text:
CHUS, Sherbrooke, QC, Canada
SESSION TITLE: Surgery Global Case Reports
SESSION TYPE: Global Case Report
PRESENTED ON: Tuesday, October 29, 2013 at 01:30 PM - 02:30 PM
INTRODUCTION: Lung function assessment is important to evaluate the operative risk of a patient prior to a lobectomy. Standard procedure includes a complete pulmonary function test and cardiopulmonary exercise test. Those tests can be harder to obtain in patients who have a permanent tracheostomy. We describe two patients who presented with both a laryngeal cancer with stridor necessitating urgent permanent laryngectomy and a lung mass compatible with primary lung cancer. Both patients had no prior pulmonary function test available and both were known smokers. In this case report, we describe our method to obtain a flow volume curve and a cardiopulmonary exercise test in the presence of a permanent tracheostomy without the use of an internal cannula. To our knowledge, these are the first cases reported in the literature.
CASE PRESENTATION: Patient 1: A 56-year-old woman presented to our pulmonary clinic with stridor. A large polypoid mass originating from the vocal cords was discovered upon bronchoscopy. It was occluding the airway at 95%. The extended work up revealed a left lower lobe mass and no other sign of metastatic disease. The diagnosis was compatible with two primary cancers. She was directed to urgent laryngectomy with permanent tracheostomy. Because of her vocal cord tumor, a pulmonary function test was impossible to perform pre-operatively. During her follow up evaluation, she performed a flow volume curve and a cardiopulmonary exercise test. Her FEV1 was 66% (1.34 L) with a FEV1/FVC of 67%. She obtained a VO2/kg of 16.7. She underwent a lower lobectomy without any complication. Patient 2: A 55-year-old woman presented to the emergency department with a history of stridor. She was found to have a laryngeal cancer originating from the vocal cords. She underwent a laryngectomy with a permanent tracheostomy. She was also found to have a right upper lobe nodule proven to be an epidermoid lung cancer. In the absence of enlarged lymph nodes, she was considered for a surgical management of her lung tumor. She was evaluated at our clinic. She underwent a flow volume curve and a cardiopulmonary exercise test. The flow volume curve was difficult to get and she barely obtained a FEV1 of 0,97L (40%). She obtained a VO2/kg of 18.8. After a discussion over the risks and benefits, she accepted to go for a lobectomy the next week.
DISCUSSION: Flow-volume curve: We used a small mask over the permanent tracheostomy making sure there was a complete seal. No internal cannula was necessary. The test was stopped after three similar curves were obtained according to the ATS criteria. (The flow volume curve and pictures will be available at presentation) Cardiopulmonary exercise test : We used the same small mask connected to the usual sensor. A respiratory therapist was holding the mask in place over the permanent tracheostomy during the test. A complete seal was obtained. The test was done according to the ATS criteria. (Results and pictures will be available at presentation). After a review of the literature, no case was found of lung function assessment in patients with permanent tracheostomy. Those patients are often considered unfit for surgery or they undergo lobectomy without knowing their lung capacity. This method still need to be validated. It could be done by performing the test in patients with tracheostomy who had a prior pulmonary function test before their airway surgery.
CONCLUSIONS: It is feasible to assess lung function in patients with permanent tracheostomy. The method of measurement used in this case report has never been described in the literature. We did not have to use any invasive cannula and we obtained a reliable result allowing for a safe curative surgery of lung cancer in these patients.
Reference #1: ATS/ACCP statement on cardiopulmonary exercice testing. American thoracic society, American college of chest physicians. Am J Respir Crit Care Med. 2003 Jan 15;167(2):211-77.
DISCLOSURE: The following authors have nothing to disclose: Elaine Dumoulin, Brian Grondin-Beaudoin, Carl Labrosse, Yannick Poulin
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Posted Sat 01 Jan 11 at 16:49 PM
Report: Rochdale 3 Tranmere 2
The New Year started with defeat for Tranmere despite Joss Labadie's first goal of the season and a penalty from Ian Thomas-Moore. Rovers, who played most of the match with ten men following the sending off of Marlon Broomes, came from behind twice but conceded soon after on both occasions as they lost 3-2 at Rochdale in their first trip to Spotland in 22 years. There were five changes to the side that started against Huddersfield in Rovers' last game, with Joe Collister replacing Gunnar Nielsen in goal, Marlon Broomes returning from injury to take the place of Jermaine Grandison at centre back, Aaron Cresswell coming in for Zoumana Bakayogo at left back, Joss Labadie returning to the midfield following his three match ban and Ian Thomas-Moore returning from injury, with Dale Jennings dropping to the bench and Lucas Akins missing out. A couple of miss hit early back passes gave Joe Collister tricky clearances to cope with, the second of which saw Rochdale earn a corner. However, Rovers quickly cleared and after a surging run from Enoch Showunmi, Lateef Elford-Alliyu's pass found John Welsh who fired over the bar from 25 yards. Broomes cleared a dangerous cross from Rochdale captain Gary Jones on eight minutes and Craig Dawson headed wide moments later from a Brian Barry Murphy free kick. Cresswell cleared Jean-Louis Akpa Akpro's low ball from inside the Tranmere six yard box on 11 minutes and the defender shot over at the other end 10 minutes later following a hand ball just outside the area. Rovers' afternoon was made harder on 25 minutes when Broomes stumbled with Chris O'Grady inside the area and was adjudged to have fouled the former Oldham striker. Not only did referee Carl Boyeson point to the penalty spot but Broomes was shown a straight red card, with Jones just putting his spot kick past Collister's dive to give the home side the lead. Before the restart, Grandison came on for Ash Taylor as Rovers went to a 4-4-1 formation. Thomas-Moore sent a dipping volley into the arms of Josh Lillis on 31 minutes and 11 minutes later, Rovers drew level. Showunmi's initial shot was saved by Lillis, the ball fell back to the striker who squared to Elford-Alliyu. His effort was cleared off the line, rebounded back to Showunmi whose square ball was fired into the right hand side of the net by Labadie for his first goal of the season. However, moments after the kick off, Rochdale took the lead once again, this time an attack up the right ending with the ball sent through the six yard box from where Jones turned in past Collister. Jones sent a 20 yard shot wide of the target for Rochdale six minutes into the second half while a Cresswell free kick went a couple of yards wide six minutes later as Rovers looked to level for a second time. Collister produced a fine near post save to keep out O'Grady's low right foot effort on 60 minutes and Grandison cleared off the line from Jason Kennedy's volley from the resulting corner. Jennings replaced Elford-Alliyu on 65 minutes and moments later he played a part as Showunmi's shot was blocked following a Welsh cross. The young striker side footed narrowly wide from the left side of the area after Showunmi's run was cut out by Marcus Holness on 74 minutes while O'Grady sent a swerving shot narrowly wide from 25 yards at the other end soon after. Thomas-Moore volleyed just past the right hand post from Wootton's low pass on 80 minutes as Rovers continued to search for their second goal of the game and moments later the striker's cross earned his side a penalty, with Kennedy bringing Labadie down just inside the area. Thomas-Moore stepped up for the spot kick and though Lillis went the right way, there was enough power in the shot for the ball to nestle in the bottom right corner of the net to the delight of the travelling support. Two shots from O'Grady went close for Dake, the second of which took a slight deflection to earn a corner on 84 minutes. Their next effort did produce a goal and put them ahead for a third time, with Bobby Grant heading in from close range. Rovers threw men forward as the game drew to a close but they were unable to find a way to goal a third time. Rochdale: Lillis, Wiseman, Widdowson, Holness, Dawson, Barry Murphy, Jason Kennedy, Jones, Done (Joe Thompson 75), Akpa Akpro (Grant 66), O'Grady. Substitutes not used: Edwards, Josh Thompson, Elding, Gray, Tom Kennedy. Tranmere: Collister, Wootton, Broomes, Goodison, Cresswell, Labadie, Taylor (Grandison 27), Welsh, Thomas-Moore, Showunmi, Elford-Alliyu (Jennings 65). Substitutes not used: Miotto, Blanchard, Bakayogo, Fraughan, McGurk. Referee: Carl Boyeson Yellow cards: Thomas-Moore (36), Barry Murphy (56), Goodison (67), Grant (67) Red cards: Broomes (25) Follow Tranmere on Twitter at www.twitter.com/tranmererovers.
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text: Fashion Scoops: Snow Bunny … Who's Out at GQ, Part 2 … Vintage Renzo … SNOW BUNNY: Chanel is hitting the big screen, big time. "Snowboarder," which opened in theaters in France this week, features actress Juliette Goudot decked out in double-Cs: from her Chanel helmet down to her Chanel skis. While the... WWD Staff load comments blog comments powered by Disqus


