text:
University of Washington, Seattle, WA
INTRODUCTION:Lymphangioleiomyomatosis (LAM) is a rare and progressive lung disease complicated by the accumulation of chyle in the chest and abdomen. Currently, only lung transplantation is a viable therapeutic option for advanced stages of LAM. However, complications of persistent and progressive extra-pulmonary disease and recurrence of LAM in the transplanted lung may complicate transplantation. As unexplained decline in respiratory status raises the concern for rejection post lung transplantation, awareness of complications associated with underlying LAM is essential in treating episodes of dyspnea in lung transplant recipients with LAM.
CASE PRESENTATION:A 32 year old woman with LAM, one year status post bilateral lung transplantation, Cytomegalovirus (CMV) status donor positive-recipient negative, presented with shortness of breath while undergoing treatment with foscarnet for ganciclovir resistant CMV retinitis and viremia. To optimize response, her corticosteroids had been decreased to prednisone 5mg daily and mycophenolate and tacrolimus levels lowered. Ten months post transplantation, she presented with dyspnea and cough with a new pulmonary infiltrate and decline in pulmonary functional status. Lung rejection, infection, CMV pneumonitis, and recurrence of LAM were ruled out by multiple lung specimens retrieved by bronchoscopy as well as surgical lung biopsy. During the interim, she had also developed chylothorax that required percutaneous drainage and diet changes with subsequent improvement. High resolution computed tomography images of the chest had not demonstrated worsening pleural effusion, nor pericardial effusion or recurrence of LAM in the lungs. Right and left heart function and pericardium assessed by an echocardiogram were normal during this episode. Twelve months post lung transplantation, she manifested another episode of dyspnea which progressed rapidly over a few days. Since she had a recent decrease in immunosuppression and known CMV disease, the differential diagnosis included an acute lung rejection and CMV pneumonitis. A history of orthopnea, paroxysmal nocturnal dyspnea and jugular venous distension by examination prompted further diagnostic and therapeutic interventions despite having had a normal echocardiogram 10 days prior. A repeat echocardiogram demonstrated a new finding of constrictive pericarditis. A right and left heart catheterization confirmed compromised hemodynamic measurements. She was subjected to an open pericardiectomy that resulted in rapid improvement in hemodynamic measurements and her dyspnea. Special stains and cultures of the pericardial biopsy were all negative for infection including CMV by cultures and by polymerase chain reaction (PCR). Her CMV retinitis responded to maintenance foscarnet and lowered immunosuppressive regimen. She improved without requiring augmented antirejection medications.
DISCUSSIONS:While chylous pericardial effusion is a known complication of progressive LAM, acute constrictive pericarditis in lung transplant recipients with LAM has not been previously reported. Since our patient was at high risk for complications associated with CMV, constrictive pericarditis due to CMV was a possible explanation. As she had been responding to foscarnet and lowered immunosuppressive regimen, other possible etiologies had to be entertained. Since she had a normal echocardiogram done within 10 days of her presentation as well as no evidence for recurrence of LAM in the transplanted lungs, nor had substantial reaccumulation of chylothorax, the possibility of an acute rejection was a concern in this patient on lowered immunosuppressive regimen. However, the elicited history prompted the consideration of cardiac etiology for this episode of dyspnea.
CONCLUSION:This case illustrates that acute constrictive chylous pericarditis secondary to underlying LAM must be included in the midst of differential diagnosis of infection and rejection in the lung transplant recipient with LAM. Extra-pulmonary complications of LAM may continue to progress despite 'successful' lung transplantation for LAM. Awareness of this possibility will prompt aggressive and appropriate diagnostic and therapeutic interventions.
DISCLOSURE:Martha Billings, No Financial Disclosure Information; No Product/Research Disclosure Information
Monday, October 22, 2007
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text:
Found 10 Martial Arts tutors in Cedar Rapids, IA 52401.
Iowa City 52246 · 22 miles from 52401 · $20/hour · teaches algebra 1 - elementary math -
I am a recent graduate of Grinnell College with a bachelor of arts degree in both biochemistry and in English. In college, I worked as a mentor, tutor, and lab assistant in organic chemistry and biochemistry...certified
Iowa City 52245 · 22 miles from 52401 · $50/hour · teaches English - literature -
I have an MFA degree in Literary Arts from Brown University, and before that a BA in both Fine Art and Spanish. I've taught undergraduate creative writing seminars and also tutored elementary, middle and high...certified
Iowa City 52245 · 22 miles from 52401 · $50/hour · teaches ADD/ADHD - art history -
My education certification is in both Early Childhood and Elementary Education with an emphasis in K - 8 Reading from The University of Iowa. I owned and operated my own preschool for thirty years.certified
Iowa City 52240 · 22 miles from 52401 · $40/hour · teaches Arts, Painting, Photoshop
I very much enjoy sharing my knowledge of art and digital media and love to help others with their struggles.Green Apple rating, member for 2 years and 8 months
Tiffin 52340 · 18 miles from 52401 · $45/hour · teaches art history - Art Theory
My name is Tom and I am a Fine Artist and Writer. I received my MFA from Cranbrook Academy of Art and specialize in Mixed Media Sculpture, Drawing, Painting, and Art History/Theory.certified
North Liberty 52317 · 15 miles from 52401 · $40/hour · teaches art history - elementary
While at Iowa, I took courses in other disciplines such as Art History, Spanish, Math and Music. I was also a part of the Hawkeye Marching Band for four years. I played the clarinet for 13 years.certified
Cedar Rapids 52402 · 3 miles from downtown · $35/hour · teaches ACT English - ACT
I plan on going into Student Affairs in Higher Education, focusing on diversity and inclusion efforts in a small, liberal arts college. When not studying, I work at the campus Writing Center, where my love for...certified
Cedar Rapids 52402 · 3 miles from downtown · $45/hour · teaches reading - spelling -
I am an educator by day and a theatre artist by night. I went to Iowa State University, where I earned my B.A. in Performing Arts - Acting & Directing. I spent the next 7 years traveling all around the United States...certified
Iowa City 52245 · 22 miles from 52401 · $45/hour · teaches martial arts -
Thank you for taking a peek at what could be an awesome shared adventure! My passion lies in maximizing quality of life. Professionally, this has taken on many shapes and forms. To date, I have 10 years of...certified
Iowa City 52246 · 22 miles from 52401 · $45/hour · teaches martial arts -
I recently graduated from the University of Iowa as a graduate student with a Master's Degree in Chemistry. I worked as a Teaching Assistant and Research Assistant. In addition, I had multiple students as...certified

