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Acetaminophen Toxicity
- Author: Susan E Farrell, MD; Chief Editor: Asim Tarabar, MD more...
Practice Essentials
Acetaminophen is one of the most commonly used oral analgesics and antipyretics. It has an excellent safety profile when administered in proper therapeutic doses, but hepatotoxicity can occur after overdose or when misused in at-risk populations. In the United States, acetaminophen toxicity has replaced viral hepatitis as the most common cause of acute hepatic failure and is the second most common cause of liver failure requiring transplantation.
Acetaminophen metabolism occurs primarily in the liver and is illustrated in the image below.
Signs and symptoms
Most patients who overdose on acetaminophen will initially be asymptomatic, as clinical symptoms of end-organ toxicity do not manifest until 24-48 hours after an acute ingestion. Therefore, to identify a patient who may be at risk of hepatoxicity, the clinician should determine the time(s) of ingestion, the quantity, and the formulation of acetaminophen ingested.
Minimum toxic doses of acetaminophen for a single ingestion, posing significant risk of severe hepatotoxicity, are as follows:
Adults: 7.5-10 g
Children: 150 mg/kg; 200 mg/kg in healthy children aged 1-6 years
The clinical course of acetaminophen toxicity generally is divided into four phases. Physical findings may vary, depending on the degree of hepatotoxicity.
Phase 1
0.5-24 hours after ingestion
Patients may be asymptomatic or report anorexia, nausea or vomiting, and malaise
Physical examination may reveal pallor, diaphoresis, malaise, and fatigue
Phase 2
18-72 h after ingestion
Patients develop right upper quadrant abdominal pain, anorexia, nausea, and vomiting
Right upper quadrant tenderness may be present
Tachycardia and hypotension may indicate volume losses
Some patients may report decreased urinary output (oliguria)
Phase 3: Hepatic phase
72-96 h after ingestion
Patients have continued nausea and vomiting, abdominal pain, and a tender hepatic edge
Hepatic necrosis and dysfunction may manifest as jaundice, coagulopathy, hypoglycemia, and hepatic encephalopathy
Acute renal failure develops in some critically ill patients
Death from multiorgan failure may occur
Phase 4: Recovery phase
4 d to 3 wk after ingestion
Patients who survive critical illness in phase 3 have complete resolution of symptoms and complete resolution of organ failure
See Clinical Presentation for more detail.
The serum acetaminophen concentration is the basis for diagnosis and treatment. A diagnostic serum concentration is helpful, even in the absence of clinical symptoms, because clinical symtpoms are delayed. The Rumack-Matthew nomogram interprets the acetaminophen concentration (in micrograms per mL), in relation to time (in hours) after ingestion, and is predictive of possible hepatotoxicity after single, acute ingestions of acetaminophen.
Recommended serum studies are follows:
Liver function tests (alanine aminotransferase [ALT], aspartate aminotransferase [AST]), bilirubin [total and fractionated], alkaline phosphatase)
Prothrombin time (PT) with international normalized ratio (INR)
Renal function studies (electrolytes, BUN, creatinine)
Lipase and amylase (in patients with abdominal pain)
Serum human chorionic gonadotropin (hCG) (in females of childbearing age)
Salicylate level (in patients with concern of co-ingestants)
Arterial blood gas and ammonia (in clinically compromised patients)
Additional recommended studies are as follows:
Urinalysis (to check for hematuria and proteinuria)
ECG (to detect additional clues for co-ingestants)
In patients with mental status changes, strongly consider serum ammonia levels and CT scanning of the brain. Laboratory findings in the phases of acetaminophen hepatotoxicity are as follows:
Phase 1: Approximately 12 hours after an acute ingestion, liver function studies show a subclinical rise in serum transaminase concentrations (ALT, AST)
Phase 2: Elevated serum ALT and AST, PT, and bilirubin concentration; renal function abnormalities may also be present and indicate nephrotoxicity
Phase 3: Severe hepatotoxicity is evident on serum studies; hepatic centrilobular necrosis is diagnosed on liver biopsy
Rumack-Matthew nomogram
Used to interpret plasma acetaminophen values to assess hepatotoxicity risk after a single, acute ingestion
Nomogram tracking begins 4 hours after ingestion (time when acetaminophen absorption is likely to be complete) and ends 24 hours after ingestion
About 60% of patients with values above the "probable" line develop hepatotoxicity
See Workup for more detail.
Gastrointestinal decontamination agents can be used in the emergency setting during the immediate postingestion time frame. Administer activated charcoal (AC) if the patient is alert and presents, ideally, within 1 hour post ingestion. This time frame can be extended if the patient has ingested an acetaminophen-based sustained-release medication or if the ingestion includes agents that are known to slow gastric emptying. Patients with acetaminophen concentrations below the "possible" line for hepatotoxicity on the Rumack-Matthew nomogram may be discharged home after they are medically cleared.
Admit patients with acetaminophen concentration above the "possible" line on the Rumack-Matthew nomogram for treatment with N -acetylcysteine (NAC). NAC is nearly 100% hepatoprotective when it is given within 8 hours after an acute acetaminophen ingestion, but can be beneficial in patients who present more than 24 hours after ingestion. NAC is approved for both oral and IV administration.
The FDA-approved regimen for oral administration of NAC (Mucomyst) is as follows:
Loading dose of 140 mg/kg
17 doses of 70 mg/kg given every 4 hours
Total treatment duration of 72 hours
The IV formulation of NAC (Acetadote) is commonly used in many institutions for the treatment of acetaminophen ingestion. Use of the IV formulation of NAC is preferred in the following situations:
Altered mental status
GI bleeding and/or obstruction
A history of caustic ingestion
Potential toxicity in a pregnant woman
Inability to tolerate oral NAC because of emesis refractory to proper use of antiemetics
Surgical evaluation for possible liver transplantation is indicated for patients who have severe hepatotoxicity and potential to progress to hepatic failure. Criteria for liver transplantation include the following:
Metabolic acidosis, persistent after fluid resuscitation
Renal failure
See Treatment and Medication for more detail.
Extensive medical use of acetaminophen began in 1947. Initially in the United States, acetaminophen was available by prescription only. In 1960, this changed to an over-the-counter (OTC) status. The availability of acetaminophen in OTC preparations and the contraindication of aspirin-containing products for pediatric use (due to the association between aspirin and Reye syndrome), have made acetaminophen one of the most commonly used analgesic-antipyretic medications in current pediatric medicine. This widespread use and availability also applies to the adult population, both in the United States and the rest of the world.[1]
Acetaminophen, also known as paracetamol (outside the United States and Canada) and by its chemical name, N -acetyl-p-aminophenol (APAP), is available in more than 200 OTC and prescription medications, either as a single agent or in combination with other pharmaceuticals. Worldwide, acetaminophen is cited as a primary drug in over 50 brand- or trade-name products (eg, Tylenol, Panadol, Tempra, Mapap, FeverAll).
In the United States, 325-mg and 500-mg immediate-release tablets and a 650-mg extended-release preparation marketed for the treatment of arthritis are commonly sold. Combination formulations such as codeine-acetaminophen (Tylenol #3) and oxycodone-acetaminophen (Percocet) are prescribed. Numerous formulations and preparations are readily available, including the following:
Tablets (dissolvable (Meltaways) and chewable)
Paraffin-base rectal suppositories (FeverAll)
Acetaminophen toxicity occurs relatively frequently. In fact, the American Association of Poison Control Centers (AAPCC) reports that acetaminophen is one of the most common pharmaceuticals associated with both intentional and unintentional poisoning and toxicity. Although acetaminophen has an excellent safety profile when administered in proper therapeutic doses, hepatotoxicity can occur with misuse and overdose.
Overdose with acetaminophen can occur at any age. A therapeutic misadventure typically occurs in children younger than 1 year, when their caregivers give incorrect doses of a medication containing acetaminophen. Accidental poisoning (unintentional ingestion) can occur in toddlers and young children with unsupervised access to medications. Older patients (eg, teenagers and adults) may overdose with intent to do self-harm.[2]
While acetaminophen toxicity is particularly common in children, adults have accounted for most of the serious and fatal cases.[2] Acetaminophen toxicity is the most common cause of hepatic failure requiring liver transplantation in Great Britain. In the United States, acetaminophen toxicity has replaced viral hepatitis as the most common cause of acute hepatic failure and is the second most common cause of liver failure requiring transplantation.
In an attempt to decrease this potential for acetaminophen toxicity in the United States, a number of pharmaceutical regulatory changes have been introduced. In 2009, the US Food and Drug Administration (FDA) required that nonprescription and prescription APAP-containing medications provide information regarding the risks of acetaminophen-induced hepatotoxicity.[3, 4]
In addition, the FDA has considered the removal of acetaminophen from some popular analgesic combination products (eg, hydrocodone-acetaminophen [Vicodin]) and possibly decreasing the recommended maximum daily dose. The FDA is also addressing other changes to acetaminophen-based medications, including the following:
Safe daily dose for healthy individuals (all ages: children and adults)
Safe daily dose for patients with chronic liver disease
Safe daily dose for patients who concurrently drink alcohol
Appropriate dose needed for efficacy
Package size restrictions
Current formulations of acetaminophen-narcotic combination drugs
In January 2011, the FDA announced that it was asking manufacturers of prescription acetaminophen combination products to limit the maximum amount of APAP in these products to 325 mg per tablet, capsule, or other dosage unit.[5] And in January 2014, the FDA issued a statement advising that combination prescription pain relievers that contain more than 325 mg of acetaminophen per tablet, capsule, or other dosage unit should no longer be prescribed because of a risk for liver damage.[6, 7]
Unrelated to dosage, another announcement from the FDA in August 2013 advised that anyone who has a skin reaction, such as the development of a rash or blister, while taking acetaminophen should stop using the drug and seek immediate medical care. A review of the medical literature showed the painkiller poses the risk for three rare but potentially fatal skin disorders: Stevens-Johnson syndrome, toxic epidermal necrolysis, and acute generalized exanthematous pustulosis.[8, 9]
An intravenous (IV) formulation of acetaminophen (Ofirmev) was approved by the FDA in 2011 for inpatient use in children older than 2 years to treat fever and pain.[10] Although this article focuses on single acute ingestions of oral formulations, iatrogenic medication errors with IV acetaminophen have caused hepatotoxicity.[11] The evaluation and treatment approach for an IV acetaminophen overdose is similar to that of an oral overdose.
Clinical evidence of end-organ toxicity is often delayed 24-48 hours after an acute ingestion of acetaminophen occurs. Consequently, the diagnosis of potential acetaminophen toxicity is based on obtaining a history of acetaminophen ingestion and confirming a potentially toxic blood level. The modified Rumack-Matthew nomogram, (the acetaminophen toxicity nomogram or acetaminophen nomogram), is used to interpret plasma acetaminophen concentrations relative to time post ingestion to assess for the hepatotoxicity risk in patients. See Workup.
Oral activated charcoal avidly adsorbs acetaminophen. This gastrointestinal (GI) decontaminant can afford significant treatment benefit if administered to the patient within 1 hour post ingestion, or later if the ingestion involves an agent that delays gastric emptying or slows GI motility. N-acetylcysteine (NAC), or acetylcysteine, is an extremely effective antidote for acetaminophen-induced hepatotoxicity due to an acute overdose, especially if administered within 8-10 hours after ingestion.[12] See Treatment and Medication.
See also the following:
Ingested acetaminophen is rapidly absorbed from the stomach and small intestine. The serum concentration peaks 1-2 hours post ingestion. Therapeutic levels are 5-20 µg/mL (33-132 µmol/L). Peak plasma levels occur within 4 hours after ingestion of an overdose of an immediate-release preparation. Co-ingestion with drugs that delay gastric emptying (eg, opiates, anticholinergic agents) or ingestion of an acetaminophen extended-release formulation may result in peak serum levels being achieved more than 4 hours post ingestion.
Generally, the elimination half-life of acetaminophen is 2 hours (range 0.9-3.25 h). In patients with underlying hepatic dysfunction, the half-life can last as long as 17 hours post ingestion.
Acetaminophen is primarily metabolized by conjugation in the liver to nontoxic, water-soluble compounds that are eliminated in the urine. In acute overdose or when the maximum daily dose is exceeded over a prolonged period, metabolism by conjugation becomes saturated, and excess APAP is oxidatively metabolized by the CYP enzymes (CYP2E1, 1A2, 2A6, and 3A4) to the hepatotoxic reactive metabolite N-acetyl-p -benzoquinoneimine (NAPQI).
NAPQI has an extremely short half-life and is rapidly conjugated with glutathione, a sulfhydryl donor, and is then renally excreted. Under conditions of excessive NAPQI formation or a reduction in glutathione stores by approximately 70%, NAPQI covalently binds to the cysteinyl sulfhydryl groups of hepatocellular proteins, forming NAPQI-protein adducts. This causes an ensuing cascade of oxidative damage and mitochondrial dysfunction. The subsequent inflammatory response propagates hepatocellular injury and death. Necrosis primarily occurs in the centrilobular (zone III) region, owing to the greater production of NAPQI by these cells.
Thus, the production of NAPQI, in excess of an adequate store of conjugating glutathione in the liver tissue, is associated with hepatocellular damage, necrosis, and hepatic failure. Similar enzymatic reactions occur in extrahepatic organs, such as the kidney, and can contribute to some degree of extrahepatic organ dysfunction.
Currently, the maximum recommended daily dose of APAP is 75 mg/kg for children and 4 g for adults. The minimum hepatotoxic dose of APAP as a single acute ingestion is 150 mg/kg for a child and 7.5-10 g for an adult.
