text:
Redwood City, CA Pregnancy Testing
YP - The Real Yellow PagesSM - helps you find the right local businesses to meet your specific needs. Search results are sorted by a combination of factors to give you a set of choices in response to your search criteria. These factors are similar to those you might use to determine which business to select from a local Yellow Pages directory, including proximity to where you are searching, expertise in the specific services or products you need, and comprehensive business information to help evaluate a business's suitability for you. "Preferred" listings, or those with featured website buttons, indicate YP advertisers who directly provide information about their businesses to help consumers make more informed buying decisions. YP advertisers receive higher placement in the default ordering of search results and may appear in sponsored listings on the top, side, or bottom of the search results page.
480 James AveRedwood City, CA 94062
2. Health Connected
480 James AveRedwood City, CA 94062
3. Perinatal Diagnostic Center Sequoia Stanford Packard
2900 Whipple AveRedwood City, CA 94062
4. Planned Parenthood
2907 El Camino RealRedwood City, CA 94061
5. Rydfors Jan MD
401 Warren StRedwood City, CA 94063
6. Hoff John David Md
2950 Whipple Ave Ste 1Redwood City, CA 94062
7. Redwood City Women's Health
5 star PLUS! Women's Care at Sequoia Hospital in Redwood City:\r Dr. Elaine Chien is fabulous. I had a benign growth on my uterus preventing me f…
8. Michael Papalian, MD
2055 Woodside Rd Ste 150Redwood City, CA 94061
9. Diva Fitness World
723 El Camino RealRedwood City, CA 94063
10. Brandfon Martin
620 Jefferson AveRedwood City, CA 94063
11. Peninsula Gastroenterology Medical Group
2900 Whipple Ave Ste 245Redwood City, CA 94062
12. Madan Khorshed MD
2900 Whipple AveRedwood City, CA 94062
13. My Heart My Child Parenting
200 Main St Ste DRedwood City, CA 94063
From Business: We provide support for parents who are currently facing challenges with their child, and parents who want to gain confidence and enhance their parenting.
14. The Diabetes Center
2940 Whipple AveRedwood City, CA 94062
From Business: The Diabetes Center has been serving the community for over 10 years and is one of the most comprehensive centers in Northern California. Our center is recognized…
15. Liu, Andrew, MD
I found Dr. Linsay Pettit to be thorough in her observations, skilled in performance, gentle in demeanor and refreshing in her humor. Her compassion…
16. Smith, D Scott, MD
I have never had a more disappointing doctor patient relationship than I had as a patient of Dr. Alan M. Galitz. \r \r In 2002 I had severe knee …
17. Sequoia Healthcare District
525 Veterans BlvdRedwood City, CA 94063
18. Nwynn, Michael T, MD
1150 Veterans BlvdRedwood City, CA 94063
19. DR Melissa Lim Doctor of Medicine
170 Alameda De Las PulgasRedwood City, CA 94062
20. Mc Intosh Joyce
2900 Whipple Ave Ste 132Redwood City, CA 94062
21. Threatt, Chris, MD
2900 Whipple Ave Ste 130Redwood City, CA 94062
22. About A Child
479 Tiller LnRedwood City, CA 94065
23. Leung Cynthia MD
2900 Whipple AveRedwood City, CA 94062
24. Marcelli Cortland
2900 Whipple Ave Ste 245Redwood City, CA 94062
25. Palladino Karen
2900 Whipple Ave Ste 135Redwood City, CA 94062
26. Torosis, James D, MD
2900 Whipple Ave Ste 230Redwood City, CA 94062
27. Gary S Toig MD
401 Warren St Ste 300Redwood City, CA 94063
28. Gherman, Maria G, MD
2900 Whipple Ave Ste 115Redwood City, CA 94062
29. Tehranchi Fatima MD
2900 Whipple AveRedwood City, CA 94062
30. Kocot Elizabeth MD
2900 Whipple AveRedwood City, CA 94062


text:
- The Bella Twins are backstage talking about Battleground when Randy Orton walks up. Orton congratulates her on getting engaged to Daniel Bryan. He asks when the wedding is. He says she should schedule it sooner than later because there's a good chance Bryan won't make it down the isle after Sunday.
- Renee Young is backstage with Paul Heyman. She asks about CM Punk. Heyman says Punk is a nobody who became a Paul Heyman Guy. Renee says Ryback is around the corner and Axel is hiding behind equipment, wondering if Heyman has another trap set for Punk. Heyman dares Punk to make a move tonight.
- We get another vignette for Los Matadores.
Los Matadores vs. Heath Slater and Jinder Mahal
3MB wait int he ring as Los Matadores and their bull mascot El Torito come out for their debut. After a back and forth match that got a "boring" chant at one point, Matadores get the win after a double team move.
Winners: Los Matadores
- After the match, El Torito bounces on the ropes as Matadores celebrate.
- We get a look back at two weeks ago when Big Show knocked out Dusty Rhodes. Still to come, the big family summit. Back to commercial.
- Back from the break and Triple H and Stephanie McMahon are introduced. They come out to Triple H's theme song. Triple H invites the Rhodes family out and guarantees their safety. Dusty Rhodes' music hits and out he comes with Goldust and Cody Rhodes, all in suits.
Stephanie congratulates Cody on getting married and asks if he got the Bed, Bath & Beyond gift card. Triple H asks why they all have looks of hostility on their faces. Triple H says they have given chances to the Rhodes family and they keep failing. Triple H asks Dusty if he's upset he couldn't make it out of Florida and the NWA and failed when he tried working on a national level with a McMahon. Stephanie says they want to give Cody his job back and want to give Goldust a job, if they can beat Seth Rollins and Roman Reigns at Battleground. If they lose, they're done for WWE forever and Dusty loses his developmental job. Dusty says he will be in their corner at Battleground. Stephanie says Dusty is itching for a fight. She warns him to be careful what he wishes for because he just might get it. Stephanie and Triple H exit the ring as the Rhodes family looks on. As they're leaving, The Shield attacks. Roman Reigns spears Goldust. Seth Rollins and Dean Ambrose beat down Cody. They go after Dusty before triple teaming Cody and hitting the big powerbomb. Rollins stomps on Dusty some more and they taunt him. A "you suck" chant breaks out. The Shield stand over Dusty and pose as we go to replays.
- Still to come, Orton and Bryan will go face to face. Back to commercial.
R-Truth vs. Curtis Axel
Back from the break and out comes R-Truth in his new pink t-shirt. WWE Intercontinental Champion Curtis Axel is out next with Paul Heyman for a non-title match.
They start off and Axel tosses Truth to the mat and talks some trash. Truth dances around and the crowd pops. Axel gets in his face and mushes him back. Truth with a big smack to the face that sends Axel down. Truth makes a comeback and Axel goes to the ropes. Lots of back and forth in the match. Fans start chanting for CM Punk. Axel turns it around and Punk's music hits, interrupting things. Heyman gets scared at ringside. Truth takes advantage of Axel being distracted and drops him for the win.
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Roman Reigns On His RAW Win, Sasha Banks Hypes 205 Live (Video), Mojo Rawley Tweets Shane McMahon
Post-RAW Note On Roman Reigns And Seth Rollins, Cody Rhodes Defends Goldust, Austin Aries Video
Samoa Joe On His WWE Extreme Rules Momentum (Video), Goldust - R-Truth Update, WWE Legend Turns 62
Female Superstar On WWE 205 Live, Update On The Revival Being Spotted (Video), Kendo Stick On A Pole
New Kurt Angle Storyline Begins On RAW (Video), Randy Orton WWE Status Note, SmackDown Promo
WINC Podcast (5/29): WWE RAW Review With Matt Morgan, Extreme Rules Preview, Reigns Vs Rollins, More
Possible Injury On WWE Main Event, Austin Aries Announces Upcoming Book (Photo), Sin Cara Video
** SPOILERS ** WWE Main Event Tapings For This Week
WWE Monday Night RAW Results - Rollins Vs. Reigns, Triple Threat, Alexa Bliss - Bayley, More
News On Why WWE Has So Many Multiple Person Matches, Braun Strowman's Holiday Message, WWE Shop Sale
New Kurt Angle Storyline Begins On RAW (Video), Randy Orton WWE Status Note, SmackDown Promo
R-Truth Getting Heat From Fans For Tweet, WWE Cruiserweight Returning To ICW, The Bellas
Shinsuke Nakamura Getting WWE Title Shot, TV CEO Says WWE Needs "More Sami Zayns", Ric Flair (Video)
Jim Ross Speaks About His Drug Addiction, Breaking The Habit
Bray Wyatt Teases Match With Matt Hardy, Why Bret Hart Sounded Odd On "The Simpsons", Alexa Bliss
Indie Wrestlers Mock Randy Orton (Video), Braun Strowman - Chipotle, Booker T Staying On Commentary

