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Whittier Things to Do
26 Glacier Tour - Phillips Cruises
I love catamarans, so I was happy to see this big cat at the dock as we walked down to check in. The first thing I notice as we're checking in, though is that the line to board seemed endless, despite having assigned seats.When we boarded and found our seats, we joined a lovely German family, and it's a good thing they were lovely, because the...more
Walk the Town
The town is REALLY small but quite charming. You can find a lot of tours visiting Prince William Sound as well as other entertaining activities.more
Whittier Tunnel
The tunnel was first dug through during WWII as part of the military project. For years it was used by train only. To cross the tunnel by car, you drove your car up the train and remained seated in your car while the train took you to the other side and you drove off; a lengthy but unique experience that's no more.In year 2000 the tunnel was...more
Whittier Hotels
Inn At Whittier
The exterior of this property is as beautiful as it looks on their website, but the interior could...more
Motel 6 Los Angeles - Whittier
8221 South Pioneer Blvd, I-605/San Gabriel Freeway
Whittier Restaurants
Halibut & Chips!
I loved this restaurant so much, that I would go back to Whittier just to spend time there. Margaret and her staff are so wonderful that they make you feel right at home - and the food just happens to be awesome too.We loved the food so much on Friday night that we returned on Saturday for round two.On Saturday nights, they have started hosting a...more
Great Breakfast!
My husband and I had breakfast at the Inn on both mornings we spent in Whittier (we were also guests at the Inn). On both days, our server was Alex, who works really hard and provides great service with a smile. He made excellent recommendations for our meal choices. On the first morning, I went with the French Toast, which was excellent - Husband...more
Whittier Hotels2 Hotels in Whittier
1 Reviews
Whittier Nightlife
In the winter, it's mostly night!...
See link below to a Whittier webcam. Any life you happen to see durring the winter will appear as though it's during the night!
Whittier Transportation
Coral Princess Alaska Cruise
We took a 7 day Alaska cruise on the Coral Princess in May of 2004. We had a great time but were not overly impressed with Princess. We had a balcony cabin and the cabin itself was very nice. Our biggest complaint was the main dining room. The service left much to be desired and the food was not all that great. If you ordered herbal tea you got...more
The Whittier Tunnel
If you are driving to or from Whittier, you will have to cross this tunnel, the largest one that passes through a mountain in North America. You can only cross for 15 minutes every hour, but the crossing is smooth and on time. The entrance towards Whittier is at Portage, on the Seward Highway. Once inside the tunnel, the drive takes about 10...more
Whittier Local Customs
There are lots of eagles around Kenai Peninsula. Watch to the sky and you'll probably see at least couple of them.
Whittier Off The Beaten Path
Alaska Wildlife Conservation Center
This great place is in between Girdwood and Portage Glacier & Whittier. So I wasn't for sure what city to put it under...
After leaving the Whittier/Portage Glacier area, you'll drive 20 miles (ish) and then come to where you will take a right onto AK Route 1 North (heading toward Girdwood & Anchorage). The Wildlife Center is on the left JUST AFTER that right hand turn. You'll see a sign. At this point you would be about 47 miles from Girdwood.
This is a non-profit park that takes in orphaned and injured animals. If they can be treated they will be released, but if not they become permanent residents. Some of the residents include: bears, moose, elk, ox, bison, caribou, deer, lynx, eagle, and other birds. You drive through the park and everyone just pulls off wherever in order to see and take photos. There is a fence that seperates you from the animals, but it was big enough to allow you to see clearly and take good pictures (without those fence lines in your photo).
I really enjoyed this place and will always bring family/friends here when they come to visit Alaska.
•Adults $10.00
•Children (4-12) $7.50
•Children (under 4) FREE
•Seniors (65+) $7.50
•Active Military (with ID) $7.50Related to:
- Eco-Tourism
- Photography
- Family Travel
Whittier Sports & Outdoors
Scuba Diving
Many people who live in Alaska get certified before they go on vacation to the warmer regions. The final part of the class is to dive in Whittier, in the winter.. oh cold!
Whittier Favorites
Waterfalls in Passage Canal
Favorite thing: Whittier was selected by the military because it's sheltered by the steep Passage Canal. Right outside Whittier harbor in the Canal there's a small waterfall. You can't miss it if you arrive/leave by boat or ferry. Around the waterfalls there are always hundreds of kittiwake flying around or resting as shown in photo.Related to:
- Sailing and Boating
- Birdwatching
Instant Answers: Whittier
Get an instant answer from local experts and frequent travelers
- Great room rates
- Expedia.com
- Great room rates
- Expedia.com
Sponsored Links


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Iona St in Clayton - Street Map
Iona St on street map of Clayton (Victoria), Australia).
