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Paracetamol is involved in a large proportion of accidental paediatric exposures and deliberate self-poisoning cases, although subsequent hepatic failure and death are both uncommon outcomes.
The optimal management of most patients with paracetamol overdose is usually straightforward. However, several differing nomograms and varying recommendations regarding potential risk factors for hepatic injury introduce complexity.
In order to reconcile management advice with current Australasian clinical toxicology practice, revised guidelines have been developed by a panel of clinical toxicologists consulting to the poisons information centres in Australia and New Zealand using a workshop and consultative process.
This article summarises the rationale for the recommendations made in these new guidelines.
Paracetamol is the most widely used over-the-counter analgesic agent in the world. It is involved in a large proportion of accidental paediatric exposures and deliberate self-poisoning cases and is the leading pharmaceutical agent responsible for calls to poisons information centres in Australia and New Zealand. Paracetamol is also the single most commonly taken drug in overdoses that lead to hospital presentation and admission.1 Hepatic failure and death are uncommon outcomes,2,3 although paracetamol remains the most important single cause of acute fulminant hepatic failure in Western countries.4
Acute deliberate self-poisoning, accidental paediatric exposure and inadvertent repeated supratherapeutic ingestions all require specific approaches to risk assessment and management. This complexity is compounded by the existence of several different treatment nomograms in Australasia. Existing recommendations do not deal with extended-release paracetamol, and previously distributed industry-generated guidelines (from GlaxoSmithKline Consumer Healthcare [GSK]) no longer reflect current clinical toxicology practice or poison centre recommendations.To rectify this problem, new consensus guidelines have been drafted by a panel of Australian and New Zealand clinical toxicologists, with the objective of supporting clinicians in poison centres, primary care and hospital practice with concise and meaningful clinical management guidelines for presentations related to paracetamol overdose. Here, we summarise the rationale for the recommendations made in the guidelines (which are available in full at http://www.toxinz.com).
Clinical toxicologists from Australia and New Zealand were invited to a workshop held in June 2006 and funded by GSK. Prior to the workshop, participants were sent copies of previous guidelines and invited to submit points of debate and consult the relevant medical literature. During the workshop, previous guidelines were discussed point by point, using clinical scenarios to frame debate, while a facilitator drafted flow charts and guideline points on a display.
After the workshop, the resulting guidelines were summarised and circulated to the panel members, with refinements also circulated for comment and alteration. The draft guidelines were presented for comment at a peer-review clinical toxicology meeting attended by clinical toxicologists from around Australia and New Zealand in January 2007, and the drafting process concluded that month.
Paracetamol is rapidly absorbed from the small intestine. Peak serum concentrations occur within 1–2 hours for standard tablet or capsule formulations and within 30 minutes for liquid preparations. Peak serum concentrations after therapeutic doses do not usually exceed 130 μmol/L (20 mg/L). Twenty per cent of the ingested dose undergoes first-pass metabolism in the gut wall (sulphation). Distribution is usually within 4 hours of ingestion for standard preparations and 2 hours for liquid preparations. Volume of distribution is 0.9 L/kg.2
Further elimination occurs by hepatic biotransformation. After therapeutic doses, the elimination half-life is 1.5–3 hours. About 90% is metabolised to inactive sulphate and glucuronide conjugates that are excreted in the urine. Metabolism of the remainder is via cytochrome P450 (chiefly 2E1 and 3A4) and results in the highly reactive intermediary compound N-acetyl-p-benzoquinone imine (NAPQI). In normal conditions, NAPQI is immediately bound by intracellular glutathione and eliminated in the urine as mercapturic adducts.3
With increased paracetamol doses, greater production of NAPQI may deplete glutathione stores. When glutathione depletion reaches a critical level (thought to be about 30% of normal stores), NAPQI binds to other proteins, causing damage to the hepatocyte. Glutathione depletion itself may also be injurious.3
Immediate threats to the airway, breathing and circulation are extremely rare in isolated paracetamol overdose. In exceptional cases, massive ingestion causing extremely high serum paracetamol levels (ie, > 5000 μmol/L or 800 mg/L) may be associated with an early decrease in level of consciousness and with lactic acidosis.5 Supportive management is appropriate in such cases, with N-acetylcysteine administered in routine doses, although prolonged infusions may be required. Haemodialysis has been described in this setting, but indications for its use have not been defined. Recovery is usual with supportive care.
Any alteration of conscious state should prompt bedside testing of the patient's serum glucose level and correction of hypoglycaemia, if present. This is only likely to be due to paracetamol if there is hepatic failure.
A risk assessment, in which the clinician attempts to predict the most likely clinical course and potential complications of the patient's presentation, should occur as soon as possible in the management of all poisoned patients. The key factors to consider for paracetamol poisoning are the dose and concentration (early), clinical and laboratory features suggesting liver damage (late), and any history suggesting increased susceptibility to toxicity.
The dosing threshold at which hepatic injury occurs after supratherapeutic paracetamol ingestion appears to be subject to wide interindividual variation and depends on the dosing context (Box 1). Serum paracetamol levels should be used to assess the need for N-acetylcysteine administration in all patients with deliberate paracetamol self-poisoning, regardless of the stated dose.
Clinical or biochemical evidence of liver injury may not be apparent for up to 24 hours after acute paracetamol overdose. The best surrogate marker indicating the potential for injury is a timed serum paracetamol level plotted on a nomogram. However, the nomogram cannot be applied for repeated or staggered doses, or if the time of ingestion cannot be determined with confidence by the treating clinician.
The most important risk factor for liver damage and death after acute paracetamol ingestion is the extent of delay beyond 8 hours until treatment with N-acetylcysteine commences. Treatment within 8 hours will prevent all serious hepatic injury. However, N-acetylcysteine has frequent adverse effects, is moderately expensive and requires hospitalisation, so it is not reasonable to adminis-ter it to every patient with possible paracetamol overdose.
Paracetamol treatment nomograms have been used for many years in Australasia. The nomogram used appears to be a local decision,6 but they are often derived from nomograms devised overseas.7,8
The Prescott nomogram was based on a cohort of patients in Ed-inburgh and extends from 1320 μmol/L (200 mg/L) at 4 hours to 200 μmol/L (30 mg/L) at 15 hours.7 The Rumack–Matthew nomogram is based on the same data, but extrapolated to 24 hours. It also uses a "treatment line" that is plotted 25% lower (1000 μmol/L [150 mg/L] at 4 hours) to comply with a United States Food and Drug Administration requirement to provide a "safety buffer" for research and clinical purposes.8
The efficacy and safety of dosing N-acetylcysteine according to the Rumack–Matthew nomogram has been demonstrated in a study of more than 11 000 patients, with no deaths among patients who were treated within 15 hours.8 In contrast, while use of the higher Prescott line has been demonstrated to be usually safe in smaller cohorts of patients,7,9 there have been occasional reports of people who were not treated because they had concentrations below the line, but who subsequently died from acute hepatic failure.10 In addition, both these nomograms use a log scale, making it difficult to plot levels accurately.7,8
Several variables (such as chronic ethanol misuse, use of enzyme-inducing drugs, prolonged fasting, and dehydration) are hypothesised to increase the risk of hepatic injury. These "risk factors" are thought to increase the metabolism of paracetamol to the toxic metabolite NAPQI via induction of mixed function oxidases, or decrease hepatocellular glutathione stores, or both. However, the relevance of these risk factors in clinical practice remains controversial, with no consensus among clinical toxicologists.11,12 Many guidelines have recommended an arbitrary further lowering of the nomogram line (ie, to 660 μmol/L [100 mg/L] at 4 hours) for patients with such risk factors.13 This introduces further complexity into clinical risk assessment. It is our experience that clinical assessment of risk factors is done in a haphazard fashion and the "high-risk" line on the nomogram is often misinterpreted, with some clinicians treating everyone above this line, and some never using it at all.6
The aim of the new treatment nomogram, shown in Box 2, is to reconcile the hypotheses and evidence regarding risk factors while using a single nomogram line to simplify decision making. The new nomogram lowers the old Australian nomogram line13 by 25%, meaning that it starts at 1000 μmol/L (150 mg/L) at 4 hours. This provides both a margin of safety for patients who may possess risk factors and a small margin of error for estimation of time of ingestion, and avoids the need for potentially confusing additional lines. This change simplifies management guidelines, remains conservative and poses minimal inherent risk for misinterpretation and error. It is also the treatment threshold with the most clinical data to support its efficacy and safety.8
Significant hepatic injury is extremely rare after acute single accidental paracetamol ingestion in children under 6 years of age, and it is very uncommon for them to have levels that require N-acetylcysteine treatment. Therefore, in children under 6 years of age with potential accidental paracetamol intoxication, gastrointestinal decontamination with syrup of ipecac, activated charcoal or gastric lavage is not indicated.
In adults, activated charcoal administered within 1–2 hours of ingestion reduces the absorbed paracetamol dose and the likelihood that N-acetylcysteine will subsequently be required.14 Nevertheless, if activated charcoal cannot be administered, treatment with N-acetylcysteine within 8 hours guarantees survival in any case. Therefore, activated charcoal alone is not a life-saving treatment that may be imposed under a duty-of-care principle. We recommend administration of 50 g activated charcoal only in cooperative adults who can receive the dose within 1–2 hours of paracetamol ingestion.
Treatment with N-acetylcysteine guarantees survival if administered within 8 hours of paracetamol ingestion, and outcome is the same regardless of when treatment is given within this 8-hour window. Beyond 8–10 hours after ingestion, efficacy decreases with increasing delay to treatment.8 If a patient presents within 8 hours of ingestion, N-acetylcysteine administration may be delayed until a serum paracetamol level plotted on the nomogram confirms it is indicated (as long as treatment can still be commenced within the 8-hour window if it is required).
For patients that present within 8 hours with a known time of ingestion, risk assessment is based on the serum paracetamol level plotted on the nomogram. Supplementary investigations such as liver function tests or a coagulation profile do not refine the risk assessment, and do not provide useful baseline data or change management in this group of patients. These tests are therefore not indicated unless risk assessment for another agent requires them. Follow-up tests are not required at the conclusion of the 20-hour N-acetylcysteine infusion, before discharge or at subsequent follow-up.
In patients who present 8 or more hours after ingestion, N-acetylcysteine should be commenced immediately if the reported dose exceeds the threshold for possible toxicity (Box 1) or the patient shows clinical signs suggestive of paracetamol toxicity (nausea, vomiting, right upper quadrant pain or tenderness). Evaluation of serum paracetamol and alanine aminotransferase (ALT) levels should then be performed as soon as possible. If the serum paracetamol level is subsequently found to be below the nomogram line, N-acetylcysteine may be ceased; if above the line, it should be continued. The baseline serum ALT level assists risk assessment and provides useful baseline data if N-acetylcysteine is indicated. Similarly, if N-acetylcysteine is commenced, baseline international normalised ratio and platelet count provide additional data to inform later risk assessments (eg, for risk of death from hepatic failure).
Box 3 summarises the steps for management of acute paracetamol exposure with known time of ingestion.
If the time of ingestion is unknown, or the treating clinician is not confident of the history of ingestion, it is safest to treat the patient as a delayed presentation. Thus, the recommendation is to follow the > 8 hours scenario in Box 3.
If there is a detectable serum paracetamol level and the timing of ingestion cannot be accurately determined, N-acetylcysteine treatment should be commenced and serum ALT level measured. If, at the end of the infusion, the ALT level is normal or decreasing, N-acetylcysteine may be discontinued. If further history has since become available and the serum paracetamol level can be accurately plotted on the nomogram, this should be done and N-acetylcysteine discontinued if found to be appropriate.
The kinetics of sustained-release paracetamol preparations after deliberate self-poisoning have not been defined. Studies in volunteers confirm there is a potential for slow absorption and thus a delayed peak serum paracetamol concentration above the nomogram line.15
If more than 200 mg/kg or 10 g (whichever is less) has been ingested, N-acetylcysteine treatment should be started immediately. If less than this amount has been ingested, serum paracetamol levels may be used to determine the need for N-acetylcysteine. In all cases, serum paracetamol levels should be taken at 4 hours or more post-ingestion (as with standard preparations) and repeated 4 hours later. If either level is above the nomogram line, N-acetylcysteine should be commenced or continued. N-acetylcysteine may be discontinued if both levels fall below the nomogram line.
In this scenario, if it has been less than 8 hours since the first dose, the patient can safely be treated as per the 1–8 hours scenario in Box 3. The rationale for this is that due to the rapid absorption of paracetamol, any later doses will only lead to overestimation of the risk. However, if it has been more than 8 hours since the first dose, treat the patient as per the > 8 hours scenario in Box 3.
There is little evidence to guide risk assessment for repeated ingestion of high doses of paracetamol. The margin of safety has for many years been assumed to be high;16 however, recent data suggest that minor subclinical elevations of serum aminotransferase levels may be quite common with prolonged therapy.17 Conversely, studies of "high-risk" patients who have taken supratherapeutic doses over 3–4 days have suggested significant hepatotoxicity is uncommon.18 Therefore, the threshold for the reported dose that causes toxicity has been made deliberately and conservatively low (see Box 1 and Box 4). However, there is evidence that the combination of a low paracetamol level and normal alanine and aspartate aminotransferase levels at any time indicates there is no risk of subsequent hepatotoxicity.10 In most cases, this rule precludes the need for prolonged treatment in this group.
Box 5 gives a summary of recommended tests and when they should be administered. For ease of reference, these are presented according to the time from ingestion to administration of N-acetylcysteine.
N-acetylcysteine is an effective antidote and should be administered to all patients judged to be at risk of developing hepatotoxicity after paracetamol overdose. With N-acetylcysteine therapy, morbidity from overdose can be minimised. Cysteamine and methionine have also been used to prevent hepatotoxicity, but are associated with more adverse effects than N-acetylcysteine. Methionine is also less effective, particularly in patients presenting > 8 hours post-ingestion.
Anaphylactoid reactions manifested by rash, wheeze or mild hypotension occur in 10%–50% of patients during the first two N- acetylcysteine infusions.1,8 Management is supportive, with temporary halting or slowing of the infusion, and administration of antihistamines.19 The occurrence of an anaphylactoid reaction does not preclude the use of N-acetylcysteine on another occasion if indicated. Severe life-threatening reactions are very rare, but may occur in predisposed individuals, such as patients with asthma.
N-acetylcysteine reduces mortality if commenced late in patients with established paracetamol-induced fulminant hepatic failure, although mechanisms of action in this later period may be different. In this setting, N-acetylcysteine reduces inotrope requirements, decreases cerebral oedema and increases the rate of survival by about 30%.20
When risk assessment indicates that N-acetylcysteine is required, it is administered as a three-stage infusion (Box 6). Each stage contains different doses, totalling 300 mg/kg over 20–21 hours.7 If hepatic injury is suspected after the three infusion stages, N-acetylcysteine is continued at the rate of the last infusion stage (100 mg/kg each 16 hours or 150 mg/kg/24 hours) until there is clinical and biochemical evidence of improvement.
N-acetylcysteine is packaged for intravenous infusion in 10 mL ampoules, each containing 2000 mg (20%). Prescription of N-acetylcysteine requires a two-stage calculation to compute the appropriate weight-based dose and then the volume required. Calculation or transcription errors may lead to potentially fatal dosing errors.21 It is recommended that dosing tables providing the required volume of 20% N-acetylcysteine by weight categories be used to chart the volume required in each infusion. This precludes the need for calculations and decreases the potential for error. Such tables are found in the N-acetylcysteine product information and have also been reproduced in the new guidelines (Box 7).
Calculation of N-acetylcysteine doses is based on estimated lean bodyweight to the nearest 10 kg. A formula is provided to calculate N-acetylcysteine volume in each infusion for patients weighing more than 90 kg. For children, the dose of N-acetylcysteine is calculated in the same way, but with the volume reduced appropriately (Box 8).
Only a small proportion of patients who present late develop severe hepatotoxicity and fulminant hepatic failure.1,8 This complex subject was considered beyond the scope of the new guidelines. Clinicians should consult a specialist liver unit for advice on the management of patients with liver failure or signs that indicate a poor prognosis.22-24
1 Paracetamol dosing that may be associated with hepatic injury*
3 Management flow chart for acute paracetamol exposure with known time of ingestion
4 Management flow chart for repeated supratherapeutic paracetamol ingestion
5 Recommended investigations according to time from paracetamol ingestion to N-acetylcysteine treatment
Time after paracetamol ingestion
ALT = alanine aminotransferase. AST = aspartate aminotransferase. INR = international normalised ratio. — = test not required.
6 Three-stage N-acetylcysteine infusion
An initial dose of 150 mg/kg of N-acetylcysteine diluted in 200 mL of 5% glucose and infused over 15 to 60 minutes
Initial infusion is followed by a continuous infusion of 50 mg/kg of N-acetylcysteine in 500 mL of 5% glucose over the next 4 hours
Second infusion is followed by a continuous infusion of 100 mg/kg of N-acetylcysteine in 1000 mL of 5% glucose over the next 16 hours
7 Volume of N-acetylcysteine to be charted for each infusion, based on lean bodyweight*
Volume (mL) of N-acetylcysteine to be added to:
*Adapted from product information (Mayne Pharma Ltd, Melbourne, Vic).
8 N-acetylcysteine administration applicable to children, based on bodyweight
150 mg/kg N-acetylcysteine in 3 mL/kg 5% glucose over 15 minutes
Followed by 50 mg/kg in 7 mL/kg 5% glucose over 4 hours
Followed by 50 mg/kg in 7 mL/kg 5% glucose over 8 hours
Followed by 50 mg/kg in 7 mL/kg 5% glucose over 8 hours


