text:
Erica Lyons Hoop Earring
$8.00 Original Price $16.00
Savings: $8.00 (50%)
- 2.25-in.
- Lever back closure
- Polished finish
- Silver-tone metal
- Imported
Shipping your purchase is easy on belk.com. Depending on the destination of your package, you can expect it to arrive within 4-7 business days. Shipping Information
Returns are easy on belk.com. Easy returns
Erica Lyons Jewelry creates products for the missy trend fashionista. She is young at heart and always wants to be totally accessorized and dressed in the newest colors and styles. She has many favorites — so we like to create "Outfit Jewelry". This is jewelry that is fashionable in color and design but priced affordably so she can afford new pieces to go with all of her outfits! We use man- made materials (resin beads and glass beads), natural materials (shell, semi precious stones), and our metals are a base metal with gold or silver tone finishes.


text:
When you wake up next to some chick you don't recognize, you're hung over, she wants to go again, and you're morning wood throbs so hard it triggers sharp pains in your head.
I had steeley dick when I woke up with that high school chick until I realized she was jailbait. Then I had uber steeley dick.
by ducky May 11, 2004

subset: commoncrawl


text:
LocateADoc Blog for Weight Loss Programs
Welcome to the LocateADoc Blog, an exciting journal, designed to share more information with you about elective procedures and treatments. As an enhancement to LocateADoc.com - a premier physician directory for patients - we have gathered interesting celebrity news, stories and observations that fascinate us. We hope they fascinate you too.


text:
|This combo gifts include 1/2kg delicious Chocolate Cake with 10 mix color gerberas bunch.
|Birthday Gifts,Anniversary Gifts,Wedding Gifts
|Same Day Delivery
|Regular Delivery
|This product ships to India.
|Free Shipping to India.
|Schedule date delivery available for the above product.
|Express Deliveries will be made on the same day for orders received till 12 PM IST,orders received after 12 PM will be delivered the next day.
|The above product will be delivered only in the cities mentioned in the list of serviceable cities between 10 AM to 9 PM on the specified date.
|We will attempt delivery of the items once. In case the delivery is not executed during the attempt, due to wrong address/recipient not available/premises locked, the customer shall still be charged for the order.
|Please note that Flowers,Cakes and other perishable products are sourced locally at the delivery location & will be hand delivered.
|The image displayed is indicative in nature.Actual product may vary in shape or design as per the availability.But we always try to send exact products.
|No Deliveries on National Holidays.
|Complain will be taken under consideration if it comes to us within 24 hours of delivery.
|The above product will not be deliver between 12th Feb to 14th Feb 2014.If you wants to place orders for above specific date please place order from Valentine Category.


text:
UN.GIFT Publications
UN.GIFT Business Leader's Award Brochure
2010-12-21 18:33:31.0
Download right click "save as"
The Business Leader's Award is a joint initiative of the End Human Trafficking Now! Campaign (EHTN), SMWIPM, the United Nations Global Initiative to Fight Human Trafficking (UN.GIFT), and the United Nations Global Compact (UNGC). It is the first-ever award in history to honour a business executive for his/her innovation, energy and commitment in tackling human trafficking.


text:
horse.com > Australian Saddles & Tack > Australian Saddles & Endurance Saddles > Item # E009527
promotional discount applied.
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Heart to Horse Box
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Down Under Australian Oilskin Drover
Starting at: $101.15
Down Under Australian Oilskin Hat
Starting at: $41.65
Down Under Neoprene Australian Girth
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Kimberley Australian Soft Girth
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Down Under Australian Cantle Saddlebag
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Down Under Australian Horn Saddlebag
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Product Summary:
Kimberley Outback Australian Saddle no Horn
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Fabtron Leather Split Reins
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Tough-1 Hoof Guard Boots
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A Desert Road to Revitalization
Miracle Springs Resort & Spa • Desert Hot Springs, CA
Escape Kit
- A One-Night Stay for Two in a Standard or Mountain View Room, Sundays through Thursdays ($114)
- Or, a One-Night Stay for Two in a Standard or Mountain View Room, Fridays or Saturdays through February 2, 2013, or Fridays Between February 3 and March 22, 2013 ($125)
- Or, a Two-Night Stay for Two in a Standard or Mountain View Room, Any Days of the Week through February 2, 2013, or Sundays through Fridays Between February 3 and March 22, 2013 ($199)
- $30 Spa Credit
- Bottle of Chardonnay and Gourmet Chocolate-Covered Strawberries Upon Arrival
- One Appetizer at the Capri Restaurant
- Combine Vouchers to Stay Up to Four Nights
The Destination
Known as America's Spa City, Desert Hot Springs has been host to a wellspring of world-class resorts ever since Hollywood hotshots started swarming here in the 1950s. Today, this desert oasis—built atop two mineral-rich hot water aquifers—continues to offer a respite for the rich and famous, but also for overworked urbanites seeking sanctuary away from the hustle and bustle.
The Digs
At Miracle Springs Resort & Spa—a Vogue Magazine "desert elite escape"—you'll discover 110 recently renovated rooms situated on an acre of posh property featuring eight natural mineral springs pools. They range in temperature from 90 to 105 degrees, and the water is drawn directly from the resort's private well. The best part? The pools are open 24 hours a day, making them a perfect pit stop in between treatments at the resort's luxurious spa, where you can melt away stress with a manicure or pedicure. At night, stop in for a meal at the Capri Restaurant, beginning with an appetizer on the house. Then, tuck into any number of Italian dishes as well as seafood, salads, and steak.
The Diversions
• Hiking in Joshua Tree National Park
• Bargain hunting at Cabazon Outlets
• Exploring The Living Desert, the area's only botanical garden and zoo
"A hidden gem for families or couples seeking an escape into warmth and the healing properties of the natural hot mineral waters."-- TripAdvisor
escapes 30-day promise
LivingSocial gives you up to 30 days to return your unused voucher for a full refund. Once you've made a reservation, you are subject to the merchant's cancellation and refund policy. If you want to secure your preferred dates of travel, we strongly recommend that you complete reservation with the merchant within 30 days of your purchase—after that, LivingSocial will not issue any refunds.
the fine print
- Entire value must be used in a single visit
- Limit 2 per customer, up to 1 additional as a gift
- Up to 2 vouchers may be combined to extend stay
- Reservations required and subject to availability; not valid on existing reservations
- Cancellation/re-scheduling policy of 3 days applies; voucher subject to forfeiture
- Taxes/resort fees not included; collected at property
- Based on double occupancy
- Blackout dates: 1/19, 2/9, 2/15, 2/17, 3/22-3/31
- Vouchers include $30 Spa Credit, Bottle of Chardonnay and Gourmet Chocolate-Covered Strawberries, or Bottle of Chardonnay Upon Arrival
- Valid for one spa credit per room
- Other conditions apply • PAID AND PROMOTIONAL VALUES EXPIRES ON March 22, 2013 • PAID VALUE DOES NOT EXPIRE • PAID VALUE EXPIRES ON March 22, 2018 • PROMOTIONAL VALUE EXPIRES ON March 22, 2013 • Enjoy By March 22, 2013
Other conditions apply
Except where noted in the fine print:
• Cannot be combined with any other offer or promotion
• Tax and gratuity are not included
• Merchant is responsible for the quality of the products or services provided to you at redemption
• LivingSocial Terms and Conditions - https://www.livingsocial.com/terms
Original Price:
- 0% savings
- remaining