Iona St on map:
Random streets in Clayton:
Below is just random list of streets in Clayton. For full list go to Clayton street map start page.Ormond Rd Pullyn St Monash Green Dr Jean Av Stockdale Av Ferntree Gully Rd Shandeau Av Cobain St Fortuna St Marshall Av Dennis St Collier Av Prince Charles St Dawson Ct University Pl Lantana St

subset: commoncrawl


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to explore
sign up (free!)
casual friday, created by beckyking Fashion, Weekend Outfit, Casual Friday, Casual Outfit, Comfy Casual, Fall Outfit, Casual Looks, Cute Outfit, My Style
casual friday
Also on these boards
Related Pins
LOVE all of these outfits!! Why can't these just be in my closet next time i look for something to wear?!
"Color Combo: Beige and red" by jenpin12 on Polyvore- the whole outfit is great but the necklace, skirt and fidora sold me!!!
JC Penny necklace, Elizabeth & James booties, Carven sweater, Lauren Conrad pleated chiffon skirt.
Love this design and set up and you could definitely find this clothes at forever21 or aeropostale and most likely american eagle!!!
RJ Garziano gold cuff, Vanessa Bruno sweater, JC Penny earrings, Topshop loafers, J Crew cropped pants.
I must put this outfit together soon and go somewhere cold;) I have some of the pieces already so I'm on my way!


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Here's a great tool for your office or even your home and you can keep this all in your private cloud, which means monthly fees are dirt cheap and data never leaves your controlled environment. It's a wild and wooly world out there—keep it in house! Kerio Workspace can sync files across multiple users and has a great web interface where you can even create content. There's version tracking, commenting, and much more. Workspace is not just about files, it's a group project tool with elements of social networking.
Adobe Ends CS 3,4 Upgrades
Adobe will shut the door for users of Creative Suite 3 and 4 on December 31st. Upgrade pricing to Creative Suite CS6 will no longer be available for these versions. If you or your office is planning on moving to Creative Suite 6 from CS3 or CS4, purchase now! Waiting until January 1 could cost thousands. Here's an example.
Before Jan 1: Upgrade to CS6 Design and Web Premium $949
After Jan 1: CS6 Design and Web Premium $1899
MacLab is an authorized Adobe reseller. Please let us know if we can help you upgrade before the deadline.
iMac Availability
New iMacs have been missing in action for awhile now. The 21 inch models should be out soon, but the 27 inch iMacs are still going to be a long way away. We're in the midst of an iMac shortage. If you need a desktop Mac, you have a few choices. Mac Pro (my fav), Mac Mini, or going with a reconditioned Mac. Apple's reconditioned Macs look like new and you might also be able to find an iMac. As of this writing, there are some 27 inch models—grab while you can. Use the link below to explore Apple's deals on refurbs. You can buy Applecare on refurbs for full warranty.
Mail + Backup = 10% OFF
Once again, we're offering a big discount when you combine our most popular hosting services, Kerio Connect (email, contacts, scheduling) and MacLab's backup service using CrashPlan PROe. Get both services and receive a 10% discount off the (already low) price of backup, including storage. Get as much storage or enroll as many workstations as you want. So if you're in the market for either one, save by going with this combination. There are a few nitty gritty details, so contact us to ask.
Tips for Buying Used
Here are a few quick points that will help cover your bases when purchasing a used or refurbished Mac laptop.
- Select "About this Mac" from the Apple menu, then click "More Info." Check under "Power" to see the battery health. Make sure the condition says "Good" or "Normal."
- Pivot the the screen. Do the hinges appear firm? The display should not flicker or show horizontal lines while being moved. Continue Reading…
Maintenance 101: Safe Boot
Here's the easiest and quickest thing you can do to keep your Mac in shape. This single thing will keep you up and running and prevent meltdowns. It requires 5 to 10 minutes max and I recommend you do it monthly.
Restart your Mac. Immediately hold down the shift key. Continue holding it until you get to the login screen. Once you do, release the shift key and click the "Restart" button.
You've just run disk directory repairs on your drive, which is the single most important maintenance item you can do to your Mac.
Starting with the shift key down puts the Mac into "Safe Boot" which can also be used to disable all but the critical software extensions in order to troubleshoot a problem.
Apple's technical explanation of Safe Boot: http://support.apple.com/kb/HT1564


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Actor Zac Efron (R) accepts the Best Shirtless Performance award for 'That Awkward Moment' from singer Rita Ora (L) onstage at the 2014 MTV Movie Awards at Nokia Theatre L.A. Live on April 13, 2014 in Los Angeles, California.
