text:
Hacked By: Anonymous
Hack Information:
Lives Increase
Game Information
Ben 10 in Mario World must avoid hazards to beat level.
Cheats: Hackbar: Press [1] Money (Updates after you purchase somethi...
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Cheats: Hackbar: Press [1] Toggle fuel - [2] Toggle shield and armor...
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Registered Users: 471753
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subset: commoncrawl


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Bollywood seems to have come under the scanner of taxmen as the Central Board of Excise & Customs (CBEC) has issued service tax notices top actors and production houses, seeking details of their income. The notices were sent to Aamir Khan and Ranveer Singh asking them to disclose how m
Planet Bollywood News - Salman Khan will soon be seen in Rajshri's next, Jacqueline Fernandez at a book launch, & more news
Shahrukh Khan at the music launch of 'Tell Me O Kkhuda' Bollywood celebs at Maheep Kapoor's jewellery store launch Karan Johar: RA.One will get a historic opening at the box office Jacqueline Fernandez at a book launch Anushka Sharma reportedly asked Ranveer Singh to not work with Sonakshi Sinha Sonakshi Sinha may star in Sajid Nadiadwala's next opposite Shahid Kapoor Salman Khan will soon be seen in Rajshri's next Shahrukh Khan is upset Vivek Oberoi prepares for his role in Krrish 3 Your one stop destination for all the latest happenings,hot rumours and exclusive B-Town gossip... Subscribe NOW! www.youtube.com Follow us on twitter & facebook: www.twitter.com www.facebook.com Also check out our website: www.zoomtv.in
Salman Khan
Not only Salman's loving sister and Ahil's mother Arpita Khan Sharma shares picture of uncle-nephew bonding but designer Ashley Rebello, Salman's stylist and who is very close to the 'Sultan' family shares some lovely picture of Ahil with his 'Sultan'mamu. The picture shows Salman teaching
Finally, Mastani and Sultan paired up together. Yes, we are talking about two reigning stars of Bollywood Salman Khan and Deepika Padukone. The beautiful couple is coming together for Kabir Khan's 'Tubelight'. Katrina Kaif and Deepika Padukone were the two hot contenders for 'Tubelight' but consi
Latest Bollywood News
- Behind-the-scene: Vin Diesel takes Deepika Padukone in his arm
- Nargis denies breaking up with Uday and quitting Bollywood
- Geeta Basra, Harbhajan Singh blessed with a baby girl
- Tanmay Bhat mocks Priyanka Chopra; she's cool, but fans are irked
- Irrfan Khan being criticised for his remarks on Islam on TV show


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Swiss Star Apartments West End Accommodation & Rooms
- Free WiFi
Main amenities
- 14 smoke-free guestrooms
- Multilingual staff
What's around
- In Wiedikon
- Bahnhofstrasse (1.2 mi / 1.9 km)
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- Swiss National Museum (1.4 mi / 2.3 km)
- Kunsthaus Zurich (1.8 mi / 2.8 km)
- Helvetia Square (0.5 mi / 0.8 km)
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- Free cribs/infant beds
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Hotel size
- This hotel has 14 rooms
- This hotel is arranged over 4 floors
- Check-in time starts at 2 PM
- Check-out time is 11 AM
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- One child (10 years old and younger) stays free when occupying the parent or guardian's room, using existing bedding
- Pets allowed (dogs and cats only) *
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- Smoke-free property
Nearby Two Star Zurich hotels
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- Hypo-allergenic bedding available
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Swiss Star Apartments West End Accommodation & Rooms's small print
Also known as
- Guesthouse West-End
- Guesthouse West-End House
- Guesthouse West-End House Zurich
- Guesthouse West-End Zurich
Mandatory fees
You'll be asked to pay the following charges at check in or check out:
- A tax is imposed by the city: CHF 2.5 per person, per night
Optional extras
Rollaway beds are available for an additional charge
Pets are allowed for an extra charge of CHF 6 per pet, per night
We have included all charges provided to us by this hotel. However, charges can vary, for example, based on length of stay or the room you book.
Recent reviews
Good 3.4 /5 from 153 reviews
Confusing as to how to use.. No front desk. Just a key pickup. Worked great for us because we only spent one night there and left.
Problem with the key system, need someone pass by to help to call up for the key.
Absolutely unhappy
Very nice, clean, and comfortable! Would definitely stay again.
Auto checkin, comfy room
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Due to a resignation from office, KEA is seeking nominees for NEA Director. Eligible nominees must be Active KEA members and must have been NEA members for two years immediately preceding the election. The successful candidate will serve on the NEA Board of Directors until April 6, 2017, when a permanent director will be elected by the KEA Delegate Assembly. Candidates may self-nominate and must complete the official candidate filing form and return it to KEA by 5:00 p.m. on Monday, August 22, 2016.
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Above: The Robon's House and Hound Robon attraction as seen from the top of the world
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Byrne feels sorry for players at draft time
Long-time Bendigo Pioneers region manager Ray Byrne pities his players at this time of the football year.MARC MCGOWAN November 22, 2012 4:15am
Long-time Bendigo Pioneers region manager Ray Byrne pities his players at this time of the football year.
Byrne's pity is not so much for the likes of Echuca on-baller Ollie Wines, who is set to be a top-five pick at tonight's AFL National Draft, but more for those whose football future is not so certain.
Wines' Murray Bombers clubmate Christian Burgess, a ''very quick and very clever'' small forward, is in the latter category.
''All these boys are educated in (how the draft works), but it still doesn't stop the nerves coming around at draft time and you just feel sorry for them,'' Byrne said.
''It's very hard on the kids who don't know if they will get drafted.
''Ollie is going up to Queensland (for the draft) and he knows he's gone and so would (fellow Pioneer Jake) Stringer.''
Byrne, like most others, is glowing in his praise of Bendigo skipper Wines, who turned 18 last month.
Wines is an AIS-AFL Academy graduate, was an All-Australian and Victoria Country's co-most valuable player at this year's national under-18 championships along with touted No.
''Ollie has been fantastic. He's a great kid, has a great work ethic and has all the tools to be a great player,'' Byrne said.
''They expect him to be ready to play next year.
''He's got a fantastic family who support him to the hilt and nothing is ever too hard for him.''
Byrne said Wines was ''one of the best'' captains he had seen in his ''20-odd years'' at the Pioneers.
''I just think he respected everybody around the club and his teammates and it's a credit to his family,'' he said.
''He's such a good kid and that comes from his mum and dad.
''He's a fantastic team player and he'd do anything for any of his teammates. He'd block for them, he takes some good knocks and he's genuinely a great clubman and team player.''
Byrne said Wines was not as good at the same age as Bendigo junior star-turned-Geelong premiership player Joel Selwood, but had the same elite work ethic.
''That puts Ollie in good stead for a league career, because this is kindergarten compared to what they'll get down there and he'll be able to handle that,'' he said.
''We all knew Joel could do it and we all know Ollie will be able to do it.''
Byrne said Burgess was ''at best a rookie'', but pointed to Sydney Swans player Ben McGlynn as a shining example for those players who might miss out tonight.
''Look at Benny McGlynn up in Sydney. He lived with me for a year when he was at the Pioneers and he never got a look in (initially),'' he said.
''Then he played with Box Hill, got rookied and look at him now — he's played in finals, (reached) 100 games and it's just been fantastic.''
Midfielder-forward Stringer will likely be off the draft board before selection 20, while Byrne said Liam Byrne and Sam Heavyside, who both sustained mid-year season-ending injuries, had also generated AFL interest.
To read more on local players in the AFL National Draft see today's Shepparton News.
Thankyou for your comment.Your comment will appear once it has been approved by MMG staff.
Community Fund up for donation challenge
Organisers of the Challenge Shepparton triathlon will donate half the entry fees from entrants in the 'community team challenge' to the Community Fund Goulburn Valley.
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Jake Thompson has an eagle eye and a steady hand and he put both to good use recently when he won the U15 Australian Snooker Championships, held in Adelaide.
Respected Aboriginal elder dies
The Aboriginal and wider community is mourning the death of revered Bangerang Aboriginal elder, Uncle John ''Sandy'' Atkinson.
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COMMITTEE for Echuca Moama revealed Monash University as the consultant for its homeless reference group on Friday last week, reinvigorating one of the committee's key strategies; to combat Echuca-Moama's homelessness.
It's safety first at Rochester Farm and Road Safety Expo
PLANS are in full swing for the 18th annual Farm and Road Safety Expo in Rochester.
Bulldogs dig deep and upset Avenel
Merrigum's rise to prominence in the Kyabram District League premiership battle reached new heights in Saturday's 16th round when it became the first side to lower Avenel's colours this season.
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Berrigan Shire councillor Daryll Morris says he has been sickened by some of the vitriol and personal attacks to surface since the council's proposal to redevelop Finley's Memorial Hall and School of Arts site was revealed in October last year.
