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Analgesia Y Trabajo De Parto. (Analgesia And The Outcome Of Labor.)
Mark C. Norris
Professor of Anesthesiology and Obstetrics & Gynecology. Chief, Section of Obstetrical Anesthesia. Department of Anesthesiology Washington University School of Medicine, St. Louis, MO 63130, USA
Y Trabajo De Parto.
El bloqueo epidural es actualmente el único medio efectivo y más seguro disponible para analgesia en el trabajo de parto. Muchos investigadores se han preguntado: la analgesia epidural, ¿ prolonga el trabajo de parto ? Esta suposición data desde los años 50s. El trabajo de parto prolongado se asocia con mujeres que han recibido analgesia epidural cuando se comparan con aquellas que no recibieron analgesia epidural, sin embargo, aunque la analgesia epidural puede correlacionarse con trabajo de parto anormal y cesárea, esta asociación no es causada por la analgesia epidural propiamente dicha. La presente revisión discute la evidencia publicada en la literatura y el impacto del manejo obstétrico sobre el riesgo de operación cesárea asociada con analgesia epidural.
Epidural block is the only available effective method of labor analgesia Many investigators have asked the question: Does epidural analgesia prolong labor ? This thought that epidural analgesia prolongs labor arose in the 1950's. Women receiving epidural analgesia often have longer labors than those who do not. It is attributed to the effects of epidural analgesia. While the use of epidural labor analgesia may correlate with abnormal labor and cesarean delivery, this association is not caused by epidural analgesia itself. This review discusses the evidence published in literature and the impact of obstetric management on the risk of cesarean delivery associated with epidural analgesia.
Clave: Analgesia
Epidural, Complicaciones, Trabajo De Parto Prolongado, Cesárea
Key Words: Epidural Analgesia, Complications, Labor, Cesarean Delivery
EPIDURAL BLOCK is the only available effective method of labor analgesia. Some obstetricians and parts of the lay public have long claimed that labor epidural analgesia has a harmful effect on the progress and outcome of labor. Epidural analgesia has been accused of stopping contractions, slowing labor and increasing the incidence of malpresentation and the need for cesarean delivery.
The thought that epidural analgesia prolongs labor arose in the 1950's. This accusation is based on a few retrospective, biased, uncontrolled studies of outmoded anesthetic techniques. The studies most often quoted examine the effect of caudal, not lumbar, epidural block on labor1,2 The results these authors reported actually show little or no effect of regional anesthesia on the progress of labor. In one study, Friedman and Sachtleben found it "rather odd" that their data did not reflect any slowing of cervical dilation with "premature" (< 7 cm) caudal anesthesia1. In a follow-up study, they could attribute only 5.9% of cases of prolonged latent labor to caudal anesthesia2 These conclusions have been exaggerated with time. In their follow-up study, Friedman and Sachtleben claimed that their initial study documented "the sensitivity of early labor to major regional-conduction anesthesia"2.
Study design, investigator bias and anesthetic technique contribute to the "harmful" effects of epidural analgesia on the progress and outcome of labor. However, most of the purported harmful effects of labor epidural analgesia result from patient factors (women having abnormal labors are more likely to request epidural block) and obstetrical decisions, not from the analgesic technique itself.
Epidural Analgesia And Uterine Activity
One means by which epidural analgesia may slow labor is by decreasing uterine activity. Several investigators reported a transient decrease in the frequency and intensity of contractions after induction of labor epidural analgesia3,4,5. This effect was greater when epinephrine, 1:200,000 was included in the injectate4,5. However, these authors positioned their patients supine, without left uterine displacement and did not control fluid management. Merely placing a parturient in the supine position decreases uterine activity6. When patients are nursed in the lateral position, labor epidural analgesia has no effect on the frequency or intensity of uterine contractions7,8. Rapid fluid administration before epidural blockade also can transiently decrease uterine activity9,10. Epidural block without fluid loading is associated with increased uterine activity, but no increased risk of hypotension (table 1)9.
After Fluids
After Epidural
125 m L/h
No Change
500 mL /Bolus
No Change
No Change
1000 mL / Bolus
No Change
Data from: Cheek TG, et al. Anaesthesia 1996;77:6329
Epidural Analgesia And Prolonged Labor
Many investigators have asked the question: Does epidural analgesia prolong labor ? Although studies often find a correlation between epidural analgesia and long labor, because of their design, they cannot separate cause and effect. Retrospective and nonrandomized designs suffer from a serious flaw: women do not choose epidural analgesia randomly. Most clinical reports blame the correlation between epidural block and various adverse outcomes directly on the anesthetic. What investigators often fail to consider is that the condition prompting the woman to request analgesia (painful labor), not the epidural technique itself, may cause the adverse outcome.
Women receiving epidural analgesia often have longer labors than those who do not. So, some investigators claim that epidural block hinders uterine contractility and slows labor8. This effect is supposedly most significant if epidural analgesia is induced early in the course of labor11. Thorp and colleagues published a typical study examining the "effect" of epidural analgesia on the progress of labor12. They reviewed the records of 711 term, nulliparae with spontaneous labors. They divided these women into two groups according to their need for analgesia (epidural, n = 447, nothing/i.v. narcotics, n = 264). Women in the epidural group were more likely to receive oxytocin augmentation and had longer labors than those in the no epidural group. Thorp et al. attributed these effects to epidural analgesia12 (figure 1).
"Effect" of epidural analgesia on the progress of labor. Women who received labor epidural analgesia were more likely to receive oxytocin augmentation. They also had longer labors than women receiving either no analgesia or meperidine. Data from Thorp JA, et al. Am J Obstet Gynecol 1989; 161:67012
However, women do not choose epidural analgesia randomly. Parturients with severe pain are more likely to request epidural analgesia. Painful labor is more likely to be abnormally prolonged and complicated. Wuitchik et al. recorded subjective pain evaluations during latent labor. Women who suffered "horrible" or "excruciating" pain during latent labor had significantly longer active labors than did women who had only "discomforting" pain (9.6 h vs. 3.8 h)." Other studies also show that women who eventually request epidural analgesia have prolonged, painful labor even before they receive pain relief. These women arrive at the hospital with less cervical change (3.0 vs 4.8 cm) and with fetuses higher in the pelvis than women who request no analgesia (figure 2)12,14,15. They have slower rates of cervical dilatation before induction of epidural block14,15. They have bigger babies12,14,15. These babies are more likely to present in the occiput transverse or posterior position2. These factors, which cause, or result from, slow, painful, labor occur before the induction of epidural block. Thus, women with abnormal labors are more likely to request epidural analgesia16. It should come as no surprise that these labors remain abnormal after the induction of epidural block.
Average labor curves of nulliparae in spontaneous labor who requested epidural analgesia and a similar group who did not (controls). Epidural analgesia was induced at 4 cm cervical dilation. The women requesting epidural block had slower rates of cervical dilation before the induction of analgesia. Data from: Willdeck-Lund G, et al. Acta Anesth Scand 1979;23:30114
Recently, several groups have reported randomized prospective trials examining the impact of epidural analgesia on the progress of labor16,17,18,19,20,21 Unfortunately, interpretation of each of these studies is complicated by the frequent occurrence of protocol violations. When data analysis includes all patients assigned to each group (intent-to-treat analysis), there is usually no difference in the duration of labor between the two groups16,20. However, when data analysis includes only patients who receive only their assigned treatment (protocol compliant patients), women receiving epidural analgesia have longer labors and receive more oxytocin16,17,18,19. This effect is not surprising given the opposing reasons that women do not receive their allocated treatments. Protocol non-compliant women assigned to the epidural group either refused analgesia or progressed too rapidly to receive their allocated technique. Non-compliant women in the meperidine group often demanded epidural analgesia because they failed to obtain adequate relief from their allocated analgesic. Thus, women with shorter, less painful labors were preferentially excluded from the epidural groups, while those with longer, more painful labors removed themselves from the meperidine groups16
The timing of epidural analgesia has no impact on the duration of labor. Two prospective, randomized studies found differences in the duration of labor with induction of epidural block in early (< 5 cm cervical dilation) versus more advanced labor22,23
Thus, the impact of epidural analgesia on the duration of labor remains controversial. While some studies suggest that epidural block prolongs labor, others find no effect. The timing of epidural analgesia lacks effect on labor progress.
Epidural Analgesia And Malpresentation
Another purported risk of epidural analgesia is an increased incidence of malpresentation. Studies have reported a 20-26% incidence of malpresentation associated with the use of epidural analgesia (figure 3)17,24,25 This risk may be more related to maternal factors and technical issues than to epidural block per se.
Concentration of epidural local anesthetic vs. use of rotational forceps. Dilute local opioid mixtures are associated with a decreased need for rotational forceps. Data from: Hoult IJ, et al. Br Med J 1977; 1: 1425