Amber Rose is over all the Kardashian drama.
Maybe she's born with it. Maybe she just uses a lot of lotion.
If there is one lesson to be learned in 2015, it is the following: do not f*** with Nicki Minaj.


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809 Standards Compliance,standards Compliance jobs
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AIP Publishing, a leading publisher in the STM market seeks a Web Designer/Developer who will be…
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For the month of June, Apple is giving a small boost to its trade-in price values for the iPhone 4S, iPhone 5, and iPhone 5S, according to Apple Store sources. Using the Reuse and Recycle program, a customer can bring in an older iPhone model and receive gift card credit toward the purchase of a newer iPhone. Likely in order to spur some new iPhone sales this month, Apple is offering the following improvements to its trade-in pricing:
Upgrade ▪ June 1
Upgrade ▪ February 24
Over the past two weeks, I've written about the (surprisingly easy) process of adding solid state drives (SSDs) to radically speed up older iMacs, and the varied challenge levels of adding SSDs to older Mac Pros, Mac minis, and non-Retina MacBooks. Today's guide looks at the easiest SSD installations of all: the MacBook Air and Retina MacBook Pro. A new SSD in one of these machines could have two, four, eight, or sixteen times the original storage, plus two to four times faster speeds.
Apple shipped most MacBook Airs and all Retina MacBook Pros with solid state storage, so upgrading these machines for extra capacity and speed is generally as simple as picking a new drive, then using two special screwdrivers during the installation process. Assuming your MacBook is old enough to be out of warranty — except for a few specific models — you'll find that pretty much anyone can handle this swap with the right tools. Below, I'm going to show those tools to you, as well as the MacBook-ready SSDs that are worth considering…
Upgrade ▪ November 4, 2014
Upgrade ▪ October 24, 2014
After last month announcing its $70/month iPhone for Life plan that allows users to "rent" an iPhone and upgrade every two years, today Sprint announced that it will be launching a new 12-month lease option starting Nov. 14. That means that iPhone 6 and 6 Plus users signing up for the iPhone for Life Plan will now be able to upgrade every year, and the old 24-month plan will become available for the iPhone 5S. expand full story
Upgrade ▪ October 23, 2014
Upgrade ▪ October 17, 2014


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Experience shopping satisfaction
Bring home something special along with your great memories. The Landing has many inviting shops to enjoy by local retailers that capture the true flavor of the area.
A. J. Reese Clothiers
- Type: Men's Clothing
Encompassing style, value and quality, A.J. Reese Clothiers specializes in exclusive men's apparel and custom clothing.
Accentuate "Elevate your Style"
- Type: Fashion Accessories
A delightful boutique carrying the best and latest fashion accessories!
AlyCat Gifts
- Type: Etching, Engraving & Handcrafted Jewelry
Engraving, etching, sand blasting- we do it all! Bring in your own items or select from our collection so we can leave an impression!
Art by Mouth
- Type: Art
Never Give Up. Come share in the miracle of artist Tony Ryals' amazing abilities!
BBVA Compass
- Type: Bank
Consumer and small business banking services.
Bill's Caricatures
- Type: Caricature Artist
Caricatures that make for a great souvenir for friends and family members of all ages!
- Type: Non - Profit Maker Space
The CoLabJax MakerSpace is a non-profit workshop offering entrepreneurs, inventors, engineers, makers, and designers a space to refine their vision, design and prototype their products, and test and validate designs before launching ideas into a viable, profitable business.
FLAGG Gallery
- Type: Art Gallery
Beautiful and original paintings of downtown Jacksonville and more!
Hana & Her Sister Fine Jewelry
- Type: Jewelry
Perfect gifts for any occasion, specializing in fine jewelry and engagement rings.
Happy Landing Liquor Store
- Type: Liquor & Souvenirs
Downtown Jacksonville's only Package Store. Also carrying Official Landing Souvenirs & Apparel.
Ink Junkies
- Type: Tattoo Shop
Jacksonville Maritime Heritage Center
- Type: Museum
Stop in and set sail into the maritime history of Jacksonville and admire artifacts from the 18th century to present-day.
La Casa Boricua (The Boricua House)
- Type: Community Service
LCB makes the arts accessible as an essential element to the community's development and well-being.
Metro PCS
- Type: Phone
Metro PCS Phone & Service
- Type: Organic Skincare Products and Day Spa Services
N.A.I.W.BE Natural As I Wanna Be is a luxurious and eco-friendly day spa offering all-organic products and services, nail care, skin renewal, massage therapy and health and wellness consulting.
