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2:31 pm
Mon May 3, 2004
Community Will Lose Only Employer
By Alabama Public Radio
Rock Mills, AL – A Randolph County community is about to lose its only employer. Wehadkee Yarn Mills announced recently it will close its spinning operation in the community of Rock Mills. The facility is one of the state's oldest textile mills, and it will close permanently. The company plans to consolidate the Rock Mills Division with another Wehadkee plant in Talladega. Ninety employees worked at the spinning mill two years ago, but the company has been downsizing it since then. The remaining 45 workers will lose their jobs when the mill closes. Company officials say foreign competition and increased costs of raw materials are responsible for the shut down. The Wehadkee plant is the only employer in the Rock Mills community. About 676 people live there.


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How does hurricane form? This film was made after the last disastrous hurricane, Katrina, hits New Orleans. It attempts to explain the way environment had been changed (more or less manhandled) so significantly that the natural protection being removed over the last 5 decades had left the South (USA) totally naked. The wetlands act as speed bums when the storm surged so much so every foot of wetland would slows down every 3 miles of the storm from Atlantic.
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The film Hurricane on the Bayou is about the wetlands of Louisiana before and after Hurricane Katrina.
Hurricane on the Bayou is both a documentary of Hurricane Katrina's effects and a call to restore Louisiana's wetlands, rebuild New Orleans, and honor the culture of the city. The film is narrated by actress Meryl Streep and driven by a jazz-, blues-, Cajun-, and gospel-fueled soundtrack featuring Tab Benoit, Amanda Shaw, Mavis Staples and Allen Toussaint. It was originally a "what-if" scenario about a major hurricane impacting New Orleans prior to Hurricane Katrina. The film debuted at the Entergy IMAX in New Orleans, La., on the one-year anniversary of Hurricane Katrina, several months before being shown elsewhere.

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So you went to Philippines and purchased a pack of star fish. You might notice that they are beginning to crack. What do you do to prevent them from c...
Mark the piece of wood with a pen. Draw equal length squares with a ruler.
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WALLA WALLA — Saddle up for the horse show and bring your pink ribbon.
This Saturday and Sunday is the third annual Pink Ribbon Classic Benefit Horse Show.
Hosted by The American Wranglers Jr. Horsemen and the Walla Walla Valley Horsemen, the event "brings attention to the importance of early detection and diagnosis of all types of cancer and the plight of cancer patients," according to a media release.
The show raises money for patients at Providence St. Mary Regional Cancer Center Patient Assistance Program.
This year the group is dedicating two championship classics — Western Pleasure and English Pleasure — to equine lover and 4-H instructor Jan Arbini. Arbini died of cancer in 1999.
"She was always giving back more to the kids than what the kids expected. Her main emphasis was sportsmanship in addition to riding correctly and being good at it," said JoAnn Thomson, American Wranglers Jr. Horsemen adviser.
With more than 81 riding and show classes, last year each class averaged 10 to 15 entries with a total of around 75 horses in the show, Thomson said.
Besides its cancer awareness and fundraising components, the show also is about educating youth to give back.
"Our main goal is to have fun and to teach kids that giving back to the community is important," said Thomson.
The Pink Ribbon Benefit Horse Show raises its money by offering companies and individuals the opportunity to sponsor different aspects of the show.
Depending on price sponsors can get banners, announcements, an ad in a show program and names announced as awards are presented.
The benefit also includes a silent auction, with items ranging from embroidered sweatshirts, horse grooming products to large decorative pots and panels.
For a show schedule and more details, email email@example.com or Erica Lackey at firstname.lastname@example.com.
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Q2 2004 Earnings Call - Micron Technology, Inc. - Call Street ReportWednesday, March 24, 2004 10:30
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Judy A. Hansen is the President of Quilt Shop of Deland, Inc. .
Quilt Shop of Deland, Inc. filed as a Domestic for Profit Corporation in the State of Florida filed on Thursday, April 26, 2001. This corporation is approximately fourteen years old according to documents filed with Florida Department of State.
Key roles for Judy A. Hansen
Quilt Shop of Deland, Inc.
President, Treasurer, Secretary, Director


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Chatni Podi Recipe - Surya TV - 31-7-2012
Learn to make Kerala's traditional Chatni Podi recipe following this recipe. Try this out at your kitchen!
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AALOOBUKHARA CHATNI- Plum Chutney - Bajias Cooking
AALOOBUKHARA CHATNI is a delicious sweet and sour dip. Learn how to make Aaloo Bukhara Chutney at home.
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Mutta Chatni Recipe Cooking Show
Mutta Chatni is a delicious recipe made with egg and other ingredients try this out.
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MANGO CHATNI Recipe Cooking Show
MANGO CHATNI is a veg and tasty dish to try this out and enjoy for your self.
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Israel ranked seventh worldwide in the happiness level of its residents, according to a survey conducted by the Gallup Institute.
Some 63 percent of Israelis are satisfied with their lives, Gallup's global wellbeing surveys in 2010 found. Israel was ranked higher than the United States, which came in 12th place—59 percent of Americans said they were thriving, the indicator of happiness. Thirty-four percent of Israelis said they were struggling and 2 percent said they were suffering, according to the survey.
New Zealand also ranked seventh among the 124 countries surveyed. Denmark ranked first with 73 percent of respondents saying they were thriving.
Among the countries where fewer than 25 percent of citizens said they were thriving were Russia, China and Lebanon.
Some 14 percent of the residents of what the survey calls the "Palestinian territories" said they were thriving, according to the survey.
Results were based on face-to-face and telephone interviews with approximately 1,000 adults per country, aged 15 and older, conducted in 2010.
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Originally written on Fox Sports Wisconsin | Last updated 10/15/12
MADISON, Wis. By all accounts, Wisconsin running back Melvin Gordon possesses the physical attributes necessary to make him the next star in the Badgers loaded backfield. Of course, theres more to football than speed, power and being chiseled like Spartacus. Gordon, a third-stringer behind Montee Ball and James White, is finding out excelling at the highest level of college football isnt simply handed to anybody. "Were trying to get him to get to that level," Wisconsin coach Bret Bielema said Monday during his weekly press conference. "Montee and James perform the way they do in a game because of the way they practice. Melvin, I think he realizes he has as much ability as those two, but he doesnt practice like those two. And thats the point weve been trying to drive home with him." Gordon, a redshirt freshman, found himself in Bielemas doghouse during Wisconsins 38-14 victory against Purdue on Saturday when he fumbled on the Badgers third play of the second quarter. The second-...
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At least eight people killed in Beirut attack
A senior Lebanese intelligence official, regarded as an opponent of Syria, has been killed in a massive car bomb attack in Beirut. The death of Wissam al-Hassan has led to speculation that the conflict in Syria is becoming increasingly difficult to contain within the country's boundaries.
Source: AM | Duration: 3min 22sec
Topics: unrest-conflict-and-war, death, world-politics, lebanon, syrian-arab-republic
ELIZABETH JACKSON: A senior Lebanese intelligence official, regarded as an opponent of Syria, has been killed in a massive car bomb attack in Beirut.
The death of Wissam al-Hassan has led to speculation that the conflict in Syria is becoming increasingly difficult to contain within the country's boundaries.
I asked our Middle East correspondent Matt Brown to tell us what he could about Wissam al-Hassan.
MATT BROWN: At the moment he appears to have been the most important of at least eight people killed in the attack which also wounded dozens of others.
His death here is extremely significant.
He'd just returned from Germany and France, and a few months ago, he'd played a leading role in the arrest of Michel Samaha, who's an ex-information minister with ties to the Syrian government.
That arrest was a spectacular sting in which Samaha was allegedly caught with explosives and security officials say, there's around 90 minutes of video of him meeting with an informer and planning terror attacks in Lebanon on large crowds - and this is the key - and attacks on anti-Assad politicians; politicians in Lebanon who've spoken out against the Syrian president Bashar al-Assad.