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#1 Consumer Comment
Incompetence trickles down from the top
SUBMITTED: Saturday, January 03, 2015POSTED: Saturday, January 03, 2015
The Truth Hurts-you are wrong.
Lawrence in Tuscon was a great customer for 24 years, of "relatively" decent vendors.
Would not have made a bit of difference if his adjectives had been milder. Century Link have revealed themselves to me first hand how crooked and corrupt their practices are. This ALWAYS comes from the top. His letter would have been ineffective regardless.
The majority of people avoid conflict when their efforts are thwarted. Century Link depends on the fact that most will not take the time to inconvenience themselves and dispute what's wrong. So, if they lose a few, they just twist the screws on their employees to bring up their numbers, or get fired. It's a numbers game, and the "system" they use.
I've read and believe former employees' postings and comments. It's a rotten way to do business, why do you think they recruit door to door salespeople to get people on a 2 year Directv contract tied to Century Link? Their practices are deceptive at best and could be argued as fraudulent. Their technology and service is half the industry standard (my experience). You'll find that out for yourself once you are on their service.
The only way they *might* change their practices is when they are exposed and punished. I am not holding my breath. The people that suffer are the Customer Service people, and of course, the customers.
Glen Post can't be bothered, he's got more important things to attend to than his customers. *Probably* unless you're his neighbor. Where do you think their corrupt practices came from?
Are you an owner, employee or ex-employee with either negative or positive information about the company or individual, or can you provide "insider information" on this company?
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text:
Do you know how to change the port for spiceworks
Thank you !!!!!!!
3 Replies
· · ·
Nov 23, 2011 at 7:58 UTC
Hi Dimo,
Please read the thread in this link.
It should solve your issue.
· · ·
Nov 23, 2011 at 7:59 UTC
On the server, start Spiceworks. Then right-click the icon in the system tray and click "Preferences." The options will be there. Be careful though, and be sure you have a backup. In my experience, changing the port has caused Spiceworks to stop working, even though the port wasn't in use. Just a warning.
· · ·
Nov 30, 2011 at 6:51 UTC
Thabk you James 1987


text:
Kingsway provides health services in each of its schools. The Health Services Team is comprised of a school physician, certified school nurses, clerical staff, and professional consultants.
There is a certified school nurse available to students during the school day to address any health care needs of the student. If a student is ill or injured during the school day, the school nurse will evaluate the student and determine whether he/she is able to return to class, needs to go home, or requires a medical referral. Medical treatment will be administered to your child according to standing orders from the school physician, and parent/guardian will be notified of any illness or injury.
Before reporting to the nurse's office from the classroom, a student must secure a pass from a teacher. Students are not permitted to visit the nurse's office without a pass unless it is an emergency situation. Being sent home from the Health Office is considered an excused absence.
Copyright © 2012 - Schoolwires, Inc. / All rights reserved.


text:
Superconductivity research advances
- Responsibility
- James E. Nolan, editor.
- Language
- English.
- Imprint
- New York : Nova Science Publishers, c2008.
- Physical description
- xv, 296 p. : ill. (some col.) ; 27 cm.
- Series
- Horizons in world physics ; v. 261.
Available online
SAL3 (off-campus storage)
Stacks Request
|Call number
More options
- Contributor
- Nolan, James E., 1954-
- Bibliography
- Includes bibliographical references and index.
- Contents
- Preface-- Advances in Superconducting Intercalated Graphite-- Superconductors with Topological Order and their Realisation in Josephson Junction Arrays-- Probing the Order Parameter Symmetry of Unconventional Superconductors by Josephson Effects-- Superconductivity in Highly Correlated Systems-- What is a Cooper Pair?-- Comparative Study of Statistics of Cooper's Electron Pairs in Low-Temperature Superconductors and Coupled Holes Pairs in High Ceramics-- Competition between Superconductivity and Charge Carrier Localisation in Plumbates-- Phases and Phase Transitions in Spin-Triplet Ferromagnetic Superconductors-- Extrinsic Pseudogaps in Multiband Superconductors-- Minimisation of the Gibbs Free-Energy Functional and Topological Boundary Conditions-- Index.
- (source: Nielsen Book Data)9781600216916 20160528
- Publisher's Summary
- Superconductivity is the ability of certain materials to conduct electrical current with no resistance and extremely low losses. High temperature superconductors, such as La2-xSrxCuOx (Tc=40K) and YBa2Cu3O7-x (Tc=90K), were discovered in 1987 and have been actively studied since. In spite of an intense, world-wide, research effort during this time, a complete understanding of the copper oxide (cuprate) materials is still lacking. Many fundamental questions are unanswered, particularly the mechanism by which high-Tc superconductivity occurs. More broadly, the cuprates are in a class of solids with strong electron-electron interactions. An understanding of such "strongly correlated" solids is perhaps the major unsolved problem of condensed matter physics with over ten thousand researchers working on this topic. This book presents new and important research from around the world.
(source: Nielsen Book Data)9781600216916 20160528
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- Subject
- Superconductivity > Research.
Bibliographic information
- Publication date
- 2008
- Series
- Horizons in world physics ; v. 261
- Note
- Errata slip inserted.
- 9781600216916 (hardcover)
- 1600216919 (hardcover)
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text:
Did Jennifer Lawrence Go Too Far? 'Rape-Scream?'
Jennifer Lawrence may have gone a bit too far this time. DailyMail is reporting that while at an industry party at Cannes Film Festival, Lawrence got to meet "Gravity" director Alfonso Cuarón and chose the wrong words to express it. "I broke out my rape scream for you!" she said as she approached him. Her off hand remark was overheard, and has since snowballed.


text:
With five weeks left before the Games begin, hospital workers, taxi drivers, doctors, airport traffic controllers and ambulance drivers are all locked in unresolved industrial action.
Athens normally shuts down in the searing heat of August but, with the Games facing its biggest security operation ever, the Greek government has granted 70,000 security staff a ?1,800 Olympic bonus.
That has infuriated the city's other key workers, prompting a rash of demands and strikes ahead of the opening ceremony on 13 August.
Yesterday hotel workers were the latest to down tools and threaten further strikes during the Olympics.
Christos Katsotis, president of a union that represents more than 7,000 hotel staff, said: "We are prepared to strike during the Games period if hotel owners do not agree to a deal."
The hotel workers, like most of the protesters, are demanding a pay increase and a special Olympic bonus for working during what is normally a holiday month.
But with costs of Athens hosting the Games now calculated at around six billion euros - 30 per cent more than originally forecast - bonuses
across the board cannot be afforded. Members of the Ambulance Workers' Union also staged a 24-hour strike on the same issue and threatened to stop working during the Olympics. Doctors went on strike 10 days ago.
Employees at the St Sophia Children's hospital, which will serve as one of the Olympic hospitals, also staged a four-hour stoppage. They demanded the bonus and that parttime staff be hired to fill vacancies.
Air-traffic controllers, meanwhile, are protesting over safety concerns because of interference caused by radio and TV stations, which they say jeopardises communication between pilots and controllers. They have given officials until tomorrow to remedy the situation.
Transport minister Michael Liapis responded with defiance. "There is no safety problem with flights," he said.
Many of Athens's 15,000 taxi drivers are also threatening action. They are furious with organisers for renting cars and minivans to visiting officials. They will also be confined to a single lane on "Olympic" roads.
Ethymios Lyberopoulos, who heads one of Greece's taxi owners' unions, said: "We should take to the streets and get the passengers out of any Athens 2004 vehicle we see."
Stathis Anestis, of the General Confederation of Greek Workers, which includes two million members from 147 unions, is a voice of calm in the frayed atmosphere.
"Some of the demands, the taxi drivers' for example, are embarrassing," he said.
"We have grievances but we see it as our national duty to not cause chaos for the Games." Last year an average of 181 days were lost to strikes per thousand workers in Greece. Only 10 days were lost in the UK.Reuse content


