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There is no consensus definition of acute renal failure (ARF) in critically ill patients. More than 30 different definitions have been used in the literature, creating much confusion and making comparisons difficult. Similarly, strong debate exists on the validity and clinical relevance of animal models of ARF; on choices of fluid management and of end-points for trials of new interventions in this field; and on how information technology can be used to assist this process. Accordingly, we sought to review the available evidence, make recommendations and delineate key questions for future studies.
We undertook a systematic review of the literature using Medline and PubMed searches. We determined a list of key questions and convened a 2-day consensus conference to develop summary statements via a series of alternating breakout and plenary sessions. In these sessions, we identified supporting evidence and generated recommendations and/or directions for future research.
We found sufficient consensus on 47 questions to allow the development of recommendations. Importantly, we were able to develop a consensus definition for ARF. In some cases it was also possible to issue useful consensus recommendations for future investigations. We present a summary of the findings. (Full versions of the six workgroups' findings are available on the internet at http://www.ADQI.net)
Despite limited data, broad areas of consensus exist for the physiological and clinical principles needed to guide the development of consensus recommendations for defining ARF, selection of animal models, methods of monitoring fluid therapy, choice of physiological and clinical end-points for trials, and the possible role of information technology.
Acute renal failure (ARF) is a common complication of critical illness, which is associated with high mortality and has a separate independent effect on the risk of death [1,2]. Despite several advances in treatment and in our understanding of the pathogenesis of ARF, many aspects in this field remain subject to controversy, confusion and lack of consensus. Important aspects beset by such problems include the definition of ARF [3]; the choice, validity and relevance of animal models of ARF [4]; and the choice regarding appropriate physiological and clinical end-points for trials of new treatments of ARF [5]. They also include principles that should govern fluid management in patients with ARF [6] and use of information technology to optimize all areas of patient care in this field.
The purpose of this consensus conference was to review the available evidence regarding optimal practice in these areas, make consensus-based recommendations and delineate key questions for future studies.
Our consensus process relied on evidence where available and, in the absence of evidence, consensus expert opinion when possible [7]. This combined approach has previously led to important practice guidelines that were widely adopted into clinical practice [8]. In contrast, expert opinion alone can ignore important evidence, whereas evidence-based reviews can be conceptually flawed without expert opinion [9]. We conducted the consensus process in three stages: preconference, conference and postconference.
Before the conference, we identified six topics relevant to the field of ARF: definition/classification system for ARF; clinical outcome measures for ARF studies; physiological end-points for ARF studies; animal models of ARF; techniques for assessing and achieving fluid balance in ARF; and information technology in acute dialysis. We selected these topics based on the level of possible clinical impact, the level of controversy, known or suspected variation in practice, potential importance for scientific outcome, potential for development of evidence-based medicine recommendations, and availability of evidence. For each topic we outlined a preliminary set of key questions. We then invited an international panel, predominantly from the fields of nephrology and intensive care, based on their expertise in the fields of analysis. Panelists were assigned to three-person workgroups, with each workgroup addressing one key topic. Each workgroup conducted literature searches related to their topic questions via Medline, PubMed, bibliography of review articles and participants' files. Searches were limited to English language articles. However, articles written in other languages were used when identified by workgroup members. During this stage, the scope of the conference was also more clearly defined.
We conducted a 2-day conference in May 2002 in Vicenza, Italy. We developed summary statements through a series of alternating breakout and plenary sessions. In each breakout session, the workgroup refined key questions, identified the supporting evidence, and generated recommendations and/or directions for future research as appropriate. We generated future research questions by identifying deficiencies in the literature and debating whether more evidence was necessary. Where possible, we also considered pertinent study design issues. Workgroup members presented their findings during plenary sessions, rotating responsibility for presenting to ensure full participation. The workgroup then revised their drafts as needed until a final version was agreed upon. When consensus was not achieved on any individual question by the conclusion of the meeting, deliberations continued by correspondence. When voting was required to settle an issue, a two-thirds majority was required to approve a proposal.
A writing committee assembled the individual reports from the workgroups and each report was edited to conform to a uniform style and for length. Finally, each report was submitted for comments to independent international experts. In this report we present a summary of the proceedings.
We achieved sufficient consensus for a total of 47 questions. We report a summary of the questions, proceedings and final recommendations for each individual workgroup below. A complete report of the findings, including a full discussion of the issues involved, along with rationale and independent comments by other international experts, can be found on the internet at the Acute Dialysis Quality Initiative (ADQI) Group website http://www.ADQI.net.
The clinical condition of ARF is said to occur in anywhere from 1% to 25% of critically ill patients [1,2], depending on the population being studied and the criteria used to define its presence. Furthermore, mortality in these populations ranges from 28% to 90% [10,11]. Clearly, trials of prevention and therapy are not comparable because widely disparate definitions have been used. However, most definitions of ARF have common elements, including the use of serum creatinine and, often, urine output. Although the kidney has numerous functions, these are the only functions that are routinely and easily measured and that are unique to the kidney.
The accuracy of a creatinine clearance measurement (even when collection is complete) is limited because as glomerular filtration rate (GFR) falls creatinine secretion is increased, and thus the rise in serum creatinine is less [12,13]. Thus, creatinine excretion is much greater than the filtered load, resulting in a potentially large overestimation of the GFR (as much as a twofold difference) [13]. However, for clinical purposes it is important to determine whether renal function is stable or getting worse or better. This can usually be determined by monitoring serum creatinine alone [14]. Like creatinine clearance, the serum creatinine will not be an accurate reflection of GFR in the non-steady-state condition of ARF. Nonetheless, the degree to which serum creatinine changes from baseline will reflect the change in GFR. Serum creatinine is readily and easily measured and it is specific for renal function, while urea (or blood urea nitrogen) is a nonspecific marker of renal function, making it a poor marker relative to creatinine. Urine output is far less specific, except when it is severely decreased or absent. Severe ARF can exist despite normal urine output (i.e. nonoliguric) but changes in urine output can occur long before biochemical changes are apparent.
In addition, we considered that the following features would be important in any definition of ARF: it should consider change from baseline; it should include classifications for acute on chronic renal disease; it should be easy to use and clinically applicable across different centres; and it should consider both sensitivity and specificity because of different populations and research questions. A classification system should therefore include and separate mild (or early) and severe (or late) cases. This will allow such a classification to detect patients in whom renal function is mildly affected (high sensitivity for the detection of kidney malfunction but limited specificity for its presence) and patients in whom renal function is markedly affected (high specificity for true renal dysfunction but limited sensitivity in picking up early and subtler loss of function). Accordingly, we advocate a multilevel classification system in which a wide range of disease spectra can be included.
The resulting classification scheme, based on the above considerations, is shown in Fig. Fig.1.1. In addition to the three levels of renal dysfunction, the RIFLE (acronym indicating Risk of renal dysfunction; Injury to the kidney; Failure of kidney function, Loss of kidney function and End-stage kidney disease) criteria also include two clinical outcomes: 'loss' and 'end-stage renal disease' (ESRD). These are separated to acknowledge the important adaptations that occur in ESRD that are not seen in persistent ARF. Persistent ARF (loss) is defined as need for renal replacement therapy (RRT) for more than 4 weeks, whereas ESRD is defined by need for dialysis for longer than 3 months.
Of course, many patients may present with acute renal dysfunction without any baseline measure of renal function. This presents a problem for a system that considers the change from baseline. One option is to calculate a theoretical baseline serum creatinine value for a given patient assuming a given normal GFR. By normalizing the GFR to the body surface area, a GFR of approximately 75–100 ml/min per 1.73 m2 can be assumed [15], and thus a change from baseline can be estimated for a given patient. The simplified 'modification of diet in renal disease' (MDRD) formula provides a robust estimate of GFR relative to serum creatinine based on age, race and sex [15]. Thus, given a patient without known renal disease but in whom a baseline creatinine is unknown, one can estimate the baseline creatinine. Table Table11 solves the MDRD equation for the lower end of the normal range (i.e. 75 ml/min per 1.73 m2). Note that the MDRD formula is used only to estimate the baseline when it is not known. For example, a 50-year-old black female would be expected to have a baseline creatinine of 1.0 mg/dl (88 μmol/l).