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He hopes to have done so in a way that will circumvent the traditional Labour charge of 'betrayal'. His key philosophical statement came early in the campaign when he defined left thinking as having been dominated by two strands - the 'ethical socialism' of European social democracy and the class-based economic determinism of Marxist thought. He came, he made clear, from the former - 'the only serious view of the left's future that can remain'.
He argued that once socialism is defined that way - as a set of principles and beliefs - 'then it can liberate itself, learning from its history rather than being chained to it. It then no longer confuses means, for example wholesale nationalisation, with ends - for example a fairer society and more productive economy. It can move beyond the battle between public and private sector and see the two as working in partnership. It can open itself up to a greater pluralism of ideas and thought'.
In terms of policy, what that has translated into during the campaign is chiefly positioning rather than much in the way of hard and fast commitments beyond those already in Labour's programme.
Mr Blair has acknowledged firm limits on the ability of national macro-economic policy to alter the economy's potential for long-term growth. However, supply side measures such as education and training, tax changes to support research and development, and a tax regime on share ownership aimed at encouraging long-term investment rather than short-termism, can all strengthen its underlying performance, he argued.
A more radical change than the Government has so far agreed on the rules allowing private finance into public sector projects should also be examined, he has said.
On jobs, Mr Blair has backed the 1944 White Paper definition of 'high and stable' employment, stating that 'the goal of full employment' is 'the objective of any decent society'. He has rejected targets or timetables, the approach John Prescott initially advocated, declaring: 'I am not going to make promises I can't keep.'
Like Mr Prescott, however, he has focused both on youth unemployment and on the long-term unemployed, saying the eradication of that should be 'a central goal'. He wants to 'build on' Labour's plans for a year's National Insurance rebate for employers who recruit the long-term unemployed, for the phased release of councils' capital receipts, and for a new environmental task force combining work experience and training for the young.
He has backed a minimum wage - but again as a principle. And he has promised to change a tax system which is 'a haven of scams', allowing those with accountants to pay little or no tax while others pay more than their fair share.
Education and training 'hold the key, not just to personal fulfillment and advancement, but also to economic prosperity and a good society'. He has argued 'the more we put into education, the more we shall get back'. That meant universal pre-school education with a continued national curriculum, better forms of testing and assessment, and comprehensive schools that offer education for all the talents. He also supports teacher associates - people from business, industry and the professions bringing outside expertise into schools to help teachers - while promoting 'personalised skills accounts' for adults.
On welfare, Mr Blair has attempted to redefine for Labour, ahead of the report of its Social Justice Commission, what social security should be about, seeking a system that 'provides a springboard to success and not a road to dependency'. That meant moves to remove disincentives to paid work, easing the transition between in work and out of work benefits, and attempting to end a situation where when a man loses his job there is no point in the woman continuing to work.
On Europe, he has said it is 'both time to stand up for Europe and to re-think its progress' - indicating firm support for a single currency provided the conditions are right. The message was strong that a Blair-led Labour Party would be a pro-Europe party. That, however, was coupled with a warning that 'the next stage of European progress will come through persuasion or not at all.'
And he has made the constitution a centre-piece of his platform, arguing that constitutional reform is not 'a subject elevated from the daily experiences of British citizens' because 'it matters who's got their hands on power.'
(Photograph omitted)Reuse content