subset: commoncrawl


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Vince Staples to perform headline shows in Wellington & Auckland/ Ben Doy
2016 has been hectic for Vince Staples. The streetwise social commentator has given show-stopping performances across the festival circuit, headlined his own US tour and found time to release his new EP, Prima Donna. It was only back in February that Vince Staples was here for a Laneway Festival set that was dubbed "ground-rattling and triumphant" by The Wireless. We're excited to announce that he's heading back to New Zealand this December for shows in Wellington and Auckland.
Vince Staples, whose astonishing double-CD debut Summertime '06 was one of the most critically acclaimed albums of 2015, recently returned with Prima Donna, his long awaited new 6-song EP. Prima Donna solely features production from No I.D., DJ Dahi and singer, songwriter James Blake.
Accompanying the Prima Donna release was a self-titled short film, conceived by Vince Staples and directed by award-winning director Nabil [Elderkin], who is well known for his work with Kanye West ("Welcome to Heartbreak" and "Paranoid"), Frank Ocean ("Swim Good"), Bruno Mars ("Grenade"), and FKA Twigs ("Two Weeks"). Check out the short film below.
Vince Staples
Tuesday December 6th: San Fran Bath House, Wellington - Tickets via NonStopTix
Wednesday December 7th: The Powerstation, Auckland - Tickets via AAA Ticketing
Laneway members pre-sale from 9am on Wednesday, October 5
General on sale from 9am on Thursday, October 6
US hip-hop artist Riff Raff is upping the ante ahead of his one-off New Zealand show - adding not one, but three, primo local support acts to the bill.
Atlanta music superstar Future has announced his 'Nobody Safe' tour performing in New Zealand for the first time at Auckland's Spark Arena on Thursday, September 28.
Californian rapper YG is bringing his first solo tour Downunder, headlining a one-off show in Auckland in June.
By Poppy Tohill
At just twenty one years of age and already smashing the game with three major global deals to his name, Zimbabwe born rapper TAPZ is undeniably a star on the rise.
By Wal Reid
Artist: $uicideBoy$
Date / Venue: Sunday May 7th, 2017 - The Studio, Auckland
Fatman Scoop's New Zealand dates have been cancelled after he sustained a minor foot injury during a recent show in Australia, that has required him to return to New York.
Following a huge response to his worldwide Gang Signs & Prayer album tour, Stormzy will be making his highly anticipated New Zealand debut, with headline shows in Auckland and Wellington.
By Poppy Tohill
Five albums deep, Jonathan Notley (Bliss), Max McKinnon (Eso) and Tarik Ejjamai (DJ Izm) better known as BLISS N ESO, one of Australia's most successful and esteemed acts, recently stopped by New Zealand to not only celebrate the upcoming release of their highly anticipated sixth studio album Off The Grid, but also announce their first tour throughout NZ this July.
In celebration of the release of his fourth studio album Hood Country Club last Friday 21 April, David Dallas has announced shows in Wellington and Auckland.
With just one week to go until the release of Australian hip hop group Bliss n Eso's hugely anticipated sixth album Off The Grid (out Fri 28 Apr), it's now been announced the trio will hit the road for their first ever New Zealand headline national tour this July.


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These are gorgeous in style and structure. Wish they would have been available in other colors but am very happy with them. Elegant and fabulous on my hand hammered silver Indian lamps.Read More
I bought some retro lamps from the 70's era and these lamp shades look so cool on them! And I posted pictures of my new lamps on face book and got plenty of likes!Read More
Black Cinched Pleats Round Shade
Today: $62.99


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An update to the below info was released shortly thereafter. Please read that here.
"Dear friends,
after 15 fantastic years, 10 records and countless live shows with RAGE, I have decided to focus myself on other musical challenges. I really want to thank all RAGE fans, who supported me all those years.
In the future I will concentrate on the new LMO CD. The orchestra project I founded and formed in 2013 will continue with the same lineup, just without Peavy. New musicians, giving this creative band new input, but also a new name will be revealed soon. Composing and producing the last record was so much fun to me and I want to thank everyone who supported me doing this. With all the experience from the shows with LMO, I'm quite sure the new album will be even more exciting.
Expect the unexpected!"
Victor , February 2015
"Hi Rageheads,
After thinking it over carefully, Peavy and Victor decided to stop working together in the future. This is due to musical and personal changes. We have developed in different directions in the last years that much, that we cannot identify with the current band situation anymore. In this situation we will also part from drummer André Hilgers. The last 15 years were blessed with many Highlights and great releases but this era is over now. Every extension would be untrue to ourselves and to our fans.
We wish each other all the best!
Thanx to all the fans for your trust and support!"
Peavy & Victor, Feb 2015


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Fatal error: Allowed memory size of 41943040 bytes exhausted (tried to allocate 467328 bytes) in /home/america/public_html/wp-includes/feed.php on line 673
Tag Archives: Rhode Island
U.S. State Highpoint Trip Reports
Post your trip reports here.
Posted in General Tagged Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, General, Georgia, Hawaii, Idaho, Illinois, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, States, Tennessee, Texas, Trip Reports, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming Comments Off on U.S. State Highpoint Trip Reports
Popular New England and Northeast Hiking Forums
Perhaps the best resource for Northeast hiking (New York through Maine) is Views From the Top which was one of the first major hiking forums.
Tagged Connecticut, Forums, Maine, Massachusetts, New Hampshire, New Jersey, New York, Rhode Island, Vermont Comments Off on Popular New England and Northeast Hiking Forums
Jerimoth Hill, Rhode Island, Trip Reports
You can read/post trip reports as comments here or americasroof Jerimoth Hill Trip Reports or summitpost Jerimoth Hill – an excellent resource — feel free to crosspost! Original americasroof Jerimoth page.
Tagged Rhode Island, Trip Reports Comments Off on Jerimoth Hill, Rhode Island, Trip Reports
2005 Rhode Island Open Access Dates
Here are the 2005 Sunday Open Access Dates for Jerimoth Hill in Rhode Island: February 20 May 29 July 3 September 4 October 9 Forum Posting
Tagged ***Top Stories***, Access, Rhode Island Comments Off on 2005 Rhode Island Open Access Dates


