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Hermaphroditic Cat To Get Gender Assignment Surgery
Mittens is a seemingly regular household cat that enjoys being scratched under the chin and chasing string around, but there's one thing about a Newfoundland family's pet that sets it apart – Mittens is a hermaphrodite.
Colleen Clarke-Murphy, who lives in Heart's Desire, says her daughter brought Mittens home thinking it was a sick stray that had been abandoned by its owner.
She took the cat to a local veterinarian, and after an examination in October got the news that makes Mittens unique.
The cat has both male and female genitalia.
Clarke-Murphy said it was the last thing she expected to hear about the newest addition to her family.
Her first response to the vet's news was, "Did I just hear you right?"
Clarke-Murphy said she would prefer to have another female cat — she already has a male and female cat — but she'll follow the advice of her vet, who recommends Mittens be assigned a male gender.
"They're the ones who know what they're doing. I mean, I really don't know. I'd like for it to be a female, but it really don't matter. It's got both parts," said Clarke-Murphy.
"I think it's got both personalities, so it really don't matter."
The vet told Clarke-Murphy the cat would need to be both spayed and neutered, and then have reconstructive surgery once a gender is assigned.
Vet bill will be about $1,500
While the vet bills are estimated to come in around $1,500 for all of the cat's surgeries, Clarke-Murphy said it will be worth it to ensure Mittens is in good health.
"She was part of my family when she came home with my daughter," she said.
Currently, Mittens has bowel issues and problems urinating as a result of its dual gender.
Clarke-Murphy said a friend is conducting an auction of used items on Facebook to help pay for the family's vet bills
"She was part of my family when she came home with my daughter."ALSO ON HUFFPOST:
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Locals in Xinxiang city scratched their heads over this four-legged creature, believing it to be a mutant escaped from a scientific lab. Cops confirmed that it is, in fact, a Chinese Crested Hairless.
Robin Henderson stretches her cat, Stewie, outside of her home in Reno, Nev. Stewie, a 5-year-old Maine Coon, has been accepted by Guinness World Records as the world's longest cat at 48.5 inches long. Unfortunately, Stewie passed away in February, 2013. He was 8.
"Otis'' the pug gets his harness put on him before making his 64th skydive at the Parachute Center in Acampo with his master, veteran skydiver Will DaSilva of Galt. Otis knows that harness means he's going skydiving and sits patiently while it is put on him.
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When Regina Mayer's parents refused to buy her a horse, the 15-year-old German girl trained Luna the cow to be a top-class riding companion. Not only do the two regularly go on long rides together through the picturesque southern German countryside, they even do jumps.
The slightly injured moose on its way out in to freedom after his visit to a geriatric care home in Alingsas east of Goteborg, Sweden, Thursday June 9, 2011. The moose jumped through a canteen window into the building in Alingsas in western Sweden Thursday. The residents were evacuated and the moose locked into a small room next to the entrance. Since the moose's injuries were concluded to be minor it was released into freedom. (Adam Ihse, Scanpix/AP)
Rick Nadeau has saved up quite a nut by creating taxidermied squirrels that he puts in unusual outfits. He sells his works starting at $65 all the way up to $200.
This is a lamb in China that looks just like a dog. Farmers in Fugu County, in western China's Shaanxi Province, were left open-mouthed when they saw the young animal running around their field. The lamb has a mouth, nose, paws and tail which look very similar to a dog's features - but still has a white woolly coat.
Two Bay Area dentists made a house call at the San Francisco Zoo on Monday, July 11, to help out a gorilla with a toothache. Dentist Dan Mairani (left) and endodontist Steve Holifield, who usually perform procedures on human patients, worked for three hours on Oscar Jonesy (O.J.), a 30-year-old male western lowland gorilla that developed an abscessed canine tooth. Thanks to this dental team, the abscess was successfully treated and the tooth was saved!
Lucy, a mini Yorkshire terrier from Absecon, New Jersey, is now in the Guinness Book of World Records. Weighing just 2 1/2 pounds, Lucy was named the world's smallest working dog last week, bumping out a 6.6-pound police dog in Japan.
Skywalker, a rodeo bull in Hawaii, could not eat or drink while a 50-pound tire was stuck around his head. A ranch hand was able to pry it off after Skywalker exhausted himself, allowing the worker to get near the cranky animal.
Wildlife experts in Buffalo, N.Y., have been amazed by an unusual springtime friendship between a deer and a nesting goose. It's a relationship that has blossomed inside a cemetery.
This May 7, 2013 photo provided by the Texas Parks and Wildlife Department shows a Texas state record 800-pound alligator caught during a public hunt on the James E. Daughtrey Wildlife Management Area. Wildlife officials say the 14-foot-3-inch gator could be 30 to 50 years old. (AP Photo/Texas Parks and Wildlife Department)
Afghan festival-goers watch as a "camel fight" starts during the second day of Persian new year, or "Nowruz," celebrations in Mazar-e-Sharif, in northern Afghanistan.
Police Dog Handler B-G Carlson with the sperm-sniffing dog Rapport's Opus, which collected evidence against a 23-year-old man who was charged with a rape. Credit: Aftonbladet
A small water boatman of the species Micronecta scholtzi is seen in this photo from the University of Strathclyde Glasgow. The insect has been found to use its penis to perform a very loud mating call. Scientists say the "singing penis" -- relative to its body size -- is the loudest animal on Earth.
This photo shows a bear inside Ben Story's car on July 23, in Larkspur, Colo. Story said the bear got into his empty car, honked the horn and sent it rolling into a thicket with the bear inside. Sheriff's deputies released the bear using a rope to open the door.
A dog competes during the during the 6th annual Loews Coronado Bay resort surf dog competition in Imperial Beach, near San Diego on June 4, 2011.
A Montana resident says an energy company has identified the cause of a brief power outage as "deer with wings." Lee Bridges says she was outside with her dogs around the time the power went out when a NorthWestern Energy truck pulled up, giving her a chance to ask the driver what caused the problem.
This New Hampshire moose was swimming a little too deep, forcing nine rescue workers to help remove it from the pool.
Yep. Read about it and see more photos here.
FILE - In this undated file photo provided by Katlyn R. Gerken, a staff member of the National Mississippi River Museum & Aquarium in Dubuque, Iowa holds Cashew, an 18-pound African leopard tortoise. The museum said Friday, April 5, 2013, that an employee found the tortoise behind paneling in her enclosure and hid her in an elevator in a misguided attempt to prevent further embarrassment after officials announced Tuesday that they believed Cashew had been stolen. (AP Photo/Katlyn R. Gerken, File)
This photo released by the New England Aquarium, in Boston Tuesday, July 24, 2012, shows a 21-pound lobster caught July 14 off Cape Cod, and donated to the aquarium where it will be displayed after a 30-quarantine period.
An emperor penguin that arrived on June 21, 2011 at New Zealand's Peka Peka Beach, more than 2,000 miles from its native Antarctica, will not be transported home.
Undated Cats Protection handout photo of 4-month-old polydactyl kittens named Fred (left) and Ned (right), currently in the care of Cats Protection, Gosport Town Branch in the United Kingdom. They will shortly be going to their new home once they've been neutered. Ned has an extra eight digits, while his brother Fred has 10 more than the usual 18, making a total of 54 digits between them.
Amy Leader with Sunny, a rescued chicken, in his newly-knitted sweater. Kind-hearted animal lovers have come to the rescue of a group of featherless chickens by knitting them their very own woolly sweaters. Sunny and his not-so-feathered friends were rehomed after being rescued from a poultry farm. Many of them are missing their plumage because the conditions they used to live in.
Yakini the gorilla received a medical check-up from vets at Melbourne Zoo before being moved to a new multimillion-dollar exhibit at Werribee Open Range Zoo, on Oct. 28, 2011, in Melbourne, Australia.
On July 10, 2013, a South African park ranger, Llewellyn Dixon, took several photos of a dead creature near the resort town of Nature's Valley. Some speculated the animal was an alien. But after a local veterinarian performed an autopsy on the carcass, it was confirmed as a baby baboon. Next slide shows a close-up of its head.
An English man named Brian Watson killed a large rat his granddaughter's boyfriend found while cutting grass on April 21, Sky News reports. The water rat was so large, Watson broke a boat paddle trying to kill the critter.
In this undated 1958 photo provided courtesy of Liz Dane, Dane is shown performing her act with Queenie the water skiing elephant. The Valdosta Daily Times reports that 59-year-old Queenie was euthanized Monday, June 2, 2011, after her health deteriorated.
It was a shot in the dark, but an Illinois police officer manage to separate two whitetail deer whose antlers were tangled together -- by shooting them apart.
A female monkey lip-syncs during a show by the monkey drama troupe Prakit Sitpragaan in Bangkok in September. Prakit Sitpragaan has been performing traditional stories adapted from Asian classical novels and folklore in Thailand for more than 30 years.
Miwa, a baby monkey, rides a young boar named Uribo in the Fukuchiyama City Zoo, in Kyoto, Japan, on Oct. 19. Both have been sheltered by the zoo since June after losing their mothers
Cookie Smith shows off a normal egg and a "super egg" Wednesday, May 30, 2012, in Abilene, Texas. Cookie Smith went to collect eggs from her three laying hens on Monday afternoon, and discovered one normal egg and one "super egg" in her coop.