New Jax Gym
- Type: Gym
Workout with inspiring views of the St. John's River, affordable prices and a no-pressure, friendly environment!
Nine West Outlet
- Type: Clothing
Your shoe store for must-have looks in footwear and apparel!
Sports Mania
- Type: Sports Merchandise and Memorabilia
Your hometown sports superstore! Large selection of Jaguars,Gators, Seminoles, Bulldogs and select NFL & NCAA hats and apparel.
The Art Center
- Type: Art
Providing the Jacksonville community with a wealth of arts opportunities.
USS ADAMS Museum
- Type: Museum/Gift Shop
A store dedicated to the efforts of bringing home the former Navy Destroyer, USS CHARLES F. ADAMS (DDG-2), as a permanent downtown attraction on the riverfront.
Visit Jacksonville Visitor Center
- Type: Information
Begin your stay in Jacksonville here and choose from hundreds of brochures and activities to help plan your perfect First Coast vacation!
Ample downtown parking is available within close proximity to The Jacksonville Landing. Options include The Landing's own lot immediately east of the property, garage, metered street and peripheral parking.
Complete parking information and directions are available at Directions + Parking.
Benny's Steak & Seafood
Benny's Quick Lunch Menu
Monday thru Sunday
11:00-a.m. – 3:00-p.m.
- Cornmeal Fried Catfish- fried cornmeal catfish with fries and coleslaw.
- Dozen & 1/2 Shrimp- fried shrimp served with fries and coleslaw.
- Chicken Scampi- sautéed chicken with roasted red peppers and green onions over linguini.
- Great American Burger- ½ lb burger topped with american and cheddar cheese with fixings served with french fries.
- Benny's Salad Bowl- mix of greens over Mediterranean shrimp pasta.
- Caribbean Jerk Salmon- with warm tropical fruit salsa, served with rice and vegetables.
- View more Dining + Nightlife
No substitutions or any other promotions or coupons allowed with quick menu.
- Hyatt Regency Jacksonville Riverfront
- Hampton Inn
- Extended Stay America
- Homewood Suites by Hilton
- Crowne Plaza
- Hilton Garden Inn
- View Hotel Details
Planning or attending a convention in Jacksonville? Looking for a unique location for your next company function? The Jacksonville Landing can help with both.
Details are available in the Visitor Info section.


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All hotels in Edinburgh, Scotland, United Kingdom
1 room, 2 adults
7 Clifton Terrace, Edinburgh, Scotland, EH12 5DR, United Kingdom, 800-491-6126
Tune Hotel - Haymarket, Edinburgh, Edinburgh
Lowest price$142
available on 08/09/15
Best Price Guarantee
3-star hotel with bar/lounge, near Edinburgh International Conference Centre
- Free WiFi
Main amenities
- 179 smoke-free guestrooms
- Breakfast available
- Bar/lounge
- 24-hour front desk
- Air conditioning
- Laundry service
- Multilingual staff
- Concierge services
- Luggage storage
- Tour/ticket assistance
What's around
- In Haymarket
- Edinburgh International Conference Centre (0.6 mi / 1 km)
- Scottish National Gallery of Modern Art (0.6 mi / 1 km)
- Princes Street Gardens (1.3 mi / 2 km)
- Greyfriars Kirk (1.3 mi / 2.1 km)
very central location,nice clean hotel,room slightly on smaller side
The main advantage of this location is that it's very convenient for getting either to…
TripAdvisor Traveller Rating: 4
From 1,312 reviews
Enter dates to check prices
Hotel Info: 866-539-8117from $142
- Double Room, No Windows
- Standard Twin Room
- Standard Double Room
Recommended hotels
At a glance
Key facts
Hotel size
- This hotel has 179 rooms
- This hotel is arranged over 7 floors
- Check-in time starts at 3 PM
- Check-out time is 10 AM
Required at check in
- Credit card or cash deposit required
- Government-issued photo ID required
- Minimum check-in age is 18
Travelling with others
- No cribs (infant beds)
- Pets not allowed (service dogs only)
- Free WiFi in public areas
- Free WiFi in rooms
- No parking
- Accessible parking
Other information
- Smoke-free property
Nearby Three Star Edinburgh hotels
In the hotel
Food and drink
- Breakfast (surcharge)
- Bar/lounge
- 24-hour front desk
- Concierge services
- Tours/ticket assistance
- Dry cleaning/laundry service
- Luggage storage
- Number of buildings/towers - 1
- Year Built 2012
- Elevator/lift
- Disabled parking
- Accessible path of travel
- Accessible bathroom
- In-room accessibility
- Roll-in shower
In the room
Home comforts
- Air conditioning
Freshen up
- Private bathroom
- Shower only
- Free toiletries
- Hair dryer
Be entertained
- Flat-screen TV
Stay connected
- Desk
- Free WiFi
- In-room safe
Top Edinburgh hotels
Recently reviewed hotels in Edinburgh
- Holiday Inn Express Edinburgh Royal MileFrom
"One of the better holiday Inn express hotels. Staff was friendly and helpful. Restaurant serving dinner was convenient."Jul 26, 2015
- Jurys Inn EdinburghFrom
"we loved every thing about Scotland!!!"Jul 26, 2015
- Dakota ForthbridgeFrom