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Gov. Kitzhaber on why he opposes coal and concerns over oil train safety (Video)
Oregon Governor John Kitzhaber stopped by the Sustainable Business Oregon newsroom on Wednesday to discuss a range of issues including transportation infrastructure, carbon pricing and education reform. Here he talks about why he's opposed to exporting coal through Northwest ports, and, following a string of explosions, his safety concerns surrounding oil trains.
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- Play Video May 8: How Sam Blackman and Elemental landed on their signature product line
- Play Video May 8: Elemental's Sam Blackman on the constraints of Portland's tech sector
- Play Video February 28: Lagunitas' Tony Magee shares his story of beer, business and, well, more beer with PBJ Power Breakfast attendees
- Play Video February 28: Lagunitas' Tony Magee wows the crowd at PBJ's February Power Breakfast
- Play Video February 28: Lagunitas' Tony Magee talks beer receptacles at PBJ's February Power Breakfast
- Play Video January 24: Businesses analyze ways cannabis can make a difference in their bottom lines
- Play Video January 24: The business of marijuana: How cannabis will bolster revenue.
- Play Video January 24: Scenes from the Portland Business Journal's cannabis business program
- Play Video November 28: FLIR's Andy Teich spells out the secrets to long-term tech success.
- Play Video November 28: More observations from FLIR's Andy Teich
- Play Video November 28: A conversation with FLIR's Andy Teich
- Play Video October 26: Autism in the workplace: Jonathan Chase gives notes on diversity
- Play Video October 17: Corporate Philanthropy 2016: How Barran Liebman makes a difference at Camp Ukandu
- Play Video October 17: Corporate Philanthropy 2016: A closer look at the Oregon Food Bank
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- Portland backs cannabis lounge bill, envisions tourism boost
- Portland Internet of Things startup lands $2.25M
- Portland-area startup built on Jello shots ramps production
- Legacy Health CEO Brown announces retirement
- 5 things to know for Friday, and why Stoel Rives, this week, rocks
- How I viewed the workplace differently after switching genders


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"During last night's debate, John Kerry and John Edwards were so friendly to each other some political experts think that they may end up running together. In fact Kerry and Edwards were so friendly, President Bush accused them of planning a gay marriage."
"You cannot expect the guy who drove the car into the ditch to navigate it out of the ditch. You have to put a new driver in the seat. I'm not saying the new driver is going to be any better, but we need a new driver. Kerry is the only choice."
"You'd think experienced political professionals would know better than to place their trust in exit polls, notoriously inaccurate surveys that had John Kerry winning the 2004 election by five points when he actually lost by three."
"John Kerry believes in an America where hard work is rewarded."
"Nobody has ever denied that when it comes to his trade - gigolo - John Forbes Kerry is one of the all-time greats. He's in the Gigolo Hall of Fame. See, a really good gigolo might snag one heiress in a lifetime with a nine-figure trust fund. Kerry has married two. When it comes to gigolos, he's Steve Jobs."
"My position is not that John Kerry is either Jesus Christ or the prophet Mohammad. My position is that John Kerry is the possibility of restarting politics."


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Ranked #13 of 38 for Best Boot Camp
Do you love Baby Boot Camp, Elk Grove? Cast a vote and be the first to write a tip!
2017 Sacramento A-List: Important Dates
Best Wedding Planner ⋅ Best Wedding Limousine ⋅ Best Gym ⋅ Best Veterinarians ⋅ Best Vintage and Resale


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Many of us love to browse and shop at markets both at home and when we travel. Here is a thread to share any markets you discovered and visited in Italy. Im sure its been done before but lets do an update.
Please state~
*city, and area if a small town.
*day and time market is on
*what sort of goods were on sale, especially if unique goods to that area and did you buy anything
Thanks for your contributions♡


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Examiner for Lawson S3
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LawsonGuru Letter
December 2013
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December 2013
Thought-Provoking Commentary for the Lawson Software Community
In This Issue
Remove Candidate Icon in LTM
Prevent Role Access to Administrative Users
Purchase of Lawson Talent Management
Serial Tracking
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Quote of the Issue
"A wise man will make more opportunities than he finds."
-- Francis Bacon
Welcome to the latest issue of The LawsonGuru Letter, a free newsletter providing provocative commentary on issues important to the Lawson Software community. The LawsonGuru Letter is published by--and is solely the opinion of--John Henley of Decision Analytics.
Remove Candidate Icon in LTM
We are on LTM version 10.1.0. I would like to make a config change so that users who have the RecruiterLite role will no longer see the Candidate icon when they go into Recruiter Space. Any ideas?
Read More...
Examiner for Lawson S3
Does your Active Directory match your employee data in Lawson S3 HR ?
Updates Lawson S3 HR email addresses from Active Directory
Updates Active Directory attributes (employee name, job title, supervisor/manager, work location, phone numbers, etc.)
from Lawson S3 HR
New Release available, now integrating Lawson S3 HR with Microsoft Active Directory
Read More...
Prevent Role Access to Administrative Users
We are creating a role for our Help Desk so that they can assign roles to users. They are restricted from doing other things such as creating or modifying classes and roles. Is there a way to prevent them from being able to assign certain roles? For example, the SuperAdminRole is restricted to only a few administrators. We do not want the Help Desk to be able to assign this role to anyone, or give themselves access to that role.
Read More...
Purchase of Lawson Talent Management
Please provide comments on the pros/cons of the HR Foundations, Performance management, Goal Management and Talent Acquisition modules. We are in the process of making a purchase. This feedback will help us ensure a smooth implementation and plan for any challenges we may face. Thanks!
Read More...
Serial Tracking
Is anyone using the serial tracking feature in IC11 and how are you using it? We are looking for a process to track our bone and tissue for Surgical Services; currently what we are doing in lawson is not working. Any suggestions would be appreciated.
Read More...
Thanks for your continued support of the LawsonGuru Letter and LawsonGuru.com.
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Decision Analytics
Worthwhile Reading
Employee Benefits Are in a State of Flux
The status of employer-provided benefits remains a moving target these days, according to a recent survey from the Society for Human Resource Management (SHRM).
Baseline Magazine, July 11, 2013
Sharing Electronic Medical Records Still Too Hard
Epic CEO Judy Faulkner and other health execs aren't thrilled with the state of EHR interoperability. What are today's big barriers?
InformationWeek Healthcare, June 17, 2013
Why social media should have no place in social HR
According to some influential sources, 2013 is set to be the 'year of social HR', signalling the tipping point where social media becomes an all-pervasive part of recruitment, HR and company culture.
HR Magazine, May 30, 2013
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UFC welterweight Dan Hardy is a very honest guy.
After losing his 4th straight fight in the Octagon to Chris Lytle, the Brit was very honest about his quick rise to title contention and then rapid decline in subsequent fights.
"I think I had the quickest rise and quickest fall the UFC's ever seen," Hardy said in reference to his 4-4 record inside the Octagon.
Hardy opens up about what went wrong against Lytle, while also expanding on what he needs to do to show the UFC he belongs in the promotion.
Check out comments from Dan 'The Outlaw' Hardy following UFC on Versus 5.
The UFC's summer return to Dallas is officially jam packed, with two bouts added to UFC 211, including one replacement, bringing the card to 14 fights total. Filed under: News, UFC read news >>
Check out the top Twitter reactions to news of the UFC's newest division, women's flyweights, being added later this year.Filed under: News, UFC read news >>
The UFC's debut event on Long Island this summer has another fight featuring a local – and it'll be a rematch.Filed under: News, UFC read news >>
The UFC's return to Scotland in July continues to build with the addition of a welterweight fight. Filed under: News, UFC read news >>
Do cost-cutting measures at ESPN mean bad news for the UFC's hopes of a lucrative new TV deal? Did Paige VanZant cross a line with her homemade Reebok commercial? Is Anderson Silva brave or crazy? Al read news >>
Ahead of his UFC 211 scrap with Jorge Masvidal, welterweight contender Demian Maia has a few – politely put – thoughts on champ Tyron Woodley and his 'incoherent' behavior.Filed under: News, UFC read news >>
Aljamain Sterling is one of the more outspoken members of the UFC's bantamweight division. He's never hesitant to share a thought, and when it comes to the current landscape of his weight class, he h read news >>
As a reminder, the UFC's traditional pre-event show returns today with the debut of "Countdown to UFC 211: Miocic vs. Dos Santos 2" on FS1.Filed under: News, UFC read news >>
Chuck Liddell's latest comments were less than a ringing endorsement of speculation that he would return to the Octagon. read news >>
Inside The Octagon is back as John Gooden and Dan Hardy break down the championship main event of UFC 211 between Stipe Miocic and Junior Dos Santos. read news >>