This image provided by the Los Angeles County Sheriff's Department shows an alligator Thursday June 6, 2013 in Lancaster, Calif. Part of the "Zoo to You" program in Paso Robles that introduces kids to animals, the alligator was being held by two females near a van after the animal urinated inside the van and the females had stopped to clean the the van. (AP Photo/ Los Angeles County Sheriff's Department)
Thomas Cobb with his son Caiden show off several of his exotic reptiles that he keeps in a special basement room of his home Friday, April 26, 2013 in Cottonwood Heights, Utah. Cobb has been ordered by police to get rid of all but one of his 29 exotic boa constrictor snakes because he doesn
This is a close-up of the previous slide, which turned out to be a baby baboon found in South Africa on July 10, 2013.
In this Aug. 18, 2012 photo provided by Jody Bright, Molly Palmer stands with her husband Shawn Palmer near her catch_ a 12-foot marlin that took more than four hours to get on her team
Lux, a 22-pound Himalayan cat, made national news when he freaked out and trapped his owners in a bedroom.
Inside Walter Kidd's North Carolina trailer home were 154 reptiles, including cobras, vipers and Gila monsters. About 100 of the animals were dead and frozen, according to the Henderson County Sheriff's Office.
Bruschi, a four-year-old black and white Boston Terrier, who lives with his owner, Victoria Reed, in Grapevine, Texas, holds the Guinness World Record for "dog with the largest eyes" -- a whopping 1.1 inch in diameter.
This May 9, 2012 photo provided by the New England Aquarium in Boston shows a rare calico lobster that could be a 1-in-30 million, according to experts. The lobster, discovered by Jasper White's Summer Shack and caught off Winter Harbor, Maine, is being held at the New England Aquarium for the Biomes Marine Biology Center in Rhode Island. The lobster is dark with bright orange and yellow spots. (AP Photo/New England Aquarium, Tony LaCasse)
Charlotte Anderson-Dixon pushes her 18-month-old son Reuben on the swing as Joe the camel watches.
This is the jaw-dropping moment a canoeist landed a 6-foot shark after it dragged him through the water for 10 minutes. Brave Rupert Kirkwood, 51, had paddled a mile off the United Kingdom's Devon coast when he suddenly felt a snag on his line. The 70-pound beast nearly pulled him overboard, before pulling his 16-foot canoe through the water as he desperately clung on. After 10 minutes of wrestling with the beast, he eventually hauled the massive fish on board.
A rare, mostly white-colored penguin was discovered in Antarctica in early January 2012. The picture was snapped by naturalist David Stephens. Correction: An earlier version of this slide labeled the penguin as albino. It appears to have isabellinism, a genetic mutation that dilutes pigment in penguins' feathers, according to National Geographic.
An alligator crosses the 14th fairway during the first round of the PGA Tour Zurich Classic golf tournament at TPC Louisiana in Avondale, La., on Thursday, April 25, 2013. (AP Photo/Gerald Herbert)
Cheyenne Mountain Zoo's Tutti is a rare Indian star tortoise. Butti, the zoo's missing tortoise, looks similar to Tutti. The two are brothers and live at the zoo in Colorado Springs, Colo.
In this March 5, 2013 photo, Nederland resident Mark Merchant, a biochemistry professor at McNeese State University holds many baby alligators in Lake Charles, La. You could say Mark Merchant has alligators in his blood. Before he was a biochemistry professor at McNeese State University studying the antibiotic properties of alligator blood, Merchant was just another Southeast Texas kid fishing with his grandpa on the bayous. (AP Photo/The Beaumont Enterprise, Dave Ryan)
A bizarre three-horned cow has proven itself to be a cash cow for a farmer in Baoding, in China's Hebei province. Farmer Jia Kebing said the 2-year-old cow was born with a small bump on its head that has grown to be nearly 8 inches long and now resembles a rhino's horn. "My farm has fame in this region for this cow, and people came in just paying a visit to this cow," said Jia.
Tha Sophat, a 20-month-old Cambodian boy, suckles from a cow in Koak Roka village, Siem Reap province, Cambodia, Friday, Sept. 9, 2011. Tha Sophat started suckling the cow in July after he saw a calf do the same since his parents moved to Thailand in search of work, said his grandfather UmOeung.
Kitler, a kitten small enough to fit in a cup with a remarkable resemblance to Hitler is looking for a home after being found abandoned at the side of a busy road. An animal charity is struggling to find a loving home for an abandoned kitten - because it looks like HITLER. The six-week-old moggie was found abandoned on her own by the side of a busy main road by a member of the public. She was handed in to Wood Green animal shelter in Godmanchester, Cambs., where staff nicknamed her 'Kitler' because of her distinctive black moustache. Nobody came forward to say they were Kitler's owner so the centre put her up for rehoming, but she is yet to find a loving family because of her unusual markings.
A baby raccoon that got stuck head-first in a sewer grate is free thanks to the quick and slippery work of some city workers in suburban Detroit. A release from Dearborn Heights says the crew took the raccoon to the Public Works yard for a "much-needed shower" before letting it go in the woods.
Withe-handed gibbon mother Betina, 32, holds her 2-week-old baby at the Safari zoo in Ramat Gan near Tel Aviv on March 17. The birth of the gibbon surprised the zoo staff, as it had been 11 years since Betina last gave birth.
This dog wanted a drink. Meet Billy the German pointer and the shot glass he swallowed. The pooch underwent emergency surgery after doing a shot of Jagermeister -- and the glass it was served in. The 18-month-old, who lives in Darwin, Australia, downed the glass during a party thrown by house sitters while his owners were away. It wasn't until three days later when Billy began vomiting blood that the house sitters realized something was wrong.
This newly released video taken during the summer of 2011 allegedly shows a living woolly mammoth crossing a river in Siberia. There is much speculation and debate as to whether this is, indeed, a living specimen of prehistoric elephant-related animals that were thought to be extinct.
Tori, a 15-year-old orangutan, holds a cigarette stub between her fingers inside her cage at Satwa Taru Jurug zoo in Solo, Central Java, Indonesia, Friday, July 6, 2012. Zookeepers said they plan to move Tori, who learned to smoke about a decade ago by imitating people, away from visitors who regularly throw lit cigarettes into her cage so they can watch and photograph her puffing away and exhaling smoke. (AP Photo)
"Shrek," New Zealand's most famous sheep, died in June at the age of 16. This merino wether (a castrated male sheep) came to the world's attention in 2004 when he was found in a cave near the city of Otago after being on the lam for six years. He had managed to avoid capture all that time and when he was finally found, he was carrying nearly 60 lbs of untrimmed fleece, nearly six times more than the average merino fleece.
Alexander Pylyshenko, 40, will live in a cage with two lions for five weeks to raise awareness about living conditions for animals in captivity.
Pet cat Smokey is believed to have the loudest purr in the world -- with piercing purrs as loud as a lawnmower. Most cats purr at around 25 decibels but Smokey's powerful purrs average an amazing 80 decibels. Owners Ruth and Mark Adams, of Northampton, Britain, say Smokey's deafening purrs make it impossible for them to hear the television or radio when she is in the room and they struggle to have telephone conversations.
Booie, a chimpanzee that kicked a smoking habit and used sign language to beg for candy, died at the age of 44 at a California animal refuge in mid-December.
Beemer the kangaroo has Vegemite on toast with a side salad of fresh-picked wild grasses, accompanied by adoptive "mother" Julianne "Julz" Bradley.
A rare spider with a human face, known as a lichen crab spider, has been spotted at a nature reserve in Wareham, Dorset, England.
In this Sept. 4, 2011, photo, Mayor Cox Elorde of Bunawan township, Agusan del Sur Province, pretends to measure a huge crocodile, known as Lolong, which was captured by residents and crocodile farm staff along a creek in Bunawan. Lolong died in February, 2012.
A two-headed bearded dragon is set to be the latest attraction at the Venice Beach Freakshow. Pancho and Lefty sit in new owner Todd Ray's hand.
These hilarious pictures of Westie dogs doing water sports should cheer anyone up, whatever the weather. They are a newly-launched theme for handy iPhone app Weather Puppy, a weather app that comes free but lets you buy themes such as these side-splitting images of West Highland White Terrier. British publishers Maverick Arts are behind the wacky pictures and have used amazing image-manipulation skills to make it seem as if the dogs are indulging in adrenalin sports. Maverick MD Steve Bicknell explains: "We are obsessed with the weather here in the UK and I think our pictures of the Westies should cheer people up weather they are at a sunny beach or hiding from the rain."
Late June 2012, this kangaroo disrupted traffic several times along a highway in Washington state.
A Washington State Patrol trooper who responded to a report of a deer killed by a truck on Interstate 5 ended up with a 2-month-old fawn in his car. The patrol says when Trooper Scott Brown arrived at the Bellingham scene on Tuesday evening, other deer in the area stayed back but the fawn -- possibly orphaned by the collision -- ran up to him. Trooper Mark Francis says the baby deer nuzzled against Brown and started "mewing."
Brutus, a giant crocodile, was photographed leaping out of the water in Australia by picture-taker Katrina Bridgeford. The 18-foot long croc is a fan favorite among tourists who take cruises along the Adelaide River as he is known for making a big splash while jumping for buffalo meat.
This kitty isn't naturally pink. The cat's owner, Natasha Gregory of Britain told The Sun that she wanted her pet "to match my hair." The 22-year-old also has a shocking dye job.