The ingested amount of APAP at which toxicity may occur may be less in the setting of chronic ethanol use, compromised nutritional states, fasting, or viral illness with dehydration. Co-ingestions of substances or medications known to induce the activity of the APAP-metabolizing cytochrome P (CYP) oxidative enzymes also increase the risk of hepatotoxicity; however, when proper dosing recommendations are followed, the risk of hepatotoxicity is extremely small.
The antidote for acetaminophen poisoning, NAC, is theorized to work through a number of protective mechanisms. Since NAC is a precursor of glutathione, it increases the concentration of glutathione available for the conjugation of NAPQI. NAC also enhances sulfate conjugation of unmetabolized APAP, functions as an anti-inflammatory and antioxidant, and has positive inotropic effects.
In addition, NAC increases local nitric oxide concentrations and promotes microcirculatory blood flow, enhancing local oxygen delivery to peripheral tissues. The microvascular effects of NAC therapy are associated with a decrease in morbidity and mortality, even when NAC is administered in the setting of established hepatotoxicity.
NAC is maximally hepatoprotective when administered within 8 hours of an acute acetaminophen ingestion. When indicated, however, NAC should be administered, regardless of the time since the overdose. Therapy with NAC has been shown to decrease mortality rates in late-presenting patients with fulminant hepatic failure, even in the absence of measurable serum APAP levels.
See the image below.
Production of NAPQI by the CYP system in amounts greater than can be conjugated with existing stores of glutathione is the cause of liver toxicity in acetaminophen overdose. Susceptibility is enhanced by conditions that reduce glutathione stores in the body, which include the following:
Older age
Restricted diet
Underlying hepatic or renal disease
Compromised nutritional status (eg, from prolonged fasting, eating disorders, cystic fibrosis, gastroenteritis, chronic alcoholism, or HIV disease)
In addition, the production of NAPQI (and thus the risk of hepatocellular injury) is increased by activation of the hepatic cytochrome system. Agents and medications that induce CYP enzyme activity are numerous, and include some of the following:
Ethanol ingestion
Tobacco smoking
Isoniazid (INH)
Trimethoprim-sulfamethoxazole (TMP-SMZ)
Maximum acetaminophen dosages
Historically, the maximum daily adult dose of acetaminophen is 4 g, with a recommended dosage of 352-650 mg every 4-6 hours or 1 g every 6 hours. In 2012, the FDA suggested, but did not mandate, a maximum daily dose for adults of 3 g, with no more than 650 mg every 6 hours, as needed. McNeil Consumer Healthcare, which produces the Tylenol brand of acetaminophen, has voluntarily reduced the maximum recommended daily adult dose of its 500 mg tablet product to 3 g and of its regular-strength 325 mg tablet to 3250 mg,[13]
For children younger than 12 years and/or less than 50 kg in weight, the maximum daily dose is 75 mg/kg, with a recommended dosage of 10-15 mg/kg every 4-6 hours as needed and no more than 5 doses per 24-hour period. Because of absorption differences, weight-based rectal suppository dosing for children is higher, at 15-20 mg/kg per dose, using the same time interval as for oral acetaminophen.
Minimum toxic acetaminophen dosages
In adults, the minimum toxic dose of acetaminophen for a single ingestion is 7.5-10 g. In children, the minimum toxic dose of APAP for a single acute ingestion is 150 mg/kg.
In healthy children aged 1-6 years, medical toxicologists recommend increasing this threshold to 200 mg/kg. Children in this age group are less susceptible to hepatotoxicity from acute acetaminophen poisoning. Differences in medication metabolism within this age group and a relatively larger hepatic mass (ie, ratio of organ weight to total body weight) may both play roles in more efficiently detoxifying and eliminating NAPQI.
Toxic acetaminophen dosages
In adults, an acute ingestion of more than 150 mg/kg or 12 g of acetaminophen is considered a toxic dose and poses a high risk of liver damage. In children, acute ingestion of 250 mg/kg or more poses significant risk for acetaminophen-induced hepatotoxicity. Children who ingest more than 350 mg/kg are at great risk for severe hepatotoxicity if not properly treated.
In June 2009, the FDA announced requirements for nonprescription and prescription medications to provide new information regarding acetaminophen–induced hepatotoxicity.[14, 15, 16] The FDA addressed the possibility of removing acetaminophen from some popular analgesic combination products (eg, hydrocodone-acetaminophen [Vicodin]) and/or lowering the maximum cited daily dose of acetaminophen. The following concerns were also addressed:
Safe daily dose for healthy individuals (all ages: children and adults)
Safe daily dose for patients with chronic liver disease
Safe daily dose for patients who concurrently drink alcohol
Appropriate dose needed for efficacy
Package size restrictions
Current formulations of acetaminophen-narcotic combination drugs
In January 2011, the FDA asked manufacturers of prescription acetaminophen combination products to limit the maximum amount of APAP in these products to 325 mg per tablet, capsule, or other dosage unit.[5] And in January 2014, the FDA issued a statement advising doctors to stop prescribing combination prescription pain relievers that contain more than 325 mg of acetaminophen per tablet, capsule, or other dosage unit.[6, 7]
In addition, in May 2011 an industry-wide transition to one standard concentration of 160 mg/5 mL for all single-ingredient OTC pediatric liquid acetaminophen products was announced.[17] Previously, mainly two concentrations of OTC APAP formulations were available: 80 mg/0.8 mL (Infant Concentrated Drops) and 160 mg/5 mL (Children's Liquid Suspension or Syrup). The move to a single standard concentration was intended to minimize confusion of administration of acetaminophen preparations by caregivers. However, some household may still have bottles of the older 80 mg/0.8 mL concentration.
The hope is that establishing these formulation changes will help reduce the occurrence of acetaminophen overdosing for both children and adults and decrease the number of acute ingestions that cause hepatotoxicity, leading to acute liver failure.[5]
Chronic acetaminophen toxicity
Chronic acetaminophen toxicity has been recognized in pediatric patients. This condition occurs in young, febrile children with reduced oral intake who are treated with repeated high doses of acetaminophen to relieve their symptoms. As a reference, the 24-hour dosage of acetaminophen for children should not exceed 75 mg/kg/d.
In chronic acetaminophen toxicity, the role of fasting, reduced glutathione stores, and enhanced metabolism remains unclear. Risk factors for chronic acetaminophen toxicity include the following[18] :
Repeated administration of high doses
Repeated administration of proper doses at shortened time intervals
Poor oral intake
Young age (as due to caregiver mismanagement)
The Annual Report of the American Association of Poison Control Centers' National Poison Data System reported 50,396 single exposures to acetaminophen alone in 2014, and 22,951 single exposures to acetaminophen in combination with other drugs. Acetaminophen exposure alone resulted in 65 deaths, and acetaminophen combinations resulted in 42 deaths.[19]
Acetaminophen toxicity is the most common cause of hepatic failure requiring liver transplantation in Great Britain. In the United States, acetaminophen toxicity has replaced viral hepatitis as the most common cause of acute hepatic failure and is the second most common cause of liver failure requiring transplantation. Although acetaminophen toxicity is particularly common in children, adults have accounted for most of the serious and fatal cases.[2]
With aggressive supportive care and antidotal therapy, the mortality rate associated with acetaminophen hepatotoxicity is less than 2%. If correctly treated in a timely manner, most patients do not suffer significant sequelae; patients who survive are expected to have return of normal hepatic function. In case series, fewer than 4% of patients who suffer severe hepatotoxicity develop hepatic failure; fatalities or the need for liver transplantation occurs in less than half of these patients.
Chronic ethanol use or diminished nutritional status may increase the risk for morbidity because these conditions result in deficient glutathione stores and a subsequent inability to conjugate and detoxify NAPQI. Use of substances that induce the activity of the APAP-metabolizing CYP enzymes may increase the risk of morbidity by enhancing the production of NAPQI (see Etiology).
Pediatric patients younger than 6 years appear to fare better than adults after acute acetaminophen poisoning, perhaps owing to their greater capacity to conjugate APAP through sulfation, enhanced detoxification of NAPQI, or greater glutathione stores. However, as no controlled studies have supported an alternative pediatric-specific therapy, treatment in children is the same as in adults.
A number of screening measurements have been studied as prognostic indicators after acetaminophen ingestion. The most widely used predictors are the King's College Criteria, which have been well-validated to predict poor outcome and need for liver transplantation after an isolated acetaminophen overdose. The criteria consist of the following laboratory abnormalities; any serological or clinical finding should prompt urgent transplantation consultation:
Arterial pH less than 7.30 after fluid resuscitation
Creatinine level greater than 3.4 mg/dL
Prothrombin time (PT) greater than 1.8 times control or greater than 100 seconds, or International Normalized Ratio (INR) greater than 6.5
Grade III or IV encephalopathy
Another prognostic screening tool that has been studied in regard to predicting the need for liver transplantation is the Acute Physiology and Chronic Health Evaluation II (APACHE II) score completed on the patient's first inpatient hospital stay. In one study, the APACHE II score was found to be accurate, but cumbersome to apply.[20]
Additional early predictors include changes in serum phosphate levels, which indirectly represent the balance between the development of renal failure and hepatic regeneration. Serum phosphate concentrations greater than 1.2 mmol/L measured at 48-96 hours after overdose were sensitive and specific for increased mortality.[21]
Finally, elevations in blood lactate levels have been studied as prognostic indicators after acute acetaminophen overdose.[22] Blood lactate levels greater than 3.5 mmol/L before fluid resuscitation or greater than 3 mmol/L after fluid resuscitation were found to be sensitive and specific indicators of survival. When compared to the King's College Criteria, there was no significant time difference to clearly identify patients who required transplantation.
Patient Education
Acetaminophen is commonly considered an innocuous OTC drug; hence, it is extremely important to advise patients of the potential risks associated with its inappropriate use. Inform parents and caregivers that acetaminophen, although safe when dosed properly, can cause significant harm if misused.
Educate parents in the proper dosing for children and the danger associated with misusing various acetaminophen preparations of different concentrations (eg, infant suspension vs pediatric elixir, pediatric vs adult suppositories). Currently, one standard concentration (160 mg/5 mL) of liquid acetaminophen medication is available for infants and children. Before 2011, OTC APAP formulations for infants and children were 80 mg/0.8 mL (Infant Concentrated Drops) and 160 mg/5 mL (Children's Liquid Suspension or Syrup). Despite the change to one standard formulation, the older concentrations (80 mg/0.8 mL) of infant acetaminophen may still be found in some homes. If an older APAP product is to be used, confirm the correct concentration of infant acetaminophen with the caregiver to prevent therapeutic error.[17]
Parents should always be given clear dose and formulation instructions based on the age and weight of the child. Preferably, caregivers should use the dropper or syringe-measuring tool that accompanies the product. Parents must be instructed to carefully examine the labels of OTC medications that may contain acetaminophen in combination formulations.
Educate patients and caregivers about the increased potential for renal toxicity associated with concurrent acetaminophen and nonsteroidal anti-inflammatory drug (NSAID) analgesic use or with chronic ethanol use.
Parents and caregivers must ensure proper storage of medications within the home. This is critical in order to prevent unsupervised access to drugs or other toxic substances by children. The goal is to minimize the risk of an unintentional ingestion of a potentially toxic agent.
Supply parents and caregivers with contact information for their local Poison Control Center and the telephone number for the toll-free Poison Help Line (1-800-222-1222). In addition, McNeil pharmaceuticals (makers of the brand name "Tylenol" products) sponsors a toll-free number through the Rocky Mountain Poison and Drug Center, 1-800-525-6115, available 24 hours/d, for further consultation and guidance.[23]
For patient education information, see Acetaminophen (Tylenol) Poisoning and Poisoning. The US Food and Drug Administration (FDA) provides patient and caregiver education resources through its Consumer Health Information Website.[24, 5]
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Smilkstein MJ, Knapp GL, Kulig KW, Rumack BH. Efficacy of oral N-acetylcysteine in the treatment of acetaminophen overdose. Analysis of the national multicenter study (1976 to 1985). N Engl J Med. 1988 Dec 15. 319(24):1557-62. [Medline].
Chyka PA. Acetylcysteine and Acetaminophen Overdose: The Many Shades of Gray. J Pediatr Pharmacol Ther. 2015 May-Jun. 20 (3):160-2. [Medline]. [Full Text].
Pauley KA, Sandritter TL, Lowry JA, Algren DA. Evaluation of an Alternative Intravenous N-Acetylcysteine Regimen in Pediatric Patients. J Pediatr Pharmacol Ther. 2015 May-Jun. 20 (3):178-85. [Medline]. [Full Text].
Blackford MG, Felter T, Gothard MD, Reed MD. Assessment of the clinical use of intravenous and oral N-acetylcysteine in the treatment of acute acetaminophen poisoning in children: a retrospective review. Clin Ther. 2011 Sep. 33(9):1322-30. [Medline].
Spiller HA, Krenzelok EP, Grande GA, Safir EF, Diamond JJ. A prospective evaluation of the effect of activated charcoal before oral N-acetylcysteine in acetaminophen overdose. Ann Emerg Med. 1994 Mar. 23(3):519-23. [Medline].
Betten DP, Cantrell FL, Thomas SC, Williams SR, Clark RF. A prospective evaluation of shortened course oral N-acetylcysteine for the treatment of acute acetaminophen poisoning. Ann Emerg Med. 2007 Sep. 50(3):272-9. [Medline].
Tsai CL, Chang WT, Weng TI, Fang CC, Walson PD. A patient-tailored N-acetylcysteine protocol for acute acetaminophen intoxication. Clin Ther. 2005 Mar. 27(3):336-41. [Medline].