Appropriate selection and definition of outcome measures (end-points) are critical for the successful execution of clinical trials. An outcome is defined as either a measurement (i.e. serum creatinine) or an event (i.e. death or need for dialysis) that is potentially modifiable by a defined intervention. Several criteria must be considered in the selection of outcome measures, including clinical importance, responsiveness to the intervention, precision of their definition, accuracy of measurement and completeness of ascertainment. Because multiple outcomes may be affected by a single intervention, a hierarchical ranking is required. It is critical that the primary outcome be prospectively identified.
Patient survival (or its reciprocal, mortality) has commonly been used as the primary end-point in clinical trials of RRT in ARF, although the timing has varied [16-18]. In critically ill patients without ARF, 28-day survival may miss more than 20% of acute mortality [19]. In ARF, a stable survival rate is not achieved until after 30–60 days [20,21]. Several scoring systems for assessment of organ dysfunction and morbidity have been validated in the general ICU population [22-25] and have also been used on ARF patients, although validation studies in the ARF setting are rare. No internationally validated ARF-specific scoring systems exist.
Recovery from ARF can only be evaluated in the context of a specific definition of ARF. We propose that recovery may be partial or complete. Complete renal recovery exists if the patient returns to their baseline classification within the RIFLE criteria, whereas partial renal recovery exists if there is a persistent change in RIFLE classification (R, I or F) but not persistent need for RRT.
Lack of significant progress in the prevention and management of ARF has been attributed, in part, to failure to identify suitable physiological surrogate end-points for use in research studies testing the efficacy of new interventions. In fact, very few ARF studies have even demonstrated a beneficial effect on the most commonly used physiological end-points, namely the serum urea nitrogen and creatinine concentrations. We compared and critiqued a number of physiological end-points (Table (Table22).
Because there are no pharmacotherapies that have been proven to alter clinical endpoints (dialysis, mortality) in patients with ARF, it cannot be discerned what changes in currently available serum GFR markers (urea, creatinine) are predictive in smaller phase II studies of success in subsequent phase III trials with clinical end-points. Thus, strategies for ARF prevention and therapy will need to continue to be based on results from studies (positive and negative) using surrogate end-points (creatinine, urea) until definitive studies demonstrating effectiveness in altering clinical end-points are available. However, clinical decisions based on such evidence should be made cautiously and limited to the use of true surrogates (those that correlate with clinical outcomes). For example, urine output and renal blood flow are not reliable surrogates for outcome in studies of ARF and should not be used as such.
Although some data suggest the utility of urinary electrolyte or other chemistries in the differential diagnosis of ARF, none of these methods has proven reliable in clinical practice [26]. It is unproven whether urine chemistries or microscopy are appropriate indices of renal function for efficacy studies for ARF prevention or therapy. We wish to emphasize that, in the end, interventions must be demonstrated to change major outcomes (survival or recovery of renal function) before they can be recommended for clinical use.
We fully adopt the general recommendations, outlined by Piper and colleagues [27], in planning, conducting and critically evaluating studies utilizing animal models. Table Table33 summarizes these principles and other guidelines for the use of animal models in the study of ARF. Despite their limitations, animal models remain fundamental to improving our understanding of human ARF [28-30].
There are three basic types of animal models in use for study of ARF: ischemia; toxins and sepsis models; and several subtypes. Each has its own advantages and disadvantages, which are summarized in Table Table4.4. No one model has been shown to be universally applicable to the study of ARF. Indeed, no model currently available provides a reproducible model of clinical ARF as seen in the critically ill. Better models are needed.
Fluid therapy, together with attention to oxygen supply, is the cornerstone of resuscitation in all critically ill patients. It is important to recognize that fluid deficits can occur in the absence of obvious fluid loss because of vasodilation or alterations in capillary permeability. Hypovolaemia results in inadequate blood flow to meet the metabolic requirements of the tissues and must be treated urgently if ARF is to be avoided [31,32]. Special attention to volume status is therefore required in patients at risk for ARF. Although the importance of fluid management is generally recognized, the choice and amount of fluid, and assessment of fluid status are controversial [33-35]. Whereas volumetric parameters are more reliable for detecting intravascular volume changes, pressure monitoring may be more important for prevention of pulmonary oedema. Clinical assessment of peripheral oedema, body weight and radiological evaluation remain the most widely used parameters for detecting interstitial fluid excess. Objective assessment of extravascular lung water can be achieved with transpulmonary indicator dilution [36-40]. One recent study conducted in the emergency department on patients with sepsis [41] found an improvement in outcome using a resuscitation strategy ('early goal-directed' therapy), which involved the use of continuous central venous oxygen measurement. It is not known whether the monitoring method was a necessary or sufficient component of the intervention. A much larger study in much less sick, general surgery patients [42] found no benefit from routine pulmonary artery catheterization.
The goals of information technology in its application to acute dialysis therapy are to improve our understanding of current practice and to improve patient care. In order to achieve these goals, six areas of focus were identified: patient safety, current practice pattern assessment, practice variation, patient assessment, dialysis machine technology and clinical trials. Medical errors have repeatedly been shown to affect patient morbidity and mortality significantly. In numerous fields information technology has been applied to work flow processes to minimize deviations from planned procedures [43,44]. No studies are currently available that document potential sources of error in the acute dialysis setting. In delivery of acute dialysis care, errors may occur anywhere within the work flow process (Fig. (Fig.2).2). The characteristics of each of these stages may prevent or predispose to potential errors, which may lead to patient harm. We recommend that newer methods for decreasing errors include real-time analysis of centralized patient information repositories to detect deviations or conflicts in intended care and computerized physician order entry. We also recommend that computerized provider order entry be progressively introduced, with consistent and predictable prompting for the parameters needed for therapy. In such computerized provider order entry, all new orders should be cross-checked against acceptable treatment parameters and compared with known patient data to determine whether potential conflicts may occur [45].
The most common method used to control practice variation within centres is by policy. Because in ARF the indications and methods for therapy have not adequately been determined, policies will need to remain flexible. Currently, no formal certification process exists to quantify competency. Computer technology can improve this area by creating simulated therapy sessions that both train and assess the skills of the nurses.
The human–machine interaction can also be improved. Machine displays should make it easy for the provider to detect the signal carrying the information about a patient's status from within the large quantity of excess noise presented by less useful data [46]. Such display technology should be easy to read, easy to navigate and customizable for a specific user's needs or role. This could be accomplished either by displaying covariant variables simultaneously in a graph such as fluid balance and central venous pressure, or by displaying indices of patient status. These indices would represent validated summaries of multiple variables, which relate to a validated surrogate outcome marker such as a severity index. Currently, most dialysis devices operate independently from the information infrastructure within institutions. Focusing on integration with the information infrastructure should facilitate many of the key steps necessary for improved care. The dialysis machine should contribute information to automated assessment of patients and thus should be interfaced to such systems.
We found sufficient consensus on 47 questions to allow the development of recommendations. Importantly, we were able to reach broad consensus on a definition for ARF and various aspects of ARF research, including outcome measures and animal models. Full versions of the six workgroups' findings are available on the internet http://www.ADQI.net.
We hope that the results of this consensus process will help to standardize the study of ARF, both for prevention and treatment. Indeed, it must be understood that although our recommendations are based, to the best extent possible, on data, there are insufficient data to guide many important decisions. As a result, our findings should be considered a 'first step' in the process of standardization. For example, the RIFLE criteria for diagnosis of ARF will need to be validated in large patient series – efforts that are currently underway.
In addition, we recognize that some of our recommendations may seem arbitrary or attempt to balance utility and precision in a way that may limit both. For example, therapy can influence the primary criteria for the diagnosis of ARF. Hydration status will influence urine output and, to some degree, may even alter the volume of distribution for creatinine. Large dose diuretics may be used to force a urine output when it would otherwise fall into a category consistent with a diagnosis of ARF. Such influences are unavoidable and analogous to those in other disease processes, which require clinical classification. Similarly, one might hypothesize that the underlying disease process that results in ARF (e.g. radiocontrast versus sepsis) will alter the 'clinical meaning' of each degree of renal dysfunction. However, by applying the present criteria across these various aetiologies, it will be possible to test this hypothesis directly. It should also be noted that these criteria were developed to describe ARF occurring in the critically ill. Primary renal diseases such as glomerulonephritis should be excluded from this classification system. The ultimate value of a definition for ARF will be determined by its utility. A classification scheme for ARF should be sensitive and specific, and predictive of relevant clinical outcomes such as mortality and length of hospital stay. These too are testable hypotheses. Thus, despite limited data, broad areas of consensus exist for the physiological and clinical principles needed to guide the development of a consensus definition of ARF. They also exist for the need to evolve ARF models toward greater reproduction of common clinical scenarios, principles and monitoring technology of fluid therapy, choice of physiological and clinical end-points for trials, and the possible role of information technology.