"We really appreciated the complimentary shuttle to and from the Edinburgh airport. Staff was very friendly."Jul 26, 2015
- The Victorian Town House
"Outstanding B&B. Beautiful room, with great ensuite bath. Wonderful, generous breakfast. Delightful, engaging hostess. A long walk to city center, take the bus. Great place to…"Jul 26, 2015
Nearby hotels
Tune Hotel - Haymarket, Edinburgh, Edinburgh's small print
Also known as
- Tune Haymarket Edinburgh
- Tune Hotel Edinburgh Haymarket
- Tune Hotel Haymarket Edinburgh
- Tune Hotel Haymarket, Edinburgh Scotland
Optional extras
Breakfast is offered for an extra charge of GBP £6.98 per person (approximately)
We have included all charges provided to us by this hotel. However, charges can vary, for example, based on length of stay or the room you book.


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OSI-Approved Open Source (980)
- GNU General Public License version 2.0 (591)
- GNU General Public License version 3.0 (122)
- GNU Library or Lesser General Public License version 2.0 (105)
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- GNU Library or Lesser General Public License version 3.0 (18)
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- Open Software License 3.0 (9)
- Mozilla Public License 1.1 (7)
- Affero GNU Public License (6)
- Mozilla Public License 1.0 (5)
- Other License (40)
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- Creative Commons Attribution License (18)
- Windows (924)
- Linux (819)
Grouping and Descriptive Categories (781)
- All POSIX (263)
- OS Independent (234)
- All 32-bit MS Windows (230)
- 32-bit MS Windows (181)
- OS Portable (98)
- All BSD Platforms (63)
- 64-bit MS Windows (60)
- 32-bit MS Windows (34)
- Project is an Operating System Distribution (5)
- Project is OS Distribution-Specific (2)
- Project is an Operating System Kernel (1)
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- Modern (348)
- Other Operating Systems (71)
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- Audio & Video
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A Java application for transferring computer files in 5 letter groups6 weekly downloads
Calendar for women. Programming language - Python, graphic library - wxPython. Platform - Linux6 weekly downloads
Denwer is a collection of often-used web-servers for web-programmers. It is used to debug web-sites under Win32. Denwer includes: friendly installer; Apache; PHP; MySQL; Perl; virtual host management system; phpMyAdmin; sendmail stub; start/stop manager.6 weekly downloads
Komparator is a KDE application that searches and synchronizes two directories, discovering duplicate, newer or missing files and empty folders.6 weekly downloads
Kopete Antispam
Kopete plugin, which allow to ignore spam messages by using simple answer/question scheme. Плагин для Kopete, фильтрующий спам, за счет использования схемы вопрос/ответ.6 weekly downloads
A nice music player!6 weekly downloads
Qt Graphic Map Viewer
Utility to provide caching and offline viewing of Google Maps or images from any other source with similar structure.6 weekly downloads
ReloadCMS is a free CMS written on PHP and based on flat files. It does not need any DB installed(!) and realise all abilities of high-level CMS like modularity, templates, users management, advanced rights system and package of main modules.6 weekly downloads
Webmoney XML interfaces
This is a PHP implementation of WMSigner and XML-Interfaces for Webmoney Transfer based merchants, short name - WMXI. Support forum: http://talk.dkameleon.net/6 weekly downloads
YaPiG - Yet Another PHP Image Gallery
Yet Another PHP Image Gallery is a simple script that uses de GD library and designed for keeping on a web personal photo or image albums. Visitors tracking, user comments, no SQL required, web based admin tool, easy template system, multilingual.6 weekly downloads
Z-Looter is the World of WarCraft addon.6 weekly downloads
xBB - library for parse BBCode
xBB-code is the PHP library to parse and edit text formatted with BBCode.6 weekly downloads
FoxEd - plain text, HTML and programming editor for WindowsXP. It has support syntax highlighting, encrypting, HTML tags inserting, themes and multilanguage, autocompleting, spellchecking, running programs and all installed encodings.3 weekly downloads
Open Far Plugins
Open source plugins for Far Manager - windows file manager which is now available under revised BSD license from www.farmanager.com3 weekly downloads
Simple Billing System
abill is a simple billing system for small ISPs. It consolidates RADIUS authorization and accounting modules, mail traffic, tariffs, Web user statistics, and administration management tools.3 weekly downloads
Urban Mediator
Urban Mediator is for communities to mediate local, location-based discussions, activities, information. Uses maps to represent location-based data, has tools to process, share and organize this information, also on mobile. Supported by EC.3 weekly downloads
