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The probability of survival (PS) in blunt trauma as calculated by Trauma and Injury Severity Score (TRISS) has been an indispensable tool in trauma audit. The aim of this study is to explore the predictive performance of the latest updated TRISS model by investigating the Age variable recategorisations and application of local Injury Severity Score (ISS) and Revised Trauma Score (RTS) coefficients in a logistic model using a level I trauma centre database involving Asian population.
Methods Prospectively and consecutively collected 5684 trauma patients' data over a 10-year period at a regional level I trauma centre were reviewed. Four modified TRISS (mTRISS) models using Age coefficient from reclassifications of the Age variable according to their correlation with survival by logistic regression on the local dataset were acquired. RTS and ISS coefficients were derived from the local dataset and then applied to the mTRISS models. mTRISS models were compared with the existing Major Trauma Outcome Study (MTOS)-derived TRISS (eTRISS) model. Model 1=Age effect taken as linear; Model 2=Age classified into two groups (0–54, 55+); Model 3=Age classified into four groups (0–15, 16–54, 55–79, 80+) and Model 4=Age classified into two groups (0–69, 70+). Performance measures including sensitivity, specificity, accuracy and area under the Receiver Operating Characteristic (ROC) curve were used to assess the various models. The cross-validation procedure consisted of comparing the PS obtained from mTRISS Models 1 and 2 with the PS obtained from the MTOS derived from eTRISS.
Results A 5147 blunt trauma patients' dataset was reviewed. Model 1, where Age was taken as a scale variable, demonstrated a substantial improvement in the survival prediction with 91.6% accuracy in blunt injuries as compared with 89.2% in the MTOS-derived TRISS. The 95% CI for ROC derived from mTRISS Model 1 was (0.923, 0.940), when compared with the hypothesised ROC value 0.886 obtained from eTRISS, it clearly indicated a significant improvement in predicting survival at 5% level. Furthermore, ROCs have shown clearly the superiority of Model 1 over Model 2, and of Model 2 over MTOS-derived TRISS. The recategorisation of the Age variable (Models 3 and 4) also demonstrated improved performance, but their strength was not as intense as in Model 1. Overall, the results point to the adoption of Model 1 as the best model for PS. Cross-validation analysis has further assured the validity of these findings.
Conclusions The present study has demonstrated that (1) having the Age variable being dichotomised (cut-off at 55 years) as in the eTRISS, but with the application of a local dataset-derived coefficients give better TRISS survival prediction in Asian blunt trauma patients; (2) improved performance are found with certain recategorisation of the Age variable and (3) the accuracy can further be enhanced if the Age effect is taken to be linear, with the application of local dataset-derived coefficients.
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The probability of survival (PS) as calculated by Trauma and Injury Severity Score (TRISS) has been an indispensable tool in trauma audit, and since its introduction in 1987 by Boyd and colleagues,1 it continues to be the most commonly used tool for benchmarking trauma outcome. However, TRISS had been faced with criticisms in terms of its accuracy and inappropriate use of coefficients2–6 since its revision by the American College of Surgeons Committee on Trauma coordinated Major Trauma Outcome Study (MTOS).7 ,8 One important argument was against the dichotomised Age variable at 55 years in the TRISS methodology, which was not clearly addressed in the original publication.1 ,7 As traumatology is evolving into a geriatric discipline, and more reports have indicated that hospitalisation rates for trauma increases with age,9–11 age has represented an independent predictor of survival in the trauma population.12 ,13 In addition, external validation of MTOS PS on a population with very different population characteristics provides evidence that data-derived PS are robust to case-mix variation, which has been proven by studies in the UK and Canada.14 ,15 It is possible that age misclassification may have led to an underestimation of injury severity in these patients.16 Many studies, thus, have emerged to claim that the predictive performance of TRISS can be improved by reclassifying the variables and even treating the categorical variables nominally,16 ,17 although evidence in this area remained lacking. There is also literature suggesting that local database-derived coefficients might further enhance the predictive power of TRISS.18 ,19 Nonetheless, whether or not this argument still stands after the latest updated TRISS coefficients published in 20108 remained to be elucidated. So far, a large amount of effort has been devoted to improving TRISS based on comparing western databases with the old version of MTOS-derived TRISS,7 but research work on comparing Asian populations with the latest TRISS and its updated coefficients8 have been scarce. This study is, therefore, aimed to verify whether the latest updated MTOS-derived TRISS model can be improved by Age-variable recategorisations and application of local Injury Severity Score (ISS) and Revised Trauma Score (RTS) coefficients in a logistic model using a level I trauma centre database involving Asian blunt trauma patients.
The Queen Elizabeth Hospital (QEH) trauma database was comprised of more than 5600 trauma patients' data collected over a 10-year period (2000–2010) at a regional level I trauma centre in Hong Kong. Patient data included Emergency Department admission vital parameters, type of trauma, Glasgow Coma Scale (GCS), ISS, RTS and age. All records were individually reviewed by a single trauma specialty dedicated nurse, and the ISS and RTA were subsequently calculated. ISS is computed as the sum of squares of the highest Abbreviated Injury Scale in three body regions.20 ,21 RTS is given by weighed combination of respiratory rate, systolic blood pressure and GCS.22 Trauma outcome including survival or mortality was based on assessment at discharge, or 90 days, whichever was earlier. Survival of the patients were computerised and entered into a hospital database, which was also linked up to the regional death registry, hence, there was high precision of survival status imputation. As only retrospective anonymous data are stored, ethics committee approval was not required for this study.
The TRISS model
The original TRISS model has two separate specifications on coefficients for adults above or equal to 15 years of age, namely injury sustained from blunt or penetrating mechanisms. TRISS coefficients will give the PS as a result:where b=b0+b1(RTS)+b2(ISS)+b3(Age)
This study focused on the evaluation of TRISS survival prediction in blunt trauma patients and, hence, only the 'blunt injury' specifications of the TRISS were included for comparison.
The initial part of the study investigated the relationship of Age-variable modification and trauma survival. The dependent variable was the survival of patient at discharge, or 90 days from admission. The independent variables were different categorisations of Age. The justification to use of Age as a scale variable was tested by the Box–Tidwell Test. Also, logit residual (after fitting RTS and ISS as covariates in logistic regression) was plotted against Age to assess the linear functional form of the Age effect. Subsequent to this initial analysis, four new models with modification of the Age variable in the original TRISS formula would be derived from logistic regression and would be prefixed as mTRISS Models 1–4 in this study. New coefficients for b0 (constant), b1 (ISS) and b2 (RTS) developed from the QEH dataset were employed to calculate the probability of survival in the four new mTRISS models. The performance of the mTRISS models was then compared with the existing MTOS TRISS model, abbreviated as eTRISS, after imputation of QEH patients' survival status. The eTRISS utilised the latest updated coefficients published by Schluter and coworkers8 to calculate the probability of survival of blunt trauma patients in the QEH dataset. mTRISS Model 1 treated Age as a scale variable. Model 2 represented the MTOS formula except with local coefficients applied. Model 3 recategorised the Age variable into four groups (0–15, 16–54, 55–79, 80+). Model 4 recategorised the Age variable into two groups (0–69, 70+). These models allowed evaluation of the effect of different recategorisation of the Age variable and the application of local dataset-derived coefficients on the survival prediction performance relative to the latest updated MTOS TRISS methodology.