The first consensus definition of acute renal failure (ARF) has now been developed. It is called RIFLE, the initials reflecting the terms Risk, Injury, Failure, Loss and End Stage in relation to kidney function. It is presented in this article.
The body responsible for the consensus definition of ARF is the Acute Dialysis Quality Initiative (ADQI) group, which conducted a consensus conference for this purpose.
The ADQI group reviewed animal models of ARF and classified them according to their features, usefulness, relevance and reproducibility. They are summarized in Table Table44.
The ADQI group reviewed the issue of end-points for trials or studies in ARF and summarized the advantages and disadvantages of different end-point in different investigational situations.
The ADQI group reviewed issues of technology as they relate to the treatment of acute renal failure and developed general principles for future developments in renal support technology.
All issues are discussed in details on the webpage of ADQI http://www.ADQI.net
None declared.
ARF = acute renal failure; ESRD = end-stage renal disease; GFR = glomerular filtration rate; MDRD = modification of diet in renal disease; RIFLE = Risk of renal dysfunction, Injury to the kidney, Failure of kidney function, Loss of kidney function and End-stage kidney disease; RRT = renal replacement therapy.
Members of the ADQI Workgroup.
PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the National Research Council's national science library in cooperation with the National Center for Biotechnology Information at the U.S. National Library of Medicine(NCBI/NLM). It includes content provided to the PubMed Central International archive by participating publishers.


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I need to do this to to reduce latency since the site will require that the input from one of the users to be transmitted to the other user as soon as possible so sending data from client A to Server and then to client B is not a good option.
I read previous posts on this subject but there were no working solution/examples available that I could find. From what i read the direct connection between clients can be made using plugins like Silverlight, Java or Flash.
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Sharply Struck 1853 Ten Dollar, MS601853 $10 MS60 PCGS. Extremely Fine and About Uncirculated coins are the norm for the 1853 eagle. Mint State pieces are certainly not common, and MS65 and finer examples are virtually unobtainable. Sharply struck design elements complement pretty peach-gold coloration on this MS60 example. The most potent luster occurs in the areas around, and in the interstices of, the devices.(Registry values: N2998) (NGC ID# C82G, PCGS# 8610)
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Adsorption properties of subtropical and tropical variable charge soils: implications from climate change and biochar amendment
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A comparative assessment of anaerobic digestion power plants as alternative to lagoons for vinasse treatment: life cycle assessment and exergy analysis
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- Exploring causality in interactions between climate shifts, land degradation and humans: evidence from the Horn of Africa
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Join the 'Flector Patch' group to help and get support from people like you.
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Ozone Quartet
Sign in / sign up and request update access to the Ozone Quartet profile.
CD/LP/Track Review
- Nocturne by AAJ Staff
- Fresh Blood by AAJ Staff
All About Jazz needs your help and we have a deal. Contribute $20 (or more) and we'll hide those six pesky Google ads that appear on every page for a full year! You'll also fund website expansion.
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ATI's CATALYST A.I. - Honest Application Specific Optimizations
Image Quality Investigation
Okay, we've seen performance increases from 8% up to 26% so far through ATI's clearly new and smart way of processing 3D graphics. Surely though this comes at a price? We fired up Doom 3 using a custom timedemo with A.I. on and off in both Normal Quality (0x AA and 8x AF) and High Quality (6x AA and 16x AF) to see if we could notice any image quality reductions.
The images below are all compressed JPG (although only 1% compressed) and as a result do not 100% accurately represent actual in-game quality - please keep this in mind when looking at the screenshots.
You can click on each image below for the full 1600 x 1200 version which will make it easier to check the differences, if any.
A.I. OFF - Normal Quality
A.I. ON - Normal Quality
A.I. OFF - High Quality
A.I. ON - High Quality
I am hard pressed to notice much difference in image quality. However, I'll be the first to admit I don't have as good a trained eye compared to many other people.
Having said that though, it would seem apparent that image quality reduction is not an issue with CATALYST A.I. - I zoomed in on the screenshots with Paint Shop Pro and failed to notice any difference. It's important to keep thing in prospective here as it's not like you are going to examine every single texture in extreme detail as I did when you are busy fragging your opponent.
Bottom line on this subject, CATALYST A.I. improves performs without compromising image quality as promised in the press material from ATI. And I'll say it again, Free performance...we love that kind of thing!
PRICING: You can find products similar to this one for sale below.
United States: Find other tech and computer products like this over at Amazon's website.
United Kingdom: Find other tech and computer products like this over at Amazon UK's website.
Canada: Find other tech and computer products like this over at Amazon Canada's website.
Recommended for You
- We at TweakTown openly invite the companies who provide us with review samples / who are mentioned or discussed to express their opinion of our content. If any company representative wishes to respond, we will publish the response here.


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Thousands of ringtones on Audiko.net! Use an opportunity to download a free summer ringtones for your iPhone or mobile. Fix your favorite line from your favorite hit - OFIR SEGAL - Summer Time, Calvin Harris - Summer *FREE DL*, Summer 2013 Bhangra Megamix-DJ JSM, or any other track. Then download the prepared summer ringtones to your mobile device, and enjoy Classical music by summer every time your phone rings. We provide you with an option to gain your tune both in the MP3 and m4a formats, played by both mobile phones and iPhones. Just select a track, and choose free summer ringtones download option.
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Work Pac
Level 1, 10 Prospect Street
(07) 4969 4722
Is Work Pac your business? Update it now!
Work Pac ReviewsThere are currently no reviews of Work Pac, so be the first to write one!
Further detailsEmployment Agency > QLD Employment Agency > Mackay Employment Agency
New listings in Mackay
Elizabeth EII Cruises
Phone: (07) 4955 2563 | Location: Mackay Marina, Mulherin drive, Mackay, QLD
Elizabetheii offers Fishing Charters services in Mackay, Queensland, Australia. Contact soon for making a memorable fishing experience in Great Barrier Reef, Coral Sea, Queensland & coastal destinations.
Mackay Dynamic Detailing
Phone: (07) 4953 0220 | Location: 8 O'loughlin st, Mackay, QLD | Web: http://www.mackaydynamicdetailing.com.au
At Dynamic Detailing we provide an extensive range of affordable quality detailing services. We strive to concentrate on all aspects of quality service and customer satisifaction everyday, when your car is detailed properly the difference is clear!
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Take fine photos with the Nikon 1 S1 Digital Camera. Boasting astounding speed and precision, the Nikon 1 allows you to get creative as you capture subjects with razor sharp imagery. Simultaneously record full HD 1080p videos and full-resolution images in any light as you switch lenses and revolutionise your photographic experience.
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TALLAHASSEE, Fla. -- It has been the most dominant and recurring headline of the offseason for Florida State, but Jimbo Fisher insists the task of replacing seven assistant coaches in the span of three months was no big deal.
The departures were expected after three years of success. The new faces were battle tested and required little time to adjust. The whole process, Fisher said, was relatively painless.
"It's not been hard because those guys come off the same tree," Fisher said of his new assistants. "They've been in the same system, been in the same environment. They hit the ground running easier than the old group did."
Fisher's optimism, along with a strong push on the recruiting trail before national signing day, has helped to calm a nervous fan base, but as Florida State and its six new assistant coaches begin spring practice, questions still remain about the direction of the program after such massive turnover and the reasons why so many marquee jobs would be vacated in such a short time.
Even before defensive coordinator Mark Stoops bolted for the head-coaching job at Kentucky in December, Fisher expected defections. With three straight winning seasons and two calm offseasons without a coaching departure, the odds were stacked against the Seminoles this time around, and Stoops spent much of 2012 as one of the nation's hottest candidates for a head-coaching job.
To read the rest of this story, click here.


