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Slow Sand Filtration
First used in the U.S. in 1872, slow sand filters are the oldest type of municipal water filtration. Today, they remain a promising filtration method for small systems with low turbidity or algaecontaining source waters. Slow sand filtration does not require pretreatment or extensive operator control—which can be important for a small system operator with several responsibilities.
What is slow sand filtration? Slow sand filtration is a simple and reliable process. They are relatively inexpensive to build, but do require highly skilled operators.
The process percolates untreated water slowly through a bed of porous sand, with the influent water introduced over the surface of the filter, and then drained from the bottom. Properly constructed, the filter consists of a tank, a bed of fine sand, a layer of gravel to support the sand, a system of underdrains to collect the filtered water, and a flow regulator to control the filtration rate. No chemicals are added to aid the filtration process.
Advantages Design and operation simplicity—as well as minimal power and chemical requirements— make the slow sand filter an appropriate technique for removing suspended organic and inorganic matter. These filters also may remove pathogenic organisms.
Slow sand filtration reduces bacteria, cloudiness, and organic levels—thus reducing the need for disinfection and, consequently, the presence of disinfection byproducts in the finished water. Other advantages include: • Sludge handling problems are minimal. • Close operator supervision is not necessary. • Systems can make use of locally available materials and labor.
Slow Sand Filter
Outlet baffle Raw water source
Effluent flow control structure
Control valve Manhole
Raw water
Ground level
Sand filter bed
To sewer or raw water source
Filtered water
Support gravel Under drain Telescoping valve
depending on the gradation of the filter medium and the quality of the raw water). and providing virtually complete Giardia lamblia cyst and Cryptosporidium oocyst removal. Remember. A granular activated carbon (GAC) sandwich filter is a modified slow sand filter that removes organic material.15 gallons per minute per square foot of bed area. preferably over several seasons of the year. <50% <20-30% >95-99% >67% <47% Slow sand filters are less effective at removing microorganisms from cold water because as temperatures decrease. and sand size—there is little a plant operator can do to improve the performance of a slow sand FOURTEEN • JUNE 2000 Limitations Slow sand filters do have certain limitations. the biological activity within the filter bed declines. Pb Fe. will insure adequate performance of the full-scale plant. Removal Capacity <1.) Slow sand filters consistently demonstrate their effectiveness in removing suspended particles with effluent turbidities below 1. engineers are not able to predict the performance of a slow sand filter with a specific quality of raw water. or trihalomethane (THM) precursors—chemical compounds that may form THMs when mixed with chlorine. Process Description Slow sand filters require a very low application or filtration rate (0. after the designer sets the parameters—such as the plant filtration rate. Pilot testing is always necessary when designing slow sand filters.5 feet. bed depth. Slow sand filters do not completely remove all two PAGE OF FOUR . achieving 90 to 99 + percent reductions in bacteria and viruses. and THM precursors. such as heavy metals. the cake assumes the dominant role in filtration rather than the granular media. When slow sand filters are used with surface waters that have widely varying turbidity levels. Currently. Water is applied to slow sand filters without any pretreatment when it has turbidity levels lower than 10 NTU. Water with high turbidity levels can quickly clog the fine sand in these filters. The removal action includes a biological process in addition to physical and chemical ones. Slow sand filters rely on this cake filtration at the surface of the filter for particulate straining. They require a large land area. Also.0 nephelometric turbidity units (NTU). A sticky mat of biological matter. M. and manual labor for cleaning. Cd. As the surface cake develops during the filtration cycle. infiltration galleries or rough filters—such as upflow gravel filters—may be used to reduce turbidity.0 NTU 1-3 log units 2-4 log units 2-4+log units >4 log units <15-25% organic chemicals. dissolved inorganic substances. called a "schmutzdecke.Slow Sand Filtration TABLE 1 Typical Treatment Performance of Conventional Slow Sand Filters Water Quality Paramenter Turbidity Coliforms Enteric Viruses Giardia Cysts Cryptosporidium Oocysts Dissolved Organic Carbon Biodegradable Dissolved Organic Carbon Trihalomethane Precursors Heavy Metals Zn. where particles are trapped and organic matter is biologically degraded. and a top sand layer approximately 1. total organic carbon." forms on the sand surface. (See Table 1. Slow sand filters also provide excellent treatedwater quality. This filter uses a base sand layer that is approximately 1 foot deep. large quantities of filter media.015 to 0. Cu. an intermediate GAC layer approximately 0. 1998. Mn As Source: Adapted from Collins. This modified slow sand filter effectively removes pesticides. waters with very fine clays are not easily treated using slow sand filters.R.5 feet deep. Operation of a small pilot filter. Waters with a very low nutrient content may impair turbidity removal since some nutrients must be present that promote biological ecosystem growth within the filter bed.