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Home > New Jersey Court Guide > Monmouth County, New Jersey Court Directory
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Avon-by-the-Sea Municipal Court
106 West Sylvania Avenue
Neptune City, NJ 07753
Neptune City, NJ 07753
Phone: 732-775-1690
Fax: 732-776-7842
Fax: 732-776-7842
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subset: commoncrawl


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Volkswagen Jetta price in Kottayam start at Rs. 15.05 Lakh. The lowest price model is Volkswagen Jetta 1.4 TSI Trendline and the most priced model of Volkswagen Jetta 2.0L TDI Highline AT priced at Rs. 21.27 Lakh.
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Femcon Fe
What should I know regarding pregnancy, nursing and administering Femcon Fe to children or the elderly?
If you are:
FDB Only When Necessary: AVAIL DATA NO KNOWN RISK FOR DEVELOPMENTAL TOXICITY AFTER INADVERTENT EXPOSURE
No Known Risk: MAY INHIBIT LACTATION AT HIGH DOSES.
Precaution: MAY DECREASE MILK PRODUCTION, USE LOWEST DOSE
An adult over 60:
Precaution: (BEERS) INCR RISK OF INVASIVE BREAST CA, DEMENTIA, STROKE/MI/DVT/PE
Giving Femcon Fe to a child under 12:
Relative Contraindication: NOT INDICATED BEFORE MENARCHE.