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text: Selling to the State & Winning Grant Dollars Presenters: - Peggy Lane, BlueStar - Jeff Webster, INPUT Agenda • BlueStar Overview • Government Program at BlueStar • INPUT Government 101: Selling to the State and Winning Grant Dollars BlueStar Overview • • • • • • BlueStar is a "dba" for United Radio, Inc, a Kentucky Corporation Corporate Headquarters - Hebron, KY Founded 1929, Privately held 19 Offices serving the Americas 300 Plus Employees Primary Niche Markets - Retail/Hospitality/POS - AIDC/Mobility/RFID • Average Compound Growth of 28 % per annum since 1992 BlueStar's Services • FUSION – End-User Demand Generation Campaigns • Dedicated one-to-one sales rep for each customer • • • Online catalog and ordering at http://www.bluestoreinc.com Same-day shipping Online order verification and tracking • Integration Services at BlueStar Warehouses - Hardware & peripheral configuration and testing - Loading/flashing of all software - One master carton repacking - "Open Me First" documents • Unlimited Pre- & Post-Sale Support in English, French, and Spanish via Internet or 1-800 support lines Government at BlueStar • Monthly Government ISV Webinars – Qualified and End-User validated ISVs showcase and demonstrate their solution to no less than 75 partner at each webinar – Verticals include e-citation & code enforcement, K-12 and higher Ed, Security Screening and Mobile Data Access, First Responder Accountability and Inspections and Maintenance • Dedicated Federal ,S&L Business Development Resources – – – – Contract Vehicle Consulting and Bid Support/Lookup Bid Opportunities for all Federal, State and Local Partner Coaching on best solution/matchmaking Government and Grants 101 Webinar series • Solutions Demo Pool – Large Demo Pool available through BlueStar – Motorola has a 70% Demo Program through BlueStar for its partners • Marketing Support – Demand Gen webinars – Just signed contract with INPUT to efficiently search opportunities – Sales Books created detailing solutions offerings for qualified partners Leasing Options Through BlueStar • Our flexible and convenient leasing/financing solutions are designed to give our reseller's end customers the ability to stay current with the most innovative technology solutions with no upfront costs. • A variety of custom leases can be structured for our resellers including but not limited to: – – – – – 0% Financing leases, with $0 down-Fair Market Value Purchase option* $1.00 Buy Out Leases or 10% Purchase Options Leases with Seasonal Financing Deferred Payment Leases Operating and Capital Lease Structures *Subject to credit, documentation and equipment approvals. 30% soft cost allowance* Visit BlueStar at the Motorola Partner Expo! Motorola Partner Channel Expo Las Vegas, NV Aria Resort March 7 - 9 THANK YOU! Government 101: Selling to the State and Winning Grant Dollars Jeff Webster Senior Analyst INPUT October 2, 2015 © 2010 Agenda State and Local Budget Process Governor's Priorities Impact of the Federal Stimulus State and Local Procurement Process Selling to the Government State and Local Grant Process Best Practices and Tips for Applying/Using Grants Grant Forecast Market conclusions © 2010 11 State and Local Budget Process © 2010 12 Typical Budget Timeline Executive Branch JUL AUG SEP OCT NOV Legislative Branch DEC JAN FEB MAR APR MAY JUN Budget guidelines sent to agencies Agency requests submitted to governor Agency requests reviewed by budget office Governor finalizes budget recommendations Governor submits budget to legislature Legislature holds agency budget hearings Legislature adopts budget © 2010 13 Total State General Fund Deficits Closed, FY 2009 -15.1% or higher AL ($1.8B), AZ ($3.7B), CA ($35.9B), FL ($5.7B), ID, IL ($6.1B), MA ($5.2B), NV ($1.6B), NJ ($6.1B), RI, SC ($1.1B) -10.1% to -15.0% CO ($1.1B), CT ($2.1B), DE, GA ($2.4B), NC ($3.2B), NY ($7.4B), PA ($3.2B), TN ($1.5B), UT, VT, VA ($2.3B), WI ($1.7B) -5.1% to -10.0% AK, DC, HI, IN ($1.2B), IA, KY, ME, MD ($1.5B), MI ($2.0B), MN ($1.6B), MS, MO, NH, NM, OH ($2.6B), OR, WA ($1.3B), WY -2.6% to -5.0% KS, LA -0.1% to -2.5% AR, OK, SD No Deficit MT, NE, ND, TX, WV National average = 8.2% Source: Center for Budget and Policy Priorities © 2010 14 Governors' Priorities © 2010 15 Vertical Popularity Percentage, 2007-09 30% 26% Note: The % has been provided over the peak year for each vertical as a reference point. % of Total Initiatives Proposed 25% 20% 19% 2007 16% 2009 14% 15% 10% 2008 10% 10% 9% 10% 5% 5% 3% 2% 0% Source: INPUT © 2010 16 Impact of Federal Stimulus © 2010 17 Highlights of ARRA Impact on S&L IT $205 billion in funding with allowable (not guaranteed) S&L technology spending • INPUT estimate: $5.7 billion in ARRA-driven S&L IT spending FY09: $0.9 billion FY10: $2.25 billion FY11: $1.25 billion FY12 and later: $1.3 billion • Funding for technology, science and research, infrastructure improvements, education, energy, healthcare, and training Mostly distributed via long-standing S&L grant programs © 2010 18 2008 S&L Spending vs. ARRA of 2009 "ARRA" = American Recovery & Reinvestment Act 2,500 2,015 S&L Spending (2008) ARRA S&L Fiscal Relief INPUT S&L ARRA Review US$ (billions) 2,000 1,500 1,000 The stimulus represents about 10%-15% of one year of state and local spending, and its impact is spread out over 2 to 5 years, depending on the particular funding stream within the stimulus. 500 144 247 0 Source: U.S. Bureau of Economic Analysis, Recovery.gov, and INPUT © 2010 19 Estimated ARRA Spending by INPUT Vertical Total Allocation 100 80.6 $US (billions) 80 60 40 47.8 30.5 21.6 20 17.7 15.8 5.5 0 4.0 0.6 0.1 0.0 0.0 Source: CBO, INPUT © 2010 20 State and Local Procurement Process © 2010 21 Procurement Cycle Develop Business Case Get Funding Analyze Requirements Develop and Advertise Solicitation Evaluate Proposals "Cone of Silence" Negotiate Contract Announce Award Deliver Solution © 2010 22 Purchasing Process Every State has Its Own Procurement Code • "How to do business with the State" document or website Primary goals of procurement are to achieve best value through a fair and open competition. Know your Customer • • • • • Familiar with past contracts Budget cycle Study procurement code Open records Register © 2010 23 Procurement of Technology Equipment and Services WA VT MT ND MN OR ID NY WY IA NE UT AZ OK NM NJ WV MO KY VA NC TN AR DE MD SC MS AK OH IN CO KS CT PA IL CA RI MI NV NH MA WI SD ME AL GA TX LA FL HI IT Division Agencies Central Purchasing © 2010 24 Preference Programs Set Asides • Defined by each state • Some purchasing "set-aside" for special types of businesses Bidder Preferences • Gives weight in bid evaluations to vendors with in-state presence © 2010 SB = Small Business MBE = Minority Business Enterprise WBE = Woman-owned Business Enterprise DBE = Disadvantaged Business Enterprise HUB = Historically Underutilized Business 25 Selling to the government © 2010 26 Focus and Replicate You Can't Be All Things to All Governments • Over 87,000 governments Some responsible for specialized services • Over 700 programs per state Generally less for localities State & Local Fortunes Built a Few Million at a Time • Look for project wins you can replicate from government to government Federally funded Functions all governments perform © 2010 27 State and Local Grants Process © 2010 28 Grant Classifications & Sources of Information How does the federal grant process work? Congress authorizes the funds Granting federal agency issues a Request for Applications (RFA) or Program Announcement Grant Classifications • Direct • Pass-Through Further Classifications • Competitive • Formula Potential Recipients assure eligibility and submit applications Awarding Agency Reviews and Score Applications Federal Agency appropriates funds to award recipient. Sources of Grant Information • • • • • © 2010 INPUT's Grants Database Grants.gov Federal Register Monthly Treasury Statements for Grants Funding Catalog of Federal Domestic Assistance 29 Best Practices and Tips for Applying and Using Grants © 2010 30 Best Practices Do not judge a grant by its title Your project is important look for a variety of funding sources Keep focused Goal of project Outcome of project "Multi" projects Grant management Be realistic, clear, and specific © 2010 31 Tips for applying Get support from local officials Read over previously awarded applications Address goals Short term Long term Place the most important information at the top of the application Editing mistakes can be deadly MEET DEADLINES! © 2010 32 Forecast © 2010 33 Federal Grants to State & Local Government The Obama Administration projects that spending on federal grants to state and local governments will decrease to $638b in FY2014 from $652b in FY2010. Spending will spike and peak in FY2010 due to stimulus funding. Source: INPUT and Budget of the U.S. Government, FY 2010 © 2010 34 Grants to State & Local Governments by Functional Area Source: INPUT Budget of the U.S. Government, FY 2010 © 2010 35 S&L Market Conclusions © 2010 36 S&L Market Conclusions The business cycle is long and strenuous Resources are stretched thin; agencies need help acquiring outside funds The market is diverse and fragmented with a variety of different needs The S&L market lags behind the Federal market when it comes to technology © 2010 37 Questions? Peggy Lane 800-354-9776 x3313 firstname.lastname@example.com Tom Goldsmith 800-354-9776 x4217 email@example.com Kelly Luken 800-354-9776 x3293 firstname.lastname@example.com Matt McKinzie 800-354-9776 x3242 email@example.com


