text:
Do career research and find in-depth salary data for specific jobs, employers, schools, and more. Know what you're looking for? Start a search below, browse to discover or Get a free, personal salary report »
Dive into the most extensive database of job salaries available. In addition, see detailed job descriptions and get information on job satisfaction, job demographics, common job skills and how pay varies over time and between locations. Browse all jobs »
Software Developer
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text:
Search Results: 'healthy breakfast recipe'
Fast and Easy Healthy Breakfasts
eBook (ePub): $6.99
Flexible quick, delicious and healthy breakfasts couldn't be easier. Susan Marque is an international, speaker, teacher and author and brings a dash of fun to her inventive recipes.
Fast and Easy Healthy Breakfasts
Paperback: $14.95
Prints in 3-5 business days
Fast and Easy Healthy Breakfasts
eBook (PDF): $10.00
Tam's Healthy Kitchen Breakfast
eBook (PDF): $12.00
Nutritious recipes for the most essential meal of the day, filled with healthy whole and delicious ingredients.
The Ultimate Breakfast Recipe Cookbook
eBook (ePub): $7.97
You've heard it before, time and time again - "breakfast is the most important meal of the day" - but in our hectic, on-the-go society, people often rush through breakfast or skip it... More > altogether. Try these easy healthy breakfast recipes to start your day off right. This book includes several delicious breakfast recipes including: - Seared Peach Pancakes - Acapulco Baked Eggs - Amaretto French Toast - Baked English Omelette - Banana Bran Pancakes - Basic Crepes and so much more! Scroll up... and click on "Buy Now" to deliver almost instantly to your iPad or other reading device.< Less
Paleo Breakfast Recipe
eBook (ePub): $2.99
Over the years I have come to realize that sticking to the same traditional cooking routine spoils the fun in the meal especially when prolonged. As much as you can, share your recipe ideas with... More > friends and family, that will help you shorten your learning curve to great recipes out there.< Less
Diabetic Breakfast Recipes
eBook (ePub): $2.99
Diabetic Breakfast Recipes Breakfast in my opinion is very important and I have proven it for myself. If I have a low carbohydrate low saturated fat and low sugar breakfast my glucose does so very... More > much better and I have less chance of experiencing elevated glucose readings and have consistent great readings. I just want a little information and week by week I am learning what I need to know to improve my health as a type II diabetic. A little general information needs to be put into the picture at this point. There are some general concepts that we keep in mind with all of our recipes if we are diabetic. The latest information that I have seen pretty much indicates that we need to limit our carbohydrate intake. We need recipes for our breakfast to start our day. We diabetic breakfast recipes. Breakfast as a diabetic I have found to be the most important part that I and my friends were missing I hope and trust that these Diabetic Breakfast Recipes will be found to be very helpful in your healthy living.< Less
50 Vegan Breakfast Recipes
eBook (ePub): $8.99
50 Vegan Breakfast Recipes is the best book for anyone who is looking to begin the day in the best way possible. You will feel full of energy, revitalized and healthier. You will only feel this way... More > if your body is healthy from the inside out. The recipes in this book are simple, easy to make and delicious. Using attainable ingredients in a varied manner your meals will be full of essential minerals, vitamins, and antioxidants. Your connection with food is the biggest influence for your long-term well-being. The first thing to consider when you would like to make a change in your life is your diet. Healthy nutrition is the foundation of your lifestyle and longevity. The author Mariana Correa is a former professional athlete and certified sports nutritionist that competed successfully all over the world. She shares years of experience both as an athlete and a coach bringing a priceless perspective. You will certainly enjoy all the recipes in this book.< Less
Healthy Breakfast Recipes - Kick Out Your Boring Diet Today
eBook (PDF): $4.99
Healthy Breakfast Recipes Kick Out Your Boring Diet Today, have fun in the kitchen. You have plenty of ways to get in a healthy breakfast each day, and it doesn't always have to be a traditional... More > breakfast. These quick and flexible options give you plenty of ways to put breakfast back on your daily menu. Affordable ingredients from your local grocery store. All recipes may be recommended for weight watchers and/or diabetic patients. With easy-to-follow tips and directions, experience life changing recipes today! The booklet contains (35) Healthy Breakfast Recipes, Has (71) Detailed pages includes: 1. Recipes saving Illustrations 2. Directions 3. Nutritional Information (Detailed) 4. Suggested ingredients (Tips), plus more... Keep the breakfast basics in mind and set yourself up for healthier eating all day long. Please "Rate" my book, I will be encouraged to do more... Enjoy!< Less
The Brilliant Breakfast
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Jenny Wright is a Holistic Health Coach based in Brisbane Australia. Jenny spent many years dieting and battling with food and her weight. When she was 30 she stepped off the diet treadmill and... More > found a new approach to lose weight, get healthy and stay healthy. She now shares her breakfast ideas in her first recipe book.< Less
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The E Word
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The Music of Karl Jenkins: A Concert for Peace
* Additional fees apply. No coupon or promo codes necessary to enjoy the displayed discount price.
The last date listed for The Music of Karl Jenkins was Monday January 18, 2016 / 7:00pm.
Currently at Stern Auditorium / Perelman Stage at Carnegie Hall
Magnificat!: Stirring Sounds of Mozart & Bach by World-Famous German Orchestra and Chorus
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The award-winning KlangVerwaltung Orchestra and Chorgemeinschaft Neubeuern Chorus come to New York's… More
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Featured review from DRDAPORed Velvet
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one if the most amazing performances I've seen. the music of Karl Jenkins performed by the DCINY was masterful.
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Very moving music!
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Thank you Goldstar for making every night a special night! The seats were terrific and the show was outstanding! Sir Karl Jenkins himself was there ... What a treat!!!
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Karl Jenkins is the most popular living composer on the planet, yet his work remains under-appreciated in America, perhaps, due to the lack of exposure. This annual concert at Carnegie Hall on MLK Jr. Day is always a wonderful opportunity to hear...continued


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The Hobbit Has Gone North (And Other Crap)
Here's what happened over the weekend while 10,000 BC was hitting No. 1 at the box office, thus signaling the end of Western civilization as we know it:
-- The Dolphins have just become 52% less ridiculous. Another face of the debacle that was the 2007 season has left us. Jesse Chatman has gone to the Jets. While Jesse did provide us with some comedic gold last season, he also represented everything that went wrong with the Fins in '07. The guy was our starting running back at one point for fucksake. I just threw up in my mouth. The Hobbit ends his days as a Dolphin with 515 yards and 1 touchdown. Now, he'll be eating whole turkeys and roaming the streets of New York looking for donuts in the city that never sleeps. I envy Jets bloggers. I really do.
-- Justin Smiley was on 790 The Ticket's Jorge Sedano show on Friday. And instead of giving a normal, boring, cliche filled interview, he tore new Jets OG Alan Faneca a new asshole. "First of all, Alan Faneca's ancient. The guy is about 10 damn years older than me. Anyone can pull some game film up. Go watch all my game film. That'll do the talking. Parcells didn't sign Faneca. They had the cap room to do it and didn't want to do it. There must be some good things that they saw in me. I want to let my play do the talking. I'm so excited to get down there … and get this thing turned around," said Smiley.
Suddenly our rivalry with the Jets is turning up a few notches. Nice to see the Dolphins finally signing guys with working testicles. Smiley sounds like a badass. He's also got a heavy breathing thing going on, which is a little creepy. (On a side note, here's a fun drinking game you might wanna play at work: If you listen to Sedano's show, take a shot every time he utters the word "Okay." You'll be hammered before 10AM)
Upcoming Events
-- The Fins are off to attend my boy Vernon Gholston's personal workout today. Gholston's stock has been through the roof since the combine last month. And on Friday during Ohio State's pro day, he actually proved that he is a mutant by improving on his combine measurables. He ran a 4.58 40 and recorded a vert of 42 inches. Jesus, this guy's not human. If he doesn't end up with us and ends up in either a Jets uniform or with the Pats, I'm going to shit. Literally shit. I'm going to pull my pants down at my draft party and shit. Maybe I'll shit into the nacho dip. That's always fun. -- Chris Joseph
For more on sports from Chris Joseph go to Finsnation.com
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As my kids would say: "Really?"
Now, if I query you, I have to not only follow you on Twitter, but I'll be forced to wade through your tweets about what you ate for breakfast and what color you've decided to polish your nails this week to see if I made the cut or not? You're sooooo busy, your assistant can't take the time to drop the standard rejection letter in the mail box (or send the standard rejection email)?
Guess what, honey. If you're that busy with Twitter, you don't have time for new clients. I'll just happily take my business elsewhere.