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Manufacturer: Meizu 1 Results
Meizu EP-40 dynamic driver IEMs
" The story behind this review is kind of interesting. I was in contact with Meizu about an upcoming portable audio player being released later this year. I asked for a loaner so I could do a review over at InnerFidelity. That device is still a few months out so they don't have review models yet. During the course of our conversation the Meizu rep asked if I might..." --project86


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Kuninjku artists Owen Yalandja and Anniebell Marrngamarrnga have created three-dimensional representations of the same ancestral being, the yawkyawk. Yawkyawk (also known as yawk yawk and yalk yalk) are female water spirits that are often referred to within European cultures as mermaids.
They are half fish, half Ancestral Being, who entice unsuspecting men beneath the water of the billabongs and lagoons, where they reside throughout Arnhem Land. In some representations they have long reed-like hair, referring to the waterweed, and are able to transform their features into that of a fish snake. They are able to morph further as they grow into adulthood, leaving their watery domicile and flying like dragonflies. Closely associated with the powerful Ancestral Being Ngalyod the Rainbow Serpent, yawkyawk are often linked with sorcery.
Yalandja's majestic, elegant carvings of Yawkyawk 2007, hewn from eucalyptus trunk, denote strength and power. The chevron design, his signature design, indicates the shimmering scales on the fish-like body of the creatures, catching the light and suggesting the inherent power within the billabong where yawkyawk reside. Yalandja, the son of renowned carver and senior Mumeka custodian Anchor Kuningbal (c. 1922–1984), was taught to carve by his father.


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May 7, 2012 | Comments
Seattle Children's provides healthcare for the special needs of children regardless of race, color, creed, national origin, religion, sex (gender), sexual orientation or disability. Financial assistance for medically necessary services is based on family income and hospital resources and is provided to children under age 21 whose primary residence is in Washington, Alaska, Montana or Idaho.
© 1995-2017 Seattle Children's Hospital


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In a video documenting the Halftime retreat for sophomores, the participants describe what it is like to take time away from their busy schedules to reflect together on their Princeton experiences and the important choices they face. "Having that moment where I had to think about what I really wanted to do and to think about what made me personally satisfied ... in the end, it was a rewarding exercise," said Russell Dinkins of the Class of 2013.
Video stills courtesy of the Office of Undergraduate Students
Web Stories
Video feature: Halftime retreat
Posted January 30, 2012; 12:00 p.m.
Sophomore year is a time of transition for many Princeton students, who face several important choices from selecting their majors to evaluating dining options to deciding whether to study abroad. This video documents the Halftime retreat, a three-day program offered during fall break and intercession to allow sophomores to travel off campus with their peers and spend time reflecting upon their Princeton experiences.
The retreat's workshops, discussions and journaling exercises are intended to help sophomores identify and set personal goals, formulate action plans to achieve those goals, and maximize their use of campus resources and opportunities during their remaining five semesters.
Play the "Halftime retreat" video.
Halftime begins with an opening dinner on campus, where the participating students and staff get to know each other and enjoy the meal. After dinner, the students participate in their first Halftime exercise, which includes presentations from students who have attended past Halftimes, as well as Princeton alumni. The following day, the students leave campus for the retreat.
Throughout Halftime, workshops are offered to give students the opportunity to share with each other and to have conversations about making decisions, setting goals and balancing priorities. Halftime is a chance for students to build connections and a deeper relationship with other sophomores, and for each student to clarify personal values and goals.
Students who are interested in attending Halftime can find out more information on the Office of the Dean of Undergraduate Students website.


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Universal Fit
Manufacturer: elecom 2 Results
Elecom Hybrid Sealed High Resolution Corresponding Canal Earphone Black Ehp-r / Hh1000abk
"-- Elecom is an electronics manufacturer. [www.elecom.co.jp/global/] The EHP-R / HH1000A is their flagship earphone. ~ All Photos Taken By Me ~ [Product Link] (in Japanese):..." --BloodyPenguin
Elecom Ear Drops Series 3 Canal Type Stereo Headphone Ear Buds (Red)
Elecom Ear Drops Noise reducing earphones are the perfect companion for your iPod, mp3 player, laptop, portable DVD, MD, radio, or other audio devices, combining sleek design, premium sound quality, noise reduction, and maximum comfort. The soft silicone earbuds fit perfectly inside your ears, allowing you to comfortably enjoy your music while blocking outside noise. The new ear buds give you a...


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Web Stories
'We Heart Shirley'
Posted February 23, 2013; 04:00 p.m.
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This video compiled from photos and video clips submitted from campus and around the world shows Princeton alumni expressing their appreciation for President Shirley M. Tilghman. The video was played Saturday, Feb. 23, at the annual Alumni Day luncheon. Read more.


