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For The Newly Diagnosed
Painting by - Tiffany Sage
For anyone who has been diagnosed with a serious disease what follows is often fear of the unknown. As the weeks turn into months the realization sinks in that you have a heath crisis on your hands. Quickly you find yourself seeking out information, looking for the right answers and asking yourself a few familiar questions; What can I do to improve my condition? Can this disease be treated, if so, when should I start treatment, or should I wait ?
For the millions of people who have been diagnosed with hepatitis C, the same questions need to be answered.
On this page of the website links are provided to help you understand more about hepatitis C, from necessary tests needed to distinguish between active or a previous HCV infection, to current FDA approved therapies to treat the virus, and so much more.
Start Here
Published On April 25 2016
Must Watch Video Folks
25 Years From Discovery To Cure: The Hepatitis C Story |
Nezam Afdhal | TEDxOxford
Need To Talk To Someone ?
Launched in 2015
Patient Advocate Foundation Offers New CareLine for Hepatitis C Patients
Hepatitis C CareLine, providing individualized, sustained assistance to patients diagnosed with Hepatitis C. The CareLine will provide help to patients across the country to resolve healthcare access and insurance issues, at no charge to the patient.
FDA approved hepatitis C treatments
Jan 13 2016
New Hepatitis C Fact Sheets: (Sovaldi, Olysio, Viekira Pak and Technivie, Harvoni, Daklinza, and ribavirin)
Treatment Action Group has recently published hepatitis C fact sheets in both English and Spanish.
New Drugs Approved To Treat Hepatitis C
ZEPATIER FDA Approved - January 28, 2016
Merck Receives FDA Approval of ZEPATIER™ (elbasvir and grazoprevir) for the Treatment of Chronic Hepatitis C Virus Genotype 1 or 4 Infection in Adults Following Priority Review
U.S. Food and Drug Administration (FDA) has approved ZEPATIER™ (elbasvir and grazoprevir) for the treatment of adult patients with chronic hepatitis C virus (HCV) genotype (GT) 1 or GT4 infection, with or without ribavirin (RBV). ZEPATIER (pronounced ZEP-ah-teer) is a once-daily, fixed-dose combination tablet containing the NS5A inhibitor elbasvir (50 mg) and the NS3/4A protease inhibitor grazoprevir (100 mg). The FDA previously granted two Breakthrough Therapy designations to ZEPATIER, for the treatment of chronic HCV GT1 infection in patients with end stage renal disease on hemodialysis, and for the treatment of patients with chronic HCV GT4 infection. Breakthrough Therapy designation is given to investigational medicines for serious or life-threatening conditions that may offer substantial improvement over existing therapies. Across multiple clinical studies, ZEPATIER achieved high rates of sustained virologic response ranging from 94 to 97 percent in GT1-infected patients, and 97 to 100 percent in GT4-infected patients. Sustained virologic response is defined as HCV RNA levels measuring less than the lower limit of quantification at 12 weeks after the cessation of treatment (SVR12), indicating that a patient's HCV infection has been cured.
ZEPATIER - Recommended Dosage and Durations, Drug Interactions, Side Effects, Clinical Studies
Prescribing Information for ZEPATIER
Patient Information for ZEPATIER
FDA APPROVED - July 2015
At the end of July the FDA approved two new drugs for hepatitis C, one for genotype 3 called Daklinza "Daclatasvir" in combination with sofosbuvir and the other is Technivie (ombitasvir, paritaprevir, ritonavir) for genotype 4. To view package insert, dosage, warnings, drug interactions and side effects, in addition research and news for both newly approved drugs, click here for Daklinza and here for Technivie. To view all approved treatments for hepatitis C, click here.
Daklinza (daclatasvir) in Combination with Sofosbuvir for HCV Genotype 3
Package Insert, patient information with news and updates
TECHNIVIE (ombitasvir, paritaprevir, ritonavir)
TECHNIVIE, a fixed-dose combination containing ombitasvir, paritaprevir, and ritonavir in combination with ribavirin for the treatment of patients with genotype 4 chronic hepatitis C virus (HCV) infection without cirrhosis.
Package Insert, patient information with news and updates
HCV Drug Interaction Charts
Provides a clinically useful, reliable, comprehensive, up-to-date, evidence-based drug-drug interaction resource, freely available to healthcare workers, patients and researchers.
On December 19, 2014 the FDA Approved VIEKIRA PAK - AbbVie Combo Hepatitis C Treatment - VIEKIRA Pak (ombitasvir, paritaprevir, ritonavir is a fixed dose combination tablets copackaged with dasabuvir tablets) for use with or without ribavirin for the treatment of patients with genotype 1 chronic hepatitis C virus (HCV) infection including those with compensated cirrhosis. In addition on October 10, 2014 the FDA approved Gilead's much anticipated drug Harvoni (ledipasvir/sofosbuvir), a combination pill approved for the treatment of chronic HCV genotype 1 infection, also without interferon or ribavirin.
Harvoni Homepage
Harvoni (Ledipasvir/Sofosbuvir) FDA Approved
Gilead has published both U.S. Prescribing Information and Patient Information, on their support website. In addition check out HCV Advocates new factsheet; Genotype 1 Treatment: Harvoni (Sofosbuvir & Ledipasvir).
AbbVie Viekira Pak Homepage
AbbVie Viekira Pak - News, Research and financial support
Of Interest
March 2015
Hepatitis C: what treatments work?
Should I have treatment - and when? Treatment for hepatitis C takes several months, and it can have some unpleasant side effects. So it can sometimes be difficult to decide if, and when, to have treatment. Here are some of the things you need to think about.You can talk them over with your doctor to decide what is best for you.
Two New Oral Drugs To Treat Hepatitis C Approved
The U.S. Food and Drug Administration approved two new oral drugs in 2013 to treat the hepatitis C virus. Johnson & Johnson's protease inhibitor Simeprevir is approved for the treatment of genotype 1, in combination with peginterferon alfa and ribavirin in adults with compensated liver disease, including cirrhosis, who are treatment-naïve or who have failed previous interferon therapy (pegylated or non‑pegylated) with ribavirin. The second drug is Solvadi (sofosbuvir) a polymerase inhibitor approved for people with genotypes 1 and 4, in combination with interferon and ribavirin and for people with genotypes 2 and 3 with ribavirin alone, making it the first interferon free combination approved to treat HCV. Overall cure rates are at 80%, response rates and treatment duration varies, depending on genotype, viral and host factors.
Sovaldi/sofosbuvir Homepage
Prescribing and patient information, financial assistance, research and news
Sovaldi is approved in HCV genotypes 1 and 4, treatment-naïve adults in combination with PEG-IFN and ribavirin and the first approved interferon-free treatment regimen for people with HCV genotypes 2 and 3. Overall cure rates are at 80%, response rates and treatment duration varies, depending on genotype, viral and host factors.
OLYSIO/simeprevir homepage
Prescribing and patient information, articles and important updates
Johnson & Johnson's protease inhibitor OLYSIO (Simeprevir) is approved for the treatment of HCV genotype 1, in combination with peginterferon alfa and ribavirin in adults with compensated liver disease, including cirrhosis, who are treatment-naïve or who have failed previous interferon therapy (pegylated or non‑pegylated) with ribavirin.
The Disease
In 2012 Medscape reported:
Out of 100 people that contract the infection, 75–85 people will develop chronic infection, 60–70 people will develop chronic liver disease, five to 20 people will develop cirrhosis over the course of their chronic infection and one to five people will
die of complications including hepatocellular carcinoma (HCC).
2015 - Upsurge in HCV Deaths Despite New Treatments
2014 - Well-Controlled Hepatitis C No Dent on Lifespan
2014 - The impact of hepatitis C burden-Viral eradication can improve mortality and quality of life
2014 - People With HCV Die Decades Earlier Then Persons Without The Disease
2012 - Hepatitis C increases risk of death from both liver disease and non-liver-related causes
Treat Now Or Wait?
Guidance on When and in Whom to Initiat HCV Therapy
Health care professionals who treat patients with hepatitis C virus can now turn to updated guidance when faced with the decision to prioritize treatment for those who will derive the most benefit.
Where Can I find a specialist to treat HCV?
Find a Specialist In Your Area
Testing, Diagnosis and Treatment
Where Can I find current information on HCV?
HCV Guidelines
The American Association for the Study of Liver Diseases (AASLD) and the Infectious Diseases Society of America (IDSA) with the International Antiviral Society developed a living document with ever evolving guidelines to treat HCV.
The new guidelines will have a complex algorithm for practitioners around the country to follow and see whats the right right treatment, for the right patients, for the right about of time. The document is easy to comprehend, which benefit patients considering HCV therapy. When new HCV drugs are approved, and new real world data is established, the guidelines are updated.
Have Questions?
HepCBC presents the March 2015 release of Peppermint Patti's Hepatitis C FAQs - version 10.
Over a hundred questions answered about the hepatitis C virus (HCV), from its treatment, to related complications.
Educate Yourself
Education-related information
Includes CME activities in various media formats covering the following topics: treatment regimens, resistance, current direct-acting antivirals, investigational antivirals, interferon alfa-free regimens, effects of HCV on the liver, diet,drug-drug interactions, and managing side-effects
What Is A Hepatologist ? What Is A Gastroenterologist?
Most hepatologists, although not all, are also gastroenterologists. These doctors have successfully completed both a hepatology and a gastroenterology fellowship.
Jan 14 2015 - AGA Perspectives - Who Should Treat Hep C?
Begin here with easy to read facts from liver health and disease progression to new therapies, side effects, FDA inserts and more.
Welcome to HCSP Fact Sheet Webpage. The three different types of fact sheets are geared towards different audiences depending on their need or requirement for information. The Fact Sheets range from short, easy to understand, but relevant information to the more technical aspects of hepatitis C
HCV Advocate
All you need to know about testing for Hepatitis C
Support Online
HCV Support
Med Help
WebMD® Hepatitis Community
Links To HCV Support On Facebook and Twitter
Transmission Of Hepatitis C
How is hepatitis C spread? Who's at risk?
Hepatitis C virus (HCV) is transmitted through contact with an infected person's blood. The following list outlines sources of hepatitis C transmission
-Sharing needles and syringes (IV drug abuse);
-Other possible risk behaviors: tattoos, body piercing, living and medical care in a developing country, folk medicine, intranasal cocaine;
-Extensive surgical procedures
-Unknown--up to 5% of patients have no identifiable risk factors;
-Sexual transmission is rare; the risk of sexual transmission to an individual is probably less than 3% when a person is in a stable monogamous relationship;
-Vertical transmission from mother to baby
-Reused needles in a medical or health care setting.
Related - 2012 - Amateur tattoos carry hepatitis C risk
Related - IV User-Worried About HCV ? Check This Out
According to the CDC:
In a recent analysis of data from a national health survey, 55% of persons ever infected with HCV reported an exposure risk of either (IV drug use or blood transfusion before July 1992), and the remaining 45% reported no known exposure risk
(CDC, unpublished data, 2012).
Other potential exposures include ever having received chronic hemodialysis, being born to an HCV-infected mother,
intranasal drug use, acquiring a tattoo in an unregulated establishment, being incarcerated, being stuck by a needle (e.g., in health care, emergency medical, home, or public safety settings) and receiving invasive health-care procedures (i.e., those involving a percutaneous exposure, such as surgery before implementation of universal precautions).
Is hepatitis C transmitted sexually?
According to studies in the Journal of the American Medical Association, a low sexual transmission rate of hepatitis C was suggested. Of the 62 patients studied, none of the monogamous heterosexual partners had developed the hepatitis C antibody. In general, the probable risk of heterosexual transmission of hepatitis C is less than 3%.
It is recommend that all patients in a non-monogamous relationship use a condom or spermicide and patients in a monogamous relationship use a barrier method only if they are anxious or concerned about transmission.
All non-monogamous individuals should use safe sex practices.
For patients with hepatitis C, testing of spouses, babies and significant others is recommended by Centers for Disease Control(CDC). Please discuss these issues with your physician.
Read FAQ's about transmission - Hey Can I Get Hepatitis C From.......
The HCV partners study
Or Listen to - Dec 2013 AUDIO - Drs. Stephen A. Harrison and Norah A. Terrault discuss the article:
Sexual transmission of hepatitis C virus among monogamous heterosexual couples: The HCV partners study.
2012 - Hepatitis C Sexual Transmission Is Rare among Monogamous Heterosexual Couples
Sexual transmission of HCV among monogamous heterosexual couples: The HCV partners study
Related - 2011 - Hepatitis C Transmitted by Unprotected Sex Between HIV-Infected Men
The Sexual Transmission of Hepatits C In The HIV Population
Is hepatitis C transmitted by breast milk to infants?
There is no substantial evidence that hepatitis C is transmitted through breast milk, however, a few studies have been performed that tested breast milk and very rarely is hepatitis C found in the breast milk--even using the most sensitive tests such as PCR. The CDC has issued a statement explaining that mothers who have HCV can breast feed, but should avoid it if there are sores around the nipple.
Human breast milk inactivates hepatitis C virus infectivity
In an editorial published with the paper online September 24 in The Journal of Infectious Diseases, Dr. Ravi Jhaveri from the University of North Carolina in Chapel Hill says "the results provide a plausible explanation for why breastfeeding is not a risk factor for HCV transmission. This is reassuring for us as practitioners when we counsel our HCV patients that it is safe for them to breastfeed."
Can hepatitis C be transmitted to other members of my family (household contacts)?
There is a slight risk of hepatitis C transmission among household contacts, so family members should not share items such as razors or toothbrushes that may transmit blood or secretions. Women who have hepatitis C and are menstruating as well as men or women with hepatitis C and sores in the genital area should avoid sexual contact. The CDC recommends that spouses or partners of a hepatitis C patient be tested for hepatitis C.
Can a pregnant woman give hepatitis C to her baby?
A report in New England Journal of Medicine suggested a 7% transmission rate of hepatitis C from mother to child at birth. Though this is a high estimate, the possibility of transmission must be considered when a woman with hepatitis C is deciding whether to have children.
For infants who have received the hepatitis C virus from their mother, brief elevations of liver enzymes may occur, but no chronic liver disease has been reported. There have been no reports of cirrhosis in newborns, infants or child due to mother-to-child hepatitis C infection. It is recommended that all babies born to mothers with HCV be tested annually until age three with antibody tests.
October 2013
Hepatitis C - Pregnant women may pass heartier viral strain to newborns
Infants who get hepatitis C from their mothers during childbirth may inherit a viral strain that replicates more quickly than strains found in non-pregnant hosts, according to a new study published Oct. 27 in Nature Medicine. The findings, from a team in The Research Institute at Nationwide Children's Hospital, are the first to describe how a virus that has infected 180 million people worldwide takes advantage of immune changes during pregnancy
Women with AIDS and hepatitis C are at high risk for transmitting the virus to their babies, and research has shown that these women consistently transmit the virus to their babies at birth.