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SCC: Brit biz are buying again, but as for mainland Europe ...
Products sales dip, services come good for Rigby tech dynasty
The much-used channel phrase 'revenue is vanity and profit is sanity' could easily be applied to mid-market reseller hulk SCC as it opened up on results for the first half of fiscal 2015.
From its Midlands HQ, the Rigby clan's last technology business turned over £729m at group level in the six months to the end of September, down some £4m, or 0.5 per cent, on the same period a year ago.
This included £304m worth of sales from UK ops, down £100,000, and a two per cent drop in France (where SCC is the largest reseller) to £377m, but a £1m rise in Spain to £19.5m.
The remaining £13.5m came from M2, a Brit-managed print services firm acquired by SCC in February and combed with its own MPS biz, and from Roman and distie operations in the Middle East and North Africa (£11.9m)
In Blighty, where it all began for SCC in the mid-70s, some £235m worth of revenues came from product resale, down six per cent but up on margin, said James Rigby, CEO at SCC.
"We walked away from empty calories revenues," he told us.
There was no break-down in terms of product mix, but Rigby said PCs were "very strong" on the back of the XP refresh, and described the server market as tough, with the impact of virtualisation and cloud factors, "but coming back strongly" as customers refresh ageing infrastructures.
In contrast, UK services revenue was up eleven per cent to £69m, and gross margin climbed a whopping 24 per cent.
A "key element" here was the 90 per cent uplift in data centre services (DCS) to £11m. This has been a hotbed of investment for SCC, with £25m ploughed into three data centres in Birmingham, and £10m on three cloud platforms.
Sentinel is a "secure" government IL2 and IL3 accredited platform — SCC is one of a small band of suppliers with this, a "multi-tenanted" private sector Cloud+ platform, and a Back-up as-a-service cloud.
The firm also acquired in September SSE's data centre in Fareham, taking the total number of racks to 1,770.
"These were big bets for a privately held company," said Rigby, "but why would mid-market customers invest in their own assets when they can leverage someone else's?"
With some customers potentially buying services from AWS, Microsoft and SCC, as an example, the CEO estimates life is going to get a heck of a lot more complicated for CIO and IT directors.
"The role of the channel is increasingly important to help end-users with that complexity."
Strong UK economy
Professional Services were up in the UK by 27 per cent to £16m, with XP to Windows 7 migration — notice not Windows 8.1 — a "big contributor" to the business, along with SharePoint and Lync.
"It reflects the [growing] strength of the UK economy that there are a lot of projects, every area of PS is growing strong," said Rigby.
On the Managed Services front, revenue was up at the half-way point to £35.1m. Flexible Resourcing — a new business launched to provide engineers where required — grew to £2.6m from zero. The rest of services revenues came from other areas, including recycling.
Gross margin in the UK was up to 13.4 per cent, versus 11.1 per cent in H1 2013, and dipped in France to 9.1 per cent from 9.7 per cent. It was down to 11.8 per cent in Spain from 13.2 per cent. At group level it jumped to 11.1 per cent, from 10.8 per cent.
Operating profit at group level bounced £3.02m to £5.44m: in the UK it rose 55 per cent to £3.75m; up £411,000 in France to £1.5m. Romania and MENA made up circa £1.1m.
Back in March, SCC devised a three-year plan to get to £50m EBITDA — it was at £34m in fiscal 2014 ended March — and put in place three directors to run things: John Bland is overseeing sales, Tracey Westall will handle marketing, and Mike Swain will run services.
Rigby told us it will acquire companies to help it get there, on top of organic expansion, with areas of interest including networking and comms, "not legacy businesses".
"We have the data centre and the device, the bit in the middle with the pipes managing the comms between the two is a logical place to go," he said. "Nothing is on the table at the moment but there are resources to deploy".
The group employed 4,855 staff with 1,765 in the UK, 1,977 in France, 139 in Spain, 665 in the Romania operation, and 200 at M2.
The accounts were unaudited. ®


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- Mexican
Adobe Grill
49499 Eisenhower Dr, La Quinta CA 92253 laquintaresort.com (760) 564-4111
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Speech Language Pathologist (SLP) Position (Full-Time) Montpelier, VT
- Job Location: Montpelier, VT
- Category:
Schools - SLP
- Type:
Speech Language Pathologist (SLP) Position (Full-Time) – Montpelier, VT
ProCare Therapy is partnering with a school district in the Montpelier Area to place a school based SLP in a supportive school district. This is a full-time position. Interviews will be scheduled and fast placement will be made for qualified candidates.
Job Details:
• 37.5 Hours Per Week
• Monday – Friday
• Elementary – Middle School Grade Levels
• 2 Sites
• Master's Degree in Communications Disorder
• Valid State Licensure/State Credentials
• Passing Drug Testing/Background Screening
This position qualifies for benefits that include: medical, dental, vision, 401K and others. For additional questions or inquiries, contact Andy Sayavong at ProCare Therapy - direct phone number (770) 776-2064 or via Email at firstname.lastname@example.com
Equal Opportunity Employer Minorities/Women/Veterans/Disabled
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Financial Aid is daunting to most students, so be ready to get a lot of questions on this topic. If you are not familiar with the process of determining if a family is eligible for financial aid, y...
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Schools are overwhelmed with keeping up on the real growing needs of the children in their classrooms. There is only so much time in a day that therapists are able to meet with these children and t...
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Hi all, I'm looking to have a big Ruby on Rails production website running on Google App Engine. What I thought of appengine is that I would be able to generate a WAR with warbler and everything should be fine. But I saw this project (with no update since 2011) : https://code.google.com/p/appengine-jruby/ Is that necessary to run rails on GAE ? Anyone got some experience and feedback to give ? Regarding the technology choice, I'm force by my client to use GAE, I can't use Google Compute Engine or other hosting options. Thanks, Julien Pellet | @julienpellet <https://twitter.com/julienpellet> | +33 6 47 53 43 32
on 2014-07-22 14:37
on 2014-09-23 05:16
Hi. I would like to bump this please. Is there a writeup someplace which walks you though deploying a rails app in appengine using jruby?
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"I bought this card for a thank you note after my baby showers, and I love it! The quality is nice and the design is so cute! Just what I was looking for. Only thing I wish it came in a folded card."
"I liked writing my Baby Shower thank you notes on these. We had an elephant theme-- even though these didn't match our theme exactly, they were suitable for me to send out as replacement for the elephants that we used at the shower. The ink that I used didn't smear at all. Because it's not a card that you open up, I was able to post one at my workplace and give one to my husband to post at his work place in our break rooms for thank you for group notes."
"These thank yous are just adorable. I actually bought a different design than I had for the shower invites (same "jungle" theme) because these were just a cuter card than what matched my invites. I love them, they're cheerful and neutral (great for those of us who aren't figuring out boy or girl!). Cards are a good weight and the process was nice and easy."
"I love how pretty and classy these notes and labels are. The print on the invitation and label is a bit small but easily remedied with increase in font size."
"Small card with soft colors—perfect. Text easy to customize and to place. Wanted an 'I Wish for You...' Card for baby shower, and this fit the bill perfectly."
Copyright © 2004-2016 Shutterfly, Inc | Tiny Prints | Terms of Use. Designated trademarks and brands are the property of their respective owners.