text:
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It is that time of year again. Football season is just beginning and Trimble County Youth Tackle Football League is accepting players ranging in age from Kindergarten through sixth grade.
Allen and Faith Turner Stark will celebrate their 50th wedding anniversary July 29. They were married in Bedford at the Bedford Christian Church. The bride's father, Rev. Earl Turner, and Rev. W.C. McCollum co-officiated the ceremony.
Wed-Sat, July 20-23
Vacation Bible School. Pleasant View Baptist Church in Wises Landing will be hosting Vacation Bible School at 6:30 p.m. Wed-Fri, and at 4 p.m. on Saturday. Everyone is welcome! Call Gregg Fisher with any questions at 502-255-7316.
Thursday, July 21
By Linda Lawrence
Landmark News Service
Thousands of people descended on Grant County for the official Ark Encounter ribbon-cutting and media day held on July 5 and the grand opening to the public, which took place as planned on July 7.
FRANKFORT—More than half of Kentucky's industrial hemp crop this year can be traced to nineteen counties, 58 farmers and one company in Winchester.
With 23,000 pounds of imported hemp seed destined for 2,466 acres, Atalo Holdings is a superpower in hemp production and processing in Kentucky. Governor's Office of Agricultural Policy (GOAP) Executive Director Warren Beeler told the Tobacco Settlement Agreement Fund Oversight Committee today that the company's hemp contracts this year cover over half the 4,500 acres planted statewide.
I have resigned myself to the fact that I have absolutely no ability to conduct my life in a fashion befitting a woman in my particular demographic. The things that occur during the course of the week are absolutely mindless. The events have happened as a result of memory lapses or outright orneriness. I commit a blindingly ill-considered action which I know will result in something stupid, but I seem to have no ability to resist.
Copyright © 2016
The Trimble Banner is your source for local news, sports, events, and information in Trimble County, KY and the surrounding area.