1995 NATIONAL DRINKING WATER CLEARINGHOUSE . In some small slow sand filters. which is measured by the head loss. Pilot plant testing has been done using manhole segments and other prefabricated cylindrical products. Before cleaning a slow sand filter. the microorganisms causing bacteriological degradation of trapped impurities lose their effectiveness. In warm climates. using chlorine ahead of the filter is inappropriate. First.35 mm. slow sand filters usually must be housed. such as leaves and algae. The operator cleans the filter by scraping off the top layer of the filter bed. Second.5 m Spacing of holes in laterals = 0. Visvanathan. Storing filtered water is essential at a slow sand filter plant for two reasons. a cover over the slow sand filter may be needed to reduce algae growth within the filter. resulting in significant labor savings.7–1 m (maximum 1. The filtered water quality is poor during this time and should not be used.7 m of sand depth) Effective size (ES) = 0. water temperature.filter that does not produce satisfactory water. The length of time between cleanings can range from several weeks to a year. filters should operate at a constant rate. Therefore. depending on the raw water quality.15–0. A ripening period of one to two days is required for scraped sand to produce a functioning biological filter. and turbidity and taking coliform samples.15 m3/m2•h (0. Allowing the filter to operate at a declining rate is one way of overcoming this problem. Monitoring and Operation Requirements A slow sand filter must be cleaned when the fine sand becomes clogged. When operation is stopped. When one unit is shut down for cleaning.2 m3/m2•h) Less than 200 m2 (in small community water supplies to ease manual filter cleaning) Minimum of two beds 1 m (minmum of 0. flow rate. Since the purification mechanism in a slow sand filter is essentially a biological process. storage is needed for production equalization and demand. geotextile filter material is placed in layers over the surface. S. such as filter vessels.5 m) PAGE Number of filter beds Depth of filter bed Filter media Height of supernatant water Underdrain system Standard bricks Precast concrete slabs Precast concrete blocks with holes on the top Porous concrete Perforated pipes (laterals and manifold type) Generally no need for further hydraulic calculations three OF FOUR Maximum velocity in the manifolds and in laterals = . Moreover. consisting of daily checks of head loss. Thus. and the operator must provide disinfectant contact time in a storage basin. In climates subject to below-freezing temperatures. Slow sand filter pilot facilities operate over long periods of time—up to a year—but the level of effort can be quite low. uniformity coefficient (UC) = 2-3 0. TABLE 2 Design Summary of a Slow Sand Filter Design parameters Filtration rate Area per filter bed es Recommended range of values 0. and C. which is generally satisfactory. the others are run at a slightly higher rate to maintain the plant output.3 m/s Spacing between laterals = 1. Intermittent operation disturbs the continuity needed for efficient biological activity. the operator should remove floating matter. Declining rate filtration produces additional water. the operator can remove a layer of filter cloth periodically so that the upper sand layer requires less frequent replacement. the declining-rate mode may be applied during overnight operation. its efficiency depends upon a balanced biological community in the schmutzdecke. they will operate effectively only if turbidity levels of the influent are low enough for the filter to operate through the winter months without cleaning. Slow sand filter pilot plant testing does not have to be expensive. Uncovered filters operating in harsh climates develop an ice layer that prevents cleaning. In this cleaning method. because of the importance of establishing biological activity.1–0.15 m Size of holes in laterals =3 mm Source: Vigneswaran.
compiles information.wvu. Back to Basics Guide to Slow Sand Filtration. Environmental Protection Agency. Collins.'' drinking water treatment fact sheets have been a regular feature in the National Drinking Water Clearinghouse (NDWC) newsletter On Tap for more than four years. M.edu or download fact sheets from our Web site at www. NEWWA Joint Regional Operations Conference and Exhibition. To order. comments about this fact sheet. 1994. American Water Works Association. call Dr. call the NDWC at (800) 624-8301 or (304) 293-4191. EPA/625/5-90/025 U. Water Treatment Processes: Simple Options.: National Academy Press. and C. Washington.S.S. with the promulgation of the Surface Water Treatment Rule. ripening may take a few days. Environmental Protection Agency. and disinfectant residual. OF FOUR Additional copies of fact sheets are free. 1993. D.After cleaning. Vigneswaran. When the clearwell is designed. M. National Research Council. the operator should adjust the flow to bring water production in line with demand. Slow sand filter monitoring and operation is not complicated. researches. Denver: American Water Works Association.: Office of Water. the water supply can be resumed after one day with adequate chlorination.edu. This water can be obtained from an overhead storage tank or by using water from an adjacent filter. In addition. 1997. U. Ph. Lancaster. Clark. R. and D. or to suggest topics. Small System Compliance Technology List for the Surface Water Treatment Rule and Total Coliform Rule. D. and writes these very popular items. Lahlou at one of the above numbers or contact him via e-mail at mlahlou2@wvu. Washington. Environmental Pollution Control Alternatives: Drinking Water Treatment for Small Communities.1990. each day the operator needs to use the flow data and disinfectant residual data to calculate contact time values and determine if disinfection is sufficiently rigorous.1995. the unit is refilled with water through the underdrains. 1995. however. postal charges may be added. Massachusetts. 1998. D.wvu. flow rates. S. A.C. You may also order online at ndwc_orders@mail. EPA/815/R/98/001.D. Slow Sand Filtration: International Compilation on Recent Scientific and Operational Developments.C.estd.ndwc. 1998. Drinking Water Quality Management. These duties may require one to two hours unless automated. Marlborough. In cooler areas. If necessary.edu. Daily tasks include reading and recording head loss. Safe Water from Every Tap: Improving Water Services to Small Communities. Have you read all our Tech Briefs? "Tech Briefs.C. Even then. Where can I find more information? American Water Works Association. R. For further information. Denver: American Water Works Association. Once the filter is cleaned.'' In Small Systems Water Treatment Technologies: State of the Art Workshop. the temporary reduction of plant output should be considered. NDWC Technical Assistance Specialist Mohamed Lahlou. raw and filtered water turbidity.. Clark.: Office of Water. the microorganisms usually re-establish and produce an acceptable effluent. Washington. Visvanathan. "Assessing Slow Sand Filtration and Proven Modifications. ensuring that sufficient water is available for the users.. if the effluent's turbidity is sufficiently low. Pennsylvania: Technomic Publishing Company. four PAGE FOURTEEN• JUNE 2000 .
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Nearest station to Boots
Location map of Boots
Underground Stations
Gloucester Road, London, South Kensington, SW7 4SF
5 mins from Boots
Kensington High Street, London, Kensington, W8 5SA
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Mainline Stations
Olympia Way, London, Kensington, W14 0NE
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The London Borough of Kensington and Chelsea
Kensington and Chelsea Kensington and Chelsea is renowned for its thriving, cosmopolitan atmosphere. The borough has many famous shopping areas including the King's Road, High Street Kensington and Knightsbridge, home to Harrods. Escape the crowds with a stroll through one of several beautiful parks or visit one of the area's many amazing museums, including the Natural History Museum, the Victoria and Albert Museum and the Science Museum. Other attractions in the borough include Kensington Palace - former home of the late Diana, Princess of Wales. In the South-West of the borough is Notting Hill, one of the most attractive parts of London and home to Portobello Road Market and Europe's biggest street party, Notting Hill Carnival, which takes place at the end of August.