Is hepatitis C transmitted by insects?
There is no documented transmission of hepatitis C through insects. The virus, however, is related to a group of viruses including yellow fever and Dengue, and those are known to have been spread by insects.
Exams and Tests
March 2015
Hepatitis C Lab Tests: Cracking the Code
Another blood test that may be ordered is a liver or hepatic panel. This assesses liver activity. A component of this test that is frequently abnormal for hepatitis C patients is the ALT or alanine aminotransferase. An elevated ALT indicates that there is inflammation in the liver.
The following tests are done to help diagnose hepatitis C:
The Tests
Diagnosis of HCV infection is based on the detection of anti-HCV antibodies by enzyme immunoassay.
Anti-HCV test detects the presence of antibodies to the virus, indicating exposure to HCV. This test cannot distinguish between someone with an active or a previous HCV infection. Usually, the test is reported as "positive" or "negative." There is some evidence that if the test is "weakly positive," it may be a false positive. The Centers for Disease Control and Prevention (CDC) suggests that weakly positive tests be confirmed with the HCV RIBA test before being reported.
HCV recombinant immunoblot assay (RIBA) test is an additional test ordered to confirm the presence of HCV antibodies. In most cases, it can tell if the positive anti-HCV test was due to exposure to HCV (positive RIBA) or represents a false signal (negative RIBA). In a few cases, the results cannot answer this question (indeterminate RIBA). Like the anti-HCV test, the RIBA test cannot distinguish between a current or past infection.
Can you have a "false positive" anti-HCV test result?
Yes. A false positive test means the test looks as if it is positive, but it is really negative. This happens more often in persons who have a low risk for the disease for which they are being tested. For example, false positive anti-HCV tests happen more often in persons such as blood donors who are at low risk for hepatitis C. Therefore, it is important to confirm a positive anti-HCV test with a supplemental test as most false positive anti-HCV tests are reported as negative on supplemental testing.
Can you have a "false negative" anti-HCV test result?
Yes. Persons with early infection may not as yet have developed antibody levels high enough that the test can measure. In addition, some persons may lack the (immune) response necessary for the test to work well. In these persons, research-based tests such as PCR may be considered. . How long after exposure to HCV does it take to test positive for anti-HCV? . Anti-HCV can be found in 7 out of 10 persons when symptoms begin and in about 9 out of 10 persons within 3 months after symptoms begin. However, it is important to note that many persons who have hepatitis C have no symptoms..
Hepatitis C RNA assays to determine virus levels (called viral load)
Viral Load Test
How long after exposure to HCV does it take to test positive with Qualitative HCV RNA test =PCR?
It is possible to find HCV within 1 to 2 weeks after being infected with the virus
Unlike antibody tests, HCV RNA tests directly measure for the presence of the hepatitis C virus. HCV RNA tests may be qualitative or quantitative.
Qualitative HCV RNA tests are used to diagnose hepatitis C. Your doctor might choose to perform an HCV RNA test instead of the ELISA, especially if you are at high-risk for hepatitis C. The HCV RNA test will be positive in as little as 1 to 2 weeks after exposure.
A positive HCV RNA test means a person has hepatitis C infection.
Quantitative HCV RNA tests allow your doctor to determine exactly how much virus is in the blood. This is referred to as the viral load.
Related - HCV Viral Load Test
The viral load is usually expressed as units per milliliter or copies per milliliter. In patients with chronic hepatitis C infection, viral loads vary widely from 50,000 to 5 million copies per milliliter. A higher viral load may not necessarily be a sign of more severe or more advanced disease but it does correlate with likelihood to respond to treatment. HCV RNA tests can also be used to monitor response to hepatitis C treatment. For example, if the viral load decreases during treatment, this suggests that treatment is working and should be continued, referred to as response guided treatment . Conversely, if the viral load remains the same, it suggests that the patient is not responding to treatment.
Related - Testing Positive For Hepatitis C
On-Treatment Predictors of Response
Once hepatitis C virus (HCV) treatment is started, initial viral kinetics are helpful in predicting treatment outcome. Patients who have cleared the virus by Week 4 of therapy, whether with protease inhibitor (PI)–based triple therapy or with peginterferon/ribavirin alone, are very likely to achieve sustained virologic response (SVR). By contrast, those who still have detectable HCV RNA (virus) levels by Week 12 of therapy have very low likelihood of obtaining SVR
Viral Load - Familiar Treatment Terms
Response guided treatment-
Or viral load monitoring during treatment is intended to enable the physician to determine the duration of combination therapy based on a patients viral response.
Learn more about HCV tests, here
HCV Advocate
All you need to know about testing for Hepatitis C
Related - Hey, I Have A Question About HCV Tests
Terms Used In Response guided treatment
(RVR)-Rapid Viral Response; Is an undetectable viral load four weeks into treatment. In SOC-standard therapy if you have an RVR your chance of cure is better than 78% and 92% and your doctor may recommend that you shorten your treatment.
(cEVR) Complete early viral response- Is an undetectable viral load 12 weeks into treatment. If you have a complete EVR you have a good chance of being cured .
(pEVR) Partial early viral response - A drop in viral load of at least 2-log (e.g. from 600,000 IU/mL down to 6,000 IU/mL) at 12 weeks of treatment, but still detectable virus in your blood. In people with genotype 1 the chance of viral clearance is low and treatment is generally stopped.
(non-EVR) Non-response- No significant drop in viral load in the first 12 weeks of treatment.
Related - Standardization of Terminology of Virological Response in the Treatment of Chronic Hepatitis C
What Is A 100-fold reduction in viral load ?
Changes in viral load are sometimes expressed in terms of logs: a 1-log change means a 10-fold increase or decrease; a 2-log change is a 100-fold increase or decrease.
What Is A 2 Log Drop?
Example: 2 log drop = 15,000,000 IU/Ml to 150,000 IU/mL; a viral load that starts at 15,000,000 IU/mL and does not decrease to 150,000 IU/mL or lower.
Terms Used To Define Patients
Naïve- No prior treatment/first time treating HCV.
Relapsers- People whose viral load drops to an undetectable level with treatment but rises again after treatment ends.
Partial responders- People who have at least a 2 log10 (100-times) drop in viral load, but do not reach undetectable levels in the blood by week 24.
Null responders- People who failed to reduce their viral load by at least 2 log10 (100 times) after 12 weeks of prior treatment, which is the currently recommended Food and Drug Administration (FDA) definition for clinical trials of investigational hepatitis C treatments.
How Will I Know If Treatment Is Working?
The standardized term "SVR" was defined as being HCV RNA negative 6 months after finishing standard therapy. This surrogate endpoint used in clinical trials has been interpreted by researchers as a 'cure'.
Recently, both the Federal Drug Administration (FDA) and the European Medical Agency (EMA) have shortened the post-treatment follow-up period necessary to define an SVR by introducing the so called SVR12, defined as HCV RNA undetectability 12 weeks following PegIFN/Rbv.
Learn More About Treatment Response
Aug 19 2014
Treating HCV- Learning The Basics
In order to gain a better understand of treating HCV, a review of the basics, especially treatment response, is a necessary first step. By doing so, participating in the decision process and communicating with a healthcare provider is made easier, if treatment is needed.
Hepatitis C Update-Treatment Of Genotypes 1,2,3,4,5,and 6
SVR - sustained viral response
Is SVR12 As Good As SVR24?
Posted on June 17, 2013 by Kristine Novak, PhD, Science Editor
In patients with chronic Hepatitis C virus (HCV) infection, a sustained viral response to treatment regimens 12 weeks after therapy (SVR12) is a good indicator that the response will be maintained until week 24 (SVR 24), based on an analysis of pooled clinical trial data published in the June issue of Gastroenterology. Therefore SVR12 can be used instead of SVR24 as a primary end point for registration trials.
A SVR24 (undetectable levels of HCV RNA in serum 24 weeks after completion of therapy) is considered to indicate successful treatment—most patients who achieve SVR24 maintain their serum-negative status and have reduced complications from liver disease and increased survival times. It is therefore the primary endpoint of HCV therapy trials for regulatory approval—efficacies of all HCV therapies approved by the US Food and Drug Administration have been based on the proportion of patients attaining SVR24. However, earlier time points could increase efficiency of drug development.
Jianmeng Chen et al. assessed data from 15 phase 2 and 3 trials, 3 pediatric studies, and 5 drug-development programs to determine the concordance between SVR24 and SVR12, and even SVR4. They analyzed data from groups of subjects who received various combinations and regimens with interferon, ribavirin, and direct-acting antiviral agents.
Of the 13,599 adult subjects in the database analyzed, 50.6% achieved SVR24 and 51.8% achieved SVR12. These appeared to be mostly the same patients—the positive predictive value of SVR12 for SVR24 was 98% and the negative predictive value was 99% among subjects with genotype 1 HCV infection. A similar level of concordance was observed in subjects with HCV genotype 2 or 3 infections, as well as in pediatric studies.
The positive predictive value of SVR4 for SVR24 was 91% and the negative predictive value was 98% in subjects with genotype 1 HCV infection. Chen et al. observed similar values regardless of subjects' race, sex, treatment experience, genotype 1a vs 1b, or presence of cirrhosis.
Why is there such a high level of agreement between SVR12 and SVR24, and to a lesser extent SVR4 and SVR24? Chen et al. explained that 65% of subjects who relapsed had detectable viral load by week 4 after treatment and 95% had detectable viral load by week 12. So if the virus is going to reappear, in generally does so within 12 weeks after the treatment ends.
The authors conclude that individual patients should be followed for 24 weeks or longer after treatment to confirm their responses. But SVR12, which is currently used as supportive information for registration trial design, can also be appropriate for regulatory approval of treatment regimens.
- Viral genotyping is used to determine the kind, or genotype, of the HCV virus present. There are 6 major types of HCV; the most common (genotype 1) is less likely to respond to treatment than genotypes 2 or 3. Genotyping is often ordered before treatment is started to give an idea of the likelihood of success and how long treatment may be needed Treatment
Treatment According To Genotypes.
A better understanding of Genotypes and treatment
The following tests are done to identify and monitor liver damage from hepatitis C:
Liver function tests
Albumin level
Prothrombin time
Related - A better understanding of Liver Function Tests
Will I need a Liver Biopsy ?
Based on the abundant literature in chronic hepatitis C, alternative, non-invasive methods can now be used instead of liver biopsy in patients with chronic hepatitis C to assess liver disease severity prior to therapy at a safe level of predictability.
All About Fibroscan
Understanding Fibroscan results - Score Card
News and Updates
Liver Biopsy and Noninvasive Tests For Fibrosis
Newly Approved Ultrasound Device Eliminates Risks and Pain of Liver Biopsy
FDA Approves FibroScan for Noninvasive Liver Diagnosis
A painless alternative to liver biopsy for evaluating the stage of liver fibrosis.
When you are first exposed to the hepatitis C virus and become infected, you are said to have "acute hepatitis C". Most people have no symptoms of infection during this time.
In 70 to 80 percent of people, the infection becomes chronic. The word "chronic" implies that the infection will be prolonged, or even lifelong, unless you get treatment that cures the infection.
Many people with chronic hepatitis C have no symptoms, even if there is serious liver damage. Of those who do develop symptoms, the most common symptom is fatigue; other less common symptoms include nausea, lack of appetite, muscle or joint aches, weakness, and weight loss.
Related - Symptoms .
FDA Approved Treatments For Hepatitis C
2015 FDA approved hepatitis C treatments
2014- News Highlights
Bristol-Myers: FDA Blocks Hepatitis C Drug for Now
AbbVie- European regulators recommended approval for hepatitis C drug Exviera (dasabuvir) and Viekirax (ombitasvir + paritaprevir + ritonavir)
European Commission Grants Marketing Authorization for Gilead's Harvoni (Ledipasvir/Sofosbuvir), the First Single Tablet Regimen to Treat the Majority of Chronic Hepatitis C Patients With Genotype 1 and 4
FDA approves Medivir's Olysio (simeprevir) in combination with Gilead Sciences' Sovaldi (sofosbuvir)
MSF responds to BMS commercial strategy for hepatitis C drug daclatasvir in developing countries
U.S. Food and Drug Administration Approves Gilead's Harvoni® (Ledipasvir/Sofosbuvir), the First Once-Daily Single Tablet Regimen for the Treatment of Genotype 1 Chronic Hepatitis C
Bristol-Myers withdraws FDA NDA for asunaprevir
France uses tax to put pressure on hepatitis C drug prices
CHMP Adopts Positive Opinion for Gilead's Harvoni® (Ledipasvir/Sofosbuvir) for the Treatment of Chronic Hepatitis C Infection in Adults
Ledipasvir/Sofosbuvir - Gilead Submits NDA to Japan's PMDA
Bristol-Myers Squibb's Daklinza (daclatasvir), Approved By European Commission
PBAC decisions – a mixed bag for Australians living with Hepatitis C
UK Recommends Covering Sovaldi Hepatitis C Pill
PegLambda Discontinued by BMS
Vertex to stop selling hepatitis C drug Incivek
Japan Approves First All-Oral, Interferon- and Ribavirin-Free Hepatitis C Treatment, Daklinza® (daclatasvir) and Sunvepra® (asunaprevir) Dual Regimen
Australia New Zealand - TGA approves Gilead's Sovaldi®
Links To More Information
These links will take you to the premier Hepatitis C sites and keep you informed with breaking news, clinical studies, new drugs, podcasts, newsletters, support, personal experiences and more.
2015 FDA approved hepatitis C treatments
2014- News Highlights
Bristol-Myers: FDA Blocks Hepatitis C Drug for Now
AbbVie- European regulators recommended approval for hepatitis C drug Exviera (dasabuvir) and Viekirax (ombitasvir + paritaprevir + ritonavir)
European Commission Grants Marketing Authorization for Gilead's Harvoni (Ledipasvir/Sofosbuvir), the First Single Tablet Regimen to Treat the Majority of Chronic Hepatitis C Patients With Genotype 1 and 4
FDA approves Medivir's Olysio (simeprevir) in combination with Gilead Sciences' Sovaldi (sofosbuvir)
MSF responds to BMS commercial strategy for hepatitis C drug daclatasvir in developing countries
U.S. Food and Drug Administration Approves Gilead's Harvoni® (Ledipasvir/Sofosbuvir), the First Once-Daily Single Tablet Regimen for the Treatment of Genotype 1 Chronic Hepatitis C
Bristol-Myers withdraws FDA NDA for asunaprevir
France uses tax to put pressure on hepatitis C drug prices
CHMP Adopts Positive Opinion for Gilead's Harvoni® (Ledipasvir/Sofosbuvir) for the Treatment of Chronic Hepatitis C Infection in Adults
Ledipasvir/Sofosbuvir - Gilead Submits NDA to Japan's PMDA
Bristol-Myers Squibb's Daklinza (daclatasvir), Approved By European Commission
PBAC decisions – a mixed bag for Australians living with Hepatitis C
UK Recommends Covering Sovaldi Hepatitis C Pill
PegLambda Discontinued by BMS
Vertex to stop selling hepatitis C drug Incivek
Japan Approves First All-Oral, Interferon- and Ribavirin-Free Hepatitis C Treatment, Daklinza® (daclatasvir) and Sunvepra® (asunaprevir) Dual Regimen
Australia New Zealand - TGA approves Gilead's Sovaldi®
Links To More Information
These links will take you to the premier Hepatitis C sites and keep you informed with breaking news, clinical studies, new drugs, podcasts, newsletters, support, personal experiences and more.


