text:
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Rhodes and Angela T. Yetman
Stephen R. Daniels, Thomas R. Kimball, Timothy K. Knilans, Patricia A. Nixon, Jonathan
Stephen M. Paridon, Bruce S. Alpert, Steven R. Boas, Marco E. Cabrera, Laura L. Caldarera,
Atherosclerosis, Hypertension, and Obesity in Youth
Heart Association Council on Cardiovascular Disease in the Young, Committee on
Clinical Stress Testing in the Pediatric Age Group : A Statement From the American
Print ISSN: 0009-7322. Online ISSN: 1524-4539
Copyright © 2006 American Heart Association, Inc. All rights reserved.
is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231
doi: 10.1161/CIRCULATIONAHA.106.174375
2006;113:1905-1920; originally published online March 27, 2006;
World Wide Web at:
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Clinical Stress Testing in the Pediatric Age Group
A Statement From the American Heart Association Council on
Cardiovascular Disease in the Young, Committee on Atherosclerosis,
Hypertension, and Obesity in Youth
Stephen M. Paridon, MD; Bruce S. Alpert, MD, FAHA; Steven R. Boas, MD; Marco E. Cabrera, PhD;
Laura L. Caldarera, MA; Stephen R. Daniels, MD, PhD, FAHA; Thomas R. Kimball, MD;
Timothy K. Knilans, MD; Patricia A. Nixon, PhD; Jonathan Rhodes, MD; Angela T. Yetman, MD
Abstract—This statement is an updated report of the American Heart Association's previous publications on exercise in
children. In this statement, exercise laboratory requirements for environment, equipment, staffing, and procedures are
presented. Indications and contraindications to stress testing are discussed, as are types of testing protocols and the use
of pharmacological stress protocols. Current stress laboratory practices are reviewed on the basis of a survey of pediatric
cardiology training programs. (Circulation. 2006;113:1905-1920.)
Key Words: AHA Scientific Statements ? pediatrics ? stress test ? exercise test
ing in children. This statement is intended for physicians,
nurses, exercise physiologists/specialists, physical educators,
exercise technologists, and other healthcare professionals
involved in exercise testing or training of children and
adolescents. This report is intended to supplement and update
the previous AHA publications on exercise testing in
Over the past decade, the role of the pediatric exercise
physiology laboratory has expanded significantly. In addition
to children with congenital and acquired heart disease,
patients with pulmonary, gastrointestinal, metabolic, and
other organ system disorders are routinely undergoing eval-
uation. The use of stress echocardiography, nuclear imaging,
and magnetic resonance imaging is becoming more common
in the pediatric population.4–9For these reasons, consider-
ations of testing protocol and equipment needs for these
populations are included in this report. The use of pharma-
cological agents to stress the cardiovascular system has also
become common in situations in which performance of a
conventional exercise test is impractical.4,7–9Information
about pharmacological testing is also included in this report.
The term "Stress Testing" rather than "Exercise Testing" has
his statement is an updated report of previous American
Heart Association (AHA) publications on exercise test-
been chosen in the title of the present document to reflect this
broadening of testing modalities.
I. Physical Environment
The exercise physiology laboratory should provide an ideal
environment for vigorous exercise. This requires adequate
space and climate control. The laboratory must be large
enough to accommodate the treadmill and/or cycle ergometer,
ECG machine, metabolic cart, and patient examination table
and still be able to provide sufficient room on both sides of
the ergometer for emergency equipment should it be needed.
Approximately 500 sq ft is usually adequate. With the use of
multiple ergometers and testing stations, the space allocated
must increase proportionally.10It is also preferable to have a
space at the back of the room for a parent to sit during the test.
Temperature should be maintained in the range of 20°C
(68°F) to 24°C (75°F) with a relative humidity of between
50% and 60%. Lighting throughout the laboratory must be
adequate to allow complete viewing of the patient and
Laboratory Equipment
The pediatric exercise physiology laboratory must be
equipped with age- and size-appropriate ergometers, emer-
gency equipment, and measurement devices (such as appro-
The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside
relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required
to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.
This statement was approved by the American Heart Association Science Advisory and Coordinating Committee on December 30, 2005. A single
reprint is available by calling 800-242-8721 (US only) or writing the American Heart Association, Public Information, 7272 Greenville Ave, Dallas, TX
75231-4596. Ask for reprint No. 71-0359. To purchase additional reprints: up to 999 copies, call 800-611-6083 (US only) or fax 413-665-2671; 1000
or more copies, call 410-528-4121, fax 410-528-4264, or e-mail email@example.com. To make photocopies for personal or educational use, call the
Copyright Clearance Center, 978-750-8400.
Expert peer review of AHA Scientific Statements is conducted at the AHA National Center. For more on AHA statements and guidelines development,
visit http://www.americanheart.org/presenter.jhtml?identifier?3023366.
© 2006 American Heart Association, Inc.
Circulation is available at http://www.circulationaha.orgDOI: 10.1161/CIRCULATIONAHA.106.174375
AHA Scientific Statement
by guest on June 12, 2013 http://circ.ahajournals.org/Downloaded from
Page 3
priately sized blood pressure cuffs, pediatric mouthpieces,
and pediatric face masks). A treadmill should have
appropriate-height handrails (both sides and front). Most
treadmill manufacturers have commercially available attach-
ments for this purpose. Cycle ergometers have adjustable seat
height so that the child can reach the pedals and have an ?10°
to 15° angle of flexion at the knee when the leg is extended.
It may be necessary to use blocks to increase the height of the
pedals for smaller children, although it is always better to use
ergometers with adjustable leg cranks and handlebars. A fully
stocked emergency resuscitation cart should be present in the
laboratory during testing. Additional safety equipment such
as oxygen and suction should be present in the laboratory
during all testing. See the section on equipment requirements
for a detailed discussion.
Pretest Procedures
Before the arrival of the patient for testing, it is helpful to
provide the patient and family with written information about
the test as well as pretest guidelines with regard to diet and
clothing. Patients do not have to be fasting for a standard
cardiopulmonary exercise test. However, they are cautioned
not to consume caffeine on the day of the test (including
caffeinated soda) or eat a heavy meal within 2 to 3 hours of
the test. Patients are instructed to wear or bring comfortable
exercise clothing, preferably shorts, T-shirt, and athletic
shoes. The pretest information can be mailed to the family
with an appointment reminder and instructions to come to the
laboratory well rested (Figure 1).
When the patient arrives at the exercise laboratory for
testing, the testing procedure should be explained again to the
child and the parent in terms that they can both understand.
For standard cardiopulmonary exercise testing, children
should be reassured that the test does not hurt and is usually
even fun. The child and parent should then be given the
opportunity to have all questions about the test answered.11
Written informed consent is often obtained before the exer-
cise test, and the patient should be told that he or she can
terminate the test at any time even though he or she will be
encouraged to continue to volitional fatigue and that the time
he or she will be exercising is usually 10 to 15 minutes. The
consent form used may be specific for the exercise physiol-
ogy laboratory and may be similar to the sample pretest
patient information form shown here (Figure 1). It may also
be a hospital-wide standard consent form filled out specifi-
cally for exercise testing. The use and type of each form will
vary according to the individual institution's requirements but
should meet the standards of meaningful informed consent
(see section on consent/assent below). Verbal assent should
be obtained from the child if over the age of 7 or 8 years.
In preparation for the test, the patient is fitted with 10
electrodes so that a continuous 12-lead ECG tracing can be
obtained during testing. The skin should be cleansed with
alcohol, with care taken to assure small children that this does
not indicate they will be getting an injection because many
children associate alcohol swabs with needles. The skin
should be abraded gently with ECG skin preparation paper or
rough gauze. Some clinicians believe that commercially
available "drills" and electrode placement guns are useful.
Electrode placement should be in a modified version of the
Mason-Likar placement, with the arm leads at the lateral and
superior corners of the sternum and the leg electrodes near the