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Access your Emirates Skywards or Business Rewards account
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Find flights, see our featured fares and earn Skywards Miles on your travels.
Find the best fares across our global network.
Check in online, choose your seats and add extra services with one click.
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It's a Kids' World in Orlando
Nickelodeon Suites Resort • Orlando, FL
Escape Kit
- A Two-Night Stay for Up to Six in a Superior Two-Bedroom Suite, Sundays through Thursdays ($249) or Fridays and Saturdays ($299)
- $100 Resort Credit
- Combine Vouchers to Stay for Up to Four Nights
The Destination
Orlando is both the hub around which Central Florida revolves and a roaring good time for family vacations. With the country's most famous theme parks, totaling hundred of rides and attractions for all age groups, this magical city makes a no-brainer destination for getaways both fun and relaxing. Cartoon characters and rides meet their match with upscale restaurants and some of the state's best outlets to delight grown ups.
The Digs
Retreating to a pineapple under the sea may work for SpongeBob SquarePants, but your kids deserve someplace even more animated. Make like Dora and go exploring at the Nickelodeon Suites Resort. Set on 24 acres in the city's theme park district, the resort is the ultimate playground for little ones. The bright and cheerful suites feature a spacious living area, three TVs, a microwave, and mini-refrigerator.
The Diversions
Experience all that the resort has to offer: poolside games and contests, a splash-tastic water park, The Mall, scheduled shuttle buses to theme parks, and spa services for kids. You don't want to miss the daily Mass Sliming, where anyone who has ever wanted to be slimed will get a chance. Take the ultimate physical challenge and put your wits to the test in the newest goofy, sloppy, fast-paced, interactive game show, Double Dare LIVE. On your mark, get set, go to the Nickelodeon Suites Resort for the slime of your life!
"This all-suite property... is one of the best properties in the Orlando area for families. Its two-bedroom Kid Suites feature a kitchenette, a second bedroom for the kids with bunk or twin beds, and a pull-out sofa in the living area."-- Frommer's
escapes 30-day promise
LivingSocial gives you up to 30 days to return your unused voucher for a full refund. Once you've made a reservation, you are subject to the merchant's cancellation and refund policy. If you want to secure your preferred dates of travel, we strongly recommend that you complete reservation with the merchant within 30 days of your purchase—after that, LivingSocial will not issue any refunds.
the fine print
- Up to 2 vouchers can be combined to extend stay
- Valid for travel until 3/7/2013
- Reservations required and subject to availability; must be booked by 1/31/2013
- Not valid on group or existing reservations, with reward points or with any other special offers or promotional rates
- Cancellation/re-scheduling must be done by 4 p.m. ET at least 3 days in advance; voucher subject to forfeiture and fee up to a 1-night stay
- Blackout dates are 2/15-24/2013
- Must be at least 21 years old with a valid photo ID to check-in
- Credit card required at booking
- Resort credit may be redeemed towards all food and beverage, 4D Experience, crafts and Ultimate Slime Experience purchases available at Nickelodeon Suites Resort in Orlando, FL. This credit is not valid for purchase at the Arcade, Kid's Spa, Nick Pix, Nick Stuff (Universal Store), massages or caricatures. The credit is only valid during the dates of your current stay and expires upon checkout. This resort credit is non-transferable and has no cash value and cannot be redeemed for cash or used towards room, tax, or resort fee
- The slides at the Lagoon pool will be closed for maintenance from 1/7-17/2013 and will reopen on 1/18/2013
- The slides at the Oasis pool will be closed for maintenance from 1/22-29/2013 and will reopen on 1/30/2013
- Parking for one vehicle is included (additional vehicles are $17 daily). The Resort Fee is not included in the room rate, subject to change without notice and will be charged upon check in regardless of service usage. Hours for transportation may change based on the seasonal park hours
- The following are not included and will be collected at check-in: Daily Resort fee of $30, 12.5% tax and charges for any incidentals
- Extended stays past the 2 voucher limit will be done so at the Best Available Rates
- Nights must be used consecutively and cannot be split
- All deal components must be redeemed during one stay
- Other conditions apply • PAID AND PROMOTIONAL VALUES EXPIRES ON March 7, 2013 • PAID VALUE DOES NOT EXPIRE • PAID VALUE EXPIRES ON March 7, 2018 • PROMOTIONAL VALUE EXPIRES ON March 7, 2013 • Enjoy By March 7, 2013
Other conditions apply
Except where noted in the fine print:
• Cannot be combined with any other offer or promotion
• Tax and gratuity are not included
• Merchant is responsible for the quality of the products or services provided to you at redemption
• LivingSocial Terms and Conditions - https://www.livingsocial.com/terms
Original Price:
- 0% savings
- remaining


text:
Welcome to the OFFICIAL online home of THE FALKIRK BAIRNS
All the latest happenings and news direct from the club.
Squad, fixtures and other football related information.
Matchday, admission prices and supporter initiatives
Our goal is the perfect treat for your clients and friends.
Advertising and Sponsorship Opportunities
Play where the professionals play.
© 2014 Falkirk FC. All rights reserved.
Web Design Company


text:
Perv Row is a term that refers to the row of seating typically bordering the dance floor in a strip club. Its usually reserved for your greasy grey tops and overly juiced up frat boys.
If you have to tilt your head back to see the stripper your sitting in perv row. If you can smell the strippers 6 dollar walmart special perfum your sitting in perv row.
by Stephan B. June 15, 2006


text:
The bucket shape is especially great for keeping rain and sun away from the eyes. Our buckets are made with strong materials and strategically downturned brims that gaurantee comfort in a variety of different weather circumstances. Not only that, they look cool too!
There are no products matching the selection.


text:
The popularity rating of refile explained
|Github Repository
|The highest rated repository is rails/rails with 30890 watchers and 12525 forks, resulting in a Github score of 99.99
|The highest rated Rubygem is rake with 111305426 total downloads
|These are the references for the score, marking the popularity of 100%
|Now, the repository for refile over at elabs/refile has got 1396 watchers and 61 forks, resulting in a Github score of 2.30
|Now, the gem refile has got 90804 total downloads
|Therefore, the relative popularity percentage can be calculated for refile
The average of those two values results in the score:
So, assuming everyone is using the most popular projects,
roughly one out of 100 Rubyists use refile
Please sign in to continue
In order to continue, you must be signed in using your Github account.
If you're signing in using this account for the first time Github will ask for your permission to give access to your public user data to the Ruby Toolbox.
Although the Github Authorization page does not mention it, the request includes read-only access to your verified email address (user:email OAuth scope). This is neccessary so there's a way to notify you about comments, information about your accepted project edits and the like. You can review your notification settings on your account page once you're signed in.