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Exceptional Regency Occasional Table in Rosewood
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Exceptional Regency table of elegant design, having stunning circular top, raised on tulip carved column terminating in carved collar, triform base, bun feet and original castors. This lamp table / wine table has been sympathetically restored and is ready to place at home, c1825
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Leon, 25, has a history of violence going back to his teens. He carried a gun at 14, was convicted of armed robbery at 15, did his GCSEs in prison and, on his release two years later, became one of the most notorious gang leaders in Waltham Forest.
Leon is what is known as a "serious gang nominal", the phrase reserved for "reds" on the gangs matrix, the official police list that names London's 3,200 gang members and classifies them from most to least violent — red to amber or green.
A study by Professor John Pitts in 2009 identified up to 700 street gang members in Waltham Forest. Leon was at the epicentre of this maelstrom; a prolific offender who led a life of shootouts, robberies and drug dealing. Five times he was convicted but each time left jail worse than before.
But a year ago his life changed when he came under the influence of mentor Colin James, 43, a former gang member who founded the charity Gangs Unite, and who convinced Leon to leave behind his life "on road" — his life of gangs and crime.
You might think that turning around a nominal like Leon would be win-win for all concerned. But when he was attacked by rival gang members and begged the police and Waltham Forest council to relocate him under their gang exit initiative Safe and Secure, the council said he did not qualify for help. The Standard decided to investigate.
Meeting Leon at a safe house as he nervously paced the floor, he explained that for the likes of him, ordering a gun is as easy as ordering a pizza: "I just send a blank iPhone text to my boys and within minutes they will find me on the GPS and run over here with guns. How local is your sweetshop or McDonald's? That's how easy it is for me to get hold of a gun in Waltham Forest." And that's how easy it is, he added ruefully, for his enemies, too.
The way Leon sees it, he was fated to join a gang the moment the council moved his single mother and siblings to the Beaumont estate, the roughest in Waltham Forest. He joined the Beaumont Boys, a 250-strong group with many factions collectively known as the Green Gang. They were at war with the Grey Gang of Priory Court Estate and the Cathall Boys from the Cathall Estate.
"I joined the gang for protection but it was a buzz to get money and make my family happy," said Leon. "I enjoyed gang life. I had girls, status, respect and lots of money."
But Leon made many enemies along the way and about two years ago a rival gang decided to finish him off. They jumped him and stabbed him 20 times, in the chest, back, stomach and head. Doctors fought to save his life and for weeks he lay in intensive care. "After I recovered, I was thinking how to respond," he said. "In that situation, you blow somebody's face off and start a gang war."
But a family friend had introduced Leon to Colin James. Over several months, he convinced him to leave the gang and go straight. "I was tired of the pigeon life," said Leon, mimicking a continually bobbing head. "You get tired of the police kicking down your door, of having to look over your shoulder. Besides, I was a father and wanted something better for my kids."
Mr James, who has Iain Duncan Smith, Secretary of State for Work and Pensions, as his patron, set about reforming Leon: "You wouldn't believe what he was like a year ago — aggressive, volatile, no way he would even talk to a journalist. Leon still has a long way to go, but he has transformed."
Leon stopped committing crime and got a job in a retail outlet. But a few months ago, the rival gang returned to finish him off. Luckily he was out. "I realised I could no longer stay in Waltham Forest because they wouldn't stop until they killed me," he said.
Mr James set up an urgent meeting with Waltham Forest police to do a risk assessment and get Leon rehoused in another borough under Safe and Secure. "The police officer was shocked to see Leon there because he is so high on the gangs matrix," said Mr James. "But Leon told him, 'I am straight now. I want out of gang life and out of the area. Can you help?'"
Each council has its own way of assessing who is eligible for Safe and Secure, and in Waltham Forest the decision lies with its gang intervention group, Enough is Enough. Since its formation two years ago, the £1 million-a-year scheme has relocated 12 gang members or victims out of the borough, 10 through Safe and Secure, eight successfully.
To its credit, Enough is Enough responded immediately and rehoused Leon in "emergency accommodation" in Barking. Weeks later he was relocated "temporarily" to a safe house in Hertfordshire, only to discover police had bungled their intelligence and relocated three rival gang members, apparently also under Safe and Secure, in exactly the same place.
"I called Colin shaking with fear," said Leon. "They were supposed to have done a security sweep to make sure I was nowhere near people like that." When Mr James alerted the council and police to their mistake, they acted fast and, again to their credit, moved Leon that same day to a studio apartment in Enfield. He felt safe at last, he said. But when the Standard and Mr James visited him recently, he was at his wits end. "The council say I am not eligible to be permanently rehoused," he said.
He showed the Standard a letter from the principal review officer at the council's housing provider Ascham Homes. It contained an extraordinary sentence: "That you have been stabbed over 20 times and the subject of a gun attack does not necessarily equate to you being vulnerable." It concluded: "You do not have a priority need," and gave him a month to leave.
Mr James was appalled. "How many times do you need to be stabbed to be called vulnerable?" He appealed to the council to intervene, but to no avail. The council said there was more to the story and released a statement to the Standard: "The Enough is Enough risk assessment panel concluded that support be withdrawn in light of serious breaches to the accommodation offer which was conditional on the individual's behaviour. It is not our role to provide safe housing for gang members to carry on leading a lifestyle rooted in criminality."
What were these breaches? The council declined to elaborate, citing "data protection", but after speaking to them and to Leon, Mr James said: "Leon was in a friend's car and the police found drugs and cash in the car. They were taken to the police station where the friend confessed they were his. Leon has not been charged. However, he was bailed to attend the station in January. So as it stands, he has committed no crime, but because he is still associating with his criminal friends, is deemed an active gang member."
The council makes the valid point that if Leon wants its help he has to play by its rules, which means staying away from his criminal friends in the borough. Why does he need to be relocated, it asks, if he keeps coming back? But Mr James countered: "The rules are not realistic. There is a big difference between living in the borough and visiting.
"If you live there, your enemies can lie in wait, you are an easy target. Leon has stopped crime, he's no longer violent. Getting him to understand certain friendships are bad for him is a process. The council should be giving him a key worker, making sure he gets help, but instead it has left him to dangle. They need to see him as a human being, not a nominal."
Today Leon is homeless, sofa-surfing at friends, trying to stay safe. "I feel desperate and frightened. I am done with crime and gangs, but my back is against the wall. Tell me," he implored, a haunted look in his eyes, "what am I supposed to do now?"
Leon's name has been changed.Reuse content