right and left inferior rib margins between the midclavicular
and anterior axillary lines. In patients undergoing exercise
echocardiography, the position of the electrodes may be
modified slightly to permit access to adequate echocardio-
graphic windows. Likewise, lead position may need to be
modified to accommodate breast tissue in adolescent females,
and chest hair removal may be needed in adolescent males.
The lead wires should then be attached to the electrodes and
the patient cable and lead-wire box fitted snugly around the
child's waist. A stress test vest or net shirt helps to keep the
electrodes and wires firmly in place when the child is
exercising. Appropriately sized blood pressure cuff and pulse
oximeter sensor (if used) should be placed at this time.11
Before exercise, the patient should be given the opportu-
nity to familiarize himself or herself with the breathing
apparatus (airtight mouthpiece or mask) if a metabolic or
pulmonary stress test is to be administered. With the recent
improvements in face mask design for ventilatory and gas
exchange measurements, it is more comfortable for the
patient to have the freedom to breathe through either the nose
or mouth. Breathing with a face mask is more natural and
prevents coughing and drying of the airways. At the onset of
exercise, patients should be given a warm-up period consist-
ing of low or no workload to acclimate the patient and to
collect baseline data. (See protocols for more detailed discus-
sion.) Before the exercise test, the staff should also familiar-
ize themselves with the patient's medical history so that they
may anticipate abnormalities that may be encountered during
Figure 1. A sample of the form used to explain an exercise test
to parents and patients. See text for discussion.
1906 Circulation
April 18, 2006
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the test and identify the clinical questions that need to be
addressed by the test.
Laboratory Staffing
A physician trained in exercise testing and exercise physiol-
ogy should have the primary oversight responsibility for the
laboratory and testing. The American College of Cardiology
and the AHA have recently published a statement on clinical
competency for stress testing. This statement includes recom-
mendations about the clinical training and competency re-
quirements for physicians supervising pediatric exercise and
stress testing.12These recommendations should be considered
when a physician's competence to supervise a pediatric
exercise laboratory is evaluated.
The director of the exercise laboratory may be either a
physician responsible for the laboratory or a nonphysician
trained in pediatric exercise physiology and testing. Ideally, a
nonphysician director should have training in exercise phys-
iology at least at a master's degree level. The director's
responsibilities include ensuring that (1) all laboratory per-
sonnel are thoroughly trained in testing and emergency
procedures; (2) all equipment is working properly and is
properly maintained; (3) appropriate testing procedures are
used on the basis of the patient's diagnosis and the informa-
tion desired from the exercise test; and (4) results of the stress
testing are conveyed in a reliable and timely manner to both
the referring physician and family.1,12
An exercise test may be conducted by laboratory personnel
who have been properly screened, are familiar with pediatric
pathophysiological responses to exercise testing, and have
expertise in pediatric emergency procedures. At least 2
properly trained persons are needed to perform an exercise
test. At least one of these should be trained in pediatric
advanced life support, and standard pediatric cardiopulmo-
nary resuscitative equipment should be immediately available
during all testing.12
For all diagnostic testing, a physician should be immedi-
ately available. Physicians may need to be present and/or
supervise testing depending on the risk to the patient, the
expertise of the laboratory personnel, and the complexity of
the clinical question being addressed. Most low-risk testing
(see subsequent section) may be done without direct in-
laboratory physician supervision. Higher-risk studies should
have direct supervision. Individual patient risks should al-
ways be taken into consideration when the decision is made
about physician supervision. The physician's role and per-
sonnel needed for pharmacological stress testing will be
discussed in the protocol sections.
II. Informed Consent
In the most recent AHA statement on pediatric exercise
testing,1it was suggested that most exercise testing laborato-
ries have a meaningful written consent for the procedure. In
the survey conducted for this statement, of the centers
responding, only approximately one half required written
informed consent before the procedure (see below).
It is recognized that different institutions have different
approaches to the process of informing patients and their
families about medical procedures. There may be differences
in the law from state to state. Nevertheless, it is vitally
important that young patients and their parents know what to
expect when they are involved in exercise testing. This
information about what will be done, why the test is needed,
and which aspects of the test may result in discomfort or risk
is necessary to obtain the best test results. For some patients,
the risk of exercise may be higher. For these patients, a
careful explanation of the risks involved and the precautions
taken to avoid excess risk or to deal with expected or
unexpected medical complications is important. It may also
be helpful to document that this exchange of information has
occurred, either in the patient's medical record or with an
informed consent document. The personnel of the laboratory
should respect the right of the family to be informed about the
test. A discussion of how or why the test might be terminated,
including at the request of the patient, should also occur
before the test. The patient's right to terminate the test should
be respected.
III. Equipment Requirements
A pediatric exercise laboratory should be able to perform a
spectrum of testing on children with a wide variety of medical
conditions. This will usually require at least a treadmill and a
cycle ergometer. In addition, equipment to measure physio-
logical responses to exercise such as heart rate, blood pres-
sure, oxygen saturation, and expired gases is usually required.
Equipment for more specialized testing such as pharmaco-
logical stress testing and echocardiographic imaging is also
needed in certain circumstances.
Exercise testing uses the stimulus–response method of
assessment. Accordingly, a standard exercise stimulus is
applied to the testing subject via an ergometer, and the
subject's physiological response is measured and later inter-
preted against recognized standards. The normative standard
values are themselves compiled from typical responses to the
exercise stress in a healthy matched population. Because the
goal of exercise testing is to evaluate how organs and systems
linking external (pulmonary) to internal (cellular) respiration
perform under conditions of increased metabolic demand, the
exercise stimulus is typically increased progressively and
applied on large muscle groups, such as those used in running
or riding a bicycle.
Treadmills and Cycle Ergometers
The motorized treadmill is the most commonly used appara-
tus for diagnostic purposes and for determination of func-
tional capacity during exercise. The exercise stimulus is
delivered by increasing the speed and/or grade (elevation) of
the band on the treadmill. Maximal oxygen uptake is ?10%
higher on a treadmill than on a cycle ergometer.13–16An
advantage of treadmill testing is that the majority of people
are familiar with walking or running, including children as
young as 3 years of age. However, even though almost any
child older than 3 years can walk fast or run routinely,
exercising on a treadmill is not a natural form of walking/
running for anybody not familiar with exercising on a moving
surface. Consequently, any patient who lacks experience
walking on a treadmill should be tested only after having
practiced and gained confidence in walking, running, and
Paridon et alClinical Stress Testing in Pediatric Patients
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stepping on and off the treadmill. However, it is recom-
mended to judge this on a case-by-case basis with consider-
ation of the child's size, ability, and coordination.
A number of important practical disadvantages are associ-
ated with treadmill testing. It is inherently more dangerous
than a cycle. It is also difficult to accurately quantify a
subject's work rate during a treadmill test. The oxygen cost of
running at a specific speed and grade is also hard to predict
because it is affected by variables such as body size, weight,
gait, and stride length. As a consequence, when a patient
exercises on a treadmill, mechanical efficiency can only be
estimated. Other disadvantages include high cost, large size,
and noise. In addition, some measurements and specialized
techniques, such as blood pressure and echocardiography, are
difficult to obtain consistently on a treadmill because of noise
or movement artifact.
Cycle ergometers typically are less expensive and less