Internal validity was evaluated by discrimination and calibration. Discrimination of the predictive ability of each mTRISS model was assessed on the eTRISS model using the Receiver Operating Characteristic curves (ROC). The Area under the ROC (AUC) would represent the sensitivity and specificity of the model and shows the ability of the model to distinguish between positive and negative outcome, its value varies between 0.5 (no accuracy) and 1.0 (perfect accuracy). AUC 95% CI were calculated, and significant difference was detected if the 95% CI did not cover the hypothesised value (AUC derived from MTOS). Hosmer–Lemeshow Goodness-of-Fit Test also applied to assess the adequacy of the fitted mTRISS models.
To assess the validity of the results, Kappa-fold cross-validation procedure was conducted to validate the PS derived from the representative mTRISS models (Models 1 and 2). The advantage of K-fold cross-validation was that all the samples in the dataset were eventually used for both training and validating. K=3 (ie, threefold) was chosen after taking into consideration the size of data, percentage mortality and avoidance of overlapping use of subset data to estimate the parameters. In threefold cross-validation, the data were first partitioned into three nearly equal-sized folds. Subsequently, three iterations of training and validation were performed such that one fold was used for validation while the remaining two folds were used as training data. Model prediction performance was likewise evaluated with the ROC and AUC 95% CI. In general, if average coefficients derived from the training subsets and the corresponding average prediction performance measures agree closely with those derived from the entire QEH dataset, the use of the coefficients derived from the QEH dataset can further be assured due to this cross-validation analysis. Comparisons between categorical variables were made using the χ2 test. Statistical analysis was performed using IBM SPSS 20.0 for Windows.
Over a period of 10 years, there were a total of 5684 anonymous trauma cases in the QEH dataset and 5147 (90.5%) cases were secondary to blunt injuries (table 1). Patients of Chinese ethnicity contributed to the majority of the dataset (92.5%), while the remaining was composed of other Asian ethnicities (7%), and Caucasian accounted for only 0.5% of the study population. Missing data accounted for 0.02% (1 out of 5147) of the database, and such missing data were excluded from the corresponding analysis. All the component TRISS variables, as well as the survival status were available in the hospital dataset. Intubated patients were given the best score on the GCS before their intubation, and the lowest score of 3 represented unrecordable GCS. Similarly, GCS was assessed before the patient became sedated, or else the lowest score of 3 was given if GCS could not be recorded after sedation. Overall mortality in our dataset was 11.9%. The percentages of overall and blunt trauma patients over age 55 years were 38.3% and 40.6%, respectively. The majority of trauma patients were male accounting for 69% of cases, and the most common mechanism of injury was road traffic accidents (35.6%) (table 2), followed by domestic injuries (31.6%), and then assault cases (14.3%). The mean ISS, which represented the anatomical description of the severity of injury, was 12.62.
As an initial exploration, the relationship between different Age categorisation with the survival of blunt trauma patients is presented in table 3. Models 2–4 have shown that survival was negatively associated with increasing age, as illustrated by the negative sign in the Spearman rank correlation. In particular, such correlation changed from −0.271 (Model 2) to −0.300 and −0.308 (in Models 3 and 4, respectively). These findings suggest that revised Age categorisations are potentially useful in improving the discriminative power of the Age variable when applying the TRISS model. In addition, taking the Age as a scale variable (Model 1) is considered as a viable alternative that can demonstrate competitiveness with those Age-categorised models.
To assess the linear functional form of the Age effect, figure 1 gives the plot of Logit Residual versus Age, after running the logistic regression model with ISS and RTS as covariates. The fitted linear regression line was found: Logit Residual=2.593–0.047 ×Age, with significant linear Age effect (p value<0.001). In addition, the Box–Tidwell test did not give a significant Age*ln(Age) effect (p value=0.408) when having the extra term Age*ln(Age) in addition to Age in the logistic regression analysis. Summing up, no departure from linearity was detected for the Age variable and, hence, the linear Age functional form in the logistic regression was justified.
The b coefficients on blunt trauma for the TRISS models obtained from QEH dataset are presented in table 4. These new coefficients were acquired, using logistic regression analysis on the ISS and RTS scores in the QEH dataset. Together with the new Age coefficients developed from the logistic regression analysis, the Survival Prediction (PS) can be calculated from each mTRISS models. The accuracy and internal validity of the mTRISS models were assessed using a ROC analysis and their corresponding 95% CI.
Latest updated MTOS8 b coefficients were derived directly from the covariates: (RR, SBP, GCS, ISS, Age), where Age is in two groups (0–54, 55+). The recommended logit prediction equation (eTRISS model)8 for adult blunt mechanism injuries was: 1.6494+0.0095×RR+0.4260×SBP+0.6307×GCS−0.0795× ISS−1.6216×Age.
Analysis of sensitivity, specificity and accuracy in the four mTRISS models and eTRISS model showed that Model 1, where Age effect was assumed linear, demonstrated a substantial improvement in the survival prediction when QEH dataset was imputed with 91.6% accuracy (table 5). This result was further supported by the AUC (figure 2). The eTRISS ROC value derived from MTOS was 0.886 for blunt injuries, whereas the ROC 95% CI generated from mTRISS Model 1 was 0.923–0.940 for blunt injuries. Clearly, the ROC 95% CI did not cover the hypothesised value in both cases, implying that the proposed mTRISS Model 1 is significantly better than the eTRISS in predicting survival at 5% level. The accuracy of Model 1 consistently showed superiority over the other models in blunt trauma survival prediction (table 5). In addition, the best calibration was obtained from Model 1 as it was found to fit the data adequately in predicting survival according to the Hosmer–Lemeshow goodness-of-fit test.
Information about the cross-validation analysis using the k-fold cross-validation procedures is provided in tables 6⇓–8. Three non-overlapping subsets of data with specified sample size were randomly generated with the aid of the data function in SPSS. Table 6 shows the similar baseline characteristics of the three subsets of data obtained from the QEH dataset for training and validation purposes. Among the three data subsets, no significant differences were found for variables Age, Sex, ISS and Mortality. Only Models 1 and 2 were taken in this cross-validation analysis. Model 2 is essentially the MTOS TRISS model, but applying locally derived coefficients. Model 1 has shown its superiority over the recategorised Age Models 3 and 4. Table 7 shows the average coefficients estimated from the training data subsets as compared with those estimated from the full dataset. In general, both sets of results agreed closely with each other. Furthermore, the assessment according to prediction accuracy measures in table 8 showed there was effectively no difference between the AUC of Models 1 and 2 in the threefold (average) and in the full dataset (0.931 vs 0.932 in Model 1 and 0.919 vs 0.920 in Model 2).