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Two more calls for North Shore Rescue Thanksgiving weekend.
One for a woman who'd fallen and injured her face, throat and spine on Crown Mountain.
And a second one assisting the District of North Vancouver Fire department with a person in an overturned kayak.
North Shore Rescue's Mike Danks says they needed to use a helicopter to get the fallen woman to safety.
"Because of the location she was in we had to use a long-line to get her back to our SAR station, she was a little ways off the trail, that was just because of the fall she had taken. There's very steep terrain there."
This has been the busiest year for North Shore Rescue on record, who have been struggling for resources to continue their rescue efforts.


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Published on June 20th, 2014 | by Christopher DeMorro
Video: This Is Why Elon Musk Hates Car Dealers
June 20th, 2014 by Christopher DeMorro
Elon Musk has launched an all-out campaign to change the way we buy new cars, and he's done so because he says traditional car dealers have no incentive to sell electric vehicles. The man certainly has a point, and after watching this video, we're convinced that most car dealers just don't take electric vehicles seriously.
Bruce Chevrolet, like many car dealers, puts ads for its cars on YouTube, and the car in the video above is a Chevy Spark EV. It's an electric car, 100%, and it has a single-speed transmission. In other words, it never, ever shifts. So why does the ad talk about a smooth-shifting automatic transmission? Why is there absolutely no mention that this is an electric car, with no engine, but rather a motor?
Why isn't the Spark EV's driving range mentioned, or its charging time, or the thousands of dollars in Federal and State tax incentives that it qualifies for? How about the fact that respected outlets like Consumer Reports actually prefer the EV version to the conventional, gas-powered Spark?
Because Bruce Chevrolet, like many traditional car dealers, probably doesn't take EVs as seriously as they should. Instead of taking 5 minutes to put together a decent sales ad for this car, they just played canned audio that could fit literally any car on their lot over the ad. It's lazy, it's silly, and it certainly highlights what Elon Musk has been talking about; traditional car dealers aren't putting in the effort necessary to sell EVs en masse.
Check out our new 93-page EV report.
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Keep up to date with all the hottest cleantech news by subscribing to our (free) cleantech daily newsletter or weekly newsletter, or keep an eye on sector-specific news by getting our (also free) solar energy newsletter, electric vehicle newsletter, or wind energy newsletter.