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The multidisciplinary teams at the CTRC in San Antonio diagnose and treat cancer collaboratively. Your south Texas cancer care center team is made up of oncology ... - read more
Clinical and Translational Research Centers Portal Page. Portals; Training Support; About Us; ... Apply for CTRC/PittNet Services. Request an Account. Access My Account. - read more
Please vote if the answer you were given helped you or not, thats the best way to improve our algorithm. You can also submit an answer or search documents about what is ajnj ctrc.


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I had business nearby in Uhrichsville so it was in a very convenient location. Breakfast food simple, but still good. Good value for the price.
stayed 2 nights. First night's room had somewhat of an odor, so they moved me to another room over and it was OK, plus it had a fridge.
The hotel was quiet and in a get location for our needs. The desk clerk was very nice. She suggested a wonderful place to eat. If your ever in that area stay there! In fact we decided to go back in the fall!
the room was very comfortable.
I do not know of any thing.
Here's why:
We're not the seller.
At KAYAK we don't set the prices, so it's not possible for us to guarantee what other companies are selling.
We compile tonnes of data for you
Our service lets you quickly and easily compare results from hundreds of travel sites at once. In this sense, KAYAK is a search engine and we can't guarantee prices we find.
Why aren't prices accurate 100% of the time?
Prices on airline seats, hotel rooms and car rentals can change frequently. Several people may also be trying to buy the same travel option simultaneously. As a result, you may find, on occasion, that certain prices are no longer available.
If you have more questions or if you have a bad price to report to us,
please send us an
and someone from our team will get back to you promptly.


text:
Bangalore:A practice session at the Chinnaswamy Stadium here cost former Indian captain and spin wizard Anil Kumble dearly as he lost his bag containing cash and other valuables.
Kumble's bag containing his Apple iPhone, credit cards and cash went missing on Monday, the police said on Tuesday.
Captain of Indian Premier League team Royal Challengers' Bangalore, Kumble had left his bag, which also had four credit cards, one debit card, three club cards, two airways cards of Jet Airways and Kingfisher Airlines along with Rs 3,000 cash, on the ground when he went for practice on Monday.
But he found it missing when he came back, police said.
"While other players had also left their bags on the ground, it was only Kumble's bag which was missing," police said.
A complaint has been registered in this regard in Cubbon Park Police station and is being investigated.


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Our online tools make booking, managing your schedule and paying for lessons easy and hassle-free.
Easily search and compare teachers in your area, including past student reviews and background checks.
If you're not completely satisfied, we'll help you find a new teacher or refund any unused lesson credits.
Learn how to sing in whatever style you desire! Stacey is known as a professional singer for her versatile voice with ability to perform in many styles. She will teach you to do the same with your voice! She guides her students to be well rounded and able to perform in a variety of genres.
I have taught and accompanied voice students for over 15 years. I have been the music director and choral director for several church choirs including children's choirs for over 18 years. I like to mold my teaching style to the needs and goals of the student. I am strong in music theory and the training needed for voice students. They come away with a better knowledge of music no matter their age. Young students get an extensive musical experience along with their vocal training.
Students of all ages will learn the basics of healthy singing in a variety of styles.
I am passionate about teaching all levels of musicians how to use their individual voice to the best of their ability. All singers will work on breathing, vocal tone, sight reading, music theory, piano and vocal pieces of their preferred genre. I enjoy teaching music of the classic genre but am experienced in the musical theatre and pop genres. Intermediate singers will also work on presentation and audition skills if desired. A piano or keyboard at home would be best for lessons and practice.
I would love to help you learn to sing whichever style you'd like! Whether you wish to sing professionally or at karaoke, our lessons would estabilsh a foundation of healthy, supported singing that translates across all genres.
Compare hundreds of teachers based on the criteria that matter to you, including background checks, age and experience.
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14600 Players currently online!
Man vs. Machine - good luck!
Turn-based games at any time!
Vote for the best move to win!
Do you have what it takes?
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Does anybody know if you can get a software package to install PGN games on a chess board website the same has the prcedure that it done on chess.com
By cliking the chess board button on a blog and installing the PGN by a chess wizard.
Nice feature if the code can be got for this function.
Any help with the below would be appreciate.
Is it possible to get a function similar to the one they have on the blogs on this site to insert chess games in a blog on a person own website??
I am intersted to be able to insert chess games on a blog on a web site similar to the way they have it done on the blogs here.
Hi, you can make your own on the GameKnot website, just click on "free tools", it's better than "Flash"
In my opinion because it can be viewed on IPads. I hope this helps.
That is a good site,
You can create your own code and insert it into you own blog but your are dependent on the GameKnot website for it to work has in the HTML code there are links to GameKnot which then run the script.
Was looking for a function software that was independent of others.
Do not think the function in chess.com is create in flash??
Are using open source software. Then
Would you not think a member of the staff or developers of the site would provide us with this information, after all it is open source code
You don't need to use search engines to publish games.
I think you are taking me up incorrectly??
If you have a blog on this site (chess.com) you can install chess games on your blog with a wizard which goes through stages.
For example you can enter PGN for a game and it will be display on your blog here you want people to see. The wizard in chess.com is there own software but is open source (free to anybody) and is controled directly by chess.com web developers and not depended on other compaines like GameKnot to install the chess games on you blog
Did not mention search engines and has nothing to do with it.
Has the software to do install chess and chess diagrams used by chess.com is open source (free to everybody) and if staff or developers of chess.com see this blog then I cannot understand that they will not point a person in the location how they created this function.
Great function and would like it to put it on my own blog external to chess.com on my own web site.
Any help I would appreciate it very much on this and any staff members comments on the matter. Not much to ask from staff members if you are a full member for many years.
hello, here is the method to view ur games and post ur games.
first of all u should download chessgame viewer from google it is available for free. just go to google and say free chesspad download. then download and install it. once u do this then u can start downloading PGN of any game and u can view it using chess pad and also u can copy pgn of that game from there to post it anywhere else easily. hope u got what i said. this i got to learn from somebody else recently
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Artist: Caveman
Album: CoCo Beware
Genre: Rock
Rain think of what you want no more
I have time to read up all the lines some more
This time you are .. I don't like children
I don't like people to come to my room
I don't like silence I don't like people
.. their own lines to come between us
Hey think of what you want no more
I have time to read about all the lies some more
Inside you … I don't like children
I don't like people to come to my room
We need people to come between …
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The doctrine of the Λόγος grew up between the close of the Old Testament era and the opening of the New. It was an important period of preparation, the value of which cannot be overrated. The seething of all the diverse elements, the fusion of opposites in the order of thoughts, it was when the 'fullness of time' (τὸ πλήρωμα τοῦ χρόνου--- Gal. iv.4) had come, that God sent into the world his Son, born of woman.' The more one studies history, the more one feels the force and significance of St. … [Read more...]
Lightfoot Quote of the Day
The Problem with Preaching– Part Seven
It is certainly true that preaching can be an act of folly if done poorly or stupidly or in a boring fashion. So it might be worthwhile to serve up a Top Ten list of things Preachers Ought Not to Do:10. I once saw a preacher do a front flip off the pulpit into a chair below. I would say don't try this in your home church. If you miss, you will never live it down. And what was the point. This is about as dumb as a glassblower inhaling and making a spectacle of himself :)9. No snakes! … [Read more...]
The Problem with Preaching– Part Six
The real job of the preacher is to point away from themselves, not to pander.The endless drive by preachers to pander to their audiences, by trying to look cool, hip, relevant, with it, a man of the people etc. is an act of desperation. This is no way to identify with your people at their best. If you identify with them at their worst, why should they think they must change?The preacher is the agent of Christ. He is called to please God and help the people. He is not called to be a … [Read more...]
The Problem with Preaching– Part Five
A few things need to be said about the ethos of the preacher. Bad ethos can nix a good sermon. What do I mean by ethos? I mean the way a preacher comes across--- aurally, visually, personally, tone of voice, gestures etc. As the rhetoricians will tell you, you need to establish rapport with your audience at the outset, and if you have some 'inhibiting' factors to establishing that positive rapport, then you need to overcome your ethos liabilities. For example, let's say you have a tic--- … [Read more...]
Prisoners— a Thriller
Most folks don't like to go to movies that play out on a big screen every parent's next to worst nightmare---your kids are snatched. I say next to worse, because what is worse is when your child suddenly dies--- trust me, I'm sure about this one. This movie may however prove to be the exception, because it is exceptionally well done, and has enough twists and turns to make it very interesting. There are several times in this movie where you have your suspicions, but then you end up saying--- … [Read more...]
The Problem with Preaching– Part Four
For preaching to be 'good preaching' it needs to be a word on a target. But if the preacher doesn't know the target, he is unlikely to hit it. What this in turn means is that he or she must know his or her people. The more one knows one's people, the easier it is to know what a word on target will amount to. Of course some preachers prefer the buckshot method-- spray a variety things out on the audience and hope something strikes home. It's like a game of paintball where you are aiming at … [Read more...]
'What a Rush'
Formula One racing. Believe it or not, it's more dangerous and less boring that NASCAR. I've been to NASCAR (heck I'm from the home region of the Pettys) --- it's hot, the cars go round and round endlessly. Some fans hardly pay attention unless there's a dramatic wreck. Speaking of which people tend to get wrecked in the in-field--- Its much more fun to watch Talledega Nights in the comfort of your own home.This Ron Howard movie (2 hours and 5 minutes-- R rated for some nakedness I … [Read more...]
The Problem with Preaching– Part Three
Once a preacher realizes that if he doesn't know the original languages, then he's NOT preaching the Bible but rather a translation of the Bible (however good), he or she then must accept that this necessarily means he is preaching someone else's interpretation of what the inspired text means (for every translation is already an interpretation). This requires some swallowing hard of course. But once the nature of the situation actually dawns on the preacher, that's when a big reality check … [Read more...]
The Problem with Preaching– Part Two
In my last post, I pointed out that preaching seems to be somewhat missing in action within the context of early church meetings in homes, and elsewhere. Of course there is nothing in these NT texts that says or suggests there is anything wrong with preaching in such worship contexts. Far from it. And in an age of increasing Biblical illiteracy it's frankly irresponsible to think that we would be fine without good preaching in the church. We wouldn't, and we aren't, and I say 'we aren't' … [Read more...]