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27 Verified Diner Reviews
Take it from the experts - we gather information from foodie experts to provide you with valuable inside knowledge and detailed descriptions on restaurants from around the country.
Total Dimmi Score
27 reviews
- Recommended
- (7.1)
- Food
- (7.0)
- Service
- (6.7)
- Value for money
- (7.5)
- Atmosphere
- (7.1)
Stephen dined on Wed, 15 Feb 2017
Great food - deals are fantastic value
Sarah dined on Sat, 14 Jan 2017
Ordering from 2 different menus meant that half our meals were ready at different times, so 2 of us were finished before the other 2 meals were ready
Emily dined on Wed, 11 Jan 2017
Good night out for Trivia and tasty pub food!
Ryan dined on Mon, 5 Dec 2016
A cavern of a place. Great food and specials, would visit again
Anita dined on Sat, 1 Apr 2017
The upstairs dining area was very disappointing, thought it would be a step up from downstairs. Too noisy and limited drinks available. Doesn't work for family gatherings with older parents
Anonymous dined on Fri, 31 Mar 2017
Excellent and large selection of craft beers make it worth trip alone. Food menu also extensive, going beyond usual pub fare, with daily specials.
Anonymous dined on Wed, 15 Mar 2017
Decent food at a very reasonable price. Very good service given how busy the place was!
Anonymous dined on Sun, 12 Mar 2017
We had a great time at lunch and enjoyed the waffles and chicken and healthy blueberry pancakes and a few beers too. GREAT atmosphere and big screen to keep the boys happy. Will be back.
Anonymous dined on Wed, 8 Mar 2017
Couldn't find a table with a resevation in my name so just grabbed an empty table.
Anonymous dined on Fri, 3 Mar 2017
The Friday special of fish and chips were good value. We had a nice meal and will be back again soon.
Trivia with Neil Lithgow
Trivia with Neil Lithgow
- When
- 08 Nov 2016 - 08 Nov 2020
- Wed 6:30 PM - 7:00 PM
$19 Sunday Roast
Sunday Roast with a Yorkshire Pudding & all the trimmings. Choice of two meats, meat selection rotates weekly. Add a second meat for $25
- When
- 08 May 2017 - 31 Dec 2017
- Sun 12:00 AM - 11:59 PM
State of Origin Surf & Turf Burger
Grilled NSW Beef patty, Southern Fried QLD Prawns, & Bacon, with Lettuce tomato Chipotle Mayo & Spicy Remoulade on a charcoal bun with fries $19
- When
- 31 May 2017
- Wed 12:00 AM - 11:59 PM
- When
- 21 Jun 2017
- Wed 12:00 AM - 11:59 PM
- When
- 12 Jul 2017
- Wed 12:00 AM - 11:59 PM
About The DOG Hotel (Duke's Bistro)
Pub food at its finest. Both the Public Bar and the upstairs Duke's Bistro are at home in this infamous old boozer. Drawing inspiration from American and French classics, and combining them with Australian Pub Fare, the food at the DOG Hotel offers something to be enjoyed by everyone. Enjoy great pub events such as trivia, karaoke and live sports, or a Sunday roast with family and friends. Grab a menu and choose from great pub classics including golden chicken schnitzels, fresh seafood, and a choice of 7 different steaks. To add the final touch, get your hands on the Salted Caramel Stout cheesecake. Best pub dish: 250 gram Hanger Steak, served with choice of sides and sauce.


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Mobile phones contract for the best handset and credit combination - 2 days ago
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Caren Roblin gives social media advice to business owners - 2 days ago
Facebook Relooks Its Original Video Strategy - May 25, 2017
Facebook redesign its "trending topics" feature - May 25, 2017
Virtual Assistant Apps from Amazon Lex and Polly Deep Learning Technologies - May 23, 2017
Mobile Finance Apps Particularly Popular Among Korean Smartphone Users - May 23, 2017
Core Tech International seeks another cancellation of Sanchez High rebuilding RFP - May 22, 2017
Former IBM software engineer from China pleads guilty to code theft charges - May 22, 2017
Important social commerce 2017 trends - May 19, 2017
Apttus grows its business with impressive $108M investment
In just a few years, Apttus, one of a number of quote-to-cash SaaS companies, has grown its workforce from just a few hundred to more than 1,000.
Apttus, one of the quote-to-cash SaaS companies, has grown its workforce from just a few hundred to more than 1,000 in just a few years.
Built from the Salesforce.com platform, Apttus's staffing growth has been necessary to cope with its growing customer base. The year-on-year growth of its business has been around 60 per cent. Apttus would not provide an exact figure of its valuation, but they indicated it was around $1 billion.
Growth is a particularly useful thing when trying to attract additional investment. Apttus has exploited this fact with its latest funding round, securing a hefty $108 million investment on top of the $41 million it raised earlier this year. The total investment in Apttus has now reached $186 million.
The latest round of funding included original investors Salesforce Ventures as well as Iconiq Capital, K1 Capital, and KIA.
The Apttus software is designed to process quotes, contracts and revenue management. Apttus CFO Jeff Van Zanten said he was pleased with the company's growth and proud to be a part of it. He puts it all down to the breadth of services Apttus offers compared to the company's competitors.
The additional investment will only add to Apttus's potential growth. Van Zanten said: "This is the kind of long-term big deposit into our bank account that is going to fuel growth for the next couple of years and gives us a war chest for digital acquisitions."
The next decision for Apttus is whether to become a public company. Van Zanten isn't so sure. He said: "We are of a size today where we could go public, and we've had a lot of interest, but we feel no pressure to IPO. It's our option when to go out. Certainly the money is going to fuel what I expect to be growth whether we are a public or private company."
Van Zanten is a happy executive who sees significant room for further growth, having only just scratched the surface of their potential market. The key for Apttus now is to align its infrastructure with the growth to ensure the model remains efficient and attractive to customers.