TRISS has been a widely used method in day-to-day trauma management, auditing, as well as research.15 ,23–27 Its validity has been proven by publications worldwide following its introduction in the 1990s.24 ,28–32 Despite this, many have tried to improve on this model by introducing new and more complex methodologies. Some added factors were associated with survival, such as vital parameters on admission6 ,19 ,33–37 or comorbidities,12 ,13 ,38–41 while others applied modifications to the ISS and RTS.42–46 Nonetheless, none appear to achieve the same level of acceptance and popularity as the original TRISS, therefore, it may be more feasible to improve on the TRISS model instead. This is the aim of the present study, which has made an attempt to improve the existing TRISS model based on an Asian dataset involving mainly adult Asian trauma patients.
Our study has shown that the TRISS model in predicting PS can be improved and can be tailored to the local population by adopting local b coefficients and treating Age as a scale variable in the formula. From the results of the ROCs, Model 1 is the optimal choice for blunt type of injury prediction as it has the largest AUC. As verified by the comparison using ROC 95% CIs, for Model 1 the ROC 95% CI were 0.923 and 0.940, in which the hypothesised value 0.886 does not fall in. In other words, Model 1 is significantly better than the existing MTOS-derived TRISS in predicting trauma survival at 5% level of significance. As represented on the graphical representation of the Logit Residual versus Age in our results, the relationship was linear, and hence, it was justified to be treated as a scale variable in Model 1, instead of a binary indicator (which was originally proposed in the TRISS).20 This finding concurs with that recently published by Schluter et al who illustrated the improvement of TRISS by reclassifying the component variables and treating the variable categories nominally.17 The reason for this superiority could relate to a better resemblance of the clinical situation when Age was represented as scale variable, because setting the linear Age effect allows the gradual decrement impact of Age toward trauma survival probability. In the original TRISS, the two-tier Age categorisation at age 55 years may have led to over/underprediction of survival,16 ,47 ,48 which raised the important argument against the use of dichotomised Age variable.1 ,7 In our initial analysis on the effect of Age recategorisations on blunt trauma survival, we found that the Spearman rank correlation was weakest when Age was divided at 55 years in our dataset (table 3). Elevated correlation strength and prediction accuracy was found in Models 3 and 4 in which a recategorisation of the Age was done. When Age effect was taken as linear, Model 1 clearly demonstrated its superiority over the other three models. The performance of the various models was clearly seen by ROC analysis in table 5. In Models 3 and 4, we chose to stratify Age into the respective categories, as patients within each age category shared similar survival probability in our sample, and this is also a commonly utilised stratification method by previous authors.39 ,49
Revisiting the MTOS-derived TRISS model based on local trauma dataset is not a novel idea, previous studies with similar design have shown superiority in PS estimates based on local datasets.27 ,50–54 Studies based on this idea also gave inspirations as to the factors that may affect the performance of survival estimation by the MTOS TRISS. Based on a previous study, the predicted mortality was lower than the observed mortality by up to 15% using MTOS TRISS54 and, hence, the importance of a regional database to develop local coefficients has been put forward. Both institution-bound factors and specific limitations in the TRISS methodology were responsible for the difference between predicted and observed mortality. Institution-bound factors may include regional trauma demographics, interobserver difference in assessing ISS and RTS, trauma triage facilities and the availability of a multidisciplinary team for trauma management. Another limitation in the TRISS is the failure to provide accurate estimates for injuries other than blunt or penetrating as well as for subgroup trauma patients, such as the paediatric populations. In view of this, various authors have introduced new or modified methods based on the original TRISS, and aimed to improve the PS for subgroup trauma patients.43 ,55
The limitations on the adoption of MTOS-derived TRISS model coefficients were also discussed in the literature. First of all, since the TRISS derived its formula coefficients from the MTOS dataset in 1995, the level of care currently expected has made the TRISS unexpected survivors a statistical phenomenon only, as the trauma centre performance improved over the years. This is the reason for our study utilising the latest updated TRISS coefficients published in 20108 for use as comparison with coefficients derived from our local dataset in the hope of ameliorating this chronological bias in trauma care.56 Second, the TRISS model may have used the Age variable in a mathematically inappropriate way that impairs the calibration, and some authors have attempted to modify this accordingly.57 It was subsequently found that by improving the stratification for Age, the predictive accuracy of the TRISS model would significantly increase,39 a finding which was consistent in our study. Third, considering that TRISS was a logistic regression model with standardised coefficients based on the MTOS data, it would seem logical that revision of these coefficients would further improve the ability of TRISS to predict survival. This was another reason in support for generating and applying a new set of coefficients from our hospital dataset to test against the MTOS-derived coefficients. Our study has clearly demonstrated the improvement of PS by this modification based on the comparison between Model 2 and TRISS. The above reasoning together with our findings support the use of locally derived coefficients instead of those derived from the MTOS for regional trauma auditing.
There were not many studies of TRISS based on Asian datasets. Shortly after the publication of MTOS TRISS, Yang et al58 described his work in 1999 based on 1297 Chinese trauma patients, and in an attempt to obtain new weighted coefficients through conducting a logistic regression analysis between the outcome and the injury severity. The study found a slightly superior performance based on the coefficients derived from local database when compared with the MTOS, and suggested that a revision of TRISS's weighted coefficients was necessary. The improvement on TRISS after revising the weight coefficients developed from the QEH dataset was likewise demonstrated in our study. In addition, the coefficients derived from our hospital dataset (based on more than 5000 trauma patients) projected a higher power PS prediction in our mTRISS models than in the previous studies on Asian patients.58–61
TRISS is an equation with weighted coefficients, and the improvement in prediction by the revision of the b coefficients may reflect the influence of trauma demographic differences between trauma institutions in the prediction of survival.2 ,47 ,62 This is one limitation of the current study, which relates to its external validity. The study population is based on a regional trauma centre in Hong Kong, and the ratio of blunt-injured to penetrating-injured patients was around 9 : 1, whereas in the MTOS it was 4 : 1. The overall mortality rate from our dataset was 11.9%, and that observed in the MTOS was 9.0%. Motor vehicle-related injuries were prevalent in the MTOS and accounted for almost half the total injured (49.1%).7 However, in the QEH dataset, there was only 35.6% due to such injury. Dissimilarity between trauma populations appeared to be a common limitation among studies on trauma-scoring systems. This study population does, however, represent the Hong Kong trauma experience,63 and comes close to that of many other Asian countries, such as Japan19 and Thailand, where trauma patient demographic are similar.64 ,65 Our study made an attempt to utilise the cross-validation procedures to assess the validity of the results obtained from our models. Our models used coefficients derived using the training data subset after its prediction performance was tested on the validation subset. The results indicated that the models were satisfactory and the main conclusions of this study are likely to hold in trauma patients with similar baseline characteristics, and in centres with a similar level of trauma care.