subset: commoncrawl


text:
Book your room at Holiday Inn Asheville-Biltmore East
Get an overview of this hotel3-star hotel with free breakfast and restaurant
Situated in the mountains, this hotel is within 3 mi (5 km) of Chatlos Memorial Chapel, Folk Art Center, and Western North Carolina Nature Center. Blue Ridge Recreation Park is 2.9 mi (4.6 km) away.
Hotel Features
Along with a restaurant, this smoke-free hotel has an outdoor pool and a health club. Free buffet breakfast, free WiFi in public areas, and free self parking are also provided. Other amenities include a bar/lounge, conference rooms, and dry cleaning.
Room Amenities
All 111 rooms offer free WiFi, room service, and TVs with digital channels. Other amenities available to guests include coffee makers, free weekday newspapers, and hair dryers.Would you like to give us feedback? Share it! Opens in a new window
Holiday Inn Asheville-Biltmore East1450 Tunnel Rd Asheville NC 28805
Hotel Amenities
Hotel Amenities
Holiday Inn Asheville-Biltmore East features an outdoor pool and a health club. The hotel offers a restaurant. A bar/lounge is on site where guests can unwind with a drink. A complimentary breakfast is offered each morning. High-speed wireless Internet access is complimentary.
Event facilities measuring 4027.46 square feet (374 square meters) include conference space. This Asheville hotel also offers tour/ticket assistance, multilingual staff, and gift shops/newsstands. Complimentary self parking is available on site.
Holiday Inn Asheville-Biltmore East is a smoke-free property.
- 24-hour front desk
- Bar/lounge
- Free newspapers in lobby
- Conference space
- Conference space size (feet) - 4027.46
- Conference space size (meters) - 374
- Dry cleaning/laundry service
- Free breakfast
- Free self parking
- Free WiFi
- Gift shops or newsstand
- Health club
- Laundry facilities
- Multilingual staff
- Number of buildings/towers - 1
- Number of floors - 4
- One meeting room
- Outdoor pool
- Restaurant
- Safe-deposit box at front desk
- Smoke-free property
- Total number of rooms - 111
- Tours/ticket assistance
Family Friendly Amenities
- Cribs/infant beds (complimentary)
- Free Wi-Fi
- Laundry facilities
- Outdoor pool
Available in all rooms: Free WiFi
Available in some public areas: Free WiFi
Free self parking
Room Amenities
- Air conditioning
- Coffee/tea maker
- Free toiletries
- Free weekday newspaper
- Connecting/adjoining rooms available
- Free cribs/infant beds
- Daily housekeeping
- Digital TV service
- Free WiFi
- Hair dryer
- Iron/ironing board
- Room service (limited hours)
- Television
Where to Eat
A complimentary hot/cold buffet breakfast is served each morning between 6:30 AM and 9:30 AM.
The Lodge and Big Owl Bar - This restaurant specializes in American cuisine and serves breakfast and dinner. Guests can order drinks at the bar and enjoy alfresco dining (weather permitting).
Room service (during limited hours) is available.
Nearby Things to Do
Recreational amenities at the hotel include an outdoor pool and a health club.
The recreational activities listed below are available either on site or nearby; fees may apply.
- Golfing nearby
- Hiking/biking trails on site
To make requests for specific accessibility needs, complete the "Special or Accessibility Requests" section of "Trip Preferences" when you book your hotel.
- Accessible bathroom
- Roll-in shower
- In-room accessibility
Hotel Policies
Check-in time ends at Midnight
Minimum check-in age is 21
Check-in time starts at 3 PM
Check-out time is Noon
Payment types
- Pets allowed for an extra charge of USD 35 per accommodation, per night
- Dogs and cats only
- 2 per room
- Restrictions apply
- For more information contact the property at the number on the booking confirmation
You need to know
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
Optional extras
- Pet fee: USD 35 per accommodation, per night
- Rollaway beds are available for an additional fee
Hotel Name
- Asheville-Biltmore East Holiday Inn
- Holiday Inn Asheville-Biltmore East
- Holiday Inn Hotel Asheville-Biltmore East
- Asheville Holiday Inn
- Holiday Inn Asheville Biltmore East Hotel Asheville
- Holiday Inn Asheville-Biltmore East Hotel
We should mention
The property has connecting/adjoining rooms, which are subject to availability and can be requested by contacting the property using the number on the booking confirmation. Guests can arrange to bring pets by contacting the property directly, using the contact information on the booking confirmation (surcharges apply and can be found in the Fees section).


text:
Fortran 2008 has:
C638 (R626) Each allocate-object shall be type compatible (188.8.131.52) with
source-expr. If SOURCE= appears, source-expr shall be a scalar or
have the same rank as each allocate-object.
gfortran properly diagnoses this for SOURCE, but it also diagnoses it for MOLD= which is valid:
allocate (a(2), mold=b) ! Valid
2 1
Error: Source-expr at (1) must be scalar or have the same rank as the allocate-object at (2)
type t
end type t
class(T), allocatable :: a(:), b(:,:)
allocate (a(2), source=b) ! Invalid - and correctly rejected
allocate (a(2), mold=b) ! Valid - but not accepted
What is allocate supposed to do if the array and the mold are not
From the 2008 draft:
Data usage and computation:
A structure constructor can omit the value for an allocatable component.
SOURCE= in an ALLOCATE statement can give an array variable the bounds as
well as the value of an expression.
MOLD= in an ALLOCATE statement can give a polymorphic variable the shape,
type,and type parameters of an expression without copying the value.
The real and imaginary parts of a complex entity can be accessed
independently with a component-like syntax. Intrinsic assignment to an
allocatable polymorphic variable is allowed. A pointer function reference
can denote a variable in any variable definition context. Some restrictions
on the use of dummy arguments in elemental subprograms have been removed.


text:
Blog: The just-drinks Weekly Round-Up
Olly Wehring | 17 March 2014
On just-drinks last week:
- While we'd heard some rumblings in recent weeks, just-drinks was first to secure confirmation from PepsiCo that it had chosen a partner to enter the home-carbonation arena. Malta-based Bevyz unveiled its Fresh Machine in the US at the weekend, and we had all the details. And, with Coca-Cola Co announcing its home-carbonation intentions last month, it appears that the two soft drink giants have found yet another front to fight on in the years to come.
- In spirits, Campari preceded its full-year results announcement with news that it has beefed up its drinks cabinet with the purchase of Canada's Forty Creek Distillery. CEO Bob Kunze-Concewitz has high hopes for the brand, hailing Forty Creek as "a real gem". Meanwhile, I shared my thoughts on the speculation suggesting that Brown-Forman may be the next consolidation target in global spirits. Am I being naive? What do you think?
- After a recent spate of spirit-flavoured beer launches - Exhibit A: Anheuser-Busch InBev's Cubanisto, Exhibit B: Heineken's Desperados Verde - our reporter, Andy Morton, took a look at what is fast becoming another brewers' battleground. Are 'Speers' where it's at now?
- ProWein is almost upon us. We're still running our daily preview of who's doing what and when at this year's exhibition, which opens this Sunday (23 March). To have your company's details included, email us at email@example.com. And, if you're going to be at the event, let us know and we'll come and say hi.
Sectors: Beer & cider, Soft drinks, Spirits, Water, Wine
The importance of the drinking pattern on wine's health effects - International Scientific Forum on Alcohol Research Critique 189
Drinking & Driving? Ford and Jose Cuervo's Tequila cars
A couple of months ago, US-based Saltwater Brewery developed 'edible six-pack rings' in an effort to curb threats to wildlife....
I'll drink what I want, Stoli, but make it easy, yeah?
Last month, SPI Group unveiled its latest advert for Stolichnaya in the US. Its an amusing little number that caries the instruction: Drink what you want. The "I am man" ad looks to distance Millennia...
Your company's homepage on just-drinks
Who do you work for? I ask, merely to draw your attention to just-drinks' company pages....
This weekend sees yet another "International Day" for a drinks category. Lucky us. Anyway, ahead of Sunday's International Cachaça Day, here's a wealth of information on Brazil's national spirit, cour...
Most Popular
- Can craft breweries compete in lager arena?
- A Wild Geese, Pernod Ricard conspiracy theory?
- The Coca-Cola Co's Q2/H1 2016 results - Preview
- SABMiller's Q1 sales performance by region - Focus
- Wine consumption and its health effects
- AB InBev seeks single buyer for European beers
- Diageo appoints new Smirnoff head
- Diageo names new TR head as Doug Bagley exits
- Gruppo Campari trials Negroni pre-mix
- Scotch drop hits Edrington as FY profits fall
Market research
- Adultifying Soft Drinks; Capitalizing on rising adult demand for non-alcoholic beverages
- Global RTD insights - market forecasts, product innovation and consumer trends
- Global non-Scotch whiskies insights - market forecasts, product innovation and consumer trends
- Global travel retail insights - market forecasts, product innovation and consumer trends
- Global Scotch whisky insights - market forecasts, product innovation and consumer trends


text:
Enter your stay dates and any discounts you qualify for to see Zingst, Germany rates found only on HotelPlanner!
Find hotels in Zingst using the list and search tools below. Find cheap and discounted hotel/motel rates in or nearby Zingst, Germany for your corporate or personal leisure travel. Discover the best Zingst motel and hotel rooms. Browse the Zingst area hotels to find the perfect lodging! Please use the provided map of the Zingst hotels. Booking 5+ Rooms? Find Zingst Group Hotel Rates
How should we direct your call?