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CT abdomen and pelvis - noncontrast
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There is a large haematoma in the left perirenal space, extending into the anterior and posterior pararenal spaces, as well as a small amount extending into the intraperitoneal space. The left kidney is displaced anteriorly.
The higher attenuation material represent more acute blood products. There is no discrete sentinel clot.
There is also a large rounded filling defect in the pelvis, compatible with a large clot in the bladder.


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Season 1, Episode 18 Dispo Day
First Aired: March 10, 2003
Thieves kill two cops while hijacking an unmarked police truck filled with confiscated drugs being taken to a solid waste incinerator facility to be destroyed. The local media immediately draw comparisons to the killing of Horatio's policeman brother during a similar heist 10 years earlier. Also: Internal Affairs is convinced someone in CSI is a mole who tipped off the robbers about the convoy's route. Rayas: Don McManus. Yelina: Sofia Milos. Nicki: Annika Peterson. Seeger: Nick Searcy.
Guest Cast
Cast & Details See all »
- Premiered: September 23, 2002
- Rating: TV-14
- Premise: A spin-off from 'CSI: Crime Scene Investigation' follows a South Florida forensics team headed by the brooding Horatio Caine. Against a backdrop of simmering ethnic and cultural tensions, Caine's team probes cases similar to those of their Las Vegas counte… (more)
Trending TonightSee all »
Lucifer9:01 pm | FOXI'll Watch567 Watching
Supergirl8:00 pm | CWI'll Watch514 Watching
Dancing With the Stars8:00 pm | ABCI'll Watch435 Watching
CSI: Miami: Season 6
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Chiara Prayitno
Like the small patio and small pool...possibility?Images of :: pool dreaming - Fieldstone Hill Design
Relax with friends and family in your backyard this winter by building your own wood-fired hot tub!
HOW TO QUIT YOUR JOB AND WORK FROM HOME AS A BLOGGER - this is amazing! this woman makes over 5000$ / month from home with no experience!
Gorgeous attached greenhouse. From The Irish Country House by The Knight of Glin & James Peill
Love black and white with greenery
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Front Garden - tropical but beachy
Thinking about starting a blog? Here are 10 things you need to do first! | blogging tips | blogging advice | start a blog |
29 Small Plunge Pools to Suit Any Sized Backyard (and Budget)
Stop worrying about whether you've got the space (or the money) for a pool and start planning one! These 29 Small Pools demonstrate that no matter how small your space, you've got enough to fit a...


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knowing what is right and what is wrong how many times do we dare to be fearless enough to choose the wrong over right? Sometimes doing wrong things is good. It gives a sense of freedom to our minds knowing that the cage of idealism isn't unbreakable. Continue reading Audacious sometimes!
Originally posted 2011-03-31 14:44:41. Republished by Blog Post Promoter


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This is a really good place to stay, only one block from Macrossan St shops and 2 scenic blocks from the beach. The 1 BR standard is a very nice apartment with quality fittings. I had a small issue with my room and they moved me wtih no charge to a room more to my liking on the 2nd day. The kitchen is well fitted with good appliances although some salt and pepper in the shakers would have been a nice touch! Sheets are good quality and the couch is comfy. It's very quiet too. I would return.
- Official Description (provided by the hotel):
- Meridian Port Douglas offers 4.5 star rated boutique apartment style accommodation in the heart of Port Douglas. An adult haven of privacy and relaxation for couples and singles has been created in a selection of stylish self-contained Studio Rooms and One Bedroom Apartments, surrounding a heated lagoon style pool set in tropical gardens. Accommodation options include swim up pool access rooms or your own private jacuzzi. The Meridian Port Douglas is ideal for couples and singles that desire a peaceful and relaxing getaway however mature teenagers over the age of 16 years are welcome. ... more less
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- Port Douglas Meridian Hotel


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Tired of running on a treadmill?
Virgin Active Moore Park's run club is here!
Every Thursday at 6:00am, tie up your shoe laces because we are getting outdoors and running like Forrest.
Catered for every level of running pace;
The first run of each month with be technique, interval or hills.
Then every other Thursday will be distances ranging between 5km and 10km
Now available to book on My Locker
Published on Thursday 18 May 2017
We have a New Hatha Yoga Class starting Thursday at 5:45pm.
Our amazing yoga coach Kate is doing her first yoga class in the club tomorrow at 545pm. It will be Hatha and will be amazing like her
Published on Wednesday 17 May 2017
We had the best time in Piloxing Barre class tonight... we had to compete with the disco party next door in studio 1 and we brought our own party down! #piloxing #pliè #pilates #pi...
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Spiritual leader Sri Sri Ravi Shankar is nothing if not wholly temporal when it comes to dispensing advice. Asked by one banker how to deal with a stressful relationship with his boss, Shankar's suggestion was that instead of contradicting his boss, the man should handle the problem with "skill" and make him say what he himself believed in. "And if you think he opposes whatever you say, then say the opposite," he added.
|Price (10g)
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|Rs. 27200.00 (-7.23%)
|Gold Rate in Hyderabad
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Set up an amazing homescreen for your iPhone
Featured comment
if anyone has any particularly cool ideas for background images, just let us know!
William Stoy
@william_stoy · Founder, Makeovr
Hey Product Hunt! We're a group of hackers and artists who were so bored with the same old icon grid layout, so we created Makeovr to patch the iPhone's biggest missing feature- homescreen customization. After 15,000 user uploads and 25,000 custom art downloads in the first week, we are starting to work with brands to create funky backgrounds to help them en… See more
Thanks! Fun little side project here to customize your iphone home screen with "invisible icons." Created by @sparetaco, @william_stoy, and myself :)
Ryan Hoover
@rrhoover · Founder, Product Hunt
Clever hack, @gabriel_whaley, @sparetaco, and @william_stoy 👍 https://www.youtube.com/watch?v=U7hrqe6uW1o


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The singer sews so well! A small problem with the other one- I can't stop it doing zig zag stitch. Lol.
DIH Bottle Opener Game with Home Depot
16 hours ago
Jus popped in to say hello, I love finding other people who love a bargain. Pop over and visit if you have time.
Ohh you did do well. Holler next time you are coming to town - maybe we can meet up and do the oppies together as you seem to get the best bargains.