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- aerospace [4]
- construction [9]
- consumer products [4]
- customer service [1]
- energy systems [10]
- finance [2]
- healthcare [32]
- industrial products [7]
- IT & telecom [1]
- logistics [22]
- military, defense, safety [5]
- science and education [26]
- social research [17]
- technology [25]
- asset management [3]
- business processes [16]
- communication networks [2]
- epidemiology [10]
- freight traffic modeling [8]
- labour market [3]
- management [22]
- manufacturing processes [14]
- market modeling [7]
- marketing [8]
- personnel [3]
- strategic management [11]
- supply chain management [10]
- agent based modeling [77]
- discrete event modeling [46]
- multimethod modeling [28]
- system dynamics modeling [40]
Integrated Simulation Approach for Assessment of Performance in Construction Projects: a System-of-Systems Framework Jin Zhu, Ali Mostafavi. Winter Simulation Conference, 2014.
This research proposes and tests an integrated framework for bottom-up simulation of performance in construction projects. The proposed framework conceptualizes construction projects as systems-of-systems in which the abstraction and micro-simulation of dynamic behaviors are investigated at the base-level consisting of the following elements: human agents, information, and resources.» 続きを読む
Towards a Semiconductor Supply Chain Simulation Library (SCSC-SIMLIB) Jingjing Yuan, Thomas Ponsignon, Infineon Technologies AG. Winter Simulation Conference, 2014.
Simulation is a widely used technique for analyzing and managing supply chains. Simulation software packages offer standard libraries for selected functions and application areas. However, no commercial or freeware simulation tool proposes building blocks specific to semiconductor manufacturing.» 続きを読む
Comparing the Performance of Two Different Customer Order Behaviors Within the Hierarchical Production Planning Thomas Felberbauer, Klaus Altendorfer, University of Applied Sciences Upper Austria. Winter Simulation Conference, 2014.
A hierarchical production planning structure enables manufacturing systems to handle customer disturbances with different measures on different planning levels. Two different kinds of customer order behavior can be observed and are as well discussed in literature.» 続きを読む
Jobsite Logistic Simulation in Mechanized Tunneling M. Scheffer, T. Rahm, R. Duhme, M. Thewes, M. König, Ruhr-Universität Bochum. Winter Simulation Conference, 2014.
Projects in mechanized tunneling frequently do not reach their targeted production performance. Reasons are often related to an undersized or disturbed supply-chain management of the surface jobsite. Due to the sensitive interaction of production and logistic processes, planning and analyzing the supply-chain is a challenging task.» 続きを読む
Partial Paradigm Hiding and Reusability in Hybrid Simulation Modeling Using the Frameworks Health-DS and I7-Anyenergy A. Djanatliev, P. Bazan, R. German, University of Erlangen-Nuremberg. Winter Simulation Conference, 2014.
Many complex real-world problems which are difficult to understand can be solved by discrete or continuous simulation techniques, such as Discrete-Event-Simulation, Agent-Based-Simulation or System Dynamics. In recently published literature, various multilevel and large-scale hybrid simulation examples have been presented that combine different approaches in common environments.» 続きを読む
Marine Logistics Decision Support for Operation and Maintenance of Offshore Wind Parks with a Multi Method Simulation Model Endrerud, Liyanage, and Keseric. Winter Simulation Conference, 2014.
The offshore wind industry in Europe is looking to move further from shore and increase the size of wind parks and wind turbines. As of now marine logistics during the operation and maintenance life cycle phase is, besides wind turbine reliability, the most important limitation for wind turbine service, repair and replacement, and pose a large risk for wind park operators and owners.» 続きを読む
Discrete Choice, Agent Based and System Dynamics Simulation of Health Profession Career Paths T. Flynn, Y. Tian, K. Masnick, G. McDonnell, E. Huynh, A. Mair, N. Osgood. Winter Simulation Conference, 2014.
Modelling real workforce choices accurately via Agent Based Models and System Dynamics requires input data on the actual preferences of individual agents. Often lack of data means that analysts can have an understanding of how agents move through the system, but not why, and when.» 続きを読む
A Multi-Paradigm Modeling Framework for Modeling and Simulating Problem Situations C. Lynch, J Padilla, S. Diallo, J. Sokolowski, C. Banks, Old Dominion University. Winter Simulation Conference, 2014.
This paper proposes a multi-paradigm modeling framework (MPMF) for modeling and simulating problem situations (problems whose specification is not agreed upon). The MPMF allows for a different set of questions to be addressed from a problem situation than is possible through the use of a single modeling paradigm.» 続きを読む
A Tripartite Hybrid Model Architecture for Investigating Health and Cost Impacts and Intervention Tradeoffs for Diabetic End-stage Renal Disease Amy Gao, Nathaniel D. Osgood, Wenyi An, Roland F. Dyck. Winter Simulation Conference, 2014.
Like most countries, Canada faces rising rates of diabetes and diabetic ESRD, which adversely affect cost, morbidity/mortality and quality of life. These trends raise great challenges for financial, human resource and facility planning and place a premium on understanding tradeoffs between different intervention strategies. We describe here our hybrid simulation model built to inform such efforts.» 続きを読む
A Hybrid Simulation Approach to Dynamic Multi-Skilled Workforce Planning of Production Line Yuan Feng, Wenhui Fan, Tsinghua University. Winter Simulation Conference, 2014.
Workers cross-trained with multiple tasks can improve the workforce flexibility for the plant to handle» 続きを読む
variations in workload. Therefore, it is necessary to study the dynamic multi-skilled workforce planning
problem of production line with the application of cross-training method.
variations in workload. Therefore, it is necessary to study the dynamic multi-skilled workforce planning
problem of production line with the application of cross-training method.


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Web Stories
'Cardboard Canoe Race'
Posted February 19, 2013; 12:00 p.m.
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Campus Recreation recently held a cardboard canoe building and racing competition where students were given 90 minutes and limited supplies to build a successful canoe. The pressure was on as the time ran down and supplies ran short. Here is a look at what happened.
Video Closed Captions
JESSICA WARD: This is the fifth
year of the Cardboard
Canoe Race.
We get teams of 25 partners,
where they have 90 minutes to
build a canoe that will fit both
them and their partner.
And they have to use a pile of
cardboard, two garbage bags,
one roll of duct tape,
and one box cutter.
And that's it.
Those are the only supplies
they are given.
KATE KANEKA: I guess our
strategy is, because we are
not science students but we're
small, we're just making our
boat as small as possible.
SUMMER SHAW: As small
as possible.
KATE KANEKA: And--
SUMMER SHAW: And streamlined.
KATE KANEKA: Yeah,
and very strong.
SUMMER SHAW: Strong,
but streamlined.
CHRIS LANDO: So, our basic game
plan here is we're going
to have the boat that
gets across fastest.
JUNYA TAKAHASHI: Yeah.
CHRIS LANDO: And--
JUNYA TAKAHASHI: We're
going to do it by
building the best boat.
That's key.
And then after we have the best
boat, we're going to row
the fastest.
JENNY WU: Our design plan is to
make sort of like a raft,
and use structural supports
would be more like triangles.
And these are areas where we
can't really step on, so that
means that we have a narrow
area in the middle that we
could step on.
So that means that it minimizes
the chance that
we'll capsize.
ERIC HAGSTROM: So, our strategy
is we're trying to
create like on pontoon boat--
think like Castaway or
where we've--
If you take a look here, the
boxes, we've taped them up so
that the coarse edges are
covered by duct tape.
And the cardboard edges are
actually relatively like
They don't absorb water.
And so, we're filling up a bunch
of boxes, attaching them
to a board on top, and then
we'll be riding the other side
of the board, and these
will keep us afloat.
ANDREW CHAN: It feels
encouraging that our design
was sufficient to last
the entire lap.


