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11Plus Guide Forum Impartial Advice
11 plus forum, 11 plus past papers, 11 plus exam forum,
Our 11 Plus Forum is different.
The 11 Plus forum is here to help you find the answer to commonly asked questions as quickly as possible. We don't believe current forums really enable quick or accurate answers. Current forums are great for chatting to other parents but often are either too slow, or become out of date or don't produce the answer parents need.
Our 11 plus forum is designed for you to be able to get an answer to any 11 Plus questions you might have with the confidence that you are getting the right answer.
Over many years of working with all the 11 Plus regions we have had to answer just about every and any question parents have had. What we have done is to collate those questions and answers by subject and by region so that you can find out the answer you want as quickly and accurately as possible. You'll find all the core questions are answered (schools, exam dates, application dates, exam types, preparation issues) and we have also included sections on which materials parents are likely to find most useful in preparing for the 11 Plus tests.
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David Reviews
Colonel Blimp have signed Barcelona-based director and photographer Nur Casadevall for UK representation.
The IPA is celebrating its 100th birthday in style with a series of impressive events.
Director Henry Mason is now being represented by BOLD, and that gave us the excuse to catch with him in Australia.
At the latest of Just So's screenings exploring the realm of influence the audience was captivated by John McAvoy's extraordinary story of redemption.
First steps turn to next steps in this latest Experian commercial as it builds on last year's promise to provide free credit scores permanently. Having obtained that all-important number, consumers can now use CreditMatcher to find compatible loans and credit cards. Shots of moving feet create a suitably progressive tone.
Hard to believe they were here a few years ago.