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Chinese Afternoon Tea at Harrods
Foodie Events | Until 25th April 2017
Chai Wu Harrods 2.01 miles from Boots
An eastern twist on the traditional afternoon tea, Chai Wu, the elegant Chinese restaurant on the fifth floor of Harrods, ...More
Etel Adnan: The Weight Of The World
Exhibitions | Until 11th September 2016
Serpentine Sackler Gallery 2.3 miles from Boots
Paintings, drawings, poetry, film and tapestry by the Beirut artist....More
Serpentine Pavilion And Summer Houses 2016
Exhibitions | Until 9th October 2016
Serpentine Gallery 2.3 miles from Boots
The Serpentine Galleries has expanded its internationally acclaimed programme of exhibiting architecture in a built form by commissioning four architects ...More
Serpentine Gallery Pavilion 2016: Bjarke Ingels Group (BIG)
Exhibitions | Until 9th October 2016
Serpentine Gallery 2.3 miles from Boots
This summer the Serpentine Pavilion, the annual architectural project commissioned by the Serpentine Gallery, goes beyond its usual scope ...More
Etel Adnan
Exhibitions | Until 11th September 2016
Serpentine Sackler Gallery 2.3 miles from Boots
The first solo exhibition in a UK public institution dedicated to the Lebanese-American painter, ...More
Alex Katz
Exhibitions | Until 11th September 2016
Serpentine Gallery 2.3 miles from Boots
American artist Alex Katz 's stylised figurative portraits were the subject of several major museum exhibitions in ...More
Tabor Robak: Drinking Bird Seasons
Exhibitions | Until 13th November 2016
Serpentine Gallery 2.3 miles from Boots
A single-channel video work which serves as a commentary on the intrusiveness of digital information and the reliance on technical ...More
Elytra Filament Pavilion
Exhibitions | Until 6th November 2016
Victoria and Albert (V & A) Museum 2.39 miles from Boots
This newly-commissioned Elytra Filament Pavilion, a striking installation in the V&A's John Madejski Garden, has been created by architects and ...More
Curtain Up: Celebrating 40 Years of Theatre in London and New York
Exhibitions | Until 31st August 2016
Victoria and Albert (V & A) Museum 2.39 miles from Boots
Part of a year-long programme of activity to mark 40 years of the Olivier Awards Curtain Up: Celebrating 40 Years ...More
Engineering the World: Ove Arup and the Philosophy of Total Design
Exhibitions | Until 6th November 2016
Victoria and Albert (V & A) Museum 2.39 miles from Boots
He made ambitious designs for the Sydney Opera House and the Penguin Pool at ...More
London Hotels
From cheap budget accommodation to luxury 5 star hotels see our deals for Boots hotels, including Shangri-La Hotel at The Shard, London from 55% off.

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Associated Press
ORLANDO, Fla. — Rutgers' regular-season ended with the Scarlet Knights thinking about what might have been after they lost a BCS bowl berth with consecutive losses.
They will have to have to wait a little longer to completely wash away that bitter feeling.
On Friday night in the Russell Athletic Bowl, Rutgers dominated the first half defensively, only to see its offense wilt down the stretch as a late turnover and missed field goal cost it in a 13-10 overtime loss to Virginia Tech.
The loss ended a run of five straight bowl victories for the Scarlet Knights and kept them from recording their first double-digit win season since 2006.
"Two tremendous defensive performances, and one of the better defensive performances I've seen from Rutgers players this season," Rutgers coach Kyle Flood said. "It's unfortunate that we came out on the wrong side of the game, and squander that kind of performance as a result."
Virginia Tech's Cody Journell kicked a 22-yard field goal on the first possession of overtime.
Rutgers (9-4) had a chance to tie it, but Nick Borgese missed a 42-yard field-goal attempt to the right.
"It's frustrating just because of the type of competitor I am," Rutgers linebacker Khaseem Greene said. "That this defense is and this team is in general. We go out every day to compete, and it's to win. But it's just something we have to learn from."
Virginia Tech (7-6) won its third straight game to avoid its first losing season since 1992.
"Not everything in life is real smooth," Hokies coach Frank Beamer said. "These players worked hard and how they reacted to adversity and to disappointment and when all of them wanted to do better — they kept together."
Independence Bowl
OHIO 45, LOUISIANA-MONROE 14: At Shreveport, La., Tyler Tettleton threw for 331 yards and two touchdowns, and Beau Blankenship scored four touchdowns to set an Independence Bowl record. The Bobcats (9-4) won their second straight bowl game, and broke several Independence Bowl records, including the 31-point margin and 556 total yards. Tettleton was especially sharp in the first half, completing 9 of 14 passes for 215 yards and two touchdowns as Ohio built a 24-7 lead. He finished 14 of 22 and averaged more than 23 yards per completion. Louisiana-Monroe (8-5) struggled in its first bowl game after 19 seasons in the Football Bowl Subdivision.
Car Care Bowl
TEXAS TECH 34, MINNESOTA 31: At Houston, D.J. Johnson returned an interception 39 yards and Ryan Bustin made a 28-yard field goal as time expired to give Texas Tech a comeback victory. Seth Doege found Eric Ward on a short pass, and he outran a defender for a 35-yard scoring play to tie it at 31 with just more than a minute remaining. Michael Carter intercepted two of Doege's passes in the fourth quarter before the tying score, but Minnesota couldn't convert either of the turnovers into points.
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Welcome To Oreville Kart Club
Our Next Race will be Sunday, July 24. It will be a Regular Show of Racing on the Oval and Road Course plus a Microstock Racing Series. Come on out with your Flathead, Animal, Clone, 206, Yamaha, Champ, or Microstock and try your hand at the Oval or Road Course! Gates open at 10am, Drivers Meeting at 12pm, Racing starts at 1:30pm. See you all on Sunday!
*Messaging rates may apply through your cell phone provider*
531 Old Topton Road
Mertztown, PA
I-78 Exit 49 A. On Rt 100 bear right at the second light, onto Schantz Rd. Follow Schantz road, for 3.7 miles, until it intersects with US 222 ( Hamilton Blvd). Bear right onto US-222 West, and turn left onto Farmington Rd. Follow Farmington RD. Farmington Rd changes to Old Topton Road. Oreville Kart Club is on the right.