text:
"These reviews are from our Customers who have purchased from our store. We find this provides more useful information in aiding your purchasing decision."
Excellent company, will always shop here first!
Arrived in a timely manner and are what I expected. All 3 locks keyed the same.
Their inventory was easy to navigate, the product was what I needed, it shipped immediately and arrived on time.
I've only replaced about half of the hinges (36) but the hinges I have replaced work absolutely wonderfully. I'm very happy.
quick turnaround, product was exactly as described online very high quality very satisfied
Note: You can find a link to the compare item tool at the top right of the website.


text:
BelgasPrainhaCantinho da BaiaBaíaCerrosMolhe LesteSupertubosConsolaçãoPorto Batel
Left-hand reef break. Well-known and consistent waves, and therefore, usually a lot of surfers. Beware of sea urchins at low tide.
Tide – All, but better at half-tide, rising
Swell – Northern and Northwestern
Swell – Northern and Northwestern
Wind – South and east quadrant
Wind – South and east quadrant
Level of difficulty – 3 out of 5
Wave size – up to 4 metres / 10 to 12 feet


text:
I recently received an email from a reader who believes that I criticize Ryan Howard's five-year, $125 million contract too frequently on this blog. While I clearly disagree with the reader, I am sensitive to any perception that I am disproportionately critical about a player. So, naturally, Grantland.com decides that today is a good day to publish Jonah Keri's list of the 15 worst contracts in baseball, a list that ranks Howard's deal as the third worst in baseball, trailing only Alex Rodriguez and Carl Crawford.
Keri's 15:
- Alex Rodriguez
- Carl Crawford
- Ryan Howard
- Jayson Werth
- Vernon Wells
- Barry Zito
- John Lackey
- Juan Uribe
- Brian Roberts
- Johan Santana
- John Danks
- Adam Dunn
- Brandon League
- Adrian Gonzalez
- Albert Pujols
On a positive note, I think I'd rather have Howard's contract on my books than that of Wells or Lackey. And the Phillies aren't the only team who, according to Keri, overpaid for a first baseman. In fact, four of the 15 players on the list are first basemen.
Keri gives Jonathan Papelbon's deal an honorable mention. I'd agree with that designation as well.
What say you?


text:
Web Stories
Sounds of Princeton arch sings
Posted May 26, 2011; 12:00 p.m.
For 70 years the sounds of Princeton's a cappella groups have been echoing in arches across campus. Read more.
Video Closed Captions
Can't you hear that
pitter pat?
And the happy tune
is your step.
Life can be so sweet
on the sunny
sunny side of the street.
I used to walk in the
shade with all
those blues on parade.
But I'm not afraid, this
Rover crossed over.
Come-a come-a dum doobee do
dum dum, come-a come-a dum
doobee doo dum dum.
Breaking up is hard to do.
Don't take your love
away from me.
Sweet home Alabama.
Bum bum ba doo.
Where the skies are so blue.
Bum bum ba doo.
Sweet home Alabama.
Bum bum ba doo.
Lord, I'm coming home to you.
Our hearts shall give
while we shall live.
Three cheers for old Nassau.


text:
House of Ronald
Wraparound Vest
Please select a size below:
need help?
Call us: +1 646 934 6601
Email: email@example.com
This item is no longer available
On time delivery
Nicely packaged
100% satin crepe
This item is held by the designer so please allow up to 7 working days for delivery, although we aim to have it with you sooner!
Free delivery UK + Worldwide over £150 / €210 / $240 / $A300.
Free returns for exchange or full refund within 14 days.
No customs fees, duties or taxes!
Delivery via DHL Express.
Collect or return any item in-store: Mayfair & Notting Hill.
Please visit our Delivery or Returns page for more information.
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text:
- Stain-blocking paint & primer in one
- Guards against damage from sunlight, moisture & dirt
- Low temperature application
- Model
- 485405
- Internet/Catalog:
- 204638405
BEHR Premium Plus Ultra Exterior Paint and Primer in One will change the way you paint and save you time. This exciting product, featuring NANOGUARD technology, provides an extra-protective shell that guards against damage from sunlight, moisture, stains and dirt. It's the perfect choice for all weather climates, even for application in temperature as low as 35°F (2°C). Ideal for painting properly prepared rusted metals, tannic woods and drastic color changes.
Info & Guides
- Suitable for application on wood, vinyl, stucco, aluminum, metals, steel, doors, windows, trim, shutters, garage doors and outdoor furniture
- 100% acrylic base provides exceptional adhesion and durability
- Extra-protective shell guards against damage caused by UV rays and severe weather conditions for a long-lasting freshly painted look with minimal maintenance
- Enhanced mildew resistant finish
- Covers up to 2,000 sq. ft. depending on surface porosity
- Flat sheen offers a traditional matte appearance
- Formulated for easy clean-up with soap and water
- Part of the BEHR 2014 TRENDS Natural Avocation palette
- Actual paint colors may vary from on-screen and printer representations
- GREENGUARD Certified products are certified to GREENGUARD standards for low chemical emissions into indoor air during product usage. For more information, visit ul.com/gg.
- Online Price includes a Paint Care fee in the following states: CA, CO, CT, DC, ME, MN, OR, RI and VT
- Color Family :
- Yellows / Golds
- Color/Finish :
- Sunday Afternoon
- Container Size :
- 5 GA-Gallon
- Coverage Area (sq. ft.) :
- 2000
- Dry to touch (min.) :
- 120
- Interior/ Exterior Paint :
- Exterior Paint
- Minimum Temperature for Use (F) :
- 35
- Paint/Stain Key Features :
- Low Temperature,Mildew Resistant,UV/Fade Resistant
- RGB Value :
- 246:198:121
- Returnable :
- Non-Returnable
- Sheen :
- Flat/Matte
- Time before recoating (hours) :
- 4
- Transparency :
- Solid
Ratings & Reviews93% of customers recommend this product
- Pathetic
July 17, 2010
Bought a 1 gallon can of custom color match Preimum Plus Ultra exterior flat. Horrible. It will not cover, and is extremely hard to apply. We have used Behr paint before and have been very well satisfied with it. Bought a five gallon pail of tan color off a paint chip for the exterior walls and it is great, but the custom mix is just bad. Went back to Home Depot and asked about it and was given some story about dark color paint. I have used other brand paint in dark colors before and they have worked fine. What,s wrong with this stuff?
Shipping & Delivery OptionsShipping options for [zipcode] (change)
Arrival dates and shipping costs shown above are estimates.See exact dates and costs and select your preferred shipping option during checkout.
Express Delivery from Store is available for items currently in stock at a The Home Depot store within a delivery ZIP code. A driver from a local store will deliver the item(s).
Outside Delivery: Service includes delivery to area outside the house which is accessible by delivery equipment.
Threshold Delivery: Service includes delivery across your first doorway or threshold (ie. garage, backyard, deck, first room of the home).
This item cannot be shipped to the following state(s): AK,GU,HI,PR,VI