subset: commoncrawl


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|"I Buy US Goods" Single Rock (modern), Country, and Pop/Soft Rock
by Pete Santora. CD Single. This song is Pete's musical contribution to the potential re-growth of the American economy via good old Rock and Roll. Recorded in Brooklyn, USA.
September, 2013 Updated: February 14, 2017
|Phantoms Acapella Covers
by Dorraine Scofield. A totally acapella cd with some tunes that spans several decades...recorded virtually "live"!
December, 2001 Updated: July 29, 2016
|II:RePetes:II Singer-Songwriter, Rock (classic), and Pop/Soft Rock
by Pete Santora. Our newest release is an 11 song compilation that has been re-mastered from our past original albums "WWW.ebsters" and "You Were A Friend To Me".
February, 2017 Updated: February 14, 2017
|Housewife from Hell Singer-Songwriter, Comedic, and Alternative
by Elly Wininger. WildFlowers Elly Wininger and Susan Cohen, backed by a full band perform lively original songs and give a few well chosen covers their special treatment.
October, 1997 Updated: September 16, 2016
Our Newest CDs from Hudson Valley Musicians
Below are the 50 newest CDs from the 124 currently listed.
To see more use our Search, or try I'm Feeling Adventurous or Just New Releases
How to Advertise on HVmusic.com
|Awful Smart Man Singer-Songwriter, Blues, and Roots Music
by Larry Kolker. Postmodern roots music, harmonizing blues, folk, rock, and funk in songs ranging from spare, initimate acoustic arrangements to full-out blues numbers, with ironic and insightful lyrics.
July, 2012 Updated: February 21, 2017
|John, Paul, George & Mark Rock (50's-60's), Acoustic, and Rock (classic)
by Mark Sganga. A Tribute CD on favorites written by Beatles John Lennon, Paul McCartney and George Harrison.
December, 2013 Updated: February 20, 2017
|Fools In Love Jazz, Alternative, and Swing/Jump, Big Band
by Studio Stu. Studio Stu takes classic jazz and twists it into "evocative jazz & exotic lounge", performed on a single string bass, from rich, lush a capella to exquisitely sensual and simple, voice and bass.
September, 2005 Updated: January 29, 2017
|Seed-Maid: Sentimental Songs Acoustic, Singer-Songwriter, and Folk/Traditional
by The Princes of Serendip. Nature, compassion and the unexpected run through each song of Seed-Maid: Sentimental Songs by The Princes of Serendip.
January, 2017 Updated: January 10, 2017
|The Reckoning Rock (progressive), Electronic, and Instrumental
by Steven Lance. This is a single from upcoming CD, "Are We There, Nyet?" featuring Woodstocker Tom De Sisto on guitar.
December, 2016 Updated: December 24, 2016
|The KC Four & More : Here & There Jazz, Swing/Jump, Big Band, and Blues
by Harvey Kaiser / The Kansas City Sound. 3 dates , 2 discs: 'There': Arcidosso Italy w/ Bruno Zoia,bs,& Piero Borri ,dm; 'Here': a quartet featuring Mike Kull, Allen Murphy.& Steve Haas, and Trio w/ Marvin B Smith & Lew Scott
October, 2013 Updated: December 21, 2016
|Brazilian Wish Jazz, Latin, and Contemporary
by Matt Finley. Exciting CD by jazz composer and flugelhorn artist Matt Finley featuring Matt's original Brazilian jazz sambas and bossa novas with world-best studio musicians. It's Rio JAZZ in a box!
May, 2006 Updated: January 27, 2017
|Two For Twenty Jazz, Latin, and Blues
by Ben Basile. This is Basile�s debut as a composer and bandleader.
November, 2016 Updated: November 28, 2016
|Out of Time Singer-Songwriter
by Open Book. "Out of Time, is a marvelous triumph! It has become one of my favorite easy listening CDs for both the home and car." --Rick Rock, Director, Tribes Hill/Hammond House
June, 2002 Updated: November 12, 2016
|The Things We Keep Contemporary, Pop/Soft Rock, and Folk/Traditional
by Open Book. Mesmerizing duo who weaves gorgeous male/ female vocal harmonies with lush, textural instrumentation.
May, 2006 Updated: November 12, 2016
|Fire & Sun Pop/Soft Rock, Celtic, and Folk/Traditional
by E'lissa Jones Band. Just released... Now Available!!!!
August, 2015 Updated: November 3, 2016
|Sernade Jazz
by Mark Raisch. Fun acoustic versions of some old classing standards. Back ground guitar.
October, 2012 Updated: October 31, 2016
|Grooving to the Beat of the Times Singer-Songwriter, Jazz, and World
by The Judith Tulloch Band. Adult contemporary, jazzy, acoustic rock, with a hint of world music ambiance. Sound samples at www.judithtulloch.com.
July, 2005 Updated: October 29, 2016
|Living Waters Christian, World, and Christian
by Songs of Solomon. Inspirational Reggae featuring the dynamic vocals and song writing from Laniya Solomon
May, 2005 Updated: October 25, 2016
|CHRISTMAS Remember to Keep Christ in Christmas Gospel, Christian, and Motown/R&B
by Songs of Solomon. Holiday Song ! The Reason for the Season
November, 2014 Updated: October 25, 2016
|You mean the world to me Motown/R&B, Jazz
by demetri andrianis. Demetri's "you mean the world to me (single) is a warm sound.
December, 2007 Updated: October 20, 2016
|It Has Come Volume 1 Motown/R&B, Singer-Songwriter, and Jazz
by Demetri Music�. The cd features Tiger, You mean the world to me (remix) and Happy Birthday (extended)
December, 2008 Updated: October 20, 2016
|Midnight Slim Featuring LaurieAnne - Waiting For The Rock (classic), Americana, and Blues
by MIDNIGHT SLIM W/ WHUD SPOTLIGHT ARTIST LAURIEANNE. single song release of Rockin, Bluesy Song by LaurieAnne with Fred Midnight Slim on Guitar and background vocals
April, 2015 Updated: October 7, 2016
|From New Orleans To The Moon / Border Song Singer-Songwriter, Folk/Traditional, and Country
by David Kraai & Amy Laber. Country harmonies, sweet banjo, tasty mandolin, twangy guitars and soulful harmonica... all in a limited edition 7" vinyl release!
April, 2011 Updated: September 29, 2016
|The Eel Blues, Jazz
by Jeremy Baum. Back in the studio for his sophomore release, Jeremy Baum knocks it out of the park with 10 Hammond organ and piano driven arrangements!
January, 2014 Updated: September 16, 2016
|Lost River Jams Blues, Jazz, and Gospel
by Jeremy Baum. Hammond Organ - Funky soul-jazz for the new millenium!
January, 2001 Updated: September 16, 2016
|Make A Wish - Single Rock (modern), Americana, and Singer-Songwriter
by The Compact. An upbeat song about a journey for freedom and happiness, and a fading dream.
April, 2016 Updated: September 14, 2016
|Disease - Single Rock (modern), Alternative, and Rock (classic)
by The Compact. A "love song," with a twist!
October, 2015 Updated: September 14, 2016
|Talk Radio Americana, Rock (modern), and Alternative
by The Compact. The Compact's debut album, which includes the singles "Brick Wall," "Too Late," and "Divide."
August, 2009 Updated: September 14, 2016
|Home Planet Electronic, Rock (progressive), and New Age
by Steven Lance. A musical expression of Earth's evolution from the primordial soup to present day human hegemony.
April, 2014 Updated: September 8, 2016
|Tugging At The Infinite Jazz, Contemporary, and Alternative
by Neil Alexander. From Synth Wizard Neil Alexander (The Machine, The Mahavishnu Project). NAIL's music tears down the boundaries between categories, redefining instrumental music.
April, 2007 Updated: September 7, 2016
|Darn That Dream: Solo Piano Vol. 1 Acoustic, Jazz, and Contemporary
by Neil Alexander. Neil Alexander's 1st Solo Piano CD. Featuring a mix of Jazz Standards, Original Compositions & Improvisations.
March, 2013 Updated: September 7, 2016
|Modern Sounds Of Northern Towns Rock (classic), Motown/R&B, and Blues
by The Rhodes. The Rhodes' debut album. Produced by Jon Stern. Ten Tracks of Distilled Energy to get you revved up and ready to go. Available June 20th, 2008.
June, 2008 Updated: August 10, 2016
|Ananda Poems from Nepal Open Mic, World
by Joseph S Perna. A poetic spiritual and intellectual climb to the top of the mountains of the Mind where,in a crystal clear blue lake flowers the illuminate thousand petalled lotus of pure radiant light!
March, 2009 Updated: August 3, 2016
|The Streets of Benares,My Love. Poems from India Open Mic
by Joseph S Perna. A poetic spiritual and romantic journey through the subcontinent of the Soul. Spoken word audio book cd.
December, 2008 Updated: August 3, 2016
|911 Folk/Traditional, Blues, and Acoustic
by 911 Joe Salvatorio. 10 original songs played in an acoustic folk-blues musical style- with a post 9/11 point of view.Sounds like John Lennon, Bob Dylan, Paul Simon, Barry McGuire, Robert Johnson.
October, 2008 Updated: August 3, 2016
|THE HUDSON VALLEY Acoustic, Folk/Traditional, and Singer-Songwriter
by Hudson Valley Joe. 15 original songs performed in an acoustic/folk style.Sounds like John Denver.Early 60's folk music:Bob Dylan,Gordon Lightfoot,Simon and Garfunkel.And Woody Guthrie.
April, 2008 Updated: August 3, 2016
|THE BRONX BOMBERS Rock (50's-60's), Rock (classic), and Blues
by Joltin' Joe. CD SINGLE sounds like CCR ,early Elvis,Stones,Beatles
August, 2002 Updated: August 3, 2016
|Heading South Country, Americana
by THE CROSSROADS BAND. The Crossroads Band / Heading South is the bands second release with a mainstream Country sound, more so, than their debut release �Crossroads� which is Country/Blues.
January, 2009 Updated: July 30, 2016
|Crossroads Rock (classic), Blues, and Country
by THE CROSSROADS BAND. The Crossroads Band is a mixture of blues/rock with a country flavor. The CD includes the working man's anthem "Free Man",
December, 2002 Updated: July 30, 2016
|high & lonesome Rock (classic), Country, and Singer-Songwriter
by David Kraai & The Saddle Tramps. The best country rock this side of 1973! An 11 track album that mixes traditional and progressive, acoustic and electric, laid-back and upbeat, country and rock...
September, 2007 Updated: July 29, 2016
|I CAN DO MOST ANYTHING! Children's, Folk/Traditional, and Blues
by Melinda Marks Burgard. Music & Movement CircleTIme Activities for 0 - 6 yrs. Created by a Music Therapist/Teacher to assist with developmental tasks such as increasing speech, socialization/motor skills, bonding and more
October, 2003 Updated: July 28, 2016
|Anchor Acoustic, Singer-Songwriter, and Folk/Traditional
by Betsi Krisniski. A moody, lo-fi introduction to Betsi Krisniski, organic homegrown eco-acoustic singer-songstress from the Hudson Valley.
October, 2012 Updated: July 11, 2016
|Gus Mancini's SOnic SOul Band 9 Improvisations Electronic, Blues, and Jazz
by Gus Mancini's The Sultan Of Sonic Soul� SOnic BAND. Improvised mixing genres from Jazxz to Rock and funk and blues ...
October, 2013 Updated: June 27, 2016
|Hell Train and Quicken Singer-Songwriter, Americana
by Tony Penn. Original recordings of songs written or interpreted
October, 2010 Updated: June 21, 2016
|New World Electronic, Rock (progressive), and New Age
by Steven Lance. This is a deep exploration of ProgTronic spaces. Thumpin' rhythms with soaring synths. If you love mesmerizing music, this is for you.
June, 2016 Updated: June 4, 2016
|A Denim Fall Folk/Traditional, Country, and Singer-Songwriter
by David Kraai. Fine country folk music from the heart of America. Bob Dylan meets Gram Parsons for sweet tea in an orange living room with white christmas lights. Full-length album with 12 tracks...
May, 2004 Updated: May 27, 2016
|Country Dreamer Americana, Singer-Songwriter, and Country
by David Kraai. Fine country folk music w/ a hearty dose of rock thrown into the Americana potpourri for taste. Featuring appearances by members of The Black Crowes, Gov't Mule, Gram Parsons & Emmylou Harris' band!
September, 2012 Updated: May 27, 2016
|Read Your Mind Singer-Songwriter, Jazz, and World
by The Judith Tulloch Band. Jazzy, acoustic, rock.
December, 2007 Updated: May 24, 2016
|My Spanish Dream Jazz, Latin, and Contemporary
by THE CHRISTINE SPERO GROUP. Lush vocal harmonies and daring arrangements of the latest Brazilian/Latin inspired pop/jazz by pianist/singer Christine Spero and her group.
November, 2007 Updated: May 22, 2016
|Grateful Singer-Songwriter, Acoustic
by Open Book. "Grateful exemplifies the low-key power of haunting melody buttressed with expansive harmony", Robert Burke Warren, Chronogram Magazine
May, 2015 Updated: September 8, 2016
|Cloud of Glory Christian, Country, and Pop/Soft Rock
by 4ever1. A collection of original worship and evangelical songs. Easy listening and inspirational.
June, 2007 Updated: May 20, 2016
|Apples of Gold in Pictures of Silver Christian, Country, and Pop/Soft Rock
by 4ever1. Christian music - easy listening / contemporary - this CD will not disappoint!
January, 2011 Updated: May 20, 2016
|READY TO RIDE Country, Americana
by LaurieAnne . An album of originals with strong country flavor, infused with splash of soul and a touch of country rock
December, 2013 Updated: May 15, 2016
|Curse of the Kill Acoustic, Acoustic, and Rock (classic)
by The Virginia Wolves. "Flower child Kelly McNally & her Organic Rock Band The Virginia Wolves are fresh-faced out of bohemia,saluting America's soldiers on this poetic 13-track album of pro-peace songs."-Sharon Nichols
February, 2009 Updated: May 13, 2016