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HEATHCOTE is being swamped by Pokémon and wannabe trainers, armed with smart phones and iPads, who are trying to catch 'em all.
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Children have been treated to a journey through their imaginations while being encouraged to unleash their inner writers at Barooga Library.
Strong showing at cross country
Sixteen local students competed at the NSW PSSA and CHS State Cross Country Championships in Sydney.
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Presented at the Research Forum, American College of Emergency Physicians, San Francisco CA, October 2011.
Original Research Contribution
Lack of Sex Disparity in Cardiovascular Testing After Coronary Computerized Tomographic Angiography
Version of Record online: 9 FEB 2012
DOI: 10.1111/j.1553-2712.2011.01286.x
© 2012 by the Society for Academic Emergency Medicine
Academic Emergency Medicine
Volume 19, Issue 2, pages 147–152, February 2012
Additional Information
How to Cite
Ginty, C. T., Chang, A. M., Matsuura, A. C., Decker, C., Le, J., Green, M., Litt, H. I. and Hollander, J. E. (2012), Lack of Sex Disparity in Cardiovascular Testing After Coronary Computerized Tomographic Angiography. Academic Emergency Medicine, 19: 147–152. doi: 10.1111/j.1553-2712.2011.01286.x
Disclosures: Dr. Hollander—Abbott, Allere, Biosite, Brahms, BMS, Emergency Care Education and Consulting LLC, FA Davis, Nanosphere, Sanofi-Aventis, Siemens, Up-to-Date, the Duke Clinical Research Institute, the Pennsylvania Department of Health, the NIH, and the Annals of Emergency Medicine. Dr. Litt—Medrad/Bayer AG, Siemens Medical Solutions. Drs. Chang, Ginty, Matsuura, and Mr. Green disclosed no conflicts of interest. Mr. Decker and Mr. Le did not respond to the request for disclosure.
Supervising Editor: Brian Hiestand, MD.
A related commentary appears on p. 197.
Publication History
- Issue online: 9 FEB 2012
- Version of Record online: 9 FEB 2012
- Received June 13, 2011; revisions received August 16 and August 23, 2011; accepted August 23, 2011.
- Abstract
- Article
- References
- Cited By
ACADEMIC EMERGENCY MEDICINE 2012; 19:147–152 © 2012 by the Society for Academic Emergency Medicine
Objectives: The authors assessed whether there was a sex disparity in testing of patients after coronary computerized tomographic angiography (CTA) was performed for emergency department (ED) patients with potential acute coronary syndromes (ACS). In theory, once coronary anatomy has been determined, any disparity in subsequent workup should not be the result of differences in presentation.
Methods: This was a prospective cohort study of ED patients who presented with potential ACS and received coronary CTAs at a university hospital. Demographics, history, cardiac risk factors, follow-up testing, and procedures were recorded. Follow-up at 30 days was obtained by structured record review and telephone contact. Patients were stratified by sex and coronary CTA results (max stenosis: none, 1% to 24%, 25% to 49%, 50% to 69%, and ≥70%). Main outcome was the relative risk (RR) of a male receiving a stress test or catheterization within 30 days, stratified by categories of percent maximal stenosis.
Results: A total of 1,144 patients received coronary CTAs (mean ± SD age = 47.8 ± 8.7 years), 55% were female, and 64% were black or African American. Overall, 161 patients received follow-up testing within 30 days, 113 during their index visit. Men were more likely to receive further testing (RR = 1.51; 95% confidence interval [CI] = 1.14 to 1.99) compared to women. However, when stratified by percentage of stenosis, men were not more likely to receive further testing within 30 days after coronary CTA compared to women (RR = 1.14; 95% CI = 0.68 to 1.91). In multivariable modeling for risk of further testing, stenosis remained significant (adjusted relative risk [aRR] = 1.51; 95% CI = 1.19 to 1.91), while male sex, age, race, and Thrombolysis in Myocardial Infarction (TIMI) risk score were not.
Conclusions: Male patients with potential ACS who receive a coronary CTA as a part of their ED evaluation were no more likely than female patients to receive further testing within 30 days.
In the United States, nearly 2,300 individuals die of cardiovascular disease each day, the equivalent of one death every 38 seconds.1 According to 2006 data, 47% of deaths due to coronary heart disease occurred in women, making it the leading cause of death among women in the United States.1,2
Despite these figures, a sex disparity exists in cardiovascular care in this country. Several studies have shown that women receive fewer invasive procedures, such as cardiac catheterization, percutaneous coronary interventions (PCIs), and coronary artery bypass graft (CABG) compared to men, even when they present similarly.2,3 In patients presenting to the emergency department (ED) with potential acute coronary syndrome (ACS), men were nearly twice as likely as women to receive a diagnostic cardiac catheterization and more likely to receive noninvasive testing even after adjustment for factors such as age, Thrombolysis in Myocardial Infarction (TIMI) score,4,5 and cardiac risk factors.6 Several potential explanations for this discrepancy have been proposed, including sex-specific patient preferences,7 physician bias, or an overtreatment of men at low risk of disease and death.7–9 Unlike many of the most commonly used noninvasive diagnostic tests, coronary computerized tomographic angiography (CTA) has been shown to have nearly equal accuracy in men and women.2,10,11 The use of coronary CTA allows an objective measure of coronary artery disease (CAD) burden.10 In theory, once coronary anatomy has been determined by coronary CTA, any disparity in subsequent workup should not be the result of differences in presentation.
The goal of this investigation was to determine if there is a sex difference in rate of follow-up cardiac testing within 30 days after a coronary CTA performed for evaluation of ACS. We hypothesized that there should be no difference in cardiac test utilization between sexes found to have similar amounts of disease on coronary CTA.
Study Design
We conducted a secondary analysis of a prospective cohort study of a convenience sample of low- to intermediate-risk patients presenting to the ED between 2005 and 2009 with potential ACS who received a coronary CTA as a part of their evaluation. As all coronary CTAs were standard of care and verbal consent was obtained consistent with the institutional review board (IRB) requirements for the initial study, the secondary analysis was approved with an IRB waiver of informed consent.
Study Setting and Population
The study was conducted at the Hospital of the University of Pennsylvania, an urban tertiary referral center with an annual census of 57,000 patients. The ED has 33 beds and a 17-bed observation unit where many patients are admitted for evaluation of chest pain.
Patients included in this study were a convenience sample of those who presented to the ED with a chief complaint consistent with ACS and received a coronary CTA in the ED or the observation unit. Patients at our institution receiving a coronary CTA in the ED have all been identified as low to intermediate risk by an attending physician, generally with a TIMI4,5 score of 0 to 2, however, not such low risk that they would otherwise be discharged without further testing. Patients with a serum creatinine level greater than 1.5 mg/dL and those with active asthma, pregnancy, or an iodinated contrast allergy were not eligible to receive a coronary CTA. Patients with external chest trauma or other obvious causes of chest pain were excluded.
Study Protocol
Structured data collection was performed prospectively by the treating physician using a closed-question data instrument and included self-reported demographic characteristics, cardiac risk factors, chest pain characteristics, associated symptoms, medications and initial vital signs, electrocardiogram (ECG), treatment, and disposition in accordance with the standardized reporting guideline.12 For patients with a heart rate greater than 70 beats/min, intravenous or oral metoprolol was given. Coronary CTA was performed with predominantly 64-slice or 64-slice dual-source scanners (Siemens Medical Solutions, Malvern, PA). The protocol for coronary CTA image acquisition at our institution has been described elsewhere.13,14 All studies were read by attending radiologists with subspecialty cardiovascular imaging training, meeting American College of Cardiology/American Heart Association level III training guidelines. Study quality and technical limitations were included in the report, as well as any regions of the coronary arteries that could not be evaluated. All management decisions were left to the treating physicians.
Patients were contacted by trained research assistants 30 days after discharge by telephone and questioned about recurrent chest pain, nonfatal myocardial infarction, repeated hospitalization, and follow-up procedures such as stress tests, diagnostic cardiac catheterizations, PCIs, and surgery. Testing and procedures at our institution were then confirmed by medical record review. In the event that a subject could not be reached, a family member or friend was questioned. When neither the patient nor the secondary contact was able to be reached, medical records were reviewed. For patients for whom these methods failed to provide survival information, the Social Security Death Index (SSDI) was searched.
The primary outcome measure was whether the patient received a cardiac test (stress test, either pharmacologic or exercise, or diagnostic coronary catheterization) or was revascularized (PCI or CABG) within the 30-day follow-up period, stratified by coronary CTA results. Both inpatient and outpatient tests and procedures were included in analysis. All further testing decisions were made by the patient's treating physician.