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Bayview SalonRead MoreNina and Sonny oversee a popular set of pedicure chairs at Bayview Salon. The husband-and-wife team began working together 22 years ago, when Sonny left his job in technology and decided to pursue a more personable profession. He learned his trade fast, and when he talks about life in the salon it's with an infectious enthusiasm. "I like the social life. I come and talk and do nails for the ladies." Sonny's colorful personality is matched only by CND Shellac, OPI, and Gelish polishes that make up the salon's collection, which is more than 180 shades strong. He and his wife beautify and polish acrylic, natural, and stainless-steel nails to a mirror-like finish and can even leave fingers extra fancy with silk-wrap nails or Sonny's signature French fills. Their services don't skimp on the extras, either: shiatsu-massage chairs knead tension from backs during pedicures, which may also include detoxifying green-clay masks, hot-stone massages, and skin-softening lemon-sugar scrubs.3001 Bridgeway, Ste 6Sausalito, CA US
Experience SalonRead MoreExperience Salon owner and 20-year industry veteran Melodie Mischel helms a team of stylists, aestheticians, and technicians, each of whom draws on at least 10 years of experience to dote on discriminating style-seekers. Skilled aestheticians pamper skin with soothing treatments that employ Éminence products handcrafted in Hungary from organic herbs, fruits, and vegetables. Shears generate a symphony of clips and chops as stylists cut hair and crush frizzy rebellions with a host of Aveda products. The salon's expansive plate-glass windows open up to the bustling heart of old Sausalito, which patrons can gaze upon as nail-care technicians adorn their talons with well-sculpted coverings. A talented team of massage therapists applies soothing strokes to counteract cramps accrued while napping in office-supply closets.36 Caledonia StreetSausalito, CA US
Melissa @ Revive Face and BodyRead MoreSausalito's Luna Salon has a full-service salon which means you won't need to go anywhere else. Be styled, groomed, and pampered, all in one place. Clear up your skin with a relaxing and rejuvenating facial. With services like hair cuts and color and highlights, you can take care of all of your hair needs in one place. When you book an appointment with Luna Salon, you'll want to start with any of the following: make up application. Take a break from your long to-do list and enjoy a mini escape from reality with a massage from this salon. Plan ahead to make a trip to this salon. The perk to an appointments-only salon is not having to wait in line, which saves your precious time. Luna Salon offers a wide variety of payment options, including payment by major credit card. Street parking is readily available near Luna Salon's Caledonia St location. Check out the hair services at Luna Salon and schedule yourself an appointment today.215 Caledonia StreetSausalito, CA US
Hair SolutionsRead MoreLet your personality shine with a trendy cut and color from one of the trained stylists at Hair Solutions Salon in Sausalito. Keep those pores clear with a relaxing facial courtesy of the salon's expert aestheticians. Pump up your hair volume with a refreshing and hydrating hair treatment from this salon, such as hair cuts, color and highlights, updos, keratin treatment, blow dries, and perms. Reduce stress and unwanted knots with a full body massage. Hair Solutions Salon helps brighten your look with such services as make up application. The luxurious services offered are available by walk-in appointments. Stop by today! If you're short on cash, take care of business with one of many major credit cards. Hair Solutions Salon's guests can take advantage of the easy street and lot parking options. Your hair will thank you after your visit to Hair Solutions Salon so schedule your hair makeover today.1919 BridgewaySausalito, CA US
High 5 SalonRead MoreHigh 5 Salon is a full-service hair and nail salon, specializing in hair color and nail services. Testifying to their expertise in the latter, rave reviews on Yelp praise their French and shellac manicures, to say nothing of the appreciation expressed for the salon's cushy leather massage pedicure chairs. A full range of OPI and Essie nail polishes line the walls, and the licensed aestheticians on staff offer classic manicure and pedicure services with luxurious twists, such as foot massages and scented scrubs to make skin silky and smooth. When it comes to hair, the salon's stylists call on Redken and Wella products. They use these—along with, in some cases, two decades of experience—to splash color onto hair or touch up one of the elegant abstract oil paintings that hang on the walls. In addition to cutting hair, the team also offers eyebrow waxing.2829 BridgewaySausalito, CA US