Smaller maternal pelvic outlet capacity predicts fetal malpresentation (and the need for epidural analgesia)1,26. Thus women at increased risk of malpresentation are more likely to request epidural analgesia.
Changes in epidural technique also affect the incidence of malpresentation. One practice changed from intermittent injections of 0.375% bupivacaine with 1:200,000 epinephrine to bolus doses of 0. 125% bupivacaine with 2-5 µg/mL fentanyl. The incidence of fetal head malposition decreased from 26% to 5%. Four percent of women who did not need labor analgesia had malpositioned fetal heads24. In another practice, the need for midforceps rotations fell from 16% to 10% to 5% as anesthetic technique changed from intermittent injections of 1.5% lidocaine with 1:200,000 epinephrine to continuous infusion of 0.125% bupivacaine with 2 µg/mL fentanyl to 0.0625% bupivacaine with 0.3 µg/mL sufentanil.27 In a prospective, randomized study, decreasing the concentration of infused bupivacaine (from 0. 125% with 1 µg/mL fentanyl to 0.0625% with 1 µg/mL fentanyl) decreased the use of rotational forceps from 28% to 7%.28
Epidural Analgesia And Instrumental Delivery
Both fetal head malposition and motor blockade can increase the need for forceps or vacuum delivery. Many studies report a correlation between labor epidural analgesia and instrumental delivery8,25,29 Most of these studios are retrospective, nonrandomized and do not control the indications for forceps delivery. Women with well functioning labor epidural catheters will tolerate instrumental delivery better than those with no analgesia. Thus, they may be more likely candidates for intervention.
Randomized comparisons of epidural and systemic labor analgesia often show no increased use of forceps or vacuum at delivery30, especially when their elective use is not allowed19,21.
Changes in anesthetic and obstetrical management can eliminate any effect that epidural analgesia may have on the need for forceps delivery. Epidural opioids can decrease the amount of local anesthetic needed to provide maternal analgesia. These more dilute local anesthetic-opioid solutions produce less maternal motor block and have less effect on the mode of vaginal delivery. Providing second stage analgesia with a continuous infusion of 0.0625% bupivacaine with 0.0002% fentanyl results in the same need for forceps as infusing normal saline31. Adding 10 µg of sufentanil to a 10 mL bolus of 0.125% bupivacaine with 1:800,000 epinephrine significantly decreases both the amount of bupivacaine needed to provide labor analgesia and the frequency of instrumental delivery32.
As with prolonged labor, the correlation between epidural analgesia and malposition reflects the impact of a painful condition (malpresentation) on the choice of pain relief as much as the effect of epidural analgesia on the incidence of an obstetric complication. What influence epidural analgesia may have on malposition and the second stage of labor can be minimized or eliminated by using the least amount of local anesthetic possible.
Epidural Analgesia And Cesarean Delivery
Multiple studies have shown examined the association between epidural analgesia and cesarean delivery8,11,12,16,17,18,19,20,21 Some of these studies are nonrandomized and cannot control for selection bias8,11,33 (Women do not request epidural analgesia randomly. As noted above, parturients experiencing a prolonged, abnormal, painful labor are more likely to request epidural analgesia than are those who have a rapid, uncomplicated labor).
Two prospective, randomized studies reported an increased risk of cesarean section associated with epidural analgesia17,18. Both of the studies suffer significant flaws. One compared outcomes in 48 women receiving epidural analgesia (0.25% bupivacaine bolus and 0. 12 5% bupivacaine infusion) and 45 women receiving intravenous meperidine/ promethazine for labor analgesia. The incidence of cesarean section for dystocia was 16.7% in the epidural group but only 2.2% in the meperidine group17. The authors had intended to study 200 women but stopped at 93 because they had attained a statistically significant difference. The perils of this choice should be obvious. A difference of one cesarean section in either group would have eliminated the statistical significance of their result.
Similar small studies compared epidural analgesia (with 1.0-1.5 µg/mL fentanyl added to the above solutions) and intravenous butorphanol or meperidine in laboring women16,20. Here, the incidence of cesarean section for dystocia was similar in the two groups (8% vs. 6%20 and 5.8% vs. 10.5%16). These studies suggest that there is no increase in dystocia-related cesarean section associated with the use of epidural labor analgesia.
Larger studies can provide more robust answers to this question, but suffer from limitations of their own. Ramin et al. enrolled 1330 women in a randomized comparison of epidural analgesia (0.25% bupivacaine bolus and 0.125% bupivacaine with 2 µg ml) fentanyl infusion) in intermittent intravenous meperidine/promethazine18. Among the women who received their allocated method of analgesia (protocol compliant patients), there was a 2-4 fold greater risk of dystocia-related cesarean section associated with
epidural analgesia. However, only 65% of patients in each group received their randomly chosen analgesic technique. Most notable, 103 women assigned to the meperidine group received epidural analgesia after meperidine proved inadequate. When all patients were included in the data analysis (intent-to-treat analysis), the difference in the risk of dystocia-related cesarean section associated with epidural analgesia disappeared. However, women in the epidural group were more likely to require "operative (forceps or surgical) delivery for dystocia" (9% vs. 5%)18.
These authors enrolled 715 women in a follow-up study that compared epidural analgesia to patient controlled intravenous analgesia (PCIA). Now, only 5 women in the meperidine group received epidural analgesia. Analysis of both protocol coinpliant patients or all patients failed to find any increased risk of cesarean section associated with epidural analgesia (tables 2 & 3)19.
Method of delivery
Epidural Analgesia (N=358)
Patient controlled Intravenous analgesia (N=357)
p value
Nonreassuring FHR tracing
Total operative delivery
31 (9)
Data are N (%). Data from: Sharma SK, et al. Anesthesiology 1997;87:48719
Method of delivery
Epidural Analgesia (N=243)
Patient controlled Intravenous analgesia (N=259)
p value
Nonreassuring FHR tracing
Total operative delivery
Data from: Sharma SK, et at. Anesthesiology 1997;87:48719
A similar study, from the same institution compared the frequency of cesarean delivery in women receiving either combined spinal-epidural analgesia or intravenous meperidine21. Again, assignment to the regional analgesia group did not increase the risk of cesarean delivery for dystocia (3.5% us 4.0%).
Obstetrical management may contribute to the "effect" of epidural analgesia on the frequency of cesarean delivery. Neuhoff et al34, examined the frequency of cesarean delivery in two groups of patients delivering in a single hospital (figure 4). The use of epidural labor analgesia was similar in both groups of women (42%). In private patients, the incidence of cesarean section for dystocia increased from 9.1% to 20.2% with the use of epidural labor analgesia. In clinic patients, however, the incidence of dystocia-related cesarean delivery remained unchanged by the use of epidural analgesia (0% vs. 1.2%)34.
The impact of obstetric management on the risk of cesarean delivery associated with epidural analgesia. Nulliparae with vertex fetuses were managed by either private and clinical physicians at a single metropolitan hospital. Forty two percent of women in each group received labor epidural analgesia. Obstetric outcomes were identical. Data from: Neuhoff D, et al. Obstet Gynecol 1989;73:91534
There are other ways to examine the effects of epidural analgesia on the risk of cesarean delivery. Several groups have examined the impact of a sudden change in the use of epidural labor analgesia on the frequency of cesarean delivery35,36,37,38. Changes in the availability of epidural labor analgesia did not affect the frequency of dystocia-related cesarean delivery. However, when epidural analgesia was readily available, women who received this intervention were 8 times more likely to have a cesarean delivery than women who did not (table 4)36. These results suggest that epidural analgesia does not increase the risk of cesarean delivery, but women at high risk for cesarean delivery are likely to request effective pain relief when it is available.
Source (ref)
N (Before vs After)
% Epidural (Before vs After)
Total C/S Before vs After
Dystocia C/S Before vs After
Dystocia C/S After-Epidural vs After-no Epidural
Johnson and Rosenfeld36
116 vs 103
71 vs 21
17.2 vs 18.4
Lyon et all35
373 vs 421
13 vs 59
11.8 vs 10.0
7.8 vs 5.2
8.1 vs 1.1
Gribble and Meier33
vs 425
vs 61
vs 16.0
vs 14.4
vs 7.9
Foger et al34
3195 vs 3733
1 vs 29
9.1 vs 9.7
3.0 vs 3.1
8.0 vs 1.0
Data from: Fogel ST, et al. Anesth Analg 1998;87:11936
In summary, while the use of epidural labor analgesia may correlate with abnormal labor and cesarean delivery, this association is not caused by epidural analgesia itself. Women request analgesia because they are having pain. Severe pain is a symptom of abnormal labor. This painful, abnormal labor causes both the request for epidural labor analgesia and the complications often attributed to epidural block.
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Bofill JA, Vincent RD, Ross EL, Martin RW, Norman PF, Werhan CF, Morrison JC. Nulliparous active labor, epidural analgesia, and cesarean delivery for dystocia. Am J Obstet Gynecol 1997;177:1465-1470
Gambling DR, Sharma SK, Ramin SM, Lucas MJ, Leveno KJ, Wiley J, Sidawi JE. A randomized study of combined spinalepidural analgesia versus intravenous meperidine during labor. Impact on cesarean delivery rate. Anesthesiology 1998;89:1336-1344
Chestnut DH, Vincent RD Jr, McGrath JM, Choi WW, Bates JN. Does early administration of epidural analgesia affect obstetric outcome in nulliparous women who are receiving intravenous oxytocin ? Anesthesiology 1994;80:1193-1200