noisy and require less space than treadmills. Measurements of
gas exchange and blood pressure, as well as ECG and
echocardiography measurements, are easier to perform on
subjects exercising on a cycle ergometer than on a treadmill.
Thus, in most clinical circumstances, the cycle ergometer
provides more reliable physiological measurements during
exercise. However, some children, especially those 6 years
and younger, may have difficulty keeping a steady cadence
when pedaling, even when the cycle ergometer is adjusted to
accommodate their size.
Two types of cycle ergometers exist, categorized by the
manner in which the imposed work rate is controlled. Me-
chanically braked cycle ergometers control external work rate
through frictional bands, whereas electronically braked er-
gometers increase resistance to pedaling electromagnetically.
The main advantage of an electronically braked cycle er-
gometer over other ergometers is that it provides an accurate
measurement of mechanical power output, thus permitting
straightforward determination of work efficiency when ac-
companied by measurements of gas exchange. Electronically
braked ergometers can deliver a "0" work rate for warm-up as
well as a reliable constant work rate throughout a wide range
of pedaling speeds (eg, 35 to 120 rpm) during exercise.
Moreover, the oxygen cost of work is easily predictable on a
cycle ergometer.17
Both modern electronically controlled treadmills and cycle
ergometers permit the user to vary speed and grade or work
rate rapidly and continuously either through panel settings or
through preprogrammed exercise protocols. Consequently,
the user can vary the set work rate in various fashions, such
as step, square-wave, incremental, or ramp. Treadmills are
easy to calibrate, whereas mechanically braked cycle ergome-
ters require frequent calibration, and electronically braked
cycle ergometers require specialized and expensive calibra-
tion equipment.18–22
Our recommendation is that exercise physiology laborato-
ries that serve a pediatric population have available modern
ergometers (treadmills and stationary bicycles) possessing
features that facilitate the testing of children and the inter-
pretation of their test results.
1. Electrophysiological Equipment
ECG recording is critical to stress testing for 3 purposes: (1)
accurate assessment of heart rate to evaluate exercise effort
and end point of the test; (2) diagnosis and evaluation of
arrhythmia; and (3) assessment of conduction abnormalities
and ST-segment and T-wave changes consistent with myo-
cardial ischemia and QT interval. ECG recording leads
should be placed after proper skin preparation to afford
good-quality recording throughout the test. A 12-lead ECG
should be recorded before the test. It is sometimes helpful to
obtain these studies in supine and upright positions with and
without hyperventilation to identify changes in T-wave
ECG recording equipment used for exercise testing should
have a real-time display screen and a "writer" or printer to
create copies of real-time or review ECGs. The display screen
should be of adequate size so that it can be seen easily by the
testing personnel during the study. It should display at least 3
leads of ECG in real time and ideally have a numeric display
of instantaneous heart rate. Instantaneous "superimposition"
scanning of median ECG complexes from selected leads can
improve the sensitivity and rapidity of real-time detection of
ST-segment changes during exercise. Analog ECG recording
is acceptable, but digital acquisition has become more com-
mon to facilitate superimposition scanning and electronic
storage. Digital recording should have a minimum sampling
frequency of 1 mHz, but many systems improve the quality of
recording with a frequency of 4 mHz. Configurable high- and
low-pass filters, as well as a "line" or "notch" filter, can
substantially improve the quality of ECG recording in a
laboratory with numerous other electric devices. The writer
should be capable of printing immediate copies of real-time
ECG and continuous ECG rhythm strips. It is also convenient
if it can print an ECG recorded previously during the study
for review. Printing of median ECG complexes in the report
at each stage can improve the efficiency of analysis by a
subsequent interpreter. A computer-based recording system,
in addition to facilitating report generation, can also provide
"full-disclosure" review of ECG waveforms during a study.
This allows review of arrhythmia or morphology changes that
may have occurred when paper ECG recordings were not
being created.
2. Blood Pressure Measurement
Blood pressure is an important variable to evaluate during
exercise testing. In some cases, such as in evaluation of
coarctation of the aorta or aortic stenosis, it may be one of the
primary variables of interest. The circulatory changes that
occur from a resting state to exercise are complex. Blood
pressure is related to both cardiac output and peripheral
vascular resistance. Both can change dramatically during
exercise. The usual increase in cardiac output with exercise is
thought to result in an increase in systolic blood pressure.
Increasing exercise intensity results in increased cardiac
output, and therefore systolic blood pressure should rise with
each progressive stage of an exercise test. However, this
response to exercise is variable, and healthy pediatric subjects
may occasionally show only a modest increase in systolic
pressure during exercise. The vasodilation seen with exercise
1908 Circulation
April 18, 2006
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text:
Local gas prices drop across Texas
Posted: 04/04/2013 - TEXAS -- Retail gasoline prices across Texas have dropped 2 cents this week.
Posted: 04/04/2013 - TEXAS -- Retail gasoline prices across Texas have dropped 2 cents this week.
Updated: 04/04/2013 - SHERMAN, TX-Four Rivers Outreach is looking for volunteers and sponsors for their biggest fundraiser of the year.
Updated: 04/05/2013 - ARDMORE, OK - An auto repair shop on Sam Noble Parkway was broken into Tuesday night.
Updated: 04/05/2013 - DAVIS, OK - I-35 in Murray County is now reopen after being shut down briefly Thursday afternoon.
Posted: 04/04/2013 - CHICAGO (AP) - The Chicago Sun-Times is reporting that its film critic Roger Ebert has died. He was 70.
Posted: 04/04/2013 - KAUFMAN, Texas (AP) - Gov. Rick Perry has announced a $100,000 reward to help find the killers of a Dallas-area district attorney, his wife and an assistant prosecutor.
Posted: 04/04/2013 - AUSTIN, Texas (AP) - The Texas Senate Education Committee is to discuss 16 bills involving everything from gun training for some teachers to allowing students to leave their home school districts for better-performing ones.
Posted: 04/04/2013 - MESQUITE, Texas (AP) - The memorial has started for a slain Texas prosecutor and his wife.
Updated: 04/04/2013 - SHERMAN, TX -- The man involved in driving his SUV through glass doors at Midway Mall last Friday has been taken into police custody.
Posted: 04/04/2013 - Grayson Co. Grand Jury Indictments, April 3, 2013
Updated: 04/04/2013 - HOPKINS COUNTY, TX -- Two dangerous Hopkins County escapees are still at large and now authorities say they're looking for a black SUV.
Posted: 04/04/2013 - OKLAHOMA -- General Electric says it will build a new global research center in Oklahoma creating 125 new engineering jobs.
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Posted: 04/03/2013 - DURANT, OK -- Several home invasions in Durant, Tuesday, led police to warn residents to be on high alert. But, it turns out what started out as crimes could all be a horrible prank.
Posted: 04/03/2013 - IVANHOE, TX-A shocking crime in Tulsa leads to the arrest of a woman with Fannin county ties.
Posted: 04/03/2013 - New city and county leaders were chosen in local elections yesterday.
Updated: 04/03/2013 - The park is still recovering two years after a fire that burnt the barracks building to the ground. And they're hoping to raise enough money to re-build.
Updated: 04/04/2013 - FANNIN COUNTY, TX -- The recent shooting death of Kaufman County District Attorney and his wife has Fannin County working to amp up their own security.
Posted: 04/03/2013 - HOWE, TX -- A house fire Tuesday night in Howe leaves one man without a home.
Updated: 04/04/2013 - MELISSA, TEXAS -- A disturbance at Melissa High School put the school on lock down Wednesday afternoon.
Updated: 04/04/2013 - GRAYSON COUNTY, TEXAS -- The control tower at North Texas Regional Airport costs about $200,000 annually to maintain. NTRA had just applied for FAA control tower funding, when news broke that funding would be cut nationally.
Posted: 04/03/2013 - PYONGYANG, North Korea (AP) - The North Korean army is warning Washington that its military has been cleared to wage an attack using "smaller, lighter and diversified nuclear" weapons.
Posted: 04/03/2013 - MOBILE, Ala. (AP) - Officials say a Carnival cruise ship that had been disabled for days in the Gulf of Mexico has broken away from its moorings in a Mobile, Ala. shipyard.
Posted: 04/03/2013 - WASHINGTON (AP) - The White House says President Barack Obama and first lady Michelle Obama will attend the opening of former President George W. Bush's presidential library later this month in Dallas.