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Hawken, 6' 2", 220-pound linebacker/running back will likely line up in the Mike linebacker position for Michigan State since the university seldom uses as fullback in its spread offense.
MSU beat out several schools including Illinois, Wisconsin and Indiana for Hawken's services. "It feels great," said Hawken. "I've always wanted to play football in the Big Ten and that was one of my goals, to play for a program like this. I really like the coaching staff. [Coach Smith] is a really cool head coach to play for."
Hawken rushed for 1,270 yards and 23 touchdowns as a junior last season. The Grandville junior said that staying close to home - the MSU campus is just a one hour drive for his parents - was a big factor in his deciding to play for coach John L. Smith.
"I just liked it," Hawken said. "It all just seemed to fit together for me."


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The SPS2466 24V Switching Power Supply from Bogen Communications is designed to supply power to battery-operated equipment, low-voltage DC equipment, or 24VDC equipment from a 120VAC source. This power supply is rugged, versatile, UL and C-UL listed, and dependable, making it suitable for many types of telephone paging equipment, amplified speakers and horns, tone generators, and intercom systems.
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This is the new Santa Fe Wrought Iron patio chaise lounge by International Caravan. Constructed from outdoor weather proof wrought iron, adjustable 5 positions for various comfort zones, easy assemble, complete outdoor weather proof protection against harsh weathers. Brown Matte color.
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Tasty Tuna With Asian Flair
Total Time
Prep 5 mins
Cook 5 mins
You'll never look at a can of tuna the same way again after making this five-minute recipe! Not only is it super yummy, but it's healthy, too.
Ingredients Nutrition
- 1 (6 ounce) can tuna
- 1 1⁄2 tablespoons light mayonnaise
- 1 teaspoon sesame oil
- 1 scallion, washed and chopped
- pepper
- Combine all ingredients, then eat on it's own, with crackers, or with a side of celery.


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Hello, my name is Laura Doyle and I am the Manager here at Silchester Manor.
I hold a Foundation Degree in Early Years and I am currently studying my BA Honours Degree in Children's Development and Learning. I have worked at Silchester Manor since 2005, and have enjoyed watching the nursery flourish and become a welcoming and well-established nursery. Whilst studying for my qualifications I have built knowledge and experience which I really enjoy putting into practice – and in particular, reflecting on our practices and continually improving our care.
Here at Silchester Manor, we provide a safe, caring and stimulating environment that encourages all children to achieve their full potential. We embrace a 'learning through play' philosophy, which enables children to explore, learn and develop whilst having fun in a secure and stimulating environment.
We occupy a large, refurbished Victorian nursery in Maidenhead, with wonderful outdoor play space.
It's hard to find a day nursery in Maidenhead - or the surrounding area - with wonderful facilities for both indoor and outdoor play. Situated in acres of beautiful grounds, grassed areas and woodlands, our Maidenhead nursery has both, and we've incorporated lots of information about our facilities on our Our Nursery page, and lots of photos of our children at play throughout our website. Thank you to our parents for granting their permission for us to share these photos.
Our philosophy and practice
We've taken care to explain our approach to childcare in some detail on our Caring For Your Child page. I think that this is particularly important, as not every Maidenhead nursery operates in the same way. We explain our 'Key Person Approach' and how this enables us to know both you and your child really well – and better meet your child's needs. We also explain how our nursery and outdoor environments contribute to your child's development with us.
Here at Silchester Manor we have a great partnership with parents – working closely to ensure that we are meeting their individual needs. I strongly believe in creating warm, caring and friendly environments, where children and their families feel cared for, valued and loved - and where they can genuinely feel at home. As children's primary educators, the relationships we build with parents are as important as the relationships we build with our children. These relationships create a 'home from home' atmosphere and help children to feel safe and secure, leaving them free to immerse themselves in play.
Useful Information
We've tried to include as much information as possible here on our website, and you'll find much of it on our Parent Information page. I believe we're the only Maidenhead nursery to open from 7.30am – 6.00pm, Monday – Friday for 51 weeks of the year (we close during Christmas week) and offer a variety of sessions to suit most family's individual needs at competitive and inclusive prices. We also offer FREE childcare places for ALL 3 and 4 year old children (and many 2 year olds), and include free nappies and wipes and nutritious 'home cooked' lunches and teas – the details of which are all explained on the Parent Information page.
The best day nursery in Maidenhead
Of course it's natural to be proud of your nursery when you work with a team who strive to provide wonderful care to children every day - and I'm no exception. I truly believe that Silchester Manor is the best nursery in Maidenhead. I hope that our parent testimonials bear this out - and you may enjoy reading our latest OFSTED Report, in which they rate our nursery 'Good'.
Finally, while we regard Silchester Manor as a Maidenhead nursery, we also have many parents who use us from as far afield as Windsor, Slough, Langley, Ascot, Henley-on-Thames, Marlow, High Wycombe, Gerrards Cross and Beaconsfield – as well as from local villages such as Taplow. You'll find a map showing our location on our Contact Us page - as well as our contact details. If we look as though we could provide a childcare solution for you, then we'd love to see you at the nursery and show you around - so please give us a call on 01628 778890 or pop in to see us, and meet our team.