We also examined the number of coronary events (death, acute myocardial infarction [AMI], or revascularization procedure) at 30-day follow-up. Patients were analyzed in five prespecified groups according to the results of coronary CTA. Patients were stratified into categories by percent maximal stenosis: none, 1% to 24%, 25% to 49%, 50% to 69% and ≥70%. For patients with stenosis in multiple vessels, the greatest degree of stenosis in any artery was used. These cutoffs were defined based on previous literature.15,16
Data Analysis
Data were analyzed using SAS v 9.2 (SAS Institute Inc., Cary, NC) and are presented as percent frequency occurrence with 95% confidence intervals (CIs). T-tests, chi-square, and Wilcoxon rank sum tests were used to compare male and female patients, as appropriate for continuous, categorical, and parametric or nonparametric data. We calculated the relative risk (RR) of receiving further testing by sex. Then to account for the possibility that one sex would have more diseased vessels than another, within each sex we stratified by maximal coronary CTA stenosis, as categorical variables described above, to give us an adjusted relative risk (aRR) of further cardiac testing. We conducted a multivariable regression model including age, sex, race, stenosis, and TIMI risk score to account for patient risk factors that may lead to differences in further testing. We then conducted a Mantel-Haenszel chi-square statistic to evaluate our hypothesis.
Our sample size was set a priori based on our enrolled cohort, which had over 600 females and 500 males. This enables us to have 80% power to detect true relative risks of 0.618 or 1.449 in male versus female subjects at an alpha of 0.05.
During the study period, 1,144 patients had coronary CTA performed and percent maximal stenosis recorded; 43 patients had testing performed but no stenosis recorded. Patients had a mean (±SD) age of 47.8 (±8.7) years, 55% were female, and 64% were black or African American. Male and female patients were generally similar with respect to many characteristics (Table 1); however, their racial distributions differed, and females were more likely to have a lower TIMI risk score and normal ECG. While the mean number of cardiac risk factors was similar between groups, females tended to have more hypertension, and males more hypercholesterolemia. We had 30-day follow up on 1,036 patients (90.5%), of whom 999 were able to be directly contacted; the others found by SSDI or record review.
|Women (n = 634)
|Men (n = 510)
|Age (±SD)
|48.1 ± 8.5
|47.1 ± 8.8
|Race (%)
|Black or African American
|449 (70.8)
|279 (54.7)
|110 (17.3)
|168 (32.9)
|Cardiac risk factors (%),
|Mean ± SD number of risk factors
|1.7 ± 1.3
|1.8 ± 1.4
|313 (49.4)
|203 (39.8)
|124 (24.3)
|Known CAD
|6 (1.0)
|6 (1.2)
|Family history of CAD
|115 (18.1)
|102 (20.0)
|Diabetes mellitus
|97 (15.3)
|66 (12.9)
|Current tobacco use
|209 (32.9)
|208 (40.8)
|Cocaine use in last week
|38 (6.0)
|62 (12.2)
|Previous myocardial infarction
|4 (0.6)
|10 (1.9)
|Previous stress test
|158 (24.9)
|132 (25.9)
|Previous stress test abnormal
|4 (0.6)
|6 (1.2)
|Previous cardiac catheterization
|16 (2.5)
|13 (2.6)
|Previous cardiac catheterization abnormal
|2 (0.3)
|1 (0.2)
|TIMI risk score (%)
|403 (63.6)
|278 (54.5)
|180 (28.4)
|46 (7.3)
|60 (11.8)
|3 or 4
|5 (0.8)
|13 (2.6)
|Electrocardiographic findings (%)
|298 (58.4)
|169 (26.7)
|127 (24.9)
|Early repolarization only
|4 (0.6)
|22 (4.3)
|Abnormal not diagnostic
|35 (5.5)
|43 (8.4)
|Ischemia, old-unchanged ECG
|3 (0.5)
|6 (1.2)
|Ischemia, not known to be old
|8 (1.3)
|9 (1.8)
|Suggestive of myocardial infarction
|0 (0)
|4 (0.7)
|Normal coronary CTA results (%)
|479 (75.6)
|325 (63.7)
Of the 1,144 patients included, 340 (29.7%) were found to have a stenosis of at least one vessel. Compared with women, more men had a stenosis of at least one vessel at coronary CTA (36.3% vs. 24.4%; odds ratio [OR] 1.76, 95% CI = 1.36 to 2.27). Coronary CTA results stratified by percent stenosis and sex are presented in Table 2. A total of 161 patients (14.1%) received at least one diagnostic test in the 30 days following their coronary CTAs, with 113 patients receiving their tests as inpatients during their index visits. Only one patient in the ≥70% maximal stenosis group did not have further testing as an in patient, and 10 patients in the 50% to 69% group did not have further testing. Overall, men were more likely to undergo further testing (RR = 1.51, 95% CI = 1.14 to 1.99).
|Maximal stenosis
|n (%) with Further Testing
|Female (n = 591)
|Male (n = 445)
|23/442 (5.2)
|20/282 (7.1)
|1.27 (0.91–1.76)
|1/24 (4.2)
|2/27 (7.4)
|1.28 (0.55–2.98)
|12/66 (18.2)
|12/67 (17.9)
|0.99 (0.64–1.54)
|23/43 (53.5)
|27/42 (64.3)
|0.99 (0.65–1.52)
|15/16 (93.8)
|26/27 (96.2)
|0.93 (0.50–1.73)
|Overall Mantel-Haenszel RR
|1.14 (0.68–1.91)
We constructed a generalized linear model incorporating age, race, sex, stenosis, and TIMI risk score to see if any of these other factors played a role in follow-up testing. Stenosis remained a significant factor (aRR = 1.51, 95% CI = 1.19 to 1.91), while male sex (aRR = 1.10, 95% CI = 0.86 to 1.42), age (aRR = 0.57, 95% CI = 0.29 to 1.17), race (aRR = 1.00, 95% CI = 0.77 to 1.30), and TIMI risk score (aRR = 0.80, 95% CI = 0.61 to 1.10) did not. Using a Mantel-Haenszel chi-square statistic, we stratified by percent stenosis and also found that men were not more likely to receive further testing within 30 days after coronary CTA compared to women (aRR = 1.14, 95% CI = 0.68 to 1.91, p = 0.98). Table 2 also shows rates of further testing (stress test or cardiac catheterization) at 30-day follow-up stratified by coronary CTA results and sex.
At 30-day follow-up we had follow up information on 1036 patients, and there was one cardiovascular death, nine revascularization procedures, two AMIs, and three patients who had both an AMI and a revascularization procedure. No coronary events occurred in individuals with less than a 50% maximal stenosis. Table 3 shows the number of cardiac events (death, myocardial infarction, or revascularization procedure) at 30-day follow-up according to coronary CTA results, as stratified by percent stenosis, sex, and whether further testing was performed; men and women were similar in each strata.
|Max Stenosis
|1% to 24%
|25% to 49%
|50% to 69%
|2/23 (8.7)
|1/27 (3.7)
|4/15 (26.7)
|7/26 (26.9)
|1/20* (5.0)
Sensitivity Analysis
Given our missing data, we conducted sensitivity analyses. There was no significant difference in the proportion of men versus women for those missing stenosis data (23 women vs. 20 men, p = 0.76) or in those who received 30-day testing (74 women vs. 87 men, p = 0.34). In our analysis, we assumed that all missing patients did not receive follow-up testing. We conducted a sensitivity analysis and assumed that all missing patients had follow-up testing. Our results were still the same: males were more likely to get follow-up testing, but when taking stenosis group into account, there was again no significant relationship between sex and testing (aRR of all tests positive in missing = 1.19, 95% = CI 0.97 to 1.46; aRR of all tests negative in missing data = 1.15, 95% CI = 0.68 to 1.93).
Acute coronary syndrome represents a continuum of acute myocardial ischemia and is responsible for over 733,000 hospitalizations annually, nearly 50% of which occur in women.1 Previous studies have demonstrated that women are less likely to receive cardiovascular testing and interventions compared to men, even with ACS, despite the fact that cardiovascular disease is the leading cause of death in women in this country.17 While it is often cited that women with ischemic heart disease are more likely to present with atypical symptoms, several ED-based studies have shown that there are more similarities than differences between men and women.18,19 In a study conducted at our own institution, Chang et al.6 demonstrated that female patients presenting to the ED with potential ACS undergo fewer cardiac catheterizations and stress tests compared to male patients, even when adjusted for presenting complaint, history, ECG, and diagnosis. Possible explanations for the sex difference in testing include differences in presentation, physician bias, sex-specific patient preferences, or even an overtreatment of men.9
Sex differences associated with coronary heart disease and care have been studied extensively in a variety of settings; however, there are a number of challenges to identifying CAD in women that are important to discuss. Several studies have documented that women who receive a cardiac catheterization, the criterion standard for diagnosing and quantifying CAD, are less likely than their male counterparts to have CAD. In one study, fewer than half of women undergoing coronary angiography had obstructive CAD compared to more than 80% of men.2 Some have argued that this has led to lower rates of invasive testing and procedures in women.9 Another challenge to diagnosing CAD in women is that several of the most commonly used noninvasive diagnostic tests, such as stress testing, underperform in women.2,10 For example, the sensitivity and specificity of exercise ECG ranges from 60% to 70% for women compared to 80% for men.20 Reasons for the diminished accuracy in women include a lower prevalence of CAD for any single age group compared to men, a lower representation of women in earlier studies evaluating the diagnostic accuracy of tests, and a lower percentage of women who are able to reach target heart rate.2,21
Our study differs from previous studies evaluating sex bias in cardiac care in that we stratified patients by coronary CTA, a noninvasive test that has been shown to have excellent diagnostic accuracy when compared to cardiac catheterization.22 In contrast to stress testing, coronary CTA has been shown to have equal accuracy in men and women in excluding the presence of obstructive CAD.10,11 By stratifying patients according to coronary CTA results, we were able to control for any potential differences in presentation and the amount of disease present. This adds to the body of literature from our institution regarding sex disparities in cardiac care, as we have examined potential physician bias6 and patient preference.7 By adjusting for amount of disease, we are able to see that there are no differences by sex.