subset: commoncrawl


text:
Pair arrested in Rutland street disruptionBy Brent Curtis
STAFF WRITER | January 21,2013Two men were arrested Sunday night in Rutland after police from three agencies were called to disperse a crowd that gathered over a dispute on School Street.
More than 40 people were reportedly involved in a series of heated verbal and physical confrontations in the city's southwest neighborhood, Rutland Police Sgt. John Sly said.
"A lot of people came out to watch or get involved," Sly said.
In what he described as a "convoluted sequence of events" police were initially called to 36 Meadow Street at 4:23 p.m. for a reported fight.
At the scene, Sly said police found about 10 people arguing about the theft of a cell phone and a missing hat.
Sly said police left the scene believing that the parties would stay separated. But more than three hours later they were called back when some of the same people involved in the earlier dispute moved to 79 School St. where a crowd had
The size of the gathering was so great that city police called for backup from Vermont State Police and the Rutland County Sherriff's Department as well as another shift of officers coming on duty in the city.
Police also arrested two participants — 19-year-old Tiler Cormia and Nicholas Prior, 20, both of Rutland — on charges of disorderly conduct.
For the complete story, see Tuesday's Rutland Herald.MORE IN This Just InWHITE RIVER JUNCTION Judge Nancy Corsones disqualified herself from a bail hearing in a... Full StoryA look at the week back and the week ahead. Full StoryWHITE RIVER JUNCTION An Andover man who called 911 to report a state trooper stealing his... Full Story
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- 21 & over
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Denver, CO
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Hypnotist Rich Guzzi - XXtreme Hypnosis Show (Special Event)
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Hypnotist Rich Guzzi - XXtreme Hypnosis Show
Sunday, May 05, 2013 7:00 PM
Denver Improv, Denver, CO
Show Details
- Ticket Price: $0.00
- Door Time: 6:00 PM
- Show Type: Hypnotist
- Tags: R Rated/Dirty
21 & over
Two items minimum
Special Event
Performing Artists (Click on Artist for Reviews and Previews)
Comic Hypnotist Rich Guzzi
The Hypnotist Heard seen on The Artie Lange Show, in Parade Magazine and on Access Hollywood.
Watch as Rich invites volunteers from the audience to get hypnotized on stage right before your eyes then be amazed at what happens next when he gives them suggestions to do the most outrageously funny things you can possibly imagine.
This Adult clean show is done with just the right amount of innuendo. Laugh till it hurts with this non stop roller coaster ride that will have you and your friends coming back over and over again to try it for yourself.
Watch the video movie trailer CLICK HERE!
PLEASE BE ADVISED: This Sunday night show contains EXTREME adult content so if you are easily offended this will probably not be the night for you. YOU HAVE BEEN WARNED!
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J.J. Corvette fuels Halls in win against Karns, 66-64
There's just something about Karns High School that seems to bring out the best in Halls guard J.J. Corvette.
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614 Sun Catcher Drive
A location in Indianapolis
Commute to Downtown Plainfield
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614 Sun Catcher Drive has a Walk Score of 14 out of 100. This location is a Car-Dependent neighborhood so almost all errands require a car.
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Los Banos
Pedal Merced, the city's annual family bike fest, is back.
Marissa Wyan was beaming. The smile never left her face as she posed for postgame pictures with her teammates.
Fifteen-year-old Callie Nance has her dreams for the future down to a science.
The "spookiest" time of the year is here and several Merced-area groups are putting on a variety of events for the entire family.
Two "In God We Trust" signs will be unveiled Nov. 11
Members of the public donated the money for the signs, official said
Some say the sign alienates non-religious taxpayers
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Figure 4.
Salinomycin decreases expression of stem cell markers and self-renewal properties. (A) The RT-qPCR results demonstrate a decrease in gene expression of both CD44 and BMI-1 with increasing doses of salinomycin. Values are relative to a control of 0 μM salinomycin and endogenous control GAPDH. (B) Sphere formation assay shows that salinomycin inhibits self-renewal capabilities of the cancer stem cells. Salinomycin was added during sphere growth. (C) Accompanying graph shows the fold change in number of spheres formed relative to the control of 0 μM salinomycin. Error bars denote standard deviation.
Kuo et al. BMC Cancer 2012 12:556 doi:10.1186/1471-2407-12-556


text: Large, clean and comfortable condo apartment with washer/dryer, full kitchen, large room with ensuite, security safe, balcony and indoor parking. The TV has many news and movie channels. Pool is big and private. Leeward is an upscale, quiet and safe residential neighbourhood. At night there are security guards at both entrances to the neighbourhood including the Atrium. So you feel... More


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Carving out time to relax is healthy, unless that time is carved from the radioactive fabric of deep space. Sculpt a more soothing day with today's Groupon to iMassage. Choose from the following options:
- For $40, you get a spa package (an $89.98 total value) that includes:
- One-hour therapeutic massage (a $39.99 value)
Signature anti-aging Lumière facial (a $49.99 value)

For $25, you get a one-hour deep-tissue or hot-stone massage (a $49.99 value).

- For $20, you get a one-hour therapeutic massage (a $39.99 value).

The licensed massage therapists at iMassage infuse muscles with tranquility, whereas advanced skincare technology tints pale skin and fights the signs of aging. During the one-hour therapeutic massage, staff applies light- to medium-pressure strokes aimed at improving circulation and tending to sources of chronic pain, such as neck kinks and unexplained bank fees. The Lumière light-therapy facial targets fine lines, blemishes, and uneven skin tone with a quick, 20-minute beacon bath. The device's light energy can accelerate cells' absorption of photons, which helps facilitate the body's detoxification and nutrient exchange processes.
To keep the focus solely on relaxation, clients may opt for a deep-tissue massage, designed to lower blood pressure and ease chronic pain. Alternatively, massage therapists can sooth spines with a hot-stone massage; the warm, smooth rocks, all of whom were once someone's beloved pet, help to deepen muscle relaxation and release toxins from the body.
In one of seven private treatment rooms, guests lie down for 60- to 120-minute massages performed by licensed massage therapists. Both male and female massage therapists help clients relax with massages in a variety of modalities, including Swedish, deep tissue, hot stone, and reflexology.
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"Bathroom could have been cleaner."
"Nice relaxing massage, great price."
2118 Cottman Avenue
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Time: 4:00 p.m. EDT
Venue: PPL Park, Chester, Pa.
TV: WPVI-6 (J.P. Dellacamera, Bob Rigby and Keith Russell)
The big day is finally here, as Sébastien Le Toux faces the Union this afternoon for the first time since being traded to the Vancouver Whitecaps.
As always, I'll be posting live updates on Twitter throughout the game, and you can follow along below. I'll also be pulling in tweets from some of the other reporters in the press box, from both the Philadelphia and Vancouver media.
Oh, and amid all the Le Toux hype, the Union are winless on the season and the Whitecaps are undefeated. So there will be plenty of storylines converging at PPL Park.


