is right in the Eisenacher Straße: Bike Shop Schöneberg
Arriving by plane. From Tegel Airport: Bus X9 to Zoologischer Garten, either continue with Bus 204 to Eisenacher Straße (continue 2 Houses to holiday accommodation) or with Bus M46 to Hohenstaufenstraße (250 m to holiday accommodation)
From Schoenefeld Airport: S-Bahn S45 to Südkreuz, either continue with Bus 204 to Eisenacher Straße (stops opposite the apartment) or with Bus M46 to Hohenstaufenstraße (250 m to holiday accommodation)
Arriving by train From Central Station: S-Bahn S7 or S75 to Zoologischer Garten, either continue with Bus 204 to Eisenacher Straße (continue 2 houses to holiday accommodation) or with Bus M46 to Hohenstaufenstraße (250 m to holiday accommodation)
Public transport - ticket scheme: Tickets are available at vending machines in the underground, tram, and at kiosks. They apply to U-/S-Bahn, tram, bus, and local trains Single tickets € 2.40. In tram and bus, tickets are also available at driver In Berlin City the rate for the area AB is valid. But: For Rides to/from Schönefeld Air Port (BBI) area ABC is needed There is a Day ticket for € 6.50 and a 7-day pass VBB-environmental map for € 28.00
Arriving by car: Autobahn A100 exit Innsbrucker Platz - 1.8 km to the apartment on the Martin-Luther-Straße to Hohenstaufenstraße. Car park: To the apartment belongs a carpark in the yard. There is free parking space in Schöneberg.
More travel info about Berlin-Schoeneberg: Schoeneberg is a lovely residential neighborhood in southwestern Berlin. From here you will be close to all that's happening in Germany's capital. Take a cruise on the Spree River, which meanders past many of Berlin's most famous landmarks, and take your pick from a vast array of cultural events all year round. If you're planning a visit during Carnival season, don't miss the festivities on St. Martin's Day (November 11) in nearby Potsdam. Schoeneberg also offers various cultural and historical sites of interest, including the Headquarters of RIAS Berlin (Radio in the American Sector, 1948-1993), KaDeWe (the largest department story in continental Europe), and Heinrich-von-Kleist Park (designed in 1656).


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Siemens Interview Questions
Interview Experience
Interview Experience
Getting an Interview
Getting an Interview
Interview Difficulty
Interviews for Top Jobs at Siemens
- Intern (15)
- Software Engineer (14)
- Project Engineer (8)
- Project Manager (8)
- Engineering (7)
- Senior Software Engineer (6)
- Software Developer (6)
- Consultant (6)
- Sales Engineer (5)
- Systems Engineer (3)
- Senior Executive (3)
- Associate Consultant (3)
- Engineer (3)
- Internship (3)
- Graduate Trainee Engineer (3)
- Service Specialist (3)
- Mechanical Engineer (3)
- Technical Support Specialist (2)
- Finance Leadership Development Program (2)
- Werkstudent (2)
- Human Resources Administrator (2)
- Energy Engineer (2)
- Projektmanager (2)
- Field Service Engineer (2)
- Engineering Intern (2)
- Operations Manager (2)
- Business Development Manager (2)
- Senior Systems Engineer (2)
- Accountant (2)
188 Candidate Interview Reviews Back to all InterviewsSort: Popular Date Difficulty
Helpful (1)Declined OfferNegative ExperienceEasy Interview
I applied online. The process took 1 day – interviewed at Siemens (Flanders, NJ) in June 2015.
I submitted my resume / coverletter. Received a call the next day to schedule an interview. I had missed the call and it went to my voicemail. I called the Director back, he was rude and obnoxious. I declined to proceed with a Skype interview as requested. I really do not want to deal with a rude and obnoxious boss. If he's like that to someone he just met on the phone, what is he like as a boss.
Interview Questions
- Who is this? I called you? You need to set up a time for an interview on Skype for Thursday or Friday. 1 Answer
- Declined OfferNegative ExperienceAverage Interview
I applied online – interviewed at Siemens.
HIREVIEW video recording.. impersonal. I do not believe I want to work for ANY company that enlists the hireview process... especially for a sales role. Communication should be a two way street. This hireview process tells me that this company is not interested in a conversation.
Interview Questions
- give example of consultative sales experience Answer Question
- Declined OfferNeutral ExperienceDifficult Interview
I applied through a recruiter. The process took 2+ months – interviewed at Siemens.
Contacted on the phone by recruiter. Phone interviewer asked very detailed questions about what I had listed in my resume. Did role play scenarios. Very detailed for just initial interview. Then called in for an in person interveiw with a panel of people
Interview Questions
- Where do you see yourself in five years Answer Question
- Accepted OfferNegative ExperienceEasy Interview
I applied online. The process took 1+ week – interviewed at Siemens in May 2015.