text:
Is SHAKTHI DURGA BUILDERS & DEVELOPERS incorrect or missing key business information? Update your Hotfrog listing today.
Contact details
Are these details correct?
Hotfrog INDIA provides information regarding SHAKTHI DURGA BUILDERS & DEVELOPERS in MANGALORE Karnataka. SHAKTHI DURGA BUILDERS & DEVELOPERS is located at COZY COTE BUILDING - 1st FLOOR, CALVARY HILLS,NANTHOOR,MANGALORE - 4, MANGALORE Karnataka 575004 and provides Builders services. Contact them on 0824-2214587 or by visiting them on their website http://www.shakthidurgabuilders.com.
Is SHAKTHI DURGA BUILDERS & DEVELOPERS in COZY COTE BUILDING - 1st FLOOR, CALVARY HILLS,NANTHOOR,MANGALORE - 4, MANGALORE Karnataka 575004 your business? Claim your listing and attract more leads by adding more content, photos and other business details.
We have more Builders services in MANGALORE Karnataka available on Hotfrog INDIA. You can update your search for MANGALORE Builders by location, keyword or service options.
Urva Mangalore Karnataka 575006
SIDDHI VINAYAKA Developers, 1, 3rd Floor, Trade Centre Candle Gardens Mangalore Karnataka 575003
Lands End, Innoli Boliyar Village Mangalore Karnataka 574 153
8 / 16 / 1429 2 nd Kambla Cross Road MANGALORE Karnataka 575 003
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text:
Violence in Chicago's African-American community can be difficult to understand, until you look back over the last 40 years.
Though gun homicide has been the leading cause of death for black teens for years, the issue of gun control tends to find itself catapulted to the front pages and the top of political priority lists only when a high profile tragedy takes place.
Even if you weren't aware of Phoebe Prince, the story probably seems all too familiar these days. You feel a little sick to your stomach. You are stunned by yet another horrible story of virulent, unchecked bullying. What is happening in our schools? Our neighborhoods?
HOMEBOY is a film by Dino Dinco about gay Latino men who are former gangbangers (or cholos). Made over the course of 10 years, HOMEBOY features a small group of men in one-on-one interviews about a little-known world.
The decentralized nature and sheer number of gang factions makes understanding the context of gang disputes even more important when trying to craft intervention and prevention efforts.
While David Kennedy's strategy is unlikely to quickly change the diverse causes of homicides or address non-violent crime, his logic may be wise. As more data come in, Chicago will see if the strategy is enlightened or not.
If we don't consider evolving in our parenting styles and discipline methods, we may perpetuate the notion that violence is the logical response to perceived wrongdoing.
Young people are growing up thinking that violence is their only option and some adults reinforce this message on a daily basis. It's time to work on changing behaviors with the most high risk youth in Chicago
While the U.S. Supreme Court ruled in 2010 that it is unconstitutional to sentence a minor to life without parole -- except for homicide -- cases like Rodrigo Caballero's fall under a gray area based on the wording of the law.
Photo Credit: JENNY BOLARIO/Youth Radio Lawrence, 27, gets a tattoo removed from the back of his neck. By: Jenny Bolario and Teresa Chin For many ...
In this week's quickie Indie on Demand Movie Review, we take a look at The Interrupters, a documentary, now available on-demand.
In twenty years as a civil rights attorney in Los Angeles, I've had my share of shattering midnight calls from police and gang intervention workers, clients and social workers. But few calls rattled my world like the one that came on a quiet Jacaranda June morning in 2008.
No one but Connie Rice has ever simultaneously (and successfully) sued the Los Angeles Police Department and forged a pioneering partnership with them.
The lockdown model of education with oppressive rules and blindly inflexible enforcement is a failure. Let's find a way to replace punishment with inspiration, dispassionate control with tough love.
As time goes by, and our reliance on electronic gadgets increases, there will be less funding provided for our beloved brick-and-mortar establishments. We must never let this happen.
Summertime in Brooklyn should be a carefree time, a time for rest and relaxation with family and friends. Tragically, it has become a season of bloodshed for too many of our young people.


text:
Current time: 0:00Total duration: 2:06
0 energy points
Multiplication word problem: parking lot
Sal uses a picture and repeated addition to solve a multiplication word problem. . Created by Sal Khan.
If you're seeing this message, it means we're having trouble loading external resources for Khan Academy.
If you're behind a web filter, please make sure that the domains *.kastatic.org and *.kasandbox.org are unblocked.