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Meet Monroe, your new companion, an adorable Irish Doodle F1. Father is handsome red standard poodle and Mom is gorgeous Irish Setter. They are both gentle…$1,400
We have an adorable Black and Tan She is already well on her way to being housebroken. She is sensitive, sweet, and loving. If you are looking for a…$350
Adorable, loving, black and brown cocker spaniel puppy. She is ready to go. She is already well on her way to being housebroken. She is very loving…$400
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Miniature Labradoodle puppies for sale! Puppies are raised on 10-acre property with children and loving care! No puppy mill! Father is miniature standard…$850
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These adorable, wrinkly English Bulldog puppies are a one of a kind find! They are well socialized and love to play with anyone that comes around and…$600


text:
A Conversation With John Kasich
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John Kasich discusses U.S. foreign policy.
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Tony Blair reflects on his time as prime minister from 1997 to 2007, and shares his decision-making process in foreign policy and the lessons to be learned for today.
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Ryan M. Lance discusses the global energy landscape, as well as the future of energy security and sustainability.
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Rachel B. Vogelstein discusses her experience working in foreign policy and offers suggestions for how students can prepare for careers in public service, global affairs, and policy research.
Council on Foreign Relations experts discussed the consequences of Turkey's downing of a Russian fighter jet for Turkey-Russia relations and for operations in Syria.
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Fatih Birol discusses the latest edition of the IEA's flagship World Energy Outlook publication.
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Journalists discuss the risks of reporting on conflicts and wars in the Middle East.
See more in Middle East and North Africa; Global; Media and Foreign Policy
Alan Greenspan discusses the U.S. economy.
See more in United States; Global; Monetary Policy; International Finance
George Osborne lays out his roadmap for the future of the UK economy and argues that Britain and its allies must continue to play a major role in the Middle East and elsewhere around the world.
See more in United Kingdom; Global; International Finance; Competitiveness
Michael Bloomberg discusses the threat of international climate change.
See more in Global; Climate Change; Environmental Policy
Religious scholars and leaders discuss international efforts to address climate change, including faith-based approaches to environmental justice.
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Experts discuss global efforts to mitigate climate change.
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Experts discuss global climate diplomacy ahead of the United Nations Climate Change Conference (COP21/CMP11) in Paris.
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Chris Christie discusses U.S. foreign policy.
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Kurlantzick offers the sharpest analysis yet of what state capitalism's emergence means for democratic politics around the world. More
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To ensure the success of Myanmar's historic democratic transition, the United States should revise its outdated and counterproductive sanctions policy.
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PDX one step closer to $20 million pedestrian corridor
09:00 AM PDT on Thursday, April 15, 2004
Associated Press
Port of Portland commissioners took a step toward approving a $20 million pedestrian corridor that would link the Portland International Airport's north and south terminals.
Portland International Airport. (kgw.com Photo)
The corridor would allow passengers to move among most of the airport's major concourses without having to go through airport security checkpoints a second time.
Port officials said the pedestrian corridor has been a much-needed adjustment since the Sept. 11 terrorist attacks. Steven Schreiber, the Port's aviation director, told the commission that it would reduce passenger hassles and delays.
"We all know that since the events of 9/11, airport security has changed forever," Schrieber said. "Once people get through, they don't want to do it again. We need this permanent connecting corridor."
The Port commission hopes to hire a contractor to build the corridor by summer. On Wednesday, it approved the type of contractor selection process that Port staff will use in that process.
Port officials hope the airport's airlines will agree to cover the construction costs.
The pedestrian corridor is one of a number of major capital expenditures in the works at the Port. At Wednesday's meeting, staff members unveiled the Port's 2004-05 budget, which calls for $164 million in capital spending, the second highest in the Port's history. About $91 million of that will take place at the airport, while the balance will go toward the Port's marine, real estate, navigation and other divisions.
The Port's commissioners also voted unanimously Wednesday to give Northwest Airlines $2.1 million in landing-fee and terminal-rent waivers and marketing assistance in its first year offering daily flights to Japan. Northwest will begin the service in June.
The airport has offered no daily passenger service to Asia since Delta suspended its Japan service in 2001.
The incentives package is similar to those given to Portland International's two other international carriers, Lufthansa and Mexicana airlines.
I just stumbled across this article today and though I would share it with all you airline enthusiat. It appears the airport is going all out the help smooth connection passengers to the new Northwest Narita flight. I'm curious though, would it be less costly if the just added a custom facility in concourse c . instead of adding this underground corridor?


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Seeing Teddy eating stolen honey, the wicked witch, Pivy, decides to
have some fun. Casting a grow spell she makes the angry bee the size of
Teddy. Although the terrified bear gives the honey back, The bee no
longer fits in her hive. She begins to cry. Teddy, compassion
overcoming greed, suggests Matilda, the good witch, can help. In this
short fairy tale, when the former enemies become friends, everyone wins.
Children who love stories about witches will particularly enjoy this
story. The fairy tale and lesson plan inspires children's scientific
curiosity with a focus on teaching eco and green values and
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Cool Thread of the Day: Wh1t3NuKle's Wheeling a Full-size Ram Thread
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Muddy Monday: 1979 Dodge D100 Slings Mud with Half Gas, Half Diesel
This week's Muddy Monday clip takes a look at an unloved 1979 Dodge D100 pickup powered by a 225 cubic inch slant six as it plays in the mud while running on a 50/50 mix of gasoline and diesel. In looking at this truck, I am guessing that it is a rear wheel drive Dodge […] More »
Question of the Week: Would you buy an EcoDiesel Ram 1500 – and why?
The 2014 Ram 1500 with the 3.0L EcoDiesel V6 is the most efficient half ton truck engine on the market today while still offering plenty of power to tow and haul. Unlike most super efficient pickups that sacrifice performance and capabilities for high fuel economy numbers, the EcoDiesel Ram will do almost all of the […] More »
Black Fridays: 2g Cummins Ram Rolls Coal and Smokes the Tires
I love watching burnouts and there are few burnouts that are nastier than those performed by Dodge Ram heavy duty models powered by the Cummins Turbo Diesel engine. When the turbo of a Cummins spools up and gets the tires turning, these oil burning Rams create smoke like a pro drag car – usually under […] More »
Photo of the Week: mtnmanpagosa's 3rd gen Ram Reminds Us Spring is Almost Here
After a long, miserable winter, spring is finally upon us and that means mud – mud which is well displayed on mtnmanpagosa's 3rd gen Dodge Ram in the latest photo of the week. We cannot see much of this Ram but that lovely layer of mud that extends clear up to the roof serves as […] More »