Both the MTOS study and ours calculated PS excluding patients with comorbidities, but this along with other factors may come to play or even exert a larger role in survival prediction than the ISS, RTS and Age. It has been shown that the TRISS-derived model with the additional term for the presence of comorbidity was associated with a higher accuracy for PS.39 ,66 It is therefore possible that lack of information on comorbidities could have affected the validity of study results,66 but whether or not this has any clinical significance remains to be elucidated.41 Lastly, penetrating injuries were not analysed because their prevalence in our centre was less than 10%.
Our study has shown that the TRISS model in predicting PS can be improved by simply replacing the existing coefficients with ones developed from the local dataset, and treating the Age as scale variable. This allows a higher level of survival prediction that tailors to the local trauma care and compromises systemic bias due to interinstitutional-bound factors. Our model with Age considered as scale variable should be replicated in different datasets for further validation. Those relying on the original TRISS for benchmarking trauma performance should consider the continuing change of trauma demographics and interinstitutional practice when applying the model for trauma auditing.
The present study has shown that the application of local dataset-derived TRISS coefficients, and the modification of Age variable to scale variable resulted in a significantly better survival prediction in blunt trauma patients. The results of our study should shed light on the possibility of altering the Age variable to a linear scale in the MTOS TRISS as well as applying local b coefficients to improve trauma survival prediction in any regional trauma database.
Special thanks goes to Miss Annice Chang, a dedicated trauma nurse specialist, who had provided most effortful support to the trauma databank of our hospital, without which this study could not have been possible.
Collaborator Annice Chang.
Contributors CKOC has contributed to the drafting and revising this paper critically for important intellectual content. KKWY has contributed to the data analysis and interpretation of results in this study. MT C has contributed to the conception, design, as well as the final approval of the version to be published. CKOC is responsible for the overall content as guarantor.
Source(s) of support The present study is not supported by any grant or institutional funding.
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.
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Raleigh has 276,093 residents. It is located in Wake county.
Special Education schools in Raleigh charged students an average tuition of $12,740.00 if they were North Carolina residents, and $14,807.00 if they were non-residents, during the 2009 - 2010 school year.
The average cost of books and supplies for special education schools in Raleigh is $1,036.00. The average cost for room and board for students living on campus at special education schools in Raleigh was $7,470.00. The average cost for students living at home was $5,003.00 for the 2009 - 2010 school year. There is one special education college in Raleigh for students to choose from. Special Education programs in Raleigh reportedly graduated 7 students in the 2008 - 2009 school year.
|Average Salary
|Number Employed in City
|Special Education Teachers, Preschool, Kindergarten, and Elementary School
|Special Education Teachers, Middle School
|Special Education Teachers, Secondary School


text: MainStoriesProject UNIFY - Unified Sports: And you're suddenly in a world you never expected… Listen Project UNIFY - Unified Sports: And you're suddenly in a world you never expected… Last one on the right, Francesco Muscogiuri - Unified Football Coach, in Biella Francesco Muscogiuri | Dec 14, 2012 | Europe Eurasia: Italy During the football training session I've seen Partners have a brand new experience of sports: they were used to focus on scoring. Now they were happy to play with the whole team, to win or lose with their teammates, happy taking part. This experience made me curious about Special Olympics, a new way to perceive and play sport. Special Olympics Italy asked us if we, as a school, wanted to take part in Project UNIFY. I'm a support teacher and a physical education teacher, so I was chosen among other colleagues to take part into a seminar to deepen my knowledge of Project UNIFY and Unified Sports. This experience was very enriching, professionally and for me as a person: I had the opportunity to discuss with other colleagues, that made me more enthusiastic, but also a bit scared of a completely new world. But the final event during European Football Week 2012 was the "reward" for the hard work of students, teachers, volunteers and parents. It was a sport event, but also an opportunity for new friendships, new emotions, that someone had probably never experienced before. It could be easy to use nice words to describe what we did, but to experience it…well it's a completely different thing! About Me:I am a Unified Football Coach and PE teacher in Biella, Italy Read More Stories I Found my Capabilities through my DisabilityNomthandazo DladlaShe can be seen, Special Olympics athlete Saga HänninenMika HänninenThanks to Special Olympics Young Athletes, I now see my child as a winnerNomfundo KhumaloAfrica Football Match Raises Awareness for Special Olympics HealthAnnemarie HillThe 2016 Israeli Sports Ministry Awards ceremony Reuven AstrachanTraining for Floorball Makes a Marvel in Cote d'IvoireRomi ReineckeEye Exam Leads to Clear Vision and New InsightsNaomi Saliu-LawalRemembering Billy Quick, Whose Name Said it AllChristy WeirRealising that the r-word is not a laughing matterAnonymousI never was someone who openly said the r-word in order to shame or insult another human being. But I would occasionally laugh or join in with a joke.I'm Proud To Still Be At School!Phetsile NgubeniAchieving Their Personal Best: A Coach's Story from SwazilandSabelo DlaminiDo You Have A Story to Share?Share Your Story More Stories


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Science in the Multicultural Classroom: A Guide to Teaching and Learning
Not all wonderful ideas about teaching and learning will work in the science classroom. Budgets, space, and time constraints make it difficult to make science come alive for students. The author sought to keep teachers and students at the center of her writing. If she could not personally do something in her classroom, then she didn't advocate it for others. Likewise, if her colleagues found something cumbersome or impractical, she substituted a "working" idea.
Organized into four parts, this book helps teachers address diversity in the classroom, construct a knowledge of science, develop pedagogical content knowledge, and teach with thematic units. Each chapter contains a wealth of practical activities. This revision includes the teaching standards from the National Science Education Standards, and information on technology.
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Winter is finally thawing out (at least for us here in Southern California) and the breath of spring is upon us! For this month's playlist, we wanted to instill that playful and lighthearted spirit we admire in the Spring time. With catchy upbeat tunes, our Spiritual Gangster March playlist is all about good vibes and being happy. So go ahead, sing out loud, tap your feet, and enjoy!
Who are these models? :) So cute!
love this play list <3
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Cassini's F ring and proximal ("Grand Finale") orbits
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Lot 17: A. J. BUTTLER / NEW BRUNSWICK, NJ Stoneware Jug
Fall 2012 Auction of American Stoneware & Redware Pottery
by Crocker Farm
November 3, 2012
Sparks, MD, USALive Auction
Looking for the realized and estimated price?