ELIZABETH JACKSON: Is it very likely, then, that this was a deliberate attempt to get Wissam al-Hassan?
MATT BROWN: It is.
There's been a very long history of assassinations of this type in Beirut.
The bomb struck in the Christian sector, Sassine, which is close to an upmarket shopping district - one of the more vibrant sections of the city.
It was large, even by Beirut standards.
In addition to the people killed, there were of course some very badly damaged buildings in the area, upended cars, cars crashed by collapsing balconies that were sheared off the front of the buildings, and windows smashed for blocks around.
So they weren't messing around, weren't taking chances. And I don't think it's any accident that Brigadier General Wissam al-Hassan, the head of internal security forces in Lebanon, was killed in the blast.
ELIZABETH JACKSON: Is this bombing, Matt, an indicator, do you think, that tensions that have been so far fairly well contained within Syria are now spreading well beyond the borders of the country?
MATT BROWN: Look, I think it is fair to assume that. Let's note also that the explosion was close to two important political offices of two groups also opposed to Bashar al-Assad; one, the March 14 movement, which is Western-backed, and the other, the Christian Phalange Party.
A senior member of the parliament, a senior Phalangist, Nadim Gemayel, has said it's clear that this is the work of the Syrian regime, that the blast was so big that only the Syrian government could be responsible.
That's not necessarily logical, given the history of violence in Lebanon. But also former prime minister, Saad al-Hariri, of the March 14 group has also accused Bashar al-Assad.
So, politicians opposed to Assad's government in Syria certainly lining up immediately to point the finger his way, even as the debris from the blast is still being cleaned from the streets.
ELIZABETH JACKSON: Middle East correspondent, Matt Brown.


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The words of some songs seem to ring true forever. Especially Woody Guthrie's "Do-Re-Mi," with its scathing appreciation of life in the Golden State:
California is a garden of Eden, a paradise to live in or see;
But believe it or not, you won't find it so hot
If you ain't got the do-re-mi.
This Saturday, July 14 (Bastille Day!), A Better World's A-Coming honors the Dust Bowl Bard's 100th birthday with "An Echo Park Tribute to Woody Guthrie" – what its organizers, the Trailer Trash Project (TTP), are calling "a free backyard picnic celebrating the life and music of Echo Park resident Woody Guthrie." But wait, there's more! "Enjoy an afternoon concert of hip-hop, blues, jazz, psychedelic and bluegrass by Woody-inspired musicians. Art activities [including children's music and storytelling] will take place throughout the day. End the day with a second line parade led by Superbroke Brass and Tin Marching Band Ensemble."
The festivities, which advertise appearances by Michelle Shocked and Krip Hop Nation's Leroy Moore, take place at El Centro del Pueblo, 1157 Lemoyne Street, 10 a.m.-6 p.m. Immediately afterward, from 6 to 9 p.m. at the Echo, 1822 W. Sunset Boulevard, the TTP joins with Occupy Fights Foreclosures to raise funds for Skid Row housing. Alt-hip hoppers Olmeca will be headlining (suggested donation: $10).


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We created Pandora to put the Music Genome Project directly in your hands
It's a new kind of radio –
stations that play only music you like
Never Ending Math Equation
Features of This Trackmellow rock instrumentation
punk influences
extensive vamping
mixed acoustic and electric instrumentation
electric guitar riffs
a distinctive male lead vocal
sad lyrics
These are just a few of the hundreds of attributes cataloged for this track by the Music Genome Project.show more
Similar Tracks
"The universe works on a math equation
That never even ever really ends in the end
Infinity spirals out creation"
I'm the same as I was when I was six years old
And oh my God, I feel so damn old
I don't really feel anything
On a plane, I can see the tiny lights below
And oh my God, they look so alone
Do they really feel anything?
Oh my God, I've got to, got to, got to, got to move on
Where do you move when what you're moving from
Is yourself?
The universe works on a math equation
That never even ever really ends in the end
Infinity spirals out creation
We ain't sure where you stand
You ain't machines and you ain't land
And the plants and the animals, they are linked
And the plants and the animals eat each other
Oh my God, and oh my cat
I told my Dad what I need
Well, I know what I have and want
But I don't know what I need
Well, he said, he said, he said, he said
"Where we're going, I'm dead"


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with the new version of Daz for also the posers users do I also need to update to the new version if I'm not planing on using poser ?
were they any important updated to this version accept the poser thing that was added ?
and if so help me to refresh my memory on how to uninstall daz and re install it
where can I find a guide for how to do this without to screw my content and saved scenes ?


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My daughter was given two male dwarf rabbits and is allergic to them. They are cute and love to eat anything green and leafy. 90.00 for two males ( they need to stay together ), cage, food and bedding... Please let me know asap if interested..
May 27 -
Dallas :
Carrollton - Other pets
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New mac arrived today with snow leopard
Started Jun 1, 2011 | Discussions thread
New mac arrived today with snow leopard
Jun 1, 2011
Will apple update this to snow leopard next week? Or am I just to early and missed out.
Maybe I should have waited another week ehhhh huh.
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Kitchen Mats & Rugs
- WellnessMats® $119.95 – $239.95
- WellnessMats® Antique Collection, Trellis $129.95 – $259.95
- WellnessMats®, Trellis $119.95 – $239.95
This therapeutic mat cradles your feet with an amazingly cushioned layer of support, suspending your body weight and reducing stress and fatigue. Our new Moorish inspired trellis pattern adds a distinctive look to your kitchen or laundry. Provides comfort ...
Give your feet and legs a boost when you're standing at the sink, stove or ironing board. Our popular cushioned mat, which is now 1/3" thick for extra support, now comes in a classic Provenal inspired design. Cushions feet ...