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Hey, thanks for your feedback and for taking the time to leave your review. We really appreciate and value all your comments, good to hear you're happy with what we do! Thanks again (James)
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Dermatologic Manifestations of Gardner Syndrome Workup
- Author: Robert A Schwartz, MD, MPH; Chief Editor: William D James, MD more...
Laboratory Studies
Thyroid screening by physical examination and ultrasonography is recommended in Gardner syndrome. Chromosome studies from peripheral blood lymphocytes and allele-specific expression assay can be performed. Screen all first-degree relatives of patients with Gardner syndrome or FAP.
Imaging Studies
Imaging studies are essential for screening patients and family members who are affected. Panoramic radiography of the mandible can demonstrate subtle opacities at an early age. Long bone radiographs may demonstrate osteomas or hyperostosis. Ultrasonography is performed to screen for thyroid tumors. Van Epps et al reported seeing epidermal inclusion cysts on a CT scan from a patient with Gardner syndrome.[18]
Perform an ophthalmologic examination at an early age to detect pigmented lesions of the fundus.
Fecal occult blood, sigmoidoscopy/colonoscopy, and upper GI endoscopy are required at least every 1-2 years until the patient reaches age 50 years.
Histologic Findings
Pathologic findings of the epidermoid cysts of Gardner syndrome are similar to findings in non–Gardner syndrome cysts; however, many have pilomatricomalike changes.[16] In 1 study, 63% of cysts examined from 7 patients with Gardner syndrome demonstrated 1 or more matricoma features, such as columns of shadow cells, calcification, and basophilic matrixlike cells in the cyst lining.
The Gardner fibroma, a soft tissue tumor of children and young adults, displays a bland hypocellular proliferation of haphazardly arranged coarse collagen fibers with a bland hypocellular proliferation of inconspicuous spindle cells, small blood vessels, and a sparse mast cell infiltrate. Immunohistochemically, many show nuclear reactivity for beta-catenin and most, if not all, have nuclear reactivity for both cyclin-D1 and C-myc. These fibromas may serve as an indicator for familial Gardner syndrome or similar disorder.[19, 20]
Gu GL, Wang SL, Wei XM, Bai L. Diagnosis and treatment of Gardner syndrome with gastric polyposis: a case report and review of the literature. World J Gastroenterol. 2008 Apr 7. 14(13):2121-3. [Medline]. [Full Text].
Ascari-Raccagni A, Baldari U, Righini MG. Cutaneous symptoms of Gardner's syndrome. J Eur Acad Dermatol Venereol. 1999 Jan. 12(1):80-1. [Medline].
Hood AB, Krush AJ. Clinical and dermatologic aspects of the hereditary intestinal polyposes. Dis Colon Rectum. 1983 Aug. 26(8):546-8. [Medline].
Elkharwily A, Gottlieb K. The pancreas in familial adenomatous polyposis. JOP. 2008 Jan 8. 9(1):9-18. [Medline].
Turina M, Pavlik CM, Heinimann K, Behrensmeier F, Simmen HP. Recurrent desmoids determine outcome in patients with Gardner syndrome: a cohort study of three generations of an APC mutation-positive family across 30 years. Int J Colorectal Dis. 2013 Jun. 28(6):865-72. [Medline].
Madani M, Madani F. Gardner's syndrome presenting with dental complaints. Arch Iran Med. 2007 Oct. 10(4):535-9. [Medline].
Acar T, Efe D, Gemici K, Gölen M. Co-occurrence of thoracolumbar intramedullary lipoma and intracranial lipoma during Gardner's syndrome: a rare occurrence. Acta Neurochir (Wien). 2015 Jun 9. [Medline].
Pinheiro LV, Fagundes JJ, Coy CS, Cabello C, Toro I, Michellino M, et al. Multiple desmoid tumors in a patient with Gardner's syndrome - Report of a case. Int J Surg Case Rep. 2014 Apr 18. 5(7):370-374. [Medline].
Lee BD, Lee W, Oh SH, Min SK, Kim EC. A case report of Gardner syndrome with hereditary widespread osteomatous jaw lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Mar. 107(3):e68-72. [Medline].
Singh K, Singh A, Kumar P, Gupta N. Prosthodontic management of a patient with Gardner's syndrome: A clinical case report. Dent Res J (Isfahan). 2014 Mar. 11(2):276-80. [Medline]. [Full Text].
Ponti G, Tomasi A, Manfredini M, Pellacani G. Oral mucosal stigmata in hereditary-cancer syndromes: From germline mutations to distinctive clinical phenotypes and tailored therapies. Gene. 2016 May 10. 582 (1):23-32. [Medline].
Pena AH, Chaudhry A, Seidman RJ, Peyster R, Bangiyev L. Ectopic craniopharyngioma of the fourth ventricle in a patient with Gardner syndrome. Clin Imaging. 2016 Mar-Apr. 40 (2):232-6. [Medline].
Crippa S, Saletti P, Barizzi J, Mazzucchelli L. The clinical management in familial adenomatous polyposis deserves continuous monitoring for thyroid carcinoma. BMJ Case Rep. 2012 Nov 15. 2012:[Medline].
Cazorla A, Viennet G, Uro-Coste E, Valmary-Degano S. Mucoepidermoid carcinoma: A yet unreported cancer associated with familial adenomatous polyposis. J Craniomaxillofac Surg. 2014 Apr. 42(3):262-4. [Medline].
Kaplan I, Nicolaou Z, Hatuel D, Calderon S. Solitary central osteoma of the jaws: a diagnostic dilemma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Sep. 106(3):e22-9. [Medline].
Pujol RM, Casanova JM, Egido R, Pujol J, de Moragas JM. Multiple familial pilomatricomas: a cutaneous marker for Gardner syndrome?. Pediatr Dermatol. 1995 Dec. 12(4):331-5. [Medline].
Wachter-Giner T, Bieber I, Warmuth-Metz M, Brocker EB, Hamm H. Multiple pilomatricomas and gliomatosis cerebri--a new association?. Pediatr Dermatol. 2009 Jan-Feb. 26(1):75-8. [Medline].