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updated 02/21/2011 AT 10:00 AM ET
•originally published 02/21/2011 AT 12:00 PM ET
Their own relationship didn't last, but Carlos Leon found the love of his life thanks to Madonna – their daughter Lourdes.
"I'm forever grateful to [Madonna]," Leon tells PEOPLE. "I have no regrets. I wouldn't change anything. I got the best thing out of that relationship, and that's my daughter. My daughter is everything to me."
Like many smitten fathers, Leon, 44, admits he has a tough time being strict with Lourdes, now 14.


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Patent Name: Cart with Movable Platform
Important parts of the Patent include:
• It is a system consisting of a special pallet and cart designed to operate together for efficient and safe operation in a route delivery environment
• The cart interlocks with the pallet as it lifts the pallet to provide a stable platform for transporting goods
• The cart includes as part of the electro-hydraulic lifting mechanism a linkage system to stabilize the lifting platform
• The cart also includes a brake system to provide speed control for the user, as well as a means to lock the cart in place when loading, unloading or storing the cart and pallet.
• The cart's suspension is designed for exceptional maneuverability and to reduce the effort needed to clear obstacles such as door thresholds
CooLift is a new electro-hydraulic lift cart and pallet system used in route delivery applications and the system has a maximum capacity of 1,500 lb of payload. The pallet and lift cart are designed to interlock with each other to provide stable support of customer product during transportation and the lift cart includes an integral braking system; the suspension system is designed for optimal maneuverability and allows delivery personnel to take the cart into most convenient store coolers. The Magliner CooLift Delivery System helps deliver more product in less time - safely and efficiently. The system allows drivers to be more productive, work safer, and stay on the job longer.
Magline, Inc. (www.Magliner.com)
Magline, Inc.
Andrea Horner
800-344-3646 x209


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When Your College Roommate is One of the "Smartest Kids in the World"
"As hard as you are working now, that's how hard I worked in third grade--to get into the middle school that got me into the high school that got me into Stanford."
"As hard as you are working now, that's how hard I worked in third grade--to get into the middle school that got me into the high school that got me into Stanford."
For most of my career at Time and other magazines, I worked hard to avoid education stories.
Kim Ki-hoon earns $4 million a year in South Korea, where he is known as a rock-star teacher—a combination of words not typically heard in the rest of the world.
Planes almost never crash. When they do, most passengers survive. In this way, at least, the crash of Asiana Airlines Flight 214 was no exception.
The future belongs to the insanely motivated. My Atlantic Idea for 2013.
Grouping kids by ability is back, according to the New York Times. So why are other countries headed in the opposite direction?
"One anecdote that truly illuminates the difference between U.S. and Finnish culture came when visitors asked librarians how they filter the Internet for students."
I've been reading Richard Ford's novel Canada, told from the perspective of a 15-year-old boy whose parents—unexpectedly, disastrously—rob a bank.
Marc Tucker explains why Americans are so burnt-out on tests that they might cannibalize the Common Core—the best thing to happen in American education in a long while.
American students, teachers and parents are sick of tests and rightly so. Now some are taking their rage out on the Common Core...


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One of the best ways to learn how to succeed as a trader is to know what not to do. This infographic takes a look at 17 mistakes to avoid if you want to have a successful trading career.
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Intraindividual comparison of intravenous ajmaline and quinidine in patients with sustained ventricular tachycardia: Effects on normal myocardium and on arrhythmia characteristics
European Heart Journal (Impact Factor: 15.2). 05/1985; 6(4):312-22.
Source: PubMed
Intraindividual comparison of the acute response to intravenous quinidine and to intravenous ajmaline was performed in 23 patients with sustained ventricular tachycardia (VT) who underwent serial electrophysiological studies. In each patient, sustained VT could be reproducibly initiated by programmed ventricular stimulation during control studies. Inducibility of sustained VT was prevented after quinidine in 6 of the 23 patients (26%) and after ajmaline in 8 of the same 23 cases (35%). Agreement between the effects of both drugs was not significant: 2 patients had a similar response to both quinidine and ajmaline and 11 patients did not have a response to either of the two drugs, resulting in a total of only 13 patients (57%) who had a similar response to both drugs. In the 11 non-responders with inducible sustained VT before and after both drugs, quinidine and ajmaline caused qualitatively and quantitatively similar alterations of VT characteristics including a significant prolongation of the interval between the initiation extrastimulus and the first beat of VT by 38 and 42% (P less than 0.01), an increase in VT cycle length by 15 and 22% (P less than 0.01) and a prolongation of the QRS duration during VT by 15 and 18% (P less than 0.01), respectively. In all 23 patients, quinidine and ajmaline caused a quantitatively similar prolongation of ventricular refractoriness by 11 and 9% (P less than 0.05), of the QRS duration at sinus rhythm by 10 and 15% (P less than 0.01) and of the QTc interval by 13 and 10% (P less than 0.05), respectively. Thus, ajmaline and quinidine appear to have similar electrophysiological effects on both normal myocardium and on indirect parameters of reentry; in individual patients with sustained VT, however, such electrophysiological similarities do not result in significant agreement of preventive responses.
- References (0)
- Cited In (3)
Article: Pharmacokinetics and antiarrhythmic efficacy of intravenous ajmaline in ventricular arrhythmia of acute onset[Show abstract] [Hide abstract]
ABSTRACT: 21 patients with acute myocardial infarction and ventricular arrhythmia of Lown class II-IIIB of acute onset received a short infusion of (50 mg/5 min) ajmaline (Gilurytmal). 6 of the patients had normal kidney and liver function (Group 1), 4 patients had acute renal failure and hemodialysis treatment (Group 2), 4 patients had impaired hepatic function (Group 3), 3 patients had cardiogenic shock (Group 4), and 4 patients had been pretreated with phenobarbital for seizures for at least 5 days (Group 5). A distribution half-life of 6 +/- 1 min and an elimination half-life of 95 +/- 6 min was determined in Group 1. The total plasma clearance was significantly lower in patients with impaired liver or cardiac function and significantly higher in Group 5, whereas impaired renal function did not affect total plasma clearance. After short infusion, ventricular arrhythmia of Lown II-IIIB completely disappeared for at least 16 to 36 min (mean: 19 min), which was associated with an ajmaline plasma level of 0.1-0.45 micrograms/ml. Additionally, steady-state plasma levels of ajmaline were determined after continuous infusion of 10-50 mg/h to 16 patients (Group 6) with ventricular arrhythmia of acute onset (Lown class IVA-V). Ventricular arrhythmia completely disappeared or at least changed to lower Lown classes at ajmaline plasma levels of 0.4-2.0 micrograms/ml. The ajmaline plasma protein binding was 76 +/- 9%. Ajmaline had a special affinity to alpha 1-acid glycoprotein.European Journal of Drug Metabolism and Pharmacokinetics 04/1989; 14(2):161-7. DOI:10.1007/BF03190857 · 1.56 Impact Factor
Article: Metabolic disposition of ajmaline[Show abstract] [Hide abstract]
ABSTRACT: Urine was collected from six patients receiving a continuous infusion of 20 mg/h ajmaline. Pooled urine was extracted with and without enzymatic conjugate cleavage or hydrolysis with concentrated hydrochloric acid. The extracts were analyzed by gas chromatography/mass spectrometry. Ajmaline and its metabolites in urine were identified in the form of their acetylated derivatives. Twenty two different acetylated derivatives of ajmaline and its metabolites could be detected. Three of these derivatives were artifacts generated by acetylation and/or thermal decomposition. The major metabolic pathways were mono- and di-hydroxylation of the benzene ring with subsequent O-methylation, reduction of the C-21, oxidation of the C-17 and C-21-hydroxyl function, N-oxidation, and a combination of these metabolic steps. Ajmaline and its metabolites were mainly excreted in the form of their conjugates. Furthermore, the interference of sparteine, debrisoquine, quinidine, and nifedipine with ajmaline metabolism was studied with semiquantitative thin-layer chromatography. Ajmaline metabolism was inhibited by co-administration of sparteine or quinidine, but not by debrisoquine or nifedipine. Sparteine most likely competed with ajmaline metabolism. Quinidine probably bound competitively to ajmaline-metabolizing enzymes without being metabolized itself. Additionally, the metabolic ratio of hydroxyajmaline/ajmaline in urine was determined in 9 extensive metabolizers and one poor metabolizer of dextromethorphan. The poor metabolizer had a significantly reduced metabolic ratio of hydroxyajmaline/ajmaline, which indicates that ajmaline metabolism probably co-segregates with polymorphic sparteine/debrisoquine/dextromethorphan metabolism.European Journal of Drug Metabolism and Pharmacokinetics 10/1989; 14(4):309-16. DOI:10.1007/BF03190117 · 1.56 Impact Factor
Article: Hemodynamic and inotropic effects of antiarrhythmic drugs used to treat paroxysmal supraventricular arrhythmias[Show abstract] [Hide abstract]
ABSTRACT: Episodes of sustained paroxysmal supraventricular tachycardias can be terminated by antiarrhythmic drugs given intravenously. The cardiodepressive effects of these drugs are an important limitation of this therapeutic procedure. The dose-dependent circulatory and myocardial effects of the nucleoside adenosine (0.5, 2.0, 5.0 mg/kg/minute) and the class I antiarrhythmic drug ajmaline (1.0, 2.0, 4.0 mg/kg) were investigated in 73 open-chest rats. Hemodynamic measurements in the intact circulation and isovolumic registrations (peak isovolumic left ventricular systolic pressure and peak isovolumic dP/dtmax) were compared with saline controls. Adenosine has a short-lasting, negative, chronotropic effect that causes a dose-dependent reduction of cardiac output (–34%, –54%, –65% vs control). The peak isovolumic left ventricular systolic pressure (LVSP) is not changed significantly by adenosine (–6%, –4%, +5% vs control). The negative chronotropic effect of ajmaline with consecutive reduction of cardiac output is less pronounced (cardiac output: –18%, –20%, –38% vs control). The highest dose of ajmaline causes a significant reduction of peak isovolumic LVSP (–2%, –1%, –7% vs control). Adenosine has an impressive negative chronotropic effect with a consequent marked decrease of cardiac output. The reduction of cardiac output by adenosine is more pronounced compared with ajmaline. Nevertheless, adenosine has—in contrast to ajmaline—no cardiodepressive effectsin vivo.International Journal of Angiology 01/1998; 7(3):197-201. DOI:10.1007/BF01617392
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Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.