text: Medicine Department http://hdl.handle.net/10523/256 2015-07-08T02:12:56Z The natural history of autoimmune disorders in mice and its modification by therapy http://hdl.handle.net/10523/5713 The natural history of autoimmune disorders in mice and its modification by therapy 1964 Casey, Thomas Patrick The main aim of this thesis is to study from a clinicopathological aspect the pattern of development and the nature of lesions, particularly renal ones, in NZB/BL X NZW hybrid mice. Groups of these mice were assessed clinically, weighed regularly and had frequent examinations of urine during life for protein, casts and sugar. Blood examinations for the L.E. cell test, anaemia, total leucocyte counts, as well as direct Coombs tests and some Latex antinucleoprotein tests were performed and some studies made on blood urea levels. Full postmortem examinations were made with histological examinations, especially of kidneys and thymus, but also of liver, spleen, lymph nodes, bone marrow, pituitary, adrenal, thyroid and salivary glands, the postmortems being carried out at intervals to cover the life span of the crossbreed. The post-mortem renal findings were correlated with the features observed during life. Similar observations were made on smaller numbers of the parent NZB/BL and NZW inbred strains. At attempt was made to modify with corticosteroid therapy the disease seen in the hybrid mice. This was done in both sexes, in different age groups and at different dosage levels. The same parameters were measured as in the control untreated animals mentioned above. Corticosteroid therapy was also used to treat the NZB/BL mice with autoimmune haemolytic anaemia. Treatment of this strain with the antimetabolite drug 6-Mercaptopurine was also undertaken. [extract from Introduction] 3 volumes; illustrations; diagrams. Thesis (M.D.) - University of Otago. 2015-06-12T04:45:56Z Non-Alcoholic Fatty Liver Disease and Elevated Alanine Aminotransferase in New Zealand: An Examination of the New Zealand Adult Nutrition Survey (2008/09). http://hdl.handle.net/10523/5253 Non-Alcoholic Fatty Liver Disease and Elevated Alanine Aminotransferase in New Zealand: An Examination of the New Zealand Adult Nutrition Survey (2008/09). 2014 Heron, Robert Campbell Roydon BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) is common world-wide and associated with obesity, diabetes mellitus, cardiovascular disease, hyperuricaemia and dyslipidaemia. These conditions are common in New Zealand, but the prevalence of NAFLD in New Zealand is unknown. New Zealand has a high prevalence of overweight and obesity, so it is likely that NAFLD is also common. The nationally representative 2008/09 New Zealand Adult Nutrition Survey (NZANS) provided an opportunity to estimate the prevalence of NAFLD as defined by elevated alanine aminotransferase (ALT), a measure of liver damage. AIMS: The aims of this study were to estimate the prevalence of elevated ALT and examine associations between elevated ALT levels and demographic, clinical and nutritional factors in New Zealand adults using data from the 2008/09 NZANS. METHODS: 4,721 New Zealand civilians aged 15 years or older participated in the 2008/09 NZANS, of which 3,035 agreed to have a blood test. Serum ALT was not measured as part of the main survey, and was measured using remaining blood samples. Sociodemographic, medical history, anthropometric and blood pressure measures, blood test results and dietary intake data were extracted and analysed. Elevated ALT was defined as an ALT activity > 29 units/L for men, and ALT > 22 units/L for women. The prevalence of elevated ALT was calculated for different groups, including age, ethnicity, and body mass index categories. Odds ratios were also calculated. Mean energy intake and intakes of both macro- and micronutrients (as measured by 24-hour dietary recall) were calculated and compared between participants with and without elevated ALT. RESULTS: The prevalence of elevated ALT was 13.1% (16.9% for men and 9.7% for women). The prevalence of elevated ALT was high among Maori (18.0%) and Pacific (18.6%) compared with New Zealand European and Other ethnicities (12.2%). NAFLD was more common in overweight (13.5%) and obese persons (20.1%) than in those with a normal weight (6.2%). Male sex, age 25 – 34 years, increased BMI and increased waist circumference were significantly associated with having an elevated ALT after adjustment. Ethnicity was not associated with the odds of having elevated ALT after adjustment. There were few differences in dietary intakes between those with elevated ALT and those with normal ALT. Mean cholesterol intake was higher (338 mg vs. 273 mg, P = 0.003) and thiamine intake was lower (1.3 mg vs. 1.5 mg, P = 0.014) in those with elevated ALT compared with the normal ALT group, respectively. CONCLUSIONS: Liver damage as defined by an elevated ALT, is common in New Zealand and is comparable to that of the United States. The prevalence of elevated ALT among those classified as obese was particularly high. Given the high prevalence of obesity and associated conditions such as diabetes in New Zealand, a large proportion of those with an elevated ALT are likely to have NAFLD. NAFLD is an increasing cause for concern worldwide, and further research using more sensitive and specific diagnostic method(s) is needed to more clearly understand the epidemiology of NAFLD in New Zealand. 2014-11-20T01:16:02Z Drug dosing in the elderly: the impact of age and tubular function http://hdl.handle.net/10523/5031 Drug dosing in the elderly: the impact of age and tubular function 2014 Putt, Tracey Renal drug elimination is a function of the combined processes of glomerular filtration, tubular secretion and reabsorption. Traditionally the dosing of renally excreted drugs has been modified according to estimates of glomerular filtration rates (eGFR) using equations based on serum creatinine(1, 2). The assumptions inherent in this process are that all components of kidney function decline at the same rate and in direct relationship with eGFR(3-6) and that eGFR is a reasonable estimate of measured GFR (mGFR). However, many drugs are eliminated by tubular anionic and cationic transport where a decline in eGFR may not necessarily reflect parallel changes in tubular function. This study investigates the relationship between GFR and renal tubular function with reference to drug handling using an established drug "cocktail" method(7-9). Measured GFR (mGFR; Cr51 EDTA clearance) is compared to tubular anionic transport (urate clearance), tubular reabsorption (fluconazole clearance) and cationic transport (S-pindolol clearance). In addition, the influence of comorbid pathology (primarily hypertension) over and above that of aging alone is investigated by recruiting subjects with a range of ages, coexistent disease and renal function and comparing four groups. The groups investigated were "young" controls with normal serum creatinine, two groups above the age of 65 years with normal creatinine both with and without mild co-morbid pathology known to affect renal function such as hypertension, diabetes and heart disease and those with established chronic kidney disease. To complete the study mGFR is compared to several of the commonly utilised estimating formulae for GFR (eGFR). The major findings demonstrate a moderate positive correlation between mGFR and proximal tubular anion transport and reabsorption (R2=0.41 and 0.44, p<0.05). In contrast, cationic secretion correlated poorly with mGFR (R2=0.11, p<0.05). In the study population with normal renal function the estimating equations significantly underestimated measured GFR (-26-38 mL/min/1.73m2) with the Chronic Kidney Disease Epidemiology (CKD-EPI) formula the most accurate overall. The tubular processes investigated displayed declining clearances with age and GFR. However, in the elderly with normal creatinine, mild pathology unexpectedly increased clearances relative to those without disease. In clinical practice the elderly, both with and without comorbid disease, form a significant proportion of any caseload where adjustments of drug dosing for renal function are extremely important to avoid significant side effects. However given that drug-dosing schedules utilise eGFR values as the basis for modifying drug dosing, these results suggest that a global recommendation of dose reduction according to eGFR alone should be treated with some caution. This is due to the significant underestimation in GFR by the estimating equations in those without chronic kidney disease (CKD) and the lack of parallel decline of tubular function to GFR. This is most significant where cationic tubular handling of the drug is the major component of elimination where reliance on eGFR may lead to under-dosing of these medications. 2014-10-13T19:40:40Z The prevalence and level of education of Hepatitis C Virus among an asymptomatic population http://hdl.handle.net/10523/5003 The prevalence and level of education of Hepatitis C Virus among an asymptomatic population 2014 Vermunt, Jane Background The burden of Hepatitis C virus (HCV) is projected to increase substantially over the next 2 decades as a result of complications arising from chronically infected individuals who remain undiagnosed and untreated. Accurate epidemiological data on the prevalence and demographics of Hepatitis C is therefore needed to allow efficient planning of services and resource allocation for prevention and treatment management in the region. In order to minimise transmission and to recognise risk factors and symptoms of HCV infection, population-wide education is also essential. Aim This study aimed to identify the prevalence of Hepatitis C among the 40 to 59 year old population living in urban Dunedin. It also set about to identify gaps in knowledge about HCV in the target – assessment of HCV knowledge among this cohort was thought to be important to gaining better understanding any barriers to identification, diagnosis and treatment while concurrently raising awareness of the issue. Method A total of 1400 individuals aged between 40 and 59 living in urban Dunedin were randomly identified from the electorate role. A questionnaire was developed and posted to participants that explored risk profile, infection transmission, complications, symptoms and treatment. Participants were also asked to provide a blood sample for anti-HCV and HbsAg testing. Hepatitis B antigen testing (HbsAg) was also tested to allow comparison on prevalence and decrease perceived stigma of testing. Results Of the 1400 questionnaires sent, a total of 432 were returned completed and some 306 blood samples were analysed. The prevalence of HCV and Hepatitis B virus (HBV) was estimated to be less than 0.98%, based on a zero numerator. Significant knowledge gaps were identified. The average correct score from the questionnaire was 59.4%. Both adjusted and unadjusted logistic regression modelling showed that three demographics were statistically significant predictors of an individuals' score. On average females scored 5.4% higher. Every increase in qualification level showed a 5.0% increase and a 4.8% increase was found between each occupation sector. No statistically significant relationships were found between socioeconomic status (SES) or age. The population sample recognised all the potential modes of HCV transmission. Only 23% correctly estimating the assumed prevalence of HCV. 93% of the sample population did not recognize that an acute or chronic infection may be asymptomatic and 97% were unaware that there could be no long term sequale to a chronic infection. 