subset: commoncrawl


text:
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text:
When I woke up, Deidre was still in my arms. She was nestled close and muttered in her sleep. I smiled down at her, reliving the previous evening's activities. I never knew I would be able to have sex like that. Hearing her moans and cries of pleasure had sent me over the edge faster than I had anticipated it would.
As I rubbed her back with my thumb lightly, I thought of her pathetic excuse of a father. Why would he have come to the wedding and done that? Had someone paid him off? Izzy probably would have. And what would happen with the company? Would our clients believe such a ridiculous story? They had believed Izzy's lie, though....
Deidre began to stir and I kissed the tip of her nose. She blinked a few times and smiled at me.
"Good morning, Mrs. Kilgore," I whispered and her smile grew.
"Good morning, Mr. Kilgore," she yawned. "What time is it?"
"I dunno," I shrugged. "I don't really care, either."
"I'm hungry."
"Do you want to go make something?"
She thought then snuggled back in. "No. I want to stay right here."
I chuckled and kissed the top of her head.
"Our moms will be gone for three days," I told her and she started to trace my abs. "Keep that up and we'll have another round of last night."
She giggled. "I'm too sore."
"I hurt you?" I breathed, my heart hammering.
She laughed. "Calm down. It's a good kind of sore."
I frowned. "There's such a thing?" She nodded and put her head on my chest again. "What do you want to do while they're gone?"
"I'm not sure. Is it wrong to say I'm kind of glad we didn't have time to plan a fancy honeymoon?"
"Nope," I said. "I didn't want a big fancy one, either. I'm fine with lying in bed with you every day, all day."
She kissed below my pectoral and I shivered. She didn't kiss me again, though. She had stopped moving.
"You asleep?" I whispered.
"Almost," she whispered back.
"I'm going to make us some food, okay?"
She yawned loudly. "Okay."
"Any preferences?"
"Pancakes and bacon if we have it."
"You got it, babe."
I slid out of bed and she pulled my pillow to her, her eyes closed. I dressed and leaned against the door for a little while. She was asleep again. Her arms were wrapped tightly around the pillow and she was smiling in her sleep. It was wonderful seeing her smile. I couldn't believe she was all mine now.
I looked at the nightstand, though, and felt the same jerk of nerves and fear I felt last night. We got so caught up, I didn't even think to put on a condom. Would she get pregnant? If she did, what would we do? Keep it? Put it up for adoption? I sighed quietly and closed the door gently, deciding not to worry about it for now.
That was a good choice. My phone rang. It was Patty.
"Hello?" I said nervously.
"Ethan is fine," she said right away, picking up on the tone in my voice. "He wants to see you and Deidre before he goes in for surgery."
"When is it?"
"Tomorrow morning so you'd have to come today or tonight." She sounded nervous, too. "I know you're on your honeymoon but-"
"Don't even worry about it. Let me wake Deidre up and we'll head over."
"Thank you, Mr. Kilgore," she said in a thick voice and I knew she was crying.
"We'll be there soon." I closed the fridge door and hurried to our room. "Wake up, Deidre," I said, nudging her gently.
"What's up?" she murmured. "Is breakfast ready?"
"No," I said. "We're going to the hospital."
She sat up, the blanket falling, looking scared. "Is Ethan okay?"
"Yes. He goes into surgery tomorrow morning and wants to see us before it," I said. "Patty suggested tonight but...."
She gave me a knowing smile and kissed me gently.
"I'll get dressed."
As soon as we walked out, cameras began flashing. There were more than normal and they were shouting questions about her father. I was worried but Deidre walked to the car with her head held high. As we pulled out of the driveway, though, she started to cry. I sighed and held her hand.
"I can't believe him," she whispered.
"Don't think about it," I said. "Please; I want these three days to be about you and me. Well, after we visit Ethan."
She kissed my fingers. "It's still about you and me."
We got to the hospital and I hesitated before going in. We were in the children's hospitable but, just across the street, is the hospital my father had been treated in before he passed. I kept my eyes focused on the children's hospital, though, and Deidre held my hand tightly. I didn't have to see her face to know she knew why I was upset.
We went to the cancer ward on the fourth floor. The secretary didn't stop us; in fact, she smiled and pointed in the direction of his room again. I held Deidre's hand tighter and she knocked on the door. Patty opened with a watery smile.
"Is it them?" Ethan asked excitedly.
"Hey little man," I said, sitting beside him. He held his arms out and I hugged him, blinking away my tears. "How you doin'?"
He blushed after Deidre gave him a hug and kiss on the cheek.
"I'm a little nervous," he admitted. "But I'm super excited about tomorrow morning!"
I was surprised. I would expect him to be scared. He turned to Deidre, a sad look on his face.
"I'm sorry about that mean man at your wedding," he whispered and she smiled softly. "He was really mean to you and Artemis."
"Yeah, he was," she whispered back. "But it's okay now."
"Mommy and I don't believe him," he said with a nod.
"Let's talk about something else, Ethan," his mother said.
"I'm going to turn 11 next month!" he said happily and I gasped.
"Really?" He grinned and nodded. "Wow!"
He beckoned for me to come closer and whispered in my ear, "I'm gonna get my Hogwarts letter. Mommy says I probably won't but I just know I will!" Then he hesitated again. HE looked out the window. "What if Dumbledore doesn't know where I am?"
I glanced at Patty who nodded, giving me permission with a smile.
"Dumbledore always knows," I assured him.
"Did you guys get letters?" he asked excitedly.
"Nah," I said, wrinkling my nose. "We're just ordinary Muggles."
He laughed and kicked his feet like he did when he was excited or happy. He bent over the side of his bed and dug around in a bag. Deidre was standing behind me, running her hand through my hair. I leaned my head back against her stomach while we waited.
"Mommy and I didn't get to give these to you at your wedding," he said, holding out two boxes. "I'm sorry but we had to leave after the cake." He giggled. "You guys were really funny!"
"I'm still getting cake out of my hair," Deidre said and he giggled again. "Did you like the cake?"
"Yeah! It was great! There was a guy talking about another kind," he added. "What was it called, Mommy?"
"Passionfruit," she said with an amused smile.
"Passion is in its name," Deidre said and we laughed.
"Open your gifts!" Ethan said, kicking his feet. "I wanna see your faces!"
We laughed and Deidre sat on the arm of the chair I was in. We opened them together and I had to bite my lip to stop myself from crying. I looked at Deidre. She had the same thing.
It was a photo album in the shape of a heart. Somehow, he had gotten his hands on every single picture Deidre and I took together. Near the end was the picture of me proposing at the fountain. He had gotten comical stickers in the shapes of hearts and stuck them around us. Then there were a few pictures of us shoving cake in each other's faces. The last picture was a selfie we had done the night we met him. At the very back, there were two messages.
To Artemis: Thanks so much for letting me come to your wedding! I had a super fun time! Deidre was really pretty. But don't tell her I said that! As soon as my surgery is done, I want to visit your house! It looks really cool!
Underneath it was a note from Patty.
To Artemis: Thank you for letting us attend your wedding. Thank you, too, for making my little boy so happy. He is every hopeful for his surgery and that brings me hope, as well. I don't have enough words to express my emotions. I wish you and Deidre the best.
Deidre was crying as she kissed Ethan on the cheek again. He turned flaming red but she ignored it, giving Patty a big hug.
At that minute, the doctor knocked on the door. He smiled at us.
"I'm sorry but we have to start getting Ethan ready for tomorrow," he said and I jumped to my feet.
"What time will it be?" I asked
"Nine in the morning," he answered, nodding at a nurse who was carrying a large tray.
"See you later, buddy," I said and gave him a gentle hug. "Thanks for the gift."
"Bye!" he said happily, waving.
When we got out to the hallway, Deidre collapsed to her knees, her gift falling open to the back.
To Deidre: Thanks for letting me come to your wedding! It was super awesome! I really liked your dress! The cake was yummy. I want to see your house as soon as my surgery is done! I'm gonna be just like you! As soon as I'm all better, I'm gonna marry a really pretty girl and live happily ever after!
I didn't read Patty's note. I held Deidre to me, both of us crying quietly.