text:
Poor Build Quality By Alex on 12/4/2014Alex wouldn't recommend this product to a friendI bought this pump to use on a small (15 gallon) saltwater mixing station. I was very frustrated when I twisted the schedule 80 PVC fitting to the pumps outlet, and snapped the casing.
I called BRS to order the replacement part only to find out that BRS does not support replacement parts for this pump, and that I should call the manufacturer directly.
I contacted Pan-World directly, who then referred me back to the US distributor of their pumps (BRS) to find a replacement part.
I went back to BRS and the rep did a google search online to find someone who could fulfill the order for the replacement part. He found a company who agreed to fulfill the order for the replacement casing for $40. The shipping was $20. The pump cost $99 brand new. I went ahead and ordered it because I figured at this point I had already sunk $100 into it so I may as well learn from the lesson and be extra careful when attaching plumbing to the pump. Well - you can guess what happened next. After over a two-week wait for the company to fulfill and drop ship the order for the replacement part, the new casing came in, and, you guessed it - i snapped it again. This thing is made of some kind of cheap grade chinese plastic from taiwan and snaps at the slightest turn.
Long story short, I watched the BRS video review of the pump and they do clearly mention the "get-what-you-pay-for" build quality element of this pump. The emphasis of this pump is "at-the-price-point' there is no better pump. In my case, after sinking $140 into it, i still have a broken pump that is worthless.
Learning from my mistake, I ordered the more expensive Japanese made pump, which is what I should have done in the first place. I'm sure the pump would have been fine, once it was connected, but after two failed attempts to connect the plumbing, I'm moving on from Pan-World pumps.
Excellent service and quality By Jason on 11/23/2014Jason would recommend this product to a friendI ordered this for a small saltwater mixing station. Was processed and shipped fast and works very well for and external pump.
Great little pump By Brent on 8/16/2014Brent would recommend this product to a friendI am using this for a saltwater mixing tank I picked up from Den Hertog. It's a little noisy but in a closet so I cannot hear it while it's mixing away. I echo other comments about heat as it does get quite warm to the touch. However, I have not seen this heat transferring to my 20 gallon mixing tank yet.
Awesome pump By David on 6/1/2014David would recommend this product to a friendUsing two of these for my saltwater mixing station they work perfectly will not use anything else. They are extremely quiet.
Excellent little pump By chris on 1/15/2014chris would recommend this product to a friendI have this pump on my saltwater mixing station and its job is to move water between my two brute trash can system for mixing and storing water for my tanks as well as pump either type of water about 15' to my tank for water changes. This pump is very quiet and for such a small pump is perfect for this application.
Great pump for the price By Charles on 6/4/2011Charles would recommend this product to a friendThis is a great pump, i use it to circulate my 125 gallon rodi water holding tank when im making my saltwater, it does a excellent job for such a small tank.
Great little pump, little hot, but silent. By Patrick on 8/3/2010Patrick would recommend this product to a friendI've currently got one of these as the return on my display, it's a great little pump and silent. Unfortunately the only side effect of it being a fanless, and silent pump, is that it gets a little hot to the touch. Not burn your hand, but rather maybe a bit hot to hold for extended periods.