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Wildwood 31KQBTS
2016 Forest River Wildwood 31KQBTS
- Year: 2016
- Model: 31KQBTS
- RV Type: Bunk Models, Travel Trailers,
- Stock #: Out of Stock
- Please see associate for current sale price!
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|Dry Hitch Weight
|793 lbs
|Dry Ship Weight
|7940 lbs
|10,953 lbs
|Cargo Carrying Capacity
|3013 lbs
|Exterior Length
|36ft 1in
|Exterior Height
|11ft 2in
|Exterior Width
|Fresh Water Capacity
|40 Gal
|Gray Water Capacity
|54 Gal
|Black Water Capacity
|34 Gal
|Awning Size
|Awning Size
Floorplan of the Wildwood 31KQBTS
About the Wildwood 31KQBTS
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The Wildwood 31KQBTS is one of the best travel trailer quad bunk house models on the market. The bunk room has four bunks with opposing slides, closet space, and an entertainment center making it a perfect room for kids. The camper can sleep up a total of 8 people. The 31KQBTS features a mini outdoor kitchen and electric awning. This camper is perfect for a large family looking to get outdoors.
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Insight, analysis and expert debate as key policy makers are challenged on the latest news stories. From BBC Radio 4's Today programme
October 21st, 2015
Episode 672 of 1476 episodes
'Something Inside So Strong' writer on covers of his work and what motivates him
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Welcome to the daily audio workout for your head.


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Is Bells and Whistles incorrect or missing key business information? Update your Hotfrog listing today.
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Hotfrog NewZealand provides information regarding Bells and Whistles in Tauranga Bay of Plenty. Bells and Whistles is located at 104 Muricata Avenue Mount Maunganui, Tauranga Bay of Plenty 3116 and provides Bicycle Shops services. Contact them on 07 574 6522 or by visiting them on their website http://www.bellsandwhistles.co.nz.
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Huggables Shaped Pillow Latch Hook Kit 13"X11"Latch Hook Kits
Frog Design - 13" x 11" - Pre-Cut Yarn - Mesh Canvas - Chart - Instructions - View Complete Details
Product Number: NOTM400639
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Huggables Shaped Pillow Latch Hook Kit 13"X11" - MCG TEXTILES-Latch Hook Kits: Huggables. MCG's hooked rug kits are creative and always designed to fit into today's lifestyles. Each kit contains pre-cut 100% acrylic yarn, 3.75 mesh canvas, chart and complete assembly instructions. Latch hook tool and finishing materials are not included. Design: Frog Pillow. Finished measurements: 13x11in. Made in USA.View Product Specs
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Tag: Anthony Rose
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Anthony Rose – Look At Where We Are
Listen to the single and you can download below.
Rhema Soul – Shine In The Night Ft. A.D. | Single
Listen to the single and you can click on the arrow below to download. We found this at Rapzilla.com
AD – Life After | Mixtape
Download the entire mixtape here Listen to the full mixtape below!


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Fuse Creativity System Project Guide: Fun Party Themes, Idea for Handmade Cards, And More Paper Crafts from Fiskars
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"I like this vintage style Santa graphic, but I read that the designer used a cutting machine to cut a red vinyl decal to afix to the cream painted wood board. I don't know what kind of cutting machine she is talking about and I wonder how pricey it is? I'd like an alternative to getting that Santa on there."
"This wall decor is very chic with any message you write on it! And it couldn't be easier. However, another option to using foam core board would be to actually buy an old thrift store bulletin board and spray paint it black. I think it would give the wall art a little bit more of a lived-in rustic look as the cork board adds texture and interest."
"This DIY holiday project is something that I would like to do at home myself. This craft is not for everyone's taste, but if you like a certain minimalist decorating approach and you've got a creative eye then this is for you! At first I did not even notice the picture frame in the background. It's used to attach the branch to it. Cute idea!"
Simple and Sweet Birthday Card
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Celebrate a loved one's special day with a completely unique greeting card. Use ink, gemstones and cardstock to create your own Simple and Sweet Birthday Card. Sweet and simple birthday card crafts are a great way to reach out and show you care.
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How would you like to make a bearish bet on Apple where the worst case case scenario involves you buying the stock down 10% from here? Apparently one option trader likes those odds.
So just how good a quarter will Apple have? Independent analyst Andy Zaky thinks the answer is "very good" indeed.
Cramer thinks the other Cogent makes for some great speculation.
Apple has captured a kind of perpetual motion in the market completely elusive to all others who have tried to match its performance. Monday's numbers should be a knock-out, but longer term, there simply is no better company in a better position than Apple.
Profits soared, revenue climbed and just about every other metric used to measure Google seemed strong in the company's fourth quarter. But when expectations reach fever pitch, whether realistic or not, heaven help the company that just doesn't measure up. Google didn't measure up.
When Google reports its fourth quarter numbers after the bell tonight, it's not going to be a question of whether the company beats the Street, but by how much, according to the myriad analysts I've been talking to. That's how sure they are that this company's earnings are in overdrive.
Somehow, somewhere during eBay's fourth quarter, the company turned a corner from merely talking about and trying to implement a sweeping recovery plan to seeing the fruits of its labor. The company saw a nice one-two punch of consumers swarming to online shopping, and having the strategic changes to its business plan in place to take advantage of it.
Got an intriguing email from a knowledgeable source very familiar with search dynamics involving Apple, Microsoft and Yahoo for that matter..
There are various reports this morning that Apple is ready to push Google aside as the default search engine on iPhone, in favor of Microsoft's (say it with me: Bing, Bing) Bing.
IBM's fourth quarter earnings are a testimony to the transformation this company has undergone over the past decade, and it seems like the strategy will continue to pay dividends.
Most users don't protect their phones the way they protect their PCs, which is naive. "Today the money is in figuring out how to secure mobile devices and networks, so you'll see tons of players in it and tons of players benefiting."
Celebrities are tapping into the power of social media to drive donations to help the three million people in Haiti that are desperately in need of aid.
Google's celebrated algorithms may power the Web's most popular search engine, but they have not yet been programmed to answer a call when a customer has a problem. The NYT reports.
Google may rule the Internet, but they may want to rethink their reach into retail. In its first week of sales the search giant only sold about 20,000 Nexus One units, according to mobile analytics firm Flurry.
Investors should continue to invest in defensive stocks in strong dividend sectors like telecommunications, technology and pharmaceuticals, said Willem Nabarro, head of European equities for Asia at Exane-BNP Paribas on Tuesday.
Plus, get the latest on Google's new phone, Ford's footprint overseas and more.
This was a live blog from Jim Goldman who attended a news conference at the Google headquarters in Mountain View, California where the company unveiled its smartphone, Nexus One.
Google's expected unveiling on Tuesday of a rival to the iPhone is part of its careful plan to try to do what few other technology companies have done before: retain its leadership as computing shifts from one generation to the next. The New York Times reports.
AT&T says it will no longer sponsor Tiger Woods, joining Accenture and Gillette in dropping support for the golfer after numerous allegations of infidelities.
There are some images you just don't want. And picturing co-workers who are dialing in for conference calls seems to be one of them, according to a recent study in the UK by the leading fixed-line carrier.
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H&M sweater, Zara denim shirt, leather pants, boots, Str bag, Indiana Jones hat bought in Disneyland
It was very boring without the hat...
Quedaba muy soso sin el sombrero...
12 comments:
Wow, those boots are fantastic!! I love your hat too! xoxooxoReplyDelete
You rock those heels! I'm jealous :D! Beautiful outfit babe xxxReplyDelete
the shoes are by Zara???ReplyDelete
I love your bag and great photos! :>ReplyDelete
Love te ht, it has so great colour!ReplyDelete
I love your hat and sweater. Perfect.ReplyDelete
Amazing hat! Love your shirt!ReplyDelete
Nice !!!ReplyDelete
love those boots. xReplyDelete
p.s. I'm having a giveaway on my blog for a fox tail if you'd like to check it out. xx
Awesome hat! I saw one sort of like this recently that I am still debating... to bad I can't get it at Disneyland :)ReplyDelete
pues el sombrero que de p**** madre ;) y los botines esos!!me enamore de ellos en zara...son tan geniales!!!ReplyDelete
When i first started to read about fashion and style a little, i never thought brown and black should mix...i learned quickly that if can be a solid combo....congrats on your outfit! Love the hat!ReplyDelete