text:
James's story
When James was settled in a beanbag chair, the blanket tucked around him to keep him warm, and his eyes had closed without being all scrunched up, Dr. Conjeeca and Darnelle sat down at a melamine-topped table on chairs a little too small for them, and Dr. Conjeeca sighed.
"I should know James's history already," he said in a soft voice, so as not to wake his young charge. "But so many children came in these last two weeks I've had a hard time just putting names to faces. So try not to sound too smug, Darnelle, and bring me up to date on this one."
Darnelle slipped a hand into a deep pocket in her sagging black cardigan hunting for sweets. The cardigan was covered in a variety of dog, cat and hamster hairs, and despite the Matron's continuing attempts to have the cardigan burned, it continued to reveal allergies in every child she talked to. Her hand found a small paper bag filled with aniseed balls and she put them on the table. The bag, sad grey paper softened by many clutching hands, sagged on to its side and the aniseed balls began to run out and dash for the freedom of the table edge.
"James's grandmother died first," said Darnelle, her hand expertly blocking the aniseed balls's run. "That was about a month ago. James and his sister were staying with her for a couple of days, and everyone was asleep when the fire started. James only remembers being woken by his grandmother, who was on fire herself at that point and her chasing him down the stairs and out of the front door. She never left the house though; at the front door she stopped, closed and locked the door, and went back in."
"Good grief, why?" Dr. Conjeeca picked an aniseed ball up and toyed with it, squeezing it between his finger and thumb.
"I've no idea, James didn't see her again after that, although he did see the roof of the house cave in, crushing both the top floor and everything in the ground floor. He says that he still had dreams about that."
"And his sister?"
"Died in the house with grandma. The curious thing is that everyone denied he had a sister after the fire; even the fire and police reports don't mention her being in the house."
"That does seem a little odd. Are you sure that James isn't making her up? Could this be some kind of distancing? Pushing his emotions, perhaps guilt, onto a fictional sibling until such time as he's strong enough to own them himself?"
Darnelle crunched her aniseed ball and half-grinned at Dr. Conjeeca. Her teeth, stained red by the aniseed seemed bloody and hideous. "Have you been reading my textbooks again, Hank? I told you, next time you do that I'll give you so many neuroses you'll barely qualify as a vegetable, let alone Director of the morbid Orphinarium."
"Really, Darnelle, this is hardly sophisti--"
"Oh shut up, Hank. I've got the girl's birth certificate, so she hasn't been invented by a little boy's tremulous id. She was real, at least up until she and grandma burned to death in a house fire."
"What happened to the rest of his family?"
"That's odd in itself. First his older brother was run down in the street by a pensioner out of his tiny little addled mind on pseudo-ephedrine. The pensioner was in a mobility vehicle that had been inexplicably over-powered and he pursued the boy for several streets before catching him and driving over him repeatedly until his limbs came off. The boy died of blood loss, and the pensioner died from attempting to crash into the ambulance."
"Good lord!" said Dr. Conjeeca. "What on earth possessed--"
"We don't know. The boy's existence is also now being denied."
"And the rest of his family?"
"Found with their bodies in their beds, and their heads lined up in neat rows on the shelves of the fridge. The dog, a German Shepherd, was in James's bed. No-one could explain why they were all there when he arrived home from school."
"And is their existence now being denied?"
Darnelle just nodded, and popped another aniseed ball into her mouth.