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Energy & Renewables Companies in Canada
Current filtering criteriaYou can remove a filter by clicking on the x
C&M Environmental Technologies Inc.
based in Barrie, ONTARIO (CANADA)
Based in Ontario, Canada C & M Environmental Technologies Inc. is an independent representative for many of the leading manufacturers of water and wastewater treatment process equipment. With a corporate history dating back to 1937, C & M Environmental Technologies Inc. is a 100% Canadian owned company specializing in the supply of environmental equipment to ...
Pollution Probe
based in Toronto, ONTARIO (CANADA)
Pollution Probe is a Canadian charitable environmental organization that:Defines environmental problems through research; Promotes understanding through education; and,Presses for practical solutions through advocacy.
ATM Recyclingsystems GmbH
Distributor in North Vancouver,, BRITISH COLUMBIA (CANADA)
ATM stands for Arnold Technology for Metalrecycling - based on more than 80 years of experience and is a leading company of ASCO Group. Our company engineers, plans, produces and services metal-recycling-systems for the treatment of secondary raw materials. The basis of our integrated solutions is our market leading engineering knowledge, our in-house-production of ...
Strum Environmental
based in Bedford, NOVA SCOTIA (CANADA)
Our success is built upon our commitment to providing close client communication, our ability to focus quickly on key issues and to achieve scientific, but practical solutions. The focus of Strum Consulting is on taking charge to help clients achieve their goals and objectives. This means vision, leadership and technical competency in everything we do to ensure that the ...
Moventas Oy
Office in Cambridge, ONTARIO (CANADA)
Moventas is a renewable energy technology expert, lowering the cost of energy across the lifecycle of power generation - from superior wind gearbox design and manufacture to extensive after sales service for most wind gearbox brands.Well, here it is now. We`re so excited to present our very first complete prototype representing the 3MW+ high torque density Exceed gearbox ...
Tri-Phase Group (TPG)
based in Mississauga, ONTARIO (CANADA)
Tri-Phase Group (TPG) is a privately owned Canadian firm, offering a wide range of professional environmental, construction and restoration contracting services to private, public and crown corporations across the country. Since our inception in 1997, we have completed over 10,000 projects. Over the years, we have built a reputation for providing quality and professional ...
ATI Airtest Technologies, Inc.
based in Delta, BRITISH COLUMBIA (CANADA)
AirTest Technologies Inc is a manufacturer and distributor of air monitoring technologies that ensure the comfort, security, health and energy efficiency of buildings. The company has assembled a unique portfolio of sensor technologies that are targeted at the specific cost and performance requirements of the commercial and industrial buildings markets. The company ...
Millar-Williams Hydronics
based in Burlington, ONTARIO (CANADA)
Millar-Williams Hydronics was established in 1966 as a distributor of pumps, valves, and conveyor systems. Since then Millar-Williams has expanded into an OEM manufacturer and distributor of related and non related products. Specializing in custom designed systems to suit the specific needs of each client, Millar-Williams is able to fulfill a market niche typically not ...
Permastore Limited
Distributor in Richmond, BRITISH COLUMBIA (CANADA)
Permastore Limited is a UK registered company established since 1959 providing substantial experience in the engineering and manufacture of bolted modular tanks & silos. Internationally recognised as the world's leading dedicated Glass-Fused-to-Steel tank & silo manufacturer, Permastore has supplied more than 300,000 structures in over 110 countries worldwide. PERMASTORE ...
TerraSource Global
Office in Pointe-Claire, QUEBEC (CANADA)
TerraSource Global's mission is to be the global partner today and tomorrow of industrial users of material handling and processing equipment by providing the best technology, quality and service for their specific project.We have a long history of providing a complete range of processing solutions to serve the power, mining, forest products, cement, steel, aluminum and ...
Muddy River Technologies Inc
based in Delta, BRITISH COLUMBIA (CANADA)
Muddy River Technologies is an active role-player in drinking water and wastewater treatment, specializing in purification and disinfection of potable water, and the reduction of: FOG (fats, oils and grease), total suspended solids, and biological oxygen demand of process wastewater to meet municipal discharge guidelines. Our innovative separation systems and DAF ...
NORAM Engineering and Constructors Ltd.
based in Vancouver, BRITISH COLUMBIA (CANADA)
NORAM specializes in development, commercialization, and supply of leading-edge chemical processes and environmental technologies. These proprietary technologies are typically sold in the form of equipment and engineering packages which are implemented by the end-users` engineering and construction contractors. NORAM offers VERTREAT, an activated sludge process producing ...
Aqua-Guard Spill Response Inc.
based in North Vancouver, BRITISH COLUMBIA (CANADA)
Aqua-Guard Spill Response Inc. has designed and supplied state-of-the-art oil spill response equipment and services and has established solid partnerships with major petroleum companies and government organizations world-wide.
Wellons, Inc.
Office in Surrey, BRITISH COLUMBIA (CANADA)
For over 50 years, Wellons has been a leader in providing wood-fired energy systems, lumber dry kilns, and related products and services to the forest products industry. Firmly established and financially sound, we provide our customers with complete services in design, engineering, and manufacturing, as well as installation services and technical assistance. Headquarters ...
Canada Composting Inc.
based in Newmarket, ONTARIO (CANADA)
CCI is a private, Canadian corporation located in Newmarket, Ontario, Canada, just north of downtown Toronto. CCI owns the exclusive North American and UK licenses to the BTA-Process. The BTA-Process provides an effective, efficient, environmentally friendly and economically affordable solution for the many problems associated with mixed or source separated waste. The ...
Draeger Medical Inc.
Distributor in ONTARIO (CANADA)
Dräger is an international leader in the fields of medical and safety technology. The family-owned company was founded in Lübeck, Germany, in 1889. Over the past five generations, Dräger has evolved into a publicly traded, worldwide group. The company's long-term success is based on the four key strengths of its value-driven culture: customer intimacy, professional ...
EnviroSORT Inc.
based in Red Deer County, ALBERTA (CANADA)
EnviroSORT Inc., a wholly owned subsidiary of Clean Harbors Canada, Inc., provides specialized container management, vacuum services, waste management and recycling, and household hazardous waste services in Western Canada. EnviroSORT locations throughout Alberta include waste management facilities in Grand Prairie and Red Deer and a service center in Brooks. The ...
ERIN Consulting Ltd.
based in Regina, SASKATCHEWAN (CANADA)
The Eco-Industrial Group brings together some of North America's leading eco-industrial networking practitioners. The Group works with communities and industries to develop a more economical and ecologically sound approach to industrial, commercial, governmental, institutional, and residential operations. Our expertise includes sustainable community planning, industrial ...
RPR Environmental
based in Toronto, ONTARIO (CANADA)
RPR Environmental has grown to incorporate a licensed transfer facility and a fleet of vacuum tankers, straight trucks, and cube vans. We offer treatment, recycling and disposal options for hazardous and non-hazardous liquids and solids, and other registered waste streams. RPR Environmental's industry experts form the core of our business. They work with government, ...
Natural Resources Canada (NRCan)
based in Ottawa, ONTARIO (CANADA)
Natural Resources Canada (NRCan) is a federal government department specializing in the sustainable development and use of natural resources, energy, minerals and metals, forests and earth sciences. At NRCan, we deal with natural resource issues that are important to Canadians


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Ronald Mcdonald House Charities Inc
Rating: 0 stars 0 0 review 17
3497 Sedgemoor Cir Carmel IN 46032 USA
Providing grants to not-for-profit organizations.
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Muira Village Health Center Project Inc
Joel K. wrote:
We have been financially supporting MVHCP for over 3 years now and I always feel strongly that they are making donated dollars... more »
- Location:
- Carmel, IN


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LOT #4480 |Sold for: Sign-in or Join (free & quick)
1919-S 25C MS65 NGC....Click the image to load the highest resolution version.
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1919-S Standing Liberty Quarter, MS65
1919-S 25C MS65 NGC. The 1919-S Standing Liberty quarter is
an elusive date in the context of the series, and examples in Gem
condition are rare. This attractive Gem is well-detailed, but falls
a little short of Full Head definition. Both sides display vibrant
mint luster, and the brilliant surfaces show a few accents of light
gold toning. Census: 34 in 65, 19 finer (4/13).(Registry
values: N2998) (NGC ID# 243D, PCGS# 5732)
Elusive Issue in High Grade
Fees, Shipping, and Handling Description: Coins & Currency (view shipping information)
Sales Tax information | NGC Coin Grading Guarantee | Terms and Conditions
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Auction Info
June, 2013
5th-9th Wednesday-Sunday
Bids + Registered Phone Bidders: 7
Lot Tracking Activity: N/A
Page Views: 367
Buyer's Premium per Lot:
17.5% of the successful bid (minimum $14) per lot.