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PGP in Advanced Construction Management (Infrastructure Development & Management)National Institute of Construction Management and Research
Price on request
Important information
- Post Graduate Diploma
- At 3 venues
- Duration:
2 Years
Course programme
PGP in Advanced Construction Management (Infrastructure Development & Management)
Indian economy is currently witnessing rapid growth in the infrastructure development sector. GOI is also promoting the infrastructure development with huge investment in the sector. The infrastructure
development projects consists of power, transport, airports, seaports, dams, bridges, telecom, oil and
gas, water supply etc. Graduates of this Programme would become planning engineers, designers of
infrastructure projects, controllers & monitors, procurement & coordination executives and appraisers of project proposals submitted to funding agencies.
Management Theory-Principles and Practices
Introduction to Economics and Indian Economy
Estimation and Quantity Surveying
Financial and Cost Accounting
Construction Methods & Technology
Marketing Management
Practical Workshops
Construction Practice Workshop – I
Managerial Skills Workshop – I
Project Management Systems
Quantitative Methods
New Technologies and Materials
Project Planning, Appraisal & Execution
Tendering, Bidding and Contracting
Management of Safety and Health
Practical Workshops
Construction Practice Workshop-II
Computer Workshop – I
Construction Materials Management
Human Resource Management
Construction Quality Management
Contract Laws and Claims
Financial Management
Survey and Research Methods
Practical Workshops
Computer Workshop - II
Project Seminar
Summer Training
Construction Equipment Management
Operations Management
Financial Services, Markets & Institutions
Elective (any Two Subjects)
Risk Management in Projects and Business
International Business and Project Exports
Personnel Management & Industrial Law
Joint Ventures & Privatisation in Construction
Business Development & Project Marketing
Real Estate Principles & Practices
Renovation of Building & Maintenance
Logistics and Supply Chain Management
Practical Workshops
Computer Workshop – III
Engineering and Technology Update
Project Work
Infrastructure Management
Infrastructure Development Projects
Infrastructure Operations and Management
Business Strategies and Corporate Planning
Utilities & Facilities Management
Special Construction Methods & Technology


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Kimberly Dre Model
Stan KMGPhotographer Male Brea, California, US
My MM URL: http://www.modelmayhem.com/stankmg
Mayhem # 96944
About Me
Photographer for KMG, Inc. Looking to network with other photographers and models. Have been photographing for 9 years. Primarily do fashion and cosmetics. My goals are to build a new network of Models, MUA, Stylist and Other Photographers.
My studio is in Orange County or in a creative place near you! I shoot for a living, I shoot for fun. My ties include most top Modeling agencies, Magazines and High Traffic websites. I enjoy creating edgy images with a touch of sex appeal. If you share the same passion for creating interesting and HOT! images as I do, let's make eye candy!
Have you worked with Stan KMG? Add Credits for Stan KMG! >>
Credit Notes
Warner Bros. Records
Priority Records
A&M Records
Paisley Park Studios
Cadillac Motors
Subaru Motors
Bavarian Exclusive
NailPro Magazine
Nails Magazine
Cacie Nails, Inc.
Dickies Apparel
Adler Leather Jackets
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Kimberly Dre Model
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A taste of ironic poetry for the day, one I composed last year:
Christology is
Subtle, elegant, and terse
Heresy?...free verse
And a vacation haiku, composed 15 minutes ago:
Alabama: HOT
Fev'rish toddler: VERY hot
Fam'ly time: way cool
Look, if people want to do serious poetry as well, I have even fewer qualifications for judging that, but I'd post a couple of the best ones and give you a crummy button with link as well. I have a soft spot for poetry of all types. Just don't send me a book length ode.
Rules are found here. Entries due June 21, 11:59pm, Central Daylight Time. Happy creativity!


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Compare Blaze Deals
The Blaze from Huawei features an attractive curved design and the latest Android 2.3 OS making it a joy to use. Facebook, Twitter, Picassa, YouTube and more are pre-loaded and if you are hungry for more apps a visit to the Android Market will satisfy your appetite. 3G/HSDPA, Wi-Fi, Bluetooth and GPS are all on board as well as a 3.15-megapixel camera for taking snaps and recording video clips. Other features include an expandable memory up to 32GB, a front facing camera for video calls and a multimedia player with Shazam, iTunes playlist sync support and Pandora.
- 3.5 mm Audio jack
- 3G or UMTS
- Android OS
- Autofocus
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- EDGE for high speed data access
- FM Radio
- Game
- GPS navigation
- Instant messaging
- Internet
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- MP3 Player
- MP3 Ringtone
- Multimedia Service MMS
- SMS - text messages
- Social Network Integration
- Touch sensitive
- Video calling
- Video player
- Video recorder
- Visual radio
- Wi-Fi


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New Delhi, Apr 21 : Human Resource Development Minister Arjun Singh today informed the Rajya Sabha that the Indian Institute of Technologies (IITs) might increase their tuition fees.
Arjun Singh said that the Standing Committee of the IIT Council (SCIC) has recommended an increase in tuition fee for B Tech and M Tech courses.
Information about the quantum of fee hike at IITs and when it will come into effect were not given by the Minister. The information comes close on the heels of the Indian Institute of Managements (IIMs) deciding to increase their fees for their two-year post-graduate programmes. While IIM Ahmedabad has decided to increase the fee from the current Rs five lakh for both years of the course to Rs 11.5 lakh, IIM Bangalore would increase its fee to Rs nine lakh from Rs five lakh. IIM Kolkata has similarly decided to increase the fee to Rs six lakh for the entire course from Rs Rs 3.75 lakh at present. IIM Kozhikode has decided to increase the fee to Rs six lakh for the two-year programme from Rs 3.85 lakh.
"There is no proposal before the Government as of now to set up an independent Regulatory Authority for Higher Education," Minister of State for Human Resource Development Daggubati Purandareswari said to a separate question.


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Brought a knife to a gun fight! Ended just the way it should have!
This is a discussion on Possible good shoot outside the US. Jamaica! within the Off Topic & Humor Discussion forums, part of the The Back Porch category; Legal gun owner kills man - News - JamaicaObserver.com Police information is that about 4:10 am, the firearm holder was visiting a friend when he ...
Legal gun owner kills man - News - JamaicaObserver.comRead more: Legal gun owner kills man - News - JamaicaObserver.comPolice information is that about 4:10 am, the firearm holder was visiting a friend when he heard sounds coming from the back of the house. He went to investigate and allegedly found Folkes making his entry through the back door. Upon entering, Folkes reportedly attacked him with a knife and was shot.
"Each worker carried his sword strapped to his side." Nehemiah 4:18
Guns Save Lives. Paramedics Save Lives. But...
Paramedics With Guns Scare People!
Brought a knife to a gun fight! Ended just the way it should have!
You can educate ignorance, you can't fix stupid
Retired DE Trooper, SA XD40 SC, S&W 2" Airweight
dukalmighty & Pure Kustom Black Ops Pro "Trooper" Holsters, DE CCDW and LEOSA Permits, Vietnam Vet 68-69 Pleiku
Another dirtbag whose retirement package was delivered earlier than expected.
Proverbs 27:12 says: The prudent see danger and take refuge, but the simple keep going and suffer for it.
Certified Glock Armorer
NRA Life Member
I believe that for quite some time, Jamaica was the only country in the world with a complete ban on guns for civilians. Usually, even in very anti-gun countries, there may be a few guys way out in the country with a smoothbore double barrel or such after heavy licensing.
Interestingly, Jamaica also had one fo the highest murder rates in the world after they gained independence (despite the unprecedented complete gun ban). I believe they still do.
Good to hear some of the good guys winning for a change in that country. It is a beautiful country, but outside of the touristy areas it can be a real deathtrap for outsiders and even long time residents.