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Javier Hernandez brace helps Leverkusen win after landmark goal
Javier "Chicharito" Hernandez scored twice in a 3-1 win for Bayer Leverkusen at Augsburg in the Bundesliga on Friday, easing the pressure on coach Roger Schmidt.
Despite a good 3-0 win over third-place Eintracht Frankfurt last weekend, speculation continued during the week that Leverkusen were looking for a replacement for Schmidt after an inconsistent season so far.
Augsburg made the better start but the visitors turned the game around with their quick-passing forwards and Karim Bellarabi broke...


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About this paper
This paper outlines an approach for creating a common model, security and scenario library for modeling structured, fixed-income securities and equities for use by front office, middle office and risk management teams.
Capital markets firms can gain a competitive advantage by creating a centralised risk management model and scenario library embedded within a high-performance risk management and pricing platform, linking the front office, middle office and risk management teams.
Topics covered in the paper include:
- Enhancing Front Office Capabilities
- Speeding the Velocity of Middle Office Risk Management
- Enabling Capabilities
- High-Speed Computational Environment
- Standardised Scenario Development
- Centralised Base Instrument Model Development
- Common Market and Risk Factor Data
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SAS helps 80,000 organisations around the world take their data… And do amazing things… We help organisations turn large amounts of data into knowledge they can use, and we do it better than anyone. It's no wonder an overwhelming majority of customers continue to use SAS year after year. Find out more, Why SAS?