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*From the Departments of General Internal Medicine (Drs. Kaw, Michota, and Jaffer) and Pulmonary and Critical Care (Dr. Golish), Cleveland Clinic Foundation, Cleveland, OH; the Department of Pulmonary and Critical Care Medicine (Dr. Ghamande), West Virginia University, Morgantown, WV; and the Department of Pulmonary, Critical Care, and Sleep Medicine (Dr. Auckley), Case Western Reserve University, Cleveland, OH.
Correspondence to: Roop Kaw, MD, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195; e-mail: email@example.com
Anesthesia and surgery both affect the architecture of sleep. Aside from the postoperative effects of anesthesia and surgery, sleep deprivation and fragmentation have been shown to produce apneas or desaturations even in patients without presumed sleep apnea. Recent epidemiologic data have placed the prevalence of obstructive sleep apnea syndrome (OSAS) at about 5% among Western countries. The problem is further hindered by the difficulty in diagnosing OSAS, as patients with OSAS may present for surgery without a prior diagnosis. Clinical suspicion for OSAS may first be recognized intraoperatively. Adverse surgical outcomes appear to be more frequent in OSAS patients. Immediate postoperative complications may intuitively be attributed to the negative effects of sedative, analgesic, and anesthetic agents, which can worsen OSAS by decreasing pharyngeal tone, and the arousal responses to hypoxia, hypercarbia, and obstruction. Later events are, however, more likely to be related to postoperative rapid eye movement (REM) sleep rebound. In the severe OSAS patient, REM sleep rebound could conceivably act in conjunction with opioid administration and supine posture to aggravate sleep-disordered breathing. REM sleep rebound has also been suggested to contribute to mental confusion and postoperative delirium, myocardial ischemia/infarction, stroke, and wound breakdown. Although the data to guide the perioperative management of patients with moderate-to-severe OSAS is scarce, heightened awareness is recommended. The selected use of therapy with nasal continuous positive airway pressure before surgery and after extubation may be beneficial.
Learning Objectives: 1. Identify common sleep architectures affected by anesthesia and surgery in the perioperative period. 2. State a perioperative complication in Obstructive Sleep Apnea Syndrome patients. 3. Identify perioperative interventions and management techniques that best facilitate improved obstructive sleep apnea syndrome patient care.
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John lewis
Buy John Lewis Croft Collection Skye Ottoman Blanket Box, Grey Online at johnlewis.com
Shaker Style kitchen by John Lewis of Hungerford, with large island, creating a relaxed and social kitchen. http://www.john-lewis.co.uk/kitchens/classic-shaker-kitchen
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Selma, Alabama - now congressman John Lewis crossing the Edmund Petts Bridge.
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The Doctor's Decision(2012)
A novel by Teresa Ashby
When ship's doctor Cara Stanford meets trauma consultant Greg Harding, the attraction is immediate - but Greg is battling ghosts from the past and Cara has a new job waiting for her back home in Australia. When the Princess Helena runs into trouble at sea, Greg is winched aboard to help with the casualties, one of whom is Cara. He takes care of her as she recuperates but, thinking there is no future for them, Cara returns to Australia - alone...
Used availability for Teresa Ashby's The Doctor's Decision
See all available used copies of this book at Abebooks UK or Abebooks US
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November 2013 : UK Paperback
|Title: Doctor's Decision
Author(s): Teresa Ashby
ISBN: 1-4448-1754-X / 978-1-4448-1754-6 (UK edition)
Publisher: Linford Romance
Availability: Amazon Amazon UK Amazon CA
Kindle Editions
December 2012 : Canada, UK Kindle edition
|Title: The Doctor's Decision
Author(s): Teresa Ashby
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text:
ED Magedson – Founder
Ripoff Report
SkinnyIQInternet USA
SkinnyIQ Full amount charged before any product received for advertised trial period Internet
Does your business have a bad reputation?
Fix it the right way.
Corporate Advocacy Program™
I responded online to an email I received that concerned weightloss. The company offered a 7-day trial period, after which I would be charged the full amount for a month's supply. On the eight day I was charged the full amount, never having received any product, trial size or otherwise. I called the company and was told by two agents and a supervisor that they mailed the trial to me, and if I did not receive the package, I should take it up with the postal service; SkinnyIQ was not responsible. The company refused to refund my money and so I paid $99 for essentially nothing.
This report was posted on Ripoff Report on 06/11/2014 01:59 PM and is a permanent record located here: http://www.ripoffreport.com/reports/skinnyiq/internet/skinnyiq-full-amount-charged-before-any-product-received-for-advertised-trial-period-inte-1153993. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year.
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SANTUBONG (Bernama) – The complex occurrence of incidents and disasters including the mysterious disappearance of Flight MH370 and the shooting down of Flight MH17 are really challenging the ability and competency of those involved in the rescue operations.
Malaysian Society for Traumatology and Emergency Medicine (MASTEM) president, Prof Datuk Seri Dr Abu Hassan Asaari Abdullah
said most of these officers had never been involved in such a situation before and were mainly engaged in managing care for the injured or deceased.
Dr Abu Hassan was speaking at a press conference after he officiated at the International Conference on Major Incident and Disaster Management organised by MASTEM at a resort.
As such, he said, the conference focused on the situations and high profile cases such as the Flight MH17 crash and the missing MH370, bus accident in Genting, ferry tragedies, and the intrusion in Lahad Datu, Sabah with focus on the psychological aspects.
"Taking a lesson from these tragedies, we are holding this conference to improve skills among the participants who come from all over the world and the relevant agencies such as the Fire and Rescue Department, Civil Defence Department, police and non-governmental bodies such as the Malaysian Red Crescent Society and St John Ambulance."