text:
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I was thinking of getting the Western Digital My Passport Essential SE 1TB to store all my multimedia and use it as a multimedia drive, such as running music and videos from the external hard drive with a multimedia program such as iTunes, dj program, etc. In better words, will there be any latency, etc?
That depends on a few things. But just playing a song from the drive, there shouldn't be any hangups.


text:
Slick shoes is a Christian punk-rock band that has records out on Tooth and Nail Records and Side One Dummy Records. Their music differs from most punk or punk-rock that one hears in that it is more musically stimulating, ie. having guitar solos and actual leads in songs, as opposed to just chord progressions.
Ryan Kepke - Vocals
David Stoltenberg - Guitar
Jonah Peterson - Guitar
Kevin Clark - Bass
Joe Nixon - Drums
Ryan Kepke - Vocals
David Stoltenberg - Guitar
Jonah Peterson - Guitar
Kevin Clark - Bass
Joe Nixon - Drums
by dav0_12 August 18, 2005
Cleveland Steamer Plush
The vengeful act of crapping on a lover's chest while they sleep.Buy the plush
Data invents these in the movie "The Goonies" (He uses them on the log bridge right before the skull piano room), They are shoes with a compartment in the heel that stores oil and when the oil is released they create a slippery surface behind the person with the shoes. Also the name of a very cool punk band and my Counter-Strike SN.
by Pat May 11, 2004
by mop_hisotry April 11, 2009
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


text:
Let us honor God more and man less. Let us seek within for the cause; it can be found in no other place. There is nothing that can keep us from this inner vision of the Eternal Reality.
–Ernest Holmes
I honor myself, my body, my feelings and my process of life. This helps me to also honor the lives of others on this planet and to make a contribution to the healing of our earth.


text:
From The Onion.
Study: Not Many Disco Songs About Daytime
NEW YORK—In perhaps the most comprehensive analysis yet of the genre's lyrical content, a Columbia University study published Friday found that very few disco songs have been written about daytime.
The survey, which encompassed every known disco album or single released from 1973 through 1980, determined that the once-popular dance music celebrated the night, the nightlife, and boogieing till the break of day far more frequently than it did the hours between sunrise and sunset.
"We found extensive evidence of disco behaviors starting in the evening, peaking around midnight, and continuing until the sun comes up, but virtually no indication that such activities were ever engaged in beyond that point," said lead author and musicologist Christopher Choy, adding that even the most passionate disco vocals stopped short of urging people to dance past dawn.
"As far as we can tell, the hours of 6 a.m. to 6 p.m. hold almost no interest whatsoever for the average disco diva or anyone else connected to that style of music."
(read more)


text:
3,034pages onAdd New Page
this wiki
this wiki
Dinok is a mildly addictive hallucinogenic narcotic favored by the Abbai that is used both recreationally and in religious ceremonies. Dinok is thought to be one of the reasons for the Abbais' mild empathic abilities.[1]
- ↑ Babylon 5 Scripts - Other Voices: Vol 3 (Babylon 5 Alien Guide)


text:
Odavad lennud alates Wick (Suurbritannia)Kas Te pidasite silmas Lennud sihtkohta Wick ?
Odavad lennud Wick -sse ainult läbi Bookinghouse.ee! Our sophisticated search system will find the best flight deals from dozens of different airlines, such as Ryanair, WizzAir and many others. Bookinghouse.ee is fast and easy to use. But most importantly, it's completely free!
Below you can see not only the best flight deals from Wick , but also the most popular flights from Wick and flights from surrounding cities and countries. Kui Te ei leia sobivaid pakkumisi, kasutage meie otsingusüsteemi (üleval).