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Zoya Minasyan, RN, MSN-Edu
Purpose Maintain a balance between acids and bases to achieve homeostasis: State of equilibrium Health problems lead to imbalance Diabetes mellitus Vomiting and diarrhea Respiratory conditions Chemotherapy- N/V
pH Measure of H + ion concentration Blood is slightly alkaline at pH 7.35 to <7.35 is acidosis. >7.45 is alkalosis.
Range of pH Fig The normal range of plasma pH is 7.35 to A normal pH is maintained by a ratio of 1 part carbonic acid to 20 parts bicarbonate.
Regulators of Acid/Base Metabolic processes produce acids that must be neutralized and excreted. Regulatory mechanisms Buffers Respiratory system Renal system
Regulators of Acid/Base Buffers: Act chemically to neutralize acids or change strong acids to weak acids Primary regulators React immediately Cannot maintain pH without adequate respiratory and renal function The buffers in the body include carbonic acid–bicarbonate monohydrogen- dihydrogen phosphate intracellular and plasma protein hemoglobin
Regulators of Acid/Base Respiratory system: Eliminates CO 2 Respiratory center in medulla controls breathing. Responds within minutes/hours to changes in acid/base. Increased respirations lead to increased CO 2 elimination decreased CO 2 in blood.
Regulators of Acid/Base When released into circulation, CO 2 enters RBCs and combines with H 2 O to form H 2 CO 3. This carbonic acid dissociates into hydrogen ions and bicarbonate. The free hydrogen is buffered by hemoglobin molecules, and the bicarbonate diffuses into the plasma. In the pulmonary capillaries, this process is reversed, and CO 2 is formed and excreted by the lungs. As a compensatory mechanism, the respiratory system acts on the CO 2 + H 2 O side of the reaction by altering the rate and depth of breathing to "blow off" (through hyperventilation) or "retain" (through hypoventilation) CO 2. If a respiratory problem is the cause of an acid-base imbalance (e.g., respiratory failure), the respiratory system loses its ability to correct a pH alteration.
Regulators of Acid/Base Renal system: Eliminates H + and reabsorbs HCO 3 Reabsorption and secretion of electrolytes (e.g., Na +, Cl ) Responds within hours to days
Regulators of Acid/Base The three mechanisms of acid elimination are secretion of small amounts of free hydrogen into the renal tubule, combination of H + with ammonia (NH 3 ) to form ammonium (NH 4 + ), and excretion of weak acids. The body depends on the kidneys to excrete a portion of the acid produced by cellular metabolism. Thus the kidneys normally excrete acidic urine (average pH equals 6). As a compensatory mechanism, the pH of the urine can decrease to 4 and increase to 8.
Alterations in Acid-Base Balance Imbalances occur when compensatory mechanisms fail. Classification of imbalances Respiratory: Affect carbonic acid concentration Metabolic: Affect bicarbonate
Respiratory Acidosis Carbonic acid excess caused by Hypoventilation Respiratory failure Compensation Kidneys conserve HCO 3 and secrete H + into urine.
Respiratory Acidosis Hypoventilation results in a buildup of CO 2 carbonic acid accumulates in the blood Carbonic acid dissociates, liberating H +, and a decrease in pH occurs. If CO 2 is not eliminated from the blood, acidosis results from the accumulation of carbonic acid. In acute respiratory acidosis, the renal compensatory mechanisms begin to operate within 24 hours.
Respiratory Alkalosis Carbonic acid deficit caused by Hyperventilation Hypoxemia from acute pulmonary disorders
Metabolic Acidosis Base bicarbonate deficit caused by Ketoacidosis Lactic acid accumulation (shock) Severe diarrhea Kidney disease Metabolic acidosis (base bicarbonate deficit) occurs when an acid other than carbonic acid accumulates in the body, or when bicarbonate is lost from body fluids. Compensatory mechanisms Compensatory mechanisms Increased CO 2 excretion by lungs Increased CO 2 excretion by lungs Kussmaul respirations (deep and rapid) Kussmaul respirations (deep and rapid) Kidneys excrete acid Kidneys excrete acid
Metabolic Alkalosis Base bicarbonate excess caused by Prolonged vomiting or gastric suction Gain of HCO 3 Compensatory mechanisms Decreased respiratory rate to increase plasma CO 2 Renal excretion of HCO 3
Blood Gas Values Arterial blood gas (ABG) values provide information about Acid-base status Underlying cause of imbalance Body's ability to regulate pH Overall oxygen status
Interpretation of ABGs Diagnosis in six steps: Evaluate pH. Analyze PaCO 2. Analyze HCO 3 Determine if CO 2 or HCO 3 matches the alteration. Decide if the body is attempting to compensate.
Normal Blood Gas Values Table Normal Arterial Blood Gas Values *.
Sample ABG Interpretation Table Arterial Blood Gas (ABG) Analysis.
Acid-Base Mnemonic—ROME R espiratory O pposite Alkalosis ↑ pH ↓ PaCO 2 Acidosis ↓ pH ↑ PaCO 2 M etabolic E qual Acidosis ↓ pH ↓ HCO3 Alkalosis ↑ pH ↑ HCO3
Interpretation of ABGs pH 7.18 PaCO 2 38 mm Hg PaO 2 70 mm Hg HCO 3 15 mEq/L What is this? Metabolic acidosis
Interpretation of ABGs pH 7.58 PaCO 2 35 mm Hg PaO 2 75 mm Hg HCO 3 50 mEq/L What is this? Metabolic alkalosis
A patient with an acid-base imbalance has an altered potassium level. The nurse recognizes that the potassium level is altered because: 1. Potassium is returned to extracellular fluid when metabolic acidosis is corrected. 2. Hyperkalemia causes an alkalosis that results in potassium being shifted into the cells. 3. Acidosis causes hydrogen ions in the blood to be exchanged for potassium from the cells. 4. In alkalosis, potassium is shifted into extracellular fluid to bind excessive bicarbonate. Question 24
Answer Answer: 3 Rationale: Changes in pH (hydrogen ion concentration) will affect potassium balance. In acidosis, hydrogen ions accumulate in the intracellular fluid (ICF), and potassium shifts out of the cell to the extracellular fluid to maintain a balance of cations across the cell membrane. In alkalosis, ICF levels of hydrogen diminish, and potassium shifts into the cell. If a deficit of H + occurs in the extracellular fluid, potassium will shift into the cell. Acidosis is associated with hyperkalemia Alkalosis is associated with hypokalemia.
Case Study 1: Jeri Jeri's been on a 3-day party binge. Friends are unable to awaken her. Assessment reveals level of consciousness difficult to arouse. Respiratory rate 8 Shallow breathing pattern Diminished breath sounds 1. What ABGs do you expect? 2. What is your treatment? 26
Case Study 1: Jeri What ABGs do you expect? Respiratory acidosis reflected by pH 45 mm Hg. The HCO 3 will be normal (20-30 mEq/L) if her respiratory depression has lasted less than 24 hours; if longer than 24 hours, the HCO 3 may be elevated as the result of compensation. The PaO 2 may be <80 mm Hg because of respiratory depression leading to hypoxemia. 2. What is your treatment? Determine the cause of the respiratory depression. If induced by opioids or benzodiazepines, treat with appropriate antagonists. If induced by alcohol or other CNS depressants, breathing must be stimulated until the effects of drugs have worn off. Mechanical ventilation may be necessary to increase respiratory rate and depth, increasing oxygenation and promoting excretion of carbon dioxide.
Case Study 2: Mayna Presented to the ED after a sexual assault Presented to the ED after a sexual assault Examination reveals hysteria and emotional distress. Examination reveals hysteria and emotional distress. Respiratory rate 38 Lungs clear 1. O 2 sat 96%What ABGs do you expect? 2. What is your treatment? Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Case Study 2: Mayna 1. What ABGs do you expect? Respiratory alkalosis indicated by pH >7.45 and PCO 2 <35 mm Hg. The HCO 3 will be normal (20-30 mEq/L) because compensation will not occur in this acute event. 2. What is your treatment? Relieve her anxiety and coax her to take slow breaths. Carbon dioxide may be administered by mask, or she may be asked to breathe into a paper bag placed over her nose and mouth.
Case Study 3: Allen 17 years old History of Feeling bad Fatigue Constant thirst Frequent urination Blood sugar is 484 mg/dL. Respirations are 28 and deep. Breath has a fruity odor. Lungs are clear. 1. What ABGs do you expect? 2. What is your treatment?
Case Study 3: Allen What ABGs do you expect? A diabetic ketoacidosis is a metabolic acidosis indicated by a pH <7.35 and a HCO 3 <20 mEq/L. The PCO 2 will be within the normal range if the acidosis is uncompensated, but will be <35 mm Hg if compensation has occurred. The PaO 2 will not be affected. 2. What is your treatment? Administration of insulin to promote normal glucose metabolism and administration of fluids and electrolytes to replace those lost because of the hyperglycemia.
Fluid volume deficit Can occur with Abnormal loss of body fluids- Diarrhea, hemorrhage, polyuria Inadequate fluid intake Shift of fluid from plasma into interstitial space Treatment Correct the underlining cause Replace the fluid and electrolyte (LR or NS isotonic solutions)
Fluid volume excess May result from excessive intake of fluid Abnormal retention of fluids(heart failure, renal failure) Shift of fluid from interstitial fluid into plasma fluid o Collaborative care o ID primary cause o Diuretics and fluid restriction o Restriction of Na intake Fluid excess may result to ascites or pleural effusion, and paracentesisi or thoracentsis may be necessary.
Commonly prescribed crystalloid solutions Dextrose in water 5% isotonic 10% hypertonic Saline 0.45% hypotonic 0.9% isotonic 3.0% hypertonic Dextrose in Saline 5% in 0.225% isotonic 5% in 0.45% hypertonic 5% in 0.9% hypertonic Multiple Electrolyte Solutions Ringer's solution- isotonic, includes CL, Na, K, Ca Lactated Ringer's solution- isotonic-Na, K, Cl, Ca, and lactate(the precursor of bicarbonate)
CVADs Catheters placed in large blood vessels of people who require frequent access to the vascular system Subclavian vein, jugular vein Three different methods Centrally inserted catheter(by MD) Peripherally inserted central catheter Implanted ports( by MD)
CVADs Permit frequent, continuous, rapid, or intermittent administration or monitoring Indicated for patients with limited peripheral vascular access or need for long-term vascular access
Centrally Inserted Catheter Inserted into a vein in the neck, chest, or groin with tip resting in the distal end of the superior vena cava Single, double, triple, or quad lumen Nontunneled or tunneled
Central.Venous Catheter
Copyright © 2011, 2007, 2004, 2000, 1996, 1992, 1987, 1983 by Mosby, Inc., an affiliate of Elsevier Inc. PICC Central venous catheters inserted into a vein in the arm Single or multilumen, nontunneled For patients who need vascular access for 1 week to 6 months Complications include catheter occlusion and phlebitis.
Implanted Infusion Ports Central venous catheter connected to an implanted, single or double subcutaneous injection port Port is metal sheath with self-sealing silicone septum.
Implanted Infusion Port
Port accessed with special Huber-point needle Advantages Good for long-term therapy Low risk of infection Cosmetic discretion Care requires regular flushing. Complication: (table page 330) Cath occlusion(kinked, precipitate build up) Embolism( dislodgment of thrombus, air entry, cath breaking) Cath related infection Cath Migration
Nursing Management Inspect catheter and insertion site. Assess pain. Change dressing and clean according to institution policies. Change injection caps. Flushing is important. Catheter and insertion site assessments include inspection of the site for redness, edema, warmth, drainage, and tenderness or pain. Observation of the catheter for misplacement or slippage is important. Transparent dressing or gauze may be used. Discuss cleaning techniques with chlorhexidine-based preparations, povidone-iodine, and isopropyl alcohol Teach the patient to turn the head to the opposite side of the CVAD insertion site during cap change. Flushing: Use a normal saline solution in a syringe that has a barrel capacity of 10 mL or more to avoid excess pressure on the catheter. If resistance is felt, force should not be applied.
Removing CVADs Should be done according to policy and procedures. Gently withdraw. Apply pressure. Ensure that catheter tip is intact.
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- Affiliations:
1 Department of Electrical Engineering, Technical University of Denmark
2 Electromagnetic Systems, Department of Electrical Engineering, Technical University of Denmark
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- About Us
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Welcome to Port Phillip EcoCentre!
The EcoCentre is a vibrant community hub, reconnecting people to the natural world and building relationships to inspire, educate and demonstrate.
West Beach St Kilda, Port Phillip EcoCentre, Youth Wildlife Ambassador
Win Top Honours at Keep Australia Beautiful National 'Clean Beaches' Awards
Read the full details: EcoCentre Media Release and Keep Australia Beautiful Media Release. And lovely words from the judges in the Winners Booklet.
- Overall Winner, National Clean Beaches Awards - West Beach VIC
- Young Legends - Gio Fitzpatrick (co-winner)
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Clean Beaches overall winner West Beach, Saint Kilda is a popular recreation spot in an urban environment in close proximity to one of Australia's busiest ports.
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Thank you to Cr Gross and Cr Baxter for their support on the night!
Port Phillip Cr Dick Gross, student Mitch Watson, EcoCentre EO April Seymore, Bronnie Walsh, Graham Chappell of 3182BeachPatrol and Earthcare St Kilda, Youth Wildlife Ambassdor Gio Fitzpatrick, Anthony Gallacher, Port Phillip Baykeeper Neil Blake. Not pictured: Port Phillip Cr Tim Baxter.
2015-2016 Annual Report
Read about our achievements, dynamic partnerships, awards and environmental successes in our 2015-2016 Port Phillip EcoCentre Annual Report. Print copies are available at the EcoCentre.
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A Little Bit of Litter Really Matters!
The EcoCentre's Turn Off the Tap project (funded by the state government's Litter Hotspots Program) works with schools, community groups and councils on a range of litter education, prevention and clean-up projects to stop litter from entering storm water drains and impacting the Port Phillip Bay catchment.
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New Release: Urban Wildlife, more than you thought
Watch our latest video on urban ecology in the local neighbourhood. Narrated and filmed by our award-winning Youth Wildlife Ambassador, Gio Fitzpatrick. Produced by our Educator, Sharron Hunter.
This was filmed around local Elster Creek aka Elwood Canal, a built-up inner city area. There's (unexpectedly) so much biodiversity to see, hidden in our own backyards!
We're regularly running events all around Port Phillip Bay. These are group activities that are perfect for all the family including young children. We'd love you to join us or get your school involved by contacting firstname.lastname@example.com. Come to our next Urban Safari or learn how to do Citizen Science on your local beach.
You can easily subscribe to our youtube channel EcoTV to be alerted to new videos.
The EcoCentre acknowledges the Yalukit Willam clan of the Boon Wurrung language group, traditional owners of the land on which we are located. We pay respects to their Elders past and present, and extend that respect to other Aboriginal and elder members of our multicultural community.
We proudly work in partnership with Arweet Carolyn Briggs and the Boon Wurrung Foundation.
Upcoming Events
24 March 2017 - 8:45amMelbourne Zoo, Parkville
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Why I went from using affirmations to using questions
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Hi, any one ever had a fried velineon motor take out the reverse in there vxl-3s?
CarGuy7a was correct in diagnosing my sick 3500. But then I put my fresh 3500 vel,on on have no reverse.
No its not in race mode. Tried all three modes.
Had reverse at first, then it attempted,or seemed like it wanted to reverse, now all gone with both motors.
Since purchasing the pair is far cheaper,I Guss that's what ill do? Than keep the old one(esc) for racing only.
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you may be suffering from sticky button syndrome.
Yes I tried that to.But thank you, seemed like it was having trouble sensing neutral position, the light said it should be in reverse,oh well, its tired,guess when you by used you never know.
Was going to keep it for racing,no need for reverse,but thought if i burnt another 3500, I would breaking more than the truck.
Well live and $$$$$SPEND!! At least with new you know what you got.
Must have been, just but new velineon esc and motor,runs great!
funny thou,my pro line with a 19 tooth, seems to be slower out of the hole, than my traxxas stock trans, with a 21 tooth.
In fact the pro line seems just plain slower!
Must need a few more runs to loosen up,plus it 29 degrees out side,sure the fluid needs to warm up. didn't run it that long.
both 86 tooth spurs.