subset: commoncrawl


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: Chit-Chat:
In which we welcome back Shining Raichu from his extended vacation
View Single Post
April 25th, 2013 (5:47 AM).
Probably sleeping.
Gold Tier
Join Date: Dec 2012
Location: united kingdom
Age: 24
Gender: Female
Nature: Naughty
Posts: 740
So, I'm home. Over the last 3 days I've worked over 55hours.
I'm a little fatigued, time to stay up all night, lay around in my pajamas and get drunk on the internet. Oh dear internet, Ive missed you.
Originally Posted by
I've been busy all day too Jess, but for only cause I spent hours coloring something that should of only taken like 2 hours. >.> Don't worry though about your post though, people make mistakes.
Don't feel bad, on average I spend between 4-8 hours whenever I try to draw something, even if I'm like; "Oh I know, I'll sit down and doodle for five minutes."
Originally Posted by
We all make mistakes, when I was a noob I often posted threads only to have them locked because they were duplicates or belonged somewhere else.
Nowadays my thread making has sorta diminished because I like posting in threads more and when it came to the Pokemon X & Y section I could never make a thread because all the topics I wanted to bring up got posted before I could do it. Yeah, so many ninjas there lol.
I don't believe for a minute that you were
a noob.
Originally Posted by
Can you tell I haven't gotten enough sleep lately? Don't take me seriously. I'm just being grouchy. [;
I've been particularly busy for the last 7+ days. Didn't help matters that I woke up several times last night because I was worried that I would forget about this weird creature (which looked similar to The Rake) that I dreamed about.
I feel you on the no sleep; read above - my last 4 days.
Originally Posted by
A simple question:
What can change the nature of a man?
What is a man? A miserable little pile of secrets! But enough talk... Have at you!
Check this out.
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Austin TX Find Out Four Uncomplicated Methods To Help Save Income On Your Dumpster Rental
Taking away junk from your household can be a big task. Typically you haul trash and outdated objects from deep within just your basement or high up in your attic. You then pile it all in your lawn or garage. You can either haul it all to the dump or lease a dumpster. Now soon after all of the challenging work someone comes in and fees you to just haul it absent.
J&J expert services accomplishes a myriad array of cleansing responsibilities with the assist of roll off dumpster providers, dumpster rentals, stress washing expert services and Porta Potty rental too. All the services rendered by the company are eco friendly and in trying to keep with the go inexperienced trend. Test out what the site has in store in terms of charges and you could constantly ask for for a totally free quotation and a demo too.
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In Las Vegas, foreclosures are an unfortunate simple fact of existence. The area was one of the most difficult hit by the housing disaster that commenced in 2006, with household costs slipping sharply and quite a few people who'd been wooed by appealing loan packages, effortless entry and very low curiosity prices obtaining it difficult to make their property payments when their loans' introductory intervals had passed. Although the predicament is improving, as of early 2010, Las Vegas however reviews one particular of the maximum 90-day delinquency premiums in the region and a foreclosure price that's almost 7 moments the national average.
The up coming aspect that you have to check prior to putting an order with the a organization is transparency in pricing. While you area an order with dumpster rental company Connecticut do not forget about to examine with the corporation if they include any hidden prices in the pricing. Make absolutely sure that original price quote obtained by you is the last monthly bill you shell out to them.
To dispose the squander from renovation, it is always sensible to decide on dumpster rental in Austin TX service. A dumpster rental is applied to dispose too much quantities of rubbish that has been created from diverse sources like property renovation, construction, lawn cleanup and industrial cleanup. The dumpster rental services will reduce the waste materials disposed in the landfills by recycling and also assist us in minimizing the environmental pollution.
You should have expertise of your project requirements. For weighty hundreds, you should employ a cart rental with more functions. For basic safety, never ever attempt to carry or toss significant squander in the trash. Cart rental is greater to know, which has sufficient ability to fulfill your demands. Facet and rear doorways swings are a good choice for weighty masses. The rear door swings holes and ramps will give guidance to you the facility to use the automobile, so you can load hefty weights in the basket.
When storage area for seasonal products gets packed with other items, like things you signify to resolve or mend or components for unfinished tasks, outgrown garments, products the little ones remaining guiding when they moved out and many other things that accumulate about time, the work is typically considerably much larger that it looks. Be certain to strategy ahead ahead of tackling this task make it possible for 2 times the sum of time you feel it will acquire to take away the clutter.By carmonhix
- Tagged:
- Automotive, Business, Cleaning Tips and Tools, Environment, Environmental, Home, Home & Family, Home Improvement, News and Society, Tools and Equipment, anonymous, general, miscellaneous, other, uncategorized
Be respectful, keep it clean.


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User Reviews & Ratings - Sprintec 28 oral
Read user comments about the side effects, benefits, and effectiveness of Sprintec 28 oral.
Overall User Ratings873 Total User Reviews
User Reviews
Learn about
User Reviews
Reviewer: leacy, 35-44 Female on Treatment for less than 1 month (Patient)
Ease of Use
i wish that I could say that I like this pill but I was on another bc pill that was working great than I got sprintec less than two day after starting it I started me period and that is less than a week of having my regular period if it was a little spotting no big deal but this is a heave flow and lots of blood clots and I still waiting on the dr to answer me back
Reviewer: Male on Treatment for 6 months to less than 1 year
Ease of Use
my girlfriend uses this and has for 7 months and to experience bleeding between periods is very uncommon and is not an issue at all.
Reviewer: Kellie, 19-24 on Treatment for 6 months to less than 1 year
Ease of Use
I've been on Sprintec for 6 months now going on 7. My periods are always late, or even a week early. My acne has yet to go away, my cramps are awful during that time of the month. I'm over emotional ALL THE TIME, I don't know how to control my emotions anymore, I've gained 14 pounds and counting. I'm depressed, I don't know how to get out of my slump. This is by far the wor ... Show Full Comment
found this review helpful.
Was this review helpful? Yes | No
Reviewer: Fuzzysauce , 13-18 Female on Treatment for 6 months to less than 1 year (Patient)
Ease of Use
Helped clear up severe acne, regulated menstrual cycles which were long, heavy and painful. Easy to take as well.
found this review helpful.
Was this review helpful? Yes | No
Reviewer: highschooler28, 13-18 Female on Treatment for less than 1 month
Ease of Use
I haven't had any side effects other then a bit of nausea but other then that I'm good n not pregnant so that's great xD
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Newegg.com - A great place to buy computers, computer parts, electronics, software, accessories, and DVDs online. With great prices, fast shipping, and top-rated customer service - once you know, you Newegg.
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Newt Gingrich: Dead Man Walking
Yes, Newt won his native state of Georgia. Big Whoop! Would someone please tell him that there were nine other contests last night. It's not that he wasn't on the ballot in Virginia (whose fault is that?), but Ron Paul got 41% of the vote in Gingrich's current home state and Newt didn't bother to vote. In Tennesse and Oklahoma, which Newt was declaring that | Read More »