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Given the upward momentum of stocks so far this year, it seems crazy when the Dow Jones Industrial Average (DJINDICES: ^DJI ) has a bad day -- yet here we are. As of 2:15 p.m. EST, the index has fallen 88 points, or 0.63%, with all but five of the 30 Dow stocks in the red and a number seeing significant losses. It's not a big announcement or an earnings shock that's taking down the markets today, however. Rather, investors fear the pullback of stimulus dollars. Let's catch up on the details. Quantitative-easing worries don't ease up
The Federal Open Market Committee released its minutes for its most recent meeting, and investors were not pleased. Several members of the committee mentioned possibly adjusting the asset purchases of ongoing economic-stimulus efforts, believing the economy is picking up steam. Unfortunately, the last thing Wall Street wants to see is the money spigot being turned off. Some investors waiting for a pullback in the bull market found their buying opportunity today. Even the hint of a possible reduction of stimulus has hit financials hard. Bank of America (NYSE: BAC ) is leading all Dow laggards down, having lost 3.6% so far today. While some Wall Street sources considered the scaling-back of stimulus proof of the FOMC's belief in the economy's recovery, any actual pullback of easing will hamper the momentum B of A and fellow financial stocks have picked up recently. Bank of America has soared in the QE climate, gaining more than 44% over the past six months


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Han River Guesthouse
Located near Hongdae, Han River Guesthouse gives you great access to enjoy the colorful latest fashion, savoring famous Korean delicacies and to absorb the vibrant and energetic nightlife. Furthermore, you can go to famous places such as City hall, Myeong-dong, Dongdaemun Market, Namdaemum Market, Cheonggyecheo and Insadong.
We are offering an affordable and high quality accommodation, wth varieties of free services to our guest, as well as necessary information on Korean history and culture.
Welcome to Han River Guesthouse near Hongdae, in Seoul.
Availability & RatesTo view availability and prices please select dates and click 'Update Dates'
Hostel Facilities & Policies
- 24 hour reception
- Adaptors
- Air Conditioning
- Bicycle hire
- Bicycle parking
- Breakfast Included
- Cable TV
- Common Room
- Credit Cards Accepted
- Elevator
- Free Wifi
- Hair Dryers
- Hot Showers
- House Keeping
- Internet Access
- Key Card Access
- Kitchen
- Laundry Facilities
- Linen Not Included
- Lockers
- Meeting Room
- Parking
- Restaurant
- Safety Deposit Box
- Tea/Coffee Making Facilities
- Tours/Travel Desk
- Towels Included
- Washing Machine
- Wheelchair Accessible
Cancellation PolicyThis property has a 3 day cancellation policy. Failure to cancel within this time will result in a cancellation charge equal to the first night of your stay.
Must-Read Hostel InfoThis property has specific Terms & Conditions.
1. Check in 2pm and check out until 11am.
2. Cash and credit card are both accepted forms of payment upon arrival.
3. Cancellation policy: 3-day advance notice is required for cancellation free of charge.
DirectionsShow MapHide Map
Han River Guesthouse is convenient for transportation. It's only take you 5 minutes walking from Mapo Staion, Exit No.4 (Subway Line No.5 )
Located Near
We offer pick-up service and Drop-off Service at your arrival and departure from Gongdeok station which has airport line from Incheon International Airport to Our Guesthouse. This service is free of charge at any time.
The nearest station is Mapo station which is connected to line # 5. It takes 7-8 minutes to walk to our guesthouse.
After your daily Journey, We can pick you up from Mapo station Exit # 3, when you contact us by phone. This service is free of charge until 11pm.