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10 Celebrity Diet Staples
What your favorite male celebrities eat to stay camera-ready at all times.
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PatientPlus articles are written by UK doctors and are based on research evidence, UK and European Guidelines. They are designed for health professionals to use, so you may find the language more technical than the condition leaflets.
Angio-oedema results from a similar pathological process to that involved in urticaria, with fluid leakage and oedema occurring after inflammation of postcapillary venules. However, angio-oedema results from this process occurring in deeper layers of the skin below the dermis (urticaria affecting skin above the dermis). The table under 'Pathophysiology', below, illustrates the differences between angio-oedema and urticaria.
Angio-oedema can occur with or without urticaria. Like urticaria, it can be acute or chronic (more than six weeks' duration) as well as allergic, hereditary or idiopathic. Although rarely life-threatening, chronic urticaria and angio-oedema are very troublesome and have a detrimental effect on individuals affected, comparable with severe coronary artery disease.
Angio-oedema and urticaria involve the same pathological process. Urticaria may occur alone in about 50% of cases.[1] Urticaria occurs with angio-oedema in between 40% and 85% of cases, and angio-oedema without urticaria in only 10% of cases.
- Urticaria is characterised by well-defined areas of temporary, pruritic oedema of the dermis. These wheals have raised erythematous borders with central pallor or blanching.
- Angio-oedema is non-pitting, subdermal oedema mainly seen around easily distensible structures (such as the periorbital area, lips, tongue, oropharynx and genitals). It can cause rapid pharyngeal obstruction as the swelling increases. Unlike urticaria, there is typically no itching of the affected skin.
|Tissues involved
|Subcutaneous and submucosal surfaces.
|Epidermis and dermis.
|Organs affected
|Skin and mucosa, particularly the eyelids, lips and oropharynx.
|Skin only.
|Transitory (between 24-96 hours).
|Transitory (usually <24 hours).
|Pruritus may or may not be present. Often accompanied by pain and tenderness.
|Pruritus is usually present. Pain and tenderness are uncommon.
|Physical signs
|Erythematous or skin-coloured swellings occurring below the surface of the skin.
|Erythematous patches and wheals on the surface of the skin.
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What causes the oedema?
Angio-oedema results from vascular leakage in the layers of skin below the dermis and in the subcutis. The mast cells in dermis or mucosa are central to the various mechanisms involved. On degranulation the mast cell releases vasoactive mediators such as:
- Histamine
- Serotonin
- Bradykinin and other kinins
Membrane-derived mediators such as leukotrienes and prostaglandins are subsequently released and this contributes to both the early- and late-phase responses with extravasation of fluid into the superficial tissues.[1]
These various mediators act on arterioles to cause dilatation and this, in turn, causes leakage of fluid from venules because of their looser cell junctions. The triggers and mechanisms for release of these vasoactive mediators are what define the different types of angio-oedema.
What are the triggers and trigger mechanisms?
There are several different triggers or causes; some mechanisms are better understood than others and some are very rare. The following classification (which breaks types down into histaminergic, bradykinin-mediated, with C1 esterase inhibitor (C1-INH) deficiency or without and non-histaminergic, idiopathic angio-oedema) may help to determine effective treatment options.[2]
Histaminergic or mast cell-mediated angio-oedema
- Immunoglobulin E (IgE)-mediated angio-oedema (and urticaria): this is an allergic reaction and may result from specific antigen ingestion or exposure to drugs (such as certain beta-lactam antibiotics), non-steroidal anti-inflammatory drugs (NSAIDs), latex, radiocontrast media, food (for example, nuts and strawberries), alcohol, insect stings (for example, Hymenoptera (wasps, bees, ants, etc)), autoimmune diseases such as thyroiditis and systemic lupus erythematosus (SLE).
- Direct mast cell mediator release: this is a pseudo-allergic reaction with triggers such as stress, heat, and cold; drugs and infection trigger the release of histamine from mast cells. Typical examples of drugs are radiocontrast media, dextran, muscle relaxants, opiates and cyclo-oxygenase inhibitors. Patients may have combined IgE- and non-IgE-mediated angio-oedema in response to these drugs.
- Histaminergic idiopathic angio-oedema: this is a pseudo-allergy for which no pathophysiological trigger has yet been found. 86% respond to antihistamines.[3] Food additives, preservatives and dyes may fall into this group.
Bradykinin-mediated angio-oedema
This responds suboptimally to treatment with antihistamines, adrenaline (epinephrine) and corticosteroids. It may be divided into those with or without C1-INH deficiency.
With C1-INH deficiency
- Hereditary angio-oedema (HAE).
- Acquired angio-oedema (AAE): these are relatively rare and start usually in adult life. There is, of course, no family history of angio-oedema. There are two types:
- Type I (AAE-I) is associated with other diseases, most commonly B-cell lymphoproliferative disorders, and involves immune complex formation. It can produce a serum sickness-like illness with angio-oedema, arthralgia, urticaria and a palpable purpura. The purpura is produced by a necrotising venulitis.The disease process impairs or disrupts normal C1-INH function. The angio-oedema may precede development of other symptoms, making it important to look for underlying malignancy in AAE-I.
- Type II (AAE-II) is more common and is associated with presence of auto-antibodies to C1-INH. There is no underlying malignancy.
There is a high mortality with 25-30% of patients dying from asphyxia. Unfortunately, they do not respond well to adrenaline (epinephrine) and steroids in an acute attack (unlike patients with the acute allergic form).
Without C1-INH deficiency
- Angiotensin-converting enzyme (ACE) inhibitor-induced angio-oedema: this is responsible for between 4% and 8% of cases of angio-oedema. ACE inhibitors trigger attacks by a potentiation of bradykinin. Most cases were initially thought to occur in the first week of treatment but it is now known that later-onset angio-oedema, sometimes after many years of uneventful drug use, is common. The episodes of angio-oedema may persist for months after stopping the ACE inhibitor. Individuals of Afro-Caribbean origin are at increased risk of ACE inhibitor-induced angio-oedema.[1] Antihistamines, corticosteroids and adrenaline (epinephrine) are often used to treat these individuals, with poor efficacy.
- Oestrogen-related hereditary angio-oedema - HAE type lll: this is an oestrogen-sensitive condition. Women become symptomatic during pregnancy or after oestrogen therapy. Symptoms usually appear later in life and attacks are less severe. Men are rarely symptomatic.
- Autoimmune angio-oedema: in some cases, autoimmune angio-oedema is resistant to antihistamine and corticosteroids and so mechanisms other than histamine release are being sought.
Non-histaminergic idiopathic angio-oedema
14% of patients with idiopathic angio-oedema do not respond to antihistamines. There is angio-oedema without urticaria in such cases. Parasites, infections and autoimmune disease are not associated. Full or partial relief of symptoms may be achieved with tranexamic acid.[3]
- Angio-oedema is common, but varies with the population investigated. Lifetime prevalence rates of 8.8% have been reported.[4]
- The most common variety is recurrent idiopathic angio-oedema.
- The inherited (autosomal dominant) forms are rare and prevalence is only about 1/100,000 of the population.
- Autoimmune urticaria/angio-oedema accounts for between 40-45% of chronic urticaria. It may be associated with other autoimmune conditions such as thyroiditis.[1]
- Detail of the current episode should be recorded. Is there associated urticaria? What is the duration of the attack?