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Travel to Mongolia to discover a remote pocket of Asia.
Travel to Mongolia and experience the raw beauty and tradition of this remote region. Hidden from the world for many years, it is hard to imagine that this secluded country once created the largest land empire ever known. Unmatched geographical diversity, pristine grasslands, crumbling ruins and roaming herdsmen riding tough Mongolian horses - see it all on this journey through a land that time forgot.
- Start
- Ulaanbaatar, Mongolia
- Finish
- Ulaanbaatar, Mongolia
- Countries
- Mongolia
- Themes
- Festivals and Events
- Code
- Soak up the beauty of Khovsgol Lake
- Hike to a volcanic peak
- See Genghis Khan's Karakoram capital
- Sooth sore muscles in relaxing hot springs in Tsenkher
- See monks conduct their daily ceremonies
- Explore the palaces and monasteries of Ulaanbaatar
- Stay overnight in a traditional ger
- Experience nomadic Mongolian life on a homestay
Day 1 Day 1 Ulaanbaatar
Day 2 Day 2 Amarbayasgalant Monastery
Day 3-4 Days 3-4 Selenge River
Day 5-6 Days 5-6 Lake Khovsgol
Day 7-9 Days 7-9 Terkhiin Tsagaan Lake
Day 10-11 Days 10-11 Tsenkher
Day 12-13 Days 12-13 Karakorum/Khogno Khan
Day 14-15 Days 14-15 Ulaanbaatar
Meals13 breakfasts, 13 lunches, 12 dinners
TransportCamel, Van
AccommodationGer (10 nights), Homestay (2 nights), Hotel (2 nights)
Included activities
- Amarbayasgalant - Monastery
- Informal Mongolian Language Lesson
- Karakorum - Erdene Zuu Monastery
- Khogno Khan - Camel ride
- Selenge - Uran Togoo hike
- Tsenkher - Hot Springs
- Tsetserleg - Local Museum
- Ulaanbaatar - Cultural Performance
There are currently no departures for this trip.
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Contact us to arrange an alternative departure for you
Important notes
Trip notes
Want an in-depth insight into this trip? Your trip notes provide a detailed itinerary, visa info, how to get to your hotel, what's included - pretty much everything you need to know about this adventure and more.View trip notes
Our Wild Mongolia trips score an average of 4.63 out of 5 based on 16 reviews in the last year.
Wild Mongolia , August 2015
Amanda Monks
Long days of driving over rough roads and tracks, cold showers or no showers, sleeping on the floor in Gers, lots of sausages for breakfast and meat for dinner. These are all things you will experience on the trip of a life time. You will also experience some of the most stunning views, climb volcanoes, see amazing temples, meet the most friendly people and be welcomed into their homes and lives. The home stays are highlights of this trip. Visiting the families, playing with the children, seeing their daily life is truely magical.
Review submitted 09 Sep 2015
Wild Mongolia , August 2015
Helen Brownlie
Wild Mongolia was excellent in terms of seeing a examples of the variable geology and landscapes in this magnificent country. We were well supported informed and were able to mix exciting four wheel driving with opportunities to walk and relax. Meeting land staying with local people and visiting the the occasional town provided a good variety to the day. Our guide and drivers were exemplary and much was gained by taking the time to engage and talk with them.
Review submitted 01 Sep 2015


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Winter Sunset Magic On Toronto Planet Stock PhotoArchitecture,Building Exterior,Canada,City,City Life,Cityscape,Color Image,Fish-Eye Lens,Horizontal,Lens Flare,No People,Ontario - Canada,Outdoors,Photography,Sky,Sun,Sunset,Toronto,Tranquility,Urban Skyline,WinterPhotographer Katrin Ray ShumakovCollection: Moment © 2013 Katrin Ray ShumakovSun Magic series.Sun therapy! We all need more sun during short winter days, so each golden moment of sunset or sunrise is so precious and gives a lot of energy and joy! One of such moments I saw on my Toronto cityscapes recently and wanted cherish it dearly... So I just had to cast some globular magic and a thin layer of textures on this.


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Current Size: 75%
Osteomyelitis is a bacterial bone and joint infection that progressively destroys the bone and may also affect joints.
Infection can spread from the bloodstream into the bone. When a bone becomes infected, pus is produced from within the bone, resulting in a foul-smelling discharge.
Causes of osteomyelitis include:
Osteomyelitis is more common in children because their bones are more vulnerable as they are not fully grown.
If not treated quickly, it will lead to the chronic stage with severe bone destruction.
Antibiotics can eliminate the infection if detected early, but once it becomes chronic, surgery is the only viable option.
Surgeons clean and remove infected tissue and bone but reconstructive surgery is often required. It is therefore crucial that the condition is detected early to enable treatment to begin.
We support projects throughout the developing world, including in the Democratic Republic of Congo and Uganda, that detect and provide surgical treatment and rehabilitation for people with this bone infection.
You can support our work and provide treatment for people with osteomyelitis today by donating online.
Osteomyelitis - Wikipedia article
Osteomyelitis - NHS article


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8-Year-Old Girl's Gundam World Cup Victory
- Categories: Anime Figures, News
- Date: Dec 13, 2011 01:24 JST
- Tags: Awards, Events, Gundam, Hokkaido, Hong Kong, Mecha, Namco Bandai, Schoolgirls
An 8-year-old girl has won the Japan's junior Gundam World Cup and will be representing her country at the world finals, creating quite a stir with her diorama of a mobile suit blasting and smashing various tanks.
- Anonymous commented on January 19, 2012 04:51
I love lolis. And tomboys. So she's perfect to me :3 Well, if she had eyes...... More
- demonhaseo commented on December 17, 2011 09:54
I actually know the guy who won the American open, he's a pretty cool guy As for the girl, she makes me feel all depressed... I could never be that good *Sigh*... More


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RRPC to hold meetings tonightFebruary 19,2013RRPC to hold meetings tonight
The Rutland Regional Planning Commission will discuss energy policy and the Pittsford town plan tonight.
The Commissions Regional Issues Committee meets at 6 p.m. to discuss Act 250 and Section 248 applications as well as the energy section of the regional plan. Applications include a timber harvest in Tinmouth, the installation of an above-ground 4,000 gallon diesel fuel tank in West Rutland and the relocation of power lines in Pittsford.
At 6:30 p.m., the Community Issues Committee reviews the Pittsford town plan.
The Board of Commissioners meets at 7 p.m. The agenda includes a public hearing on the Pittsford plan.
The meetings are in the RRPC offices on the third floor of the Opera House in downtown Rutland.MORE IN This Just InThe Shumlin administration and legislative leaders are questioning aspects of a renewable energy... Full StoryBENNINGTON The owner of a Pownal GMC dealership was fined $1,000 on Friday after pleading... Full StoryBENNINGTON A local man is being held in the Rutland jail after two people said he brandished a... Full Story
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HOPE, the European Hospital and Healthcare Federation, is an international non-profit organisation, created in 1966.
HOPE represents national public and private hospital associations and hospital owners, either federations of local and regional authorities or
national health services. Today, HOPE is made up of 36 organisations coming from the 28 Member States of the European Union,
Switzerland and the Republic of Serbia.
HOPE mission is to promote improvements in the health of citizens throughout Europe, high standard of hospital care and to foster
efficiency with humanity in the organisation and operation of hospital and healthcare services.
Emergency care
A survey carried out by HOPE Central Office with the contribution of HOPE Members
Hospitals 2020: hospitals of the future, healthcare of the future
A report on the findings of the HOPE Exchange participants 2015, presented at the HOPE Agora Warsaw
Out-of-pocket payments in healthcare systems in the EU
A report written by HOPE Central Office with the contribution of HOPE Liaison Officers
Medical Tourism
Quality first!
Challenges in the changing hospital and healthcare environment
A report on the findings of the HOPE Exchange participants 2014, presented at the HOPE Agora Amsterdam
More HOPE publications
HOPE Study Tour
Assuring quality in the English NHS
On 29 and 30 October 2015, HOPE UK member organised a study visit for senior healthcare professionals, managers and policy makers on "Assuring quality in the English NHS".
Read more
HOSPITALS in the Member States of the European Union
Knowledge on hospitals in Europe is sparse and spread in different sources. To make easily available the core information HOPE has developed three tools.
Facts and figures
provide detailed information about the situation of hospitals in each EU Member State. It considers the demographic and socio-economic condition, the healthcare systems features, hospital planning, governance and financing.
Hospitals in the EU: Facts and figures
Comparative key figures
examine the most significant data and indicators for a better understanding of the overall situation of hospitals. They present the trends over the last five to ten years on hospital activity, acute care hospital capacity and healthcare workforce.
Hospitals in the EU: Comparative key figures
Hospitals in the 27 Member States of the European Union (2009)
is a joint work of HOPE and DEXIA issued in 2009, both a paper poster gathering information for each of the EU Member States and a book providing a synthesis.
Hospitals in the EU 27: The book
Hospital Healthcare Europe 2014-2015
An electronic version of the HHE 2015 is available here
The Official HOPE
Reference Book
For information on
and services access
Register there now for your
free copy