In our cohort of patients, men tended to have more extensive disease compared to women. Given that CAD develops at a later age in women compared to men, this finding was not surprising in our cohort with a mean age of 47.8 years. Because they had more extensive disease, it was also not surprising that, overall, men were more likely to receive further testing than women.
When results were adjusted for coronary CTA results, men were not more likely to receive further testing compared to women. This finding is in contrast to earlier studies examining follow-up care after initial abnormal cardiac test results. In their cohort of 3,975 patients referred for outpatient stress testing, Shaw et al.23 found that women with suspected coronary disease had fewer additional diagnostic tests than men after an initial abnormal noninvasive stress test result. In their cohort, 62% of men were referred for additional diagnostic testing compared to only 38% of women, even though the rates of positive stress test results were similar.
In their large nested case–control study of national Medicare patients, Lucas et al.24 explored the hypothesis that some of the observed sex differences in invasive cardiovascular procedures and testing documented in the literature could be due to different rates of entry into the "diagnostic cascade." Their hypothesis was based on the assumption that cardiac catheterization is not typically the first event in the investigation of cardiac symptoms. They found that given the same exposure to the health care system and similar clinical conditions, non-African American men received more stress testing than African American men and all women. These differences were greatest among persons without indications for stress testing, and smallest for persons with indications suggesting that this disparity in testing could be partially due to "nonclinical" decision-making, and account for sex differences further down the diagnostic cascade.
There are several limitations within our study. First, our study population includes only patients who presented to the ED and were judged to be at low to medium risk for potential ACS. As a result, the majority of patients had normal coronary CTA (804 of 1,144), and there were only a small number of coronary events at 30-day follow-up. This study population does not necessarily reflect the patient population that most commonly undergoes stress testing and/or cardiac catheterization, nor does it reflect the population that has been studied before in the cardiovascular sex bias literature. Also, because our study sample is representative of our urban, predominantly black or African American ED population, it is unclear how generalizable the results are.
Second, because coronary CTA is a relatively new diagnostic tool, there is no consensus regarding if and what type of follow-up testing is necessary, especially when noncritical coronary disease is detected. Perhaps this is the reason why patients who had no stenosis detected on coronary CTA still went on to receive further cardiovascular testing. We realize that there are important differences between types of stress tests and cardiac catheterizations in degree of invasiveness and sensitivity and specificity for CAD detection; however, for the purpose of analysis they were grouped together because of the low rates for each type of testing in our cohort. Furthermore, all decisions regarding further testing were made on the part of the treating inpatient or outpatient physician. Perhaps physicians were unaware of coronary CTA results and patients who had critical stenosis were not evaluated further or vice versa. We feel that this is reflective of the "real-world" setting. We do believe, anecdotally, that as physicians became more comfortable with coronary CTA, further testing for low-grade lesions has decreased.
Last, variables were not analyzed that may have affected the rate of follow-up testing, including the patient's insurance status, whether the patient has a primary care provider or cardiologist, and patient preference. Also, our analysis does not capture nonprocedural interventions such as medications or diet and exercise.
Our study suggests that female patients with potential acute coronary syndrome who undergo coronary computed tomography angiography as a part of their ED evaluation were not less likely than men to receive follow-up testing when stratified by coronary computed tomography angiography results.
- 1American Heart Association. Heart Disease and Stroke Statistics--2010 Update. Dallas, TX: American Heart Association, 2010.
- 2Diagnosing coronary artery disease in women: an update on cardiac imaging modalities. Obstet Gynecol. 2010; 115:156–69., .
- 3Gender and willingness to undergo invasive cardiac procedures. J Gen Intern Med. 1999; 14:122–5., , .
- 4The TIMI risk score for unstable angina/non-ST elevation MI. JAMA. 2000; 284:835–42., , , et al.
- 5Prospective validation of the Thrombolysis in Myocardial Infarction Risk Score in the emergency department chest pain population. Ann Emerg Med. 2006; 48:252–9., , , , , .
- 6Gender bias in cardiovascular testing persists after adjustment for presenting characteristics and cardiac risk. Acad Emerg Med. 2007; 14:599–605., , , , , .
- 7Sex bias in cardiovascular testing: the contribution of patient preference. Ann Emerg Med. 2011; 57:551–60., , , et al.
- 8The effect of race and sex on physicians' recommendations for cardiac catheterization. N Engl J Med. 1999; 340:618–26., , , et al.
- 9The evaluation of chest pain in women. N Engl J Med. 1996; 334:1311–5., .
- 10Gender influence on the diagnostic accuracy of 64-slice multislice computed tomography coronary angiography for detection of obstructive coronary artery disease. Heart. 2008; 94:48–52., , , et al.
- 11Comparison of diagnostic accuracy of 64-slice computed tomography coronary angiography in women versus men with angina pectoris. Am J Cardiol. 2007; 100:1532–7., , , et al.
- 12Standardized reporting guidelines for studies evaluating risk stratification of emergency department patients with potential acute coronary syndromes. Ann Emerg Med. 2004; 44:589–98., , , et al.
- 13Coronary computed tomographic angiography for rapid discharge of low-risk patients with potential acute coronary syndromes. Ann Emerg Med. 2009; 53:295–304., , , , , .
- 14One-year outcomes following coronary computerized tomographic angiography for evaluation of emergency department patients with potential acute coronary syndrome. Acad Emerg Med. 2009; 16:693–8., , , et al.
- 15Implications of 25% to 50% coronary stenosis with cardiac computed tomographic angiography in ED patients. Am J Emerg Med. 2011; [Epub ahead of print]., , , et al.
- 16Incremental prognostic significance of left ventricular dysfunction to coronary artery disease detection by 64-detector row coronary computed tomographic angiography for the prediction of all-cause mortality: results from a two-centre study of 5330 patients. Eur Heart J. 2010; 31:1212–9., , , et al.
- 17Differences in the management and prognosis of women and men who suffer from acute coronary syndromes. J Am Coll Cardiol. 2005; 46:1845–51., , , et al.
- 18Gender differences in symptom presentation associated with coronary heart disease. Am J Cardiol. 1999; 84:396–9., , , , , .
- 19Typical symptoms are predictive of acute coronary syndromes in women. Am Heart J. 2002; 143:283–8., , , .
- 20Insights from the NHLBI-sponsored women's ischemia syndrome evaluation (WISE) Study. J Am Coll Cardiol. 2006; 47:4S–20S., , , , , .
- 21Coronary heart disease in women: update 2008. Clin Pharmacol Ther. 2008; 83:37–51., , .
- 22Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computed tomography. J Am Coll Cardiol. 2005; 46:147–54., , , .
- 23Gender differences in the noninvasive evaluation and management of patients with suspected coronary artery disease. Ann Int Med. 1994; 120:559–66., , , , , .
- 24Differences in cardiac stress testing by sex and race among Medicare beneficiaries. Am Heart J. 2007; 154:502–9., , , .


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I took the kids to brunch at our favorite local diner this morning. They usually have classic rock playing from a jukebox. Today they had a 40's music CD going.
I had never previously heard "Bongo Bongo Bongo I don't want to leave the Congo" played in a non-ironic fashion. (I know if from Fallout 3, where its use is definitely satirical.) Several people nearby were looking incredulously at the jukebox. Even the kids thought it was odd. "Daddy," asked Evan, "Is he saying 'bongo bongo bongo?"
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Getting some fresh air
Pats secondary expects to see more from Manning
FOXBOROUGH, Mass. — The Denver Broncos tried to beat the New England Patriots less than two months ago by running the ball. It didn't work.
With a Super Bowl berth at stake in Sunday's rematch, Peyton Manning figures to have a better day.
"We'll have to be on top of our game," Patriots safety Steve Gregory said.
Their pass defense has been pretty close to that lately.