text:
For sale by segunbashorun- VERIFIED SELLER VERIFIED 9 Feb 8:35 amOjodu, Lagos
Gift packing made easy&affordable. This product is an aesthetic gift packing item with reflective full cover paper gift boxes, made suitable for packaging gifts items like for all occasions.E.g Valentine, Weddingsand Birthday e.t.c.
Suitable for packaging shoes, dresses, fabrics, chocolate and other sized items. The dimensions are 10 inches by 7 inches by 4 inches.
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text:
Birdwatching in Douro.
The International Douro is home to the natural park of the same name. This is one of the most interesting areas in Portugal for birdwatching. An area with large soaring birds, as well as rock-dwellers and passerines, of note are species such as the griffon vulture , the golden eagle, the Bonelli's eagle, the Alpine swift, the peregrine falcon and others.


text:
Caring For The Elderly
Script by: Apollos Michio
Status: Finished
Genre: Editorial and Opinion
Good afternoon everyone! Caring for the elderly. Is this a must? Honestly, there is no fixed answer to this question as different people have different views. What matters is how willing you are to care for the elderly and whether you have the time to take care of someone. So what if you care, without a willing heart? So what if you care, when you have to time? If I were your grandmother, and you act as if you really care when you didn't, I rather nobody care for me than to let someone unwilling to care for me care for me. This is because what I want is someone who care for me wholeheartedly. I wouldn't want to hear complaining every day. I want to spend the last few years of my life happily, leaving without any regrets. Example, I have a neighbour who was seventy-eight years old. She had two children and a husband. Her children were both very filial to her and her husband. Although they came back only during the weekends, I could tell that they really care for their parents. They were worrying if their parents were fine a not. My neighbour once told me that they felt very lucky to have such a filial son and daughter. I also felt very happy for them and hope I would be as lucky as them. Unfortunately, one Saturday, my neighbour was found dead as she accidentally slipped and fell on the wet floor. Her husband and children were devastated. They cried really long and seeing them cry makes me cry too. I just hope that they would be fine. These days, fewer and fewer people will be that filial to their parents. Many people either "dump" them at a nursing home or leave them at home without giving two hoots about them at all, and because of this, there are even advertisements and films on this issue of people taking turns to take care of an elderly which really made life miserable for the elderly that some might even commit suicide. I really hope that in ten years time I would be able to see many loving and caring people and the nursing homes in Singapore to be empty! In summary, caring for the elderly wholeheartedly is a choice that I encourage everyone to do. Thank you for your time and attention.
© Copyright 2017 Apollos Michio. All rights reserved.
Add Your Comments:
There were a few grammar mistakes, but apart from that, this is a thought-provoking article. In my personal opinion, when (or if) I grow older, I would not appreciate anybody who does not care for me who cares for me, if that makes sense. In other words, I would rather have a good-hearted person caring for me rather than a couple of thieving scum bags who only care about money. Anyway, the article was quite well written, so well done ;)
Other Content by Apollos Michio
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Book / Thrillers
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Status: Closed
Know more about this business than we do? Cool! Please submit any corrections or missing details you may have.Help us make it right
Physical Medicine And Rehabilitation
Be the first NJ.com user to add photos or videos of Graham Patricia Md
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Dr. Patricia Graham, MD, specialist in physical medicine & rehabilitation, currently sees patients in Princeton, New Jersey, Englewood, New Jersey, Ewing, New Jersey, Fort lee, New Jersey, Newtown, Pennsylvania, Drexel hill, Pennsylvania, Belle mead, New Jersey, and Pennington, New Jersey.
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text:
932 Highway 65 S, Mora, MN 55051
About the Listing
Prime Highway 65 Frontage, great possibilities for business, professional, office or residential use. Currently used as a fitness center, hair salon and 3 bedroom apartment. Previous rental income over 2500 per month with room for additional office space. Endless possibilities to pursue your dream!
Share Listing
Property Details for 932 Highway 65 S, Mora, MN 55051
Lot Size: 0.57 Acres
Lot Dimensions: 202x122
Year Built: 1948
Garage Dimensions: 1 car
Garage: Attached Garage, Driveway - Asphalt
Sewer: City Sewer/Connected
Square Feet: 4235
Room Information for 932 Highway 65 S, Mora, MN 55051
No Information Available.
School Information for 932 Highway 65 S, Mora, MN 55051
School District: Mora
School District Phone: 320-679-6200
Interior Features for 932 Highway 65 S, Mora, MN 55051
Appliances: Range, Dishwasher, Refrigerator, Washer, Dryer
Air Cond: Central
Heating: Forced Air
Basement: Partial
Exterior Features for 932 Highway 65 S, Mora, MN 55051
Lot Dimensions: 202x122
Exterior: Wood, Stucco, Brick/Stone
Zoning: Residential-Single, Business/Commercial
Financial Considerations for 932 Highway 65 S, Mora, MN 55051
Tax Amount: $4,904
Taxes w/Assessments: $4,904
Tax/Property ID: 220259000
Tax Year: 2016
Monthly Payment = $0
INRIX Drive Time
Calculate Your Drive Time From This Property
Similar Listings For Sale
The data relating to real estate for sale on this web site comes in part from the Broker Reciprocity Program of the Regional Multiple Listing Service of Minnesota, Inc. Real estate listings held by brokerage firms other than the owner of this website are marked with the Broker Reciprocity logo or the Broker Reciprocity thumbnail logo and detailed information about them includes the name of the listing brokers.


text:
NEW YORK -- Russell Martin has had a frustrating season, spending much of it under the .200 mark in batting average. But he has been much a valuable September bat.
On Friday night, he led off the 10th with a home run, his 18th, to lift the New York Yankees to a 2-1 victory over the Oakland A's in the first game of a three-game series between possible future playoff opponents.
Russell's fourth career walk-off, his second this year, rescued the Yankees (87-63) on a rare night in which Rafael Soriano blew a save in the ninth. It was the Yankees' sixth win in a row, as they maintained their lead over the Orioles in the tight AL East. The A's, the best team in MLB since July 1 at 85-65, continue to lead in the race for one of the two wild card spots.
Martin, hitting .293 since Sept. 3, turned Sean Doolittle's 93 MPH fastball around, driving it into the leftfield stands.
Yankees starter CC Sabathia turned in his best performance in nearly a month, holding the A's scoreless for eight innings, allowing three hits and striking out 11.
When he wasn't throwing his fastball, touching 96 MPH, past Oakland hitters, he was buckling their knees with his slider, which again had its old break.
The A's didn't have a hit until Stephen Drew singled to left in the sixth inning, and Sabathia's only real jam was in the eighth, when Oakland loaded the bases with two out. Sabathia, with his 113th and final pitch, got Josh Reddick on a fly to left to escape the inning.
The Yankees didn't do much better against A's right-hander Jarrod Parker, managing six hits, their only run in Parker's eight innings coming in the fourth, on Curtis Granderson's sacrifice fly.
That left a 1-0 game in the hands of Soriano, who has 42 saves and had failed to convert only three previous chances. But Soriano had saved both ends of Wednesday's doubleheader and warmed up Thursday night, and showed signs of fatigue.
With one out, Moss came off the bench to hit for Chris Carter in a lefty-righty switch and hit Soriano's 2-2 pitch into the second deck in right field to tie the game, rounding the bases as the 40,759 in attendance howled in disapproval. Soriano walked two, but struck out pinch-hitter Seth Smith to preserve the tie.
Sean Doolittle pitched a scoreless ninth for Oakland to send the game to extra innings.
Sabathia, winless since Aug. 24, dominated Oakland in the early innings. He retired 15 of the first 16 batters he faced, striking out eight to hold a 1-0 lead into the sixth. The A's only baserunner through five innings was Jonny Gomes, who walked with one out in the first. Sabathia got stronger and sharper as the middle innings approached, striking out the size in order in the fifth.
Meanwhile, Parker, who beat the Yankees 2-1 in Oakland on July 21, was effective again. The Yankees' only hit first time through the lineup was an infield single in the third by Ichiro Suzuki, whose comebacker found its way into Parker's shirt. Before he could unbutton and get to the ball, Suzuki was across the bag. Suzuki stole second, but Parker got a called third strike past Derek Jeter to strand the runner.
The Yankees pried loose a run in the bottom of the fourth, when Nick Swisher singled to right, advanced to third on Alex Rodriguez's single to left-center and scored on Granderson's sacrifice fly to left-center.
Suzuki, who went 9 for 12 in the recent series against Toronto, hit a pop fly that dropped right on the left-field line in the fifth, his 11th hit in 14 at-bats, but his magic touch finally wore off a bit when he stumbled between first and second and was tagged out.
Notes: Jeter was approached to clarify remarks he made to ESPN's Rick Reilly, in which he said he could see himself playing for another team if he wanted to keep playing and the Yankees did not want him. He told reporters Friday he meant it was only a scenario he could see if he had no choice. "I think it's comical that we're talking about it when I've told you guys time and time again that I can't picture myself playing anywhere else." Jeter could opt out of his contract after next season, and his last contract negotiations with the Yankees were famously contentious. ... The Yankees have been talking for several days about activating outfielder Brett Gardner, who is recovering from elbow surgery and could only pinch-run or play defense, but they haven't yet. "We're just not ready to make the move yet," manager Joe Girardi said. ... The A's were hoping to get center fielder Coco Crisp, who has been out with an allergy-triggered conjunctivitis -- or pink eye -- back for Friday night's game. But Crisp needs more time. ... Oakland entered this series with the best record in the majors (48-22) since July 1.