23.6% knew that it takes years rather than months weeks or days for symptoms of complications of a chronic infection to become apparent. Twenty-two per cent were aware that there is no available vaccine, 34.0% do not know that HCV can be treated and of those who do know, only 39.7% are aware that this is funded by the government. Conclusions The prevalence rate, although inferred, is lower than expected. Our group has thus committed to undertaken further work in this area to obtain a more representative sample of bloods from which to draw better prevalaence data – though completed, data was not ready for publication in this thesis. The lack of general knowledge about HCV is of concern as this population is at high risk of transmission and of developing complications related to unassumed chronic infection. It is clear that the majority of this population is unaware of the asymptomatic nature and when the nonspecific symptoms of an HBC or HCV infection are likely to manifest. Further, one-third of the population are unaware that HBV and HCV can be treated and two-thirds are unaware that treatment is fully funded. Well educated women working in the health or white collar sector have the best knowledge about risk of transmission, possible symptoms and treatment. Educational efforts to increase awareness empower people to be aware of symptoms, get diagnosed and undergo treatment needs to target all other population groups. 2014-09-29T19:53:44Z Quality of Diabetic Foot Care in Oman http://hdl.handle.net/10523/4894 Quality of Diabetic Foot Care in Oman 2014 Al-Busaidi, Ibrahim Saleh Background Diabetes mellitus is a common and increasingly important chronic disease worldwide. In Oman, the setting of this thesis, the prevalence of diabetes was 12.3% in 2008. Diabetes causes substantial morbidity and mortality, with diabetic foot disease (DFD) being one of the most serious and costly complications of diabetes. Good preventive foot care measures, patient and provider education and adherence to proper foot self-care practices can reduce the risk of developing DFD by up to 85.0%. No published study has investigated diabetic foot care in Oman. Objectives The aim of this study was to explore the quality of diabetic foot care provided by primary and secondary health care professionals in an area of Muscat, Oman. The specific objectives were: 1) To ascertain the level of foot self-care amongst people with diabetes; 2) To determine the level of foot care education for people with diabetes provided by primary and secondary health care professionals; 3) To determine the level of professional foot care services provided to people with diabetes; and 4) To examine the association between foot self-care practices and known risk factors for diabetes-related foot disease (DRFD). Methods The study setting was eight primary health care clinics and one polyclinic in Alseeb, Muscat, Oman. A convenience sample of 350 Omani patients with diabetes (310 from primary health care and 40 from the polyclinic) were invited to participate in the study. A questionnaire developed from two pre-existing questionnaires and pre-tested and translated into Arabic, was administered by author of this thesis and research assistants. The questionnaire included six domains including demographic details, patient-reported DRFD, foot self-care, foot care education, and professional foot care. Data were checked, entered into Excel spreadsheet, and analysed using STATA Statistical Software version 12.0 (2012). Proportions and means were calculated as appropriate for variables of interest. To examine the association between dependent and independent variables, a one-way analysis of variance was used for categorical variables and product-moment correlation test for continuous variables. Ethical approval was obtained from the Medical Research and Ethics Review Committee, Ministry of Health, Oman. Results Of the 350 participants, 62.3% were female and more than half of the patients were illiterate (52.9%). DRFD was found to be common in this population with more than 55.0% of the study population reported having at least one or more sensory peripheral neuropathy symptoms, and almost half (49.1%) complained of one or more peripheral vascular disease symptoms in the last month. In spite of this, patients often did not adopt all recommended behavioural foot care practices. For example, 54.7% did not look at the bottoms of their feet daily, 58.4% reported using moisturising creams or lotions between their toes daily, and 46.0% reported wearing traditional Omani sandals which do not offer protection from injuries. Fewer than half of the participants reported receiving advice or information on recommended foot care practices from their diabetes health care professionals. Professional diabetes foot care services were suboptimal. For example, 20.4% of participants reported never being asked about numbness in their feet and 21.7% reported having been seen by a podiatrist during the previous year. In the final model, a statistically significant association was found between foot self-care scores and level of formal education, diabetes treatment and professional foot care. Conclusions and recommendations Despite the presence of DRFD in this Omani population with diabetes, the overall quality of diabetic foot care was suboptimal. From the patient perspective there is a need for high quality diabetic foot care education to improve patients' foot care awareness and self-management. Patient education requires good communication skills and an understanding of patients' education levels, and the influence of cultural, social and religious practices. A multidisciplinary team approach and ongoing foot care education for health care professionals is needed in order to improve their diabetic foot care knowledge and skills. To better understand the context, barriers to regular recommended foot self-care practices needs to be explored further, and the reasons for non-adherence to the Omani diabetes foot care guidelines by health care professionals requires further clarification. Nevertheless, findings from this study will be useful for health care planners and policy makers in Oman and neighbouring countries with similar health systems for improving the overall quality of diabetes foot care. 2014-07-06T20:49:38Z Abduction Strength Deficiency: How Common, How Early and How Amendable? http://hdl.handle.net/10523/4631 Abduction Strength Deficiency: How Common, How Early and How Amendable? 2014 Chen, Shumou Gluteus medius strength deficiency has been linked to various injuries of the lower limb (Fairclough et al., 2007, Bullock-Saxton et al., 1993, Powers et al., 2003, Williams and Cohen, 2009). However there is limited information in the literature about the prevalence of this condition among healthy individuals. When observing peoples' walking patterns, it is common to see excess side to side movement indicative of abduction strength deficiencies. However the conventional dynamometry strength testing generally show normal results despite the person having an abnormal gait pattern and the conventional exercise used to treat this condition is not yet proven to be effective. A recently published study on Australian Rules footballers suggested that hip abduction weakness does occur in healthy people when a previously unpublished test was used. It uncovered the weakness and using the same position as an exercise was capable of correcting it (Osborne et al., 2012). The current study investigated the testing position against conventional testing positions and the exercise against conventional exercises. This study also investigated the possibility of growth related hip abduction strength deficiency in high school aged males. Three studies were used to investigate the new testing position and exercise. An observational study among 101 healthy adults was completed to investigate the prevalence of hip abduction strength deficiency and compare the new hip abduction testing position to conventional hip abduction testing positions. An interventional study was completed to investigate the effects of the new abduction exercise against a conventional abduction exercise and an adduction exercise as controls. This study involved three 1st XV rugby teams with a intervention period of two months. The third study was also an observational study involving 105 high school students. This study investigated the prevalence of abduction strength deficiency in relation to growth among high school aged males. In the study involving healthy adults, it was found that people tested the weakest in the new testing position. When the new hip abduction exercise was compared to conventional hip abduction exercises and an addcution exercise as a control, there were no significant strength improvements. The third study also found no hip abduction strength deifciency realted to growth among high school aged males. The recently published testing position may be a useful tool in uncovering hip abduction strength deficiency but as an exercise it did not produce any significant strength gains. Although a recently published study on Australian Rules Footballers suggested that hip abduction strength deficiency may occur due to growth (Osborne et al., 2012), this study suggested there were no growth related hip abduction strength deficiency. 