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Hazardous Materials Companies in South Carolina
Current filtering criteriaYou can remove a filter by clicking on the x
Global Investment Recovery, Inc.
Office in Salley, SOUTH CAROLINA (USA)
Global Investment Recovery, Inc. core business is the destruction of proprietary technology, Trade Security controlled equipment, and intellectual property. We own and operate two shredding plants at our Tampa facilities. We are not open to the public and deal predominately with U.S.Government Agencies, Corporation, and Original Equipment Manufactures. Global is one of ...
HRP Associates, Inc.
Office in SOUTH CAROLINA (USA)
HRP Associates, Inc. was founded in Connecticut in 1982 with the sole purpose of serving the environmental needs of the regulated community subject to the newly-enacted Resource Conservation Recovery Act (RCRA). Since that time, the firm has grown to be a full-service provider for all environmental media, while also adding civil engineering and surveying services.
Savannah River National Laboratory (SRNL) - U.S. Department of Energy
based in SOUTH CAROLINA (USA)
The Savannah River National Laboratory (SRNL) is the applied research and development laboratory at the U.S. Department of Energy's (DOE) Savannah River Site (SRS). The laboratory applies state-of-the-art science to provide practical, high-value, cost-effective solutions to complex technical problems. The laboratory earns its world-class reputation because of its talented ...
Industrial Test Systems, Inc.
based in Rock Hill, SOUTH CAROLINA (USA)
Industrial Test Systems, Inc., has been producing water quality test strips and test kits since 1989. Setting new standards in water quality testing, Industrial Test Systems, Inc., offers tests strips for a wide variety of ions. Low Range Arsenic Quick, for example, is the first test strip-based kit to detect down to 3ppb arsenic in only 12 minutes. Free Chlorine Water ...
RTP Environmental Associates, Inc.
Office in SOUTH CAROLINA (USA)
RTP Environmental Associates, Inc. provides professional environmental consulting services to meet client needs for today and for the future. We develop timely and cost effective approaches for permit application preparation, training, modeling analyses, ambient monitoring needs, as well as testing and analytical services to satisfy all regulatory requirements.
React 365 Inc.
based in Pawleys Isl, SOUTH CAROLINA (USA)
React 365 Inc. was formed to provide chemical cleaning waste water transportation and disposal services to newly constructed combined cycle natural gas fired power plants during the pre-commission chemical cleaning of boilers, but it didn't take long for React 365 Inc. to become proficient in all types of environmental and industrial services.
CRB Geological & Environmental Services, Inc. (CRB)
Office in Greenville, SOUTH CAROLINA (USA)
CRB`s experience over the past twenty years encompasses numerous investigations, audits, and assessments for industrial facilities and government agencies. CRB provides clients cost effective environmental consulting, development and application of innovative technologies and management of complex projects. CRB is equipped and committed to meet the challenge of waste ...
3R of Charleston, Inc.
based in Goose Creek, SOUTH CAROLINA (USA)
Environmental Company, Emergency Spill Response, Oil Spill Clean UP, Hazmat, Tank Cleaning and Removal, Bulk Transportation, Site Remediation, Oil Water Separator and Grease trap cleaning, Hazardous Waste Transportation, Vacuum Truck and Tanker Services, Demolition, Roll off Cans, Tank Bottom Reclamation, Monitoring Wells, Waste Management, Oily Water Disposal & Hauling, ...
US Waste Industry
based in Walterboro, SOUTH CAROLINA (USA)
U.S. Waste Industries is a full service environmental company. We have a group of consultants offering environmental consulting which consists of Hazardous Waste Disposal Services, remediation services such as tank cleaning, contaminated soil, lagoon cleanings and demolition projects. Consultants are on call 24 hours a day and are available for emergency response. U.S ...
Custom Stack Analysis, LLC.
Office in Columbia, SOUTH CAROLINA (USA)
Custom Stack Analysis, LLC. was originally established in Alliance, Ohio in 1965 by Mr. Ernest Kolm. In the year 2000 the company was acquired by Mr. James K. Gray who has many years experience in the field of air emissions testing. Custom Stack Analysis, LLC. has capabilities for performing Stack Testing, Analytical Services, Burner Combustion Efficiency, Indoor Air ...
Advanced Environmental Options, Inc. (AEO)
based in Spartanburg, SOUTH CAROLINA (USA)
Advanced Environmental Options, Inc. (AEO)is a full-service company capable of managing all environmental issues from site remediation, lab packing, and emergency responses to managing the transportation and disposal of hazardous and non-hazardous waste. Our customers can feel confident that their environmental needs are met in complete compliance with state and federal ...
ERTT - Emergency Response & Technical Training
Office in SOUTH CAROLINA (USA)
Emergency Response & Technical Training Services ( ERTT ) is a full service Environmental, Health & Safety Firm Headquartered in the Hudson Valley region of New York. ERTT has regional offices in Long Island-New York, Houston-Texas and Huntsville-Alabama.
Universal Blastco
based in Sumter, SOUTH CAROLINA (USA)
Universal Blastco provides high performance lining and coating solutions serving the power generation, pulp and paper, and petro chemical/chemical industries throughout the central and eastern United States. With decades of experience, we continue to set new standards for innovation, safety and quality delivering optimized total life cycle cost solutions to plant owners. ...


text:
Since: Jul 10
Location hidden
#28157 Sep 2, 2012
Here's what Katmandu said I said at #28125
>>>No you didn't but you lied and said it was closed under Bush's tenure.<<<
Here's what I really said at #27736 page 1356
Thursday Aug 30
WMCOL wrote:
<quoted text>
So you missed the Paul Ryan lie that Obama was responsible for the closing down of a GM plant when the decision to close that plant was actually made under Bush and closing process was finalized in timeframe as planned by GM
See there is that right-wing half-truth I talked about. The closing of that plant had NOTHING to do with Obama and everything to do with Bush/GOP and GM.
But indoctrinated cons will NEVER see the truth and will deny it at every chance.
United States
#28158 Sep 3, 2012
the closing of the plant had NOTHING to do with Obama and everything to do with Bush/GOP and GM.
Those are your words then you turn around and say "but I didn't say Bush was responsible for the plant closing down".
Just like a liberal confused and always jacking their jaws...
Since: Jul 10
Location hidden
#28159 Sep 3, 2012
Did not say plant closed under Bush as you lied and said I did.
Here's what Katmandu said I said at #28125
>>>No you didn't but you lied and said it was closed under Bush's tenure.<<<
Here's what I really said at #27736 page 1356
Thursday Aug 30
WMCOL wrote:
<quoted text>
So you missed the Paul Ryan lie that Obama was responsible for the closing down of a GM plant when the decision to close that plant was actually made under Bush and closing process was finalized in timeframe as planned by GM
See there is that right-wing half-truth I talked about. The closing of that plant had NOTHING to do with Obama and everything to do with Bush/GOP and GM.
But indoctrinated cons will NEVER see the truth and will deny it at every chance.
You are typical right-winger, trying to hide the whole story because you know when both sides are given it makes you look bad.
You just flat our lied that I said plant closed under Bush. I never said that and anyone can read what I said for themselves.
I posted the whole story, both sides, location of posts, and reasonable folks can draw conclusion based on all of the story and not just your lying, distorted, misrepresented side.
Again, you are not a very good person and you make yourself look even worse as you refuse to admit the trutn.
Since: Jul 10
Location hidden
#28160 Sep 3, 2012
Remember we are talking more than three years ago when plant shut down to retool. So it would not have been a 2014 Impala.
United States
#28161 Sep 3, 2012
1. reason unemployment is so high...It's BUSH'S FAULT..
2. reason there are NO JOBS...It's BUSH'S FAULT.
3. reason my post imply blame to the wrong person...It's BUSH'S FAULT..
4. reason I can't accept Obama isn't a good president...It's Bush's FAULT
5. reason I have erectile dysfunction...it's BUSH'S FAULT (only OBAMA gives me a hard on)
This has tainted my entire life and my wife is now unattractive to me unless she dresses like Michelle but oh when she does I can really rock her world...then 2 minutes later I resume my life posting on topix.