text:
Buildings are a major and growing source of energy consumption and as such, contribute to the significant problems associated with energy dependence and growing environmental impacts. Building system commissioning is a quality assurance process designed to improve the operations of existing buildings and the design, construction and operations of future buildings. Although commissioning was originally introduced as an acceptance phase activity, it has been enhanced to be a lifecycle process to address broader needs for improved performance. This process is gaining support in many countries as building owners and other stakeholders see the benefits through real-world projects. More investment is needed to scale up the technology and realize the energy performance goals. This paper presents an assessment of the international state of building system commissioning in the Asia Pacific, European and North American regions, based on 15 countries. National reports highlight a variety of initiatives that are underway. The review covers existing conditions for both new construction and existing buildings and analyzes the local and international mechanisms that are developing the market.
Proceedings Title: 2008 ACEEE Summer Study on Energy Efficiency in Buildings
Conference Dates: August 17-22, 2008
Conference Location: Pacific Grove, CA
Pub Type: Conferences
commissioning, energy efficiency, buildings, international, Annex 47


text:
missamy70 Review
Love this ring!
I love this ring! I get compliments on it all the time. It's large enough to definitely gt noticed but it's not overwhelmingly large like a cocktail ring. It's absolutely beautiful and definitely worth the price. I also love that it has the blue and green turquoise stones, it's a beautiful compliment to any outfit!
- How did the image on site compare with the actual product? Perfect match of the picture
- How accurate was the sizing? Perfect
- Please tell us about the quality of the product. The ring is really sturdy, the stones are very pretty and secured very well
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Congrats! Absolutely agree with you! I had 2 P-EL sales and that raised up my earnings! I wonder what will April bring to us?
Yeah even I noticed the revenue is high this month, I have same no of downloads for last two months, but the revenue is 40 percent more than last month.
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Kota Kinabalu, MY
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Have an HR hangover from your last company function? Make your next holiday fun, safe, and respectful with these disaster-averting precautions!
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UWC 10km Fast & Flat
Fast and Flat. If you think you are ready for the Comrades Marathon, you have the opportunity to test your legs and stamina at the UWC 10km Fast 'n Flat. This race is one of the major road events in the country.
This event is well supported by athletic clubs across the country and has become quite popular among local athletes in and around Cape Town.
Starting times: 10km; Run: 7:30am; Race Walk: 7:40am; Fun Run: 7:50am.
Pre-entries are available on www.topevents.co.za, until 25 May 2016. You can also enter on the morning, from 5:30 – 7:15am.
Walkers and wheelchair users are welcome.
|Event Type
|28 May 2016
|Fun Run, Road Run, Walk, Wheelchair Race
|Western Cape, Western Province
|10km, 5km
|UWC Campus - Robert Sobukwe Road - Bellville
|10km: Licensed R40; unlicensed R65; 5km: R20
|Contact Details
|Hadley Volkwyn | 074 800 1204 | email@example.com
Events rating
Rate this past event below


text:
fairchase had een nieuw logo ontwerp nodig en lanceerde daarom een wedstrijd op 99designs.
Een winnaar werd gekozen uit68 ontwerpen ingezonden door35 freelance designers.
uPurpose will be similar to sites that allow members to earn rewards by shopping and other activities.
The big difference is that upurpose will have a charity focus and let people earn money for their favorite charity.
Desired Color Scheme:
Desired Style:
Accepted File Formats:
Standard Web Formats (.jpg, .gif or .png); Vector Formats (.eps, .pdf or .ai); Layered Formats (.psd or .tiff); all print and web versions
I want the design to be simple and web 2.0. I would like the word portion of the logo to only use light text effects and try to find a very simple icon to represent the charitable/giving nature of the site.
Our audience will skew to female so using colors more feminine in nature is fine....but nuetral colors could also work well for the project.
Thank you.


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I guess it would be fine if the name has a bit of spelling errors made by FKG Devs. Yeah, Tasse Flower is typo, it's suppose to be Tassel Flower, but I don't corrected it because it's an official...
[FKG] Wiki Discussion ThreadToday, 06:06 AM
The Nutaku ver is worse when it comes to names on girls/things tho IMO. The wiki use more simple english (IMO) when naming stuff and in general tend to be better at explaining it, with better grammar...
[FKG] General DiscussionsToday, 06:02 AM
PrimalBidoof's Art GalleryToday, 05:49 AM
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@Observer 39 man congrats on that last minute melt! @Raven2k5 Nice! Let's see whats on offer for the week after XD Trubo not interested in The goddess Gacha i take it? This event has been...
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wow look great !!! thank you so much for sharing this such good information :D
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Contact K¹² Start
If you have any questions be sure to look for an answer in our FAQs first. Most of the common questions parents and students have are already addressed there.
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Download Dekiai Paradox subtitle indonesia, Dekiai Paradox English subtitles 1 CD srt .HDTS.x264-NBY .BRRip.XviD.MP3-RARBG .BluRay.720p.x264.Ganool .1080p.BluRay.x264.ShAaNiG HD-CAM XViD HQMic AC3-CPG - Official Trailer 2 [HD] - YouTube - Trailer# 3 [HD]Movie Detail:
Other title : Blind Love Paradox
Manga info : Baka-Update
Type : Manga
Published : 2005
Genre(s) : Drama, Romance, School Life, Shoujo, Smut
Author(s) : ANISAKI Yuna
Volumes : 1
Chapters : 3
Related Series : –
Language : English
Scan Group : Shoujo Manga Maniac
Scanlation Status : Complete
Summary :
In a school where students are into different classes based on their grades, there is a prince who is the idol of the school, a cute and shy boy called Renjou Kaoru. Amakawa Yumi, a second year student, doesn't seem to be interested in him though. She's already in love with Kokonoe Yukito, a guy in the same class as her and a childhood friend of Kaoru! What she still doesn't seem to know is that the cute and shy little boy is not actually as he appears to be…
Size : 40Mb
Download Subtitles Dekiai Paradox Ganool


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Case Studies
betterlanguages.com translation agency works with a wide variety of clients large and small. The aim of this section of our site is to give a flavour of the type of work we do with clients:
- Sole translation providers to Mothercare, and currently provide translations services from English into 14 languages including Simplified Chinese and Arabic. Translation work includes product labels and packaging, leaflets and user guides.
- Construction company GSE: translating technical documents, health and safety documents, survey reports and company presentations. Languages covered include French to English, English to French, Norwegian to English, English to Norwegian, Romanian to English, and Spanish to English.
- Avery Dennison: translating clothing labels into a wide range of languages, Avery are one of our longest standing clients, having been customers since the early 1990s. Languages covered include a full range of European languages, including Nordic languages, Canadian French, Mexican Spanish, Simplified Chinese, Arabic, Japanese and Thai.
- Various Nottingham Solicitors for both translation and interpreting. Work has included interpreters attending client meetings and court hearings. Written translation has included civil and criminal court documents, and letters to clients.
- East Midlands exporters The House of Crafts, for whom we translate craft kit instructions.
- US client Zak Designs: translating product packaging for the US and European markets.
- Website translation: read our King Charles Hotel website translation case study for a good example of how we helped a hotel in Kent attract more overseas visitors with language specific website content.