acSMTP - MAIL server for Windows
acSMTP is a SMTP/POP3/IMAP mail server for Win32. May serve MX hosts and in-LAN mail. Black/white lists for IPs/Emails, RBL spam blocks, DNS Email validation, optional DBMS backend for lists and rules, custom user authorization, AntiVirus API.3 weekly downloads
avp milter
milter interface for Kaspersky antivirus daemon3 weekly downloads
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Performance and stability3 weekly downloads
База Данных Аниме5 weekly downloads
Avalanche TMS
Test Manage System "Avalanche". QA (Quality Assurance) software. Allows to collect your test suits and test cases in database (MySQL) and organise convenient passing for reception results of testing.5 weekly downloads
BEXPSD - the platform for Service Desk solutions development.5 weekly downloads
C++ Stream Compatible TCP/IP Sockets
The program implements a demo application which demonstrates using C++ stream-compatible sockets developed by Maciej Sobczak http://www.msobczak.com/5 weekly downloads
Easy Folder Switch for WinCE PNA
Easy switching destination for important folders on Windows CE PNA's5 weekly downloads


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Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Are You Using Your Professional Title Ethically?
Many faculty members teaching in the classroom or performing research within academic institutions have earned doctorates and use the title of "Doctor" or "Dr." They are usually referred to as professor or doctor within the classroom by students.
Viewpoints: Pes Anserine Tendonitis vs. Medial Meniscal Tear
What do you think stiff golf shoes, playing with a child, riding a bike, running and swimming the breaststroke all have in common? Each requires knee joint involvement. To quote physical therapist Gary Gray, "The knee is just the dumb guy in the middle."
Time to Address the Global Impact of Pain
More people may be living longer, but they're not enjoying it, particularly when it comes to musculoskeletal health, according to the latest Global Burden of Disease (GBD) study.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Embrace the Necessity of Change
My son, David, and my daughter, Deborah, play high-school and club soccer. For those of you who aren't familiar with this lifestyle, each practices two to three times a week, 48-50 weeks a year. Between the two, they play approximately 70 games annually.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
A Simple Exam Protocol to Assess Lower-Extremity Imbalance
One of the most common conditions of the human frame is excessive foot pronation, in which the foot rolls inward, creating a foot that is flatter, wider and longer. A resultant subluxation pattern of the various tarsals and metatarsals results.
Coding for Functional Performance Testing and Measurements
I have noticed a trend for medical necessity of chiropractic services to be defined with statements and language indicating "functional improvement" as one of the standards for efficacy of treatment.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Sacroiliac Pain: A Complex Puzzle
I don't think we manage SI misalignment properly. First, we tell our patients they have an SI problem. I am not convinced this is accurate, and I will speak to that issue. Second, I think repetitive mobilization of the SI joints is not useful.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
How's Your Bucket? Two Key Benchmarks to Help Plug the Holes
Just about every businessperson knows it's far less expensive to hold on to a repeat customer than it is to acquire a new customer.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
December, 2012, Vol. 12, Issue 12
Tissue Density Restoration Massage for Restless Leg Syndrome
By Linda LePelley, RN, NMT
Restless Leg Syndrome (RLS) is a disorder that drives the sufferer to move their legs in response to irritating and strange sensations. It can range in severity from being a slight annoyance, to an intolerable condition that disturbs restorative sleep and diminishes the overall quality of life.I often recall a patient I cared for as an RN Supervisor in a convalescent home. She would get up almost every night, walking up and down the halls. When asked why she wasn't sleeping, she would replay, "Oh, how I wish I could, but these running legs won't let me sleep!" Several medications were used, but none were very helpful. The common belief was that there just wasn't much that could be done about it. Whenever I had the chance, I would take 20 minutes and massage her legs for her. She loved it, and sometimes it would help her sleep, but it always came back. Had I known then that I was on the right track; I would have found the extra time required to give an effective treatment, one that provided long-term results.