text:
Used Bentley cars for sale in Camden
We currently have 1 used Bentley car available in Camden. With the widest range of private and trade Bentley cars available in Camden, you have access to the biggest choice and the best prices.
Feel free to browse our selected vehicles, further refine your search, and find your perfect car.
Latest second hand Bentley cars for sale in Camden
|Showing 1 result
Bentley Continental 6.0 GTC 2dr
2007 (07 reg) Convertible
First owner was dealership, I bought the car at 6000 miles and have had it garaged for the past 8 years with all services done by Jack Barkleys., Car is like new, probably the best …
Not found what you were looking for?
We currently have: 1 Used Bentley car available in Camden on Auto Trader


text:
Riley's past isn't something most kids go through. Bad things happened, but when she got older, her dad decided it was best to move, and get away from something that seemed to haunt Riley. They moved from Arizona to California. About 1/4 into her junior year, Riley had to go to a new school, and make new friends. She didn't really care about having friends though, as long as she was able to play soccer, she would be okay.
Soccer had always been there for her, when her mom died, when she didn't have anyone else, when she was in a bad mood. It was always there for her to play. She didn't need anyone else.
That changed when she met Brooke Eckmann. Brooke is also a junior in high school, and is the varsity teams goalie. When they first meet on the field, it was something different. She couldn't stop thinking about her. It was something both of them had never felt before.
Things start to happen, and all of a sudden soccer isn't the only thing there for Riley, someone else is too.
That is just a vague idea of what this story will be about, read more to find out what all happens and if the two will be together in the end. Thanks and enjoy.
Note: This story has not been edited yet. Once I've completed the story I will go through the chapters and fix the mistakes.
SkullAmongTheStars Jun 18, 2016
That's how I feel about cricket but I makes me forget about stress from coming out
BebeT247 Oct 08, 2016
Aww😍thats how i feel about food and doing absolutely nothing at home while procrastinating 🍕🍗🍟🍔
yzarcem Jun 26, 2016
You got to have money cause the houses in cali are so dam expensive
Breadwinner4 Dec 21, 2016
Omg Sam Carson is in this book and if y'all know who that is read Assisting Miss Adams
Ecstatic97 Sep 12, 2016
I enjoy reading books that involve soccer and girls 😍😍😍😍😍
jobogan Jan 02, 2016
That's the same year I really started playing soccer too! Omfg so relatable :')