text:
Is it a good starting-point?
finally in September i'll get my bachelor degree (computer science of course), and probably i will start a new life experience going abroad to learn English (1 year), because all EU universities require a decent english level (between B2 and C1 i think). However i've decided to don't waste my time and start learning something about penetration testing.
I wanna ask you if these books are good to start this new experience until the enrollment at University for the master (i dont know yet which are the best uni in this field, do you any idea ?)
- Hacking Exposed
- TCP/IP (well i know it's not on pentesting but probably could improve my knowledge about networks and protocols)
- Coding for Penetration Testers (because im weak with scripting languages)
Thank you in advice


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text:
AMPHENOL INDUSTRIAL TVS06RK-13-98P Circular Connector, Tri-Start TV Series, Straight Plug, 10 Contacts, Crimp Pin, Threaded, 13-98
- Manufacturer:
- Manufacturer Part No:
- Newark Part No.:
- Product Range
- Tri-Start TV Series
The actual product may differ from image shown
Product Overview
- High reliability, moisture and corrosion resistant
- Outstanding EMI, RFI shielding protection (100MHz to 10GHz)
- 500 mating cycles, high durability versions are available with 1500 mating cycles
- Operates at extreme temperature range of -65°C to +200°C based on shell finish
- Minimum insulation resistance is 5000Mohm (at 25°C)
- Scoop proof to eliminate the possibility of contact damage
- Self locking connector system, triple start threaded coupling
- Thermoplastic clips moulded directly with insert
- Stainless steel body material with passivated finish
- Copper alloy crimp pin contacts with gold plating
Product Information
- Product Range:
- Tri-Start TV Series
- Circular Connector Shell Style:
- Straight Plug
- No. of Contacts:
- 10Contacts
- Circular Contact Type:
- Crimp Pin
- Coupling Style:
- Threaded
- Insert Arrangement:
- 13-98
- Connector Body Material:
- Stainless Steel Body
- Connector Body Plating:
- Passivated
- Contact Material:
- Copper Alloy
- Contact Plating:
- Gold
- Insert Rotation:
- Service Class:
- Corrosion Resistant, EMI, Firewall
- Equivalent Military Specification:
- MIL-DTL-38999 Series III
- To Be Advised
Find similar products grouped by common attribute
- Commercial
- Industrial
Legislation and Environmental
- RoHS Compliant:
- Yes
Similar Products
Find products functionally similar to this one. Select one of the following links, and you will be taken to a product group page that presents all products in this category that share the given attribute.
- Connector Body Plating: Passivated
- Contact Material: Copper Alloy
- Insert Rotation: N
- Circular Connector Shell Style: Straight Plug
- Circular Contact Type: Crimp Pin
- Insert Arrangement: 13-98
- Connector Body Material: Stainless Steel Body
- Coupling Style: Threaded
- Contact Plating: Gold
- Product Range: Tri-Start TV Series


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Stay connected with us to get the latest health and fitness news, innovative workouts, healthy recipes and wellness tips.
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ACE Fit Share
Starting Position: Sit on the stability ball holding each dumbbell with your thumbs wrapped around the handles and your feet flat on the floor. Slowly begin walking your feet forward as you tuck your tail under, lowering your spine onto the ball as you walk your feet away from the ball until your head, shoulders and upper back are resting on the ball. Feet should be parallel and shoulder width apart. Knees are bent to about 90 degrees with your thighs and torso at or nearly parallel to the floor. Distribute your weight evenly through your feet.
Pull your shoulders down and back until you feel your shoulder blades hugging the ball. Position the dumbbells near your chest and armpits with your palms facing forward. Keep the wrist in a neutral position (straight, not bent).
Upward Phase: Exhale, engage your abdominal/core muscles ("bracing") to stabilize your spine. Slowly press the dumbbells upward to a position directly above your chest with your elbows straight but not locked. Your hands should be shoulder-width apart and wrists neutral (straight, not bent). Keep your feet pressed into the floor and your hips pushed up towards the ceiling to maintain stability and control during the exercise.
Downward Phase: Inhale and slowly lower the dumbbells until they are level with or near your chest. Imagine that a bar connects the dumbbells. Try to keep the dumbbells parallel with each other and wrists in neutral position. Your head, shoulders and upper back should be resting on the ball, and your torso and thighs should be parallel with the floor at all times.
During the upward phase, avoid the tendency to thrust your hips upwards and arch your back. Your torso and hips should remain strong and parallel with the floor throughout the exercise.


text:
Weekdays: weather information is usually updated by 3:30pm - which fields are closed (if any) due to weather conditions.
Weekends (Classic and Challenge): weather information for Triangle United home game fields is usually updated by 7am Saturday, and 1100am Sunday
Weekends (Recreation--Woodcroft): weather information for Triangle United home game fields is usually updated by 8am Saturday, and 1100am Sunday
Sometimes, the weather situation may change later in the day, and cancellation decisions will have to be made at the fields. Some fields may remain open while others close, so listen carefully to the weather information record message.
Away games:
Each club makes the weather-related decisions for their own home games, so get the information from the opposing club. Get opposing club weather information below based on age and competition level.
CASL Challenge league - sometimes high school age challenge teams get permission to participate in the CASL Challenge league if MSSL does not field enough teams in an age group.
Older Challenge teams (u13+) participate in NCYSA Challenge leagues, which each have their own weather information for away games:


text:
Playgrounds are exciting, fun places for children. They can help to build dexterity, and they are a great place to make friends. Kids are marvelously inventive and use playground equipment in many different ways not intended by the manufacturers.
Each year in the United States, more than 156,000 children under age 14 are treated in hospital emergency rooms for injuries occuring on public playgrounds, according to the Centers for Disease and Prevention (CDC).
There are many ways to prevent these injuries and to lessen the severity of the injuries that do occur.
Playground injuries range from bumps, bruises, and cuts to life-threatening injuries like strangulation.
According to the CDC, approximately 45% of playground injuries are severe. These injuries include:
- Fractures (broken bones)
- Internal injuries
- Concussions
- Dislocations
- Amputations
The vast majority of injuries on the playground are connected with climbing equipment and swings.
Approximately 79% of equipment-related injuries are caused by falls. Most of these injuries are falls to the ground under equipment, rather than falling onto another piece of equipment.
Children fall because they slip, lose their grip, or lose their balance while playing on monkey bars, swings, slides, merry-go-rounds, and seesaws. Often, they'll fall on their outstretched hand trying to protect themselves, and sustain a fracture involving the elbow. This type of elbow fracture (supracondylar fracture of the humerus) is the most common injury that requires a trip to the operating room for treatment.
Often children are hurt not only by the fall, but by being struck by the equipment as they fall. Something as simple as drawstrings from a hooded sweatshirt can catch on a piece of playground equipment and can lead to a fall.
Other injuries include falls that result from being struck by the same equipment the child was playing with, or as a result of being struck with moving equipment.
Many injuries are also related to slide use.
A 2009 study found a relationship between shinbone (tibia) fractures and young children going down a slide on the lap of an adult. In many of these cases, the child's leg became stuck, but the adult and child could not stop moving down the slide. In other cases, the child's leg became twisted during the ride down.
Other Causes
A smaller number of playground injuries occur on teeter-totters and seesaws.
To lesser degrees, injuries result from contact with sharp edges of equipment; impact with stationary equipment; and falling after being struck with some type of equipment other than what the child was playing on.
Close supervision by a responsible adult may be the most important factor in preventing playground injuries.
Age appropriate equipment and carefully designed playground layouts, by themselves, won't be enough to prevent all injuries that may occur. Adults must provide focused supervision. They must instruct children in proper use of the equipment, and monitor and enforce playground rules.
Playground Checkup
Parents, relatives, teachers, babysitters, or anyone who sends or brings children to the playground should periodically inspect the facility for hazards. Report any problems to the proper officials. Don't let your children use that playground until the authorities have completed repairs.
Whether playground injuries are caused by falls or other types of contact, attention to three major factors can help to reduce the incidence of injury: playground surface, playground design, and equipment installation and maintenance.
Playground Surface
The type of surface on the playground is the most important factor in the number and severity of injuries due to falls.
The number and severity of injuries can be reduced by using softer surfaces, such as wood mulch or chips, shredded tires, or sand.
Hard surfaces, such as asphalt and concrete, would result in the most severe injuries and are unsuitable under any playground equipment.
Soil, packed dirt, grass, and turf are not recommended for surfacing, because their ability to absorb shock can be affected greatly by weather conditions and wear.
Playground Design
A well-planned playground should offer activities to encourage the development of perception and physical skills, including running, walking, climbing, dodging, swinging, sliding, throwing, catching, pulling, and pushing.
General guidelines for a well-planned playground include:
- Separate areas for active play, such as swinging, and quiet play, such as digging in sandboxes.
- Spaces for preschoolers should be located away from areas where older, more active children play.
- A "use zone" should be established around equipment, with adequate space for entering and exiting. Open fields should be located so that children can run freely without colliding with other children or equipment.
- Zones for popular activities should be separate to avoid overcrowding.
- Pathways that link activity areas should provide for easy travel between areas, and unobstructed vision for a child's height.
- Sight lines in all playground areas should be clear to allow proper adult supervision.
Equipment Installation and Maintenance
Schools and cities should keep playgrounds in good condition by inspecting and maintaining the equipment throughout the year. Heavy rainfall, snow, temperature extremes and high winds can damage playground equipment. So can heavy use. The most popular equipment might wear out quickly.
Manufacturers' instructions for proper installation and spacing should be followed carefully, including recommendations for maintenance.
Equipment should be inspected regularly to identify any loosening, rust or corrosion, or deterioration from use, rot, insects, or weathering.
No child should use equipment that does not meet U.S. Consumer Product Safety Commission guidelines. A copy of the guidelines is available, free of charge, by writing to U.S. Consumer Product Safety Commission, Washington, D.C. 20207.
For more in-depth information regarding safe playground equipment and playground guidelines, refer to the article Playground Safety Tips for KidsPlayground Safety Tips for Kids (topic.cfm?topic=A00345)
- Avoid playgrounds that have concrete, asphalt, hard-packed soil, or grass. The surface should be made of wood chips, mulch, or shredded rubber for play equipment up to seven feet high.
- Steer children to age-appropriate playground equipment.
- Check to see that there is enough space for kids to easily get off the slide or merry-go-round. Don't let kids crowd around the exit areas.
- Try the handgrips to verify they are shaped and sized for easy grasp.
- Swing seats should be made of plastic or rubber. Avoid metal or wood.
- Avoid any equipment that has openings that could entrap a child's head.
- Be sure you can clearly see your children on the playground. The kids should have clear, unobstructed views from their height.
- Remove tripping hazards such as exposed concrete footings, tree stumps, or rocks.
Try one of these Websites. You'll find information on playground equipment and safety, links to other Websites, and injury prevention information.
- AAOS Position Statement: Trampolines and Trampoline SafetyAAOS Position Statement: Trampolines and Trampoline Safety (http://www.aaos.org/uploadedFiles/PreProduction/About/Opinion_Statements/position/1135%20-%20Trampolines%20and%20Trampoline%20Safety.pdf)
- KidsHealth for Parents (Nemours Foundation)KidsHealth for Parents (Nemours Foundation) (http://kidshealth.org/parent/firstaid_safe/outdoor/playground.html)
- National Center for Injury Prevention and Control National Center for Injury Prevention and Control (http://www.cdc.gov/HomeandRecreationalSafety/Playground-Injuries/index.html)
Reviewed by members of POSNA (Pediatric Orthopaedic Society of North America)
The American Academy of Orthopaedic Surgeons
9400 West Higgins Road
Rosemont, IL 60018
Phone: 847.823.7186
Email: email@example.com


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Dave and I were going to dive the cove but were deterred by all the crap that washed up on shore, including condoms and beach whistles.
by ab_iron August 04, 2006
A plastic tampon applicator, all too often found in raw sewage, washing up on shorelines and beaches
bro, don't go for a walk along the Halifax shoreline, it's stinkin with whitefish and beach whistles
by bogwone July 29, 2008
A tampon applicator that is found on the beach.
by CRW June 12, 2006


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LM, NTLM, & MD5 Online password Cracker "Plan-text.info"
This website is an advanced distributed cracking system powered by rainbowtables, wordlists and other techniques.
We don't have a monopoly on cool web sites. Find something useful out there? Share it with us.
j0rDy wrote:nice! this can save you a lot of time! however, i would never submit data from a real pentest though. you never know where it will end up.
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text:
Another form of "Own3d" except on a higher level. This comes from super smash bros. melee when you throw a Poke'ball and this stupid duck comes out and murders your ass with a grid. We couldn't make any sense of it so it became a term.
"Oh man while Cassious wasn't looking i put a fat turd in his taco!"
"Oh snap, hes 'bout to get Internet Ducked!"
"Oh snap, hes 'bout to get Internet Ducked!"
by Taildrag September 19, 2005


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Port Scanner ideas?
From all the port scanners you have been using, is there a function that you always find missing? I am trying to come up with new ideas for a port scanner, like a cool/powerful feature. Any ideas I'm kind of stuck (It can be anything from GUI to command-line)