WMCOL is resting now. 2 minutes is really tough on the little guy!
United States
#28162 Sep 3, 2012
United States
#28163 Sep 3, 2012
All you liberals tell me why Charlotte, NC was chosen as the the best place to have the Democratic Convention this year? Why not Detroit? After all the taxpayers own GM? Plus Charlotte, NC has a 10% unemployment rate locally so that doesn't look good for the incumbents does it? All those fortune 500 companies and other big corporations who are hurting because of the policies of this administation. Wouldn't it have been better press for them to go to the poster child of the Obama Administration it's favorite company of unionized workers GM?
Oh that's right, GM isn't doing so well is it? Stocks down and suspending the production of it's super car the VOLT this month. GM wasn't allowed to reorganize it's debt so that's right around the corner to slap every tax paying american in the face.
I wonder if Al Sharpton,Rachel Maddow and the gang of deceit and misrepresentations will be there to tell us what we can see with our own eyes isn't real but an illusion caused by the conservatives brainwashing businesses to cut jobs,close plants,and declare bankruptcy after being in business successfully for decades. It's all Bush's fault that Obama hasn't been successful. Romney is a morman and we can't accept that because he believes in standing firmly in the protection of life even though he has stated abortion should not be outlawed in rare cases which he outlined. Mrs. Romney can't be accepted because she is "just a housewife who NEVER worked a day in her life". Another falsehood which any mother with only one child will tell you and Mrs.Romney had 5 boys to contend with in her household. The falsehoods and deceit continue on this thread and others to distort and misrepresent individuals, to outright LIE, when the poster knows that the FACTS do not support their conjecture,opinion or the REALITY of the position they take. The truth stands on it's own if anyone bothers to be HONEST. Only then can a person make a rational informed decision. These liberal talking heads are without merit because it's been proven over and over again that they care nothing for the truth. They just want the power and authority to continue dismantling America to EVEN THE PLAYING FIELD FOR THE REST OF THE WORLD.
Make NO MISTAKE, the policies of Obama are intentional and thought out to produce a specific result. Don't be fooled into thinking otherwise, Obama isn't pro-american, his actions and his words convict him of this offense.
It's time to remove the parasite which is draining America's life blood and RESTORE AND REBUILD for our next generations to come.
United States
#28164 Sep 3, 2012
Thank you. Your post caught me by surprise and I'm extremely flattered and warmed by your praise and I'm also undeserving. My husband is my personal hero and is the toughest person I have ever known, he possesses sheer will power and will not fail when he sets his mind. But then you know exactly what that is don't you it's that courage and determination all marines possess.
I showed your post to my husband it put a big smile on his face and replied "hell yeah!"...lol
Again thank you and our warmest and best wishes to you and your family.
Since: Apr 10
Location hidden
#28165 Sep 3, 2012
You people saying the policies and practices of Bush do not have anything to do with the shape the country is in today is like a saying a serial killer is not responsible for his deeds because he wasn't caught in the past four years.
Since: Apr 10
Location hidden
#28166 Sep 3, 2012
You know you're just about the last person in America that should be talking bout parasites when Okies are rated overall as the worst parasitic state in America. Under Ronald Reagan, Oklahoma was the single most demanding per capita parasitic state in the nation. Under GH Bush Oklahoma was the single most demanding (begging) per capita parasitic state in the nation. Under GH Bush Oklahoma was the single most parasitic state in the nation. Per capita of course. You hicks can't manage ANYTHING without federal help. Left to your own devices Oklahoma would be nothing but Indians, and white trash inbred trailer dwellers. Until, of course the first big tornado came along and then it would be only Indians and white trash inbred FEMA trailer dwellers.
Exactly what are is the GOP going to "restore" in oklahoma? You have never been anything, are not anything and will never be anything. You're the laughingstock of the nation. Ask anyone outside the state.
#28167 Sep 3, 2012
To me Bush is guilty of his deeds along with Nancy and Harry. But as far as Bush he is not running for office of anything so my interest lies with Romney/Ryan and Obama/Biden.
Since: Apr 10
Location hidden
#28168 Sep 3, 2012
I wish I had a dollar for every "Retired Marine" hat I saw some obese virtually illiterate white trash hillbilly I saw in Oklahoma wearing. You can always tell liars in a Retired Marine Hat. Nobody who spent 20 years or more as a Marine allows themselves to become 100lbs overweight. Nobody and I mean NOBODY can survive 20 or more years in the Marines as a stupid hick that can't restrain themselves from using the N word every second sentence and telling everyone within ear shot how they are carrying concealed and just can't wait for N thug to try something with them because they'll kill their ass in a New York Minute.
Furthermore, nobody who joined at say 18 years old and retired at 38 and is now barely above 40 has a pot belly that would make a Vietnamese pig envious. But they're all over Oklahoma. Everywhere you look. Just another case of Okies claiming a higher ground that they've never earned. It's something the majority of citizen in Oklahoma have become quite proficient at doing.
Since: Apr 10
Location hidden
#28169 Sep 3, 2012
In what was has Paul Ryan affected this nation? He's always been a pork barrel spending, special interest guy. He wants to give Seniors a pitiful voucher and throw them in the streets.
Biden was the one who wanted to go after Bin Laden and others with drones and stop putting our kids in danger to satisfy the money lust of the corrupt Afghanistan. The whole drone thing has been Biden from the start advocating (as McCain did before Bush invaded) drones and special forces. Ryan has ZERO credibility with anyone other than uneducated right wing hicks that would give credibility to fcking Hitler just as long as he claimed to be a Republican.
Right wingers sit around and snivel about Obama not saving a GM plant that went down before he ever took office but don't care about the hundreds of thousands who lost their jobs because of Bain Capital and millions due to the excesses of Wall Street. Mitt Romney is the poster boy for Wall street greed.
No it comes down to what it always comes down to. The right wing extremists will vote GOP regardless, the left wing extremists will vote Dem regardless and the moderates will either vote Obama or stay home. That's the only chance the GOP has because nobody with a scintilla of responsibility and intelligence votes GOP today (except the ultra rich who owns the GOP congress today of course).
We have become a third world country politically speaking. A country of increasingly uneducated, increasingly ignorant hicks who can be bought by simply lying enough about "the other side". All it takes today. Who are the best liars.
Since: Apr 10
Location hidden
#28170 Sep 3, 2012
Romney says he will increase Military spending. He says he will cut taxes on the rich. Again. He says he will balance the budget. This is an impossible task and an outright lie. The budget cannot be balanced by either more tax cuts or by more spending either. It is not rocket science. ANYONE should be able to do that math. Even if he guts social security and medicare (which he will) there is still not enough revenue income to support increased Military spending and another massive tax cut for the rich and major corporations.
Furthermore, after 4 years of GOP obstructionism politics who really believe that Romney can get more money from the Military, gut social security/medicare or another tax cut for the rich without the Dems doing the same thing back to the GOP that the GOP did to the Dems for the past four years? How is the right going to slam dunk everyone else to get what they want when they have just spent the past 4 years teaching everyone else how to stop a single party's desires even when that party is in the majority?
There will be no super majority in the Senate for either party. That will not happen. So where are you right wingers going to get the laws passed to "restore America". And what you going to restore it to? The Clinton years? That's the only prosperous presidency of my lifetime. You don't want deficit spending? Reagan and both Bush's were record deficit spenders of their time. Is that what you call "restoring America"? Out of control spending is just fine as long as it's a GOP doing it?
You really think Romney is going to rein in Wall Street excesses? The Wall street collapse began under Bush II. Romney IS Wall Street. Bush II was just a hand puppet doing what he was told by Wall Street. So was his father and so was Reagan. Romney IS Wall Street. And you think he's not going to turn the dogs of hell loose on this country again?
No, what is happening here is you racist, uneducated crackers are doing what you do. You're willing to support your own demise as long as that demise is at the hands of YOUR party.
United States
#28171 Sep 3, 2012
Dusty that's not true and you very well know it! I have repeatedly condemned Bush's crazy spending spree but having said that Obama is even crazier in his approach to spending and America has nothing positive to show for his throwing money around.
Get into your thick head BUSH ISN'T RUNNING.