text:
Just please don't give up on him Jeanette, he won't let you down:
Sorry if I sound like a broken record but this is what he does best, fronting a band.
I'd like to feature a comment from colorforadam below: "If I understand the schedule right, last night on Letterman was taped about 2pm on Monday, less than 24 hours after the AMA's. Adam had probably just had a plane ride and and a shower, thus the soft, fluffy hair) and was in front of the camera. He probably had no clue how that audience was going to respond to him (they were great!!!) and CBS was probably not ready to have anyone interview him. Letterman has been very "flat" and hesitant lately since his life has been rudely filet dissected on the media. Adam's strength and delivery of that beautiful song was even more amazing, considering the time, than what we saw on Wednesday morning. That incredible song has served him well and he delivers it with such passion."
Thoughts? Comments?


text:
Go off quietly and sit on your own
Damn. Even the Slackers don't like you.
You sit alone at the end of the table hoping someone would join you. If this was a movie, somebody would walk on over and say something encouraging about now. Unfortunately, this is no movie. It's a book. And you just broke the fourth-wall.
And you're alone until the bell rings. It's all kind of depressing, actually. You try not to dwell on it, you didn't really want to hang out with those guys anyway.
The hallways fill with students. It's time to get to your next class…what was it again?


text:
translated and edited by Brett Larner
Yukiko Akaba (Team Hokuren) may have dropped out of Sunday's Osaka International Women's Marathon, but she remains positive about her aggressive performance and values the experience. Akaba led the front pack right from the start, taking them through 25 km in 1:23:59. This was only 18 seconds off national record holder Mizuki Noguchi's split in her 2003 course and Japanese soil record. Rikuren Women's Marathoning director Yutaka Taketomi said her early stages were a welcome turn of events, commenting, "If Akaba can deliver on that kind of strong, assertive race it will elevate the whole level of Japanese running."
Akaba injured her left knee in mid-January and was unable to keep up the charge after 25 km. She probably had a contingency plan to drop out if her knee began bothering her during the race, but if she made any mistake it was to follow her runner's instinct to keep going. Her coach and husband Shuhei wanted her to stop early, but although he intercepted her twice at 35 km and 37 km she evaded him until he physically pulled her from the course at 38.6 km.
Akaba said, "I wanted to run my way, so I went hard from the start. I don't have any regrets, just some lingering knee pain that needs some recovery time." Shuhei commented, "I think the important thing is that she had something she wanted to do and went for it." Looking toward April's London Marathon, neither coach nor athlete feels any pessimism.
In February Akaba will be part of Rikuren's national marathon training camp in New Zealand. Shuhei will also attend the camp, meaning the couple will be separated from their 3 year old daughter Yuna for 3 weeks. Akaba plans to run the Mar. 21 Matsue Ladies' Half Marathon as a tuneup for the April 25 London Marathon. Her third marathon may have ended with her sitting on the roadside for the first time, but for Yukiko Akaba the experience was another opportunity for growth on the road to the 2012 London Olympics.


text:
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Chapter 1.5*Mature
"And here is the Great Hall of the Lockwood castle." Lucian proudly smiles as he looks upon his home. Large windows surround them, designed to let as much light in as possible. White marble stretches across the floor as black marble surrounds it, reaching for the glass ceiling. "When the lady moon shines, the whole hall sparkles with her radiance." Lucian's eyes lock with Vi's, causing her to blush and attempt to look away. "Not as nearly as beautiful as you my dear." With a low bow, he winks at Vi, his cheeky smile spreading across his face as he wiggles his eyebrows suggestively. Siera laughs, throwing her arms around the bashful Vi. "He liiikkes you." She giggles before pushing Vi closer to Lucian and bouncing off to look at the constellations carved into the marble across the walls, leaving Lucian to his wiggling eyebrows.
The muscles in Ren's jaw tightens as his eyes narrow. Following his eye line, Nova tilts her head as she looks at the end of the hall where two thrones sit. They are made from a rich silver, the arms are shaped like wolf heads whereas the back of the chairs stretch out like large stars. Moving closer, Nova can see that the thrones share the constellations engraved into the silver. "You may stay here as long as you need. If there is anything you need, ask and you shall receive." Ren's voice is loud in the silent hall, his words empty of emotion. Tilting her head to the side, Nova can see the sorrow in Ren's eyes as they linger on the thrones before he looks out one of the large windows.
Ricorn leans down, talking to Ophi as her finger lightly touch the deep scar along his nose, giggling at the unusual texture of scar tissue.
Standing in a nearby corner, hidden in the shadows, Sting scans the room for any threat that could endanger Nova. Leonardo catches her eye, his hand on the hilt of his sword. Rius glares at the constellations from the centre of the hall. Sighing slightly, Nova wishes that she could ease their tension so that they could appreciate this village dedicated to the heavens above.
The sound of heavy heels against stone can be heard before the old crooked figure appears through the doors of the Great Hall. The snake around Ophi tightens slightly as the figure and Tody look at each other. The figures face is wrinkled, hidden among the wire-like hair sprouting from the top of the strangers head and their bony chin.
Turning, the green dress around the figure sways, showing a glimpse of black heels. "Should have known that you would come to introduce yourself to our guests, Seer. As for the dress, I prefer the blue one." Lucian laughs before nodding his head towards the Seer who smiles and nods back to him before turning towards Ren.
"I have already alerted the kitchen about their arrival and have informed you father but you know how he is these days." Ren's jaw tightens at the mention of his father but he bows gratefully towards the Seer. "The Lunar Village King shall see you all tomorrow, now, he rests." Siera giggles at how deep and rough the Seer's voice is in contrast to the feminine appearance. Smiling at Siera, the Seer shrugs. "As you already understand Siera, it does not matter what gender I am, but more what I am." Nodding their heads towards each other Siera giggles again. "Touché, oh wise Seer."
Walking towards Ren, the Seer looks at each of Nova's warriors each in turn before Nova herself. "Seer, this is the lady Nova from-"
"Foolish boy, it doesn't matter where she is from, only where she is going." The Seer dismisses Ren with a flick of a crooked hand, causing a small smile to touch his lips as he remembers all of the times where the Seer has done that. No matter what status someone has, the Seer treats everyone the same. The Seer locks eyes with Nova. "I have seen the end of all days, when even the Gods will fall." Thick tension surrounds the hall. Nova's warriors grit their teeth whilst the twins loudly declare that they would put a stop to anyone who wishes harm to the Gods before arguing over who would be able to help the most. "You all can leave, Lady Nova is in need of my services and I will not let anyone eavesdrop on the secrets of the future. Off you go."
Ignoring their protests, Ren leads them away. Leonardo looks towards Nova, his hand on the hilt of his broad sword with a worried glint in his eye. With a nod, his jaw tightens before he leaves with a bow to Nova. "If you need me my Lady, just call."
After the heavy doors loudly close, the Seer smiles at Nova. For along time they stand in silence watching each other. A small breeze whispers to Nova, flicking her hair playfully, making a small smile touch her lips. Nova looks to her left, nodding as if someone was there. "Thank you Iris." Turning back to the Seer she nods, both knowing that they will not be overheard now.
"You are a long way from home, Goddess."