Description: Two-Gallon Stoneware Jug with Cobalt Foliate Decoration, Stamped "A,J, BUTTLER, / MANUFACTERUR / NEW-BRUNSWICK, NJ," circa 1860, squat-shaped jug with applied strap handle, decorated with a slip-trailed cobalt "2" flanked by leaves. Unusual form. Excellent condition.
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Has your pet the fever? It is always important to be attentive to the health of dog, your cat or your pet usually because they do not have the ability to manifest when they have a fever or any discomfort.
It is always important to be attentive to the health of your dog, your cat or your pet usually because they do not have the ability to manifest when they have the fever or any discomfort.
Veterinarians say dogs have a temperature range varying between 38.5 and 38.8 degrees. According to veterinarians, sometimes the dog's temperature may increase due to an infection or a failure of the immune system, which causes fever to your pet, which will require a visit to the veterinarian.
The most important thing is to recognize if your dog and four-legged best friend really has the fever!
We leave some tips in order to understand if your pet, being it dog, cat or other animal, needs a veterinary visit; obvious symptoms of fever in pets are:
- Hot and dry nose to the touch or teary cloudy eyes;
- Listlessness, lack of appetite and nervousness
- Tremors, when the temperature is too high
Veterinarians say that to confirm the fever in your dog or cat is advisable to use a digital thermometer, which should be introduced into the rectum of the dog or cat while it is standing.
What veterinarians say in cases of fever in the dog and cat or other pet:
Vets say that hydration is essential, so you can give your dog to drink water or beef broth or chicken.
- If he shakes you must cover him with a blanket and stay at his side to comfort him
- A warm bath can help lowering the temperature
- A cloth with cool water for his belly and face is also a good choice
- Check his nose constantly, it will help you know if the fever goes down
If you notice that the status of your pet is getting worse, take it to the veterinarian urgently.
If you want more news on diseases not hesitate to contact our vets in Dogalize, if you are interested in finding the veterinarian closer to home visit veterinary clinics in the Dogalize Maps
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English Meaning
This or that female; the woman understood or referred to; the animal of the female sex, or object personified as feminine, which was spoken of.
- Used to refer to the woman or girl previously mentioned or implied. See Usage Note at I1.
- Used to refer to a female animal.
- Used in place of it to refer to certain inanimate things, such as ships and nations, traditionally perceived as female: "The sea is mother-death and she is a mighty female" ( Anne Sexton).
- A female animal or person: Is the cat a she?
Malayalam MeaningTransliteration ON/OFF | Not Correct/Proper?
സ്ത്രീലിംഗത്തെ സൂചിപ്പിക്കാന് ഒരു പ്രത്യയമായി ഉപയോഗിക്കുന്ന - Sthreelimgaththe Soochippikkaan Oru Prathyayamaayi Upayogikkunna | Sthreelimgathe Soochippikkan Oru Prathyayamayi Upayogikkunna ;ആ സ്ത്രീ - Aa Sthree | a Sthree ;കിടാരി - Kidaari | Kidari ;ഇയം - Iyam ;സാ - Saa | Sa ;ഉത്തരീയം - Uththareeyam | Uthareeyam ;


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Discussion in 'General Baptist Discussions' started by Yeshua1, Oct 28, 2013.
was it possession, voices, weird events?
Yes. Several times in both local and international ministry settings. I've also witnessed an exorcism.
Yes. Mostly in Central Texas between 1988-1990.
just how was the demonic manifested, was it like we see in movies or?
And did the demon come out immendiantly, like Jesus always was able to do?
Were any of them "saved"? Did they all get healed and saved?
here's a couple of complete accounts.
1995. San Jose del Monte, Bulacan, Philippines. I was a church worker. this woman was an invited guest by one of our members. invited with an expectation of possession she had been manifesting.
the pastor's avowed ministry was to battle possession, but the pastor wasn't there at the time, he was a visiting preacher in another church. a fellow church worker was designated preacher for that Sunday.
three hymns sung. all about the blood of Christ. the woman exhibited restlessness, she looked clammy, perspiring, short of breath, or at least panting. I was seated behind her, told to just in case she IS possessed and becomes violent. she was 110 lbs, I was all of 185 lbs.
then the preacher tells the congregation to open their Bibles, and she faints, on the floor, I pick her up, along with her female relatives start to take her into the pastor's study where there was a sofa.
As I began to step towards the study, still in the church auditorium, her eyes pop open wide, only the whites visible, then she stiffens, and screams, or moans, and she suddenly weighed twice as much as she should I had to put her down on the floor, and had four more big men help me carry her to the study.
the pastor's wife insisted she be brought to the study so as not to disrupt services, and assigned me and another worker to watch her, and we'll wait for the pastor to come back from the other church in the next town, to deal with her.
so there I was in the room, sitting right on the edge of the bed where she lay, watching her, with another worker, and we see the whites of her eyes moving around looking at the room, then staring at each of us in turn, and every now and then she'd raise a limb here, or there and we'd try and lower it down, try because we couldn't, unless she voluntarily did.
then some lump the size of a marble forms in the middle of her forehead, under the skin, and begins to move around one end of her forehead to the other, then up, down, now diagonally, next minute perpendicular to her nose.
and then she cackles.
yeah, she cackles, a horrible, broken laugh kind of sound, without her throat moving or her mouth opening.
and there was a horrible, sickening, sweet-rotting kind of smell, the kind that you smell in jobs that deal with the dead and the rotting.
there was no levitating, no head turning on its neck, no spitting of green slime, no furnitures moving around, no glass or mirrors shattering.
no change of temperature.
just a stifling heaviness in the air. just the feeling that something's about to give. and anger.
the services were over, the pastor's wife came and checked in on us, so did the other deacons of the church, and the woman's relatives.
Her eyes still just the whites, that stupid marble sized thing still moving around in her forehead, and that ugly cackling kind of laugh every now and then.
prayers. hymns. bible reading. clock ticking.
the woman was getting more restless as the hours passed.
four o'clock in the afternoon she began to really get restless, she'd sit up straight on the bed and not any number of us could get her back to a lying position. we'd get her upper torso on the bed, her legs would swing up where her torso was, we'd get those on the bed and her upper torso would sit up.
went on for minutes, and she was cackling all the time.
then the pastor arrived, and that's when the show began.
she knew who he was, she said, and the room temp fell cold, chilling to the bone, and the sofa spun, and the pastor just kept on commanding the spirit to leave, and this went on for hours, and I was standing at the corner just watching all this.
finally, after eight in the evening, she lays down, and kind of burps.
and I see her hair, by now covering her face, move along with the burp, and feel a rush of wind towards the doors.
then she was limp, and pale, and thirsty, and hungry, and demanded to know what happened, and she was told.
she "accepted" Christ as her Savior that night, but refused to give up her amulets, and to discard the statues of her Roman Catholic saints in her house, and the
"blessed" necklaces hanging around her neck.
last I heard, before I left that church to join another which ran a Bible seminary from which I graduated, she was back to her home province, and doing her old thing.
quackery. she was a quack doctor of some kind.
strange for a beautiful young woman.