Chestnut DH, McGrath JM, Vincent RD Jr, Penning DH, Choi WW, Bates JN, McFarlane C. Does early administration of epidural analgesia affect obstetric outcome in nulliparous women who are in spontaneous labor ? Anesthesiology 1994;80:1201-1208
Parker RK. Influence of labor epidural management on outcome in obstetrics. Reg Anesth 1992;17:S31 (Abstract)
Hoult IJ, MacLennan AH, Carrie LES. Lumbar epidural analgesia in labour: relation to fetal malposition and instrumental delivery. Br Med J 1977; 1: 14-16
Floberg J, Belfrage P, OhIsén H. Influence of the pelvic outlet capacity on fetal head presentation at delivery. Acta Obstet Gynecol Scand 1987;66:127-130
Naulty JS, March MG, Leavitt KL, Smith R, Urso PR. Effect of changes in labor analgesic practice on labor outcome. Anesthesiology 1992;77:A979 (Abstract)
Stoddart AP, Nicholson KEA, Popham PA. Low dose bupivacaine fentanyl epidural infusions in labour and mode of delivery. Anaesthesia 1994;49:1087-1090
Hawkins JL, Hess KR, Kubicek MA, Joyce TH,III, Morrow DH. A reevaluation of the association between instrument delivery and epidural analgesia. Reg Anesth 1995;20:50-56
Zimmermann DL, Breen TW, Fick G: Adding fentanyl 0.0002% to epidural bupivacaine 0.125% does not delay gastric emptying in laboring parturients. Anesth Analg 1996;82:612-616
Chestnut DH, Laszewski LJ, Pollack KL, Bates JN, Manago NK, Choi WW. Continuous epidural infusion of 0.0625% bupivacaine-0.0002% fentanyl during the second stage of labor. Anesthesiology 1990;72:613-618
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Gribble RK, Meier PR. Effect of epidural analgesia on the primary cesarean rate. Obstet Gynecol 1991;78:231-234
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ALDERSON BEATRICE VIRGINIA Age 85. 1928-2014. On January 2, Jesus took her to Heaven so she could join her beloved husband James Alderson, Sr. and sons, Larry Alderson and James Alderson, Jr. Beatrice once worked for the Pentagon and the Department of Agriculture. She is survived by her sons, Danny and Terry Alderson; daughters, Theresa Shea and Cheryl Krajenke. Also survived by 11 grandchildren and five great-grandchildren; and her sisters, Shirley Fields of Oklahoma and Betty Barker of Virginia. Visitation Sunday from 2 p.m. until 9 p.m. at the Sterling Heights Chapel of the E.J. Mandziuk & Son Funeral Directors, 3801 18 Mile (NW corner of Ryan). Funeral Service Monday 10:30 a.m. at the funeral home. Interment White Chapel Cemetery.
BULLER RICHARD "DICK" age 93 passed away on January 2, 2014 in St. Louis, Missouri. He was born in Acme, Michigan on June 28th, 1920. A veteran of WWII, he served the US Army as a radio operator and was sent to Japan after the bombing of Hiroshima to help with the nation's rebuilding. After returning from the war in 1946, he completed his education at the University of Michigan and was hired as a disc jockey at a new radio station, WKMH, in Dearborn, Michigan in February 1947 and had a signature night time show aptly named "Sugar and Spice". In 1963, the radio station underwent an amazing change and became WKNR - Keener 13 - a perennial rock favorite in the Detroit area and Dick was a part of their newsroom. He remained at the radio station through one more change to WNIC in 1972 and retired in June 1985. Music played an important role in Dick's life - he met his wife of 62 years, Florence, while playing in Bill Sawyer's dance band at the Houghton Lake Playhouse. Music always filled the house - usually Frank Sinatra, Glenn Miller, Benny Goodman or Duke Ellington. Retirement found Dick and Florence traveling the country to be with their three children and six grandchildren. He is survived by his son, Richard Buller (Theresa) of St. Louis, MO; his daughter Deborah VanIttersum (Cliff) of Chesterfield, MO; and his daughter Katherine Kaherl (Dave) of Burlington, CT; grandchildren Derek VanIttersum (Wendy) of Hudson, OH, Julia Shafer (Robert) of Hastings, MI, Kyle VanIttersum (Christina) Luster of Manhattan, KS, Sarah Bennick (Aaron) of Philadelphia, PA, Ryland Buller of Juneau, AK and David Kaherl of Boston, MA. In addition, Dick is also survived by four great-grandchildren, Lucy and Abigail Shafer, and Matteo and Theo VanIttersum; and two brothers, Ronald Buller and Roger Buller both of Traverse City, MI. He is pre-deceased by his beloved wife, Florence, and his brother, Raymond Buller. Donations can be made to the The Heartland Hospice Memorial Fund , 12101 Woodcrest Executive Drive, Suite 102, St. Louis, MO 63141. Burial will be private.
CARR DANIEL Died December 19, 2013. Retired from the Detroit Police Dept. in 1993. Survived by wife, Diane; siblings, Patricia Dopierala (Donald), Terry Carr (Maureen), Dawn Mecklenborg (Paul), and James Carr. Deceased are parents, Percy and Mary Agnes, and brother Bill, survived by Bill's wife, Anita and many nieces and nephews. No services are planned. Arrangements by Jowett Family Funeral Homes.
COSTELLO STANLEY E., SR. Age 83, December 27, 2013. Beloved husband of 49 years to the late Mary. Dear father of Barbara Mifsud, Cindy (Gary) Cunningham, Johnny (Karen), Shelly Nagel and Stanley Jr. (Rose). Grandfather of 10. Great-grandfather of six. Brother of James Costello. Visitation Sunday 9:30 a.m. followed by the 12 noon Memorial Service at the John N. Santeiu & Son Funeral Home, 1139 N. Inkster Rd., Garden City (between Ford Rd. and Cherry Hill). www.santeiufuneralhome.com
CZERWINSKI SGT. ARTHUR STEVE USMC, of Sterling Heights, Michigan passed away on December 31, 2013, born January 25, 1924 in Detroit, Michigan. Predeceased by his parents; Jakub and Stanislawa Czerwinski and six brothers and sisters. Former CCC Camp Fox and Camp Cousino leader 1941-1942. In April 1943, Arthur enlisted in the United States Marine Corp. He was sent to the South Pacific during World War II aboard the Casper T. Bliss troop ship. Arthur spent time on Noumea, New Caledonia; Efate and Esperito Santos, New Hebrides Islands; Guadalcanal, Solomon Islands; Leyte, Phillipines; Bougainville; Biak and Owi; Netherlands, East Indies; Manus and Los Negros, Admiralty Islands; and the Peleliu Islands until WWII ended. Arthur was employed at the Micromatic Hone Corp. 1943-1971 as a shipping clerk and then as a brewer for the Stroh's Company from 1971-1985. Arthur loved visiting the Upper Peninsula, hunting, fishing, his family and friends, especially his two best friends, Leonard Czanstke and Kathryn A. George. "Don't stand by my grave and weep because I'm not dead, just asleep." Visitation Sunday 2-8 p.m. at the Wasik Funeral Home, Inc., 11470 Thirteen Mile Road (west of Hoover), Warren. In state Monday 9:30 a.m. until time of Mass 10:00 a.m. at St. Malachy Catholic Church, 14115 Fourteen Mile Road (east of Schoenherr), Sterling Heights. Interment with military honors will be at Mt. Olivet Cemetery. Expressions of sympathy may be shared with the family at www.wasikfuneralhome.com
FERRETTI SHELBIE SKYLAR age 22, January 1, 2014. Beloved daughter of Frank and Susan. Loving sister of Frank Jon. Dear aunt of Frankie Gino. Also survived by many uncles, aunts and cousins who loved her and will miss her dearly. Visitation Sunday 2:00 p.m. to 9:00 p.m. Funeral Monday 10:00 a.m. at the A.H. Peters Funeral Home, 20705 Mack at Vernier Road, Grosse Pointe Woods, 48236. ahpeters.com
GOOLSBEE ROSEMARIE December 31, age 83. Wife of the late Rolland "Bud" Goolsbee. Mother of Jennifer (Kyle) Schneble. Grandma of Jordyn and Rush Schneble. Dear sister of Barbara, James and Patty. Predeceased by Thomas and Adrienne. Also survived by many nieces, nephews and cousins. Visitation Sunday 2-7 p.m. with a Funeral Service at 7 p.m. at A. H. Peters Funeral Home, 20705 Mack Ave., Grosse Pointe Woods. Inurnment Resurrection Cemetery. Memorials to the Capuchins. ahpeters.com
HIGGINBOTTOM JAMES H. "JIM" died at his home in Phoenix on Friday, December 27. The cause was cancer. Born in Detroit, Michigan, Mr. Higginbottom served in the U.S. Army during the Korean War then returned to Detroit, where he attended the Rockham School of Graduate Studies, University of Michigan. He became a copy editor and turf writer at the Detroit News, covering national horse racing and writing a daily handicapping column. He was the Director of the National Turf Writers' Association. A great pleasure in his life was that he saw all the great horses of the era and saw every race Secretariat ran. Mr. Higginbottom also served as a chief or senior racing official in Michigan, Illinois, Indiana and Minnesota. While in Michigan he supervised both quarter horse and thoroughbred horse racing and guided Michigan's quarter horse racing to the regulated pari-mutual level. Mr. Higginbottom was appointed the first Director of the Arizona State Gaming Agency in 1993. When the Agency split he was appointed Director of Arizona Department of Racing, where he served until 2000. Mr. Higginbottom is survived by his wife, Elaine Jordan; daughter Lisa Higginbottom, Henderson Nevada, son Lindsey Higginbottom and his wife, Gail Chapman, Whitmore Lake, Michigan; step-son, Matthew Wellens and granddaughter Brittany Higginbottom. Memorials may be made to Hospice of the Valley, Phoenix AZ, and the Franciscan Sisters of Little Falls, Little Falls, Minnesota.
KOVINSKY HENRY ALLAN "SKIP" Beloved husband of Brenda Kovinsky. Cherished father of Milton (Cheryl) Kovinsky and Matthew (Anna) Kovinsky. Loving Pops of Hannah and Max Kovinsky. Dear brother of Iris (Robert) LaJoie. Brother-in-law of Marsha Kowal and Bonnie Kowal. Loving uncle of Jody Kaufman, Stacey and Mark Levy and their children, Josh and Jourdan Levy. SERVICES AT THE DAVIDSON/HERMELIN CHAPEL AT CLOVER HILL PARK CEMETERY. ARRANGEMENTS BY THE IRA KAUFMAN CHAPEL, 248-569-0020. www.irakaufman.com
LORIDAS MARGARET "MAGGIE", 84, of Farmington, one of the Farmington Senior Center Founders, died January 2, 2014. Maggie is the beloved wife of the late Paul (d.2011); devoted mother of Michael (Laura), Patrick (Kathleen), Paulette (Gregory), Mary, Katy (Jeffrey) and Joseph (Janet); and cherished grandmother of 17. Visitation Sunday, January 5th, 2-8 p.m., with 7 p.m. Prayers, at the Heeney-Sundquist Funeral Home, 23720 Farmington Rd., (btwn. 9-10 Mile Rds., just N. of Grand River), downtown Farmington (248-474-5200). Funeral Mass Monday, January 6th, 12 Noon, (in state 11:30 a.m.) at Our Lady of Sorrows Catholic Church, 23615 Power Rd., Farmington. In lieu of flowers, memorial tributes suggested to St. Jude Children's Research Hospital, stjude.org. heeney-sundquist.com