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Update on MadonnaAs a married parent of two children, Madonna works hard to support her family.
Madonna has a food vending business in the Philippines, and also earns additional income from a buy and sell fish business and general store. Madonna is borrowing PHP 10,000 through NWTF to buy ingredients for her food vending business.
Madonna successfully paid back her previous loan and now she has requested an additional loan to further build her business.
Madonna has been sustaining her business activities through her past 22 loans from NWTF. She hopes that her hard work will help her to attain her dream, which is to save enough money so that she can afford to send her children to college.
Previous Loan DetailsMadonna is 29 years old and married with two children. Madonna works hard to provide for her family. She runs a general store in the Philippines and requested a PHP 10,000 loan through NWTF to buy additional stocks to sell like soap, milk, sugar, noodles, etc. Madonna has borrowed and paid back... More from Madonna's previous loan »
Additional Information
About Negros Women for Tomorrow FoundationNegros Women for Tomorrow Foundation, Inc. (NWTF) is a non-governmental organization established with an aim to help men and women achieve self-sufficiency, particularly in the province of Negros Occidental's low-income communities. The organization offers its clients a wide variety of products, including loans for micro-entrepreneurs, hospital income benefits, life insurance, accidental death benefits and more. Kiva lenders' funds will be used to expand the reach of these products to low-income urban and rural communities.
Concurrent and Successive Loans
Our Field Partners often work with borrowers over a series of loans as the borrowers build credit, take out bigger loans, and expand their businesses. In order to make it easier for our Field Partners to post loans for borrowers who have been listed on Kiva before, we allow them to post successive and concurrent loans for their Kiva borrowers. This means that our Field Partners are able to post a borrower's second, third, etc., loan on Kiva without having to re-enter all of the borrower's information.
This borrower has been listed on Kiva before, so you'll see an updated loan description, as well as excerpts of the original descriptions from earlier loans. Most borrowers take out loans consecutively, meaning that they receive a second loan after having repaid the first. However, sometimes our Field Partners give out concurrent loans, allowing borrowers to take out one primary loan and a secondary "add-on" loan along with it. These "add-on" loans are typically smaller than the borrower's primary loan and serve a different purpose. Because Field Partners can now post loans as successive and concurrent loans, you will be able to track borrower progress over time and see the various ways a borrower is working with our Field Partners through funds from Kiva's lenders.
About Philippines
371View loans »
Success!! The loan was 100% repaid
- Repayment Term
- 7 months (Additional Information)
- Repayment Schedule
- Monthly
- Pre-Disbursed:
- May 7, 2014
- Listed
- May 22, 2014
- Currency Exchange Loss:
- Possible
- Ended:
- Nov 17, 2014


text:
Game Credits
Quality Assurance
|Marvel Ultimate Alliance (Special Edition) (2007)
|(Database Managers)
|Spider-Man 3 (2007)
|Marvel Ultimate Alliance (2006)
|(Database Managers)
|Marvel Ultimate Alliance (2006)
|(Database Manager)
|The Movies: Stunts & Effects (2006)
|(QA Testers)
|Quake 4 (2005)
|X-Men: Legends II - Rise of Apocalypse (2005)
|(Database Managers)
|X-Men: Legends (2004)
|(Test Team)
|Star Trek: Elite Force II (2003)
|True Crime: Streets of LA (2003)
|(Day Test Team)
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Peak Design Capture V1: Field review
Started Aug 21, 2013 | User reviews thread
Shop cameras & lenses ▾
N Smith • New Member • Posts: 21
Re: Peak Design Capture V1: Field review
I bought the camera clip last year before setting off on my hiking holiday in South Tyrol.
I too had tried various methods such as a top loader attached to the backpack straps with the camera in front - was restictive when going downhill - or using a neck strap and carabiners to reduce swing.
None of these methods gave me what I wanted.
I used the capture clip for 14 days on various different hikes and was really impressed. I had the system attached to my left backpack strap and never had any worries about my gear (EOS60D + 24-105 + handstrap). The only addition I had was a velcro strap to prevent lens creep.
I too would highly recommend the system to anyone hiking.
The new version looks pretty good too.
N Smith's gear list:N Smith's gear list
Canon PowerShot A540 Canon PowerShot SX210 IS Canon EOS 350D Canon EOS 60D Tamron AF 18-270mm F/3.5-6.3 Di II VC LD Aspherical (IF) MACRO +11 more
Reply Reply with quote Complain
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|Aug 21, 2013
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Blaze Ya Dead Homie - Hood Ratz Lyrics
Hood Ratz Lyrics by Blaze Ya Dead Homie from 1 Less G in da Hood Album, music composed by: Anybody Killa ... has 20 views.
Below you can play Hood Ratz video, browse another Blaze Ya Dead Homie lyrics.
Send "Hood Ratz" Ringtone to your Cell
feat. Anybody Killa
[Verse 1 - Blaze Ya Dead Homie]
The sun goes down, and I crept out the cemetery
Lookin' for hood rat hoes, like this bitch Mary
Known to fuck, known to suck
Every nigga that I know done been in the guts
But when it came to me, she wanted to front
Said my gear was dirty and smelled of dead funk
She probably woulda kept talkin', if I let her
But I slapped her in the mouth and put my dick in for pleasure
Then she started actin' erotic, and got excited
Story done changed and in the pussy I'm invited
She wanted me to tag the pussy, wax the pussy
Go down south, hold up bitch, get the fuck out!
(You ain't famous, bitch!) And if so, I don't give a fuck
I stay real with dirty hoes and love to get my dick a suck
Don't get it flipped ho, you's a hood rat
Only good for fuckin' and suckin' cause it's like that
Bitch, you's a hood rat (I'M JUST TRYIN' TO FUCK!)
Do it like a rat (FACE DOWN, ASS UP!)
Chicken head, dirty ass, no good trick
Hood rat bitch, you can (SUCK THIS DICK!)
[Verse 2 - Anybody Killa]
Old school rhymes bring back teenage memories
Like when I was datin' Betty and fuckin' Denise
Or drinkin' Sisco in the park with some hoes after dark
Play hide and go get it like a sport
But things change, fuck Sisco, fuck the park
We want more from the bitches wit a brand new car
Semen swallowers, orgasm hollowers
Hit it from the back chronic sack, smokin' girls with mad dollars
[Verse 3 - Blaze Ya Dead Homie]
Now it's a whole new day, different story
Blaze Ya Dead Homie Hood Ratz found on http://batlyrics.net/hood_ratz-lyrics-blaze_ya_dead_homie.html
Ran into a bitch named Tracy and her cousin Tori
They was walkin' and they needed a ride
Pulled up to the curb and they both got inside
Cracked open the 4-0, then I took a sip
Now which one of y'all bitches suckin' my dick?
Then they knew the time, cause they down for the benefit
Hood rat hoes, pussy always warm and wet
Bitch, you's a hood rat (I'M JUST TRYIN' TO FUCK!)
Do it like a rat (FACE DOWN, ASS UP!)
Chicken head, dirty ass, no good trick
Hood rat bitch, you can (SUCK THIS DICK!)
[Verse 4 - Anybody Killa]
Every day in the neighborhood, it's a hood rat fest
Joggin' pants and house shoes with they hair a mess
Hoochie mamas causin' drama like a 9 to 5
(You's my baby daddy, J!) Bitch, that kid ain't mine!
I was strollin' to the liquor sto', one day
Smokin' on a big fuckin', fat J
Seen a chicken head comin', my way
It was a toss up, had this killa straight up amazed
It was a good day, never had to take the 9 off safety
Every feind that I seen was glad to pay me
5-0 ridin' by wavin' high
Without the bright lights from the ghetto bird in the sky
Today's the first time I ever seen the hood could look fine
Get this, weedman sellin' twenties for dimes
Oooh! perfect future in my dead crazy past
Dirty gangsta money gets you dirty gangsta ass!
[Hook] -x2
Bitch, you's a hood rat (I'M JUST TRYIN' TO FUCK!)
Do it like a rat (FACE DOWN, ASS UP!)
Chicken head, dirty ass, no good trick
Hood rat bitch, you can (SUCK THIS DICK!)
Blaze Ya Dead Homie Top 10 Lyrics
19Hood Ratz Lyrics
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Key things you need to know aboutDr. Rutledge:
Dr. Rutledge's Experience
Research training, expertise and qualifications
Dr. Rutledge's Care Philosophy
Dr. Rutledge's Specialties
Procedures Dr. Rutledge Performs
- Radiofrequency Nerve Ablation
Conditions Dr. Rutledge Treats
- Aneurysm, Intracranial Berry
- Aneurysmal Subarachnoid Hemorrhage
- See all 19 conditions
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Hospital Quality
The right hospital is as important as the right doctor
- St. David's Medical Center
- 919 E 32nd St
- Austin, TX 78705
- St. David's Round Rock Medical Center
- 2400 Round Rock Ave
- Round Rock, TX 78681
9 Facts About Hospital Quality
Patients' risk of dying during a hospital stay for heart bypass surgery could be 87.4% lower, on average, at a hospital rated 5 stars compared to a hospital rated 1 star for that procedure. Choosing the right hospital is critical to your health. View Slideshow
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SOHO's view of the Sun and Jupiter, April 5, 2011
Filed under pretty pictures, the Sun, solar observing spacecraft, Jupiter, animation
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The security of the data on the hard drive of a computer is our first priority in Support Services in the computer disposal process. Please follow these short steps:
- Submit the completed and signed work order and send to email@example.com.
- The computer will be picked up, brought to Central Receiving, and locked up.
- The hard drive will be removed, logged in and secured in a safe.
- The vendor is contacted and a date is set for the hard drives to be shredded. A Support Services staff member transports them to the State's recycling vendor and observes the shredding of these drives. The vendor has a video camera on during the process.
If there are any questions about this process, or a department requires special handling, please contact the Assistant Director of Property and Support Services, Vic DeGraide (email@example.com or 4-2760) for further information.