Van Epps KJ, Kuszyk BS, Hofmann LV, Fishman EK. Epidermoid inclusion cysts seen on CT of a patient with Gardner's syndrome. AJR Am J Roentgenol. 1999 Sep. 173(3):858-9. [Medline].
Lanckohr C, Debiec-Rychter M, Müller O, Homann HH, Lehnhardt M, Herter P, et al. [Gardner fibroma: case report and discussion of a new soft tissue tumor entity]. Pathologe. 2010 Mar. 31(2):97-105. [Medline].
Coffin CM, Hornick JL, Zhou H, Fletcher CD. Gardner fibroma: a clinicopathologic and immunohistochemical analysis of 45 patients with 57 fibromas. Am J Surg Pathol. 2007 Mar. 31(3):410-6. [Medline].
Marshall KA, Kuhlmann TP, Horowitz JH, Silloway KA, Edlich RF. Excision of multiple epidermal facial cysts in Gardner's syndrome. Am J Surg. 1985 Nov. 150(5):615-6. [Medline].
de Camargo VP, Keohan ML, D'Adamo DR, Antonescu CR, Brennan MF, Singer S, et al. Clinical outcomes of systemic therapy for patients with deep fibromatosis (desmoid tumor). Cancer. 2010 May 1. 116(9):2258-65. [Medline].
Perniciaro C. Gardner's syndrome. Dermatol Clin. 1995 Jan. 13(1):51-6. [Medline].
Artiles Armas M, Marchena Gómez J, Kanouzi Masuh G, Ramírez Felipe JA. Total gastroduodenectomy with pancreatic preservation for the treatment of Gardner's syndrome with gastroduodenal polyposis and malignant transformation. Cir Esp. 2015 Jun 3. [Medline].


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Fannie Wind-Down Bill Strikes Right Balance: Howard
March 18 (Bloomberg) -- Jerry Howard, chief executive officer of the National Association of Home Builders, talks about a U.S. Senate proposal to wind down Fannie Mae and Freddie Mac and overhaul the government's role in the housing market. Howard speaks with Betty Liu and Michael McKee on Bloomberg Television's "In the Loop." (Source: Bloomberg)
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01:07 - Rob Rhinehart, Soylent's chief executive officer, discusses the company's quest to disrupt the food industry. He speaks with Bloomberg's Emily Chang on "Bloomberg West." (Source: Bloomberg)


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Home > News > Chinese Whispers
June 12th, 2005
One of the most commonly asked questions is "what is China doing about nanotechnologies?" which is why some of the Mandarin speaking Cientifica staff were spending some time in Beijing this week at China Nano 2005. A couple of press releases from trot out a few numbers, which as regular readers already know, we will take with a large pinch of salt, or should that be a drop of soy sauce? However, one inescapable fact is that a hundred million dollars goes a lot further in China than California.
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Italian in Toledo
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sales consultant jobs near Jacksonville, FL
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Part Time Retail Sales Consultant
AT&T - Jacksonville, FL
Our current full-time Retail Sales Consultants earn an average of $49,734 in total compensation in the first year when successfully meeting or exceeding sales...
Sales Associate - Competitive Base Salary - Flexible Schedule
AutoNation Ford of Jacksonville - Jacksonville, FL
Automotive Sales Consultant. Asking for sale; Recommending sales campaigns and promotions. Sales Experience Preferred but not Necessary!...
Sales Consultant - FT
SmartChoice Stem Cell Institute - Jacksonville, FL
We are now hiring an Experienced Sales Consultant for our medical clinic on Baymeadows and Southside in Jacksonville, FL....
Leasing Consultant
MAA - Jacksonville, FL
Experience in leasing or other sales positions. Uses standard sales closing methods to sell the prospective resident on MAA....
Sales, Outside Sales, Sales Rep
EVO - Jacksonville, FL
Business Development Consultant. Consultant for clients throughout your territory. Comprehensive and ongoing training with local Regional Sales....
Home Depot - Jacksonville, FL
Residential Sales Consultants earn commissions based on their sales and are also eligible for monthly bonuses based on sales performance....
Retail Furniture Sales Consultant
Ashley Furniture Home Store - Jacksonville, FL
Ashley Furniture HomeStore provides a paid comprehensive sales skill and product knowledge training session to all new retail sales associates....
Leasing Consultant-
Mid-America Apartment Communities - Jacksonville, FL
Experience in leasing or other sales positions. Uses standard sales closing methods to sell the prospective resident on MAA....
Country Manager USA
Mackenzie Stuart - United States
Managing and Developing sales throughout the USA. 3-5 years' experience in a Feed additives sales role managing key accounts....
Wine Sales Consultant
PRP Wine International - Jacksonville, FL
Wine Sales Consultant full time conduct in-home wine sampling events to sell wine, phone sales, marketing, etc....


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Elements of Literature by Holt, Rinehart and Winston (www.hrw.com) is a computer-based program for middle and high school students that automates the traditional book-based process of studying literature. The program is skills-based and aligned with state and national standards. Elements of Literature also uses a focused, sequential-skills approach to teach literary and informational reading and writing proficiencies. Features of the program include extensive audio support for reading, guided review questions, point-of-view vocabulary support in English and Spanish, an electronic notebook for storing student work, as well as highlighting and annotating tools.
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59% of the 50 million U.S. K-12 students have access to laptops, and 53% use tablets regularly. From early morning social media to finishing a big assignment around midnight — that's over 55 million mobile devices in the hands of the young and adventurous. With the average student using mobile devices for 10½ hours a day, it adds up to more than a half billion hours of use a year at school, home, and on the go. Check out this infographic for the Top 10 threats to laptops at school and 1 requirement for survival.