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Samoan tropical moist forests
The Samoan tropical moist forests are a tropical moist broadleaf forest ecoregion in the Samoan Islands. They cover an area of 3,100 km2 (1,200 sq mi).
The Central Savai'i Rainforest, comprising an area of 727 square kilometres (281 sq mi) on the island of Savai'i in the Samoan Islands, is the largest continuous patch of rainforest in Polynesia. The area contains more than 100 volcanic craters including recent lava flows. There are three broad types of rainforests, the most extensive is lowland forest, followed by montane and cloud forest.[1] The rainforest spans the inland region of the island and contains most of Samoa's endemic native species, many of which are threatened or near extinction.[2]
These include the rare and unusual tooth-billed pigeon (Didinculus strigirostris) known locally as manumea, the national bird of Samoa and other birds such as the maomao honeyeater[2] (Gymnomyza samoensis). The Samoan white-eye (Zosterops samoensis) and Samoan moorhen (Gallinula pacifica) are both endemic to Savai'i. The Samoan moorhen was last recorded in 1873 with possible sightings in 1984 at the upland forests and at Mount Silisili in 2003.[3]
In 1994, Samoa ratified the international and legally binding treaty, the Convention on Biological Diversity to develop national strategies for conservation and sustainable use of biological diversity. As of 2010, protected areas in the country covered 5% of land.[4]
Approximately 30% of Samoa's biodiversity is endemic, found only in Samoa, with new species still being discovered including two new butterflies in 2009 and freshwater fish new to science. The country has more native species of ferns and butterflies than New Zealand, a country 85 times larger.[2]
Most of Samoa's land is under customary ownership, about 81% of which is governed at the local level by matai, the chiefly heads of families.[5] Conservation projects therefore take place in partnership with matai, such as the lowland rainforest preserve in Falealupo village, at the western tip of Savai'i and Tafua village on the south east coast.
NASA satellite photo of Savai'i island.
View across the top of low-lying rainforest in Falealupo.
Hypolimnas bolina butterfly.
Forest canopy in Falealupo.
See also[edit]
- List of protected areas of Samoa
- List of birds of Samoa
- Samoan plant names, includes many plants used in traditional Samoan medicine.
- List of mammals of Samoa
- ^ "Samoa tropical moist forests". Terrestrial Ecoregions. World Wildlife Fund. Retrieved 3 July 2010.
- ^ a b c James Atherton, ed. (2010). "Report:Vaega Fa'atauainamole Fa'asaoi Samoa, Priority Sites for Con-servation in Samoa: Key Biodiversity Areas" (PDF). Conservation International - Pacific Islands Programme, Samoa Ministry of Natural Resources and Environment, Secretariat of the Pacific Regional Environment Programme. Retrieved 3 July 2010.
- ^ "Species factsheet". Birdlife International. 2010. Retrieved 3 July 2010.
- ^ "Samoa struggling with biodiversity goals". Islands Business. 19 May 2010. Archived from the original on 26 May 2010. Retrieved 3 July 2010.
- ^ Fana'afi Le Tagaloa, Aiono (1986). "Western Samoa: the sacred covenant". Land Rights of Pacific Women. Institute of Pacific Studies of the University of the South Pacific. p. 103. ISBN 982-02-0012-1. Retrieved 4 July 2010.
|This article about a geographical location in Samoa is a stub. You can help Wikipedia by expanding it.
- Tropical and subtropical moist broadleaf forests
- Ecoregions of Oceania
- Oceanian ecoregions
- Environment of Samoa
- Environment of American Samoa
- Biodiversity hotspots
- Flora of Samoa
- Fauna of Samoa
- Flora of American Samoa
- Fauna of American Samoa
- Biota of Samoa
- Conservation in Samoa
- Samoan Islands
- Samoa geography stubs


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Dewormed 1st shots extra large crate and accessories included.She is crate trained and has been going to the bathroom since months old .nice with kids…No Price Listed


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Insurance and adverse selection: counter-argument
May 26th
My previous blog summarised the orthodox argument why adverse selection in insurance is a bad thing. This present blog gives the counter-argument from my book Loss Coverage: Why Insurance Works Better with Some Adverse Selection. In essence, the counter-a…
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Discrimination is the taboo of our times. We often feel that it is unfair for a person's treatment to be determined by personal characteristics which have often been used in oppressive ways, and which are not perfectly predictive and whic…
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You can get an instant online car valuation and sell your Chrysler quicker than ever with webuyanycar.com!
Chryslers have become increasingly popular in the UK over the years. Sleek models such as the Chrysler Crossfire make suitable vehicles for business professionals, while more 'family-friendly' options include the Chrysler PT Cruiser and Ypsilon. However, with Chrysler discontinuing car manufacturing in the UK, now is a sensible time to consider switching to a new brand of car.
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Auberge D'Imsthal is located at La Petite Pierre in France. An ambience and a warm-hearted reception will make you fell fresh. The hotel is made up of 23 very nice rooms, where you will spend serene nights, rocked by the bruising of water and by the peace of the forest at night.
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Infostretch solutions Pvt. Ltd walkin Any Graduate/ MBA/PGDM freshers 2015 on 5th Feb'15 for Management Trainee at Ahmedabad. Candidates who have completed Any Graduate/ MBA/PGDM can apply for this job from Infostretch solutions Pvt. Ltd.
Company Name: Infostretch solutions
Position: Management Trainee
Education: Any Graduate/ MBA/PGDM
Experience: 0 – 1 yrs
Location: Ahmedabad
Company Profile:
InfoStretch (www.infostretch.com) is a leading mobile application lifecycle management company with a focus on development, testing, sustenance and monitoring. We have been providing expert mobile solutions and services since 2004 to various enterprises to help them mobilize, monetize and thrive. Our focus is to provide domain specific, end-to-end packaged mobile solutions in retail, travel, banking, digital entertainment and media.
Required Freshers for the IT recruitment – HR. Job details are as follows:
- Sourcing and coordinating the right candidates
- Obtaining feedback for candidates, preparing MIS
- Should be able to handle the end to end recruitment cycle
- Should have excellent communication skills
- Target oriented person
- Should be a good team player
- Should be a quick learner
- UG: Any Graduate – Any Specialization, Graduation Not Required
- PG:MBA/PGDM – Any Specialization, HR/Industrial Relations
- Doctorate:Any Doctorate – Any Specialization, Doctorate Not Required
- Aptitude Test
- Technical and HR Interview
- SSC Marksheet
- HSC/Diploma Marksheet
- Graduation & Post Graduation all years' mark sheets
- Photo ID proof (Pan Card/ Passport / Driving License / College ID)
- 2 photographs
- Resume
How to Apply:
Walkin Date and Time :
- Walkin Interview Date: 5th Feb'15
- Walkin Time: 3 PM
- Walkin Address:Anshi Sharma Human Resource I InfoStretch Solutions Block A-B, Neptune Corporate House, B/h Rajpath Club,S.G. Highway,Bodakdev, Ahmedabad, Gujarat- 380054