subset: commoncrawl


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November 30, 2015
West Jessamine's second-round push netted more than just its first state championship - its top contributor earned hardware for himself.
The Colts stormed back from a 12-shot first round deficit to edge St. Xavier by two shots for the team portion of the 2012 Leachman Buick-GMC-Cadillac/KHSAA Boys' State Golf Championships. West Jessamine shot a two-day total of 593, including a blistering 288 during Saturday's final round. Leading the way was junior Fred Allen Meyer, who earned the individual championship when he defeated St. Mary's Joey Mayo on the second hole of a sudden death playoff. Meyer and Mayo each shot a two-day total of 141.
Meyer's championship was the first individual title for a West Jessamine golfer, while the team title was the first in the program's history. West Jessamine's girls' previously won a state championship in 2007.
The playoff between Meyer and Mayo was the first in a championship to be decided with extra holes since 2009, when St. Xavier's Justin Thomas bested Lexington Christian's Hunter Stewart in a one-hole playoff.
Elizabethtown's Ian Black was awarded the Leachman Buick-GMC-Cadillac scholarship while Boyle County's Dakota Jarman was the recipient of the Kentucky National Guard Best and Brightest Award. Paintsville's Tanner Carroll won the Forcht Group of Kentucky Uncommon Excellence Award.
Click Here to access the online Public Inspection File
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- SCU Home Page
- About SCU
- Admission
- Academics
- On Campus
- News & Info
- Alumni
SCU ePortfolio is a tool for teaching, learning, and sharing knowledge, skills, and achievements.
Electronic portfolios (ePortfolios) are digital collections created by students over time that make their classroom or co-curricular learning visible. Samples of students' work can represent their knowledge, skills, talents, and experiences captured through a wide variety of formats, including text, multimedia presentations, video, or sound. These artifacts provide a record of accomplishments, offer deeper insights into students' learning experiences, and can be tailored for various purposes or audiences.