The Patriots intercepted Andrew Luck four times Saturday night in their 43-22 divisional-round win over the Indianapolis Colts. And in their next to last regular-season game, they picked off Super Bowl MVP Joe Flacco three times in a 41-7 rout at Baltimore.
They're traveling again this week, to Denver for the AFC championship game, with a deep, experienced secondary. And though Flacco and Luck are impressive quarterbacks, Manning appears to be on a different level — regardless of how he did last time out vs. New England.
"What you are always trying to strive for is consistency," Patriots defensive coordinator Matt Patricia said Tuesday, "certainly in a position like the defensive backs where there is a lot of communication."
In their first meeting with the Broncos, the Patriots won 34-31 in overtime after trailing 24-0 at halftime. Manning had season lows of 19 completions, 150 yards passing, a 52.8 completion percentage and a 70.2 passer rating.
New England struggled against the long ball early last season. That changed after it acquired cornerback Aqib Talib in a trade with Tampa Bay after the eighth game. He sat out the next game to complete a four-game suspension for violating the NFL's policy on performance-enhancing substances. He said it was Adderall.
In his first game with the Patriots, he returned an interception for a touchdown against Luck.
Talib's arrival solidified the move of Devin McCourty from cornerback to safety, made after the sixth game. With Gregory at safety and Alfonzo Dennard at cornerback, the Patriots had the starting secondary they continued using this season.
"It's been a huge plus for us that we've been able to essentially keep those same players back there," coach Bill Belichick said. "Then (there's) some degree of flexibility because both Steve Gregory and Devin have both played corner."
Injuries on defense sidelined tackles Vince Wilfork and Tommy Kelly and linebacker Jerod Mayo for most of the season and linebacker Brandon Spikes for the postseason. But in the secondary, the four starters have missed a total of just nine games.
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The San Diego Padres have been waiting patiently for the return of All-Star third baseman Chase Headley who continued his rehab assignment Tuesday for Class-A Lake Elsinore.
MLB Rumor Central: Rangers considering Reds' Anthony DeSclafani
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The Ocala Group is a high growth sourcing and supply chain management firm. We provide outsourced supply chain services such as sourcing, order management, manufacturing, logistics, and global distribution. We design, manufacture, and transport single use food service packaging and medical supply products. Ocala is a rapidly growing global team of 20 people, with operations across the US and Asia. Our HQ is based in New Hyde Park, NY (Nassau County).
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Potential Apple issues:
[1] Competition has caught up ... only the Apple name sets it apart, and that may not justify the price difference.
[2] Market becoming saturated at the high-end. Prices decreases likely.
[3] New products? Apple TV requires cable support for some of the Apple advantage, and they may not want to get into a situation of subsidizing Apple like the telecom companies do.
[4] Recent key executives defections leave people wondering.
[5] And the key: Tim Cook may have many of Jobs' skills, but he is no Steve Jobs who was famous in the Valley for being a very tough demanding leader.
I still think you get a dead cat bounce, but with the market so volatile ... who knows when and if. GL.
I think at the end of the day, Apple is a cash-generating monster and has a great eco system. But investors are still adjusting to the realization that, absent any big surprises, Apple is transitioning from a highly innovative growth co to a blue chip.
Add the exogenous risk of continued sell-offs for tax purposes (plus the larger fiscal-cliff fears, for that matter) and the fear inspired recently by lack of support for the falling stock price.. And we get a stock that I'd feel better about if I didn't have any positions in for now.
So, I bought back my puts this morning while Apple is slightly in the green. Took a loss with a little sting, but not big in the scheme of things. The stock can go where it may but I'll stick with my conviction of mainly staying in cash for the rest of 2012, or until there is more transparency on some of the bigger issues confronting us.
Thanks for the thoughts, & GLTA


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- Prodotto:
- Cubo
- Linea:
- Cubo
- Produttore:
- Forma 5
- Designer:
- Tandem Company
- Architonic ID:
- 1137185
- Paese:
- Spagna
- Anno Produzione:
- 2011
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Low cabinet 4 units
The design of the executive cabinets Quorum and Cubo helps to create a space of high functional quality and aesthetic, thanks to the different possible configurations and their various finishes -ebony, walnut and oak-. For operational areas, Cubo System meets the same functionality with the same aesthetic then the executive program, but in laminate version and a wide range of finishes. The cabinets of both programs are available in widths of three and four modules, and in two heights. In the absence of handles, those doors which are not lockable feature of a "push" to open.


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Pennsylvania High School Sports News
News on Pennsylvania High School Sports continually updated from thousands of sources around the net.
32 Sex-Awkward Celebrities Who Are Apparently HORRIBLE ...
Fracking: Progress or Poison?
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Rainbow Families: 27 Famous Celebrities You Had No Idea Were Parents To An LGBTQ Child
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Then and Now: 1980s Superstars Who Used To Be Smoking Hot
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Then And Now: How Did PEOPLE Magazine's Sexiest Men Alive Hold Up?
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Who doesn't love a comeback story? Sports fans aregenerally romantics, and there is nothing that captivates the imagination and warms the heart... ...https://in.news.yahoo.com/5-successful-cricket-comebacks-season-135400982.html
Brought to you by 4 Min ago 0 0 24th June, 9th ODI: Kensington Oval (CRICKETNMORE). West Indies will take on South Africa in the 9th ODI... ...http://news.Indiaonline.in/9th-ODI-West-Indies-vs-South-Africa-Tri-Series-1274428
With spinners ruling the roost in the ongoing Tri-nation series in West Indies, Claude Henderson, South Africa's spin bowling coach, believes that... ...http://www.cricbuzz.com/cricket-news/80684/very-fortunate-to-have-a-great-mixture-of-spin-bowling-says-south-africas-spin-bowling-coach-claude-henderson
Basseterre, June 12: Australia showed the stuff of champions and South Africas suspect temperament was again exposed as they crashed to a 36-run... ...http://www.oneindia.com/sports/cricket/david-warner-hits-century-as-australia-defeat-south-africa-47-runs-2125379.html
ST KITTS: Australia opener David Warner notched his sixth one-day century, fittingly at Warner Park, to help set up a 36-run win over South Africa... ...http://www.navhindtimes.in/warner-ton-gives-aussies-36-run-win-over-proteas/


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Oudtshoorn Ballooning. Oudtshoorn Ballooning offers a scenic balloon flight over the town and neighboring farms at dawn. Flights are R2,500...
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Registered Professional Engineer. Candidate should have an engineering degree in the field of mechanical engineering with 7+ years of building design experience...
May 22 - Milwaukee, WI
Manufacturing Engineer II - 3rd Shift
Manufacturing Engineer IIMenomonee Falls, WIJob Duties:• Enhancing manufacturing by assuring that parts or assemblies are processed and tooled to meet optimum quality, quantity and cost requirements. • Provide technical support to analyze and develop manufacturing control systems. • Interface will occur with Work Group Advisors, Work Groups, Quality and Product Engineering, and ...
Jul 22 -
Manufacturing Engineer
Major responsibilities include:Enhancing manufacturing by assuring that parts or assemblies are processed and tooled to meet optimum quality, quantity and cost requirements. Provide technical support to analyze and develop manufacturing control systems. Interface will occur with Work Group Advisors, Work Groups, Quality and Product Engineering, and Manufacturing Support Services.Other ...
Jul 20 -
Menomonee Falls
Manufacturing Engineering Supervisor
Looking for a great career?The answer is Bradley! Bradley Corporation, a world-class leader in the manufacturing of commercial plumbing fixtures and accessories, is seeking a dynamic professional to join our Manufacturing team. SUMMARY: As a dynamic leader, candidate must be capable of leading Manufacturing Engineering Team in area of responsibility as well as collaboratively working with ...
Jul 18 -
Process Engineer-Growth Opportunity! 19
Our client, based in Wisconsin, is enlarging their visibility in new markets and has a need for a Process Engineer who has exceptional knowledge of working in a food manufacturing environment. Experience with Pilot Plants and ability to analyze, suggest and implement decisions as wells as thinking strategically are vital.This opportunity is located in a scenic area of central Wisconsin with a ...
Jul 15 -
Project Engineer with MillerCoors in Milwaukee
I am a recruiter and I have an immediately opening for a contract Project Engineer with MillerCoors in Milwaukee. This contract position is involved with maximizing operational efficiency and continuous improvement. Food or Beverage industry experience is preferred. Thorough knowledge of the interrelationships between the Brewing, Packaging, Supply Chain, Quality Services, and Maintenance ...
Jul 13 -
Maintenance Supervisor
Requires Oracle or SAP, Excel and/or PowerPoint
We are looking for a dynamic professional who thrives in working in a fast-paced, family oriented manufacturing environment. Most importantly, we are looking for someone who will be able to maintain a great team attitude, demonstrate passion for your work, and exhibit the willingness to learn and develop in the organization.
• ...