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"We are so accustomed to disguise ourselves to others that in the end we become disguised to ourselves." ~François Duc de La Rochefoucauld
Who are you? Do you know? Are you living an authentic life?
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A lot of kids want to be cops when they grow up, and they all love police officers. That makes your kids the luckiest kids in the world, because they have a cop for a mom! They know you're out there being brave, keeping the city and the streets safe each night, doing what you can to make everything better. And then you come home and do it all over again throughout the day, just for them. It's true, they're lucky to have such an amazing mom like you! You're a hero twice over and you deserve a great-looking tee or hoodie to show it off with pride. And lucky you, we've got one just for you!
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Dr. Izhar Hasan MD Patient Reviews
- Family Medicine Middletown, NJ
Overall Rating
1 Patient Reviews
- Easy Appointments
- Promptness
- Friendly Staff
- Fair and Accurate Diagnosis
- Bedside Manner
- Spends Time With Patients
- Appropriate Followup
Showing 1 - 1 review
1.0 of 5
June 3rd, 2015
This guy is just horrible! An arrogant full of himselfan no manners whatsoever mean and on top of everything so stupid..anybody can be a doctor these days he so misdiagnosed me I would sue this nincompoop for all he put me through...please don't go !!!
Health Guides
Living well with CIC
Are you living with Chronic Idiopathic Constipation (CIC)? This guide to triggers, medications and lifestyle remedies will help you to manage your condition well.
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The RFDS in NSW/ACT
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Snyder's-Lance Inc (NASDAQ:LNCE) – Investment analysts at SunTrust Banks dropped their Q3 2017 earnings per share (EPS) estimates for Snyder's-Lance in a research note issued to investors on Monday. SunTrust Banks analyst W. Chappell now forecasts that the company will post earnings per share of $0.30 for the quarter, down from their prior estimate of $0.36. SunTrust Banks currently has a "Hold" rating and a $30.00 price objective on the stock. SunTrust Banks also issued estimates for Snyder's-Lance's Q4 2017 earnings at $0.41 EPS and Q3 2018 earnings at $0.36 EPS.
Snyder's-Lance (NASDAQ:LNCE) last released its earnings results on Monday, May 8th. The company reported $0.13 earnings per share (EPS) for the quarter, missing analysts' consensus estimates of $0.14 by $0.01. Snyder's-Lance had a net margin of 0.67% and a return on equity of 5.70%. The company had revenue of $531.50 million during the quarter, compared to analysts' expectations of $529.53 million. During the same quarter in the previous year, the firm posted $0.25 earnings per share. Snyder's-Lance's revenue for the quarter was up 18.7% compared to the same quarter last year.
ILLEGAL ACTIVITY WARNING: "SunTrust Banks Equities Analysts Reduce Earnings Estimates for Snyder's-Lance Inc (LNCE)" was originally published by Chaffey Breeze and is owned by of Chaffey Breeze. If you are accessing this story on another domain, it was stolen and reposted in violation of US and international trademark & copyright laws. The original version of this story can be read at https://www.chaffeybreeze.com/2017/05/20/suntrust-banks-equities-analysts-reduce-earnings-estimates-for-snyders-lance-inc-lnce-updated.html.
Several other equities analysts have also weighed in on LNCE. Zacks Investment Research lowered shares of Snyder's-Lance from a "hold" rating to a "sell" rating in a research report on Thursday, January 12th. BMO Capital Markets reaffirmed a "buy" rating on shares of Snyder's-Lance in a research report on Wednesday, February 8th. Deutsche Bank AG initiated coverage on shares of Snyder's-Lance in a research report on Wednesday, February 15th. They set a "buy" rating and a $43.00 price objective on the stock. Finally, Jefferies Group LLC reaffirmed a "buy" rating and set a $44.00 price objective on shares of Snyder's-Lance in a research report on Wednesday, April 26th. Two research analysts have rated the stock with a hold rating and six have issued a buy rating to the company's stock. The company presently has an average rating of "Buy" and a consensus price target of $35.21.
Shares of Snyder's-Lance (NASDAQ:LNCE) opened at 35.19 on Wednesday. The stock has a market capitalization of $3.39 billion, a P/E ratio of 222.72 and a beta of 0.63. Snyder's-Lance has a 12-month low of $28.92 and a 12-month high of $40.85. The company has a 50-day moving average of $37.49 and a 200-day moving average of $37.91.
The business also recently declared a quarterly dividend, which will be paid on Friday, May 26th. Shareholders of record on Thursday, May 18th will be issued a dividend of $0.16 per share. The ex-dividend date is Tuesday, May 16th. This represents a $0.64 annualized dividend and a yield of 1.82%. Snyder's-Lance's dividend payout ratio (DPR) is presently 711.11%.
In related news, Director Patricia A. Warehime acquired 14,000 shares of the stock in a transaction dated Thursday, February 16th. The shares were acquired at an average price of $39.09 per share, for a total transaction of $547,260.00. The transaction was disclosed in a document filed with the Securities & Exchange Commission, which is available at this hyperlink. Company insiders own 18.60% of the company's stock.
Several large investors have recently made changes to their positions in the company. Advisor Group Inc. increased its stake in shares of Snyder's-Lance by 25.4% in the third quarter. Advisor Group Inc. now owns 4,143 shares of the company's stock valued at $138,000 after buying an additional 838 shares during the last quarter. Meadow Creek Investment Management LLC increased its stake in shares of Snyder's-Lance by 21.6% in the first quarter. Meadow Creek Investment Management LLC now owns 3,424 shares of the company's stock valued at $138,000 after buying an additional 608 shares during the last quarter. Tyers Asset Management LLC bought a new stake in shares of Snyder's-Lance during the fourth quarter valued at about $189,000. Neuburgh Advisers LLC increased its stake in shares of Snyder's-Lance by 21.6% in the first quarter. Neuburgh Advisers LLC now owns 4,708 shares of the company's stock valued at $190,000 after buying an additional 836 shares during the last quarter. Finally, World Asset Management Inc bought a new stake in shares of Snyder's-Lance during the first quarter valued at about $209,000. Institutional investors and hedge funds own 60.85% of the company's stock.
About Snyder's-Lance
Snyder's-Lance, Inc is a snack food company. The Company is engaged in the manufacturing, distribution, marketing and sale of snack food products. Its products include pretzels, sandwich crackers, kettle cooked chips, pretzel crackers, cookies, potato chips, tortilla chips, restaurant style crackers, popcorn, nuts and other salty snacks.
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Russian space budget may grow this yearScience & Space May 26, 20:48
Moscow hopes London High Court will deliver judgement on Ukraine's debt to Russia soonBusiness & Economy May 26, 20:21
Hungarian top diplomat: EU must discuss anti-Russian sanctionsWorld May 26, 19:56
Russian, French top diplomats discuss preparations for Putin's visit to FranceRussian Politics & Diplomacy May 26, 19:47
Moscow comments on Tallinn's move to expel Russian diplomatsRussian Politics & Diplomacy May 26, 19:43
WADA: Legendary Isinbayeva suits role of ambassador for clean sports in RussiaSport May 26, 19:33
Russia working on advanced air defense systemMilitary & Defense May 26, 19:17
WADA receives Russia's new national anti-doping planSport May 26, 19:14
Moldova's ruling pro-European coalition breaks upWorld May 26, 19:12
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MOSCOW, September 11. /ITAR-TASS/. In the wake of a string of bankruptcies in the Russian tourist industry experts are predicting the list of domestic tour companies may shrink 30% by next summer.
The market of tourist services in Russia is redundant, says Civic Chamber member, chairman of the Tourists' Rights Protection Club, Roman Bobylyov, adding that the current register contained more than 1,500 names of legal entities, while just seven largest tourist brands incorporating about a hundred legal entities accounted for 70% of all foreign trips.
"I believe that by the summer of 2015 there will be no more than 500 legal entities left on the tourist market," Bobylyov forecasts. "Not all of them will turn bankrupt. Many will just go out of business."
"At the moment problems have hit the middle market segment, the companies have felt themselves more or less comfortably until just recently. But there is no reason to say that the industry is in some serious crisis," the analyst believes. In his opinion the massive suspensions of operations by tourist companies that was observed of late was due to the fact that small companies had been trying to compete with market leaders only in prices. Their businesses were built on the financial pyramid principle.
A tide of bankruptcies hit the Russian tourist industry last July, when eighteen firms suspended operations. The companies blamed their problems on EU sanctions, exchange rate fluctuations and bans on foreign trips for members of Russia's law enforcement agencies. However, experts said that in reality most unreliable pyramid-type tour operators wished to shirk responsibility.