text:
GENERIC NAME(S): HYDROCODONE/IBUPROFENFind Lowest Prices
The ibuprofen in this combination medication may rarely increase the risk for a heart attack or stroke. The risk may be greater if you have heart disease or increased risk for heart disease (for example, due to smoking, family history of heart disease, or conditions such as high blood pressure or diabetes), or with longer use. This drug should not be taken right before or after heart bypass surgery (CABG). Also, this drug may rarely cause serious (rarely fatal) bleeding from the stomach or intestines. This can occur without warning symptoms and at any time during treatment. Older adults have an increased risk of bleeding.
Stop taking this medication and get medical help right away if you notice any of the following rare but very serious side effects: chest pain, severe dizziness, weakness on one side of the body, vision changes, slurred speech, black stools, persistent stomach/abdominal pain, vomit that looks like coffee grounds. (See also Precautions section.)
Talk with your doctor or pharmacist about the risks and benefits of treatment with this medication.Who should not take Vicoprofen?
This combination medication is used for a short time (usually less than 10 days) to help relieve moderate to severe pain. It contains an opioid (narcotic) pain reliever (hydrocodone) and a nonsteroidal anti-inflammatory drug-NSAID (ibuprofen). Hydrocodone works in the brain to change how your body feels and responds to pain. Ibuprofen reduces pain and fever.
Possible hydrocodone side effects include very serious slow/shallow breathing - so this product is not recommended in children younger than 6 years.
This medication is not intended to treat long-term conditions (such as arthritis).
Read the Medication Guide provided by your pharmacist before you start using this medication and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
Take this medication by mouth as directed by your doctor, usually every 4 to 6 hours as needed. Take it with a full glass of water (8 ounces or 240 milliliters) unless your doctor directs you otherwise. Do not lie down for 10 minutes after taking this drug. You may take this drug with or without food. If you have nausea, it may help to take this drug with food. Ask your doctor or pharmacist about other ways to decrease nausea (such as lying down for 1 to 2 hours with as little head movement as possible).
The dosage is based on your medical condition and response to treatment. To reduce your risk of stomach bleeding and other side effects, take this medication at the lowest effective dose for the shortest possible time. Do not increase your dose, take the medication more frequently, or take it for a longer time than prescribed. Properly stop the medication when so directed. The manufacturer recommends you take no more than 5 tablets in a 24-hour period.
Pain medications work best if they are used as the first signs of pain occur. If you wait until the pain has worsened, the medication may not work as well. Also follow your doctor's or pharmacist's directions for the safe use of other non-narcotic pain relievers (such as acetaminophen).
This medication may cause withdrawal reactions, especially if it has been used regularly for a long time or in high doses. In such cases, withdrawal symptoms (such as restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur if you suddenly stop using this medication. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Ask your doctor or pharmacist for more details, and report any withdrawal reactions right away.
When this medication is used for a long time, it may not work as well. Talk with your doctor if this medication stops working well.
Along with its benefits, this medication may rarely cause abnormal drug-seeking behavior (addiction). This risk may be increased if you have abused alcohol or drugs in the past. Take this medication exactly as prescribed to lessen the risk of addiction.
Tell your doctor if your pain persists or worsens.
See also Warning section.
Upset stomach, nausea, vomiting, constipation, dizziness, lightheadedness, or drowsiness may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
To prevent constipation, eat a diet adequate in fiber, drink plenty of water, and exercise. Consult your pharmacist for help in selecting a laxative (such as a stimulant type with stool softener).
To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor right away if you have any serious side effects, including: easy bruising/bleeding, fast/pounding heartbeat, difficult/painful swallowing, mental/mood changes (such as agitation, confusion, hallucinations), difficulty urinating, swelling of hands/feet, sudden/unexplained weight gain, unusual weakness, signs of your adrenal glands not working well (such as loss of appetite, unusual tiredness, weight loss).
Stop taking this medication and get medical help right away if any of these rare but serious side effects occur: fainting, slow/irregular/shallow breathing, signs of kidney problems (such as change in the amount of urine), unusual drowsiness/difficulty waking up, unexplained fever, persistent/severe headache, unexplained stiff neck, seizure.
This drug may rarely cause serious, possibly fatal, liver disease. Stop taking this medication and get medical help right away if you have any symptoms of liver damage, including: dark urine, persistent nausea/vomiting, stomach/abdominal pain, yellowing eyes/skin.
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash/blisters, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Before taking this medication, tell your doctor or pharmacist if you are allergic to ibuprofen or hydrocodone; or to aspirin or other NSAIDs (such as naproxen, celecoxib); or to opioid pain medications (such as codeine, morphine, hydromorphone); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: aspirin-sensitive asthma (a history of worsening breathing with runny/stuffy nose after taking aspirin or other NSAIDs), low red blood cell count (anemia), bleeding or clotting problem, brain disorders (such as head injury, tumor, seizures, stroke), breathing problems (such as asthma, sleep apnea, chronic obstructive pulmonary disease-COPD), growths in the nose (nasal polyps), high blood pressure, heart problems (such as irregular heartbeat, recent heart attack), liver disease, mental/mood disorders (such as confusion, depression, thoughts of suicide), personal or family history of regular use/abuse of drugs/alcohol, stomach/intestinal problems (such as ulcer, blockage, constipation, diarrhea due to infection, paralytic ileus), fluid retention/swelling of the ankles/feet/hands, difficulty urinating (such as due to enlarged prostate), gallbladder disease, disease of the pancreas (pancreatitis).
Kidney problems can sometimes occur with the use of NSAID medications, including ibuprofen. Problems are more likely to occur if you are dehydrated, have heart failure or kidney disease, are an older adult, or if you take certain medications (see also Drug Interactions section). Drink plenty of fluids as directed by your doctor to prevent dehydration and tell your doctor right away if you have a change in the amount of urine.
This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid alcoholic beverages.
Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
This medicine may cause stomach bleeding. Daily use of alcohol and tobacco, especially when combined with this medicine, may increase your risk for stomach bleeding. Avoid alcohol and stop smoking. Consult your doctor or pharmacist for more information.
Older adults may be more sensitive to the side effects of this drug, especially dizziness, drowsiness, confusion, stomach bleeding, kidney problems and slow/shallow breathing.
Children may be more sensitive to the side effects of this drug, especially slow/shallow breathing.
Before using this medication, women of childbearing age should talk with their doctor(s) about the benefits and risks (such as miscarriage, trouble getting pregnant). Tell your doctor if you are pregnant or if you plan to become pregnant. During pregnancy, this medication should be used only when clearly needed. It is not recommended for use during the first and last trimesters of pregnancy due to possible harm to the unborn baby and interference with normal labor/delivery.
Babies born to mothers who have used this medication in high doses or for an extended time may have withdrawal symptoms such as irritability, abnormal/persistent crying, vomiting, or diarrhea. If you notice any of these symptoms in your newborn, tell the doctor promptly.
This drug passes into breast milk and may rarely have undesirable effects on a nursing infant. Tell the doctor right away if your baby develops unusual sleepiness, difficulty feeding, or trouble breathing. Consult your doctor before breast-feeding.
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
Some products that may interact with this drug include: aliskiren, ACE inhibitors (such as captopril, lisinopril), angiotensin II receptor blockers (such as valsartan, losartan), corticosteroids (such as prednisone), lithium, opioid antagonists (such as naltrexone, naloxone), pemetrexed, probenecid, certain pain medications (mixed opioid agonist-antagonists such as pentazocine, nalbuphine, butorphanol).
This medication may increase the risk of bleeding when taken with other drugs that also may cause bleeding. Examples include anti-platelet drugs such as clopidogrel, "blood thinners" such as dabigatran/enoxaparin/warfarin, among others.
The risk of serious side effects (such as slow/shallow breathing, severe drowsiness/dizziness) may be increased if this medication is taken with other products that may also affect breathing or cause drowsiness. Therefore, tell your doctor or pharmacist if you are taking other products such as alcohol, antihistamines (such as cetirizine, diphenhydramine), drugs for sleep or anxiety (such as alprazolam, diazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), and other narcotic pain relievers (such as codeine, hydromorphone).
Check all prescription and nonprescription medicine labels carefully for ibuprofen or other pain/fever drugs (aspirin, NSAIDs such as celecoxib, ketorolac, or naproxen). These drugs are similar to ibuprofen, so taking one of these drugs while also taking ibuprofen may increase your risk of side effects. However, if your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking the aspirin unless your doctor instructs you otherwise.
Daily use of ibuprofen may decrease aspirin's ability to prevent heart attack/stroke. Talk to your doctor about using a different medication (such as acetaminophen) to treat pain. If you must take ibuprofen, talk to your doctor about possibly taking immediate-release aspirin (not enteric-coated/EC) while taking ibuprofen. Take this product at least 8 hours before or at least 30 minutes after your aspirin dose. Do not increase your daily dose of aspirin or change the way you take aspirin/other medications without your doctor's approval.
This medication may interfere with certain laboratory tests (including amylase/lipase levels), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.
If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: slow breathing, fast/slow/irregular heartbeat, loss of consciousness.
Do not share this medication with others. It is against the law.
Laboratory and/or medical tests (such as kidney function tests) may be performed to check for side effects. Consult your doctor for more details.
This medication has been prescribed for your current condition only. Do not use it later for another condition unless told to do so by your doctor. A different medication may be necessary in that case.
If you are taking this product on a regular schedule and miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
Store at room temperature away from light and moisture. Different brands of this medication may have different storage requirements. Read the package labeling or ask your pharmacist for the storage requirements for the product you are using. Do not store in the bathroom. Keep all medicines away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
Information last revised August 2016. Copyright(c) 2016 First Databank, Inc.
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