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UPMC Tablet App Speeds EHR Access Convergence, a touch app for Windows 8 tablets created by the University of Pittsburgh Medical Center, gives fingertip access to patient summary data pulled from one or more underlying electronic health record systems.
CMS Won't Budge On ICD-10 Deadline Government agency will, however, allow some hardship exemptions for Meaningful Use Stage 2.
HIMSS14: Health IT's Next Boom Cycle We've seen health informatics booms and busts before -- will this one be different?
CPOE Stragglers: One Hospital's Fix Computerized physician order entry is mandated by law but some doctors still resist. Christus Health provides CPOE input assistants until docs see the value.
HIMSS14: Cloud EHR Vendors Court Hospitals Athenahealth brings care coordination app to hospitals, while startup iCare aims to take "cloud VistA" beyond academic trials.
HIMSS14: Healthcare CIOs Wrestle With Economic & Regulatory Pressures A McKinsey consultant tells CHIME CIOs they will have to innovate their ways out of an economic squeeze. Regulators hint at some flexibility.
Healthcare Devices: Security Researchers Sound Alarms Default usernames, weak passwords, and widespread Windows XP Embedded systems are cause for concern, SANS Institute researchers say.
CIO To CIO: Advice On ACOs Healthcare CIOs share their advice on coping with the rise of accountable care organizations and the crush of regulation.
CMS Reverses Course On ICD-10 Tests Medicare bows to pressure from healthcare industry and political heavyweights, agrees to implement end-to-end testing before ICD-10 deadline.
Athenahealth Teams With Doctor-Led ACO Privia Health will integrate the AthenaHealth EHR with its own technology for tracking the follow-up care essential to ACO success.
Healthcare IT In The Obamacare Era Modern technology created the opportunity to restructure the healthcare industry around accountable care organizations, but IT priorities are also being driven by the shift.
Voalte One Comes To Android Hospital communications app, originally for iPhones, will ship on Motorola Solutions' WiFi smartphone for hospitals.
Massachusetts Preps For ICD-10 Mandate To get ahead of October deadline for implementing ICD-10 coding, state launches unique statewide initiative.
Homecare IT: 1 Market Epic Doesn't Dominate Specialty vendors Homecare Homebase and Thornberry get the highest ratings from customers, says KLAS Research, with healthcare IT juggernaut Epic Systems described as a "laggard."
EHRs Must Solve Real Problems To win the respect of healthcare workers, software must address true pain points. In too many cases, electronic health record systems aren't living up to the promise.
ICD-10 May Cost 3X More Than Estimated, AMA Says AMA study says ICD-10 transition could cost three times as much as previously estimated and association asks HSS to reconsider mandate.
Secret Sauce For ACOs: One Healthcare CIO's Answer Hackensack University Medical Center CIO Shafiq Rab says building an accountable care organization meant looking beyond EHRs.
Can This Search Tool Make Doctors Love EHR? QPID, a Partners HealthCare spinoff, creates a clinical decision support tool to solve physicians' big gripe about EHRs -- buried data.
Texas Hospital Discloses Huge Breach St. Joseph Health System reports that as many as 405,000 records may have been compromised, but actual damage remains speculative.
Medication Cabinets 'Talk' To Cerner EHR Omnicell cabinets get medication orders directly from Cerner electronic health record software at Montana's Billings Clinic, eliminating dangerous duplicate orders.
Kinect Assists Stroke Victims With Home Rehab Microsoft's real-time, motion-sensing technology could make rehabilitation more successful and more fun.