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Emergency NumbersPhone Book (Must be on-campus or have a valid network account)
Order your textbooks on-line from the Bookstores!
37 South College AvenueSt. Joseph, Minnesota 56374(320) 363-5011
PO Box 20002850 Abbey PlazaCollegeville, Minnesota 56321(320) 363-2011
Copyright © 2015 - All Rights ReservedEmail the CSB/SJU Web CoordinatorNondiscrimination/Affirmative Action/Equal Opportunity(800) 544-1489 - Office of Admission
Mobile Site


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this post workout taste amazing. I can just mix it up and sip on all day. also I have seen some gains and helps with soreness the next day.
Best creatine I've ever used. Noticed a difference immediately.
AWESOME! Best tasting post-workout ever! 100% I'll be buying more!
Item as described with a really fast shipment. Will do bussiness again.
add juice lemonade with 2 spoon gat ... put in the freezer until it is very cold .... consumed by more ... responds well to my expectations


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This is something cool!! If, as we do, you like good beer (I said Good beer, no Bud), you will surely have fun with this contest! Name this American Pale Ale that will be served at the Jackson Hole FlyFishingFilm Tour and win beers and flies! Moreover, the benefits will go to Jackson Hole Trout Unlimited and Teton Valley Trout Unlimited.
The only bad thing for us French guys is that we might not taste it… would you guys send us some?


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Sports Calendar
June 26, 2012
By Staff
Adult sports
Issaquah Alps Trail Club
June 27, Wednesday 10 a.m. —
Meeting location varies, email the leader at allseasonhiking@hotmailcom.
Leaders choice between Cougar Mountain and Snoqualmie Pass Hike, moderate. To sign up and to get the meeting time and other details, contact Hazel Weissman at 724-816-0534 or email@example.com. Bring a WA Discover Pass and a National Forest Pass. Seven to nine miles, 1,800- to 2,500-foot elevation gain. Usually not difficult for regular hikers.
June 27, Wednesday — Lakes Talapus and Olallie Hike, moderate. You may get an opportunity to swim in Lake Olallie at lunch, depending on weather. This hike is moderate and usually not difficulty for a regular hiker. Bring a National Forest Pass. Seven miles, 1,600-foot elevation gain. Call Dick Amidei at 206-619-6906.
June 29, Friday 10 a.m. —
Tiger Mountain Dog Hike, easy.
Dogs are welcome. Bring a leash, water and scoop supplies. Leader's choice; easy to moderate hike. Three to five miles, 400- to 800-foot elevation gain. Call Jean Lanz at 206-322-0990.
June 30, Saturday 9 a.m. —
Annette Lake Hike, moderate. Visit a lovely mountain tarn, bring a National Forest Pass; 7.5 miles, 1,900-foot elevation gain. Usually not difficult for regular hikers. Call Richard Mann at 633-7815.
July 1, Sunday — Green Mountain Hike, moderate. Hike through a forest of huge Sitka Spruce on the shortest trail to the Absolute Last Promontory, a viewpoint on the slopes of Green Mountain, which overlooks the Middle Fork of the Snoqualmie. The route leads through King County's Middle Fork NRCA and the Department of Natural Resource's Middle Fork State Forest. Bring a WA Discover Pass. Eight miles, 2,400-foot elevation gain. Usually not difficult for regular hikers.
Adult sports/activities
Cougar Mountain Trail Run
The third installment of the SCOTT Cougar Mountain Trail Run Series is July 7. Register online at www.nwtrailruns.com; $35 until midnight July 5, $45 day of the event.
Open Gym Volleyball; Ages 16+
Community Center Courts 1, 2 and 3.
Mondays 6-9 p.m.
Open Gym Basketball; ages 16+
Community Center Courts 1, 2 and 3. Tuesdays 6-9 p.m.
Noon Time Hoops; ages 16+
Community Center Courts 1, 2 and 3. Mondays, Wednesdays and Fridays, noon to 2 p.m.
40+ Noon Time Hoops; ages 40+
Community Center Court 2. Tuesdays and Thursdays from noon to 2 p.m.
Coed league — Issaquah Parks coed league for ages 18 and older is registering teams for its summer league. Call 837-3341.
Youth sports/activities
Registration for Issaquah Soccer Club's Recreation Teams U6-U18 is on-going, www.issaquahsoccerclub.org.
Got something to say?
Before you comment, please note:
- These comments are moderated.
- Comments should be relevant to the topic at hand and contribute to its discussion.
- Personal attacks and/or excessive profanity will not be tolerated and such comments will not be approved.
- This is not your personal chat room or forum, so please stay on topic.


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Martha Paddie, 47, of Grand Cane is accused of aggravated battery.
- Filed Under
A Grand Cane woman is facing charges after allegedly attacking her ex-boyfriend with a chainsaw.
When Martha Paddie, 47, went to her ex-boyfriend's house Tuesday, she arrived to find his new girlfriend there, Shreveport police Cpl. Marcus Hines said.
Paddie asked her ex to return her chainsaw, and when he gave her the power tool, she ...


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Volunteer at CNU 21
On-site Volunteering
Thank you for your interest in being an on-site volunteer at CNU 21: Living Community in Salt Lake City, Utah, May 29-June 1, 2013. Volunteer opportunities are offered for people wishing to experience the Congress at a deeper, more involved level, or people facing financial difficulties. Volunteers are offered a 4-day registration for the highly discounted fee of $75. A minimum of 10 hours of volunteer time is required. Volunteers are entitled to participate in any of the non-ticketed sessions, workshops or plenary sessions (including the opening session), provided that there is no conflict with the volunteer schedule.
Each volunteer is responsible for their own travel arrangements, lodging, and other expenses. The Congress for the New Urbanism takes place over the course of 4 days and consists of a wide range of events occurring at the Grand America Hotel and other locations in and around Salt Lake City. The average volunteer shift will be between 1.5 and 4 hours long.
On-site Volunteer Activities
The following list consists of ways you can assist us in achieving a successful Congress. It is possible that you may work several of these tasks over the course of the event.
· Congress registration
· Session audio/visual and lights, CEU's collection
· Directing attendees to meeting rooms
· Collecting tickets
· Stuffing packets
· Running errands
· Assisting with Tours and Urban Laboratory sessions
· Special events
How to Apply
To apply to be an on-site volunteer at CNU 21, click here. Volunteer slots will be limited, so it is recommended that you apply early if you are interested. We will contact volunteers who have been accepted on December 1st, which is when registration opens for the congress. After that time, we will review applications on a monthly basis until any remaining slots are filled.
No hard copy of the application form is available. You will receive an email confirming or declining your application no later than March 30.
Help Now
Want to get involved now? We could use your help! The Local Host Committee is looking for members. Committees you could be a part of:
· Partnership
· Marketing
· Outreach
· Program
· City Guide
· Exhibits
· Events & Entertainment
Please email firstname.lastname@example.com with a brief description of yourself, your qualifications, your level of interest, and your contact information (phone number, email and city).
QUESTIONS? Contact Jon Larsen by email at firstname.lastname@example.com


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Shay Mitchell nails the neutral look (+ get her dress for just $149)
Shay participated in a panel discussion for her ABC Family TV show Pretty Little Liars at PaleyFest 2014 in Los Angeles over the weekend, but what really got us talking was her sweet, natural look. The actress selected Ann Taylor's Flutter Panel dress in a charming light ginger shade complete with flutter sleeves, capped off by a pair of nude Manolo Blahnik pumps. A striking magenta lip provided the only real hint of color.
Before seeing Shay's on-point execution of this stark ensemble, we assumed that an all-neutral presentation would have a washed-out effect. Her Ann Taylor dress is relatively reasonable at $149, making it even easier to replicate this soft and surprisingly satisfying look.