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The MemoryMature
You decide you're done.
But you're not done in the way you've been done before... This time, you're done in a good way.
You're done refusing to eat a four digit number of calories a day, and you're done punishing yourself for it. You're done cruelly critiqueing your image in the mirror, and you're done shedding tears over it. You're done refusing to accept relationships, and you're done timidly avoiding people. You're done feeling lonely in the middle of all your friends. You're done feeling unloved after five people have sincerely said, "I love you," that day. You're done searching for sharp objects when you feel an overwhelming desire to harm yourself. You're done. You're so done.
But you can't help what you've already done. You can't change the disturbing thoughts of when these feelings enveloped your every emotion.
And when you are all of a sudden inundated in the memories of all those times you lost control of yourself, it takes more self control than you've ever had to muster not to do those things again.
So you shakily grab the car keys and run outside. Your whole body is trembling... You shouldn't be driving. Your quivering hands stick the keys in the ignition and start your engine. You have to hold it together... TRY. You calm yourself enough to pull your car onto the road... Now you're away from everything... The tears can flow freely. They just keep coming. You wipe them so you can see the road before you. The instincts you have tried to discard begin to kick in... You begin screaming. "Oh, God, HELP ME! Where are you, God?! Hold me, God! I'm sorry, God. Forgive me, God. God, let me feel your love! TELL ME YOU LOVE ME!" You keep screaming. You're trying to extinguish the demons' hold on you. You are praying. You are praying so hard. You want this to end. You want His help.
You have finally exhausted yourself enough to quit screaming. A few minutes later you can stop crying. You pull into a parking lot to feel safe. He's here with me. He's holding me. He loves me. He knows I'm sorry. He forgives me.
You begin singing to Him. Why this is soothing you... You don't know, but it's working, so you keep going.
Oh, no! You never let go! Through the calm and through the storm! Oh, no! You never let go! In every high and every low! Oh, no! You never let go! Lord, you never let go of me!"
Lord, you never let go of me.


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"The business challenge is that we are facing a more competitive environment and need to run the terminal very efficiently and securely. Security is a particular focus since 9/11, and it has significantly increased the workloads associated with cargo handling due to the need for elevated security processes such as cargo X-ray screening."— Cindy Ng, General Manager Information Services, Hactl.
Accélérez la prestation des services numériques avec une gestion simple et coordonnée des charges de travail des lotsEn savoir plus | Lancer une évaluation gratuite


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So what? I'm in a bad mood. I produce angsty stuff when I'm in a bad mood. Live with it. Otherwise, enjoy! :)
The End.
A Robin Hood BBC FanFiction
By Musings of a Shaken Mind
It's been a year.
Did you notice? It doesn't feel like it. You've lost all track of the number of days. They don't matter. Day merges into night merges into day. On and on. An endless cycle of grey that has nothing to do with the cold, stone cell in which you now find yourself, and everything to do with the fact that she's gone. Your wife… she's gone. Buried deep under the hot sand of a land that you have come to loathe.
Time has ceased to hold any meaning for you. It has lost all significance. You're past living through a week, or even a day at a time. You're struggling to live through an hour of this existence.
How did you get here? You can't remember the details, but you remember the emotions. You remember the coldness of steel slicing through soft flesh. You remember the utter certainty that you are going to die. The hopelessness, the driving hatred.
The pain.
Ah, now it comes back to you.
You remember the one thing that sustained you for nearly a year. The hatred and rage that kept you going, as your world disintegrated around you. You remember, too, the way that Gisbourne died. You remember the way that his decapitated body slumped to the ground. But it's odd; you don't remember the satisfaction you'd been craving. You remember the grimness as the blood of your enemy coated your hands, but you felt no satisfaction.
And you remember the guards. They caught you, kneeling, your sword discarded on the ground beside you, his body in front of you. Your eyes leaked tears, though your tears had not fallen since… since…
Your tears had not fallen since your most recent trip to the Holy Land.
You remember being taken away, but there, the memories stop. A haze of pain surrounds those weeks. Torture, you assume, though you cannot be sure.
And now… what? What will you do? Will you die?
You have nothing left, after all. The gang came, didn't they? They came to get you. They came to rescue you, but you sent them away, didn't you? You told them to go home. To continue the fight, if they willed. To feed the poor, if they wanted. To go their separate ways, if they desired. But you told them not to come back. Not now, not ever. You told them not to come to your hanging, either, because you want to be alone.
And they agreed.
You don't know where they are, now. You hope Much has found his Eve, and is in Bonchurch, happily married. You hope John has found his wife and his little Little John, and that they are happy. You hope that Will and Djaq are happy in Scarborough, as they set about the difficult task of making a life for themselves. You hope that Djaq's baby is delivered safely. You hope that Allan is in some tavern somewhere, drinking, and gambling, and being Allan. You hope they're happy. Because god knows, they deserve happiness. Probably more than any others he knows.
You tried to convince yourself, once before, that they were reason enough to keep on living. That England itself was enough to ensure your survival. Who were you kidding? You know that the only one capable of holding you here is Marian and, consequently, avenging her passing. But you always knew that your time on earth depended on how long it would be before you caught him, and killed him like the dog that he was.
You hope that this won't all have been for nothing, of course. You hope that the King returns, and that England is restored to rightness, and that the Sheriff of Nottingham gets what he deserves. You hope that justice is restored, and that peace is regained, and that your former friends live long and happy lives.
You know that that will be after your time, of course. Even now, you hear the gaoler as her makes his way gleefully to your cell. You can practically hear what he's thinking. He thinks he'll be famous, because he's the one that finally killed Robin Hood.
But he won't be. He won't have killed you, not really, because Robin Hood will live on in spirit. Robin Hood will live on, in the hearts of Will and Djaq and Much and Allan and John. Robin Hood will live on in the heart of King Richard and, thus, Robin Hood will live on in the heart of the nation.
Robin of Locksley is already dead, anyway. He died the moment he buried her. In the past year, this form you've taken is nothing but a false embodiment, driven to hatred and revenge, with no further meaning.
You remember the shackles, as they clamp around your wrists for the last time. You remember the angry cries of the crowd, silenced only as you are brought forward, and that gives you hope. Robin Hood will not die today. You are certain of that fact.
You remember the welcome feeling of the rope as it ensnares your neck. You remember the sound of the drums, a rhythm that counts down to your death. You remember the climax that they reach, and you remember finally realising that the all-consuming, excruciating pain will end soon. You remember the solitary female cry, as the noose tightens and the floor drops and the air is dragged from your lungs. You remember the bitter recognition, as your heart stumbles in your chest. You remember wishing that Djaq hadn't come, and hadn't cried out, because you never wanted her to see this. You remember imagining that Will is there with her, holding her tightly. It's a hopeful image. It's your last.
You remember no more.
On the 13th February, 1193, Robin of Locksley was sentenced to hang by the neck until dead. Thousands attended the execution. Among the crowd were said to be some of his oldest friends, and former gang members.
They were never caught.
Robin's gang continued their fight against the Sheriff of Nottingham. After the death of his right-hand-man, Vasey was said to have taken his anger out even more so on his villagers, causing much suffering and death. It was through the efforts of Little John, Much, Allan A Dale and Will and Djaq Scarlett alone that the citizens of Nottingham and the outlying villages survived.
On the 13th February, 1194, exactly one year after the death of Robin of Locksley, King Richard the Lionheart returned to England, and resumed his throne. The Sheriff and his Black Knights were caught and killed, and England was restored to rightness, at long last.