- Is there any family history or history of recurrent episodes with particular triggers? Hereditary types often present in childhood with swelling of the face and mouth following local trauma (such as dental extraction).
- What is the trigger? Patients with angio-oedema or urticaria should be questioned in detail to identify the offending antigen in cases of allergic angio-oedema. Initial questions include:
- Is allergy likely?[1]Allergy is more likely if the urticaria or angio-oedema occurs:
- Only and reproducibly within 60 minutes (usually within 20 minutes) of eating a particular food.
- If a particular food has been eaten followed by exercise.
- After exposure to latex.
- After any drugs the patient has taken (aspirin, NSAIDs and ACE inhibitors in particular).
- A full medication history is mandatory.[1] This should include specific exclusion of drugs associated with angio-oedema and urticaria. Other possible triggers should be identified. For example Hymenoptera stings or food allergies, local trauma (particularly dental procedures or following tonsillectomy), physical factors (for example, sunlight, cold, and heat), animal dander, emotional stress, postinfective illness, thyroid disease associated with autoimmunity, leukaemia or Helicobacter pylori infection.
- Is allergy likely?[1]
- However, remember that very often angio-oedema can occur without identifiable cause or warning.Vasculitis is more likely if:
- The angio-oedema is relentless rather than evanescent and self-limiting.
- Individual lesions last for more than 24 hours.
- Any associated urticarial lesions are tender and painful rather than itchy.
- There is evidence of residual petechial haemorrhage, purpura or bruising in the skin.
- The patient has any symptoms or signs of underlying disease (such as fever, significant malaise and arthralgia).
Assess airway:
- Ensure patency and identify any obstructive symptoms (with, for example, stridor, dysphonia).
- Severe attacks can indicate the onset of systemic anaphylaxis and are characterised initially by dyspnoea or throat symptoms.
General examination:
- Temperature, pulse and blood pressure.
- Distribution of the oedema:
- Usually well demarcated and in easily distensible tissues.
- Face (especially the lips, tongue, ears, eyes and uvula), limbs and genitalia are the most common sites.
More unusual manifestations:
- In HAE, massive abdominal oedema may present with colicky abdominal pain, abdominal distention and signs suggestive of bowel obstruction.
Differential diagnosis
- Anaphylaxis.
- Asthma.
- Other skin conditions - eg, bullous pemphigoid, cellulitis and erysipelas, contact dermatitis, erythema multiforme, morbilliform drug eruptions, SLE or urticaria pigmentosa.
- Other causes of facial swelling or airway obstruction - eg, epiglottitis (can occur in adults), peritonsillar abscess or retropharyngeal abscess.
Investigations are determined by the clinical history and presentation, but may not be necessary in the acute phase. Possible investigations include:[1]
- FBC and differential white count; the eosinophil count may be elevated in parasitic infections and in some drug-induced reactions. There may also be an elevated neutrophil count in urticarial vasculitis.
- ESR; if elevated, this suggests an underlying systemic condition such as chronic infection, vasculitis and paraproteinaemia.
- Urinalysis; haematuria and proteinuria may indicate the presence of urinary tract infection and renal involvement in vasculitis.
- Skin testing and/or radioallergosorbent test (RAST) blood test; confirms sensitivity to allergens (such as nuts, fish, drugs, envenomation and latex).
- Plasma levels of various components of the complement pathway (complement profile); levels of the enzyme C1-INH can be measured. Initially the serum C4 level is measured and, if low, quantitative and functional C1 assays are performed.
- Investigate for underlying malignancy in acquired angio-oedema (AAE).
- Thyroid function and antibody testing; about 20% of patients with chronic urticaria have thyroid antibodies compared with a figure of 6% in the general population.
- Stool tests for ova, cysts and parasites; if there is a history of travel to areas with poor sanitation.
- Investigations for collagen vascular disease; if there is arthralgia, photosensitivity or other suggestive symptoms.
- Abdominal ultrasound may be useful when HAE causes acute abdominal symptoms (to exclude some surgical pathologies).
In general, the management of angio-oedema depends on whether it is acute or chronic; on the severity and frequency of attacks, and on its mechanism. Non-histamine-mediated angio-oedema tends to respond poorly to adrenaline (epinephrine), corticosteroids and antihistamines, and often requires alternative treatments.
Histamine or mast cell-mediated angio-oedema
Treatment of acute attacks of angio-oedema
- These often need no treatment.
- However, when there is oedema around the head and neck, observation to detect airway involvement is required (for example, hoarseness).
- Airway involvement requires a regimen similar to that for acute anaphylaxis (including adrenaline (epinephrine), antihistamines and steroids).
- It is advisable for patients to carry an adrenaline (epinephrine) pen injector for when there has been airway involvement during previous episodes.
- Aerosolised adrenaline (epinephrine) has been used in a conventional nebuliser. Airway interventions can be difficult because there may be a massive degree of oral obstruction (a nasal approach may be easier) and some patients may need cricothyrotomy.
- Patients with mild, limited symptoms can be reassured that symptoms are self-limiting and typically disappear within hours to days, on steroids and antihistamines.
- Management must include the identification, as well as the exclusion, of possible triggers.[1]
- Patient education and a personalised management plan are essential to management.[1] This may involve avoidance of certain drugs (for example, aspirin) known to trigger attacks.
Chronic urticarias and angio-oedema[1]
- Autoimmune urticarias triggered by physical factors are more resistant to treatment and often follow a protracted course.
- A standard dose of a non-sedating H1 antihistamine should be started.
- The treatment regime should be modified according to treatment response and development of side-effects. Higher-than-normal doses of antihistamines may be needed for severe urticaria or angio-oedema.
- If an antihistamine is required in pregnancy, the lowest dose of chlorpheniramine or loratadine should be used. Similarly, If an antihistamine is needed with breast-feeding, it is recommended that either loratadine or cetirizine be taken at the lowest dose.
Non-histamine- or bradykinin-mediated angio-oedema
- It is important to distinguish these from histamine-mediated angio-oedemas, as there may be no urticaria, and they respond poorly to adrenaline (epinephrine), corticosteroids and antihistamines.
- Airway compromise requires prompt life-saving procedures such as intubation and ventilation.
- Severe abdominal pain also requires emergency treatment.
- Acute attacks may be treated with C1-INH concentrates derived from fresh frozen plasma.
- Icatibant - a bradykinin receptor antagonist - and ecallantide - a kallikrein antagonist - provide subcutaneous alternatives to C1-INH.[6]
- Individualised management plans which take into account triggers are required for prevention and prophylaxis of these conditions
- Patients should be encouraged to carry management cards that briefly explain the patient's diagnosis, outline the indicated treatment for acute attacks, and provide contact information for the supervising clinician.
Acquired angio-oedema (AAE)
- Severe attacks may be aborted with C1-INH concentrates (needs very large doses) or fresh frozen plasma.
- Antifibrinolytics such as tranexamic acid and aminocaproic acid may be useful in mild attacks. Anti-androgens may also be used but are less effective.
- In acquired angio-oedema type 1 (AAE-I), danazol may also help to prevent attacks.
- In AAE-I, treatment of any underlying lymphoproliferative disease can eliminate the cause of the angio-oedema.
- Immunosuppressive drugs may be useful in AAE-II to reduce auto-antibody production (for example, cyclophosphamide).
ACE inhibitor-induced angio-oedema[2][7]