Typical process: first talk with a recuiter then the hiring manager over the phone, then an on-site interview with 4--5 engineers. It is an easy interview compared to other tech companies who ask Google-style algorithms and coding questions. But it may be too easy -- no way to show my technical breathe and depth, as well as what my capability could be. It feels like they just want to hire out of the resumes and pick up someone who can code and in their flavor. They offered me the position after a week or two with a below market salary and hoped me to accept right away. I tried to negotiate to a higher level and waited. Afer a week, they said "no" and judged me I don't like the team. Actually I feel I can contribute a lot to their ongoing projects and mend theri current skill set but unfortunately there is no deal.
On my interview day, I talked with each of the senior engineers in the team for about half an hour, no chance talking with the hiring manager and a follow-up phone interview with the director of engineering. It feels the interviews are not organized very well--> I am not getting enough information about them and they don't get to know my depth.
Interview Questions
- Does the program execution go through the finally if there is return statement in the try block ? Answer Question
Helpful (1)Accepted OfferPositive ExperienceEasy Interview
I applied through other source. The process took 2 days – interviewed at Siemens (Denver, CO).
I went in for a one-on-one interview, the hiring manager was really nice. The interview lasted for about 20 minutes. I was shocked that they hired the next day. The reason why it took 2 days is because I went and took the drug test and had a background check.
Interview Questions
- Do you have your own transportation? 1 Answer
Helpful (1)Accepted OfferPositive ExperienceAverage Interview
I applied through an employee referral – interviewed at Siemens.
This was done through networking, so after I sent in my resume a couple days later I got a call for the interview, mostly asked about my resume and work I'd done in the past but it was long distance so kind of choppy.
Interview Questions
- mostly about my resume, work I've done in the past Answer Question
- Declined OfferNeutral ExperienceAverage Interview
I applied through college or university – interviewed at Siemens.
I applied through the Career Resource center and interview was very quick and basic. Asked basic behavioral questions as well as two skill related questions. Questions such as what do you know about the company/ why do you want to work here.
Interview Questions
- What is a time that you demonstrated leadership in a team setting?
What is your greatest weakness?
What is your greatest strength? Answer Question
- What is a time that you demonstrated leadership in a team setting?
- Accepted OfferNegative Experience
All day long you see and talk to a lot of people
There are tests on all applicable methods so study ASNT TC 1a
The managers and people are very welcoming. Just be professional and well dressed, relax.
Interview Questions
- What is your five year plan 10 year plan Answer Question
Helpful (1)Accepted Offer
The process took 2+ weeks – interviewed at Siemens.
3 interviews. Relaxed questioning over experience. One should sound intelligent and knowledgeable, as worldly as possible as this is an engineering company with a global network of employees. They tend to prefer mature individuals who are generally kind and easy to work with.
Interview Questions
- Tell me about your experience? 1 Answer
I didn't negotiate.
- Accepted OfferPositive ExperienceAverage Interview
I applied through college or university. The process took 6+ weeks – interviewed at Siemens (Iselin, NJ) in November 2014.
Officially, there are 3 rounds of interview. First round, phone interview from Germany HR. Second round, in person interview in local office with 4 people back to back (mix of case and behavorial q). Third round, in person interview in another local office (required some traveling) with 5 people in a panel, mostly behavorial q. Whole process took 1.5 months.
Interview Questions
- Where do you see yourself in 5 - 10 years? Answer Question
- Why Siemens? why not GE? Answer Question
- Describe your international experience Answer Question
- What do you think about the global economy? what about in 5 years? Answer Question
No negotiations.
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text:
Relevant offers
Super Rugby
Former Highlanders coach Glenn Moore will take charge of the Blues forward pack for the next two years.
Moore will join the Blues fulltime at the conclusion of the Heartland Championship - he is the current Mid Canterbury head coach - and replace All Blacks skills coach Mick Byrne, who stepped down at this end of last season.
Auckland-born Moore partners head coach Kirwan and assistant Grant Doorey in the coaching team with a back skills coach, who will fill Sir Graham Henry's void, to be appointed in the coming weeks.
Fairfax Media understands North Harbour coach Steve Jackson interviewed for the forwards role, while Northland coach and former All Blacks hooker Derren Witcombe is also believed to have applied. Set piece coach Nick White was also understood to have been in the mix.
Moore's last stint in Super Rugby was not successful. At the halfway point his final season he had a 24 per cent winning record. After an underwhelming three year term with the Highlanders (2007-2010) he was replaced by Jamie Joseph.
Kirwan said he was delighted to welcome Moore to the Blues.
"He was a standout candidate and he's exactly what we need at the Blues," Kirwan said.
"He's widely respected throughout rugby circles and brings a wealth of experience which is really important because we're losing a little bit of that. He's also incredibly passionate about the game and I think he'll bring a really hard edge to the forward pack."
Moore brings 14 years of professional coaching experience. The former Mid Canterbury loose forward coached North Otago from 2000-2005 and the New Zealand Divisional XV from 2003-2005.