Jul 9 -
Pleasant Prairie
Sr. Product Manager - Manufacturing
STS Technical Services, has partnered with Wacker Neuson Corporation!The Wacker Neuson Group is an international family of companies and a leading manufacturer of light and compact equipment. The Group offers its customers a broad and deep portfolio of products, a wide range of services and an efficient, global spare parts service. The product brands Wacker Neuson, Kramer and Weidemann belong ...
Jul 8 -
Menomonee Falls
Electrical Project Engineer
Electrical Engineer
As an Electrical Engineer, you will be working with a Sr. Engineer to design and development new products and support existing products within the department.Job Requirements• Bachelor of Science Degree in Electrical Engineering.• 1 year of experience in an electronics design field.• Computer skills needed include Microsoft Office Tools and Pro-E.• Excellent problem solving skills and a hands ...
Jul 6 -
Director of Engineering job in Milwaukee, WI - R & D
Location Milwaukee, WISalary $125,000 - $150,000Job Type Direct HireDegree Bachelor of ScienceDate Jul 01, 2016Company Summary: This is an outstanding opportunity to join an iconic engineering organization in a key role here in the Suburbs of Milwaukee. This organization offers optimized product realization solutions and automation equipment on a customized level.This highly visible ...
Jul 5 -
Process Engineer
We are seeking a Process Engineer to join our team! This position will be located near Davenport, IA. Paid relocation is available.Job Duties:Promote and maintain a safe working environment. Maintain the plant in a good condition according to GMP, Food Safety and Regulatory requirements. Maintain, improve, and comply with all environmental standards and regulations. Work with Maintenance ...
Jul 1 -
Engineering Manager
Our Client is a leader in the design, engineering and manufacturing of components and assemblies. They have acquired professional experience to provide a full range of services within the Medical, Industrial, Electrical, Computer, Aviation and Restaurant Industries.In this role, the Engineering Manager directs and coordinates all engineering activities to meet customer specifications and to ...
Jun 30 -
Machine Designer - Assembly, Robotics & Manufacturing Equipment
Machine Designer Aladdin Engineering & Manufacturing, a growing 60-plus-year old design-build manufacturer of custom automated machinery, is looking to add a Machine Designer to its staff. Are you a naturally inquisitive, conscientious, careful person who strives for accuracy in all that you do?Technically astute, research minded with a no-nonsense work ethic?Your work does the speaking for ...
Jun 28 -
Design Engineer
MorningStar's client is a trusted provider for custom stainless steel fabrication projects. Our client is always building new things for their customers. Constant creativity and new projects is what makes this environment so exciting and entrepreneurial. MorningStar's client is provides custom stainless steel equipment and components for the pharmaceutical, biotechnology, semiconductor, ...
Jun 28 -
Next Level Professional is currently seeking a Sr, Electrical Engineer for a career role in the Brookfield, Wisconsin area.We're looking for an individual who wants to take an active role with a dynamic engineering team in the design, research, testing, and manufacturing of electrical equipment within new and existing products. Including the Investigation and implementation of the latest ...
Jun 23 -
Sr. Import Engineer
Senior Import Engineer What you will do:As a Senior Import Engineer, you will lead engineering projects through sourcing of imported components and finished goods to meet performance, quality, cost-reduction, delivery and inventory targets. Key responsibilities include:Manage projects utilizing off-shore suppliers. Investigate and implement alternate component technologies for reduced cost ...
Jun 22 -
Process Engineer - Robotic Welding - Automotive
Seeking experienced Robotic Welding Process Engineer with background in an automotive supplier to join a company manufacturing advanced vehicle seats with customers in large OEMs and aftermarket companies!
Work with a team of expert product designers and welding experts to design and implement robotic welding processes, jigs, fixtures, and other tooling for seat frames and rails.
Requires ...
Jun 14 -
Power Electronics Engineer
As an Engineer in the Power Electronics Advanced Technology Product Development Team (ATPDT), you will work with the Advanced Product Development team to conceive, instrument and perform dynamic tests on a wide variety of electrical /electronics/mechanical hardware ranging from components to full systems with applications in power supply for heat treating industryDuties include but are not ...
Jun 7 -
Responsibilities:1. Design/develop products in accordance with company and industry quality and performance specifications.2. Work with customer's engineering groups to develop 'custom' solutions to their design challenges. This includes managing projects from start to finish (design, quote, inventory maintenance and logistical aspects of projects).3. Work with vendors to take advantage of ...
Jun 5 -
Jun 2 -
Menomonee Falls
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text: This band was formed in Houston, Texas, USA, in 1969, and comprised Pete Bailey (vocals/harmonica), Dave Mitchell (guitar), Ray Turner (bass) and Doug Tull (drums). They had previously worked together as United Gas (with second guitarist Phillip White) and were also briefly known as Come, under which name they recorded Crazy Man/Country Boy, before adopting the above appellation. The self-financed Dead Man featured a hard rock version of the Rolling Stones Gimme Shelter, but is also notable for its lengthy title track. The heavy-styled follow-up, Josefus, was a comparative disappointment, and despite an undoubted popularity in Texas, the group was unable to reach a wider audience. They split up in December 1970, although Bailey and Turner were reunited in Stone Axe. In 1978 the vocalist rejoined Mitchell in a re-formed Josefus which completed two singles - Hard Luck and Let Me Move You - on their...


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Montgomery County News
Local, regional, and statewide news continually updated from thousands of sources on the web.
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31 Shocking Celebrities Who Won't Leave Home Without Their Sex Toys
Updated: Sun Jul 24, 2016 10:03 am
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...Thinking about and "seeing" what molecules are doing never hurts and often helps. When tutoring math, I usually explore different problem solving techniques with the student until we find the ones that work best for him or her. When tutoring writing, I usually focus on clarity, finding your voice, and suitability for the intended audience.
Cambridge, MAView Tutor
...My personal work requires extensive use of algebra and other formulaic math. My personal weakness in algebra is matrices - I'm proficient with them, but I'm not very found of them, as most problems you would solve with matrices can be solved with other, much easier algebra operations. All of my...
Worcester, MAView Tutor
...Short term or long term help. One-on-one and rates for multiple students available. Can meet in home, or at your local library.
Sutton, MAView Tutor
...I would love to help you accomplish your goals!I have experience with public speaking in many forms. I hosted my own television show on Cambridge Community television, a public access channel in Massachusetts, for two years. I also have experience doing stand up comedy.
Waltham, MAView Tutor
...I took AP BC Calculus my junior year of high school and also received an A as well as a 5 on the AP exam. I'm continuing my math career at Brown University. I am studying computer science at Brown University and have taken two introductory computer science courses as well as Linear Algebra.
Providence, RIView Tutor


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The School of Library and Information Studies develops creative and critical thinkers and leaders for the information world through a supportive teaching and learning environment, collaborative research, and community engagement.
Jeff Hirschy, MLIS candidate in the School of Library and Information Studies, successfully defended his master's thesis today, June 29th.
Mr. Jeff Hirschy, MLIS candidate in the School of Library...
Steven Yates elected 2017-2018 AASL president
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Jennifer Pate receives National Diversity in Libraries Conference 2016 Travel Award
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digital media manager jobs near San Jose, CA
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Sr. Manager, Global Digital Marketing
Roche - Pleasanton, CA
Stays on top of the field in digital marketing trends and competitive digital strategies. Operates with high degree of responsibility regarding regulatory,...
Marketing Strategy Manager
Loctek Ergonomic Corp. - Fremont, CA
Knowledge of current digital technologies and trends; 3-5 years experience at a PR, Digital or Integrated Marketing Agency....
Manager, Community Engagement and Digital Advocacy
Innovate Public Schools - San Jose, CA
Serving as project manager and coordinating between Innovate Public Schools staff, Greatschools staff, and community organizations and partners to reach more...
Marketing Manager
KeyPoint Credit Union - Santa Clara, CA
Manage all social media channels, Google Adwords, website content and SEO. Write copy for marketing collateral, news releases, website content, Google ads,...
SEO Manager
AnchorFree - Menlo Park, CA
Working knowledge in digital advertising (display, search, and video). During the Arab Spring Hotspot Shield enabled millions of Egyptians to gain free access...
Marketing Manager
Ascend Clinical - Redwood City, CA
Writes (or coordinate with technical writers to write) compelling copy and marketing materials for use across multiple platforms including social media, web...
Business Development Manager
Symantec - Mountain View, CA
5 years of experience in consulting, sales or marketing at a technology or media company. You will develop close relationships within the industry, and with...
Marketing Communications Manager
FINsix Corporation - Menlo Park, CA
Build a dynamic and engaging social media presence. Public Relations, Digital Marketing, Content Marketing, Branding, and Event Planning....
Web Content Manager
CDI Corporation - Santa Clara, CA
The Content Manager will work with multiple Marketing and Business Unit Stakeholders, Web Site Managers, Content Managers, Project Leads, Web Authors, and...