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IEEE membership options for an individual and IEEE Xplore subscriptions for an organization offer the most affordable access to essential journal articles, conference papers, standards,
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This paper examines the technique of using a noise-suppressing nonlinearity in the adaptive filter error feedback-loop of an acoustic echo canceler (AEC) based on the least mean square (LMS) algorithm when there is an interference at the near end. The source of distortion may be linear, such as local speech or background noise, or nonlinear due to speech coding used in the telecommunication networks. Detailed derivation of the error recovery nonlinearity (ERN), which "enhances" the filter estimation error prior to the adaptation in order to assist the linear adaptation process, will be provided. Connections to other existing AEC and signal enhancement techniques will be revealed. In particular, the error enhancement technique is well-founded in the information-theoretic sense and has strong ties to independent component analysis (ICA), which is the basis for blind source separation (BSS) that permits unsupervised adaptation in the presence of multiple interfering signals. The single-channel AEC problem can be viewed as a special case of semi-blind source separation (SBSS) where one of the source signals is partially known, i.e., the far-end microphone signal that generates the near-end acoustic echo. The system approach to robust AEC will be motivated, where a proper integration of the LMS algorithm with the ERN into the AEC "system" allows for continuous and stable adaptation even during double talk without precise estimation of the signal statistics. The error enhancement paradigm encompasses many traditional signal enhancement techniques and opens up an entirely new avenue for solving the AEC problem in a real-world setting.
A not-for-profit organization, IEEE is the world's largest technical professional organization dedicated to advancing technology for the benefit of humanity.© Copyright 2016 IEEE - All rights reserved. Use of this web site signifies your agreement to the terms and conditions.


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project managers jobs
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Program Manager
Sparton - De Leon Springs, FL
Manage program lifecycle:. Responsible for P&L performance of program. 5+ 7 years government program management experience....
Crawford Consulting Services, Inc. - East Pittsburgh, PA
Selects Project Manager. The Program Manager (PgM) manages all project resources, information and commitments, and leads and facilitates the Project Delivery...
Program Manager
PCM - Novi, MI
Actions of a Program Manager will demonstrate Passionate, Prepared and Accountable. Responsible for projects towards defined customer and/or product group and...
Program Manager, Solutions Delivery
Phase One - Alexandria, VA
Program Managers are a vital role to translating corporate strategy into actionable plans, as well as building and maintaining Phase One's culture and brand....
Program Manager, Integrations
Indeed - Austin, TX
How a Program Manager works. Developing and maintaining project plans. Designing and maintaining project and technical documentation....
IT Program Manager
eviCore healthcare - Bluffton, SC
The Program Manager plans, scopes, and delivers IT-enabled initiatives across multiple lines of business. Proficient in Microsoft Project....
Program Manager
Insight Enterprises, Inc. - St. Louis, MO
As an Insight Program Manager, you can expect to:. As a Program Manager for Insight, you will enter a high-energy and tech-savvy world....
Program Manager
Flex-n-Gate - McCalla, AL
Meet project deliverables and project all requirements. Flex-N-Gate Alabama is currently searching for a knowledgeable, detail oriented, energetic Program...
Senior Information Technology Program Manager
Metropolitan Atlanta Rapid Transit Authority (MARTA) - Atlanta, GA
Certified Project Manager training required, Project Management Professional (PMP) certification desired. Leads project administration of technology projects...
Senior Program Manager - Software Products
The MathWorks - Natick, MA
The Software Program Manager is a member of the software development management team and supports the planning and execution of multiple projects or programs in...


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Marvin Kalb |
January 18, 2012 12:00am
Confrontations come in different shapes and sizes. Some are avoidable—the one with China, for example, being a prime example. The U.S. confrontation with Iran, however, is one that may spin out of control, if it is not quickly contained. In every confrontation, there is a point of no return, when another provocation, action or inflammatory comment proves in retrospect to have been the trigger that started the war.
Confrontations come in different shapes and sizes. Some are avoidable—the one with China, for example, being a prime example. The U.S. confrontation with Iran, however, is one that may spin out of control, if it is not quickly contained. In every confrontation, there is a point of no return, when another provocation, action or inflammatory comment proves in retrospect to have been the trigger that started the war.
Defense Secretary Leon Panetta has warned repeatedly in recent days that Iran would cross a "red line" if it shut down the Strait of Hormuz. One-sixth of the world's oil flows through this narrow waterway. Translation, if any be necessary: the world's fragile economy could not tolerate closing the Strait, and the United States would have to act militarily to keep it open; and the secret that is no longer a secret is that once hostilities erupt, the United States, with or without Israel, would seize the occasion to go after Iran's budding nuclear weapons program. That would be the beginning of America's fourth war in a Muslim country in the last 11 years—Afghanistan, Iraq, Libya and, if this tumult turned to war, Iran. Is it a coincidence that General Martin Dempsey, Chairman of the Joint Chiefs of Staff, will be visiting Jerusalem this Thursday? Even if he were going there for sightseeing only, his visit in this conspiracy-obsessed neighborhood would touch off speculation of US-Israeli preparations for an attack against Iran.
For its part, Iran, economically wobbly and politically divided, issues its own warnings, the latest just the other day to the oil cartel OPEC against cooperating with Western, meaning American, sanctions against Iran. Such cooperation would mean each member is an "accomplice" in a trade war against Iran, and therefore open to retaliation. "One cannot predict the consequences," snapped Iran's ambassador. Ayatollah Ali Khamanei, Iran's leader, was equally vague and yet threatening. "From now on," he said, "we will make threats against threats," whatever that means. At a certain point in any confrontation, actions supersede words in importance. It doesn't take 20-20 vision to see Iranian muscle-flexing in the Persian Gulf—military maneuvers as the backdrop for showing off new weapons systems, Iranian generals telling American generals that they now have "new guidelines" for military action.
Meantime, Iran continues to move forward on its nuclear program—new centrifuges, new plants, new hints about imminent breakthroughs. Question: is there still a way to cool the crisis through negotiations? President Obama, when he first came into office, extended his "hand" to the Iranian mullahs, hoping to head off an Iranian bomb through negotiations. His overture was rejected. There have been occasional sputtering efforts to open talks since then, but each effort has failed. Now talks seem more remote than ever, though the need for talks increases dramatically every time an Iranian nuclear scientist is assassinated. By Israel? By an Iranian dissident group? Who knows? What seems clear is that Iran is rapidly approaching a point where it can plunge forward and actually build a nuclear bomb, or it can pull back and proceed safely toward a peaceful nuclear program—a decision of monumental importance for Iran and the rest of the world.