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Dan Foreman (Dennis Quaid) is a loving husband, caring father and star ad executive. But now, life is putting him through the ultimate test. Carter Duryea (Topher Grace), a young hotshot half his age, has just become his boss. And to complicate matters, Dan discovers Carter is dating his daughter (Scarlett Johansson). It's filled with genuine laughs and you're in good company when you watch this entertaining comedy that Rolling Stone calls "hilarious."
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A good show, but not very realistic in today's world. Today the young and inexperienced replace the older experienced worker and run the company into the ground! Read morePublished 3 months ago by combat addict
About so many things- what constitutes good business practices and relationships (and personal ones), deciding what kind of person you want to be, what matters to you, learning new... Read morePublished 5 months ago by Trancelucence
A good comedy! It is family friendly for younger people as well, though I would definitely feel that it's more of an adult movie because of the subject matter. Read morePublished 6 months ago by CJ
Very entertaining and pretry funny. Cute movies the whole family could watch. We enjoyed it.Published 7 months ago by Joe
Very good movie about how surrounding yourself with tue right people can lead yoy to learn a lot.Published 7 months ago by Joshua Thomas Skinner
Great film with a great cast. Enjoyed the comedy very much.Published 10 months ago by David A Zehngut


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"This works on just about every level it could: as psychedelic rock, as straight-up world music composition and chillout album. One of the year's best so far."
"When a Tuvan sings praises of mother and country, which is what a Tuvan usually sings, he often does it in three-part harmony. By himself."
"It is unfamiliar yet very accessible, an other-worldly but deeply spiritual music that is rooted in the sounds of nature."
"A rustic joyousness and unadulterated expressiveness come out of these musicians."
"The Tuvans will ride into your brain and leave hoofprints up and down your spine."


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Chicken With Mustard Cream and Mushrooms
Source: dLife
Slow cooked chicken pieces with mushrooms, garlic, rosemary, and served with a mustard sauce.
3 each fresh portobello mushroom
2 each medium garlic cloves
3 1/2 lb boneless skinless chicken breasts
2 tsp dried rosemary
0 1/2 tsp salt
0 1/4 tsp black pepper
0 1/4 cup low sodium chicken broth
0 1/4 cup white wine
0 1/2 cup Sour Cream, light
1 tbsp Mustard, dijon, rough
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Azonto Fiesta
Everybody do the Azonto!
Sarkodie's single is an apt celebration of his win at the 2012 BET Awards for Best International Act: Africa.
Posted on:
July 3, 2012, 6:12 a.m.
Ghana's star Sarkodie teams up with Davido in this irresisistible hiplife track.
Dance promo video for the 10th Annual Ghana Music Awards 2012, held on November 24, 2012 in London, UK.
In this episode, Ikenna Azuike talks about the Lonmin shootings in South Africa, Jeremy Ginsberg's Azonto video from Ghana and music from...
Director: Jorge Freeman
Country: Ghana
Year: 2012
Producer: Appietus
Studio: Creative Records
Artist: Sarkodie featuring Kesse, Appietus
Official site: Sarkodie on Facebook


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Discover your favourite sports star, musician or historical figure in more depth with our range of biographies.
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Considering Maus
An interrupted life
Eva's Story- Signed copy First Edition 1988
...Then Nothing Will Fail
Living with the Enemy : My Secret Life on the Run from the Nazis
Mengele: The Complete Story
Chasing the King of Hearts - with signed promotional card
Refugee from the Japanese
Spectator in Hell: A British Soldier's Extraordinary Story (Signed copy)
I Was Doctor Mengele's Assistant. The Memoirs of An Auschwitz Physician
Nicholas Winton and the Rescued Generation
Paul's Journey
Gebruder Wolf, an de eck steiht'n jung mit'n tudelband
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Capital Markets
Company Overview of Diamond Hill Financial Trends Fund, Inc.
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I'm so much pleasure of my team's time (50 people) staying in this hotel and wish to come back again in the future. It's location is very near to the beach, foreigners plot area, clean, safe and many more favorable things.
By this point in our trip this represented relative luxury - the shower was clean (luke warm was luxurious), whatever service we needed was ok and the rooms were big enough to relax in after a long trip. Surrounded by restaurants, travel agents and all the usual stuff - bay is less than 10 mins walk down the hill, in...
Guesthouse situated at a busy intersection. I liked size, price. Good air con, big complaint when they lost sock when cleaning, older lady screaming and tossing my single sock in lobby, Blaming me, Never found, compensated or a simple sorry, poor wi fi.
Well first things first I was pleasantly surprised by the overall room size. But that is as far as it goes , the free wifi was a constant struggle to even deal with emails was a tiresome duty even when the internet was working. No proof but i think the staff themselves are using up all the bandwidth. Had a...
I can't help but feel like this hotel would do very well if only it improved it's level of customer service.
This is the first place we've stayed in a long time where we felt that the staff were borderline rude. It doesn't take much to say hello or goodbye when walking reception, or even a thank you when settling...
My girlfriend and I (both 25) stayed here for 1 night during our week long stay in Sihaunoukville. We only paid $13 for one night which was as cheaper than anything we could find. I spent the full day in the room ill and it wasn't a bad place to recover. The air con worked well, the TV had some...
Our 4th visit to Snooky, probably looked at rooms in all the mid range budget places & this place takes some beating. The man on reception initially appears rude & unhelpful but we later found out he speaks very little english. The lady is lovely, gave us a $20 room for $18 after some brief haggling, moved us to a...
The rooms were relatively clean and comfortable. However the staff were very unfriendly and unhelpful. The location was pretty good. Close to restaurants and bars but not too noisy. You can only get wifi in the foyer which is kind of annoying. Would not stay here again.
After trying out at monkey Republic over the road and finding them full (not able to make reservations you just have to turn up and hope) we walked over the road to what looks like an expensive hotel. The guy working on the desk was very friendly and offered us a variety of rooms. We opted for the cheapest (twin)...
Moved here from a terrible backpackers and it was a great decision. The room was huge, bedding clean, amazing hot power shower, fridge, air con. Did the job!
Wifi in lobby, would be nice to have this in the room too.
Great location and we only paid a few dollars more than the terrible hostel nearby. Well worth it!


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from £115 /night help Price for guests, Nights
5 reviews
from £115 /night help Price for guests, Nights
Estimated nightly price based on a weekly stay. Excludes fees (if applicable). Enter your dates to see the total cost.
Apartment / 2 bedrooms / sleeps 4 Home 1724908
Availability Your dates are available
Apartment / 2 bedrooms / sleeps 4
|Key Info
If its a central location you want, then this is it!
A particularly spacious apartment, literally three minutes walk from Cabot Circus, Bristol's flagship £500 million leisure and shopping development.
Essentially this is an apartment for four.
Ideal for people staying on business or two sets of couples wanting to spend a few days exploring this vibrant City or singles wanting oodles of space! The list is endless!
So close to the City Centre and yet amazingly within a tranquil setting surrounded my modern buildings.
Excellent value. Reduction for full week or more.
The apartment is on the ground floor of a modern, small and tasteful apartment block and is accessed through a secure communal entrance. In fact it is just off the main hallway as one enters the building.
Light and airy and very comfortable, the apartment benefits from a comprehensively equipped kitchen and a nice bathroom with shower and WC. Quality fittings.
Definitely a place to relax and enjoy in the knowledge that so many amenities are on the doorstep.
Quality fresh bed linen and towels. Spotlessly clean apartment.
Such a good alternative to and much more competitively priced than a hotel. As an example, the nearby Holiday Inn charges well in excess of £120.00 for room only! For a room at The Holiday Inn which is a quarter of the size of this apartment the cost is £160.00 upwards! The apartment of course has more freedom and flexibility over what you do & when. All the privacy you want.
The cost for a single night weekend booking this year I have had to sensibly increase to a fully inclusive £150.00 because of the servicing costs before and after for the sake of one night - but it always means an immaculately clean property, bedding and towels etc all of which guests appreciate.
This apartment can offer you exactly what you need, with the security of a home, the practicality of a central location, and modern comforts.
For stays of four nights or more at the advertised rate, a complimentary welcome starter pack of basic food items - milk, juice, tea, coffee, fruit, wine and fresh flowers etc will await guests on their arrival.
For those guests who are taking short breaks of just a night or two, a similar complimentary welcome starter pack can be made available at an additional cost of £15.00.
As well as on street meter parking, Cabot Circus - just a few minutes walk - has secure, state of the art well lit overnight fully covered parking for a very modest fee - just £2.50 between 5.00 pm and 6.00 am!!. There is now also guaranteed private parking of our own in a secure compound two minutes away at a cost of £10.00 per 24 hour period or part thereof.
Check in is after 2.00 p.m. and check out by 11.00 a.m. at latest. According to the level of bookings there could be flexibility with times of arrival and departure, something which doesn't often feature elsewhere!
Usually self check-in. Very simple booking system.
Come and enjoy this wonderful city - a short refreshing break here might do you the world of good at this time of year!
Incidentally, Bath is only an easy 12 minute train ride away!
A ten minute walk from the Bus Station.
A twenty minute walk or eight minute taxi ride from Bristol Temple Meads Rail Station.
45 minutes by regular dedicated Airport Bus service from Bristol Airport
|Sleeps up to 4, 2 bedrooms
|2 bedrooms, 1 bathrooms of which 1 Family bathrooms
|Will consider
|Long term lets (over 1 month)
|Car not necessary
|Nearest travel links
|20 km, 4 km
|Family friendly
|Great for children of all ages
|No pets allowed, No smoking at this property
Features and Facilities
|Internet access, DVD player
|Central heating, TV, Wi-Fi available
|Kettle, Toaster, Iron, Hair dryer
|Dishwasher, Cooker, Microwave, Fridge, Freezer, Washing machine
|Double beds (2), Dining seats for 4
|Linen provided, Towels provided
|Suitable for people with restricted mobility, Wheelchair users
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Calendar last updated:01 Oct 2015
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Gabor Black 'Glimpse' womens court shoes
Item No.60893_1020368021
Item No.60893_1020368021
38% Off - Save a total of £30.99
Catch a glimpse of the gorgeous Gabor Glimpse Mary-Jane court shoes. This sultry suede pair will literally lift your look, thanks to the 7cm block heel on which they stand.
UK Home Delivery Free (UK orders over £30) or £3.49
Delivered within 4 working days
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Subject to exceptions, Debenhams is happy to exchange or refund your purchase within 28 days of delivery. Please check here for more details on our returns policy and exceptions.