A Common Phenomenon
As a massage therapist who successfully treats clients diagnosed with RLS, as well as several who have complained of the symptoms without having been diagnosed, I have noticed a common phenomenon in each. Their legs are permeated with elevated tissue density (TD). The increase in density ranges from diffuse pockets of rubbery firmness noted in the deeper muscles of the thighs and calves, to large areas of firm, rigid tissue. Compacted together, with decreased motility, the muscles and connective tissue can feel so dense that the only movement is at the knee. People told by their sleep partners that they kick around a lot at night also have elevated TD in their leg tissues. I suspect they are in a latent stage of RLS, where their bodies are responding to the irritation, but they have not yet consciously experienced the unpleasant sensations.
I believe that RLS is caused by a combination of tissue condensation as well as an accumulation of a form of plaque that is in any one of a multitude of states of viscosity and density, possibly due to varying degrees of localized tissue hypo-hydration and mineralization; as well as heat, pressure and gravity. It engulfs and traps nerves, which irritated, begin to twitch. A skilled massage therapist can feel the presence of this accumulation in body tissues and return it to a more normal density, thereby releasing the affected nerve endings and restoring circulation, function and mobility, relieving pain and, in the case of RLS, the ability to relax and rest peacefully.
I need to clarify my use of the word "plaque" as it relates to tissue density formation. I do not have scientific verification that the substance to which I speak is actually plaque. I refer to it as such for this reason – I cannot find a better descriptor that fits what I palpate and treat. I find no mention in medical references or research papers of the presence of plaque in the body other than "atherosclerotic" plaque, which is specifically located within the walls of arterial vessels; "senile" plaques, which develop in the brain and are associated with Alzheimer's disease; a psoriatic plaque; and dental plaque, which builds up on the teeth.
I developed my treatment method with no pre-conceived idea of what I was doing or why, my intention was simply to do whatever the client felt was doing the most good. If they preferred petrissage over tapotement, the tapotement was eliminated. If they wanted just the painful area focused on, I did not include the rest of the "routine" I learned in school. I assumed in the beginning that each client would have their own individual preferences, so it was very interesting to me that over time, I was using the same procedure on everyone, with the only real variations being the location of the pain. This is how I developed the treatment before considering what the cause of so much pain and dysfunction might be. While my ideas about the nature and cause of what I address with TDR massage may contain inaccuracies, my methods of pain relief and the restoration of sensation and mobility are beneficial and effective.
I've found that musculoskeletal pain and dysfunction can be felt by the MT in every client. No matter where it is located, it has a definite texture and density to it and, if you can feel it with your hands, you can help heal it. It may be very subtle, but it is palpable. Clients often ask how I know something hurts. I explain what I feel and show them how to find it. It sometimes takes several attempts for them to do so, but they are always amazed that these secondary structures are within their tissues and they had never been aware of it before.
The reason I call these palpable structures "plaque" is because it behaves like plaque as I understand it. In the beginning, it is soft and malleable, it seems that over time it becomes denser, firmer and eventually mineralizes and hardens into a bone-like crust. I surmise that it is the stuff that arthritis is made of, as well as a number of other painful conditions. That's the bad news.
I call it plaque, it acts like plaque, and I treat it like it is plaque. But here is the good news. Plaque is 60% fat. It doesn't matter how mineralized, hard and crusty an arthritic joint is, if I am correct (as all my work has indicated); under the right conditions, it is as solid as a sand castle. Slowly melt the fat and gently dissolve and massage away the residue. It sounds simple enough, and it is, however, it takes time and patience. All dense tissues, whether or not they are associated with a joint, respond to the same treatment.
You may have noticed that I do not name specific muscle or anatomical locations. This is a purposeful omission. In regard to TDR massage, the only location that matters is where the client is experiencing discomfort, and where the TD is elevated. The focus needs to be on the locus of the density, and TD elevations arise in all tissue types. It should be addressed as a whole, not manipulated separately, muscle away from connective tissue, or apart from fluids.
Acknowledging Pain
In the years I have been a massage therapist, I have noticed that very often people seem to forget the severity of their discomfort once they have been relieved of it. I have had people come into the clinic stating that they are in severe pain, the medicine or shot the doctor gave them hasn't helped much, if at all, and I was their last-ditch hope for relief. More often than not, massage does relieve their condition. Then later, when they come in for a regular massage, I might ask about the knee or shoulder pain they'd had and they will vaguely recall it. In one case I was told, "Oh yeah, that. The doctor gave me a shot and it hasn't bothered me since," to which I ask if it was a shot they got after the massage treatment, or had it been the one they got before they came to me. It was the one given six weeks before they saw me that had been given the credit. I suggest the establishment of a pain level and duration of discomfort statement from clients before treatment. This way you can make them aware that they had a problem and it was massage therapy that helped them. Also, in the course of providing TD massage, the density of the affected tissues can change dramatically. It makes sense to document before and after depictions of TD and pain levels to be able to communicate with the client and health care team accurately. Without substantiating documentation, all statements about treatment results are simply anecdotal stories.