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About the Book
But when Gray starts receiving death threats from a stalker, his team hires an executive protection agency to guard him until the culprit is caught. Dealing with bodyguards 24/7 is a headache, especially when one of them is a young, beautiful woman. How can a female half his size possibly protect him better than he can protect himself?
Dru Porter is a former Marine, an expert markswoman, and a black belt–none of which saved her from disaster on her last assignment. In order to rebuild her tarnished reputation, she's determined to find Gray's stalker and, since relationships between agents and clients are forbidden, avoid a romantic attachment between herself and the rugged football player with the mysterious past.
Yet every secret that leads Dru closer to the stalker also draws her closer to Gray. As the danger escalates, they'll survive only if they can learn to trust their lives—and their hearts—to one another.
Books in the Series
About the Author
Fun Interview with the Cover Models of Her One and Only
Genre: contemporary, Christian, romance, suspense
Publisher: Bethany House
Publication date: May 3, 2016
Number of pages: 368
Content Rating: PG, violence (nothing graphic), language related to pregnancy and birth
Book Rating: 5 stars
- A copy of Her One and Only
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- Follow Your Heart tote bag
- 24 oz Tervis Wonder Woman Tumbler
- The Blind Side DVD
- Necklace with star charm
- Porter Family navy jersey


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Dr. Keith Zacher MD Patient Reviews
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"It's a very male dominated sport and people think we are not strong enough and all the rest of it, but it's not all about strength," she said, addressing the critics. LG have just launched a campaign in support of Slow Fashion which is all about looking after your clothes to ensure a longer clothing life. Accept & close Business Directory Dating Announcements Book an Ad Search Enter your search below: Register|Sign In Follow us on Twitter Love Glasgow.
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Ela and Budnick find higher unintended pregnancy risk among non-heterosexual women
Detroit Mayor challenges U-M to analyze root causes, patterns of murders in city
Lam on what helps and hurts in world-wide youth unemployment
Bailey, Eisenberg , and Fomby promoted at PSC
Former PSC trainee Eric Chyn wins PAA's Dorothy S. Thomas Award for best paper
Celebrating departing PSC trainees
Bloome finds children raised outside stable 2-parent families more likely to become low-income adults, regardless of parents' income
a Deadline
Monday, 5/1/2017. ARCHIVED EVENT
Stephen Matthews, Professor of Sociology, Anthropology & Demography at Penn State, seeks high-quality manuscripts for submission for a theme issue on "spatial and mathematical demography" to be published in the journal Mathematical Population Studies. He is especially interested in submissions that leverage geospatial and contextual data to investigate substantive demographic questions, integrate theory, measurement and careful data analysis, use new and innovative methods, and harness large-scale demographic data sets or use emergent data.


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Very First Christmas Carols
Written by Felicity Brooks
Illustrated by Rosalinde Bonnet
Part of the Usborne Very First Words Series
Lovereading4kids Price £3.99
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Very First Christmas Carols by Felicity BrooksThis is a charming collection of traditional Christmas carols with delightful illustrations for little children. It contains nine well-loved carols, including Away in a Manger , Silent Night , We Three Kings of Orient are , While Shepherds Watched their Flocks by Night and We Wish you a Merry Christmas . It provides detailed scenes that depict many elements of the Christmas story with plenty to talk about.
About the Author
Other Formats
Book Info
Board book
12 pages
Interest Age: 2 years +
Felicity Brooks
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Usborne Publishing Ltd
Publication date
1st August 2011
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Ukraine's Savchenko says wants to run for president in 2019World May 25, 3:38
Putin venerates St Nicholas's relics in Cathedral of the SaviorSociety & Culture May 24, 21:53
Putin points out Russia's good relations with EgyptRussian Politics & Diplomacy May 24, 21:30
Ukraine names conditions for Minsk accords' political part implementationWorld May 24, 20:44
Blaze-stricken Siberian areas expecting downpours that may quash firesSociety & Culture May 24, 19:45
Contact Group on Ukraine proposes more areas of disengagementWorld May 24, 19:39
Russian Emergencies Ministry says over 70 homes burn down in SiberiaSociety & Culture May 24, 18:49
International Chekhov Theater festival opens its doors for 13th time in MoscowSociety & Culture May 24, 18:44
Putin decorates commandoes for two-day face-to-face clash with militants in SyriaRussian Politics & Diplomacy May 24, 18:31
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SEVASTOPOL, November 30. /TASS/. Residents of Sevastopol, a city of federal importance in Crimea, were left without heating on Monday as power outages in the Black Sea peninsula continue.
Crimea declared a state of emergency on November 22 after explosions cut off electricity supply from Ukraine. This forced the peninsula to rely on generators.
An emergency commission is due to take the final decision on the around-the-clock heating in apartment blocks later on day, the director of the city's municipal service department, Oleg Kazurin said.
The temperature in Sevastopol is around 10 degrees Celsius now. Heating is expected to be restored in mid-December when the temperatures reach minus 8 degrees Celsius.
The Krymenergo energy company reduced the limit of power consumption in Sevastopol by 5 MW to 70 MW on Monday, Kazurin said. Over the last few days, power was switched on in Sevastopol's districts every six hours for two hours.
More than 100 boiler stations are operating in the city. "The emergency response teams are working 24 hours," the official said.
On Monday, studies at schools in 17 Crimean districts were resumed. Holidays will be extended for students in eight other districts, Education Minister Natalya Goncharova said.
Crimean leader Sergey Aksyonov said all schools would be provided with diesel generators by December 20.
The Kabardino-Balkar Republic, in Russia's North Caucasus, has sent a 50 KW generator, an airmobile facility and 8 tons of goods to Crimea. Another 100 KW generator is also due to be delivered to the peninsula soon.