United States
#28172 Sep 3, 2012
Well look who the very first person is to post when I deliberately asked LIBERALS to respond. LOL, thanks Dusty for giving me a little chuckle to go with my morning coffee.
#28173 Sep 3, 2012
If you want a good laugh this morning,(it would be funny if it wasn't so true) google #emptychairday and see the pics people are posting. Or you can see the Twitter hashtag line here with people's pics.
http://twitter.com/ #!/search/realtime/%23EmptyCha irDay
#28174 Sep 3, 2012
And #howtopissoffademocrat is trending on twitter. That is funny stuff right there.
Since: Jul 10
Location hidden
#28175 Sep 3, 2012
Anyone know if Republicans are trying to get black vote by using this black artist for a new theme song that states their position?
Since: Apr 10
Location hidden
#28176 Sep 3, 2012
Get it through your hillbilly head that the policies of Bush II ARE running. Moron. Stupid person. You cannot possibly be a corporate executive. You're too frigging dumb to be much more than a McDonalds fryer attendant watching the time to see when to yank the fries.
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Holiday Inn Aberdeen Township hotels are provided below. Search for cheap and discount Holiday Inn hotel prices in Aberdeen Township, NJ for your upcoming meeting or individual travels. We list the best Holiday Inn Aberdeen Township hotels & motels so you can review the Aberdeen Township Holiday Inn hotel list below to find the perfect place.
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Hospes Palacio de Los Patos, Granada (province)
- Free WiFi
Main amenities
- 42 guestrooms
- Restaurant and bar/lounge
- Full-service spa
- Breakfast available
- Sauna
- Self parking
- Conference center
- Airport shuttle
- In-room childcare
- 24-hour front desk
- Air conditioning
- Daily housekeeping
What's around
- In Central District
- Granada Cathedral (0.5 mi / 0.8 km)
- Plaza Nueva (0.5 mi / 0.9 km)
- Alhambra (1.3 mi / 2.1 km)
- San Jeronimo Monastery (0.7 mi / 1.2 km)
- Mirador de San Nicolas (1.1 mi / 1.7 km)
Hospes Palacio de Los Patos, Granada (province)
Hotel Info: 020 3027 9803from £139
- Junior Suite
- Deluxe Room
- Standard Room (Dreamer)
- Standard Room, 1 Double or 2 Single Beds (Dreamer)
Also popular with travellers from the UK
At a glance
Key facts
Hotel size
- This hotel has 42 rooms
- This hotel is arranged over 4 floors
- Check-in time 3 PM-5 AM
- Check-out time is Noon
Required at check in
- Credit card or cash deposit required
- Government-issued photo ID required
Travelling with others
- Babysitting/childcare *
- Pets allowed *
- Free WiFi and wired Internet access in public areas
- Free WiFi and wired Internet access in rooms
- Airport shuttle (available on request) *
- Self parking *
Other information
- Resort fee included
Nearby Five Star Granada (province) hotels
In the hotel
- In-room childcare (surcharge)
- Breakfast (surcharge)
- Restaurant
- Bar/lounge
- 24-hour room service
- Full-service spa
- Spa treatment room(s)
- Bicycle rentals nearby
- Skydiving nearby
- Snowboarding nearby
- Steam room
- Sauna
- Number of meeting rooms - 7
- Conference space
- Meeting rooms
- Conference center
- 24-hour front desk
- Dry cleaning/laundry service
- Laundry facilities
- Free newspapers in lobby
- Wedding services
- Multilingual staff
- Number of buildings/towers - 1
- Elevator/lift
- Garden
- Library
- 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
- Iron/ironing board (on request)
- Turndown service
- Premium bedding
- Private bathroom
- Separate bathtub and shower
- Designer toiletries
- Hair dryer
- Plasma TV
- Pay movies
- Satellite TV channels
- DVD player
- Desk
- Free newspaper
- Free WiFi
- Phone
- Daily housekeeping
- In-room safe
- Connecting/adjoining rooms available
Top Granada (province) hotels
Recently reviewed hotels in Granada (province)
- Pensión La MilagrosaFrom
"House keeping was really good. Even folded my clothes. Unusually cheap. Not really a hotel. Pensions are 1 step down I guess but it is a lovely old place. Some small bits and…"Jun 13, 2016
- Hotel AlberoFrom
"We arrived quiet late but the old man in reception was really kind and try to help his best even he couldn't speak English. :) Also we got the free parking front of the hotel…"Jun 13, 2016
- Hotel Carlos VFrom
"A simple room. Comfortable. Very nice staff. Breakfast was OK. The room size was good and beds were comfy. A bit overpriced for a one star hotel, but considering the prices in the…"Jun 12, 2016
- Pensión SueciaFrom
"This is a great place to stay to see Granada. Peaceful and only 15 minutes walk to the Alhambra. If you have a car, it is easy to park by the hotel for free in the road."Jun 10, 2016
Nearby hotels
Special features
Bodyna has 3 treatment rooms. Services include massages, body wraps, body scrubs, and body treatments. The spa is equipped with a sauna, a spa tub, and Turkish bath/hammam. A variety of treatment therapies are provided, including aromatherapy and Ayurvedic.
DiningSENZONE - This fine-dining restaurant serves breakfast, lunch, and dinner. Guests can enjoy drinks at the bar.
Hospes Palacio de Los Patos, Granada (province)'s small print
Also known as
- Hospes Palacio Los Patos Hotel Granada
- Hospes Palacio Los Patos Hotel
- Hospes Palacio Los Patos Granada
- Hospes Palacio Los Patos
- Hospes Palacio De Los Patos Hotel Granada
- Hospes Palacio De Los Patos Hotel Granada
Cash transactions at this property cannot exceed EUR 2500, due to national regulations. For further details, please contact the property using information in the booking confirmation.
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.
Mandatory fees
The charges below are included in the total price displayed:
- Resort fee
Optional extras
Self parking costs EUR 26 per day
Rollaway beds are available for EUR 60 per night
Breakfast costs between EUR 18 and EUR 22 per person (approximately)
Babysitting/childcare is available for an extra charge
Pets are allowed for an extra charge of EUR 30 per pet, per night
Airport shuttle service is offered for an extra charge of EUR 220 per vehicle (roundtrip)
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.
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Fred & Ginger - Fantasy or RealityWhen fantasy meets reality.
Fred & MaryFred deflowers Maria with Mary's help; Becky & Hils visit.
- Parts:
Freeing the Inner SlutShe thought she didn't want it.
Freemount HighFirst day of Human Sexuality class at Freemount High.
French ConnectionsSteamy sex and romance with a hot stranger in Paris.
French FrolicsA male teacher is taken by surprise by a pupil.
French WhoreHe catches his wife in bed with her maid.
Frenemies with BenefitsLong time enemies realize their attraction to each other.
FreshmanHot, humid New Orleans day gets hotter & wetter.


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Had a great trip to Alaska last summer. Went to Alyeska Resort and based all of our travels from there. The hotel was beautiful as was all the scenery surrounding it. The hotel is about 44 miles from Anchorage and an easy drive while looking at bald eagles. The hotel arranged our outings and acquired all tickets for us. The staff was very helpful and had a relaxed, friendly attitude. The trips I found on their web site and others. Just a call to concierge had everything planned with transportation from door to door. No crowds in the summer made everything more enjoyable except for the mosquitoes. Be prepared for that with some spray. Exciting area with train trips, boat rides, helicopter tours, glaciers, and a camera heaven. Basing out of this hotel made a trip we will remember forever. We were able to make it our trip not some preplanned tour. We will do this again.