To administer an effective TD massage treatment for RLS, you will need to focus entirely on the legs. Explain to your clients in advance that they should not expect a full body massage along with the RLS treatment. While an hour is sufficient, an hour and a half is an ideal amount of time for an RLS treatment because it allows 20 minutes for each of the four "sections" (thighs to knees and knees to ankles on each leg), with 10 minutes for assessing and recording your density map.
You might create a rudimentary TD map by drawing a small-scale outline of your client's legs on a piece of paper. Palpate your client's legs carefully, from the top of thighs, inner and outer, down to the ankles. Mark your map with all you find, noting tenderness/pain with the 1/10 pain scale, record areas that are more dense, areas with hardened ridges, as well as areas that are as hard as bone, or flaccid. This will give you a good idea of what you are starting out with and something to compare the end results to. A more comprehensive method of tissue density mapping is available, but this basic map is all you need to get started.
When doing an RLS treatment, use the same caution you would with any massage and remember the basic rule of Tissue Density Restoration (TDR) massage, use as much pressure and movement as you need, without causing pain. Use a table warmer and/or some warm packs to help reduce the amount of time it will take to soften the tissue. Make your client comfortable in the prone position. While still respecting the flow of blood and lymph from distal to proximal, I start each leg at the thigh and then work my way down the leg. You need the more proximal area to be cleared up first, creating a pathway for improved circulation as you work your way down the legs.
From a seated position, using both hands, apply warm massage cream to client's thigh. With both hands grasp the medial thigh and gently rock it towards you a few times, feeling for areas of tightness or hardness. Hand over hand, starting at the top and then slowly working your way down; drag the tissues from inner to outer thigh, going deeper as becomes possible, with the intention of moving all the muscles freely over the bone. As you determine the areas of elevated TD, you will likely find ridges which are tender and resistant to movement. Use large, flat-handed circular movements, and then careful petrissage to help narrow your focus to these areas, apply as much movement and pressure as you can without going over a three on the 1/10 pain scale. Take note of the area at the medial aspect of the knee. It often forms a large, sensitive plaque within which nerves are engulfed and irritated. Much of your time may be spent here, carefully massaging crusted-over nerves, which feel like large, firm strands and bands. They will respond to warmth and movement as well. As the firm areas shrink away, you will use smaller circular movements, eventually using just your fingertips. You will note that as the tissue warms up, it softens and becomes more mobile, and eventually, you will be able to work the palpable areas out altogether. Use the same technique on the lower leg and repeat on other side. In the course of working the back of the upper thigh, you might note the elevated TD extends into the anterior thigh as well. If so, you will need an additional 10 minutes for each leg. I suggest you work on the anterior thigh with the client in a side-lying position; the slight gravity assist makes it easier to locate and clear denser areas. Please note that the times I give are just generalized suggestions, gauge the results only by what you feel, not by how much time was spent.
When additional treatments are needed, try to schedule them as closely as possible. two and even three times in a week is best. The longer a period between treatments, the longer the individual treatments take to become softened enough to dissipate the elevated TD.
Once an area has been completely restored, the tissue will be malleable, warmer and relaxed at rest, with no tenderness. It depends on the client how long complete restoration will take. I often have had people cleared up in three to four treatments, but there are those that clear up immediately and a few that take six or seven sessions. I suspect the reasons for the differences in the timing of completion depend on age, how long the problem has existed, diet and hydration, as well as a number of other possible factors. Once restored, the tissues seem to stay healthy and pain-free for quite a while. Once a client is aware of the condition of elevated TD, they can take measures to prevent reoccurrence by making sure to not just move their bodies through space, but to move their tissues around as well. This can be done with a good towel rubbing over joints after a bath and by receiving regular massages.
My nursing home patient and friend, passed away about a year before I realized that I could have provided her with real, long-term relief. It is my goal to let it be known that there is a way to relieve RLS and many other musculoskeletal pains, free of harmful medications, and it is in the hands of massage therapists to do so.
Linda LePelley, RN, NMT is a registered nurse and licensed massage therapist with 19 years of clinical massage experience. She developed Tissue Density Restoration (TDR) Massage, an effective treatment for the pain found in hyper-dense tissues. For more information, visit www.MyHealingHands.com.
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