2014-03-06T01:37:22Z Arteriosclerosis in the lower limbs: a pathological study of fifty cases with no ischaemia http://hdl.handle.net/10523/4581 Arteriosclerosis in the lower limbs: a pathological study of fifty cases with no ischaemia 1950 Rodda, Roland Arnold INTRODUCTION: In recent years there has been a greatly increased interest in peripheral arterial disease. This has come about as a result of improvements in diagnostic and surgical techniques which have led to extensive operative procedures by the vascular surgeon on both arteries and veins. Nevertheless, the treatment of obliterative arteriosclerosis and thromboangiitis obliterans remains mostly palliative and far from curative. Possibly this is because there has been very little advance knowledge in the initial pathology of these diseases in the lower limb within the last forty years. After von Winiwarter (1879) gave his classic description of "endarteritis" as a cause of gangrene in the lower limb, there was obvious confusion between this disease and obliterative arteriosclerosis. Buerger (1908) more closely differentiated thromboangiitis obliterans but there is still (Luke, 1947) considerable clinical confusion between these two diseases. Thromboangiitis obliterans remains relatively rare but obliterative arteriosclerosis is becoming more common, doubtless because of the increase in age of the population. There is a moderate number of published descriptions of the pathological changes in peripheral arteriosclerosis with gangrene which will be referred to subsequently. There are, however, very few accounts available which describe in any detail arterial disease in the lower limb in the absence of gangrene or other clinical manifestation of ischaemia. Most references are confined to incidental allusions or general statements. Indeed, with one or two exceptions, there have been no contributions to the literature along these lines since the extensive investigations by various German workers forty odd years ago. Since then the knowledge of blood vessels in other parts of the body has been augmented by the use of newer injection techniques. This study has been undertaken using some of these methods to investigate arterial disease in the lower limbs when there is no ischaemia. Previously, no attempt has been made to approach the problem from this aspect. There are no accounts available of any assessment of the degree of arterial disease in any of the extremities and it is hoped that the results of this study may provide a basis for the further investigation of arterial disease in the ischaemic limb. Format: 4 v. : illus., diagrs. 2014-02-07T04:58:32Z Validity of a Virtual Reality-Based Clinical Case for Assessment of Clinical Competence http://hdl.handle.net/10523/4493 Validity of a Virtual Reality-Based Clinical Case for Assessment of Clinical Competence 2013 Roy, Melyssa Claire Reliable and valid assessment of the clinical competence of medical students and doctors is essential for the safety of patients. Current modes of assessment are limited in their ability to evaluate some key aspects of competence, such as clinical reasoning ability and timely decision-making. The aims of this study were to assess the validity of a virtual reality-based clinical case as a method of assessment of clinical competence. In addition, this study intended to specifically examine the capacity of the virtual reality case format to assess clinical reasoning ability. The Otago Virtual Hospital is a virtual reality-based computer programme in which the performance of doctors and students can be assessed while managing a simulated clinical case in real time. As a pilot study, 12 participants, (consisting of three cohorts comprised of third-year medical students, fifth-year medical students and qualified doctors) from Otago Medical School participated in a simulated clinical case. Their performance was measured by scoring their achievement of set outcomes representing optimal management; these were developed from expert opinion. Qualitative thematic analysis of case transcripts was undertaken to compare clinical reasoning skills. Scores of performance from the virtual reality case showed qualified doctors achieved the highest scores, significantly higher than the third-year student group. Qualified doctors were also significantly better able to make correct full diagnoses and achieve safe clinical management compared with the student cohorts. These results showed some significant differences between groups at different stages of medical training, hence supporting the construct validity of the virtual-reality based clinical case. Thematic analysis to identify clinical reasoning themes indicated that compared to the student cohorts, the qualified doctor group was better able to transform information into key clinical concepts, generate more accurate diagnoses, and generate correct diagnoses more efficiently. With increasing clinical experience there was a superior ability to communicate clinical information succinctly and precisely, and to construct effective patient management plans. The virtual reality based clinical case provided an authentic clinical task. Within the programme, overall performance and clinical reasoning abilities could be assessed by analysis of a summary admission note at the conclusion of the case. These results suggest that simulated virtual cases may provide a valid and rapid means of assessing clinical competence, and can provide more comprehensive information about clinical reasoning ability than traditional means of assessment. 2013-11-25T01:18:10Z


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Beth Tied for Pictures & Tickled
Beth Tied for Pictures & Tickled
I have a family I grew up down the street from and have known almost my whole life. Beth is the only girl in the family and always treated like a princess, I say that because being the only girl out of four kids means she got the biggest room, always new clothes no hand me downs and pretty much just about what ever she wanted. I always thought she was cute but mostly thought of her a a sister.
It's been awhile since I saw her because her husband is in the Navy and she has lived in more then a few towns. She was in town to visit the rest of her family because her husband is out at sea. There was a group of her friends and family heading up to the bar to catch up. My wife didn't make it up because she was dropping our son off at my in laws because they were taking him up north for the weekend. Sue had to go into work on Saturday because of a huge event she had coming up Monday.
I ended up going to the bar by myself and had a great time see people I haven't seen in years. The place started to clear out and just Beth, myself were left.
After more drinks then I care to remember Beth started to tell me how much she missed Dave and that she wanted to do something special for his birthday since he was overseas on a boat. She loved to chat with him and talk on the phone but never got the chance to get too daring with the other sailors always over his shoulder try to see her and her large breasts, "I always wore the tightest of tops when ever we got the chance to use Skype, and I always made sure my nipples were as hard as erasers" Beth told me as I was starting to get a little hard and feeling a little awkward, "He loved me tied up, I didn't matter if I tied myself for him or he did the job he just loved how I looked. I sure wish I could get him some pictures of me tied up to send to him but I only have one person I can trust to do the job and take some great pictures. Do you want to tie me up and take some pictures to send to Dave?"
I was in shock a little bit at the question and it must of shown on my face when Beth told me "I know you want to do it, I remember when we were younger you carried handcuffs for awhile, and what about the times you would pin me down? I think you will be up to the task" Beth said and I she was right. "I guess I could help you what did you have in mind?" I asked her a little more sure of myself now knowing that Beth had this planed all along. "I hoped that we could shoot at your house that way it would be private. The kinky outfits might make some people uncomfortable I was hoping you would be OK with that are you?" "I guess it sure sounds like you already counted on me doing it for you, how many different outfit do you have planned? Bring some pictures of how you want the pictures to look it will make it easier to poise you than" I told Beth as I felt myself becoming more excited to do the shoot. "I can do you one better I put them on a CD for you already let me get it out of my purse for you" Beth said as I watched her dig it out of her purse and hand it to me.
"OK then I guess you really had this planned out all along what would you have done if i said no" I asked her in a smart ass tone "I guess I would of had to up the anti. You know I couldn't ask this from almost no one" she said as she leaned over and gave me a kiss on the check to say thank you.
After waking up the next day I called Beth told her that I would be off work Friday and we could take her pictures then. I told her to be no later than 9:30 in the morning that way we would have time to Photoshop them if needed and be all done by time my wife and son got home. I told Kelly that I might be taking some pictures of Beth and her dogs again Friday and she told me that was fine and she might have to work late anyhow that day and her parents were taking our son up north for the weekend and that they wouldn't be home until late Sunday.
I got up early Friday to see everyone off and wait for Beth. I was drinking my morning coffee and I still had about an hour before Beth was to arrive and figured I need to take a look at the pictures she gave me. I popped in the CD and started to browse the folder of pictures Beth wanted me to use as a guide to tying her up. One thing I noticed right away is that all of the pictures had woman with very large breasts and most of the time they were ballgag and every one of them had nylons of thigh highs on every picture. As I was looking I had to try to keep myself from getting all worked up, I knew Beth was a friend and that I should not think of her is such a sexy way. I tried to remember that this is just a photo shoot and nothing else but looking at the pictures I started to think about having a little fun with her. I may be able to get the chance to tickle her while she's tied up. I always love to tickle any woman whenever I get a chance and with Beth tied up I will surely have my chance before the day is through.
It was about 9:45 when I heard a knock on the front door I opened it and I saw Beth standing there with a huge duffel bag in her hand. "I told you I had a few outfit changes planed and a new item to add to my collection just arrived at my door as I was getting ready to come over. It's something Dave always wanted to get for me so I went ahead and ordered it, he is going to love it on me" Beth said while she set the bag on the couch.
"Do you want a cup of coffee before we begin? We do have all day also because the In-Laws are taking my son and Kelly is working late so I guess we should have plenty of time to do what ever you want" I said as I walk over to the coffee pot. "So what was the last minute package?" I asked her. "I bought an armbinder and man does it feel nice. I wasn't sure how it was going to be but I opened the box and it is such a soft leather I can't wait to try it on" she told me and I could tell she was very excited about it. "Sounds great" I told her as I handed her a cup of coffee and we sat down at the kitchen table.