- Official Description (provided by the hotel):
- Hotel Overview: Nestled in the Chugach Mountain Range in the resort community of Girdwood, Alyeska Resort featuring The Hotel Alyeska is only 40 miles from downtown Anchorage. The Hotel is also near many attractions - two miles from Crow Creek Gold Mine, and 15 miles from Portage Glacier and the Alaska Wildlife Conservation Center. The floor-to-ceiling windows in the fireside lobby and grand staircase offer unobstructed views of the north face of Mount Alyeska. Open beams and cathedral ceilings accent the indoor lap pool, 16-person spa tub, and fitness center. Airport transportation (surcharge), ski storage, and a local shuttle are available. Wireless Internet access is available in the lobby, DSL hookups in the rooms (included in resort fee). The Spa at Alyeska offers a wide array of massage, facial and body services. The eight-story property has 304 guestrooms. All rooms offer cable TV with pay movies, and are equipped with coffeemakers, refrigerators, hairdryers, and irons with boards. In-room complimentary DSL is available. All rooms are nonsmoking. You must be 21 years of age or older to make a reservation and check in. Guests under 21 must be accompanied by someone 21 years of age or older to stay in the hotel. Any guest under the age of 18 must be accompanied by parent or legal guardian. Please note: The 2011/12 Ski Season is November 23, 2011 to April 29, 2012 (conditions permitting). Deluxe King Room with one king bed includes bathrobes and slippers, bottled water, heated towel rack, mini refrigerator and coffee maker, in-room safe, iron and ironing board. Located on Floors 4-7. Deluxe: 2 Double Room with two double beds includes bathrobes and slippers, bottled water, heated towel rack, mini refrigerator and coffee maker, in-room safe, iron and ironing board. Located on Floors 4-7. Standard: Room with two double beds includes bathrobes and slippers, bottled water, heated towel rack, mini refrigerator and coffee maker, in-room safe, iron and ironing board. Located on Floors 2-3. Area served: Anchorage (and vicinity). Nearby airports: Ted Stevens International Airport, Anchorage AK (ANC). Area description: 35 miles southeast of Anchorage, at Alyeska Resort in the town of Girdwood, AK. Amenities• Concierge• Conference Facilities• Fitness center• Free parking• Handicapped Rooms/Facilities• Health Club• High-speed Internet• Internet Access• Meeting/Banquet Facilities• Pool & Hot Tub• Restaurants• Room Service• Spa services• Wireless Internet. Dining: Aurora Bar & Grill. Whether you're in the mood for a casual atmosphere or watching your favorite sports event, the Aurora Bar & Grill is family-friendly with comfort food. The diverse menu offers Alaskan specialties and satisfying homemade-style dishes. Serving breakfast, lunch and dinner. Bar open late on weekends. Seven Glaciers: Feast upon fabulous views and gourmet cuisine at the AAA Four-Diamond Seven Glaciers restaurant. Menu features regional favorites focused on fresh seafood, Snake River Farms meats prepared by Executive Chef Jason Porter. Recipient of Wine Spectator's Best of Award of Excellence. Sakura: Newly remodeled, Sakura Restaurant offers modern and intimate setting with Asian-inspired seafood and meats, hand-rolled sushi and a full sake and cocktail list. Open for dinner. The Pond Café: Located on the second floor of the hotel, the Pond Cafe is the place to enjoy breakfast offering full and continental buffet options and an a la carte menu featuring local favorites such as reindeer sausage links as well as a variety of healthy choices. Tramway Café: Featuring Starbucks™ coffee and espresso drinks, the Tramway Café features quick eats and grab n' go style items. Open daily for breakfast and lunch. ... more less
- Reservation Options:
- TripAdvisor is proud to partner with Expedia, Booking.com, Hotels.com, Hotwire, Odigeo and Travelocity so you can book your Hotel Alyeska reservations with confidence. We help millions of travelers each month to find the perfect hotel for both vacation and business trips, always with the best discounts and special offers.
- Also Known As:
- Alyeska Hotel Girdwood
- Alyeska Resort Girdwood
- Alyeska Prince Hotel
- Girdwood Alyeska Prince Hotel Resort


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- Woman sleeping in car accused of attacking Cape officer (7/26/16)13
- Seeking new history: Centurion Development buys former Woolworth building at 1 N. Main St. (7/28/16)5
- Prosecutor says shooting by state trooper was justified (7/24/16)15
- Cape resident gets seven years in prison for shooting at man (7/26/16)1
- Former Scott City mayor refutes claims made about loss of curbside recycling pickup (7/26/16)
- Burglary of trailer leaves its residents homeless (7/27/16)4
- Golden Corral coming to Cape; may hire 100 workers (7/21/16)11
- Police: Child's video revealed stepfather's abuse of sibling (7/28/16)3
- Foot plots provide habitats and nutrition to attract wildlife, grow populations (7/18/16)
- City may spend extra park tax money on Cape Splash, skate park, other projects (7/25/16)10
Health reform will pass, but climate bill will only generate debate, Emerson predicts
Congress is more likely than not to pass some form of health care legislation after it returns to work next week, U.S. Rep. Jo Ann Emerson said Wednesday.
But a climate control bill attacked as a penalty on coal-dependent Midwestern states and a federal deficit expected to pile up $9 trillion in debt over the next 10 years are issues that will generate a lot of debate but no resolutions, Emerson predicted.
In an interview at her Cape Girardeau office, the seven-term Republican lawmaker said she's convinced big savings are available to the federal government that could shrink the budget deficit. Simple measures, such as watching how money is spent on office supplies, could make a big difference, she said.
Broader aims, including her crusade to force drug companies to negotiate Medicare prescription prices with the federal government, could result in dramatic savings, said Emerson, a Cape Girardeau Republican.
As she explained how the savings could be achieved, Emerson, a member of the House Appropriations Committee, said the Department of Homeland Security found that it could save $42 million over five years by purchasing office supplies from Staples rather than through the federal procurement agency, the General Services Administration. A stapler, for example, cost $10.47 through GSA and $6.17 at the retailer.
"So if you are buying millions of staplers for people who work in this government, why wouldn't you get a reduced rate?" she said. "Why would it cost $10.47?"
Emerson said a Congressional Budget Office inquiry into the cost differences is underway and that she knows of many opportunities for savings.
"I went absolutely apoplectic. We checked out pens, we checked out staplers and we checked out other things and there were huge, substantial differences," Emerson said.
The prescription drug program for Medicare costs $49 billion annually. Emerson wants negotiated prices, a law allowing drugs to be reimported from Canada and an end to policies that result in U.S. consumers subsidizing prescription costs in foreign countries.
"We are talking tens of billions of dollars in just that alone over five years," she said.
The debate over health care, President Barack Obama's top priority, has been changed by the anger on display at town hall meetings held by Democratic lawmakers. Obama has all but abandoned proposals for a "public option" plan to be included in the coverage to be offered.
Aye vote not ruled out
Emerson did not rule out voting in favor of a health care bill. The essential elements needed in any bill that could win her vote, she said, are insurance reforms. The reforms she listed include a ban on companies denying coverage for pre-existing conditions, eliminate lifetime caps on benefits, remove provisions that effectively result in discrimination based on age or gender and, most importantly, a federal law that takes control of health insurance regulation from the states.
That's important, she said, because it would allow insurance to be portable across state lines.
To expand coverage further, Emerson said, the income test for Medicaid should be increased to 133 percent of the federal poverty level as an incentive to work. That would mean a single person earning less than $14,400 would be eligible and a family of four with an income of $29,326 or less would be eligible.
"There are a lot of people who don't work today because they need insurance," Emerson said.
As Obama and the Democrats consider replacing the public option with insurance cooperatives, Emerson said she sees promise in the idea. "If you add the co-op concept to that and if the co-op is done kind of like, probably Minnesota is the best example, that could be workable, that adds another option," she said.
Co-ops, voluntary associations, have resulted in lower premiums for members in Wisconsin and Minnesota in part because they are not for-profit businesses.
Emerson said she will not decide to vote for or against a health care bill until it reaches her in a final form.
The climate-control legislation known as cap-and-trade is generating bipartisan opposition from Midwestern states with a heavy concentration of utilities that depend on coal and with large agricultural communities.
Cap-and-trade imposes fees for permits allowing a set level of carbon emissions. Companies that do not exceed their permitted level may sell them to others. Companies that exceed the limits may buy the credits or install improved pollution controls.
Both cost money, costs that will show up on consumer's bills, she said.
For farmers, the heavy dependence on fossil fuels for planting, harvesting, fertilizers and grain drying, among others, mean huge new costs as the price of those fuels and products rise.
While some people can afford to invest in new appliances or other means of saving energy and reducing their costs, too many people will see their bills rise to unsustainable levels, she said.
Instead, Emerson said the emphasis should be on tax incentives to encourage conservation, rather than financial penalties.
"We can't wind, solar and electric-car our way out of the use of fossil fuels right now," Emerson said. "It is just not possible."
Pertinent address:
U.S. Capitol, Washington, D.C.