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Be the first to review this product
The leather is harder, so that leather shoes will be more uncomfortable, at first; it takes some time to "tame" them. Nonetheless, leather shoes tend to last longer than suede ones. The suede shoes adapt very well to the shape of the foot of the person wearing them, but they also lose their shape more quickly, and the suede may eventually start peeling off. On the other hand, some people prefer suede shoes because of their elegance.
When it comes to selecting the width of the shoe, consider that dancing shoes tend to give a little, and that if they are too wide for you they may eventually slip off.
The type of heel that is most commonly used by professionals is the 6-centimetre (2.3 inches) heel. However, it may be preferable for people who are learning to dance, or are not used to wearing shoes with heels, to start off with 5-centimetre (2-inch) classic heels. The Cuban heel is slightly wider than the classic heel, and it consequently provides greater stability. It is advisable for young girls and boys.
Shoes that have nails are better suited for dancing; the picture on the right provides a detailed view of the arrangement of the nails on the sole of the shoe.
Normally, you will choose shoes with nails to dance on surfaces that are made of wood, dais, parquet or other similar materials. However, if you want them to practice at home, or if the floor in your dance school is of a terrazzo type, it will be best for you to choose shoes that don't have nails.
How to take your foot measurement
Go back to the conversion table
To accurately measure your foot, place your heel against a wall, with a sheet of paper under your foot. Using a pen, ensuring that it is completely perpendicular to the floor, draw a small line to indicate the toe that is longest; it may be the big toe or the second toe, depending on who the person is.
Once you have marked the paper in this way, carefully measure the distance d.
Repeat the same operation for the other foot. Una vez tomadas las medidas del pie derecho y del pie izquierdo -siguiendo las indicaciones de arriba-, escoge la más alta de las dos medidas y entra en la tabla de conversión de centímetros o pulgadas a talla española abajo representada. Una vez en la tabla, se elige siempre la talla inmediatamente superior a la cifra obtenida en centímetros o pulgadas. Esflamenco.com recomienda siempre aumentar medio punto la talla elegida por este método. Es importante tener en cuenta que cualquier pequeño error en la medida puede resultar fatal en la elección de la talla y siempre es mejor que el zapato nos quede un poquito grande que un poquito pequeño.
Tras medir nuestros pies siguiendo las instrucciones anteriores hemos obtenido una medida de 24,8 cm para el pie derecho y 24,7 cm para el pie izquierdo. Entramos en la tabla de abajo con la medida de 24,8 cm -que es la mayor de las dos- y obtenemos la equivalencia de talla de 371/2, le sumamos media talla de seguridad y obtenemos nuestra talla: un 38.
Black is the colour that is most commonly used, both for practicing and for stage performances, because it combines well with almost any colour. However, it is not suitable to wear with a plain white dress, or with spots on a white backdrop, which are better accompanied by a shoe whose colour is white, camel, or the same colour as the spots. It also looks good when the colour of the shoes matches the colour of the skirt. For instance, red skirt = red shoes.
esflamenco.com warns that the colour may vary depending on the screen and the settings of its brightness and contrast characteristics.
Skirts are made up of different pieces, that are labelled with different letters in the diagram above. Pick a colour for each of its pieces from the colour chart.
esflamenco.com warns its customers that colours may vary somewhat depending on their computer screen and on the adjustment of its brightness and contrast levels.
a- Waistline
b- Distance from the waistline to the ankle
a- Bust
b- Waistline
c- Distance from the waistline to the ankle
b- Waistline
It is very important for you to take into account that the tops and skirts are made of different materials. For this reason, their colours are not exactly the same.
esflamenco tips: Combine this dress with a mantón (Manila shawl) or mantoncillo (small shawl) in a plain colour that contrasts with the dress.
esflamenco secret: in spite of the dress' V-shaped back, the height of its back allows it to be used while wearing a bra, without the bra ever being visible. The dresses for dancing are light, made of materials that fall in a sheer manner and have neutral colours. They must be comfortable, so as not to obstruct one's movements, and they must also be well-fitted to the body in order to emphasize the movements of the bailaora (female flamenco dancer). This is possible thanks to the gliding qualities of the skirt and to the way in which the material falls.
Dress that is cut at the waist: a dress that is made of two pieces that come together at the height of the waist.
Dress that is cut at the bosom: a dress that is made of two pieces that come together below the bosom.
Dress in one piece: unlike the previous ones, a one-piece dress does not have any horizontal cuts, neither at the height of the waist, nor below the bosom.
Costadillos: each of the pieces that are arranged vertically to form the upper part of the dress, which covers the torso. They ensure that the dress is well fitted at the bosom and waist.
c- Hip
d- Length for the dress
Note: The payments for all products that are custom-made, like shoes, skirts and dresses for dancing, are always collected in advance. Orders can only be cancelled during the 24 hours which follow the moment when they were made. If you would like any further information, please visit our help section.
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Godet Model with two ruffles
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Does "No non bee related products" mean "no Treatment"?
Does it show that all methods were in the 30+% loss range? Does that tell us that it is almost worthless to treat? No major decline in losses? Or did the treated hives have a substantially higher percent of survival?
I am old, feeble and uneducated. I can't determine what the graphs mean.


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The services sector plays an increasingly important role in the global economy and the growth and development of countries.
Services are becoming crucial in a country's development, including in achieving the Millennium Development Goals, such as poverty reduction and access to basic services, including education and health services.
UNCTAD has implemented a comprehensive work programme on services, trade and development with a view to assisting developing countries in developing their services sectors, increasing their participation in services trade and realizing development benefits. This work enjoys extensive complementarity between the three pillars of UNCTAD's operations.
United Nations Conference on Trade and Development
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The page you were trying to reach contains content that has been flagged as abusive or spam. Contact us if you think this is an error.
If this is your Flavors site then login to let us know that it is not spam.
See what other Flavors sites are out there by checking out our community, or why not create your own.


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ok, post hardcore kids are definitely NOT emo. they are kind of like hardcore kids, but not as hardcore...for lack of a better word. they listen to more melodic hardcore music. but that doesn't mean that they can't listen to hardcore music too. also, there's no set style for a post hardcore kid. they can wear whatever. its only a genre of music. hardcore is a style though.
by involving September 02, 2007
A Post-Hardcore kid is a teenager who listens to alot of "core" music, especially "Post-Hardcore". They are definite about their character, and they dont really follow a basic trend. They don't "Hardcore Dance", put on make-up, wear EXTREMELY tight pants, and they definitely don't say they are "bisexual" just because everybody else is. They like to be themselves. Although they listen to alot of "scene" music, they are not scene. They do wear skinny jeans (but not excruciatingly tight ones), usually vans, band tees or graphic tees, and maybe sometimes they straighten their hair. So I 'guess' they do basically follow a trend, but not as much as "scenesters" or "hardcore kids". Yes, they might listen to more heavy music like "Emmure" or "Suicide Silence" sometimes, but they don't quickly label themselves. That's another thing. They don't label themselves. They wear and do what they want. So basically I don't know why I just labeled them as a "Post- Hardcore" kid. They don't really have name. (I just need something for the title) They like the bands for the music, not the screaming, not for the popularity, or not for just ONE song.
There really only a few of "these kids".
There really only a few of "these kids".
Post-Hardcore Kid was really not a good title.
by bmth98 May 16, 2011
The Urban Dictionary Mug
One side has the word, one side has the definition. Microwave and dishwasher safe. Lotsa space for your liquids.Buy the mug
a post hardcore kid is an emo kid who hates other emo kids. they refuse to believe that they themselves are emo even though they adhere strictly to the emo stereotype
Post hardcore kid 1: OMG that guy is such an emo fag
Post hardcore kid 2: yeah he even has the same shoes as you...
Post hardcore kid 2: yeah he even has the same shoes as you...
by Forever_failing January 05, 2006
Self righteous, ray ban wearing, hair slicking, elitists in a music scene, who see themselves as superior to everyone around them. Generally, they don't play in bands, or if they did it was several years ago and they are resting on the laurels of their mediocre success. See everyone around them as inferior and fake, despite the likelihood that the people they are targeting are more genuine than the Post-Hardcore Kid. The kind of pompous shit heads that taint music scenes.
by Pissed Off Steve August 12, 2013
The vengeful act of crapping on a lover's chest while they sleep.Buy the plush