"I can't tell you enough how much this means to me. I hope it's not too much work for you is it?" she asked. "You know how much I love to take pictures, and helping you out will make my job that much easier" I told her with a smile. We finished our coffee and I took Beth down to the basement where we have our studio set up. My wife and I take senior pictures and pictures of small groups so we have a nice chunk of the basement set up for that purpose. For convince we even have a small dressing room for customers to do wardrobe changes in between set changes. "Wow you guys really have a nice set up! I feel like I am in my living room" Beth told me as she set her bag of stuff in the changing room.
"I am going to get changed for the first pictures, no laughing OK I'm not sure my ego can handle it" Beth said while closing the door "I think the first set we should do with me just going for the classic pinup look, no rope yet" she said. "I think it would be a great way to start, we can see if we see things the same way and are on the same page" I told her as I turned on the photo lights and moved a chair into the center of the room. I was putting a fully charged battery in the camera when I heard the door open to the dressing room to see Beth walk out wearing a nice short black skirt about 4 inches above her knees, white blouse and classic black high heel pumps about 4 1/2″ high. I could tell she was going for the librarian look because her hair was up in a bun and was wearing glasses even through she doesn't need them. "Well what do you think? I was going for sexy not slutty, those outfits will come later I thought we would start easy" she said and I couldn't agree with her more, she was going for sexy and she was making it work. "I think you pulled it off. I am going to start with a few whole body shots to make sure the lighting is looking good" I said as I began snapping some shots giving her a little direction as I moved around her getting the best shots. As I continued to shoot Beth told me "If you don't mind Dave has a thing for heels so could you please make sure you get a few closeups of my heels"
"Who doesn't like nylons and high heels" I said then catching myself adding 'nylon' to my reply. I also have a thing for woman who dangle their shoes I don't know why I just do that's why I noticed Beth doing just that, shoe popping off of her heel with a clear view of the nylon covered arch I was loving my life at that moment. "I know Dave loves when I dangle my heels I think by watching your reaction you might like it just as much" Beth said and I knew I was busted. "I may have a thing for nylons and high heels also, with a splash of tying up ladies to boot" I said, I thought at this point I should just go for it and let her know I have plenty of my own ideas of how she should be tied up.
"I guess this photo shoot is right up your alley than. If you have any special way you think I would look good tied up don't be afraid to ask" she said "a second set of eyes look at my pictures is always welcome to make sure they look the best" I continued to shoot a bunch of shots and was really enjoying myself and after having her pose a few more different ways I told her we should take a look at what I shot so we know were looking for the same final pictures. "Let's take a quick break and look at these shots and then you can put on a new outfit" I told her and walked her back over to the computer to take a peek.
As I emptied the card I was surprised to see that I had shot over one hundred pictures with the subject I had I guess it wasn't to hard to shoot a lot. "These look great!! What a great job, I will have a hard time deciding witch ones to send him" Beth said with tons of excitement. I was excited also because I could tell for the rest of the day Beth would listen to almost any direction I would give her. The love she had for the photos put her in a very relaxed mood.
"I think these are awesome!! We are both working to achieve the same goal, some great looking pictures. I am going to change into my next outfit if you think we have enough of this outfit" Beth said and I told her we have a great start lets see if we can make it better. It didn't take Beth long to come out witn a even better set of clothes on. She was wearing a tight push up bra which really made her tits look great, a set of nylons with the seam up the back of the leg, mini skirt and black patten leather boots they come up to the middle of her calf with about a 4″ heel. "What do think about this one? Is it any better then the first? I know it's kind of early but would you mind pouring us a shot of southern? I see it on the shelf and it might make me a little more at ease" Beth tells me as I stare at her, mouth drooling "Sure what ever helps" I say while I grab us a couple of glasses and pour us two quick ones. "Whoo! I'm not used to drinking anymore I think I might have a buzz on in no time. Your not going to take advantage of me are you? I guess if I thought you would I wouldn't have brought the bondage gear with me" Beth says and now I know I will have a chance to have some fun with her later.
I pour us one last shot and tell Beth to stand in the center of the room and put her hands on her hips like shes made at something, I snap a few more pictures before I ask her what she did with all of her toys "Oh there in the changing room I'll grab them and we can decided what we should use on me first" Beth said with a ton on excitement and she wasn't the only one excited. It only took Beth a few seconds to come back put with her bag "You can walk really good in such high heels, do you wear them a lot?" I asked always hoping that high heels is every woman's shoe of choice. "I do find myself picking out heels to wear then flats or tennis shoes more often then not. I think they make my legs look great don't you agree?" she asked me and I told her she was right.
"I think we should start off with the classic hands above the head. Your hands tied to the floor joists above your head what do you think?" I asked her as I was digging through her bag of toys when she said "grab a ballgag out of there to if you don't mind. I love ballgags, I love how helpless you feel and how they look on" Beth said and I told her I agreed. "You can never go wrong with a good gag" I told her "It's nice sometimes to work in peace" I said with a laugh as I walk over to Beth with ropes and gag in hand ready to get started.
I was a little nervous as I asked Beth to please put her hands out in front of her so I could tie them together. "It's nice to hear how polite you are even when your about to tie me up" Beth told me as she put her hands in front palms together ready for rope. I looped around her hand and cinched it off in between her wrists I had about six feet of rope left that came in handy as I pulled the rope through one hook in the ceiling and tied it off on the next floor joist. I didn't want to get crazy at first so I only tied the rope so that her hands were only pulled up a little bit. I stood back and raised my camera and took a few shots moved over to the side and took another when Beth said "Do you think I'm going to break? You can pull my hands up all the way so that I might have to stand on my toes to give my wrists a little break. Do you have a thick book I could stand on while you retie my hands? This time make sure I stretched out tight" Beth said in a demanding voice. "I thought you are the queen remember your queen wave, it was classic" I told her as I walked over to the bar and grabbed the Yellow Pages and put it down at Beth's feet.
I watched Beth as she pushed the phone book right under the hook in the ceiling and stepped on. "That should make it easier on you. I didn't think I had to give you so much direction on which way to tie me. Maybe you should put that ballgag in so you can work in peace." she said to me so I finished up pulling the ropes a little tighter than she was ready for as her hands now almost touched the ceiling. "Hows that? Better? I think I'm getting a little more sure of how you want to be tied, tight and inescapable, am I right?" I asked "You hit the nail on the head, it's nice to see you finally picked that up" said Beth. I walked behind Beth so I could put in her ballgag, with her standing on the book wearing her high heel boots she was almost as tall as I was. I had the gag in my hand as I brought it in front of Beth and told he to open wide, "Are you sure you don't want any more of my advice" she said with a sarcastic tone and that's when I knew she was ready. It was a good size gag and I had to wiggle it a little bit to get it in place. After it was in I grabbed the straps and pulled them behind her head. Before I tighten it up I pulled Beth's hair out of the way and when I did she giggled and wiggle a little bit as a ticklish reaction to my brushing of her neck. "Not ticklish are we?" I asked as I buckled off the gag then poked her in the side and she spun side to side trying to get away from my finger. "You are really ticklish, I will be careful not to tickle you to much" I said while I was taking pictures again. "I bet this with make this a little more fun" I told her as I walked over to the pile of ropes and returned to tied her ankles together. After I stood up I put my hands on Beth's ribs and I could tell she thought I was going to tickle her but instead I held her as I kicked out the phone book so the ropes were even tighter then before. "Now your thinking that gag may have been a bad idea but I will be fast so your wrists don't get sore" I told her and kept on shooting away. With the book no longer under her feet the ropes now pulled very tight, to the point where she couldn't even bend hers arms at all.