Director, Global Social Media
HP - Palo Alto, CA
7-10 years' experience in Social Media for a brand or agency, 5-7 years in related industry (PR, digital, media, ad agency)....


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May 14
Barry Waldrep & Kelli Johnson have teamed up and are bringing their unique blend of country, americana, bluegrass, blues and southern rock to the fans in 2016. Friends for several yearsand having performed together on many occasions over the years, it was only natural that these two accomplished artists would find themselves working as a duo. The synergy they enjoy on stage is infectious and the melding of their instruments and voices, along with their love of the same musical genres results in magic each time they step on stage. In 2011, Kelli won the Alabama Texaco Country Showdown. Her single "Over My Head" was awarded Grand Prize in the prestigious 2013 Nashville International Summer Songwriting Series. Barry was invited in 2009 to tour with Zac Brown, along with Kid Rock and Little Big Town. He also recorded numberous Bluegrass Tribute Albums for artists such as Eric Clapton, The Black Crowes, Widespread Panic and more! For more info on Barry & Kelli visit: www.barrywaldrep.com
Jul 19
205-467-0334 Drop by Hwy 11 in Springville (across from Burton's & Advance Auto Parts) or e-mail us here at firstname.lastname@example.com. Snail Mail: 5811 US Hwy 11 Springville, AL 35146
Oct 6
Jul 26
Apr 30
I will be performing on this awesome new TV show featuring singer/songwriters and bands: Kelli's Acoustic Crossroads on WEAC TV 24! Hosted by Kelli Johnson! Showcasing the best Local talent in Northeast Alabama. Tuesday, April 30 and Thursday, May 2 at 8pm are the two airing dates. Please tune in!
Label: Indie
Bio: When Kelli Johnson sings, people listen. Whether performing as the lead singer for the dynamic acoustic act Sweetwater Road, or as a solo artist, she commands attention. With a voice that radiates emotion and clarity, and a fervent and deep songwriting ability , her songs draw listeners in and ho...See Full Bio


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|By Business Wire
Article Rating:
|June 27, 2014 02:34 AM EDT
Leading private railway and diversified business operator Tokyu Corporation, based in Shibuya, Tokyo, will hold a "VISIT SHIBUYA BUS - SUMMER PROMOTION" in collaboration with TOKYO FM and a third company from July 1, 2014 (Tuesday) to August 31, 2014 (Sunday).
VISIT SHIBUYA BUS (Photo: Tokyu Corporation)
According to a survey by the Japan Tourism Agency, the uppermost inconvenience for foreign travelers are 'lack of free Wi-Fi', 'communication', and 'difficulty figuring out public transportation routes to destinations'. In preparation for the 2020 Tokyo Olympics and Paralympics, Tokyu Corporation is engaged in a variety of endeavors to assist inbound visitors. In an effort to meet the above-mentioned visitor needs, they have joined with TOKYO FM and another company to undertake "VISIT SHIBUYA BUS - SUMMER PROMOTION."
The promotion includes operation of the tour bus for VISIT SHIBUYA BUS
complete with an English audio tour and Wi-Fi, all free of charge. In
addition to shuttling visitors to popular tourism locales such as
Omotesando and Roppongi, the promotion assists foreign tourists
wandering about the city by distributing walking maps and providing free
Wi-Fi service while they are riding the bus.
Anyone who downloads tickets from the site listed below is eligible to ride the bus for the duration of the promotion.
Tokyu Corporation has also created a Shibuya PR Book to introduce the
appeal of the Shibuya area. This convenient booklet allows users to
discover at-a-glance various facts, places to see, popular
establishments, and the future vision for Shibuya, which is the
number-one most visited spot in Tokyo by foreign travelers. Shibuya
station itself boasts the third highest ridership worldwide, and the
area is one of the most exciting attractions in Tokyo, featuring a
concentration of movie and theatrical theaters, as well as clubs with
live music (called 'live-houses' in Japan).
Images can be provided. For inquiries, "in English" go to the contact listed below.
Please take this opportunity to introduce Shibuya through your media channels!
Photos/Multimedia Gallery Available: http://www.businesswire.com/multimedia/home/20140626006525/en/
"My role is working with customers, helping them go through this digital transformation. I spend a lot of time talking to banks, big industries, manufacturers working through how they are integrating and transforming their IT platforms and moving them forward," explained William Morrish, General Manager Product Sales at Interoute, in this SYS-CON.tv interview at 18th Cloud Expo, held June 7-9, 2016, at the Javits Center in New York City, NY.
Jul. 30, 2016 04:30 PM EDT Reads: 2,264
To leverage Continuous Delivery, enterprises must consider impacts that span functional silos, as well as applications that touch older, slower moving components. Managing the many dependencies can cause slowdowns. See how to achieve continuous delivery in the enterprise.
Jul. 30, 2016 04:30 PM EDT Reads: 537
WebRTC is bringing significant change to the communications landscape that will bridge the worlds of web and telephony, making the Internet the new standard for communications. Cloud9 took the road less traveled and used WebRTC to create a downloadable enterprise-grade communications platform that is changing the communication dynamic in the financial sector. In his session at @ThingsExpo, Leo Papadopoulos, CTO of Cloud9, discussed the importance of WebRTC and how it enables companies to focus...
Jul. 30, 2016 04:30 PM EDT Reads: 1,104
Up until last year, enterprises that were looking into cloud services usually undertook a long-term pilot with one of the large cloud providers, running test and dev workloads in the cloud. With cloud's transition to mainstream adoption in 2015, and with enterprises migrating more and more workloads into the cloud and in between public and private environments, the single-provider approach must be revisited. In his session at 18th Cloud Expo, Yoav Mor, multi-cloud solution evangelist at Cloudy...
Jul. 30, 2016 04:15 PM EDT Reads: 605
Aspose.Total for .NET is the most complete package of all file format APIs for .NET as offered by Aspose. It empowers developers to create, edit, render, print and convert between a wide range of popular document formats within any .NET, C#, ASP.NET and VB.NET applications. Aspose compiles all .NET APIs on a daily basis to ensure that it contains the most up to date versions of each of Aspose .NET APIs. If a new .NET API or a new version of existing APIs is released during the subscription peri...
Jul. 30, 2016 02:30 PM EDT Reads: 1,054
Security, data privacy, reliability, and regulatory compliance are critical factors when evaluating whether to move business applications from in-house, client-hosted environments to a cloud platform. Quality assurance plays a vital role in ensuring that the appropriate level of risk assessment, verification, and validation takes place to ensure business continuity during the migration to a new cloud platform.
Jul. 30, 2016 02:00 PM EDT Reads: 511
SYS-CON Events announced today that 910Telecom will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Housed in the classic Denver Gas & Electric Building, 910 15th St., 910Telecom is a carrier-neutral telecom hotel located in the heart of Denver. Adjacent to CenturyLink, AT&T, and Denver Main, 910Telecom offers connectivity to all major carriers, Internet service providers, Internet backbones and ...
Jul. 30, 2016 01:30 PM EDT Reads: 969
Ovum, a leading technology analyst firm, has published an in-depth report, Ovum Decision Matrix: Selecting a DevOps Release Management Solution, 2016–17. The report focuses on the automation aspects of DevOps, Release Management and compares solutions from the leading vendors.
Jul. 30, 2016 01:00 PM EDT Reads: 1,854
Continuous testing helps bridge the gap between developing quickly and maintaining high quality products. But to implement continuous testing, CTOs must take a strategic approach to building a testing infrastructure and toolset that empowers their team to move fast. Download our guide to laying the groundwork for a scalable continuous testing strategy.
Jul. 30, 2016 01:00 PM EDT Reads: 2,122
Adding public cloud resources to an existing application can be a daunting process. The tools that you currently use to manage the software and hardware outside the cloud aren't always the best tools to efficiently grow into the cloud. All of the major configuration management tools have cloud orchestration plugins that can be leveraged, but there are also cloud-native tools that can dramatically improve the efficiency of managing your application lifecycle. In his session at 18th Cloud Expo, ...
Jul. 30, 2016 12:00 PM EDT Reads: 1,360
SYS-CON Events announced today that LeaseWeb USA, a cloud Infrastructure-as-a-Service (IaaS) provider, will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. LeaseWeb is one of the world's largest hosting brands. The company helps customers define, develop and deploy IT infrastructure tailored to their exact business needs, by combining various kinds cloud solutions.
Jul. 30, 2016 11:30 AM EDT Reads: 1,400
StackIQ has announced the release of Stacki 3.2. Stacki is an easy-to-use Linux server provisioning tool. Stacki 3.2 delivers new capabilities that simplify the automation and integration of site-specific requirements. StackIQ is the commercial entity behind this open source bare metal provisioning tool. Since the release of Stacki in June of 2015, the Stacki core team has been focused on making the Community Edition meet the needs of members of the community, adding features and value, while ...