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Huri Batash - Cookbook: recipe #106, If all Gna! machines are down
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recipe #106, General: If all Gna! machines are down
If all Gna! machines are down, we will update http://emergency.gna.org explaining the nature and severity of the problem and mentioning when everything should be back to normal.
http://emergency.gna.org is not hosted on the same network that Gna! servers but is a courtesy of http://www.jexiste.fr , so it should be up even if a big network issue put Gna! servers off the net.
Last update: Thu Nov 24 16:01:56 2005
This recipe comes from Gna! User Docs
Audience and ContextAudience:
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(As there is at least one of the Audience/Feature/Action context information not set, this recipe will not show up in related recipes links)
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THAILAND: Garment industry sees growth from Asian Alliance
The Thai textile and garment industry is eyeing a 10-15% growth in exports in 2010 thanks to expanding opportunities in the region and a focus on design.
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Canon PowerShot S100: Test and reviewFriday December 09 2011 Sensor Review
In the high-end compact section of the Canon portfolio, the Canon PowerShot S100 succeeds the Canon PowerShot S90 and Canon PowerShot S95. Let's take a closer look at its image quality.
Four years ago, Canon launched a 15-Mpix compact sensor for the Canon PowerShot G10, but the RAW image quality was quite disappointing. A year later, the Canon PowerShot G11, successor to the PowerShot G10, featured a 10 MPix sensor which was much better in low-light conditions that its predecessor.
Since then and until this year, Canon's high-end compacts (Canon PowerShot S90 and Canon PowerShot S95) didn't push their resolution any further.
But today, with a 13 MPix sensor, the new Canon PowerShot S100 is a new milestone for Canon, much better this time.
Indeed, even with a 3 Mpix higher resolution, Canon manages to keep an acceptable low-light performance for a compact camera.
Canon PowerShot S100 vs its predecessors
To verify that, let's first compare the Canon PowerShot S100 with the Canon PowerShot G10 PowerShot G11 on one hand and the Canon PowerShot S100 vs Canon PowerShot S95 on another hand.
Compared to the older G10 and G11, and to the product the S100 replacing, the S95, the PowerShot S100 doesn't show any weakness in term of Low-Light performance, and offers close but better Color Depth and Dynamic Range results. As we already mentioned, the S100 offers this equivalent image quality, but with 3 million more pixels.
Canon vs Nikon
If we now look at how the S100 compares with its closest competitor, the Nikon Coolpix P7100, we see that S100 wins this comparison, thanks especially to its better Color Depth and Dynamic Range.
But it is worth having a broader look at the competition. So let's take into account the new arrival of interchangeable-lens compact cameras, and compare the Canon Powershot S100 with the Nikon 1 J1 and Nikon 1 V1. Here, the Nikon 1 cameras win in term of image quality, but also in term of versatility, given their capacity use a variety of lenses.
In conclusion, the PowerShot S100 is among the best, if not the best high-end compact camera on the market. But the bigger question is whether the category itself will succumb to the arrival of the interchangeable-lens compact cameras. The price difference will definitely be the main criteria in the decision.
Further readings for the Canon PowerShot S100: Test and review
To provide photographers with a broader perspective about mobiles, lenses and cameras, here are links to articles, reviews, and analyses of photographic equipment produced by DxOMark, renown websites, magazines or blogs.
With the FZ150, Panasonic stays the course with another high-end bridge camera. From manual to completely automatic modes, the DMC-FZ150 offers a large choice of options.
Added by Navid | December 12 , 2011
Inappropriate Comparison
Merely because S100 is that good that receives a score so close to Nikon J/V 1, is not an acceptable reason to compare them. Sensor wise, canon S100 has a sensor of 43mm² while this parameter for Nikon J/V 1 is almost triple at about 123mm². Canon S100 is solely a magnificent camera and based on dependable comparison provided by DxO Mark, there isn't even one camera with this size of sensor which can deliver such an image quality. In my understanding Pentax Q would be a proper rival which has a bit smaller sensor and received a respectable score of 47.
Added by ozone51 | December 09 , 2011
Wrong market analysis
The real big question is: do you want to buy a much bigger camera that is not very much better in term of picture quality, like the Nikon J1 and V1. The picture quality / size ratio of the Canon S100 is really great. It's just 5 point behind the Nikon camera but easely fit in the pocket of a jacket. Can't say the same of all the interchable-lens camera.


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View Comment
Posted at 1:21 PM on June 20, 2013
I liked CHRIS BROWN more than RI too cuz He's my favorite Singer, songwriter, rapper, dancer, and actor…he's also my insporation. I still like RI but I will always love C Breezy!!!
And for all dose peeps out there who don't like Chris for the fighting DONT HATE HIM CUZ HES CUTE AND SWEET HATE HIM CUZ YOU CANT COMPETE…DONT HATE APPRECIATE!!!
Posted at 1:14 PM on June 20, 2013
Posted at 5:49 PM on March 8, 2013
Posted at 5:38 PM on March 8, 2013
Posted at 11:22 PM on February 27, 2013
Posted at 3:51 PM on February 9, 2013
Posted at 3:18 AM on February 9, 2013
Posted at 5:41 PM on March 8, 2013
Posted at 2:51 AM on February 8, 2013
Posted at 10:39 PM on February 4, 2013
Posted at 4:40 PM on January 24, 2013
To be honest it isn't really the fans choice to make breezy choose who he wanna date, yeah you can want him to date someone but not make him. Tbh it really isn't any of our business, and yeah I am a HUGE fan of breezy& rihanna I love them both but I won't Judge them. And rihanna ISN'T a hoe


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A small, private, Christian university located in the affluent suburbs of Philadelphia, the "main line". Here, students are taught to love the poor and the oppressed as part of the core curriculum. A bit pretentious at times, but altogether a lovely gathering of liberal Christians trying to find their place in the world.
Eastern University
by Lauren Bloom October 26, 2008
A mid sized baptist college in south eastern pennsylvania that doesn't have students, but pods. eastern kids think that their shit doesn't stink and think they are holier than anyone else in the state. since they are so perfect, none of the students smoke pot, but go across the road to cabrini to get high. generally low class, eastern thinks they're hot shit in a champagne glass, but are really cold diarrhea in a dixie cup.
girl one: why does campus smell so bad?
boy one: oh, must be the pot heads from eastern university sneaking on campus again!
boy one: oh, must be the pot heads from eastern university sneaking on campus again!
by phishingnet May 16, 2010


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Light up brother!
R8 PL8Z offers a picture gallery of custom vanity plates and suggestions for funny license plate ideas and sayings. Before getting on the road make sure you have car insurance with a provider such as Geico, Allstate, Progressive, State Farm, Nationwide, Choice, Unitrin Direct, Esurance, or other car insurance providers. Also, don't be forget to shop rates and compare insurance quotes! 23132031