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6 reviews | 4.8 out of 5
After 50 years of Nikon being the best optics out there from Japan, Nikon again has a camera that still puts all contenders of camera bodies light years behind....It's like comparing the Canon A1 to the Nikon Photomic TN all over again.
This is my third and best Nikon DSLR Camera. Amazing camera from build quality to picture quality. Truly an amazing camera!
Absolutely astonishing results are readily available using this camera and Nikon's best lenses. To obtain the best results the use of a stable tripod is advisable. The detail in the landscape photography that I shoot with this combination of camera and the 24-70mm 2.8 lens and the 70-200mm 2.8 VR II lens is breathtaking. No other DSLR in this size even comes close. Using this camera anywhere near its potential does require dedication and diligence. To say that it is complex is an understatement. Photography fanatics will love this camera. Be prepared to make an investment, nothing this good comes "cheap."
4th Nikon DLSR. Great camera, but still has slight green color shift. Color controls don't quite compensate. Overall, happy, given that all photography is a compromise.
High MP also means increased noise. 800E might be worth the extra $$$.
Rugged -- Have fall down rocks with camera strapped around neck & only one small ding -- buy a padded holster when hiking, climbing!
Video is too short; not sure why given memory.
Buy fast memory -- at least 90mb/sec. in order to make sure you don't fill the buffer when shooting fast, raw, etc.
Buy extra batteries, just in case. Don't need the add on battery case.
Buy grip holder -- helps with steadying heavy camera.
Works very well with the Nikon flash.
Don't scrimp on lens -- buy Nikon. Worth the money.
Get some good editing software & shoot raw.
Great camera, I own three Nikon DSLR'S, I would not recommend this camera for a beginner. It is every thing I expected and more.
state-of-the-art, very large MP, finally a decent price


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Earn 50 Birchbox points for every friend that purchases a subscription.
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Use this gentle shampoo with (MALIN+GOETZ)'s cilantro hair conditioner for a completely refreshed 'do.
From chin-grazing bobs to face-framing fringe, here are the cuts that flatter curly, straight, and wavy textures.
Availability: Out of stock
Washing fragile hair is kind of like a game of Jenga: a delicate touch and good strategy are key. So when it comes to cleansing sensitive strands, this carefully formulated gentle neroli shampoo stacks up well against the competition. Its foaming formula can be used daily to rinse out build-up without the risk of further damaging overprocessed hair. Newly purified strands are left softer and stronger.
Apply a small amount to wet hair and scalp and massage into a foamy lather. Rinse clean and repeat if desired.
Water (Aqua), Ammonium Lauryl Sulfate, Sodium Laureth Sulfate, Glycerin, Cocamide MEA, Limonene, Polyquaternium-7, Panthenol, Polyquaternium-10, Citric Acid, Sodium Benzoate, Potassium Sorbate, Methoxy PEG/PPG-7/3 Aminopropyl Dimethicone, Disodium EDTA, Citrus Bigarardia (Neroli) Extract, Citrus Aurantium Amara (Bitter Orange) Peel Oil, Phenoxyethanol, Methylchloroisothiazolinone, Methylisothiazolinone, Betaine, Sodium PCA, Sorbitol, Proline, Serine, Glycine, Glutamic Acid, Lysine, Alanine, Arginine, Threonine.
A little goes a long way- burst of peppermint refreshes scalp and cleans away oil & grease. I love this shampoo for my sensitive skin- gentle but deep cleans. Only wish it came in a larger size!
i have fine hair that i need to wash every day. most shampoos/conditioners leave my hair feeling weighed down and greasy. i tried this one after reading a birchbox article about how often you're supposed to wash your hair. I've been in love with it ever since. smells great too
I love the smell of Neroli and I love Malin + Goetz so this did not disappoint. I have long hair and this really helped me soothe my tangles and really does make my hair feel clean. It's a good size bottle and you don't need to use too much.
This is definitely a natural shampoo. I would like to say that the scent smells refreshing and clean, but more herbaly than anything else. However, it did clean my hair and made it softer in the process.
It was a nice sample, shampoo smelled great.
It washed out nicely and left a clean feeling.
Would need to use longer to know if it I really love it.


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43717Re: Heads, body and tails
Expand Messages
- Apr 17, 2013I ramp up the initial wattage to about 2500w to heat the wash (15 litres). When I feel the bottom of the column getting hot ie the hot vapour has heated the sides and "roof" of the boiler and is now hitting the column, I turn down the boiler to 1200W as it slowly climbs the column. You know when the vapour is at the top when your thermometer starts to shoot up, if you left the boiler at 2500W at this stage the vapour could shoot right out the top bypassing the condenser. As its refluxing I put a glass jar above the column outlet to check no vapour condenses on this and is retained in the column Obviously if the temperature at the top of the column does not go up you need to add more heat. If the vapour condenses above the column reduce the heat. Once set and the temperature remains constant (+-0.1c)for 1/2 hour I then start take off.
Dave E
--- In email@example.com, "jsutton_co" <varocketry@...> wrote:
> Does that mean its boiling away for an hour ... or are you saying you slowly ramp up speed and it takes an hour to start drawing off?
> I guess I read to read up on the "stacking up" stuff!
> > I've got a 3"x 48" Boka and usually wait about an hour or so before
> > starting to slowly draw off foreshots.
- << Previous post in topic


text: After being dumped by her boyfriend KEN (Daniel Wu) a month ago, CHAN (Gillian Chung) found out that Ken has posed her nude picture on the internet, causing Chan losing her job. To take revenge, Chan decides to line up with ZHOU (Tao Hung), Ken's existing girlfriend, to steal back their nude photos from Ken's home. Friendship starts to grow between these two namely "rivals" during the search. However, what they do not know is two girls for one man is always too crowded and the two are destined to be rivals for the rest of their lives More Info http://www.imdb.com/title/tt0440445/ Filename.........: Beyond.Our.Ken.2004.DVDRip.XviD-WRD.avi Filesize.........: 733,781,232 bytes Runtime..........: 1:37:40 (140493 frames) Video Codec......: XviD 1.1.0 Beta 1 (B-VOP//) Video Bitrate....: 860 kbps Resolution.......: 640x352 (1.818) Framerate........: 23.976 fps Audio Codec......: 0x0055 MPEG-1 Layer 3 Audio Bitrate....: 128kbps 2ch VBR 48000H Language.........: Cantonese Subtitle.........: English Parts............: 8 Download http://rapidshare.com/files/34446014/900.04.BeyKen.WRD.part1.rar http://rapidshare.com/files/34456760/900.04.BeyKen.WRD.part2.rar http://rapidshare.com/files/34460191/900.04.BeyKen.WRD.part3.rar http://rapidshare.com/files/34463272/900.04.BeyKen.WRD.part4.rar http://rapidshare.com/files/34466602/900.04.BeyKen.WRD.part5.rar http://rapidshare.com/files/34469707/900.04.BeyKen.WRD.part6.rar http://rapidshare.com/files/34472909/900.04.BeyKen.WRD.part7.rar http://rapidshare.com/files/34473936/900.04.BeyKen.WRD.part8.rar Password.........: beykenWRD