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Comentarios de clientes
Maravilloso Aleación Tiaras #042015966
Precio regular:
€ 18.97
Ahorro € 9.48
Comentarios de clientes: Deje su comentario
Beautiful! This tiara is not cheap looking or flimsy....it is a nice solid head piece and looks way more expensive than it was!
My Tiara is beautiful... I can't wait to wear it... Thanks
This elegant alloy tiara is so beautiful and I like it so much. I am so satisfied with your website as you have fast delivery and good customer service.
My grand daughter used this gorgeous tiara on her sister's wedding. She was the angel on the holy wedding. The wedding moves so smoothly and our family loves your website a lot. We have spread goods news of your website to our every friend.
I have received the tiera it's just gorgeous My daughter loves it thank you JoAnna
Love Love Love Love the item ordered in JJsHouse very much. the tiara is very beautiful, more beautiful than the picture showed.Very satisfied with the shopping here, and it is just what I want for my wedding
The tiaras is beautiful and shining. I will use it on my wedding day to match my wedding veil. My firend says it is worth buying, because it is very cheap. They also want to buy something from you.
I received my Tiara and was very amazed to know it was worth ordering and not expensive at all. The quality was wau better than I expected
i had order these for my maid of honor and bridesmaids and also my flower girl. they are made very well and are so very pretty . i would buy these again . and they dont look cheap or cheesy .
The gemstones are so clear, they are nicer than the ones in the online pictures , i want to thank you for your speedy delivery too
€ 34.98€ 24.98 Ahorro € 10.00
€ 57.95€ 28.97 Ahorro € 28.97
€ 64.96€ 34.97 Ahorro € 29.99
€ 8.00€ 3.99 Ahorro € 4.01
€ 69.96€ 39.97 Ahorro € 29.99
€ 19.97€ 9.98 Ahorro € 9.98
€ 25.98€ 19.48 Ahorro € 6.51
€ 1.00€ 0.84 Ahorro € 0.15
€ 39.98€ 19.23 Ahorro € 20.74
€ 9.99€ 7.99 Ahorro € 2.01
€ 7.00€ 4.89 Ahorro € 2.11
€ 15.99€ 8.98 Ahorro € 7.01


text:
A show where some random creatures from Youtube will talk about various stuff ranging from gaming, machinima, and whole lot of random other crap that usually is pretty entertaining. Oh yeah, we also take calls from people and ridicule them mercilessly.
Parental Advisory
December 5th, 2015
Episode 153 of 160 episodes
Two massive trailers drop this week, so The Creatures discuss both Batman V Superman and Captain America: Civil War! Jordan also brings in plenty more biased reporting to the mix.
You'll need to sign in to write a comment.
Welcome to the daily audio workout for your head.


text:
Product Description
Benzara Modish Glass Bottle 18235
Wish to give a vintage theme to your home bar? This glass bottle will probably help you do so in the most beautiful way. This glass bottle here is the exact replica of a vintage wine bottle. Made from quality glass, it will remain in prim condition for years together. Keep it on the counter or on the dining table, wherever placed it will win you praises from many. An attractive decor by itself, you can enhance its beauty by placing colorful flowers. Placing artificial stems in it too would make it look adorable. This glass bottle will help you add an entertainment factor in the dullest place. Guests and other visitors will marvel at the sight of this glass bottle and will want to own a similar one for their house as well. This glass bottle can also be a part of the side and console table in the living room, entryway etc. Easy to maintain, a brilliant bottle like this one is certainly not worth missing. So, bring it home today!
- Manufacturer: Woodland
- Brand: Benzara
- Category: Home Accent
- Finish: Translucent
- Assemble Required: No
- Ship Type: Small Package
- Country Of Origin: Spain
- Upc Code: 758647182350
- Weight: 4 Lbs
- Shipping Dimensions: 18L x 13W x 13H Inches, Weight: 6 Lbs
- Dimensions:
- 12 L x12 W x18 H Inches
- Features:
- Color: Translucent
- Finish: Translucent
- Material: Glass
Additional Information
Additional Information
|Free Shipping
|Delivery Type
|Fedex/UPS Drop off Delivery (If bought alone ) without Appointment / For large quantity, LTL Curbside Delivery with appointment
|Delivery Time
|2-3 Weeks
Product Tags
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Home ›
Santo-Domingo-Oeste Birthday Gift Baskets
85 items found
You can send Birthday Gift Baskets to Dominican Republic in the following cities.
What our Customers Say about our Service
"Used their service for the first time and was immediately impressed by their professionalism (received a phone call soon after order was placed to confirm details) and the subsequent delivery of my gift (To Split, Croatia) was as requested. The gift itself was exactly as described and pictured in the catalogue and of the highest standard. Would highly recommend to anyone requiring overseas gift delivery."
Danny - Australia - Mar 3, 2011
"I had some problems with the delivery but not because of the company or your service: the phone of my grandmother was not working but I sincerely appreciate doing your very best to deliver on Saturday, 8pm and very prompt communication during the process. Thank you very much for such a great service that allows to reach the loved ones from overseas. I will certainly use your service again! "
Julia M - Auckland, New Zealand - Sep 29, 2015
"When I did the order I was bit suspicious... But then I received a picture from my boyfriend extremely happy telling me he had received a gift! And it was delivered exactly as I ordered and the products were very good and fresh! Thank you giftbasketsoverseas!"
Joana F - Valongo, Portugal - Oct 16, 2015
"I am so impressed with the service. Was punctual and they did everything they could to make it on time. They even went out of their way when the phone number was not working to try other means to contact the recipient. Will always use this company for my international and local gifts. I strongly recommend this company to everyone I know that is looking for gift delivery or any other service they provide."
Ben Mason - New York, NY - Jan 7, 2013
Read more testimonials or leave your feedback here.


text: Back in end of 2010 I lost twins so suddenly and the only time I cried was when leaving the hospital after that I just pretended to be ok just so my family wouldn't keep asking if I was ok. February 2011 I had a missed mc and that was horrible I wanted to wait for my body to take care of it so I didn't have to go to that hospital again, a week and a half later I was rushed into surgery with a infection. I never grieved then for the same reason but I distanced myself from everyone because I felt like a horrible failure. New Years Eve 2011 I found out I was pregnant again at the time we were doing a tri state driving holiday with our children so I couldn't get to a Dr, while away I suffered 2 bleeds and thought for sure it was over but after we go home we found the baby was fine. I bled the next month as well but again baby was fine. 2nd trimester I bought a Doppler for reassurance and in the 3rd trimester my liver starting failing due to the hormones where if everything wasn't balanced right then it could of been fatal for both baby and me. August 2012 we welcomed our 3rd child a 2nd son and he was perfect except for a calcium deficiency but 2 weeks of medication fixed that. Still convinced he would be taken I became obsessed with SIDS and was convinced he would be taken, I got help and put on meds and got better. I was fine until the month of May, our twins would of been celebrating their 2nd birthday and that realisation has hit me hard and I am finding I am now grieving and I can't tell anyone because I feel guilty because we have our little bug and I am so grateful that we have him and really couldn't imagine life without him but if the twins had survived we wouldn't have him. So I am grieving and being swallowed by guilt and don't know how to handle it. I hide in the toilet to cry so no one sees me, I don't sleep and have become so run down I have gotten a auto immune virus that has ulcers popping up everywhere. I don't even know why I have written this post, just to get it out I think. Sorry if there are any spelling or grammar mistakes this was typed very quickly