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Norwich - The Norwich Municipal Ice Rink is expected to open within the next two weeks using a rented chiller from the Carrier company, and may never need to replace the damaged compressor cooling system that caused an ammonia leak and forced the evacuation of the rink last week.
The leak, which occurred last Wednesday evening, sent a salty liquid into the compressor system, causing damage to the equipment.
As rink officials and contractors flush out the estimated 4,000 gallons of contaminated liquid and install the temporary chiller this week, the Ice Rink Authority is poised to vote Thursday on whether to go forward with a $1.1 million proposal to build a geothermal heating and cooling system at the city-owned rink.
During a special meeting on Saturday, the authority decided to rent a temporary chiller at a cost of $14,000 per month to reopen the rink as soon as the damaged system can be flushed, the ice subsurface repainted and the new ice formed.
Rink Manager Mia Sanca estimated Monday it could take another 10 to 14 days before the rink can reopen. Meanwhile, the rink is losing revenue from planned hockey tournaments, hockey practice sessions and other skating programs.
Authority Chairman Francois "Pete" Desaulniers said Monday that the authority is expected to vote Thursday on the proposal from the Michigan-based geothermal system company Thermo Source to make the Norwich rink the first in New England to use its technology. A rink in Plymouth, Mich., and one in Jamesville, Wis., currently use the technology.
The authority meeting will be held at 7 p.m. Thursday at the rink.
Desaulniers said it likely would be cheaper for the rink to continue to rent the chiller system than to repair the damaged system, estimated at anywhere from $25,000 to $50,000 depending on the extent of the damage.
If the authority accepts Thermo Source's proposal, installation could take eight weeks. The plan calls for drilling 15 feet down into the ground near the rink and extending the geothermal line horizontally for 500 feet beneath the rear parking lot.
City finance officials, however, said the proposal would have to be put out to bid before the rink could accept a specific company's proposal.
The authority did get some good news over the weekend. After testing the brine, officials at Norwich Public Utilities determined the liquid could be accepted at the city sewage treatment plant, avoiding the need for expensive disposal costs. NPU spokesman Michael Hughes said the utility will store the liquid and release it slowly into the sewer system at no additional cost to the utility.
Desaulniers said he does not have an estimate from NPU on the cost of the disposal to the authority. He also asked the city Public Works Department to clear snow away from the ice rink building to allow contractors easier access to the building to install the temporary system. Public Works will bill that work to the authority as well.
The leak and equipment damage came at a time when the financially troubled rink was turning the corner after years of losing money. The rink was expected to turn a small profit at the end of this fiscal year.
The city's insurance carrier is reviewing the equipment damage and loss of revenue during the shutdown. Desaulniers said he did not have answers yet on those inquiries.
Seaside plan combines private lodge with public park, beach access
Missing hiker found dead in Maine last year kept journal of ordeal
Driver of motorized cart transported by Life Star helicopter after collision in Stonington
Fleming has a record-setting day for NFA as Wildcats, Falcons advance to play for ECC softball title
Fentanyl-related overdose deaths projected to increase significantly
At NRA, Trump slams Clinton for 'heartless' gun restrictions
DOT Commissioner: I-95 widening, improvements should be on 'front burner'


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Campus Announcements
We have three summer activities lined up, two of them are recurring events, so make sure to check back with us on our social media to see those dates. But next week we will have our first free Ice Cream Social in front of the REX from 2-4 p.m.
We will also start selling tickets for the Drive-In movies, tickets will be 2$ and sold in the Student Life Center to all those with a AS&F IDs. Sales start Tuesday, and the tickets are for June 2nd (Thursday). The movies that will be playing are: X-Men: Apocalypse – PG13, The Angry Birds Movie – PG.
The final event for that week will be a Splash into Summer on the Campus Green, it will be from 1pm to 2pm on June 3rd (Friday). We will be having water balloons, water guns, sprinklers and popsicles. This would be a perfect chance to bring the kiddos and your beach towel. Don't be afraid to get wet!
Blow out sale!!!
All 50% clothing and merchandise receives and additional 25% OFF!!!! All supplies must go. Posters $.50 large, $.25 for small. Cards $.05 each or 100 for a $1. Mini tablets $50 each. All art supplies 50% off and older art supplies receive a great deal!! (See the manager) First come, first serve. Limited sizes.
Also, Grizzly Den, all candy bars $.25 each. Frozen food receive an additional 25% off. Health and beauty aids 50% off. Don't be left out.
Brief CS Maintenance for tonight, Wednesday May 25th
There will be very brief outages due to reboots on several back-end systems as we install critical security patches to these systems. Interruption to campus services should be minimal.
As always, if you have any questions, please contact the ASU Computing Services Helpdesk at x7741 or via email at email@example.com
Thank you,
Computing Services
Empower U Summer Wellness Groups
Who is ready to stay active this summer? Empower U will be leading the following wellness groups in the Summer 2016 semester:
Skateboarding- Mondays at Adams State University's Campus Green at 430PM (We have equipment for you)
Disc Golf- Tuesdays at Alamosa Disc Golf Course at 400PM
Walking- Wednesdays at Ol' Mose Statue at Noon
These events are tentative, and all changes will be posted at: blogs.adams.edu/empoweru/
Sidewalk SALE!!!
Bookstore is NOT having a sidewalk sale. Everything except consignment items are on sale, 30%-50% off. So sidewalk into the Bookstore. Sale ends JUNE 25TH!!!!!!
Student time sheet for submittal
Summer employees will have to submit two web time sheets for the months of May and August. One for the regular school year and a separate one for summer hours. If the student will continue to work for you during the school year, a new Authorization for Student Employment form needs to be submitted to the One Stop Student Services Center by August 15th.
work study openings
Facilities Services is looking to hire 4 students who are taking the required 6 credit hours for the current 2016 summer session. Please come in person to apply.
Thank you,
Facilities Services
Computing Services Maintenance for today, Thursday, May 19, 2016
Beginning at 9:00 PM, Employee, lab and TEC Classroom PCs will receive critical security updates to Acrobat, Flash, Reader, Shockwave, Chrome, Firefox, Thunderbird, VLC, Windows, and Office. Employees are encouraged to log off but leave their computers on when leaving work for the day. This will assist the installation of these patches and minimize any impact.
Also beginning at 9:00 PM, ALL Banner systems will be unavailable until around midnight. This is required for a major configuration change and updates to Oracle.
Lastly, at 9:00 we will be applying critical security patches to the campus file server and CS Helpdesk system. There will be about 15-20 minutes in which home and shared directories will not be accessible as the system reboots.
Computing Services thanks you for your patience and understanding as we perform these critical maintenance activities. As always, if you have any questions, please call the ASU Computing Services Helpdesk at 7741 or contact us via email at email@example.com
Have a great day!
Computing Services
NWS Scholarship Opportunity
Have you participated in the National Western Stock Show? If you have a 3.0 or better and are registered full – time please email email@example.com with a short description of your participation and you could qualify for a great scholarship opportunity!
Campus Power Shutdown late tonight/early Thursday, Campus Network Outage Info
Due to the power problems we experienced yesterday afternoon we will have to shut down power to the whole campus for a period of approximately 3 hours to complete necessary repairs. We are planning on shutting down the power Thursday morning from 1am to 5am to complete the work as necessary.
Beginning at 9:00PM tonight (Wednesday), Computing Services will be shutting down all campus networking equipment to prevent damage from the planned power shut down. We will then work to restore all networking services by 7:30AM tomorrow. All users should shut down their computers when leaving work for the day, and if you have a UPS battery system, please shut it down as well to prevent draining the battery and shortening their life. If you have any questions, please contact ASU Computing Services Helpdesk at x7741 or via email at firstname.lastname@example.com.
If this planned time will be a major issue for anyone on campus please let me know at your earliest convenience.
Thank you for your time and consideration,
Kurt A. Cary
Vice President Administration and Finance
Possible brief Internet outage tonight
Computing Services will be migrating to a new campus firewall tonight after 9:00 PM. There may be intermittent outages to Internet services during this time, lasting hopefully less than 10 minutes.
If you have any questions, please contact the ASU Computing Services Helpdesk at x7741 or via email at firstname.lastname@example.com
Thank you
Computing Services
Come join us for a bbq to celebrate Cecil Fell's transition to a new chapter in his life (he doesn't want to call it retirement).
When: Thursday at noon
Where: Plachy Hall entrance
*Please come by Plachy if you are interested in contributing to a gift for Cecil.
Yoga Schedule for Summer!
Monday: Slow Flow Yoga 12pm
Tuesday: Integrative Yoga 12pm (Starting next week 5/24)
Wednesday: Vinyasa Yoga 12pm
Free: AS&F Members
$5 Drop-In Fee all others
In the GrizzlyX Room inside of the Rex Fitness and Wellness Center!
Change in SUB mailroom hours
Starting May 23 the student mailroom hours will be 12:30 – 2:00 Monday through Friday.
REX Gym Hours
The REX Gym will be opened Monday-Friday 6am-9:30am and 11am-2pm
The Rock wall is also opened from 11am-2pm Monday,Tuesday,Thursday,Friday


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'Lois Ehlert's Mole Hill Stories' casts a spell on theatergoers of all ages
In the beginning, there was a nearly blind mole in the dark woods. Less than one hour later, that same mole could see all the way to the moon, inspired by a fellow creature making the seemingly impossible journey there.
These bookends hold "Lois Ehlert's Mole Hill Stories," Alvaro Saar Rios' adaptation of three of Ehlert's children's books. A collaboration between First Stage Children's Theater and Danceworks Performance Company that's designed to expose young children to theater, it opened Saturday morning under Desiree Rosas' direction. »Read Full Article
Autism and beer inspire brewery tour
This Kickstarter project is coming to a brewery near you. At least they hope so.
Lance Rice is a 55-year-old historian with an encyclopedic knowledge of beer. The Cleveland native has held a lifelong dream of touring the country's breweries and writing a book about the history and culture of American beer. The visits will be filmed for a documentary called "Lance's Brewery Tour," with Milwaukee stops scheduled for MillerCoors, the original Pabst Brewery, the Pabst Mansion and Minhas Brewing in Monroe and the National Brewery Museum in Potosi. »Read Full Article
Video: Richie Havens, 'Here Comes the Sun'
Here's Richie Havens, as recorded in 1971 playing his transformative take on the Beatles' 'Here Comes the Sun." Havens died Monday of a heart attack, according to a statement from his family. The guitarist was 72.
Milwaukee Music Video: See the latest treatment from rap duo the Cranberry Show
The Cranberry Show is taking its sound and music videos to new heights. »Read Full Blog Post
McGivern, Whitewater cast find a spark in 'Our Town'
Whitewater - In his forward to Penelope Niven's new Thornton Wilder biography, Edward Albee writes: "If I were asked to name what I consider to be the finest serious American play, I would immediately say 'Our Town.'"
As I don't disagree, I made the short drive to the University of Wisconsin-Whitewater on Sunday for the first of two performances of Wilder's play. Directed by Jim Butchart and featuring John McGivern as the stage manager, it is being produced as part of Whitewater's "Big Read," which is focused this year on Wilder. »Read Full Article(2)
Update: Carson's steakhouse projected to open in June
Carson's, the Chicago-area rib-and-steak restaurant that's coming to downtown Milwaukee, now is projected to open on or around June 1.
Carson's will open on the first floor of the Moderne high-rise, at N. Old World 3rd St. and W. Juneau Ave. »Read Full Blog Post
Steely Dan, Dead Milkmen and more Bret Michaels among new Milwaukee show announcements
The Poison frontman is playing two sold-out shows at Potawatomi Bingo Casino's Northern Lights Theater May 30 and 31, and last week Michaels was added to the growing list of Harley-Davidson 110th anniversary celebration performers. »Read Full Article(2)
On Tap for Today: Earth Day, Next Act Theater and Anberlin
Today we celebrate Earth Day.
Wisconsin's Gaylord Nelson put the concept in motion in 1970. Milwaukee's Neroli Salon & Spa will celebrate the day by participating in a global 24-hour cut-a-thon with Aveda. Stylists will volunteer their time with haircuts in return for a donation to Earth Month and an eye toward breaking a Guinness World Record. »Read Full Blog Post


text: tickets aren't included Sister Tink . I know I was lost there too . If my girlfriend and I go , 3 nights/4 days at All Star Sports ... 2 day base tickets , not three and on the way its worded and free dining $576.36 . But we are 2 adults and not the 4 with junior & child . Makes a difference, but still as to why we don't get the third day park tix .