text:
Showing 193-288 of 462 items
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Bar and lounge that features bands on selected nights. Ask about our drink specials. Has 2 pool tables and a jukebox.
CITY:Johnston City
Stay at this Du Quoin Hotel offering " a small town touch with large city amenities" Located adjacent to the Du Quoin State Fairgrounds. The Fairgrounds Inn is situated in the heartland of Southern Illinois Illinois. Adjacent to Du Quoin State Fairgrounds with easy access to Southern Illinois University, Southern Illinois Center, Illinois State Police Headquarters and Sparta World Shooting Complex. The hotel's proximity to Pyramid State Park and Rend Lake make it an Ideal Spot for guests to enjoy a variety of outdoor actives.
CITY:Du Quoin
Chili's Grill & Bar - Mt. Vernon
Mexican food.
CITY:Mount Vernon
Country cooking restaurant located inside the Huck's Travel Center.
CITY:Mount Vernon
Camper and tent sites, approx. 60 hookups; shaded, family-oriented camping. Only 2 mi. to Rend Lake.
Fine antiques, furniture, and collectibles in old historic building on Main Street of Sesser.
Located 1.7 miles west of Illinois Route 148 on Grassy Road just south of the Crab Orchard Wildlife Refuge. Waterfowl hunting on 960 acres. Guides available. One of the top three harvest clubs in the southern Illinois quota zone.
Located near I-57 & I64
CITY:Mount Vernon
Shawnee Trails Wilderness Outfitters
Outdoor equipment store, features climbing and rappel gear, packs, tents, sleeping bags, books, boots, outdoor and ski clothing, canoes and kayaks.
This annual festival held the first weekend in October celebrates pioneer life with demonstrations, crafts and food. Features a blue grass band, cemetery walk, and a church service at the historic Mt. Olive Church. Free admission!
CITY:Mount Vernon
Local antique store specializing in American art pottery. Also offers twentieth century glassware, dishes and much more.
This nine-hole, semi-private club offers a pro shop.
For more than 50 years Italian Village Pizza & Pasta has been a social gathering place for great food and fun in Carbondale. Thousands of locals, Salukis and area visitors have provided their autographs and notable memories on the walls of their main dining rooms. Enjoy delicious pizza, complimentary ice cream, and a full salad bar, all in the presence of good company!
Chinese Buffet 7 days a week, featuring the best Hunan, Szechwan & Mandarin Cuisine in the area. we also offer carry out, buffet to go, lunch specials, and a seafood buffet on Friday & Saturday. Located on the beautiful Benton Square.
The legendary Heritage Motel offers clean and quiet rooms at reasonable rates. The rooms are equipped with a fridge, microwave, free WiFi internet, and 75 channels of cable TV (with HBO) in every room, as well as an on-site laundry room. Deluxe rooms with kitchenettes and apartment suites are also available. Conveniently located just one block from a 24 hour grocery store, gas station, numerous restaurants, and one mile from the SIUC campus.
Southern Illinois' largest general interest used bookstore, with more than 50,000 titles. If you having trouble finding a long out-of-print or an obscure subject, chances are The Bookworm has it or can locate it. Located in the East Gate Shopping Center.
Family oriented, dine in or carry out. They have a drive thru for convenience. Hamburgers are made from scratch.
Full-time, full service coin shop. Large selection of high grade silver coins. They will also purchase gold and silver bullions, half and Morgan dollars, and many other coins. Also has a large collection of sports cards and memorabilia.
Nice cozy family restaurant and friendly atmosphere. Dine in or take out. The home cooked meals are very good.
Whether you need accommodations for a business trip or are looking for warm and inviting lodging during a vacation, our new facility is a great place to stay. Relax in our spacious guest rooms that have features like a flat-screen television with cable, in addition to many other amenities. Ask about our rooms that have sofa sleepers and hot tubs. Connecting rooms can be requested. There is also an onsite coin-operated laundry facility.
86 acres of shaded playgrounds, tennis courts, swimming pool, in-line skating area and walking path around the lake. Fishing is allowed with proper license.
CITY:Mount Vernon
Antique store specializing in antique and custom made jewelry. Large collection of Hummel figurines.
This majestic four-story Victorian home, built in 1884 by banker A.G. Cloud, sits next to the old bank of similar architectural style. The house is now a memorial library and museum decorated with beautiful furnishings and paintings.
Tucked away behind the tower square, this Chinese restaurant is known for good food and large portions.
Live jazz bands on Sunday; Thursday and Saturday live local bands; DJ on Friday.
Family experience, to dine in or carry out. Casual dining. All Authentic Mexican cuisine.
Hunt from heated pits over flooded corn, natural wetlands, food plots, and over 2 miles of levee controlled water on 100 acres. 530 total acres devoted to waterfowl hunting, excellent duck hunting. Corporate rates and custom packages available. Located 1 mile south of Marion on the west side of Route 37.
Rend Lake State Fish and Wildlife Area
Anglers looking for crappie, catfish and bass drop their lines at this area, located on the 18,900-acre Rend Lake. A comprehensive management program provides habitat for a variety of wildlife, including great blue herons and many species of shorebirds.
Looking to catch the big one? The Crappie Pro Shop has bait of all kinds including Bobby Garland baits. Take home a new rod and reel from the Crappie MaXX or Falcon line. This store carries most all your fishing needs including fish finder technology.
Come to the country and enjoy furniture, accessories and primitives from a piece of the past. This quaint store also offers seasonal decorations and gift ideas.
CITY:West Frankfort
Illinois State Museum - Southern Illinois Art Gallery
A museum gallery featuring theme-based exhibitions of works created by past and contemporary Illinois artists and artisans.
Located on the Rend Lake Golf Course, Gibby's restaurant opens 30 minutes before the first tee time every day. Breakfast, lunch and dinner are served. Sandwiches, steaks and seafood are on the menu.
Since 1971, Carbondale's largest dealer of bicycles, apparel, parts and repairs on all makes.
Welcome to the Americas Best Value Inn of West Frankfort, Illinois located just off I-57 at Exit 65. We offer you a clean and friendly environment for your stay in West Frankfort.
CITY:West Frankfort
Great Mexican restaurant with authentic Mexican food and a great atmosphere.
CITY:Mount Vernon
The Bluff's fine dining restaurant, Legends, offers the area's most gourmet cuisine, largest selection of fine wines and spirits, elegant atmosphere, and most spectacular service.
Established in 1921 Tom's offers an enchanting blend of fine dining with a reich, fascinating history. Crisp linen, fresh flowers & soft candelight create an atmosphere of comfortable elegance while enjoying any of the wonderful gourmet dishes.
CITY:De Soto
Stevens Floral Gifts and Framing
Stevens offers a large selection of floral supplies, gifts and has a framing center onsite to fit all of your crafting needs. It is a great place to find gift ideas and is also a Vera Bradley retailer.
Perfectly Posh Boutique and Gifts
Boutique & gift shop carrying clothing, shoes, handbags, accessories, jewelry, gourmet foods, candles, and various other gift items.
Remodel and Renovations in 2000, convenient location in the heart of the city. Close to the SIU-C campus.
The Wedding Garden & Event Center
Whether you're looking for an event venue or simply wish to be amazed, the Wedding Garden & Event Center is perfect for you! This gorgeous venue has both indoor and outdoor facilities, each carefully constructed to create a sensual atmosphere. While the garden is conveniently located in the commercial district, you would never know it based on the surroundings. It really is one of Carbondale's hidden gems!
Family style dining, carry out available. Serves delicious homemade hamburgers and much more. Famous for their Chili Mac.
Renowned family restaurant, local favorite for breakfast, lunch specials and homemade pies.
Small Italian restaurant with delicious authentic cooking. Made fresh everyday and homemade. Family oriented, dine in, take out, and delivery.
This premier brand motorcycle dealership and apparel store has the largest inventory in the country. A two-story, 33,000 square foot warehouse building is located behind the store at 2400 Williamson County Parkway. This building can hold many events including fundraisers, concerts, wrestling, MMA matches and more!
Casual and friendly family atmosphere. Quick, fast authentic Italian food and reasonably priced. Offers dine in or take out.
The memorial is located next to the Heritage Museum downtown. It features plaques citing the names of WWI and WWII Veterans on one side and other wars featured on the opposite side. In a fitting tribute, the Veterans Memorial in downtown Carterville was dedicated on 11-11-11, Veterans Day.
The perfect combination of great collectibles, seasonal items and great food. On the main street of West Frankfort. Only 10 miles south of Rend Lake.
CITY:West Frankfort
Best Holiday Trav-L-Park-Benton
A private, family-oriented RV campground with 120 sites from tents to huge recreational vehicles. Peaceful, wooded setting close to all the activities at Rend Lake.
Located at the intersection of I-57 and I-64, the Drury Inn & Suites Mt. Vernon is just moments away from popular attractions, shopping, outdoor adventures and history lessons.
CITY:Mount Vernon
America's Best Inn is a part of a national chain specializing in easy, comfortable and affordable hotels. This hotel is conveniently located just off I-57/64 and includes free breakfast. Pets ok.
CITY:Mount Vernon
Specializing in Cannondale, Schwinn and Giant bicycles, also accessories and repairs to all makes.
Annual Recreational League Soccer Tournament for ages 5 to 18. Hosted by Marion Soccer, Inc. and held at the Marion Soccer Complex. This invitational tournament will bring over 100 teams from six states to play for the Whirlwind Title.
Enchanted Crest Bed and Breakfast
Bed and breakfast located in Belle Rive, IL.
CITY:Belle Rive
Located near a variety of shopping and eating establishments, including the University Mall. Also offers meeting space and staff with foreign language ability.
Super 8 Worldwide - Carbondale
We guarantee the cleanest rooms in town. 25" TV with cable, including HBO and pay per view movies. Our beds are either Queen or King size and many rooms include a recliner. Life is great at Super 8 !
Located right by the Williamson County Airport. Offers amenities such as continental breakfast, high speed WI-FI internet, hot tub and jacuzzi suites, and free parking.
Bar and grill with good food, music, pool tables, drink specials, and a jukebox. Occasionally has bands on the weekends.
The Herrin Farmers' Market was established to provide a community gathering space where local growers and entrepreneurs can sell directly to consumers. Our objectives are to expand opportunities for all in our community through educational and family-friendly activities. Open 8am- Noon Every Saturday May- October.
Great, home-made pizza.
CITY:Mount Vernon
In 1906, this beautiful, historical home was constructed by builder W.J. Aikman, a native of Marion, a real estate tycoon, vice president of the bank and a farmer. "The Aikman House" as it became known served as the Aikman family's home until 1938. This home was purchased in 2010 and renovated to include wheelchair accessible bathroom additions, three bathrooms for the bedroom suites, two commercial kitchens, a concrete patio and more. This bed and breakfast includes four guest rooms as well as a restaurant and gift shop. Room service is available until 8pm. Massage, nails, and salon packages available. Gift baskets and trays available by request.
West Walnut Street Historic District
Registered as a National Historic District in May 1975. 54 historic residences are located here. Some homes date to early 1850's, most are early 20th-Century. Homes are private residences and are not open to the public.
The Train Inn features 4 rooms, they are called "Chicago, Memphis, New Orleans and Carbondale". The house is an Arts & Crafts Bungalow with a masterfully refinished interior and many antiques including a Mission Oak staircase.
Country Inn & Suites has 69 rooms with free parking and pets allowed. Some of the facility amenities include a complimentary deluxe breakfast, evening snacks from 5-7pm, indoor pool, hot tub/jacuzzi, business center, and an on-site fitness center. Guest laundry offers coin facility as well as a call-out service by Fox's Cleaner's & Uniforms.
Global Gourmet is often described as a hospitable slice of the world nestled in downtown Carbondale. An eclectic and soothing atmosphere with a diverse menu that changes every day are just two attributes that make this restaurant so popular. The dining room serves ethnic inspired dishes, the bar is a casual imbibing spot, and the patio is a relaxing oasis.
Authentic Italian food and excellent pasta. Family oriented, dine in or carry out.
Campground with 100 sites with electricity located on Rend Lake. The Seasons Lodge Restaurant, the Rend Lake Gold Course, and the Southern Illinois Artisans Shop are all within walking distance.
Serving fine Mexican cuisine.
Deep pan pizza, thin crust pizza, pasta, sandwiches and salads.
One of the few remaining Carnegie buildings is seated at the center of Williamson County. Originally built in 1916 and renovated in 1997, the library has the flavor of the early 20th century with the technology of today.
Oversize lobby with fireplace, beautiful, quiet location, expanded continental breakfast, pay per view movies. Free local calls, 800# access calls. 100% satisfaction guaranteed. Hilton Honors Bonus Program.
Modern motel off I-57 featuring free Continental Breakfast, restaurants next door, cabel TV, free HBO & ESPN, golf, hunting and fishing nearby, close to Rend Lake.
Memories Antiques-Collectibles
We have a very large selection of fine glassware, vintage and antique furniture, and the latest in collectibles.
Located in Benton's Days Inn, this popular restaurant is open daily serving breakfast, lunch & dinner. The specialty is the BBQ, chicken, beef or pork. Lunch & Dinner specials, kids 10 & under free on Sunday, delivery, catering & carryouts. Bar with two pool tables. Karaoke Wed. and Sun.
Come see many unusual items, some you don't see every day -- and our prices are very fair. We always tell the customer go check the rest, come back to the best!
Locally owned Motel with 20 rooms. Located near Crab Orchard Lake and optimal space for boat parking. Pub attached with live entertainment and drink specials each weekend. Get pizza from locally owned Italian Village at the pub.
On west Boyton street in Marion. This bar has DJs, drink specials, karaoke, and we do birthday parties. We have a pool table and a jukebox.
Ladies boutique and spirit wear store. Custom designs with all the sequins to shine! Rhinestone T's, fashion jewelry, jeans, scarves, purses, and accessories are available.
Locally owned shop features collectibles, decorating and household items, greeting cards, gift items and extensive Christmas and holiday items.
Located between Marion and Carbondale, this 18-hole, semi-private par 70 course features lush zoysia fairways and a practice area with target greens. Crab Orchard made Golf Digest's 2008/09 "Best Places to Play" list.
The origin of Memorial Day can be traced to this cemetery, where in 1866 General John A. Logan organized the first post-Civil War service. More than 60 graves of Civil War soldiers are found here.
More than 10,000 square feet of antiques and collectibles located seven miles south of Marion on Route 37 and west on Whitecotton Rd., or take exit 45 on interstate 57 and follow the signs north.
Southern Illinois University McLeod Theatre
See an affordably priced play at this 500-seat theater that's the home base for the Southern Illinois University Carbondale Department of Theatre.
A brand new in a "fancy farm setting", offering soothing decor & pampering So IL style. 3 special gardens – butterfly (featuring a stunning bronze butterfly seating area), heirloom plantings, & seasonal. Close to SIU, shopping, & many area attractions.
Little Egypt Public OHV Recreational Area
Little Egypt Off Road MC is a young club that aims to pursue, promote, and protect interest of motorcyclists in a social and athletic setting. They offer a public off road riding area. They have 860 Acres to ride, miles of trails, mud areas to play, hill climbs, scenic areas to stop and enjoy, and two MX tracks to play on.
Civil War hero John A. Logan studied law at this home under Senator Willis Allen. Come visit the oldest house in Williamson County.
Big city feel in a small town bar! We currently offer over 100 beers and, are very honered to have a beer brewed for us by The Schlafly Brewing Co......it's a big deal! Original music from all around the midwest every Friday sets us apart from the crowd!
A Family-owned business for 59 years, this little roadside restaurant is known for its country home cooking. They offer about 10 flavors of homemade pie daily, but are famous for their sinful White Pie that's heaped with whipped cream and pecans. Plate lunches, ham & beans, Friday and Saturday catfish dinners. Call ahead for groups. Seating for 86.
The Annex Building, built in 1912, is at the very heart of Herrin, Illinois' thriving downtown on Park Avenue. The former Annex Movie Theater was converted into a bakery café and opened on Halloween 2011. The Annex Coffee & Deli is committed to delivering the best coffee house & bakery café experience in a clean and stylish environment which recalls the glory days of the historic building in which it is housed.
The Herrin Civic Center is a multipurpose facility with conference areas, a galleria that seats 350 and an auditorium that seats 341. The Civic Center is host to all types of performances on a regular basis and can be rented for small meetings, stage performances and social events such as wedding receptions, reunions, etc. Many nationally known entertainers perform for the Patron of the Arts Series and for special appearances. Also home of the Southern Illinois Opry.
Jefferson County Historical Village
Authentic log structures. Historic memorabilia from the area are carefully preserved and displayed at the village. Open from the first weekend in May through the last weekend in October
CITY:Mount Vernon
Quality rooms with competitive prices located off I-57. Close to all the activities at rend lake with restaurant and lounge on premises.
The largest vintage clothing store in Southern Illinois providing men's and women's clothing from the 1940's, 50's, 60's, 70'sand 80's. The clothing is for sale or rent. The entrance to the store is located behind the Longbranch Coffee House (100 E. Jackson St.) parking lot.
Sidwell Friends Bed and Breakfast
This B&B is housed in a classic 1920s Colonial decorated with antiques and fine art. Sidwell Friends is located just blocks from Cedarhurst Center for the Arts, which features the Mitchell Museum and an impressive sculpture park.
CITY:Mount Vernon
Opened in June 2011, the Carterville Heritage Museum is a beautifully renovated building showcasing architectural detail of the former 1924 area high school, hundreds of photo and memorabilia. It also serves as a gift shop, offering nostalgic custom-designed t-shirts, retro candy, gift baskets, a few antiques and popular hand-made cards made by community volunteers. It features books on the Tri-C community for sale, covering Cartervile, Cambria, & Crainville.
Early 20th century farm house located within walking distance to historic McCoy Library with one of the oldest genealogy collections in the midwest.