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Browse other items in the Sedona collection from Wayside Furniture in the Akron, Cleveland, Canton, Medina, Youngstown, Ohio area.
Enjoy a stylish blend of natural slate tile, rustic oak trim, and a curving metal base for this beautiful looking end table. The lovely look of accent table is a great piece to add color to your living space.
The Sedona End Table w/ Slate Top & Metal Base by Sunny Designs from Wayside Furniture. We proudly serve the Akron, Cleveland, Canton, Medina, Youngstown, Ohio area. Product availability may vary. Contact us for the most current availability on this product.
The natural beauty of wood with a rustic finish is at the heart of the country appeal of the Sedona collection. Stone slate tile accents incorporate the colors of the American Southwest into furniture for your dining room, kitchen, bedroom, living room, entertainment areas, and home office. Create an inviting atmosphere for spending time with your family and friends in comfort of your own home with these pieces. The Sedona collection embodies the cabin getaway you look forward to with rustic décor offering casual and mission style with fine craftsmanship of oak and stone.
The Sedona collection is a great option if you are looking for Casual furniture in the Akron, Cleveland, Canton, Medina, Youngstown, Ohio area.
These images are representative of this group as a whole and may differ from this item.
This item has been tagged as: Living Room Furniture, Accent Furniture, Occasional Furniture, Cabinet, Cabinet Tables, Storage Tables, Small Storage Cabinet, Chairside Cabinet, Short Cabinet, Accent Cabinet, Commode, Cocktail Tables, Lift – Top Cocktail Table, Storage Table, Cocktail Coffee Table, Cocktail Table with Storage, Coffee Table, Lift – Top Coffee Table, Coffee Table with Storage, Couch Table, Magazine Storage, Sitting Room Tables, End Table, Chairside Table, Coffee and End Tables, Furniture End Tables, Accent Table, Lamp Table, Pedestal Table, Hall Tree, Storage Hall Tree, Hall Tree with Storage, Coat Rack, Hall Tree Coat Rack, Entry Hall Tree, Hat Rack, Hall Trees with Benches, Bench and Hall Tree, Clothes Tree, Hall Tree Furniture, Entry Furniture, Foyer Furniture, Sofa Table, Furniture Sofa Table, Console Table, Sofa Console Tables, Sofa End Table, Secretary Desk, Table Desk, Wine Rack, Wine Glass Rack, Wine Storage, Wine Bottle Storage, Wine Storage Rack, Wine Bottle Rack, Cabinet Wine Rack, Wine Glass Storage, Wine Storage Cabinet, Larder, Kitchen Storage, Dining Room Storage, Occasional Tables
Nothing on this page may be copied or reproduced without explicit permission.


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About QNAP
QNAP Systems, Inc., as its brand promise 'Quality Network Appliance Provider', aims to deliver comprehensive offerings of cutting edge network attached storage (NAS) and network video recorder (NVR) solutions featured with ease-of-use, robust operation, large storage capacity, and trustworthy reliability.
QNAP integrates technologies and designs to bring forth quality products that effectively improve business efficiency on file sharing, virtualization applications, storage management and surveillance in the business environments, as well as enrich entertainment life for home users with the offering of a fun multimedia center experience.
Headquartered in Taipei, QNAP delivers its solutions to the global market with nonstop innovation and passion.
QNAP Turbo NAS
The intuitive, multi-window and multi-tasking QTS 4.0 GUI make it incredibly easy to manage your Turbo NAS, utilize its rich home applications, enjoy multimedia collections with more fun, and install a rich set of applications in the App Center on demand to expand your Turbo NAS experience.
Watch the video to learn more:
Case Studies
Mixmor HD Productions turned to QNAP Turbo NAS for smooth outdoor broadcasting and studio production.
Awards & Reviews
'QNAP continue to impress me with their new units, refreshed software and overall performance with the TS-451 effectively...'


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Dreamnet.com is current run by Rob … that's his picture! Dreamnet.com has been online since 1997 as a source for the woman next door to express her sexuality on the Internet. Dreamnet is one of the oldest Adult Amateur websites on the Internet. Dreamnet provides women and couples a place on the web to live out their fantasies and enjoy their sexuality without having to worry about all the technology. Over the years hundreds of women have had websites on Dreamnet, at any given time we have approximately forty women as part of the Dreamnet family. Women come and go over time , however, we have many women that have been with us for 5 or 10 plus years.
So what is a typical Dreamnet woman? We pride ourselves on giving the normal everyday mother, wife or girl next door a place online where she can live out her sexual fantasies and enjoy the feedback of men who appreciate her beauty. We have women of all ages, shapes and sizes and have learned over the years that personality reigns supreme. We highly stress interactivity with our fans, we want the fans to feel as if they are part of Dreamnet and not just bystanders looking at pictures and videos. We offer several means for the women to interact with their fans; email, public forums, public chat, Twitter and webcam. Many of the women also use blogs, take phone calls and host Meet & Greets for their fans. Our mantra has always been 80% personality and 20% looks, that is what makes for a successful adult amateur woman on the Internet.
What will you see when when visiting Dreamnet.com? We allow the Women of Dreamnet to use their creativity and operate their sites how best suits them. Unlike other amateur networks online we do not force the women into a certain template, nor do we impose a set of strict rules on them. Every woman is different and we want them all to use their creativity and express their individuality. Each woman has 1000's of pictures on her site and lots of video, plus quite a bit of free content. In addition to pictures and video Dreamnet women can produce and instant downloadable clips! Every woman writes stories for her picture sets and videos which provides the reader an insight into her personality. We also allow the Dreamnet visitor to view each woman's full biography and blogs for free!
Want to become a Dreamnet? Please see Dreamgirl Information!
Should you have any questions about Dreamnet.com please contact Rob.