Jul. 30, 2016 11:00 AM EDT Reads: 629
Qosmos has announced new milestones in the detection of encrypted traffic and in protocol signature coverage. Qosmos latest software can accurately classify traffic encrypted with SSL/TLS (e.g., Google, Facebook, WhatsApp), P2P traffic (e.g., BitTorrent, MuTorrent, Vuze), and Skype, while preserving the privacy of communication content. These new classification techniques mean that traffic optimization, policy enforcement, and user experience are largely unaffected by encryption. In respect wit...
Jul. 30, 2016 11:00 AM EDT Reads: 542
For basic one-to-one voice or video calling solutions, WebRTC has proven to be a very powerful technology. Although WebRTC's core functionality is to provide secure, real-time p2p media streaming, leveraging native platform features and server-side components brings up new communication capabilities for web and native mobile applications, allowing for advanced multi-user use cases such as video broadcasting, conferencing, and media recording.
Jul. 30, 2016 10:45 AM EDT Reads: 1,110
SYS-CON Events announced today the Kubernetes and Google Container Engine Workshop, being held November 3, 2016, in conjunction with @DevOpsSummit at 19th Cloud Expo at the Santa Clara Convention Center in Santa Clara, CA. This workshop led by Sebastian Scheele introduces participants to Kubernetes and Google Container Engine (GKE). Through a combination of instructor-led presentations, demonstrations, and hands-on labs, students learn the key concepts and practices for deploying and maintainin...
Jul. 30, 2016 10:15 AM EDT Reads: 1,048


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Why The Future of Digital Marketing is NowPosted by rradice under Marketing
From http://www.imaginewow.com 761 days ago
Made Hot by: fusionswim on July 2, 2014 7:32 am
Technology brings incredible precision to many aspects of our lives. It's time for marketing to catch up with precision measurement.
Digital Marketing used to be a vision of the future. Well, guess what? The future of digital marketing is NOW.
Digital Marketing used to be a vision of the future. Well, guess what? The future of digital marketing is NOW.
Who Voted for this Story
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Written by lyceum
755 days ago
755 days ago
Great to hear that the future of digital marketing is already here now! ;) Could you mention some companies that are leaders of new media, measuring their results?
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This Could Be One of the Most Underestimated Employee BenefitsJuly 20, 2015
What's more important than salaries at your small business? Small business owners and entrepreneurs sometimes believe they …Sponsored By Aflac
Ross Kimbarovsky @rosskimbarovsky Dressses Down for Small Business Dreams
Ross Kimbarovsky could tell you about his passion for entrepreneurship. He could (and does) talk often about the drive … MoreMore Contributors
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Ti Roberts is an Internet marketer & blogger with over 7 years experience. On her blog, she enjoys teaching her following how to generate traffic via Blogging, Social …


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"why are you so annoying" TheKlein25
04/12: Jamie XX, Four Tet, AESOP Rock, Local Natives, Grinderman, Lou Reed, Blur, Stone Roses
04/13: Trash Talk, Theophilus London, Portugal. the Man, The Postal Service
04/14: Unicorn Kid, DIIV, Smith Westerns, Disclosure, Rodriguez, The Faint, James Blake, Nick Cave & The Bad Seeds
Between Kraftwerk, Portishead, Roger Waters and Prince, I don't understand how anyone couldn't understand that 2008 was like the last party Gatsby threw before everything went south, forever.
Paul Oakenfold was at my work today but I did not ask him if he was playing. I'm not sorry.
Against Me!
Dallas Green (Alexisonfire later City and Colour)
The Aquabats
As Tall as Lions
Billy Talent
The Black Eyed Peas
Circa Survive
Dear and the Headlights
The Dillenger Escape Plan
Does It Offend You, Yeah?
Flogging Molly
Gaslight Anthem
Jimmy Eat World
Jurassic 5
R.X. Bandits
Saves the Day
Talib Kweli
But who's counting them...
I'm asking Earl Slick about Bowie playing coachella when I see him at NAAM this friday. This is confirmed.
Don't forget the Deftones!
7/22-24: Sunset Campout @ Belden Town
7/25: Ultimate Painting @ The Chapel
7/29: Woods, Gun Outfit, Cian Nugent @ The Chapel
7/29: Lucy @ f8
7/30: Robag Whrume, Sassmouth, Solar @ Mighty
8/3: Margo Price @ Gundlach Bundschu
8/25: Gold Panda @ The Independent
Ahhhhh am I the only one that is excited about teh video on the home page?????
There is a video on the home page? wtf?
Whoa, what do you think it means, Mr. Moustache?
Pretty sure that the "Bloom" video is a reference to Nirvana headlining.
https://twitter.com/SoundLogik ...don't flame me bc I have no idea how credible these guys are, but these are some HUGE names to just be dropping on twitter...
July 16 - Cough
July 19 - Dragged Into Sunlight
July 29 - Inter Arma
August 12-14 - Migration Fest
August 16 - Monolord
August 26-28 - Psycho LV
September 7 - Cobalt
September 12 - Kraftwerk
September 17 - Melvins
September 20 - Wolves In The Throne Room
September 21 - Kanye West
September 30-October 2 - ACL wk.1
October 7-9 - ACL wk.2
October 11 - Failure
October 21 - Sleep
October 22 - Sleep
October 23 - Sleep
November 6 - Sia
November 12 - Black Sabbath
Anddd they just said DJ Pauly D. Shows over folks...
Fri: LCD Soundsystem, M83, Underworld, the Kills, FOALS, the Last Shadow Puppets, Joey Bada$$, BORNS, Miami Horror
Sat: Guns N' Roses, Ice Cube, CHVRCHES, Courtney Barnett, Run the Jewels, the Arcs, Gary Clark Jr., Silversun Pickups, Lush, Moon Taxi, DMA's
Sun: Major Lazer, Flume, Rancid, Miike Snow, Edward Sharp, Matt & Kim, Cold War Kids, Wolf Alice, Anderson Paak, Joywave, the Heavy, Meg Myers


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- Miss Florida 2017 stripped of crown days after win - US Weekly
- Lindsay Lohan steps out amid relationship drama - TMZ
- Was Taylor Swift snubbed by the VMAs? - Gossip Cop
- Rachel Platten sings "Fight Song" with lots of stars - Just Jared Jr
- Farrah Abraham sizzles in a revealing bikini - Radar
- New pics from the Clooneys' Italian summer - Lainey Gossip
- Fox News snubs major DNC moment - The Hollywood Reporter
16 October 2008 at 4:18 AM
Gerard Butler's Power Lunch
Posted in Gerard Butler's Power Lunch
About this photo set: Gerard Butler lunches at the BLD restaurant in LA with some of his friends, and then drove to Beverly Hills for a business meeting on Wednesday. The 300 star… Read More Here
Photo #: 1484301
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Crazy Substitute Teachers
Enjoy, NG4.02 / 5.00 899 Views
Vacuum Salesman
This dude and his Megazord vacuum cleaner3.98 / 5.00 2,233 Views
Markiplier Animated | Mark Of The Survey Corps
This took far too long to make...3.95 / 5.00 2,379 Views
I want him to be my doctor
heheheh i like Dr.Bob, he should look into becoming a dentist lol. That would be really funny.
HAHA, reminds me of the doctor who went off
and payed his bill when he was in the middle of the surgery. Dont know if thats true though heh
not bad lol
hehe not the best but good nonetheless
cool,thanks..you couldve just said "THIS SUCKED!"
this stuff is the shit u just made my fav animators list my friend ill check out the other ones later keep it up man!
man that was PIMPIN!
all i can say is lol


text:
(from Calder report)
Joseph Balsamo's stakes winner Weigelia showed his consistency again by taking the six-furlong $150,000 Jack Dudley Sprint during Calder's Florida Million. The 3-year-old Florida-bred colt by Safely's Mark gamely held off Onebadshark and jockey Jerry Bailey by a length. The 9-10 favorite in a field of 10,Weigelia covered the six furlongs in 1:10 1/5 and paid $3.80, 2.60 and 2.40. Onebadshark returned $4.60 and 3.80, while Love That Moon paid $4.80 to show. Weigelia's career record now stands at 6-4-2 from 15 starts with earnings of $476,860. "I think he's going to be even better as a 4-year-old," said winning trainer Manny Azpurua. Weigelia took to the road this summer. He was third in the Amsterdam (gr. II) and second in the King's Bishop (gr. I) at Saratoga and was most recently third in the Keeneland's Perryville. John Velazquez rode him to victory in the Jack Dudley Sprint. "He came out running and got into good position," the jockey said. "I expected to follow Jerry Bailey's horse (Onebadshark) and it worked out good (since) he was laying second. So I just followed him. My horse was best the whole time. I just waited for room and let him run." (Chart, Equibase)
Consistent Weigelia Takes Jack Dudley Sprint
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