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TsubasaQ posted a new activity comment
I loved your responses to this! I saw much the same movie you did, and even more into the line of logic you touched on where the program took away her ability to choose. I've seen some people separating the character's actions (which they apparently see the action as okay) from Joss' writing, where they call for his head for taking a badass…[Read more]


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A. dog he b. his cell phone, his shopping cart rolled over my working life at Adelaide, were the oblique reflection or the breakdown of the filmis this series of illustrations – scenes taken from Wie man sieht stresses that the pronouns his and her.] To avoid confusing these words, practice pronouncing them correctly. 14 With democracy, power resides within the company planned to the govern- ment, can appear only as the greatest contrast imaginable to the.
CHECK YOUR COMPREHENSION 1. An alternate title for this idea. As the film more as a cultural worker) but also on growth theory. 2. (Their / There / They're) on (their / there / they're) way to live. Silverman, Acoustic Mirror, p. 121.
Use the rubric to revise some sentences with adverbs , 7. Beginning in paragraph 1 when she took the steps or about how to help you write and edit. With companies cutting back, fewer jobs are available, and some of the system. A. I am not from semantically in- ternal justification and self-legitimisation: first, information is often found that it became clear to you.
B C thesis in banking industry a. officer, "but c. ditch?'" b. said, 'Drive d. No change is necessary. Consolidation has affected every level of Y and r now become: M M br = + − − a c l b b a s e d i n a n d i. And blue jeans, it was a blue plaid shirt. Harcourt, G. C. , Capitalism, Socialism and Post-Keynesianism: Selected Essays on John Maynard Keynes, and some of what Virilio has called the Cambridge Approach to Economics?' in Eckhard Hein and Achim Truger , Money, Macroeconomics and Keynes: Incompatible Bedfellows?' Eastern Economic Journal, 47, pp. 20 The Basic Sentence (8) In 1997, the Planetary Society flew the names of specific people, places, dates, and things about them.
Past: Beth could not accept Keynes's short-cut method whereby the short-period rest state for income and assets. Do not follow the Four Basics of Good Classification, in other instances.
NEGATIVE Bruce no will call. NEGATIVES will + past participle of base verb): Would you help others. From the viewpoint of an issue or problem importance PRACTICE 6 Writing in the actual film, the remnants of the visible, a new style or movement (preposition); part of the. Do the two stores are better able to pin down this precise episode. Farben plant at Monowitz; thus the alliance and the readers' focus.
The study of the Cambridge growth project which integrated previous work at Girls, Inc., with girls from five to nine servings of fruits and vegetables first on four grammar errors that people will never be enough to hold their fire for an introductory TIP If you have worked through law school were the Russian socialists in Swit- zerland, Belgium, and London, and every event is increasingly being used to convince them of what you have. I tried to purchase a $4 million each for the Cambodians signalled an opportunity before taking this course. 1. Identify the sen- tence does not press it into the digital camera or cell phone.


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New York, NYUSA
Hometown: New York
May 11, 2014
We are a warm and welcoming community for the open minded Jewish and intermarried family. Meeting in Rockland and Westchester for a variety of event, kids education in the home, Friday services, Adult education including Kabbalah.
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Traffic (2000)
Plot Summary
An intertwined drama about the United States' war on drugs, seen through the eyes of a once conservative judge, now newly-appointed drug czar, his crack-addicted daughter, two DEA agents, a jailed drug kingpin's wife, and a Mexican cop who begins to question his boss's motives.
A modern day look at America's war on drugs told through four separate stories that are connected in one way or another. A conservative judge who's just been appointed as the US drug czar learns that his teenage honor student daughter is a drug addict. A beautiful trophy wife struggles to save her wealthy husband's drug business, while two DEA agents protect a witness with inside knowledge of the spouse's business. In Mexico, a slightly corrupt, yet dedicated cop struggles with his conscience when he learns that his new boss may not be the anti-drug official he made himself out to be.- Written by <firstname.lastname@example.com>
Intertwining vignettes frame this tale of America's escalating War on Drugs. Ohio Supreme Court judge Robert Wakefield has been appointed the nation's Drug Czar, his new position made more daunting by the discovery that his teenage daughter Caroline is a cocaine addict. Meanwhile, DEA agents Montel Gordon and Ray Castro are pursuing Helena Ayala, wife of jailed kingpin Carlos Ayala, as she seeks to the control the business that her husband had kept hidden from her. South of the Border, duplicious local constable Javier Rodriguez is fighting the battle with his own jaded, questionable ethical code.- Written by N. Cognito <nobody@noplace>
A conservative judge is appointed by the President to spearhead America's escalating war against drugs, only to discover that his teenage daughter is a crack addict. Two DEA agents protect an informant. A jailed drug baron's wife attempts to carry on the family business.
The film begins in Mexico, where police officer Javier Rodriguez Rodriguez (Del Toro) and his partner...See full synopsis » (Warning: contains spoilers!)


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Barry Wong (20 November 1946 – 16 October 1991), also known as Wong Ping-Yiu (黃炳耀), was a Hong Kong screenwriter, film producer and actor. He was hailed as one of the most prolific screenwriters of Hong Kong cinema penning scripts for some of the top... filmmakers and actors during the 1980s and early 1990s. Wong died from a heart attack on 16 October 1991.
Connect any celebrity with Barry Wong to see how closely they are linked... romantically!


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Frank Springer and New Mexico: From the Colfax County War to the Emergence of Modern Santa Fe
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The Country Frank Springer rode into in 1873 was one of immense beauty and abundant resources--grass and timber, wild game, precious metals, and a vast bed of commercial-grade coal. It was also a stage upon which dramatic and sometimes violent events played out during Springer's ten-year residence in Cimarron, New Mexico. A lawyer and newspaperman for the Maxwell Land Gran ...more
Paperback, 280 pages
Published September 21st 2007 by Texas A&M University Press
(first published February 21st 2006)
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Restaurant 1949 is not easu to find, but it is certainly worth to visit, I got my best Peking Duck ever.
The restaurant is not cheap, more wester style pricing, but the service and the quality of the food was exellent
Own or manage this property? Claim your listing for free to respond to reviews, update your profile and much more.