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Somerset Baitang Suzhou is centrally located in the Suzhou Industrial Park, adjacent to the Jinji Lake East Central Business District. It is surrounded by the offices of government departments. Residents can relax at the Baitang Botanical Garden, enjoy shopping at the nearby Times Square.
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TWO Spectacular Collisions During Downhill Longboard Race
Description:Crazy footage has emerged from a downhill longboarding competition with two spectacular crashes, one at 00:06 and the second at 00:30. Slow motion replays included.
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Five and a half million American adults are
afflicted with Alzheimer's disease, a sneaky, vicious degenerative
neurological disease that gradually strips a person of their
memories, their sense of self, and eventually, their life. This
figure is projected to triple by 2050.
Alzheimer's is scary stuff, but adults are not the only
ones affected. Children who love someone with Alzheimer's need
information and reassurance, the sooner the better. Kids can sense
when "something is up," so it's best to address concerns before
they come to their own conclusions about why Grandma forgot their
Keep it simple. Explain that Alzheimer's causes people to
lose their memories and to get confused. Older children can
typically handle more details than younger children, for whom
examples like, "You know how Grandma sometimes forgets things we
tell her?" can be especially helpful. As the disease progresses,
you may want to help your child anticipate that their loved one may
not recognizing them.
No matter how you break the news, your child may have a
lot of feelings about it. He may worry that you could be diagnosed
with Alzheimer's, feel anxious or scared about changes in their
loved one's behavior or personality, and even envy the attention
given to the person with Alzheimer's. These feelings are all
perfectly natural, and kids need to hear this.
Be on the lookout for other clues about their feelings,
including behavioral problems, difficulty focusing on schoolwork,
withdrawing from family activities and even complaining about
physical symptoms. Ask your child how he's doing with the changes
in his loved one and enlist the aid of a counselor or his favorite
teacher if you need extra support.
As their loved one's condition declines, your child may
feel self-conscious about being in public with him or her. If this
person lives with your family, your child may even be reluctant to
have friends visit. This is OK. Make other plans, but just make
sure he has time with his peers and feels permitted to confide in
Jennifer DuBose, M.S., C.A.S., is a licensed marriage and family therapist in private practice in Batavia.
See more of Jennifer's stories here.
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Get the inside scoop on the people, places and things we are loving right now.
Resources, tips, inspiration and more for parents of children with special needs.
Score exclusive offers from our fabulous advertisers.


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What you should know about you splurge on your next ultrabook.
Get insights on deals and promotions here!
Get insights on deals and promotions here!
How to get great shots with the G6's wide-angle and standard lenses.
You want to buy a great TV, here's why an LG OLED is the way to go.
The BIGGEST ever CEE show is BACK, with up to 90% off on IT gadgets!


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WVHM is a ministry-first radio station who strives to lift up the name of Jesus. We broadcast 24 hours a day, 365 days a year with positive, uplifting and encouraging programming.
We are happy to partner with these ministries.
Time of Refreshing Ministries
We partner with Time of Refreshing Ministries, or also known as TORM. TORM's ministry focuses on getting Bibles and Christian teaching materials in the hands of those who don't have access to the teaching of God's Word. Find out more here…
Love Packages
Love Packages is a ministry aimed at putting Christian literature and bibles into the hands of people around the world. For more information visit their website.
Life House Care Center – Murray, Ky.
Life House Care Center, located in Murray, provides counseling and assistance to women faced with an unexpected pregnancy.
Lighthouse – Mayfield, Ky.
Lighthouse, located in Mayfield, exists to give hope and provide a safe home for women and children whose lives have been touched by domestic violence, past abuse, trauma or chronic homelessness.
H.O.P.E. Clinic – Benton, Ky.
H.O.P.E. Clinic in Benton offers free services to teens and moms with small children including pregnancy testing; material assistance; and abortion, adoption, and abstinence counseling. H.O.P.E. Clinic also offers a recovery program for women and men who have been involved in an abortion. The study deals with forgiveness, pain, and grief. The time and location of the class is kept confidential for your privacy. At H.O.P.E. Clinic, they believe there is hope, and they are here to help.
Hope Center
Founded in 1996, Hope Center continues to be a source of help and hope to those who need it most in Graves, Hickman, Carlisle, and Fulton counties.
It serves as a local rescue mission of love, hope, and compassionate outreach to troubled young parents and often their family members who are facing difficulties about life. The center's mission is to offer friendship and caring, professional, confidential assistance, free of judgment, condemnation or charge. It's all about saving lives from harm; physically for the unborn babies, and emotionally, spiritually, and possibly physically for the moms and dads.
New Pathways For Children
Founded in 1990, New Pathways mission is to minister to the physical, emotional, social, and spiritual needs of at-risk children in a Christ-like atmosphere.
They serve as a local rescue for children out of harmful environments and place them in a safe and loving home where they can instill in them a sense of hope and belonging. Services also include individual and family therapy and life skills development. Each child is served by a competent and caring staff of case managers, social workers, and licensed counselors.


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AROMA COLLECTION Clothing Designer
KimmyJKModel Female Stockholm, Stockholm, Sweden
My Website: kimmyjkMy MM URL: http://www.modelmayhem.com/KimmyJK
Mayhem # 903475
About Me
I am a businessminded girl who love fashion and beauty. For the moment I am staying in Sweden but I a love to travel.
I would love to coop with a good photographer to increase my portfolio with cool and crazy pics (a lot of attitude!). Keep me in touch and feel free to add me as your friend...
Unnecessary facts:
I am from Sweden and I got a membership in a modelagency in Sweden.
I have done some photoshoots, participated in a big fashion show and participated in two commericals for chocolate.
I work as a frilance journalist and I like to write about fashion and styles.
Best wishes Kimmy
Have you worked with KimmyJK? Add Credits for KimmyJK! >>
AROMA COLLECTION Clothing Designer
S Mitchell Photo Photographer
Kykyri Photographer
Kai Teela Photographer
B L I N D S E A S Photographer
Sandra dlM Model
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