After another 100 shots I knew I had to get Beth more comfortable. Beth stood there even after having her hands down from over her head she did not even try to remove the ballgag she was just waiting for me to give her some more posses and I think she was having as much fun as I was. She was trying to wiggle her feet a little bit her boots might have been too tight so I thought for the next shots I would use a heavy stool I had and let her sit down. I put the stool in the middle of the room and without even asking she instinctively sits down, as she is sitting I begin until her ankles and tie each of her legs to a leg of the stool. I can tell she is starting to get more turned on with how much her nipples are trying to poke through her bra. The drinks are starting to hit me a little bit because I am more excited about tying up Beth. After I have each ankle tied to the stool I move up and pull the rope that is still tied to her wrists and have her bend her arms so that her hands are raised up and over her head and pulled down towards the middle of her back, with her elbows up next to her head her chest is pushed out making her tits look even larger then they are. "That should do it are you OK like this so I can take a few more pictures?" I asked and was happy when she nodded her head yes.
I knew after these shots I am going to push Beth to try on the armbinder, with her wearing that I can really get some tickles in. I did my work fast and steady and in no time at all I started to untie Beth and I made sure as I was loosening the ropes I got a few pokes and tickles in along the way. Before I untied her hands I stood behind her and unbuckled the ballgag from Beth's mouth, "I thought it might be time to give your jaw a beak, I don't want you to get to tired of wearing it I might want to use it on you again later" I told Beth as I watch her wiggle her jaw and open and close her mouth stretching out her mouth once again.
I know how excited you are about the armbinder showing up in the mail today do you think we should try that one next? We can shoot you in whatever you want but I thought that might be fun." I told Beth with a smile on my face "I think your might be right now would be a good time. I am going to change again and I will be back out in a second, can you get me another drink before I change? I think I might need it because we still have a lot of pictures to take. You told me you were free all day so were good right?" Beth asked me and I told her we can work as long as she wants and reminder that my wife and son were gone for a few days.
I have almost finished another drink by myself waiting for Beth to come out of the dressing room it was taking her a little longer then the last few out fits changers so I expected something really great and I was not disappointed when she came out. Beth was now dressed in skin tight nylon top leaving nothing to the imagination, a micro black latex mini skirt thigh highs and black patent leather 5″ high heels with ankle straps. I was blown away. "How do you like this? I think this is a show stopper? I can't wait to see how good these pictures are going to look. With the outfit I'm wearing I should look good from any angle" Beth announced as she strutted into view and she was right she did look awesome.
"Wow you look great, are we still going with the arm binder next?" I asked hoping she has not changed her mind. "Oh yes, you didn't think I was not going to use it did you? I just got it in the mail today and I won't trust anyone enough to help me try it on until Dave gets back home and I can't wait another six months" she said and I nodded in agreement. "I guess you should have another drink it might take me awhile to get you into this thing with all of the laces that need to be tightened" I said as I grabbed more shot glasses for us to do one more shot of Southern Comfort. "I am really having a lot of fun I wish I could pay you for all of your time and work that your putting into this, I'm sure I'll figure out some way to repay you somehow" Beth told me as she poured us another shot. I bumped glasses with Beth before we downed on shots and over back over to the other room to get Beth tied up.
We walked over to the other room and Beth sat down in the chair as well as she could with such a short skirt and looked at me as she started to stretch out a little more before I started to put the armbinder on her. "I hope your nice and limber because this my be a little tight" I told her as I pick up armbinder off of the chair and moved behind Beth and asked her to put her arms together if she is ready. "Ready and waiting, can you wait to gag me until after I'm in the armbinder because I have never wore one before and I want to make sure it's fits good before I can't say anything" Beth said and I agreed. I grabbed the glove and gently slid it over Beth's hands and up past her elbows and gave it a little tug so that her fingers were all the way at the bottom of the glove with not a lot of room to wiggle. I had it up as far as I could pull it so I looped the straps in front of her chest and then over each shoulder buckling back to the top of the armbinder so that it could not be slid off without unbuckling it first. It was looking great on and it was only going to get better as I laced it up the back to close it up. "Are you ready for the rest" I asked Beth who seamed a little distracted at the second "uh yea, go ahead I am loving it already" Beth says to me in sexy voice and I began to slowly tight the strings. I was hard a rock as I continued to lace the sleeve up and finally tie it off at the last set of holes. I was amazed at how tightly it pulled her arms together yet Beth didn't seem bothered by it at all. I stepped to look at Beth tied in the armbinder and grabbed the camera to take some pictures Beth smiled and posed like a pro still even being a little to drunk to be taking pictures I could tell they are going to come out great. "I think you better tie up my legs because I could still run away" Beth said to me as she started to stand up and fake run away, "I guess that's what I'll have to do" I said as I set the camera down and grabbed some more rope from the corner "Have a quick seat and then lay on your stomach I am going to make sure you don't run away" I said.
I pulled an over sized ottoman over from the wall and helped Beth get on her stomach in the center of it. I decided that her legs tied with ankles crossed and then tied to the ring on the end of the armbinder would do the best job. I grabbed a length of rope and began to loop it around and between her ankles keeping her knees spread wide apart by using my knees to stop here from trying to close her legs up. Having her knees spread so far apart she couldn't even wiggle or move a tall, I stood up to look at my handy work "I hope this is tight enough for you, I don't think I can get you any tighter" I told Beth reaching for the camera and snapping a few shots. "I think you might of finely done it, there is no way I'm getting out of this. I bet you could do what ever you want to me and I would not be able to stop you at all, just saying I am totally at you mercy" Beth tells me in a playful drunk voice and I think I may have to take her up on her offer. "Now that you mention it I have always wanted to tickle you while your tied up, that might be fun don't you think?" I asked her and that's when I saw a side of Beth I have never seen before. "You can't um um I mean I'm not ticklish at all how about you let me give you a blowjob instead I bet that's something you always wanted me to do to you don't you think? I am so horny right now will you please let me suck you off I promise I won't tell a soul" Beth asked in a very nervous voice. "I think I might take you on your offer, first I going to do another shot, grab another memory card out of my bag in the dressing room and take things one step at a time. I still have to make sure we get plenty of pictures for you before we get done today" I told Beth as I walked on my way.


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Bobby Kemp
Position: DB
Height: 6-0 Weight: 189 lbs.
Born: May 29, 1959 in Oakland, CA
High School: North
College: Cal State-Fullerton
Drafted by the Cincinnati Bengals in the 8th round (202nd overall) of the 1981 NFL Draft.
Weighted Career AV (100-95-...): 29 (3394th overall since 1950)
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1986 Game Log: Regular Season · Playoffs · vs.


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Treatment Room - Wellness
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Our old Wahanda Gift Vouchers can still be redeemed at over 3,000 locations. Use them to pay as you would with cash. Please note, the Wahanda Gift Voucher's successor – the Wahanda Gift Card – can only be used for online purchases.
Castle Wellness is situated in Caerphilly town centre in South Glamorgan of Wales. The wellness centre promotes holistic treatmment, natural healing and wellbeing management services using various holistic therapies to achieve better quality of wellness of the human body.
We welcome everyone who is interested in holistic treatment for their wellbeing management. And We currently provide the following holistic treatment:
TCM Acupuncture TCM Herbal Remedy
Reflexology Holistic Detox Therapy
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Diane I. Duncan, MD, FACS
Ratings based on 4 reviews
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Reviews (4)
5 out of 5 stars Rhinoplasty
34 Yr Old. Closed Rhinoplasty in Colorado
Show More My ps was awesome!!!!
5 out of 5 stars Tummy Tuck
Po weeks 3, 4 and 5. Softening?
Show More I did a search for doctors in my area and looked at many pictures of their work to see their artistic style. I loved what I saw from Dr. Duncan. As an artist myself I liked that she took pride in her work and spent more time with her patients to make sure she did her best. She positively is the best at what she does or she wouldn't have gotten so many awards. Simply amazing that she spent an extra hour with me while I was under so she could get things perfect. I was not charged more for that hour (except by anesethiology) and I am excited about my results. Her bedside manner is great and her staff has always been wonderful. 100% recommend her.
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Extreme Singleplayer mini-modUpdated 2 years ago Released Jul 2011 Single Player First Person Shooter
Extreme Singleplayer mini-mod AI mod, It allow play all sizes 16, 32 and 64 basic BF2 maps with bots support.