2nd complete account.
same church, a few weeks before the incident with the beautiful quack doctor.
we were having Sunday services, the door flies open, and in walks a grimy, disheveled, barefooted bearded man with wild looking eyes and a stink about him.
he walks straight to the pastor who was in the pulpit, and announces himself to be a demon.
pastor orders him to sit on the floor, in the Name of Christ, and he staggers back.
the deacons jump up from their seats and, along with the pastor, surrounds the man, screaming at him and "casting out" the demon in him, demanding to know his name.
He just stands there, laughing.
Then he buckes down, falls to his knees, then on his back, and starts to writhe as if in pain.
Then he starts to kick at the men, or was he thrashing around ?
Then he jumps up, but falls again, jumps up. falls again, finally remains on his back, staring at the men with bloodshot, red eyes, hissing and snarling and baring his teeth like they were fangs, but that's about it.
no levitations, none of those Hollywood crap.
then he, again, burps, loud, from the belly, burp.
and we all felt, rather than saw, the air, out of him.
then he goes limp, and lucid, and sat down and asks who we were and where he was and when told, begins to tell us who he was.
He said he was a construction worker working on a construction of a building about 15 or 20 miles away as the crow flies and that early that Sunday morning he awoke with a bad headache and a feeling of nausea, and next thing he knew he was surrounded by a group of yelling men in a church building in a town he has never been to.
Judging from the bruises on his feet and his soles and the dust and mud that caked on them, plus the fact that he was wearing what would normally be sleep attire for construction workers (work pants and A-shirt) and the sweat and perspiration that dried up, we surmised he walked all the way.
all approximately 25 or 30 kilometers away.
well, he made no profession of faith at that time, saying he is a church going guy, but we gave him fresh clothes and a pair of flip flops and money for his fare, plus.
Two came out of that lifestyle and became disciples of Jesus. As far as I know, three of them may still be demonized. I've completely lost track of one of them and I wouldn't be surprised if she is deceased by now. One of the others I located on Facebook and his life is a complete mess. Another is actually a Facebook friend and wastes no opportunity to rail against God.
I'm a firm believer in not delivering people from the demonic if they don't want to come to Christ. It will make their state worse than before. God has purposes for people to be afflicted by the demonic that I don't completely understand. However, in my way of doing things, confronting the demonized is a form of evangelism. If someone wants to be set free in Christ, you can take authority over the demonic and send it away. Otherwise, leave them to their decision.
I personally know a Christian Nurse that worked in a home for the mental disturbed. She spoke once of a young woman in the clinic that could slip from one personality to another reflecting many individuals even to the point of voice changes. From female to male. One of the personalities admitted it was a demon.
Course, to clinic management it was forbidden to offer up any effort to remove this demonic presence as they would lose their funding should she return to normal.
This nurse finally resigned and moved on.
just watched this morning a show on "IF Satan was really an extraterrestial Alien", but they had the "rev" Bob Larson in church with 200 "demon possessed" persons, and he went from person to person, and said that "he was bring torment and fire down upon satan", and proceeded to do a mass exorcism of 200 persons!
Do you think that was how it suppossed to happen?
think that there are indeed legit vases of mental illnesses, can't help but think some might be demonic, especially those heavily into drug/alcohol abusing, as that lowers threaseholds to satan!
In short, Bob Larson is a fraud. There is an enormous amount of documentation regarding this online.
Not everyone who is mentally ill (in fact, most) is demonized. I'm convinced that everyone who is demonized is also mentally ill because of the disruptive effect of the demonic in their lives. When they are freed from the demonic and come to Christ, they can find mental healing, although it may be a process for some people instead of an instantaneous fix.
I don't watch those kinds of movies...I can only imagine this was far different. Nothing exploded.
The evil spirit was manifested as it encountered someone who is purely walking with Christ and commanded it to identify itself.
The process took two hours. After confronting the demon we withdrew and prayed. The leader of the group had been fasting for the past day, knowing this was likely what would be encountered. We then returned, and cast out the demon. It left upon being cast out in Jesus name.
I guess no matter what Yeshua1 can't escape his charismatic roots
That is why I said MOST of mentall illness has a chemical/mental/physical aspect, but do think SOME also has demonic aspects involved!
NO! Fully 'delivered" out of those doctrines/practices, but just was curious if others experienced anything?
I asked a pastor once about this, but he had no good answer. The question was, Catholics have detailed procedures for an exorcism. How do Baptists handle that? To the best of my knowledge, we have none.
I believe very strongly in the supernatural events on this earth, and believe it to be demonic activity. I also believe it will increase as the end gets closer. I think all the unexplained occurrences of ghosts, UFOs, and other such nonsense to be demonic.
With the explosion of ghost hunter type TV shows, there is a keen interest in the subject. It is just that most assume it is a human soul remaining on earth. I do not see how anyone can read Scripture and believe it is a human soul. They either go the presence of the Lord, or to hell to await judgment day. It is demons mimicking our foolish assumptions.
As far as the UFO phenomena, while it is more possible than ghosts, I still believe it to be demonic. While there may be life out there in the universe, the idea they have the technology or the desire to come here is kind of far fetched.
Humans yearn for the supernatural. They look for every way to connect to it except from the most obvious way, a relationship with Jesus Christ.
The power and authority to cast out the demonic does not lie in rituals or practices. When I had to deal with it, I had little help except for the scripture. That was more than enough. Both Jesus and Paul simply commanded the evil spirit(s) to leave in the authority inherent in Jesus.
That has always been enough for me.
To go along with what you posted here...
saw this morning at breakfast, how some hold that satan and his demons were actually aliens from another domension, whose crime was that God wanted o keep man ignornat, and he came to earth to give them knowledge, and help in getting tech and culture!
many would seem to want that version, as he was a "big brother" for us, and big bad God against us!


text:
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Violin muteView Instructable »
Very nice, I made my own. They are comfortable, the only thing that annoy me a bit is the plap-noise they made at running.
Excelente project :D I will be doing mine in the next days
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Essays on the Gita
By (author) Aurobindo Sri
Format: Paperback
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Essays on the Gita by Aurobindo Sri
Book DescriptionA masterly exposition of the pre-eminent Hindu scripture, the Bhagavad Gita. It was after reading these essays, in particular, that in the 1930's President Wilson's daughter went to Sri Aurobindo and devoted her life - receiving the name Nishtha via his vision in the Sri Aurobindo Ashram at Pondicherry. Index.