Iranian strategy now seems uncertain and tricky. It emits contradictory signals, hints of a desire to negotiate a solution to the nuclear issue mixed with clearly provocative moves suggesting a reckless, diplomacy-be-damned drive toward a nuclear bomb capacity. The Iran leadership seems split between a radical, theocratic, ideological faction, led by the Ayatollah Khamenei, and a slightly more moderate faction, led by the mercurial President Ahmadinejad. Both factions want a nuclear bomb if for no other reason than to prove that Iran is a great power, supreme in its region of the world, like the Persian Empire of old.
The United States and Iran now seem headed toward a dangerous confrontation. This is not a time for the sort of reckless claptrap heard in recent GOP presidential debates. It is a time for caution, clarity and a prayer or two.
Marvin Kalb
Nonresident Senior Fellow, Foreign Policy
Marvin Kalb is a nonresident senior fellow with the Foreign Policy program at Brookings, and senior advisor at the Pulitzer Center on Crisis Reporting. He focuses on the impact of media on public policy and politics, and is also an expert in national security, with a focus on U.S. relations with Russia, Europe and the Middle East. His new book is "Imperial Gamble: Putin, Ukraine and the New Cold War" (Brookings Institution Press, 2015).
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"I am excited about revealing the announcement that we are going into a partnership with Imageepoch. I am attracted by their philosophy of creating games. Imageepoch is already a distinguished videogame developer in Japan. Not only that, but it is my firm belief that their future titles will fascinate JRPG fans in the US and Europe in the near future."
Titles of English versions, nor release windows for our side of the Pacific have been mentioned at this time, but stay tuned to RPGFan for more info and media on Imageepoch's upcoming titles!
Tales from the Borderlands July 31 • 9:00am PDT/12:00pm EDT
Sword Coast Legends Aug 7 • 9:00am PDT/12:00pm EDT
Breath of Fire IV Continues! Every Monday • 5:00pm PDT/8:00pm EDT
Star Wars: KotOR Continues! Coming soon...


text:
Director Tony Scott reportedly committed suicide Sunday. His death (as well as unconfirmed reports that he may have been diagnosed with an inoperable brain tumor) is tragic. I will always remember Scott for directing True Romance. True Romance may not be the best film or a perfect film, but it is one of my favorite films. And more importantly, it was one of the first films that inspired me, that made me fall in love with cinema, all of it—the acting, the dialogue, the narrative, the music, the sounds, the editing, the color, the visuals, the directing.
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Crazy Substitute Teachers
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Nice old part 2!
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what is the legal drop out age in washington state? And what are the requirements to drop out?
kgb answers » History & Politics » Laws & Regulations » what is the legal drop out age in washington state? And what are the requirements to drop out?
Thursday, February 02 2012
Source: http://www.edweek.org/login.html?source=http://www.edweek.org/ew/articles/2009/02/25/245527lxgrschooldropout_ap.html&destination=http://www.edweek.org/ew/articles/2009/02/25/245527lxgrschooldropout_ap.html&levelId=1000
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text: News 'Who Gives A Crap' toilet paper rolls out for charity July 10, 2012 9:01 by Robin Hicks 7 A brand of toilet paper launches today that puts half of the profits towards building toilets in the developing world. The campaign – called Who Gives A Crap – involves Simon Griffiths, co-founder and CEO of Good Goods, sitting on a toilet, on live webcam, until the organisation raises the first $50,000 via funding platform IndieGoGo. The product, which is made from recycled paper and has a low 'poke through rate', is being sold in Australia and the US. Griffiths said: "This is a new line of toilet paper that uses 50% of its profits to build toilets and improve sanitation in the developing world. In collaboration with WaterAid, we're helping the world's poorest people access clean water, sanitation and hygiene education. A product that everyone needs is now helping those in need." According to the charity, 40% of the world's population does not have access to clean toilet paper. Robin Hicks topics Share Tweet Share Comments: 7 Add Comment richie 10 Jul 12 like it, esp the 'sit down for what you believe in' line. 50%? Reply Hannah 10 Jul 12 This is a great initiative, I hope he raises the $50,000 quickly, looks cold in that warehouse! Reply aaron 10 Jul 12 Loads of good stuff happening around loo paper. Wipeitout.org another campaign advocating the use of recycled toilet paper. 270000 trees per day chopped down to make the stuff we wipe our ass with.. insane. Reply Eric A Blair 10 Jul 12 An excellent week for toilet paper with Kleenex Gripples adding to the sheer joy of working on the white stuff. On the one hand you can never tire of toilet puns. On the other, you can reach out for a good cause at the same time. Reply Jackie 10 Jul 12 Love it! Reply trudi 10 Jul 12 Great to see you with your pants down Simon and here's to loads of people giving a crap! Reply John Grono 10 Jul 12 … and what's that on your other hand Eric? You'd better check the PTR of your current brand. Reply Have your say Name Email Address (optional) Website (optional) ADVERTISEMENT Most Discussed 37 Comments The uncanny relationship between the Brexit and decline of many a creative agency 34 Comments The Age fires freelancer who faked viral 'Melbourne man' hipster profile 24 Comments Guvera confirms local redundancies, downplays employee concerns about entitlements 23 Comments Everything wrong with that Honda meteorite ad 21 Comments NAB repositions saying life is about More than Money


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Interpreters Software
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THIS PROJECT IS CLOSED! Please look at http://mooix.net/ instead.2 weekly downloads
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Tools to incrementally build customised Forth Virtual Machines for embedded applications. Token compiler converts token description into C code templates. PC console application includes FVM, it is used to compile and debug bytecodes for target FVM.2 weekly downloads
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The Fermion Programming Language is a dynamic high-level, object oriented, case insensitive programming language. The simplicity of the language makes Fermion a good learning and prototyping language for all levels of programmers.2 weekly downloads
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When did we equate plastic with health?
First of all, plastic is forever. It breaks down, but never decomposes, and it's easily consumed by animals, and fish, which we love to consume. It's linked to cancer. And there's an island of it the size of a couple Texases in the middle of the Pacific. Plastic? It's bad. We should only use it when we have no other choice.