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Lemoyne, PAUSA
March 8, 2014
No answer yet
Many things. Ski, kayak, hike, movies, read, attend live music performances....etc....
Social gatherings, happy hours, dinner nights, etc.
The number of people involved.
Hi im looking forward to meeting new people and having fun!
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Review: Samsung Galaxy Note Pro 12 -- The Biggest Tablet Yet
The new Magazine UX is strangely reminiscent of Windows 8, and even has "Live Tiles."
The new Magazine UX is strangely reminiscent of Windows 8, and even has "Live Tiles."
Flexibility and expandability are the main advantages of Dell's low-cost, do-it-yourself server.
With its series of Venue tablets for Android and Windows, Dell could be on a winning streak.
Aimed at the high-end enterprise worker, MultiSync EA-series monitors are designed with multimonitor users in mind.
The latest Ultrabook from Hewlett-Packard performed well, but its new 'ForcePad' took some getting used to.
Dell's convertible Ultrabook serves all purposes well, but suffers from mediocre performance and battery life unbecoming of Haswell.
Logitech's latest sub-$1,000 videoconferencing system is as capable as systems costing five times as much and is far easier to navigate.
Netgear's latest low-cost access point delivers the goods.
GammaTech's latest ruggedized notebook can take a beating while minimizing damage to the budget.
Lenovo's latest AiO performs like a workstation, but is priced for most budgets.
Intel high-speed wireless networking and fourth-gen processor are now a part of all XPS 13 models.
The more powerful ProLiant MicroServer offers greater capacities and can now be remotely managed with iLO.
Samsung still stands alone in the tablet world. The stylus-based Galaxy Note 8 makes for easier note-taking, more precise graphical content creation and more efficient navigation.
Lexmark's latest color MFP series is a solid choice for the office all-in-one device.
Canon's color laser MFP lives up to its ImageClass name.
Q&A: Big Switch Networks CEO On Why The Channel Needs A White-Box Alterative To Selling Cisco
Douglas Murray says solution providers need to differentiate themselves in the market by selling the fast-growing white box solutions that are gaining traction in the data center.
5 Companies That Had A Rough Week
For the week ending Oct. 2, CRN looks at IT companies that were unfortunate, unsuccessful or just didn't make good decisions.
Security Channel Chiefs: What's Your Biggest Security Fear?
With mega data breaches, nation state attacks, sophisticated malware and more, there's plenty to keep a security professional up at night. Take a look at what channel chiefs from some of the top security vendors say scares them the most.
2015 Best States To Expand A Solution Provider Business
Check out our interactive map for a detailed analysis of the business climate in all 50 states.


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Deakin home > Deakin Research
Research showcase
Nomadic shorebirds: finding water in the desert
Thu, 23 Oct 2014 13:10:00 +1100
Waterbirds have been tracked from space to understand their ability to find ephemeral desert wetlands. Read more
Fathoming the Family Court
Wed, 22 Oct 2014 15:39:00 +1100
Researcher Ian Parsons has developed a resource booklet to demystify the Family Law Court. Read more
Machines learn to pick up the cues
Wed, 22 Oct 2014 13:18:00 +1100
A new data pattern recognition program is pinpointing people most at risk of suicide. Read more
Vale Gough Whitlam - a visionary Australian
Wed, 22 Oct 2014 09:22:00 +1100
Deakin economics expert, Margaret McKenzie, reflects on the former Prime Minister's economic legacy. Read more
Remembering Black Saturday
Tue, 21 Oct 2014 15:14:00 +1100
Robert Kenny wins History Publication Award Read more
Detecting the keys to wellbeing
Tue, 21 Oct 2014 14:10:00 +1100
New Centre Director, Craig Olsson, is spearheading large scale, multi-generational research. Read more
The Sound of the Not-So-Silent
Tue, 21 Oct 2014 12:18:00 +1100
Holocaust exhibitions and the 'myth of silence'. Read more
NHMRC Outcome Success
Fri, 17 Oct 2014 20:44:00 +1100
Deakin University has been awarded five NHMRC Project Grant Awards and two NHMRC Fellowships. Read more
Influencing the law
Wed, 15 Oct 2014 11:14:00 +1100
Deakin criminologist Kate Fitz-Gibbon has been honoured in '100 Women of Influence' awards. Read more
Multiplying factors
Wed, 15 Oct 2014 10:20:00 +1100
Alfred Deakin Medallist Grace Jefferson takes to the classroom to share her passion for maths. Read more
Deakin University CRICOS Provider Code: 00113B
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27th February 2015


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Murder Mystery Dinner Theater
"Evil Never Dies"
Saturday, October 17, 2015
He was called Evil-Eyed Emil. When he looked at people with his infamous right eye, so the story went, bad things invariably happened. Townspeople cringed and covered their faces as Emil came near, not daring to look directly into his ominous orb. And, as he was being driven out of Reaper Junction on Halloween night exactly 100 years ago, Emil vowed to return one day to wreak his vengeance on the mob and its progeny for the way he had been so rudely tossed out.
Show Date, Time & Tickets
Saturday, October 17, 2015
Doors Open at 5:30 pm, Murder Mystery begins at 6 pm
Buffet meal with cash bar
Fee: $30 per person
Tickets must be purchased no later than Monday, October 12 (but call just in case there are any remaining seats). Halloween costumes encouraged!
For tickets, contact Suzanne Lawrence, Director of Continuing Education, 920-683-4702, email@example.com or purchase online here.