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What is Sclerotherapy?
Sclerotherapy is the use of an injection technique as a method of treating a vein. The term comes from the word 'scleros' meaning to seal off, and 'therapy' which means to treat. Essentially a needle is inserted into a vein and a small amount of a solution is injected into the vein which damages the inside of the vein causing the vein to collapse and seal off. The body then breaks down the treated vein in much the same way the body removes bruises.
Sclerotherapy can be used on veins in various areas of the body including for haemorrhoids and for treating veins in the oesophagus, but by far the commonest use of the technique is for treating leg veins. When treating leg veins sclerotherapy can be used to directly inject veins visible on the surface of the skin, when it is termed surface sclerotherapy or microsclerotherapy (in reference to the very fine needles that are used). When sclerotherapy is used to treat veins below the surface of the skin, it requires an ultrasound to visualise the veins as they are being injected (ie so the doctor can see where the injection is being placed). This deeper injection is termed Ultrasound Guided Sclerotherapy (UGS). (SEE UGS)
What are the advantages of Surface Sclerotherapy?
The main advantage of using sclerotherapy to treat surface veins is that in the vast majority of patients it is the most effective method. In the treatment of surface veins the main alternative is Surface Laser which is really limited to only the smallest of surface veins whereas sclerotherapy can target both small and large surface veins. Sclerotherapy is a much less expensive option than laser as it doesn't require expensive laser equipment. After sclerotherapy there is usually less discomfort than post laser (when there can be a burning sensation) and the rates of side effects such as skin pigmentatation are less than post laser. Sclerotherapy patients can have sun exposure immediately after treatment whereas laser treated patients may need to avoid direct sun on the treated area for several weeks.
What are the disadvantages of Surface Sclerotherapy?
Sclerotherapy is a much more technically difficult procedure to perform than laser. It requires extensive experience and skill to perform well. This is why it is important that patients look for specialist doctors with an established reputation in sclerotherapy . If the surface veins are so small that an experienced sclerotherapist cannot get the needle into the vein then laser would need to be considered. Sclerotherapy does involve a needle, and even though it is tiny and doesn't hurt, there are a small number of patients who are 'needle phobic' and even the thought of a needle can be overwhelming. Sclerotherapy does involve injecting a solution into the vein and, albeit rare, some patients can be sensitive or allergic to the solution.
What is the Sclerotherapy solution that is used?
In Australia, there are 3 different solutions that have been approved by the TGA (Therapeutics and Goods Administration) for use in sclerotherapy. These approved solutions are Hypertonic Saline (20%), Aethoxysclerol and Sodium Tetradecyl Sulphate(STD). At the Geelong Laser Medical Centre we use all three of the approved solutions at varying concentrations in both liquid and foam preparations.
For the majority of surface veins we use Aethoxysclerol at varying strengths (0.5% -3%) dependent on the size of the veins we are treating. For the majority of deep veins we use the STD solution in both liquid and foam form.
Is Surface Sclerotherapy painful?
The actual sclerotherapy injection is not painful because the needle used is extremely fine (30 or 32 gauge) and the majority of patients find the whole procedure very straight forward. For the small number of patients who notice discomfort when the actual solution is injected, we have found that by using a particular saline to dilute the solution, the procedure is then very well tolerated.
However, we do recommend for women with more sensitive skin, that they do not schedule a sclerotherapy treatment in the immediate premenstrual time when they can have heightened skin sensitivity. For patients who are more sensitive, taking an anti-inflammatory such as Nurofen before treatment can also be beneficial.
Are there any side effects?
Large clinical trials over many years throughout the world have found Surface Sclerotherapy to be a remarkably safe and well tolerated method for treating leg veins. It does need to be remembered that whilst side effects might be rare, unknown or unpredictable problems can occur with any medical treatment. The main side effects are:
- Bruising. Superficial bruising can occur after treatment but can be minimized by the use of compression hosiery.
- Tender Cords. When larger veins are treated tender cords can develop which represent trapped blood, these gradually disappear over several weeks. Massage commencing a week after treatment can help to clear these small lumps, but if persistent they can be released by aspiration with a small needle in our rooms.
- Pigmentation. Uncommonly the treated area may develop a brownish discoloration a few weeks after treatment. This is similar to how a bruise goes a brown colour before it disappears and represents the iron part of the blood (haemosiderin). It is more common if very large or thick patches of veins are treated, in darker skin types, in patients with iron storage conditions (eg haemachromatosis) or if there is untreated underlying deep vein problems (ie venous reflux). It usually slowly resolves especially with massage but should it persist and be a cosmetic concern it can be removed with laser treatment ( usually Q Switch 694nm or Q Switch 650nm lasers).
- Infection. As with any injection a skin infection is possible as the skin's surface is being broken, but these are very fine needles, the needles are sterile and single use, the solution is sterile and aseptic technique is used. Sclerotherapy should not be performed through skin with any active skin disease in the treatment area.
- Ulcer. A rare complication is a small skin ulcer. If it occurs it is mainly in the elderly where the arterial circulation may not be as good. These small ulcers typically heal well.
- Allergy. Allergic reactions to the solutions are possible but very rare. The incidence is probably so low because the sclerotherapy solutions work by shutting down blood vessels and working locally in the treatment area ie they do not work by spreading through the body. If someone is allergic to a sclerotherapy solution we can use an alternative solution or consider laser.
- DVT. This is not a concern with the smallest of surface veins, however the larger the veins and the deeper the veins that are treated the more we need to be aware of this rare but possible complication. All patients, irrespective of the size of the veins treated, are instructed to walk for 30 minutes immediately after sclerotherapy, then each day for the 2 weeks after sclerotherapy. The use of compression stockings is also important in reducing DVT risk by promoting blood flow through the deeper veins and generally, the larger the veins treated the longer the need to wear stockings. Patients identified as being at higher risk of DVT may need to have a special preventative anti-coagulant injection (Clexane).
Who does the Surface Sclerotherapy?
How many treatments are necessary?
This depends on the size, type and number of veins and the desired level of improvement. Patients with surface veins typically have 3 or 4 treatments spaced a minimum of 4 weeks apart. Some patients may only require 1 or 2 treatments whilst others with extensive surface veins on both legs may require a longer series of treatments.
It needs to always be kept in mind that if you have a tendency to get leg veins in the first instance, you will still have a tendency to get more leg veins in the future. The aim of treatment should be to get as big an improvement as possible with as few treatments as possible and then have follow up maintenance treatments in the future. Maintenance treatments may be once a year or several years apart, it depends on the rate at which new veins appear and how much they concern the individual patient.
What are the costs?
What happens after treatment?
Immediately after treatment you will have some small tapes that need to stay on for 1-2 hours and some stockings that will need to be on for anywhere from 2 days to 2 weeks depending on the type of veins treated. You will be instructed to walk 30 minutes immediately after treatment and then a continuous daily walk of 30 minutes for the 2 weeks after treatment.
Normal activity and work can be resumed immediately after treatment. It is preferable that vigorous exercise that involves repetitive pumping of your legs (eg aerobics, running) is avoided for at least 48 hours after treatment to minimize bruising.