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Ivermectin to reduce malaria transmission: a research agenda for a promising new tool for elimination
1 Internal Medicine Department, Clínica Universidad de Navarra, Av. Pio XII 36, Pamplona 31008, Spain
2 Instituto de Salud Tropical, Universidad de Navarra, Pamplona, Spain
3 Entomology Branch, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA
4 Barcelona Centre for International Health Research (CRESIB, Hospital Clínic-Universitat de Barcelona), Barcelona, Spain
5 Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique
6 Department of Immunology and Infection, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK
7 Department of Medical Microbiology, Radboud University, Nijmegen Medical Centre, Nijmegen, The Netherlands
8 Arthropod-borne and Infectious Diseases Laboratory, Department of Microbiology, Immunology and Pathology, Colorado State University, 1692 Campus Delivery, Fort Collins, Colorado 80523-1692, USA
Malaria Journal 2013, 12:153 doi:10.1186/1475-2875-12-153Published: 7 May 2013
The heterogeneity of malaria transmission makes widespread elimination a difficult goal to achieve. Most of the current vector control measures insufficiently target outdoor transmission. Also, insecticide resistance threatens to diminish the efficacy of the most prevalent measures, indoor residual spray and insecticide treated nets. Innovative approaches are needed. The use of endectocides, such as ivermectin, could be an important new addition to the toolbox of anti-malarial measures. Ivermectin effectively targets outdoor transmission, has a novel mechanism of action that could circumvent resistance and might be distributed over the channels already in place for the control of onchocerciasis and lymphatic filariasis.
The previous works involving ivermectin and Anopheles vectors are reviewed and summarized. A review of ivermectin's safety profile is also provided. Finally three definitive clinical trials are described in detail and proposed as the evidence needed for implementation. Several smaller and specific supportive studies are also proposed.
The use of ivermectin solves many challenges identified for future vector control strategies. It is an effective and safe endectocide that was approved for human use more than 25 years ago. Recent studies suggest it might become an effective and complementary strategy in malaria elimination and eradication efforts; however, intensive research will be needed to make this a reality.


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The Orange County Sheriff's Department needs your help identifying two suspects of a residential breaking and entering that occurred late Monday morning.
A home near the intersection of Ivey Road and Old Greensboro Highway in Southwest Orange County was broken into at around 11:00 a.m. Monday. Two black males of medium height and build wearing zip-up hooded sweatshirts were caught on camera and were possibly seen fleeing in a white vehicle.
If anyone has information regarding the incident or can identify the men in the photos, call Sergeant Tim Horne at 919-245-2900 or Crime Stoppers at 919-942-7515. You can also email Sgt. Horne at email@example.com://chapelboro.com/news/crime/oc-sheriff-seeks-two-suspects-monday/
CHAPEL HILL – The Chapel Hill Police Department is stepping up patrol over the holiday season and warning homeowners and renters to make sure your possessions are secure.
Public Information Sgt. Bryan Walker says it's even more important now to make sure all doors and windows are locked. And, he says having alarms and signs in the yard can be a major deterrent.
"Alarm systems, even if they aren't connected to a central alarm company, can deter theft or can deter someone from breaking into your house, they don't necessarily prevent it, but just seeing the alarm sign in front of the house, some criminals will move on" Walker states.
Toward the end of the holiday season as you take out your trash and recycling, Sgt. Walker says you should be cautious about advertising what new items you have.
"A bad guy can ride by your house, or walk by your house, and see the empty cardboard boxes that you've left out in recycling and know the types of items that you have just gotten for Christmas and that are sitting there in your house waiting to be stolen" Walker states.
Some of the ways to hide what new items are in the house are to turn the cardboard boxes inside out or take them to a recycling drop-off.
For more information on ways to keep your home safe in the Holiday Season click here.http://chapelboro.com/news/safety/staying-safe-holidays-homes-students/
PITTSBORO – Authorities say three men from Henderson have been identified in connection with a theft ring that targeted Wal-Mart stores across central North Carolina.
A statement from the Chatham County Sheriff's Office said an investigation involving police departments from Roxboro and Holly Springs led to the arrests.
Sheriff Richard Webster said investigators were able to identify the suspects after two thefts from a Wal-Mart on the Chatham-Orange county line. He said the smash-and-grab thefts netted $150,000 in electronic items.
Officials say 26-year-old James Drenell Branch is being held in the Wake County jail on unrelated charges. Authorities are still searching for 20-year-old Damien Lamar Bullock and 29-year-old Christopher Eugene Bullock. The three are each charged with two counts of felony larceny, shoplifting concealment of goods and conspiracy to commit felony larceny.http://chapelboro.com/news/crime/three-nc-men-arrested-in-series-of-wal-mart-thefts/


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- Filed Under
New regional carrier Silver Airways has added Tallahassee to its list of destinations and announces it will be using larger Saab 340Bplus aircraft effective Monday. Silver flies nonstop between Tallahassee and Fort Lauderdale.
To celebrate the new airlines' arrival to Tallahassee and unveiling the new aircraft, TLH and airline officials will have a traditional water cannon salute and breakfast Monday at 8 a.m. Silver's inbound flight is due to arrive at 8:30.
Based in Fort Lauderdale, Silver Airways operates more than 100 daily ...


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Book donation: For the third consecutive year, dck Pacific Guam, in conjunction with Guamology Inc., has donated books to the Pediatric Ward of the Guam Memorial Hospital. Each year dck Pacific Guam has made this donation in order to bring a smile and a little holiday cheer to children that are hospitalized during the holidays. This November, the company donated 50 copies of ?Guam 123s? by Carlene Okiyama and Ric Castro. From left: Ruth Sabangan; Trisha Crisostomo; Liezel Miguel; Tony Law, program director, dck Pacific Guam; Lourdes Acosta, executive assistant, dck Pacific Guam; Angelita Guingao; and Shanydee Guia Samia.
- Filed Under


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Dennis@denethond active 2 years, 11 months ago
Dennis posted a new activity comment 3 years agoIn reply to: Anne posted an update @denethond – Hello there Denethond! It's Lightwards from the LotR line parties. Do we know who is organizing this shindig? View
I was hoping it was you, Anne, after the fantastic job you did heading up the Lord of the Rings line party in NYC!
Dennis posted an update 3 years ago
Hi fellow ringers! I'm a New York area Tolkien fan for decades, active in the Tolkien Society and NY area friends of Tolkien meetup group. I've read the books 20+ times, and seen the PJ LotR films at least 10 times each in the theaters, and countless times on TV, DVD and BluRay. Looking forward to The Hobbit movies, and participation in The…[Read more]
Hi Dennis! I'm signed up for this line party as well, but I think I'll have to cancel as it seems Lincoln Square is not offering 48 fps showings. Their staff have told me otherwise on both phone and Facebook, but as of right now HFR 3D tickets are still not available on Fandango. And I care less about IMAX than seeing the new technology. Bummer!
Annnnd naturally the showtimes would appear not 1 minute after I posted this! In any case, I'm there!
Dennis became a registered member 3 years ago


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Castelaz has played a key role in the careers of such artists as Silversun Pickups, Fitz and The Tantrums, Sea Wolf, Dropkick Murphys, Eagles of Death Metal and Phoenix, among others.Read more
Both artists are currently prepping preparing separate releases on track for Fall 2011.Read more
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text:
Tonight: Scattered showers and storms with winds shifting form the north at 15 to 25 mph, gusting as high as 30 mph. Overnight lows will drop into the upper 40s to lower 50s.
Tuesday: Scattered showers and storms early, then clouds gradually clearing with highs in the lower 60s. Overnight lows will fall into the middle to upper 30s under mostly clear skies.
Wednesday: Mostly clear with highs in the middle to upper 60s. Overnight lows will drop into the lower 50s.
A slight chance for rain returns Thursday into Friday.