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Prices and availability are subject to change from the time and date that you print this page.
5/30/2017 9:04:49 AM. For Customer Service, please call 800.933.9904
Don't go changing for us. But if you do, you'll definitely want to check out our changing pads. They're made with CertiPUR-US® foam for improved indoor air quality, and they're easy to clean. Be sure to match it up with one of our changers and changer pad covers. Yes, change is in the air.
Simmons Contour Changing Pad 34.5"Wx16.25"Dx4"H
- GREENGUARD® certified
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- Works with all of our changing pad covers
- Water resistant vinyl
- For indoor use only.
- Avoid direct sunlight.
- Protect from heat and liquids.
- For soil build-up, wipe hard surfaces with damp cloth and dry.
- Dust with soft dry cloth.
- Do not use abrasive cleaners.
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Businesswoman Holding Tablet Download Now
Name: businesswoman-holding-tablet.zip
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Zippyshare Nulled is a Virtual Appliance that helps Companies and Organizations Send, Receive & Share Large Files, Fast & Securely
Zippyshare Nulled is a Virtual Appliance (pre-configured software including operating system) that you install in your VMware, Microsoft Hyper-V, Xen environment, in your own private Amazon EC2 Cloud or if you prefer on a dedicated server. In most cases you will be up and running and sending your first large file within minutes of downloading the trial.
Zippyshare Nulled Product Highlights Zippyshare Nulled aims to fulfil all needs most organizations need to Send, Receive and Share Files of any file size in and out of your environment: Send Unlimited Sized Files to anyone using a simple Webmail-like Interface Receive Unlimited Sized Files from anywhere using modern and legacy methods. File and Folder Sharing with internal and external teams. Request Files with a simple link for the receiver to use when responding to the request. FTPdrops that can receive files and send to internal users using FTP/FTPs/SFTP or SCP. FTPdir - like a tradtional FTP server to integrate into existing workflows using FTP/FTPs/SFTP or SCP. Emaildrops - Receive Files Securely using email with additional tracking.
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I haven't added this to my profile yet
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If your child has a congenital heart defect, it means that your child was born with a problem in the structure of his or her heart.
Some congenital heart defects in children are simple and don't need treatment, such as a small hole between heart chambers that closes on its own. Other congenital heart defects in children are more complex and may require several surgeries performed over a period of several years.
The news that your child has a congenital heart defect can leave you worried about your child's health now and in the future. But, learning about your child's congenital heart defect can help you understand the condition and know what you can expect in the coming months and years.
Serious congenital heart defects usually become evident soon after birth or during the first few months of life. Signs and symptoms could include:
Less serious congenital heart defects may not be diagnosed until later in childhood, because your child may not have any noticeable signs of a problem. If signs and symptoms are evident in older children, they may include:
Serious congenital heart defects are often diagnosed before or soon after your child is born. If you notice that your baby has any of the signs or symptoms above, call your child's doctor.
If your child has any of the signs or symptoms of less serious heart defects as he or she grows, call your child's doctor. Your child's doctor can let you know if your child's symptoms are due to a heart defect or another medical condition.
The heart is divided into four hollow chambers, two on the right and two on the left. In performing its basic job — pumping blood throughout the body — the heart uses its left and right sides for different tasks.
The right side of the heart moves blood to the lungs through vessels called pulmonary arteries. In the lungs, blood picks up oxygen then returns to the heart's left side through the pulmonary veins. The left side of the heart then pumps the blood through the aorta and out to the rest of the body.
During the first six weeks of pregnancy, the heart begins taking shape and starts beating. The major blood vessels that run to and from the heart also begin to form during this critical time during gestation.
It's at this point in your baby's development that heart defects may begin to develop. Researchers aren't sure exactly what causes most of these defects, but they think genetics, certain medical conditions, some medications and environmental factors, such as smoking, may play a role.
There are many different types of congenital heart defects, falling mainly into these categories:
Holes in the heart. Holes can form in the walls between heart chambers or between major blood vessels leaving the heart. These holes allow oxygen-rich and oxygen-poor blood to mix. If the holes are large and a lot of blood is mixed, the blood that ends up being circulated through your child's body is not carrying as much oxygen as normal.
Not having enough oxygen can cause your child's skin or fingernails to appear blue. Your baby may also develop signs of congestive heart failure, such as shortness of breath, irritability and leg swelling, because both oxygen-rich and oxygen-poor blood are flooding the lungs.
A ventricular septal defect is a hole in the wall between the right and left chambers on the lower half of the heart (ventricles). An atrial septal defect occurs when there's a hole between the upper heart chambers (atria).
Patent ductus arteriosus (PAY-tunt DUK-tus ahr-teer-e-O-sus) is a condition that causes an opening between the pulmonary artery (containing deoxygenated blood) and the aorta (containing oxygenated blood). A complete atrioventricular canal defect is a condition that causes a hole in the center of the heart.
Obstructed blood flow. When blood vessels or heart valves are narrow because of a heart defect, the heart must work harder to pump blood through them. Among the most common of this type of defect is pulmonary stenosis (stuh-NO-sis). This condition occurs when the valve that allows blood to pass from the right ventricle to the lungs via the pulmonary artery is too narrow to function properly.
Another type of obstructive defect is aortic stenosis. In this condition, the aortic valve, which allows blood to pass from the left ventricle out to the body via the aorta, is too narrow. Narrowed valves force the heart muscle to work harder, eventually leading to thickening and enlarging of the heart.
Abnormal blood vessels. Several congenital heart defects happen when blood vessels going to and from the heart don't form correctly, or they're not positioned the way they're supposed to be.
A defect called transposition of the great arteries is a condition caused by abnormal blood vessels. It occurs when the pulmonary artery and the aorta are on the wrong sides of the heart.
A condition called coarctation of the aorta happens when the main blood vessel supplying blood to the body is too narrow. Coarctation of the aorta causes high blood pressure.
Total anomalous pulmonary venous connection is a defect that occurs when blood vessels from the lungs attach to wrong area of the heart.
Heart valve abnormalities. If the heart valves can't open and close correctly, blood can't flow smoothly.
One example of this type of defect is called Ebstein's anomaly. In Ebstein's anomaly, the tricuspid valve — which is located between the right atrium and the right ventricle — is malformed and often leaks.
Another example is pulmonary atresia, in which the pulmonary valve is missing, causing abnormal blood flow to the lungs.
Most congenital heart defects result from problems early in your child's heart development, the cause of which is unknown. However, certain environmental and genetic risk factors may play a role. They include:
Medications. Certain medications taken during pregnancy may cause birth defects, including congenital heart defects. Give your doctor a complete list of medications you take before attempting to become pregnant.
Medications known to increase the risk of congenital heart defects include thalidomide (Thalomid), the acne medication isotretinoin (Amnesteem, Claravis, Sotret), lithium and anti-seizure medications containing valproate.
Heredity. Congenital heart defects appear to run in families and are associated with many genetic syndromes. Many children with Down syndrome — which is caused by an extra 21st chromosome (trisomy 21) — have heart defects. A missing piece (deletion) of genetic material on chromosome 22 also causes heart defects.
Genetic testing can detect such disorders during fetal development. If you already have a child with a congenital heart defect, a genetic counselor can estimate the odds that your next child will have one.
Some potential complications that can occur with a congenital heart defect include:
A need for lifelong follow-up. Treatment for children who have congenital heart defects may not end with surgeries or medication while they're young.