text:
The overall click fraud rate for Q4 2010 fell to 19.1 percent, down from 22.3 percent in Q3 2010 but still higher than 15.3 percent in Q4 2009, according to the latest Click Forensics data.
Click Forensics also warns of a new malware scheme targeting display banner ads. A "sophisticated" program increases impressions by rotating banner ads every 10 to 15 minutes.
"We are investigating the malware-driven attacks in more detail, but early evidence points to an impression inflation scheme," Paul Pellman, CEO of Click Forensics, said in a press release. "It's something we will examine more closely and report on later this year."
Outside of North America, the countries that produced the most fraudulent traffic were Japan, The Netherlands, Philippines, Sweden and France.
Click Forensics' data is based on advertising campaigns on search engines, comparison shopping engines, online publishers, and social networks from more than 300 ad networks.
For more on click fraud, check out these Search Engine Watch articles:
- Click Fraud Rising – Should You Be Concerned?
- Click Fraud: What Is Your Ad Network Doing About It?
- Click Fraud Not Dead Yet
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text:
Watsons Practical Applications in Health Care
The IBM team has been working for four years to get to this point, but the company has some ideas of how to turn Watson into practical applications in areas such as health care, tech support and business analytics, Ferrucci said. The system can listen to patients describe their ailments and co-relate it against all the medical journals and relevant information, to come up with a list of potential diagnoses, Katharine Frase, vice-president of industry solutions and emerging business at IBM Research, told eWEEK. Eight universities collaborated with IBM Research to "advance" the Deep Q&A technology powering Watson, according to IBM. The institutions include Carnegie Mellon University, Massachusetts Institute of Technology, University of Texas at Austin, University of Southern California, Rensselaer Polytechnic Institute, University at Albany, University of Trento in Italy and University of Massachusetts Amherst. Each team will be focused on different aspects, such as the MIT team's work that allows Watson to break down the question into parts and process concurrently, and the CMU team's work on the computer's answer-scoring algorithm, IBM said.
Only the first round was broadcast, with the remaining Double Jeopardy and Final Jeopardy scheduled for Tuesday. The final game will air on Wednesday. The tournament was taped at the IBM research center in Yorktown Heights, N.Y. in January, but Jeopardy and IBM has managed to prevent the final outcome from leaking. The winner will take home the grand prize of $1 million (and bragging rights) which IBM has said will donate to charity if Watson wins.
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text:
Dorate Metal Ring Mesh - Chinaprice: contact company for price
decorative metal mesh which is widely used in the interior and exterior
Metal ring mesh is manufactured with stainless steel wire, brass wire, copper wire and low carbon steel wire. The stainless steel wire make the metal ring mesh be long lasting and durable. The copper and brass metal ring mesh with their beautiful surface can be used in more applications.
The metal ring mesh can be divided into chain braided metal ring mesh and S hook metal ring mesh.
Chain braided metal mesh has durable and firm structure: each independent ring enclosures four rings. And the S hook metal ring mesh refers to the ring mesh is connected by the S hook. The wire of S hook metal ring mesh can be flat wire and round wire. There is a special structure of S hook metal ring mesh which has two sizes of ring meshes.
Metal ring mesh is widely used in the architectural constructions, such as space divider, window curtain, wall decoration, facade cladding. It can also be used as cast iron cleaner, protective gloves and other functional tools.
Material: stainless steel wire, copper wire, brass wire and low carbon steel wire.
Wire diameter: 0.7mm - 3mm.
Outer diameter: 7.0mm - 30mm.
Mesh width: 3000mm.
Mesh length: standard is 15m.
Mesh type: chain braided metal ring mesh and S hook metal ring mesh.
Company Contact:
- Posted By: Dorate Metal Fabric Company
- Phone: 8631859523154
- Address: NO. 151 Qiaofen road, Anping County, Hengshui City, Hengshui, China
- Email:
- Website: http://www.metal-fabric.com
Published date: February 9, 2015 -
- Business Description: Metal Coil Drapery
Aluminum Chain Curtain
Metallic Fabric Cloth
Metal Ring Mesh
Crimped Architectural Mesh
Cable Metal Mesh
Conveyor Belt Mesh
Architectural Rigid Mesh
Metal Fabric For Ceiling Decoration
Metal Fabric For Space Divider
Wall Decoration
Handrail And Balustrade
Facade Cladding
Window Treatment
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text:
Top Definition
To work on a computer or phone
I spent all day at work click clacking.
by dmbpoetic November 30, 2011
The Urban Dictionary Mug
One side has the word, one side has the definition. Microwave and dishwasher safe. Lotsa space for your liquids.Buy the mug
The Urban Dictionary T-Shirt
Smooth, soft, slim fit American Apparel shirt. Custom printed. 100% fine jersey cotton, except for heather grey (90% cotton).Buy the t-shirt


text:
On Second Thought is a one-hour, daily news talk show that airs at 9 a.m. ET weekdays.
Uncover family mysteries about two legends of hip hop through the use of DNA technology. Tuesday, February 28 at 8 PM
More than 500 new career opportunities are coming to Georgia as Pratt & Whitney announce a major expansion.
The GHSA state championships for football are right around the corner. There are 16 teams left on the road to the Georgia Dome and by late Saturday night all eight champions for 2016 will be... MORE
GPB Passport is the new member benefit that provides you with extended access to an on-demand library of quality local and national public television programming, including tens of thousands of hours of your favorite programs.
Class 5A state championship contenders, the Stephenson Jaguars and the Creekside Seminoles, meet for the first time ever this Friday night in the week four edition of Football Fridays in Georgia on GPB. Fifth-ranked...


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Hotfrog NewZealand provides information regarding Hamish Tennent. Hamish Tennent provides Furniture Design services. Contact them on +64 21 067 0953 or by visiting them on their website http://www.mynameishamish.com.
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In light and in love, enter! My name is Phelan, I am a white witch and root worker located in Atlanta, GA. I have clients from all over the world and have worked with them in Modesto, CA or Omaha, NE, magic knows no boundaries for it to bring magical change to your life; magic is energy capable of reaching anybody, anywhere; therefore, where you live in conjunction with me is unimportant, but if you live in Atlanta we can arrange a meeting for a consultation or a psychic reading. Simply create an account to contact me online or call me at 678-918-3333, I can also assist you with wiccan herbs for protection, herbs for protection spells, amulets for shielding, and herbs to attract love.
I can also provide magical help with Gay Sex Spells or Gay Spells, just about any situation can be dealt with magic. My specialty is customizing the energy needed for Gay Wicca and performing rituals on behalf of my clients.
A psychic reading of a picture, article of clothing or a piece of jewelry is called psychometry, which is an esoteric art that provides valuable insight to the past, present or future of a client, bring the items you need information on with you to our appointment.
I look forward to working with and aiding you in effecting the positive change within your life that you desire, need and deserve!
Blessed Be, Phelan


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Students learn how civil rights activists, state and local officials in the South, and the Administration of President Kennedy come into conflict during the early 1960s.
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