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Tag "liberty"
HTC Aria/Liberty/Intruder Spotted in AT&T Handset Testing Video
Check out the video below from AT&T which shows how they go about testing their handsets. Of particular note is the fact that this clip shows the yet-to-be-announced HTC Aria/Liberty/Intruder
What is the HTC Intruder?
Another HTC codename/product has popped up thanks to a RadioShack screen which comes courtesy of TjCrew. The full retail price of the Intruder looks like it might be a placeholder


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I would like this bird to do a video with me where she is getting fucked by my 7" cock in her asshole then sucking my cock after
Thanks for helping us associate the correct Pornstars to this video!
Help Us: Do these Pornstars appear in this video?
Pornstar Name:
blowjob from my big breasted girlfriend
All Comments (118)
I would like this bird to do a video with me where she is getting fucked by my 7" cock in her asshole then sucking my cock after
lo mama con ganas q rico
she was my classmate! LOL
she is better than heather. check this: http://youporn.com/watch/407447/turkish-girl-blow-job-number-1/?from=search_full&pos=1
she born for that ! BLOWJOB
@dip shut up she is turkish
why would she put her bra back on :D :D two different movies! the guy didnt make it... couldnt fuck her for longer than a minute :D :D
she aint daisy marie and she definitely not Turkish. Maybe Latin, but eitherway she is one hot thing. Name anyone??
Big tit girlfriend? We didn't even get to see her tits. LOL
That isn't Daisy Marie
Oh mann die soll mir mal ein lutschen!
her name is Lisa!
Thats exactly how my gf sucks my cock!
Sie ist Tuerkin. boahhh wie ich diese Tuerkinnen durchnehmen wuerde arghhhhhhhhhh geile Weiber...
She is beautiful. I wish to know her name.
nice girl, nice tits but no tit fuck
Man Daisy marie is One of the cutiest girls..I cant stop watching her...Hot babe
esa daysi merie esta buenisima pasen el numero no sean cabrones
io l avrei gia incementata col mio sperma,peccato x il poster dei beatles
thank you buddy, where do i send your reward?
Beautiful Lady.
she is amateur italian porn star
her names chelsea, if u wanna shit hot fuck man
100$ for anyone with a legit name for this girl!!!
shes a italian porn star
Jen Piovanetti
waiting 4 babe
She deserves a bigger cock than that
damn thats a nice blowjob, just like my gf gives me
that is not daisy marie, propably just an unknown amateur. too bad, she is so good at what she does there^^
Jim have a look at this!!
Just gimie ur bank details and ill get it from there
she is brianna forst
black angelika so hot!!
her name is jenn....check out play with jenn. that's her site
blowjob merzbow
she's pretty but she only gave a 6/10 blow job. no deep throat, poor rythm. dude had to jack off at the end. She was more interested in looking good than in working hard for his cum.
elle s appelle delphine :) jla connait
very good videos of this girl ... I hope a third video upload
She is Brazilian my friends!!!! In brazilian sites searching for sandrinha!!!! you ll see!
She's not the same girl in "she's not buying my lie" unless she has a major boob job.
she is fiona
She's PuertocRican
Shes hot and she swallow!
Blow job, bra on Fuck, bra off Blow job bra back on again... I'm callin the feds
What is the name :S haha ???
Her name is Big Tit Girlfriend !!!
Pupette come on alba
Wonder if her dad has seen this yet?!!
Thank you youporn http://www.youporn.com/watch/302237/homemade-brunette/?from=related3&al=2&from_id=145554&pos=2
play with jenn is her stage name
@klars heutzutage lutschen die alle schon an euren deutschen schwaenzen rum
Is that mariah lol.
play wid jen ae shes simply perfect wank time
whats the tattoo?
She looks like Rihanna))) but it is only my opinion....
RESPECT Blowjob
The moment his cock going in her tight little pussy...hmm, what a perfect shot of a perfect woman with a very nice body and kitty...miauwww
can i known the sizes of that dick?
best girl ever
juliena palermo ?? she's that gurl ....
Let those puppies out so we can enjoy watching them dance.
She is good at what she does. I'd love to have a go doing that too :)
play with jenn
die frau ist der hammer aber ist irgendjemand mal dieser schwanz aufgefallen? der ist einfach so geil dick und groß ich würd den gerne mal blasen
einfach nur geil
Madelyn Marie
His cock is beautiful but we cannot see his face. We need to see his face also... :-)
I want one like that... (the girl, obviously)
Vanessa Leon maybe
Jenn... Incredible girl....
Wow. Da geht einem einer ab das es kracht
that bitch could suck cock
ci va tosto la tipa
its good, but I'd like to see her deepthroat that thing to the base
I could give a kidney for this blowjob from this girl.
que buena mamada
ich schwör diggah ich würde die gerne mal so was von hart ficken ey die ist soo geil
she is nice
She looks like a turkish girl
First rate girl in all respects. But she needs to start jerking him off into her mouth herself instead of him doing it. Maybe he's the problem there, though. All too common in porn these days.
nice talent
Kannst auch mir eine blasen :D
who is this girl? Can someone tell me please.
B.J. is pretty good.Very poor quality video
I want her name she's so beautiful !!!! Amazing !!!! Please give me her name
He had a hot girl with him and he wanks himself off to cum. Why not get the girl to do it lol
Well what to say wow this girl is very sexy and pretty much!!
Jenn from "Play with Jenn"
Nope that's not her!!!
If a guy maked her cum that much,the girl wont leave him!if Im that guy ima eat her body till she cums!
again she is not daisy marie just because the video is in the related that doesnt mean she is


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Now you can print your own prescription drug card. CLICK HERE to go to the National Association of Counties Web site to print your own card and start saving today.
FREE to Jackson County Residents.
The high cost of prescription drugs is enough to make many people sick.
With prescription drug coverage, staying healthy can come at a high price. With Jackson County Rx, which, yes, is FREE to all County residents, you can save money on prescription purchases not covered by other insurance.
Any County resident, with or without prescription drug coverage, can use this program.
Even if you have insurance for prescription drugs, you may still benefit from the Jackson County Rx Card, since it may save you money on prescription drugs your existing coverage doesn't include.
Find a card pick-up location and participating pharmacies. If you need assistance in obtaining a Jackson County Rx card, please call (816) 881-3333.
There are no income requirements. No age requirements. No limits on use of the card for the whole family.
JACKSON COUNTY Rx IS...
> Valuable. Save an average of 20% off regular prices on all commonly prescribed medications. Save an average of 50% on three-month supplies of select generics through mail service. Savings are also available on high-tech and injectable drugs through our specialty pharmacy.
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Frequently Asked Questions | Fact Sheet
Privacy Policy |
Site Map |
Contact Us |
© 2015 Jackson County, Missouri


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130 Westmore Drive Unit# 2 M9V 5E2 | Phone: 416-741-9600 | Fax: 416-741-3557 | Cell: 647-502-4800 | firstname.lastname@example.com
130 Westmore Drive Unit# 2 M9V 5E2 | Phone: 416-741-9600 | Fax: 416-741-3557 | Cell: 647-502-4800 | email@example.com
Sur Saagar Radio Inc. are owned and operated by Pannu Networks. Pannu Networks began broadcasting in 1994 in GTA
and adjoining towns. Networks have since emerged as verifiable market leader among region's broadcasters, whether measured
by viewers, listeners and advertising support. Today it is watched in Ontario, New Brunswick and Newfoundland and listened
from Oshwa to Kitchner and from Berry to Niagara Falls. Its carriers are Rogers Cable and Cogico. Sur Saagar Radio was aired
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through music, movies and soaps. Network is also active in Asia and Middle East as it runs NRI channel. Pannu Networks
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11am - 7pm
Sur Saagar Radio | 130 Westmore Dr. Unit 2 | Etobicoke | Ontario | Canada | Phone: (416)-741-9600 | Fax: (416)-741-3557 | Cell: (647)-502-4800
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text:
- Artist | Mickey Factz
- Song | "Reality Real"
[Eljay] – I guess everything has to come to an end… Mickey Factz' words are below.
Curtain calls are never easy. But for me its long overdue. Because of broken promises and bad decisions by me and others, I will be not be creating music anymore. I want to thank everyone who has supported me but I feel its time to move on. Please support my producer LoveAtFirstSound. He has been trying to get on blogs for awhile and you guys have apparently been igging him. Lol. The game has changed and I don't have the strength to deal anymore. One love to all those who care and who don't. In January, I will be releasing The Achievement to those who purchased it and giving an Anthology to everyone of everything I've ever done. I hope it is accepted with open arms. Farewell.
This song explains everything that Mickey Factz has been going through in the last few, and I can't say that I don't relate to half of it. It's still depressingly sad to see him decide to bow out. I'm not exactly sure what else to say, to be honest. It sucks, but that's his decision. Maybe one day he'll allow us to interview him and we can go into detail, but for now? I guess that's it. Curtain call, in the form of music.
If this is serious… then… thanks for the music, Mickey. Seriously. I hope everything works out for you in the future, and I wouldn't be mad if we got a feature verse here or there. Be blessed, man. Salute to LoveAtFirstSound for painting the backdrop for the release…