Buy Essays on the Gita book by Aurobindo Sri from Australia's Online Bookstore, Boomerang Books.
Book DetailsISBN: 9780914955184
(229mm x 152mm x 33mm)
Imprint: Lotus Press
Publisher: Lotus Press
Country of Publication: United States
Books By Author Aurobindo Sri
Savitri: a Legend and a Symbol, Paperback (June 1998)
In this epic spiritual poem, Sri Aurobindo reveals his vision of mankind's destiny within the universal evolution. He sets forth the optimistic view that life on earth has a purpose, and he places our travail within the context of this purpose: to participate in the evolution of consciousness that represents the secret thread behind life on Earth.
Sri Aurobindo and the Mother on Education, Paperback (March 1998)
Education does not mean that learning is just for the sake of earning money through one's life, although that too is a necessary objective, but the education should indeed involve all parts of our being, physical, vital, mental, psychic and spiritual.
Human Cycle, Paperback (May 1991)
The Human Cycle, The Ideal of Human Unity, War and Self-Determination Some of the greatest writings of Sri Aurobindo are contained in this book. The essays collected here form the three smaller books titled THE HUMAN CYCLE, THE IDEAL OF HUMAN UNITY, and WAR AND SELF-DETERMINATION and are dated as far back as 1915.
Lights on Yoga, Paperback (May 1991)» View all books by Aurobindo Sri
Excellent introduction to the practice of yoga of Sri Aurobindo.
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Seller: ram-11 (151) 100%,
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Item: 122227395034
Ancient Assyrian Stone Seal pendant. circa 100 BC. The Assyrian Animal legendary. 20mm / 15mm / 10mm. 5,47 gr.
Material: Stone
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SETTING aside all those economic and political drawbacks, one group would justifiably have cheered to the rafters if the UK had joined the eurozone: Britain's euro-multinationals.
Corporate life could have been easier at BAT, Pilkington, Diageo and many others. It would have been much easier at Unilever, Reed Elsevier and Shell, which have separate Dutch and British-quoted holding companies that survive in a single European market largely because of the remaining currency and legal differences.
Until this year, few seemed to mind. Shell had a single global operating organisation, Royal Dutch Shell. In practice, the American operation has been the


text:
Forest Park Village Apartments in Dallas, TX
Located at 3423 Forest Ln, Dallas, TX 75234
3423 Forest Ln, Dallas, TX 75234
Forest Park Village is located just south of I-635, nestled between I-35 and Hwy 75 for all of your living needs. We offer 1 and 2 bedroom apartments with designs that include open floor plans betw... More
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created by Toaplan Co., Ltd.
This is a sequel to a 2D make them snow balls and then kick them game.
Generic user.
It's simple: Level 27, love videogames, nail art, collecting figures :3
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Tags » Jack Hunter
The Lord's Coming Compilation
Come and listen to the cry of their voices as Adrian Rogers, Billy Graham, John MacArthur, Harold Paisley, Anne Graham Lotz and Jack Hunter herald the soon return of Jesus Christ. 67 more words
I Will Come Again
Breitbart cites Dixie Daily
The popular website Breitbart recently ran an article by the once-great but now-traitorous Jack Hunter and used one of our Twitter posts to denounce what he and other Left-libertarians refer to as "racial collectivist thinking." Hunter, once known as the "Southern Avenger," made pro-South videos which were quite good and popular in Right-wing circles until he decided to throw his race, culture and friends under the bus to move to Washington, DC and be a bit closer to "Detroit Republican" cuckservative Rand Paul. 22 more words


text: Hi Guys Ok for the first time in my life i am having to write a CV, i am hoping to land a job in a transport office near me and i have to apply by sending my CV. I am currently at the qualifications part and appart from the obvious i cant for the life of my think what the hell i did all those years ago at leconsfield! My "Red Book" as gone walk about so cant even look at that, if there is anyone here that can help it would be appreciated Courses done B3, B2, B1, DDI, JMQC, LPC, Thanks in advance PS I was RCT/RLC Driver trade if you havent already guessed


text:
Suit Republic
mens suits, Liosban, Tie Clips
As Galway's leading supplier of quality suits and casual menswear, there must be something that sets Suit Republic apart from other outlets.
Perhaps it's down to our wide range of suits. With up to 50 different styles of 2 and 3-piece suits, expertly tailored to match all ages, shapes and sizes (from 1 month and up to size 64), it's safe to say we cater for everyone.
Maybe it's our price-quality ratio. We provide suits of the highest quality standard at half the price of other retailers. Our quality is of utmost importance to us – we believe that each individual who wears one of our suits serves as an ambassador to our brand. We work diligently to source high quality menswear and provide these pieces at trade prices. In this way, we are unmatched.
It could, of course, be our unrivaled customer service. At Suit Republic, we are committed to providing customer service of the highest caliber. Our expertly-trained staff are always at hand to help you find that perfect suit. Whether an individual is looking for the professional, conservative suit (in traditional colours such as black, navy, or classic grey) or something more adventurous (like white, maroon or purple), we can make it happen! For customers' convenience, we also provide an in-store tailor (with alterations completed on the same or following day). This removes the hassle of dealing with a third party to fine-tune your new outfit.
In 2013 Suit Republic announced the arrival of their own home brand, 'The Twelve Pins' collection, a partnership with Connacht Rugby as their Official Sponsor and outfitter, and also a finalist at JCI Young Entrepreneur of the Year Awards.
All of these factors combined make Suit Republic the success it is today. Visit our store in the Liosban Industrial Estate to find out what's in fashion this season and save yourself the hassle and expense of buying from a high street outlet. Our store is located just off the Tuam Road. Ten minutes by city buses 402 and 405 from Eyre Square.
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Shop Online Item
$ 3,540.00 $ 2,648.00
Discount from MSRP
Item No. 1206525
The Pickford Tower Bookcase Features Open Display Shelving To Showcase Your Collectibles. This Bookcase Is Versatile And Will Look Fantastic In Any Room Of Your Home.Ûûla91353-01
14 D x 92.25 x 38.25
Custom Options
Available In An Aged Gold Finish
Category: Cabinets, Living Room, Shelving And Bookcases, Shop_Online
Type: Cabinets
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Age Of Ultron - Language! Mens T-Shirt
Loved Age Of Ultron?
The nshow your love with this 'Language!' shirt!
We print our designs onto first-rate cotton T-Shirts using the latest DTG print technology and highest quality inks to ensure a superior print quality and a lasting finish that you will love.
Shipping is £3.99 globally on orders less than £30. Shipping is FREE for all orders over £30. Orders are delivered within 5-7 business days. If you have a query about delivery for a product which you have already ordered, please contact us.
If you don't absolutely love it, we'll take it back!