Northern Strike Single Player mod
This company will publish any game or mod thrown at it so if you want a mod published with Beginners Luck inc. contact me ITCyoy543 for more info on publishing
We are a branch of the =ITC= Clan
Extreme Singleplayer mini-mod AI mod, It allow play all sizes 16, 32 and 64 basic BF2 maps with bots support.
The year is 2017. The federalist Russian government has issued a law that makes any practice of communism a crime against the state. A group of men and...
this mod will have all the high tech toys from SOW but this time those high tech toys are for those post nuke survivors a.k.a zombies. this is a spec...
A mod about stealth,technology,extreme fighting, and guns!
If anyone can help me with all this zip file ******** that would be greatly appreciated. i downloaded spec ops warfare and it looks sick but i dont know anything about computers and i would love some help with extraction and all that with the zip. thanks
extract mod to Bf2 mods folder. Mod should work, but don't use engineer kit in sharqi or game will crash.
lol i fixed it my self change the gun the weapon icon of the gun is ruined and not working so if you select the engineer kit then change the weapon it crashed
hey guys if you want beta testers i am a beta tester i just joined this site and i am pleased someone wants a beta tester
so we have total 6 mods.
yep lol
Beginnersluck.freeforums.org new forum
should i post the full version on the beta group before i podt the full version of RUI
Today i start working on vehicles for russian inurgeny.I see you done suhoi but textures lock not to much detailed.I will skin mig-29 pls chech today on my profile in images.Also mi-28 i will skin he today.
Hey guys sry because i be offline for a while.Today i fix my pc and i will install bf 2 too.I will install soon few tools for skining like photoshop or paint net.Mod have good progress.Adding hk416 and i spot uh60 with M2 machine guns that realy sick.I have idea before i get photoshop i can send you a few models of bad company 2 AEK and M16.I will send models but problem for me is i cant make tweak cfg for tham so tell me if you whant.Also few weapons from bf play4free can be aded here.Answer me on email@example.com.
hope we will see it on Drug Warfare ! hope it be better then now using moddel
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Oldfield looks to Europe and Japan to halt poor returns
Veteran value manager Richard Oldfield, chief executive of Oldfield Partners, believes Europe and Japan can bail out the performance of his global equity fund following a prolonged period of poor returns.
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Corpus Christi man arrested after officer smells marijuana in vehicle
CORPUS CHRISTI - Officers arrested a man Sunday after a traffic stop and smelled marijuana coming from the vehicle, police said.
Police pulled over a blue Ford Mustang about 5 p.m. after the driver ran a red light at the intersection of Flour Bluff and South Padre Island drives, according to a news release.
As the officer was talking to the driver, he said he smelled marijuana coming from inside the vehicle. Further investigation revealed a backpack in the vehicle with nearly a pound of marijuana inside, according to the release. A 19-year-old woman inside the car was not involved and released.
Jiray Jamal Wilkinson, 19, was being held on suspicion of felony possession of marijuana Monday in the Nueces County Jail. His bail was set at $1,500.
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Sisters Are Positive Influences, Study Finds
Gormly, Kellie B, Tribune-Review/Pittsburgh Tribune-Review
Carol Sovchen of Mt. Lebanon says she always admired and looked up to her older sister, Nancy Nernberg of Squirrel Hill, for her talent, brains and looks. Yet, more than anything, Sovchen says, the two sisters -- 5 years apart -- are the closest of friends.
"We've always had this really close relationship through the years," says Sovchen, 65. "When I would get upset or depressed and call her, she always has this very optimistic attitude.
"She was just always my mentor -- the one to go for anything I need and anything I want to know," Sovchen says. "She's just been wonderful."
Women with sisters often describe a nurturing, lifelong relationship that transcends what any other friendship could be, and a new study from Brigham Young University supports this. The study, published in the Journal of Family Psychology, concludes that having a sister protects teens "from feeling lonely, unloved, guilty, self- conscious and fearful." Researchers from Brigham Young in 2007 and 2008 studied 395 Seattle families with two or more children, and at least one child in each family was age 10 to 14.
The study found that affectionate siblings have positive influences on each other no matter their age, gender or how many years they are apart. They promote behaviors such as kindness and generosity and protect against delinquency and depression, says Laura Padilla-Walker, assistant professor in BYU's School of Family Life. And having a sister, rather than a brother, prevents depression, maybe because girls are better at talking about problems or are more likely to take on a caregiver role, she says.
Author Deborah Tannen -- whose book, "You Were Always Mom's Favorite!: Sisters in Conversation Throughout Their Lives," was released in paperback last week -- interviewed more than 100 women about their sister relationships. Tannen says that sister-to-sister relationships can be among a woman's most significant ties. Some women told Tannen about how they would drop everything for their sisters, and that their sisters had done that for them. Many interviewees called their sisters their best friends, Tannen says.
"The stories that I heard really were quite overwhelming ... and moving," Tannen says. She is a professor of linguistics at Georgetown University in Washington, D.C. Her speciality is social linguistics, which focuses on interpersonal relationships.
Part of what makes the sister relationship special, Tannen says, is the shared memories -- along with the nurturing, talk-based relationship that women tend to have more than men.
"This is a person who knows exactly what it was like to grow up in the house you grew up in," she says. Tannen is the youngest of three sisters: her, middle sister Mimi and oldest sister Naomi. …


text: A PS22 Chorus member reacts to news that their glee club will perform at the Academy Awards. YouTube.com hide caption itoggle caption YouTube.com Monkey See The PS22 Chorus Goes To The Oscars February 26, 2011 The Academy Award show is Sunday night, and excitement is growing. There is one group performing you've probably never heard of: The PS22 Chorus, a fifth-grade glee club from Staten Island. Listen Loading… 3:00 Playlist Download Embed Embed Close embed modal <iframe src="http://www.npr.org/player/embed/134080211/134083585" width="100%" height="290" frameborder="0" scrolling="no">


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Kenton Suede Derby Shoes
Unfortunately, this item will not be back in stock.
Crafted from soft grey suede with contrasting brick rubber soles, these lightweight J.Crew Derby shoes make a stylish choice for the warmer months. A slim toe creates an elegant profile while lightly padded leather insoles provide added comfort. Team this coolly understated pair with a check shirt and coloured chinos for a dapper spring look. This item is small to size, take the next size up. Shown here with an A.P.C. sweater, Aspesi shirt, J.Crew trousers and a Mougin & Piquard x J.Crew watch.
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Narrow your search
The Very Large Telescope has spotted signs that may indicate the presence of the oldest stars in the universe -- formed from matter created by the Big Bang.
Astronomers have used a trick of general relativity to look around a corner, of sorts, and view a massive, distant galaxy with remarkable clarity.
A team of astronomers has calculated the weight of the Milky Way to a high degree of precision by observing stars outside the galactic disc.
The Very Large Telescope in Chile provides what may be our best look ever at a stunningly beautiful nebula that defies its namesake.
Data from the Very Large Telescope in Chile suggests that it would be more appropriate to call the Eagle Nebula's famous gas formation the "Pillars of Destruction."
Gravitational lensing has produced a spectacular ring from a starburst galaxy nearly 12 billion light-years from Earth.
MIT researchers think that Chiron might be the sixth body in our solar system to have rings. Take that, Saturn!
The Sphere instrument on the VLT in Chile peers with all its might into the blackness around a binary star system and returns a surprise for astronomers.
You might not have realized that sprites are real, but this new photo taken at the Paranal Observatory in Chile proves otherwise -- sort of.
Satellite shots provide a unique and insightful look at our world, and other worlds, like the Red Planet, too.


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Respond to Review of Sol Breads Cafe - Toowong
by Petesternz
Review: Nice little bakery with some prepared foods amongst them. A decent choice for vegans, and we were able to pick up some lovely sandwiches to take away. The breads were the real star of the show here. Delicious, with lots of yummy options. They sell plenty of vegan savoury pies here as well.
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