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text: Badger Case For IPad by Samantha Peare Embroidered Textiles £28$62.85€41.82$46.06 In stock £18.50$41.53€27.63$30.43 delivery to United States Receive this item 5-10 working days from dispatch International delivery available name or message required quantity by Samantha Peare Embroidered Textiles Location: Scotland, GB read seller's profile see seller's complete range more items from this seller Ladybird Phone Case by Samantha Peare Embroidered Textiles £15$33.67€22.40$24.67 Green Tiger Beetle Phone Case by Samantha Peare Embroidered Textiles £15$33.67€22.40$24.67 Stanley Stag Coffee Cosy by Samantha Peare Embroidered Textiles £38$85.30€56.76$62.51 Badger Case For IPad by Samantha Peare Embroidered Textiles £28$62.85€41.82$46.06 Loch Greshornish Coffee Cosy by Samantha Peare Embroidered Textiles £38$85.30€56.76$62.51 Green Tiger Beetle Purse by Samantha Peare Embroidered Textiles £18$40.40€26.89$29.61 view all you may also like PRODUCT DETAILS DELIVERY RETURNS can be personalised ask seller a question save for later A cute badger design adorns this I Pad case to ensure yours stands out from the crowd. A quirky yet practical item, this padded case will keep your I Pad or other net book safe and sound while you're out and about. An ideal gift for the man or woman who has everything! This item is handmade by me in my textile studio in the highlands of Scotland. Each item is created by hand and no two will look exactly the same, which is what makes each one so special and unique! This product can be personalised with a name or message of your choice embroidered onto the reverse of the cover. Your requested name and/or message will be embroidered onto a piece of co-ordinating fabric and stitched onto the back of the cosy. Please enter your required name and/or message into the box at the top of this page. Leave blank if no personalisation is required. made from: The case is made from a sturdy white cotton with front pocket of stripy black and white canvas fabric. It is padded with wadding to protect your I Pad wherever you go. The reverse is made from soft grey cord. It closes with a secure magnetic snap and is lined with a co-ordinating patterned cotton. This case can be carefully hand washed and dried flat or spot cleaned. dimensions: Measures approx. 30cm x 23cm, pocket 11.5cm deep product code: 255062 This product is dispatched to you by Samantha Peare Embroidered Textiles. MAINLAND UK order now and receive this item by price Standard Delivery Friday 4 December £2.75$6.17€4.10$4.52 NON-MAINLAND UK estimated delivery price Highlands & Islands of Scotland 2-5 working daysfrom dispatch £2.75$6.17€4.10$4.52 Northern Ireland 2-5 working daysfrom dispatch £2.75$6.17€4.10$4.52 Other UK Islands 2-5 working daysfrom dispatch £2.75$6.17€4.10$4.52 INTERNATIONAL DELIVERY estimated delivery price Western Europe 2-5 working daysfrom dispatch £11.50$25.81€17.17$18.91 Rest of Europe 5-10 working daysfrom dispatch £11.50$25.81€17.17$18.91 USA & Canada 5-10 working daysfrom dispatch £18.50$41.53€27.63$30.43 Asia & Australasia 5-10 working daysfrom dispatch £19.50$43.77€29.13$32.08 Rest of the world 5-14 working daysfrom dispatch £19.50$43.77€29.13$32.08 You have 28 days, from receipt of cancellable goods, to notify the seller if you wish to cancel your order or exchange an item. Please note: goods that are personalised, bespoke or made-to-order to your specific requirements, perishable products and personal items sold with a hygiene seal (cosmetics, underwear) in instances where the seal is broken are non-refundable, unless faulty. Read more about our returns policy.Should you choose to return or exchange your order you will need to deliver the item(s) to the UK, where this seller is based. Samantha Peare Embroidered Textiles's return policy Please see notonthehighstreet.com's returns policy.


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Indiana Senate President Pro Tempore David Long, R-Fort Wayne, left, and Indiana Speaker of the House Brian Bosma, R-Indianapolis, answer a question at the same time as they hold a joint news conference in the Indiana House of Representatives chamber on Thursday, March 17, 2011, addressing the four-week walkout by House Democrats. Bosma raised the daily fines to $350 (from $250 a day) on Democrats who are staying in Illinois. Democrats shut down House business on Februry 21 by denying Republicans the quorum they need to do business. Bosma also said the Republicans are through negotiating and hope that six Democrats will see fit to return to the House to secure a quorum. Charlie Nye / The Star.
INDIANAPOLIS - House Speaker Brian Bosma, R-Indianapolis, halted negotiations Thursday with boycotting Democrats and said Republicans will work instead with colleagues in the Senate to resurrect a GOP agenda stalled by the 24-day walkout.
Bosma said he has tired of trying to appease Democrats who last month fled to Illinois to prevent a quorum in the House and thwart votes on controversial labor and education bills.
"Time has expired," Bosma said. "We're now in our fourth very expensive week of an unprecedented walkout - approaching an American record, not just an Indiana record. They ...


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I used the mcalls 6044 pattern to make this shirt for my boyfriend. This was my first time making a men's shirt and i'm glad he loves it. I had to shorten it and take a few inches off the width of the sleeves. This pattern runs big so now i'll know that for next time.


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Official Website of the
Fannin County Chamber of Commerce
and Welcome Center
Fannin County Chamber of Commerce
Business Directory
Aska Farms of Blue Ridge
2807 Aska Road
Blue Ridge, Ga, 30513
Justin LeSesne
Contact by e-mail
Visit their website
Aska Farms is loaded with top rated amenities. From the heated pool, pool tables, bar area and big screen TV to the cedar steam sauna. This property is located on its own 27-acre private retreat complete with a charming, old barn and winding creek. The luxurious master suite on the main floor offers an expansive bath, tons of mirror space, whirlpool tub and picturesque mountain views. This area makes a perfect bridal suite before the wedding. Food preparation is made easy with the fully loaded kitchen and butler's pantry on the main floor and full second kitchen in the basement area. For staging and storage, there is a three car attached garage with fully finished tile floor which can be heated and cooled for total comfort. The house boasts both a formal and informal dining room, in two separate areas, which can be used for rehearsal dinners and/or bridal luncheons.


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It's come to my attention that Jessica and I are a bit of an anomaly when it comes to living the lifestyle that we do. When people ask me where I live I say, "In an RV." It comes out as naturally as if they asked me what my favorite color was. But their reaction to my response isn't a natural one. Most are a bit dumbfounded and have to ask again. "In an RV", I say again.
A curiosity. That's been the polite description of what we are. Only retired people or families on vacation are the types to live in an RV, right? Who would choose such a lifestyle? To give up most of their material possessions to live in a glorified box on wheels must be a true sign of someone who is crazy, lazy or both.
That's the general consensus toward young RVers. But what have we really given up? The right to resign ourselves to live on one postage stamp size plot of land for the next thirty years? To keep running though the same routine, to sit behind the same desk, answer to the same boss, pay the same bills. All while lusting over some useless gadget or piece of furniture that was made by some underpaid worker on the other side of the world to be sold at an exponentially higher price at some fancy mall. Until we're all so beaten down and numb to it all that we just keep our heads down and wait for the day when we're so old that society doesn't want us anymore that then we will finally be free to live life.
That's what they're selling and I don't want it.
And I'm not ashamed that I don't want it and neither should anyone else out there that feels the same. We live in a world that is full of color and beauty and character. And I don't feel the least bit in the wrong to want to see and experience as much of it as I can before I go. Not everybody says it, but sometimes you can see it in their eyes. Their eyes tell me, "Get back in line". But I don't want to. I look back and I see a gray, cold place, full of people who have their blinders on. I've lived there and I never want to return.
Is living as a young RVer easy? No, not at all. It's a damn hard struggle, we're fighting right now. But every step is a step forward. No more am I walking in a circle keeping my head down.
There's a whole world out there, and I know that I'm not alone in wanting to see it with my own eyes, not on a TV screen. I want to say to all the ones out there who have contacted us saying that you are making your start to break away: It's not going to be easy to get out there, and even once you're out there it's still hard. But it's worth it. You feel the adventure running through your veins, you feel like you can take on anything, and you feel something that you may have never truly felt before, you feel free.