He then became the Highlanders defence coach and Otago assistant coach in 2005, before being promoted to Highlanders assistant coach in 2006 and becoming head coach in 2007.
From 2010-2012, Moore was technical advisor for North Otago and he joined Mid Canterbury in 2013, leading them to a Championship title in his first year.
"I'm really excited about the opportunity to join the coaching staff at the Blues and get back to coaching at an elite level," Moore said.
"I was really impressed with JK's vision and passion for the franchise. That helped make it an easy decision to join the coaching team. I'm really looking forward to relocating up north and getting stuck in."
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The late-life Vidal presented himself as a national conscience, a vindicator of small r-republican ideals against imperial excess.
The Youngstown vindicator named 2011 the "Year of the Earthquakes" in Mahoning County.
1620s, "to avenge or revenge," from Latin vindicatus, past participle of vindicare (see vindication). Meaning "to clear from censure or doubt, by means of demonstration" is recorded from 1630s. Related: Vindicated, vindicating.


text:
Mature Content Filter is On. The Artist has chosen to restrict viewing to deviants 18 and older.
The Squeeze by johntisburyWatch
©2008-2015 johntisburyMature Content
Model is Emily Cartwright
The lighting is superb. Dare I say 90% of the quality lies there alone? Angle of the incoming rays highlight the model's various multitude of curves perfectly. An awesome model in an awesome pose...but the lights make it happen. Fantastic work! One of your best!
Is this model on dA?
I don't believe she is, Emily Cartwright is the model, not sure if she is modelling any more to be honest.
Thats so freaking crazy!
Extremely sexy!!!!
I would LOVE to be that size!
love the curves..
love the smoothness of her skin...but sure they are splendidly shaped bosoms...love the image and the bracelets too.lol
Familiar moment beautifully captured here. I'm 'blessed' (ie CURSED) with a similarly, if not larger, pair of breasts. They get death-clamped for a variety of reasons...usually rage...
An emotional shot. I love it.
An emotional shot. I love it.
size? itz huge!
Sets a good mood and composition.
very, very, very,very nice! best of the tits photos!
whoa does she have a deviant art? lol this shot is FANTASMIC...
No I don't think Emily does, she seems to have dropped out of the modelling scene.
how sad she looks like she'd have a smokin body ...and she seems very professional with her work
dont you think that would hurt
Very impressive. An excellent photo
those are huuuuuuuuuge!!!! the photography is amazing in this picture! great shot!
Perfekt shot!
wow thats a whole jug of vitamin d
Emily Cartwright i would do almost anything to squeeze them plump and frim EMU EGG(BREAST) THANKS FOR BEEN A CREATIVE ARTIST AND MANY WOW AND I AM JEALOUS TO PHOTOTAKER
MANY MANY MANY THANKS U'S TO Emily Cartwright
MANY MANY MANY THANKS U'S TO Emily Cartwright
Beautiful picture..
wtf...so many emotions and feelings in it...jcmb
Never thought I would envy hands.... first time for everything. lol. Nice pic!
She's amazing. Have anymore of her?
Good contrast between the sharp spikes and the smooth skin of the breast grasped by the hands... talking about composition I think it would have been better if take from the front, but I think that this angle emphasize that lovely shadows...
good shot
good shot
Nice combo. The spikes go well with the placement of the fingers. Complimentary shapes?
Anywho, you've got a very well-shaped model for this one.
Anywho, you've got a very well-shaped model for this one.
OMG...thats great!!
I want too!!! beautiful picture
nice bro!


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Obstetrician & Gynecologist (OB/GYN)
46 years of experience
46 years of experience
152 Pilgrim Dr
Sewickley, PA 15143 Phone number & directions
Sewickley, PA 15143 Phone number & directions
License & Identifications
A medical license is required for a doctor to practice medicine in a particular state. Requirements vary by state but most require, at a minimum, post-graduate training in the doctor's specific specialty. An NPI number is a national identifier unique to an individual health care provider and is managed by the Center for Medicare & Medicaid Services (CMS).
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Specialties & Research
Dr. Robert Sabatelle, MD is board certified in Obstetrics & Gynecology.
- He has special expertise in 2 areas:
- Hot Flashes
- Menopause
Education & Awards
Home > Find an Obstetrician & Gynecologist > PA > Sewickley Obstetricians & Gynecologists > Dr. Robert Sabatelle, MD
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- Additional Information
- Dr. Robert Charles Sabatelle MD is a male Obstetrician & Gynecologist, has 46 years of experience and practices in Obstetrics & Gynecology.
- Where does Dr. Robert C. Sabatelle practice?
- Dr. Robert Sabatelle has 1 office location.
Dr. Robert Sabatelle practices Obstetrics & Gynecology near Sewickley, PA.
See Sewickley Obstetricians & Gynecologists.