Children who have heart defects should be mindful of their heart problems their entire lives, as their defect could lead to an increased risk of heart tissue infection (endocarditis), heart failure or heart valve problems. Most children with congenital heart defects will need to be seen regularly by a cardiologist throughout their life.
If your child has a life-threatening heart defect, it will likely be detected soon after birth, or possibly before birth as a part of routine exams during pregnancy.
If you suspect your child has a heart defect later in infancy or childhood, talk to your child's doctor. Be prepared to describe your child's symptoms and provide a family medical history, since some heart defects tend to be hereditary.
Your child's doctor may also want to know if the mother of the child had any medical conditions or used any medications or alcohol while pregnant that may have been a risk factor for developing a congenital heart defect.
Your time with your doctor is limited, so preparing a list of questions may help you make the most of your time together. You might want to ask the following questions:
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:
Your child's doctor may initially suspect a problem because he or she hears a heart murmur during a routine exam. A heart murmur is a sound that occurs when blood flows abnormally through the heart or blood vessels. Your child's doctor can hear a heart murmur with a stethoscope.
Most heart murmurs are innocent, meaning that there is no heart defect and the murmur isn't dangerous to your child's health. Some murmurs, however, may mean blood is flowing through your child's heart abnormally because he or she has a heart defect.
If it's possible your child has a heart defect, your doctor or your child's doctor may order several tests to see if your child has a heart problem. In addition to a regular physical exam, these could include:
Echocardiogram. Your child's doctor may use a regular echocardiogram to diagnose a congenital heart defect after your child has been born.
In this noninvasive test, your child's doctor performs an ultrasound to produce images of the heart. An echocardiogram allows the doctor to see your child's heart in motion and to identify abnormalities in the heart muscle and valves.
Cardiac catheterization. In this test, a thin, flexible tube (catheter) is inserted into a blood vessel at your baby's groin and guided through it into the heart.
Catheterization is sometimes necessary because it may give your child's doctor a much more detailed view of your child's heart defect than an echocardiogram. In addition, some treatment procedures can be done during cardiac catheterization.
A congenital heart defect may have no long-term effect on your child's health — in some instances, such defects can safely go untreated. Certain defects, such as small holes, may even correct themselves as your child ages.
Some heart defects, however, are serious and require treatment soon after they're found. Depending on the type of heart defect your child has, doctors treat congenital heart defects with:
Procedures using catheterization. Some children and adults now have their congenital heart defects repaired using catheterization techniques, which allow the repair to be done without surgically opening the chest and heart. In procedures that can be done using catheterization, the doctor inserts a thin tube (catheter) into a leg vein and guides it to the heart with the help of X-ray images.
Once the catheter is positioned at the site of the defect, tiny tools are threaded through the catheter to the heart to repair the defect. Catheter procedures can often be used to fix holes or areas of narrowing.
To correct a hole in the heart, such as an atrial septal defect, a catheter is threaded through a blood vessel to the hole. The catheter is equipped with an umbrella-like device that is opened and left in place. This plugs the hole, and over time, normal tissue grows over the device.
To repair areas of narrowing, such as pulmonary valve stenosis, a catheter is equipped with a small balloon that's inflated in the area that's narrowed. This creates a wider area for blood to flow through.
Open-heart surgery. In some cases, your child's doctor can't fix your child's heart defect using a catheter procedure. In these cases, your child may need surgery to repair the defect.
The type of surgery your child needs depends on the extent of the defect. For some congenital heart defects, such as holes in the heart, minimally invasive heart surgery may be an option. However, congenital heart defects are usually corrected using open-heart surgery.
Either type of surgery requires stopping the heart temporarily and using a heart-lung machine to circulate the blood throughout the body during surgery. The big difference between the two surgeries is that in a minimally invasive procedure, surgeons can operate through the ribs using only small holes. In open-heart surgery, the chest has to be opened.
These surgeries are major medical procedures and may require a significant recovery time for your child.
Medications. Some mild congenital heart defects, especially those found later in childhood or adulthood, can be treated with medications that help the heart work more efficiently. And, sometimes, congenital heart defects can't be operated on, or can't be completely repaired. In these cases, medication may be an option.
Drugs known as angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), beta blockers, and medications that cause fluid loss (diuretics) can help ease stress on the heart by lowering blood pressure, heart rate and the amount of fluid in the chest. Certain medications can also be prescribed to help irregular heartbeats (arrhythmias).
Sometimes, a combination of treatments is necessary. In addition, some catheter or surgical procedures have to be done in steps, over a period of years. Others may need to be repeated as a child grows.
Some children with congenital heart defects require multiple procedures and surgeries throughout life. Although the outcomes for children with heart defects have improved dramatically, most people, except those with very simple defects, will require ongoing care, even after corrective surgery.
Lifelong monitoring and treatment. Even if your child has surgery to treat a heart defect, your child's condition will need to be monitored for the rest of his or her life.
Initially, this is done by a pediatric cardiologist, and then an adult cardiologist. A congenital heart defect can affect your child's adult life, as it can contribute to other health problems.
As your child ages, it's important to remind him or her of the heart condition that was corrected and the need for ongoing care. Encourage your child to keep his or her doctor informed about the heart defect and the procedures performed to treat the problem.
Exercise restrictions. Parents of children with congenital heart defects may worry about the risks of rough play and activity even after treatment. Although some children may need to limit the amount or type of exercise, many can participate in normal or near-normal activity.
Your child's doctor can tell you which activities are safe for your child. If some activities do pose distinct dangers, encourage your child to participate in other activities instead of focusing on what he or she can't do. Although every child is different, most children with congenital heart defects grow up to lead healthy, productive lives.
Infection prevention. Depending on the type of congenital heart defect your child had, and the surgery used to correct it, your child may need to take extra steps to prevent infection.
Sometimes, a congenital heart defect can increase the risk of infections — either in the lining of the heart or heart valves (infective endocarditis). Because of this risk, your child may need to take antibiotics to prevent infection before additional surgeries or dental procedures.
Children who are most likely to have a higher risk of infection include those whose defect was repaired with a prosthetic material or device, such as an artificial heart valve. Children who've had surgery to place a prosthetic device in the previous six months also face a higher risk of infection. Ask your child's cardiologist if preventive antibiotics are necessary for your child.
It's natural for many parents to feel worried about their child's health, even after treatment of a congenital heart defect. Although many children who have congenital heart defects can do the same things children without heart defects can, here are a few things to keep in mind if your child has had a congenital heart defect:
Because the exact cause of most congenital heart defects is unknown, it may not be possible to prevent these conditions. However, there are some things you can do that might reduce your child's overall risk of birth defects and possibly heart defects, too, such as:
Original article: http://www.mayoclinic.org/diseases-conditions/congenital-heart-defects/basics/tests-diagnosis/con-20034017
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Roots of Impunity
2. A Death in Khyber Pakhtunkhwa
On the evening of January 17, 2012, a year and four days after Geo TV reporter Wali Khan Babar was gunned down on a busy street in Karachi, Mukarram Khan Aatif, a senior journalist in the tribal region of Pakistan, was offering evening prayers at a mosque near his home in Shabqadar. Two men approached and fired three times, shooting him in the chest and head. One of the bullets passed through Aatif and injured the imam as well. Aatif was pronounced dead at the hospital that night.