text:
Tue 09 Aug 11
at 22:33 PM
Wycombe are into the second round of the Carling Cup for the first time since 2006 after a breathtaking penalty shootout success over Colchester United at Adams Park.Ben Harding slotted home the winning penalty at 10.25pm after a night which had seen the Essex club recover from a two-goal deficit to lead 3-2 in extra-time before Stuart Beavon's wonder goal.Scott Donnelly and Joel Grant sent the Blues into an early lead, but Colchester recovered through Kayode Odejayi and Ian Henderson before half-time.Chances came and went for both sides and after Nikki Bull saved from Michael Rose in the shootout, Harding stepped up to clinch the glory over Wanderers' old foes.There were five changes to Gary Waddock's starting XI, with Kadeem Harris earning a first ever professional start while Ben Harding came in for his Wanderers debut in the middle of the park.The opening goal came within 100 seconds of kick-off, when Andy Sandell's quick free-kick left United flat-footed and Scott Donnelly rifled the ball home from 12 yards. United were aggrieved that the set-piece was taken ahead of the whistle but referee Pat Miller allowed the goal to stand, giving Wycombe the perfect start.Ashley Vincent headed into the side netting before fine defending from McCoy then prevented Ian Henderson from getting his shot away as the U's pressed for an immediate leveller.But they came unstuck again when a superb move from the Blues saw John Halls, Donnelly and Stuart Beavon all exchange neat passes before the latter's shot was parried away by Mark Cousins, giving Joel Grant the easy task of slotting into an empty net.The football was a pleasure to watch, with the central midfield trio all exchanging short passes and working the ball forward in neat passages, frustrating the visitors and creating a number of openings.John Joe O'Toole sent a glancing header wide on 24 minutes when he found space from a corner and Wycombe didn't heed the warning, allowing Kayode Odejayi time to halve the deficit when he headed Michael Rose's inswinging cross past Nikki Bull.The Wanderers keeper then turned behind Anthony Wordsworth's low swerving drive as Colchester cranked up the pressure, and the home fans were beginning to get a little restless as they saw their side pushed further and further onto the back foot.So it was no surprise when the equaliser came, and it arrived in style courtesy of a 25-yard thunderbolt from Ian Henderson, finding the top corner with pace and swerve to leave Nikki Bull a helpless spectator.Odejayi almost put the U's in front in first-half stoppage time, seeing his poked effort blocked by the legs of Bull following a defensive mishap, and Wycombe would have been relieved to hear the half-time whistle after squandering their early lead.After an absorbing first 45 minutes, the opening to the second period was tame by comparison, with Wycombe looking more settled but neither side able to create any clear-cut chances.Kadeem Harris went close to opening his senior account with a low drive on 67 minutes which just evaded the keeper's right-hand post, while a series of crosses into the Blues' box threatened to bring about a goal for the visitors, but the hosts held firm.The play was disjointed from both sides and neither set of players were happy to settle for extra-time, and pressed in pursuit of a winner. Odejayi launched a powerful strike into the side netting as the clock approached 90 minutes, and a superb last-gasp block from Nikki Bull sent the tie into extra-time after Ian Henderson was sent through on goal.Steven Gillespie saw an early chance saved by Bull before Joel Grant and Andy Sandell missed the target with efforts from 20 yards, while Gillespie then attempted an audacious lob which needed to be expertly tipped over by the home keeper.The substitute wasn't to be denied moments later, however, as Andy Sandell brought down Ian Henderson in the box and Gillespie smashed his penalty high into the net, giving no chance and putting the visitors in front for the first time in the match.Lloyd James could have put the game out of sight when he found space on the right-side of the box following a deft flick, and the Blues were desperate to claw their way back into the game.Gary Waddock responded by bringing on Jordon Ibe for his first senior appearance at the age of just 15, becoming the youngest player to represent the club since 1982.The lifeline came just moments later, and it was Stuart Beavon who made it 3-3 with a stunning left-footed strike on 105 minutes. The attacker had worked tirelessly all game with little reward, but the goal was one to savour, and set his side back on track.Ian Henderson's clipped effort after the break again needed a smart save from Bull, before Scott Rendell's glancing header should have hit the target from a Marvin McCoy cross.Joel Grant snatched at an effort on the corner of the penalty area after a succession of skilful runs from Jordan Ibe had opened holes in the United defence, with the teenager looking more than capable of finding that elusive fourth goal for the Blues.It didn't come, and so it went to penalties.Steven Gillespie - SCORES Andy Sandell - SCORESAnthony Wordsworth - SCORESMarvin McCoy - SCORESIan Henderson - SCORESStuart Beavon - SCORESLloyd James - SCORESScott Rendell - SCORESMichael Rose - SAVED BY BULLBen Harding - SCORESBull had been sent the wrong way for the first four penalties but changed strategy for Michael Rose's spot-kick, making a fine save to allow Ben Harding to win it for Wycombe.The Carling Cup second round draw will be made on Thursday.50/50 Blues Youth Matchday DrawPrize Fund: 251.00Winning Number: 109906
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Masters 3 in 1 Multi Cleaner Brush
£4.99 Available Ask us a question about this product
Please allow an additional 5 - 7 working days before despatch
This item is coming from a different warehouse and may take slightly longer than usual to despatch. Once the item has been despatched, usual delivery time applies.
Price Drop Notification
Masters 3 in 1 Multi Cleaner Brush Product Description
Combining a brass brush, a nylon brush and a club groove cleaner, this handy tool is great for maintaining your golf club's performance.
A dirty club-face and grooves will affect the flight of the ball, which in turn could severely affect your score.
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3 Bedrooms
3 Beds
2 Bathrooms
2 Baths
|Room Type
|Private room
|Shared bathroom
|Length of Stay
|Minimum 6 months
|Anyone welcome
|Weekly rent
|4 weeks rent
|Not included in rent
|Available but not included in rent
|Off street parking
This spacious top-floor apartment is the epitome of convenience! Located a mere 20 minutes away from the CBD (by bus), it is the perfect apartment for a student or young professional looking for a place to work and play.
Anzac Parade is just around the corner, and provides close proximity to shops, restaurants, gyms and other essentials. For those who may be studying, the apartment is only a 5 minute walk from UNSW and all of its facilities.
The apartment is to be shared with one male currently living here (early 20s, works part-time and studies full-time). It is clean, quiet and situated in a private area with lots of natural light. It features a large living room and modern kitchen.
The available bedroom is just $265 per week. It is carpeted with a mirrored built-in wardrobe that stretches the length of the entire wall. It's large enough to comfortably fit a queen-sized bed and desk, but will come unfurnished so you can style it however you like.
If you have a car, there is also a single lock-up garage available for an additional $10 per week, or there is normally parking available on the street.
This highly desirable apartment is available around the 31st of July but I can be a little flexible with dates. Please don't hesitate to get in touch if you have any further enquiries.
|Corona Cafe
|Close by
|Turpan Restaurant
|Close by
|Chairman Mao Chinese Restaurant
|Close by
|Domino's Kensington
|Close by
|~ 3 min walk
|Paula Empanadas
|~ 3 min walk
|Khing Thai Restaurant
|~ 3 min walk
|Chinar Indian Restaurant
|~ 3 min walk
|The Doncaster Hotel
|~ 3 min walk
|Rumah Indo Restaurant
|~ 3 min walk
|Sun Sung
|~ 3 min walk
|Pattaya Thai Restaurant
|~ 4 min walk
|Anzac Pde Near Addison St
|Close by
|Kensington Rd Near O.l.S.H.
|Close by
|Kensington Rd Near Roma Av
|Close by
|Anzac Pde Near Darling St
|Close by
|Anzac Pde Near Doncaster Av
|~ 3 min walk
|Todman Av Near Anzac Pde
|~ 4 min walk
|Anzac Pde Opp High St
|~ 5 min walk
|Anzac Pde Near Todman Av
|~ 5 min walk
|Todman Av Near Balfour St
|~ 6 min walk
|Lenthall St Near Milroy Av
|~ 7 min walk
|FoodWorks Kensington
|~ 3 min walk
|Naomi Judge - Naturopath
|~ 5 min walk
|Lucky Supermarkets
|~ 8 min walk
|~ 10 min walk
|kensington Supermarket
|~ 13 min walk
|Yong le
|~ 16 min walk
|Hidaka Asian Supermarket
|~ 16 min walk
|Ausbaker Super Market
|~ 18 min walk
|Tokyo' Super
|~ 19 min walk
|Coles Supermarkets
|~ 19 min walk
|Taste Growers Market
|~ 20 min walk
|Split Rock
|~ 20 min walk
|The University of New South Wales, Kensington
|~ 16 min walk
|Australian Graduate School of Management
|~ 23 min walk
More flatshare listings in Kensington, Sydney or view all rooms in Kensington, Sydney