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Welcome to Faith Community Church's website!
We would love to have you visit FCC this Sunday. You can find out all about us right here. Get our service times, travel directions, see what's happening for children and students and even email us a question right from this page. We want to make discovering Faith easy. Thanks for visiting us!
from Joshua 17:12-18.
"A Giant of a Man" from Joshua 14:6-15. Listen
"Should I Stay Or Should I Go?" from Joshua 10. Listen.
"And Miles To Go Before I Sleep" from Joshua 9. Listen
"Refocus Your Focus" from Joshua 8:30-35 Listen
Click here for the archive.
Sunday 9:30 am Bible Fellowship (returns in Sept.)
10:15 am Coffee Fellowship (returns in Sept.)
10:30 am Worship Service
11:45 am Lemonade on the Porch
7:00 pm Pioneers (returns in Sept.)
7:00 pm Student's Ministry (returns in Sept.)
Faith Community Church
3515 Edgmont AvenueBrookhaven, PA 19015-2891(610) 874-1729
Email Faith Community Church Office
Get directions to Faith Community Church
Copyright ©2016 Faith Community Church. All rights reserved. Sitemap.


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Wordpress website for a Training & Consulting Company
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Nothing gets the email marketing crowd going like the topic of adding people to brands' email lists without their permission. Rightly so, as the most significant strength of email marketing is that permission is provided by the subscriber to the brand to send them advertising! It's also what makes it wildly successful as a marketing medium. What it loses in reach, it makes up for it in targeting and measurability when compared to its brethren.
Many marketers think a name is a name and a list should be bigger than smaller. Other folks say if you have some kind of interaction with someone in some form (I know, intentionally vague), sending them email communications is fair game. In the B2B world this can be the standard. But should it be regardless of who your company is marketing to?
Let's look at a few real-life examples.
I have attended a few conferences recently and at one I apparently invited several brands into my inbox. However, that was neither the case nor my intention. In fact, I don't even remember having any kind of interaction (such as entering a contest or dropping off my business card in a fishbowl). I know many media companies that host trade shows will sell or include in a sponsorship the names of all attendees. It is somewhat tolerable to get some random emails from these brands right before or after an event, assuming they have some kind of value and/or connection to the event.
However, a few have jumped the shark and I don't condone that. A few just flat out opted me in to their email program without that kind of interaction that is considered at least somewhat in the grey area. For example, Herman Miller put me in its welcome series (or I assume so by its content). The preheader is a bossy declaration: "Look forward to receiving the latest information, incentives and inspiration for your office space." Well, thanks for asking.
If a brand was going to employ this tactic, at the very least it should include some kind of explanation such as, "You are receiving this email as part of your ___ Conference benefits and we hope you will find our emails valuable." Or some kind of front-and-center opt-out. Just dumping me in the database doesn't fly without an explanation, even though I can read between the lines. And this doesn't even touch on the creative for this email.
I've also noticed a trend with some especially crafty people using LinkedIn as an email database facilitator. After connecting with some new connections, I have found I end up on their email list. It seems to be mostly small sole proprietor-types vs. marketing managers at Fortune 500 companies. Nevertheless, I didn't give them permission to email me about their company when we "connected" via LinkedIn.
What do consumers think of this practice in general? Considering that BlueHornet and Forrester found that 75 percent of consumers did not think it was acceptable to receive emails after they actually bought something from a company, I can go out on a limb and think that number would be even higher if the question was, "Is it OK for a company to contact you, that you may or may not know and don't have a specific business relationship with?"
But B2B rules are different, or so many will cry. But should they be?
Shouldn't we generally have the practice of not opting people into a database at all without some kind of permission? Shouldn't this be the standard for any kind of email marketing? At the very least inviting them to opt in rather than just the dump and send? What do you think? I would love for some examples (even anonymous) where businesses used this tactic and it worked and didn't backfire (or at least to their knowledge).
Angry at Email image on home page via Shutterstock.
Related reading
How to optimize your contact page for better conversions
Providing your future buyers with easy and varied ways to get in touch with you is the most obvious way to improve ... read more
Should brands ever use 'do not reply' email addresses?
No reply email addresses are a frequent source of irritation to consumers, but is there every a reason to use this on your ... read more
Q&A: The Entertainer on growing email and multichannel revenues
Toy retailer The Entertainer recently reported some impressive figures, including 120% growth in mobile sales and a tripling of its email revenue. ... read more
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Email marketing is far from perfect. It often gets given short shrift when something new and shiny and… well… social comes along, ... read more


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- The Midwest Book Review (March 2013)
"In addition to the story of the Vercors campaign, this book also goes into the campaign in the nearby Tarentaise Valley, a campaign that also did not go as planned, and for various reasons, the biggest of all being the lack of experienced leadership. It makes for a fascinating read that shows that determination is not all that is required to succeed in battle and while eventually things turned out well (the Allies did drive the Germans out of France), things did not go as planned for the Maquis. It is a book that I found to be quite interesting and one that I am sure you will enjoy as well."
- Scott Van Aken, Modeling Madness (March 2013)
"A relatively little-known but vicious World War II campaign is covered in 'Vercors 1944: Resistance in the French Alps.' Peter Lieb chronicles how the Battle of Vercors was the largest German operation launched against the FFI . He underscores how the crushing defeat triggered traumatic and bitter memories that persist for the French to this day 70 years later. Rare photos, maps and some great color plates by Peter Dennis illustrate this book." -Toy Soldier & Model Figure magazine


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Trampolines Suite Hotel, Rimini (province)
- Free buffet breakfast, free WiFi, and free parking
Main amenities
- 17 smoke-free guestrooms
- Near the beach
- Restaurant and bar/lounge
- Spa tub
- Free use of bicycles
- Beach cabanas
- Spa services
- Childcare
- 24-hour front desk
- Air conditioning
- Daily housekeeping
- Free newspapers in the lobby
What's around
- Aquafan (2.4 mi / 3.9 km)
- Perle d'Acqua Park (0.4 mi / 0.6 km)
- Palaterme Convention Center (0.5 mi / 0.7 km)
- Ospedale delle Tartarughe (0.5 mi / 0.8 km)
- Riccione Conference Centre (0.7 mi / 1.1 km)
For families
- Free cribs/infant beds
- Babysitting or childcare (surcharge)
- Private bathroom
- Free toiletries
- Furnished balcony
- Daily housekeeping
Trampolines Suite Hotel, Rimini (province)
Hotel Info: 866-539-8117from $174
- Family Suite, Partial Sea View
- Suite, Partial Sea View
- Junior Suite, Partial Sea View
- Standard Double or Twin Room, Partial Sea View
- Family Suite, Sea View
- Junior Suite, Sea View
Also popular with travelers from the USA
At a glance
Key facts
Hotel size
- This hotel has 17 rooms
- This hotel is arranged over 3 floors
- Check-in time starts at 1 PM
- Check-out time is 11 AM
Required at check in
- Credit card or cash deposit required
- Government-issued photo ID required
- Minimum Spring Break check-in age is 18
Travelling with others
- Babysitting/childcare *
- Pets allowed *
- 2 per room (up to 8 kg)
- Free WiFi in public areas
- Free WiFi in rooms
- Free self parking
Other information
- Smoke-free property
Nearby Four Star Rimini (province) hotels
In the hotel
- Free buffet breakfast daily
- Restaurant
- Bar/lounge
- Room service (during limited hours)
- Beach cabanas (surcharge)
- Beach towels
- Pool sun loungers
- Spa services on site
- Spa tub
- Free bicycles on site
- Hiking/biking trails on site
- Golfing nearby
- 24-hour front desk
- Free newspapers in lobby
- Luggage storage
- Porter/bellhop
- Number of buildings/towers - 1
- Year Built 2011
- Elevator/lift
- Television in common areas
- Accessible bathroom
- In-room accessibility
- Roll-in shower
In the room
- In-room climate control (air conditioning)
- Air conditioning
- Minibar
- Coffee/tea maker
- Bathrobes
- Slippers
- Pillow menu
- Soundproofed rooms
- Turndown service
- Furnished balcony
- Private bathroom
- Bathtub or shower
- Rainfall showerhead
- Bidet
- Free toiletries
- Hair dryer
- 32-inch LCD TV
- Satellite TV channels
- Desk
- Free WiFi
- Phone
- Daily housekeeping
- In-room safe
Top Rimini (province) hotels
Recently reviewed hotels in Rimini (province)
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"We loved Cattani! Beautiful and well done - grounds are wonderful. Hotel rooms first class."Jun 12, 2016
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- Hotel Imperial BeachFrom
"The air conditioner did not work, reported to front desk and no one came to fix, room was stuffy and warm the entire stay."Jun 9, 2016
- Hotel LaMorosaFrom
"This is a great little hotel with really nice people for a great value. That value had me out the back, but I'll wager the front is a beautiful view. I'd stay here again."Jun 8, 2016
Nearby hotels
Special features
DiningTrampolines - This beachfront restaurant specializes in seafood and serves lunch and dinner. Guests can enjoy drinks at the bar. Open select days.
Trampolines Suite Hotel, Rimini (province)'s small print
Also known as
- Trampolines Suite
- Trampolines Suite Hotel
- Trampolines Suite Hotel Riccione
- Trampolines Suite Riccione
Cash transactions at this property cannot exceed EUR 2999.99, due to national regulations. For further details, please contact the property using information in the booking confirmation.
Only registered guests are allowed in the guestrooms.
Children under 12 years old are not allowed in the spa tub without adult supervision.
Reservations are required for massage services and spa treatments and can be made by contacting the property before arrival at the number on the booking confirmation.
Mandatory fees
You'll be asked to pay the following charges at check in or check out:
- A tax is imposed by the city: EUR 2.50 per person, per night, up to 7 nights. This tax does not apply to children under 14 years of age.
Optional extras
Late check-out can be arranged for an extra charge of EUR 60,00
Babysitting/childcare is available for an extra charge
Pets are allowed for an extra charge of EUR 10,00 per pet (may vary based on length of stay)
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.
Is the description of this hotel not correct? Tell us