- Case reports and limited data support the use of C1-INH, fresh frozen plasma and icatibant to treat attacks associated with laryngeal oedema.
- ACE inhibitors are contra-indicated once angio-oedema has occurred.
- Discontinuation of the drug results in resolution of symptoms in most but not all cases.
- Although angiotensin-II receptor antagonists have been reported to cause angio-oedema, switching to this drug type is usually successful.
The most severe complication is asphyxia and death from life-threatening airway obstruction. However, quality of life can be affected where there are chronic, lesser manifestations of the disease.
Further reading & references
- Angio-oedema and anaphylaxis; NICE CKS, January 2012
- Anaphylaxis; NICE Clinical Guideline (December 2011)
- Clinical Practice Guideline: Initial Evaluation and Management of Patients Presenting with Acute Urticaria or Angioedema; American Academy of Emergency Medicine (2006)
- Management of chronic urticaria and angio-oedema; British Society for Allergy and Clinical Immunology (2007)
- Grigoriadou S, Longhurst HJ; Clinical Immunology Review Series: An approach to the patient with angio-oedema. Clin Exp Immunol. 2009 Mar;155(3):367-77.
- Zingale LC, Beltrami L, Zanichelli A, et al; Angioedema without urticaria: a large clinical survey. CMAJ. 2006 Oct 24;175(9):1065-70.
- Sanchez-Borges M, Asero R, Ansotegui IJ, et al; Diagnosis and treatment of urticaria and angioedema: a worldwide perspective. World Allergy Organ J. 2012 Nov;5(11):125-47. doi: 10.1097/WOX.0b013e3182758d6c.
- Evaluation and management of urticaria in adults and children; British Association of Dermatologists (2007)
- Colas C, Montoiro R, Fraj J, et al; Nonhistaminergic idiopathic angioedema: clinical response to icatibant. J Investig Allergol Clin Immunol. 2012;22(7):520-1.
- Vasekar M, Craig TJ; ACE inhibitor-induced angioedema. Curr Allergy Asthma Rep. 2012 Feb;12(1):72-8. doi: 10.1007/s11882-011-0238-z.
Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. EMIS has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions.
|Original Author:
Dr Richard Draper
|Current Version:
Dr Hayley Willacy
|Peer Reviewer:
Dr John Cox
|Document ID:
1804 (v26)
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Tel: (760) 872-2000
27 students
Private, non-profit
Private, non-profit
- Deep Springs is an all-male liberal arts college located on a self-sustaining cattle-ranch and alfalfa farm in California's High Desert. The 27 members of the student body form a close community engaged in an intense educational project delineated by what Deep Springs' founder, L. L. Nunn, termed the "three pillars": academics, labor and self-governance. The principle underlying the three pillars is that manual labor and political deliberation are necessary supplements to the liberal arts in the training of future servants to humanity. Students attend for two years (after which most transfer to a four-year institution) and receive a full scholarship valued at over $50,000 per year.
School Highlights
Deep Springs College serves 27 students
Minority enrollment is 100% of the student body (majority American and Asian), which is less than the state average of 53%.
School Overview
|Deep Springs College
|(NV) Community College Avg.
|Carnegie Classification
|Associate of Arts Colleges
|Associate of Arts Colleges
|Institution Level
|At least 2 yrs but < 4 yrs
|At least 2 but less than 4 years
|Institution Control
|Private, non-profit
|Private for-profit
|Total Enrollment
|27 students
|944 students
|% Unknown races
|Diversity ScoreThe chance that two students selected at random would be members of a different ethnic group. Scored from 0 to 1, a diversity score closer to 1 indicates a more diverse student body.
Source: 2014 (latest year available) IPEDS
School Notes
- Deep Springs offers only an Associate's Degree in the liberal arts. Deep Springers usually transfer after two years at the college to continue their education at a four-year institution. Over the long term, over two-thirds of our alumni have earned graduate degrees, with over half holding a doctorate (M.D., J.D., Ph.D., etc.) as their terminal degree. Courses at Deep Springs are intensive and interactive seminars. Classes range in size from four to ten, so every member must come prepared to contribute to the discussion. As a result, students devote a great deal of time and energy to their assignments, and discussions often achieve a depth uncommon at the undergraduate level. Deep Springs has a library of approximately 23,000 volumes, a modest periodicals subscription, and computer work stations with internet and e-mail access via satellite. Our facilities are ample for the needs of the academic program and include a music room, a piano room, a laboratory, a darkroom, a ceramics studio, a library, a smithy, an auto shop, a woodshop, a saddle and leatherworking shop, fifty square miles of desert ecology and geology, and three classrooms. Classes are sometimes also held in unconventional locations, like professors' homes or the irrigation ditch.
Nearby Schools
- College Location Mi. Students
14,633 students | 106.10 Mi995 N Reed Ave
Reedley,  CA  93654
(559)638-3641 106.1014,633
395 students | 106.70 Mi362 North Clovis Ave
Clovis,  CA  93612
(559)325-5400 106.70395
1,509 students | 107.70 Mi564 W Herndon
Clovis,  CA  93612
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272 students | 108.00 Mi44 Shaw Avenue, Rodeo Plaza
Clovis,  CA  93612
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22,307 students | 113.90 Mi1101 E. University Ave
Fresno,  CA  93741
(559)442-4600 113.9022,307
Recent Articles
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I just don't get the point of vouchers! You get them at Christmas or on your birthday and it just bugs me whenever I receive them. I mean sure, it's really nice somebody just gave me £5, 10 or £20 out of the goodness of their heart, or through social requirement, but why oh why can't they just give me the cash instead?
The whole idea of giving a shop your money in exchange for what is basically an instore credit note baffles me! How many times have you been given a voucher in one of those poxy cards free you pick up at the till, sometimes there are even 6 to choose from, to find that you have just been awarded £10 or even worse, £5 to spend at Waterstones! (Other good bookshops are available)
Don't you find most of the time the person who gives you the voucher hasn't really thought about what you like but has merely decided to offload a bit of what they like on you in the vague hope you'd like it? I'd frankly recieve a crappy present that has at least had a bit of thought put into it!
At least with cash you can actually put the money to good use if you are low on funds yourself? How many times have you swapped your vouchers with friends or family for hard cash?
I don't care if you don't care but you know what I say? Down with god damn gift vouchers!
Put them in Room 101.
[Edited 2006-08-10 23:05:56]


text:
Skip to comments.New Year's Resolutions Can Be Bad For You: Mental Health Charity
Posted on 01/01/2009 12:31:34 PM PST by CE2949BB
Making self-improvement New Year's resolutions often leaves people feeling worse, the British mental health charity Mind warned Thursday.
(Excerpt) Read more at physorg.com ...
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.


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Posted at: Offers to Sell and Export | Posted on: Tue 30 Mar, 2010 5:49 am | Targeted Countries: Brazil | American Samoa | Australia
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we supply insect screen, window screen
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we'd glad to receive your contating mail for any question.
by vivian
Company Contact:
Contact Name: Sales
Company Name: China Anping Zhaoyang Hardware & Wire Mesh Co., Ltd.
Tel: 86-0318-8062202
Fax: 86-0318-8062269
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"More Than I Can Say" is a song written by Sonny Curtis and Jerry Allison, both former members of Buddy Holly's band the Crickets. They recorded it in 1959 soon after Holly's death and released it in 1960. Their original version hit No. 42 on British Record Retailer Chart in 1960. It has been notably performed by singers Bobby Vee, Leo Sayer, and Sammy Kershaw.
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