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For vegetarian option, omit the bacon and use 2 Tbsps of butter instead.
- 2 ounces of bacon (1 thick strip), cut into 1/2-inch pieces
- 1/2 large yellow onion, chopped (about 3/4 cup)
- 1/2 cup small diced red bell pepper
- 1/2 cup small diced celery
- 4-5 ears of sweet corn, kernels removed from the cobs (about 3 cups), cobs reserved (see steps for taking corn off the cob)
- 1 bay leaf
- 4 1/2 cups milk, whole or low fat
- 2 medium Yukon Gold potatoes, peeled and large (1-inch) diced (about 3 cups)
- 3 teaspoons of Kosher salt
- 1/2 teaspoon freshly ground black pepper
- 1 teaspoon fresh thyme leaves
1 Place chopped bacon into a large, heavy-bottomed soup pot. Heat on medium heat until the bacon slightly browns and renders its fat, 3-4 minutes. Add the chopped onions, red bell pepper, and celery, lower the heat to medium low and cook until vegetables soften.
2 Break the corn cobs in half (after you've stripped off the corn) and add the cobs to the pot. Add the milk and the bay leaf. Bring to a boil and reduce heat to a bare simmer. Cover the pot and cook for 20 minutes. Make sure the heat is as low as can be and still maintain a gentle simmer (on our stove we had to use the "warm" setting) to prevent scalding the milk on the bottom of the pan.
3 After 20 minutes, add the potatoes, salt, and thyme to the pot. Increase the heat to return the soup to a simmer, then lower the heat to maintain the simmer and cook for another 10 minutes.
4 Discard the cobs and the bay leaf. Add the corn kernels and black pepper. Again raise the heat to bring the soup to a simmer, then lower the heat and cook for another 5 minutes, until the potatoes are fork tender.
Add more salt and pepper to taste.


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Create ringtones on Audiko.net! You can just download a free Punch Exciters ringtones for your iPhone or mobile. Cut your favorite section from your favorite tune - The Гимн Качков, Dance of The Fire, Punch Exciters, or any other track. Then download the prepared Punch Exciters ringtones to your mobile device, and enjoy House music by Punch Exciters every time your phone rings. If you are mad about House or maybe Electro and Electrohouse music, then you will probably like DJ Romeo, or DVJ BAZUKA as well. On Audiko you can have your track piece both in the MP3 and m4a formats, compatible with both mobile phones and iPhones. Just select a track, and choose free Punch Exciters ringtones download option.
Download Punch Exciters Ringtones
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|Dance of The Fire
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Punch Exciters


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I DIG PLANTS T-Shirt
For those you with a green thumb or for your friends or family members who love to get down and dirty ... in the garden, we have the very fun I DIG PLANTS T-Shirt. You will be the envy of all the other weekend landscapers the next time you're hanging out at the nursery.
T-shirt is 100% cotton and comes in this very plant-like shade of green.


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MCM London Olympics Backpack Collection Via: Billidollarbaby
Category - Accessories
Celeb Style: Jay-Z out in Paris wearing "wearing a YSL Ursula T-shirt ($325) with a denim jacket, khaki pants, and white low-top sneakers. He was also wearing a Dries Van Noten brooch pin on his left chest" Via: upscalehype
Burak Uyan Sueded Printed Sandals. Love the colors and different textures. Retailing for 1,490.00. What do you think?
Oh My DSquared! Lobe these!
Its that time of year again! Bathing Suit season! Mara Hoffman Inca Printed bikini! Love! Retails for 215.00
Nike LeBron 9 Low "USA" Look out for them June 16th 2012
Funky nails are all the rage, in addition to stacking pretty necklaces… Here are some examples
How fun is this for sneaker lovers! Go head back your work up on these Air Jordan 1's
How Fly are these Christian Louboutin Charlie Leopard Pony Loafers. Would you rock them? It takes a certain kind of man to pull these off but Fellas it can be done. Retailing for 989.00
Love, Love these Brian Atwood's dark-purple suede 'Adara' pumps . Retailing for 745.00


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Ryan Littlefield scored the winning touchdown on a 22-yard pass from Seth Huhta with 30 seconds left in the game as the Monarchs beat Washougal at Longview Memorial Stadium.
The Mark Morris victory also made Hockinson the No. 1 seed out of the 2A GSHL after the Hawks beat Woodland. It also ended Washougal's postseason hopes after a 6-0 start to the season.
Friday's victory snapped a four-game losing streak for Mark Morris (3-5, 1-2 in league), which had dropped a pair of league decisions by a combined eight points — with both losses coming on late scores by the opponent.
Washougal struck first, scoring on a 27-yard pass from Colton Sullivan to Karsten Short in the second quarter.
Asbell led Mark Morris with 50 yards rushing on 14 carries, scoring on a 1-yard plunge late in the first half that drew the Monarchs even.
Washougal entered the night averaging 40 points per game with a low of 28.
Next up: Washougal at Hockinson; Mark Morris vs. R.A. Long
Washougal 0 7 0 0— 7
Mark Morris 0 7 0 7—14
Second quarter
W — Karsten Short 27 pass from Colton Sullivan (Sam O'Hara kick)
MM — Nikko Asbell 1 run (Riley Johnston kick)
Fourth quarter
MM — Ryan Littlefield 22 pass from Seth Huhta (Johnston kick)
Rushing — Washougal — Sam O'Hara 11-64, Caleb Howard 11-41, Austin Tofell 6-20, Stephen Camden 4-35; Mark Morris — Asbell 14-50.
Passing — Washougal — Sullivan 4-8-0-81.
Receiving — Washougal — Short 2-55.


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Lazy Easter PostThursday, April 05, 2012
Easter isn't what it used to be, at least not that I can tell. When I was a kid, Easter was a big deal. And I mean bigger than Halloween. New dress, new shoes, Easter bunny, Easter basket, a toy, dying eggs, and candy. Lots of candy. Sure I knew the religious implications, but I was a kid.
I remember we got Easter cards in the mail. I'm not sure if my mom sent them out, too, but my auntie always sent us a card. Ah, nostalgia.
I've posted this Easter snapshot before (therefore lazy post title). But it really says something about Easter to me. This photo was taken on the church grounds before Sunday School. I'm always making the sassy faces in pictures. So that is me with my hands up being Miss Smartypants. I remember those shoes. They pinched. This has to be 1963, I think. Oh, how I loved that dress! My fabulous dad is behind me. I wish I had appreciated him more. He kind of looks like a mobster there, but he was a cop. There are 3 of my sisters, Polly, Shelly and Teri, and my sister's friend (hat) in the photo. My mom made all the clothes. Of course. She would have made our shoes if she could have. I'm sure Mom, Freda, is the one behind the camera.
Happy Easter everyone. Ham and fixins for all.


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Migrant crisis starts south of Mexico
Mexico seeks plug for drugs, cartels, but more humane policy for migrantsJune 28, 2014 Updated: June 30, 2014 4:04pm
Photo: Tracy Wilkinson, MBR
WASHINGTON - Increasingly, members of Congress are pointing to Mexico's southern border, not its border with the United States, as the place where the tide of illegal migration from Central America should be turned.
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'Spectre,' Bond, and Blofeld: A Brief History of 007's Greatest AdversaryJacob Hall December 4, 2014 @ 12:18 PM
SPECTRE is an awesomely over-the-top acronym for SPecial Executive for Counter-intelligence, Terrorism, Revenge, and Extortion, which may very well be the most literal name for a villainous organization in the history of fiction. They're mentioned in the very first Bond film, 'Dr. No,' when the title villain name-drops them to a captive Bond, saying that they're behind his scheme to sabotage an American rocket launch. Naturally, Bond prevails in the end, but SPECTRE is just getting started.


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OK, now that I got your attention.
Last Sunday I went on my last hilly training ride before this year's Tour de Cure in Long Beach California. Just as I was getting ready to roll out I noticed that all the settings and profiles in my Garmin 510 had been wiped out.
Rather that spending 15 minutes re-setting the computer I decided to go riding sans a computer...in other words, I went riding "naked."
Initially, the lack of a computer to track my time, distance, speed, heartbeat, etc., really, really bothered me.
But as I got further into the ride I began to enjoy the freedom of not being tied to my electronic monitor. The more I rode the more fun I was having without having to look down at that stupid little screen.
The roads where I ride have handy mile markers, so if I wanted to know how fast I was riding I could just figure how long it took me to get from mile 1 to mile 2 and then multiply in my head to get my speed. As for my heart rate, I am familiar with this particular course and the hills in it (Trojan Horse, if you are reading this, this course is the same as the Cruisin the Conejo "easy" 67 miles ride). So instead of looking at my HRM monitor, I could just "feel" how my heart was doing and compare it to previous rides on the same course. Easy peasy...
I can't tell you how much more fun it was to ride without the 510. No segments to worry about, no PR to try to beat, no competition with others. Just me and the bike having fun on the road....like when I was a kid and rode my 3-speed all over Havana.
I am not sure that I am ready to chuck my 510. BUT, from now on I may leave it at home on more rides and enjoy the ride and not fret about numbers.
Have any of you had similar experiences? I am curious to know...maybe I am finally shedding my Type A personality.