Now, many restaurants and kitchens have no choice: they're required by law to wear plastic gloves. What got me thinking about these silly, pointless accoutrements of modern government-encouraged OCD? After all, aren't germs actually good for us—they help build up our natural immune systems? Don't we all know to wash our hands, particularly during cold season? And aren't plastic-glove wearing cooks touching lots of unsanitary things with those plastic gloves—which have germ-breeding wrinkles in 'em, anyways?
Finally, isn't it odd that we're worried about germs, but not about eating "conventional," untested genetically-modified food sprayed with pesticides (fancy word for poison)? It seems, on the one hand, that we're uptight about germs…and on the other hand, cavalier about disease and cancer.
What got me thinking about this hypocritical, pointless plastic glove virus, that's spreading nationally? Jamie Oliver, whose offhand comment during one of his top-rated Food Revolution shows: "they're dirtier than your hands" rang my brain like a bell.
Excerpt from one of hundreds of articles criticizing plastic gloves:
…[Since a] plastic glove has tiny wrinkles, it acts as storage area for contamination and pathogens.
Many states have passed laws that require food handlers to wear gloves, and requiring food handlers to wear gloves offers a false sense of security to consumers because the sight of gloves makes the food preparation process look clean and sanitary when it actually isn't. Many people don't notice that the person making their food is also touching contaminated objects and surfaces while wearing the same pair of gloves.
Where does this leave us regarding sanitation of our restaurant food? A report by the New Zealand Food Safety Authority suggests that proper hand washing is much more hygienic than wearing gloves. The report states that wearing plastic gloves tempts food handlers to wash their hands less frequently because they can't feel when something gets on their hands. The report also advocates that laws and restaurants not require food handlers to wear gloves, and that most food can be touched with bare hands provided the food handler has thoroughly washed and dried his or her hands immediately prior to handling the food.
Perhaps the answer lies in the use of other "barrier" methods such as forks, spoons, scoops, and tongs. Each time a food handler that is wearing gloves touches a surface besides food, those gloves are contaminated whereas other barriers such as utensils don't touch other contaminated surfaces as often…read the rest here.
What do you all think? I know some gloves are latex, but like latex condoms, doubt that they're actually disposable or compostable.
hot on elephant
The 4 Stages of a Good Divorce. A Letter to my Children: You do not come from a Broken Home. These People are Rare Gems—Keep Them, Fight for Them, don't Give Up on Them. Mom, can I Call her Mom, Too? Jon Stewart makes first appearance since retiring—"it's not your country." Waylon shares 10 transformingly beautiful Quotes about Love. 40 Things I've Learned in 40 Years. Why your Yoga Goals are (Probably) Irrelevant, if not Downright Dangerous. My Marriage had to End—for my Life to Begin. Dear Woman in the White Car at Margaritas Mexican Grill in West Memphis, Arkansas on July 15th, 2012.


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Creatin' "Ain't Misbehavin'"
Song of the rabbit and the duck
Jeff Smith 9 a.m., July 30
The bill also includes Kush County Music.
710 Garnet Avenue, San Diego, 92109
Get directions
|Chorus Sampler from Debut E.P. "Sunny D"
|Bad Neighborz
|Sunny D
|Bad Neighborz
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10cc Deceptive Bends
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|$8.67 Limited Time Only
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Available: Usually ships in 1-3 business days
Format: CD
sku: VS4W
Brand New
CD Details
- Released: July 9, 1997
- Originally Released: 1997
- Label: Universal I.S.
Song previews provided courtesy of iTunes
Product Description:
This was prepared from the original master tapes.
This 12-track remastered release by British pop band 10cc includes the hit "The Things We Do For Love," and three bonus tracks.
Personnel: Graham Gouldman (vocals, guitar, acoustic guitar, electric guitar, 12-string guitar, dobro, autoharp, organ, bass guitar, tambourine, triangle, hand claps, background vocals); Eric Stewart (vocals, guitar, electric guitar, slide guitar, piano, electric piano, organ, keyboards, Moog synthesizer, maracas, background vocals); Del Newman (strings); Tony Spath (oboe, piano); Paul Burgess (piano, vibraphone, drums, congas, claves, tambourine, triangle, wood block, hand claps, percussion, bells, gong); Jean Roussel (electric piano, organ, keyboards); Terry Bozzio (drums).
Unknown Contributor Role: Paul Burgess.
Arranger: Del Newman.
When Kevin Godley and Lol Creme left 10cc in 1976 to pursue a solo career, many thought it was the death knell for the group. However, Eric Stewart and Graham Gouldman kept the group alive as a duo (with the assistance of percussionist Paul Burgess) and turned in a surprisingly solid album with 1977's Deceptive Bends. It may lack the devil-may-care wackiness that popped up on previous 10cc albums, but it makes up for it by crafting a series of lush, catchy pop songs that are witty in their own right. Deceptive Bends also produced a pair of notable hits for the group: "Good Morning Judge" told the comical tale of a career criminal over a hook-laden, surprisingly funky pop backing while "The Things We Do for Love" was an irresistible Beatles pastiche that showcased 10cc's mastery of pop vocal harmonies. "People in Love," a surprisingly straightforward ballad built on a gorgeous string arrangement, also became a modest chart success. The remainder of the material doesn't stand out as sharply as these hits, but each of the tracks offers up plenty of naggingly catchy pop hooks, oodles of catchy riffs, and surprising twists in their arrangements. Highlights among the non-hit tracks include "Marriage Bureau Rendezvous," a satire of dating services set to a lilting soft rock melody, and "You've Got a Cold," a portrait of illness-influenced misery set to a percolating pop melody. The only place where Deceptive Bends slips is on "Feel the Benefit," the lengthy medley that closes the album. Its excessive length and hazy lyrics make it less satisfying than the album's shorter tunes, but it is kept afloat by a catchy, mock-Spanish midsection and some lovely string arrangements. All in all, Deceptive Bends is the finest achievement of 10cc's post-Godley and Creme lineup and well worth a spin for anyone who enjoyed Sheet Music or The Original Soundtrack. ~ Donald A. Guarisco
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