If you're not happy with your order, please contact us as soon as possible. In all cases we'll ask you to provide photographs of the item, including a close up of any tags/labels. To help us respond to you quickly, please include the order number in your message to us.
We have a money-back satisfaction guarantee, so whatever the problem, we're happy to work with you to fix it.
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text:
Beer not included.
Maybe you're looking to start up a little side business on the weekends, or maybe you already do spend hours every week wrenching on bikes. Either way, Park Tool's AK-2 Advanced Mechanic Tool Kit contains virtually everything necessary to maintain a two-wheeled fleet. The only other equipment you'll need is a bike stand and a six pack.
Tech Specs
yes, MLP-1.2 (Master Link Pliers)
Box End Wrench:
CNW-2 (Chainring Nut Wrench)
Open End Wrench:
DCW-1 x 2 (Double Ended Cone Wrenches: 13/14mm), DCW-2 x 2 (Double Ended Cone Wrenches: 15/16mm), DCW-3 (Double Ended Cone Wrench: 17/18mm), PAW-12 (12in Adjustable Wrench), PW-3 (Pedal Wrench)
SD-Set (SD-0, SD-2, SD-3, SD-6)
BB Tool:
yes, BBT-9 (Bottom Bracket Tool for 16-notch external bearing cups), BBT-32 (Bottom Bracket Tool for 20 Notch Shimano and ISIS Drive)
Cable Cutters:
yes, CN-10
Cassette Tool:
yes, FR-5 Cassette Lockring Remover for Shimano/SRAM
Chain Tool:
yes, CT-3.2
Crank Puller:
yes, CWP-7
Hex Wrench:
HXS-1.2 (1.5, 2, 2.5, 3, 4, 5, 6, 8, 10mm), WS-3 Torx 3-way (T10, T25, T30)
Spoke Wrench:
SW-0 (0.127in/3.23mm nipples), SW-2 (0.136in/3.45mm nipples)
Tire Levers:
yes, TL-1.2 x 3
Bottle Opener:
yes, BO-2
Other Tools:
CC-3.2 (Chain Wear Indicator), CM-5.2 (Cyclone Chain Scrubber), GP-2 (Super Patch Kit), GSX-1 (GearClean Brush), RR-12 (Tape Measurer), SR-11 (Chain Whip), TB-2 x 3 (Tire Boots), Soft Bristle Soaping Brush, High Pressure Inflation Gauge
Claimed Weight:
13.8 lb
Recommended Use:
Manufacturer Warranty:
limited lifetime


text:
I have had nothing but superior performance from all motorex products. I've been racing 30+ years and have tried just about every brand of lubricant and motorex is by far the best I've used. I have 4-stroke and 2-stroke machines and use motorex in all of them, the gear oil works well for me in my 2-stroke (no trans or clutch failures), I recruited several of my friends and they all rave about motorex, it's good.
Motorex Gear Oil
Motorex Gear Oil
$13.59 - $19.99
13% Off - Save up to $3.00
5.00 5 1
DescriptionItem #MOX000X
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1 Review
5 Star 1 4 Star 0 3 Star 0 2 Star 0 1 Star 0
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2 years 11 months ago Sheridan, In.
2 Questions
Answered: 2
Not Yet: 0
Location: Louisiana, USA
Q: 2014 KTM 250XC 2 Stroke?
2 years ago
I accidentally bought this gearbox oil. Can it be used in my bike?
Expert MotoSport Staff2 years ago
A: Yes it would be fine to run in the gear box on your 2014 KTM 250XC.
Location: Wisconsin, USA
Q: Is this the proper oil to run in my 2009 KTM 530 exc gear box?
Over 3 years ago
I was under the assumption that I was to run the same oil as the engine, Motorex 10w-50, but this makes more sense.
MotoSport StaffOver 3 years ago Location: Portland, OR, USA
A: You can use this in place of the Motorex 10w-50. The nice thing about using one oil for the engine is transmission is you can never accidentally mix them up. The Motorex 10w-50 is designed to work with gearboxes and clutches so you will be absolutely fine to run that or the gearbox specific oil depending on your preference.
1-2 of 2


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Lust For Me Spell in Modesto, CA
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 Newark, NJ, 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 consultations in person or by phone for repairing your relationship and returning your lover, psychic readings to reveal strengths and weaknesses in your relationship.
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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.
Feel free to browse through our website and create an account if you would like to know more about the services I offer or about Lust For Me Spell, Lust Spells and Magic Love Spells. Remember, I am located in Atlanta, GA you can call me Mon-Fri from 1-9 pm EST, I can be of assistance to you in person or by phone.
Blessed Be, Phelan
Lust For Me Spell | Come To Me Spells | Modesto, CA


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Hotfrog NewZealand provides information regarding The Warehouse in Whakatane Bay of Plenty. The Warehouse is located at 31 Kakahoroa Drive, Whakatane Bay of Plenty 3120 and provides Retail services. Contact them on 07-308 7132 or by visiting them on their website http://www.thewarehouse.co.nz/red/.
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Fair for traveling with friends. Close to Chinatown. Great location.
Hotel Types
- Good for business people
Guest Review Highlights
- Great location
- Parking is rare
- Close to public transport
- Standard parking prices
- Wonderful sightseeing
- Good restaurants & bars in the area
- Free internet
- Clean rooms
- Room is all right
- Impressive bathroom


text:
Gauri Shinde is one of the most successful, rising director of Bollywood. She directed the thoroughly acclaimed movie 'English Vinglish' (2012). Gauri is married to director R.Balki.
Gauri Shinde was born on 6th July 1974 and raised in Pune and was schooled in St. Joseph's High School. She...full Gauri Shinde biography
|386.68 cr
|Wajah Tum Ho
|10.29 cr
|59.30 cr
|Kahaani 2
|30.56 cr
|Dear Zindagi
|64.44 cr
|Force 2
|30.15 cr
|Rock On 2
|10.01 cr
|Ae Dil Hai Mushkil
|112.14 cr
|100.05 cr


text:
IBM - IMSourcing IMS SPARE ThinkPad T40/R50 Series Notebook BatteryLaptop Batteries
Lithium Ion (Li-Ion) - 10.8 V DC - View Complete Details
Product Number: IGRMYN8147
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IBM - IMSourcing IMS SPARE ThinkPad T40/R50 Series Notebook Battery - This product is sourced from the open market in the best available condition. ThinkPad T40/R50 Series 9-Cell Li-Ion Battery provides up to one-third more capacity than the standard system battery. This high-capacity battery has an extended area on the back edge and fits in the standard ThinkPad T40/R50 system battery slot. All-day unplugged computing is possible (up to eight hours on select T40/R50 systems) when this battery is combined with the optional ThinkPad Ultrabay Slim Li-Polymer Battery.View Product Specs
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