text:
See Ch 1 for disclaimers...
**This 2nd shot actually happened because afret2010 left thought in a review I thought should be explored - "prompt" at bottom**
Frankie Rizzoli quickly checked his hair in his rearview mirror.
There was nothing to be nervous about right? It was only Maura. He'd come over here plenty of times recently to work in the café racer. They'd had a good time. She'd smiled at him a ton and she was great with an engine.
Match that fact with her ass and Maura Isles was the 'real deal'.
And she liked his mother.
She actually liked his mother.
Maura Isles was perfect.
So he was gonna get out of this car and march through her door.
Then he was going to apologize for walking away after kissing her and he was going to ask her out the right way for dinner.
He was going to explain that it seemed more romantic in his head than how it felt after he left. He was going to hope she hadn't told either his sister or, God forbid, his mother. Because either one would leave him in a world of hurt if they found out.
It was a stupid move. He realized that now.
Frankie stared down at his neatly pressed shirt and the new pants that even had a crease in them. He rubbed sweaty palms together, resisting the urge to rub them on his thighs.
He could do this.
Flinging the car door open before he could change his mind he went to grab the flower bouquet off the passenger seat and looked at the mix of daisies. He tried to stop himself but his subconscious was already asking "Would Jane bring those to Maura?"
Which was ridiculous. It wasn't like his sister bought flowers for girls. Even girls that were Maura Isles.
Frankie rubbed his forehead and thought it through. Tried to picture what kind of flowers you brought to ask Maura Isles out for dinner. It was all so confusing. Fuck the flowers.
He'd find out which ones were her favorites from Jane and bring them on the first date.
Closing the car door Frankie started towards the house.
At the front door his finger hovered over the button. Nobody in his family rang Maura's doorbell around dinnertime. His heart started to speed up. Ringing the bell seemed too formal like.
He thought about knocking but that was almost as bad. Especially since Maura always said to use his key and come in whenever he was over to see his mother.
This is what made him and Maura such a good idea. They were practically family already. She fit right in with the Rizzolis and that was no easy feat.
But, he sighed. Getting to walk in like he owned the place was before he hauled off and kissed her. He could feel sweat forming under his arms.
Now in addition to the racing heart he was sweating. If he had half the balls of his sister he'd walk in and say "Maura, I loved rebuilding the bike with you but I want to get to know you even better, have dinner with me."
It sounded respectful and classy. It worked.
His hand was on the door handle and it turned in his hand. Open. The door was open. That had to be a sign.
But that kiss. Pausing before pushing the door open, Frankie rolled his shoulders and made up his mind. Compromise. He'd knock on his way in. Like nothing was a big deal.
The metal handle slipped against the moisture on his palms. He adjusted his grip and tried again, one fist poised to rap against the surface when the smell of pizza hit him.
Confused he looked up the driveway for his sister's car but he didn't see it.
No way was Maura eating pizza on her own. Ever since she started that all out health kick the only time she ate anything edible was around his sister. The fact that she got his sister to eat kale was like the fucking 8th mystery of the world but whatever. Girls and the weird shit they did for their friends never made any sense to him.
Frankie ran a hand through his hair roughly. So Jane was probably here but he was already in the door. No biggie. He'd walk in and act like he was looking for his Ma. Happened all the time. Maybe get Maura off to the side and ask to talk to her over coffee or something in the morning. He'd apologize and ask her to dinner then.
He was already closing the door carefully behind him when he realized what he was wearing. He remembered who his sister was. Shit.
Listening he could hear their voices now, but they hadn't called out so they probably hadn't heard him yet. He could leave. He went to open the door when he noticed his mother walking by the door on her way to guest house.
His heart started pounding harder. Now there was no way to leave if his Ma had seen his car. She'd expect him to visit or she'd come in looking for him. She'd notice his clothes too. He rubbed his moist palms on his pants and realized what he had done as the top of the crease smoothed out.
This was not his day.
The voices grew louder, sounded like they were cleaning the kitchen, but it was the words that immediately caught his attention.
Leaning over, Jane put the last plate in the dishwasher while Maura refilled their wine glasses. With the last tweak of a plate against a bowl she stood up satisfied as she closed the door. Maura's back was to her while she pulled a bottle out of the wine refrigerator and Jane admired the way the kitchen light glinted off the waves in her hair.
Her stomach clenched as Jane scanned the clean counters and the quiet kitchen. Dinner was over.
She realized she was tapping her fingers against the counter and whipped her hand away. There wasn't anything left between them as a distraction. She fisted the hand that had held Maura's on the way home against her side. Now that act seemed strangely intimate.
Maura uncorked the bottle and took her time filling their glasses. As the dark liquid poured she realized she could feel the overstimulation of her sympathetic nervous system engaging but there was an almost effervescent sensation accompanying the nerves.
As the last glass was filled Maura smiled as she realized what she was feeling was elation. She was happy and it was wonderful. Feeling Jane's eyes on her, she turned around and noticed the way Jane fussed with the scars on her hands.
She wasn't the only one whose nervous system was over stimulated.
Jane pulled her top lip in slightly with her teeth to distract herself as Maura sauntered over with a glass held out. Why was it so difficult to get some air into her lungs? This was Maura for heaven's sake.
Maura knew it wasn't the time or the place to laugh although she wanted to. She wanted Jane to know how adorable and sexy she was all at the same time, standing there with her fidgeting hands and flash of teeth against her top lip. She wanted to say she could feel it too.
But she waited and took a step closer instead, could almost see a part of Jane come to life as their gazes held. That part of Jane that never backed down from a challenge. It was in the upwards tilt of the chin and the steady eyes. Maura shivered and raised both eyebrows in question.
Jane sipped at her wine. It was an excuse for time but the liquid was dry and perfect as it rolled over her tongue. The slight spicy edge gave her boost of confidence.
"So our understanding," Jane ran her tongue over her lips, tasted the lingering wine. "What exactly does it mean?"
Maura enjoyed this vintage. She truly did. It was a lovely South African wine and she had bought a case of it the minute she had tried it because its depth and body reminded her distinctly of Jane. But enjoyable vintage or not she swallowed quickly and put her glass down on the counter.
"I believe it means that when I want to touch you, I'm no longer going to refrain." Maura placed her fingertips against Jane's hand that held the wine glass and dragged her fingers along the soft skin until she could gently pry the glass out of Jane's hand.
Jane watched Maura turn slightly to place her glass down. When she turned back, their eyes met and held as the tightness in her chest twisted low in her stomach.
Maura's hair was a burnished mix of beckoning color and Jane leaned forward run a wave of it through her fingers, marveling at the catch in Maura's breathing and the way her eyes drifted shut. "Touching is good."
Maura could only nod. Jane's fingers were so warm against her temple and gentle as they drifted down her cheek. Swallowing she leaned into the touch and each word seemed to vibrate quietly off her lips. "I believe it also means that if you want to kiss me you could."
It was quiet. Maybe Jane and Maura had gone out the back. He could make his escape. Frankie raised his eyes up to the ceiling and prayed. At least something needed to go his way.
He'd slip out, go see his Ma and beg her to leave him alone about the clothes. Maybe he'd even ask her advice. It couldn't hurt. He was screwing everything up on his own.
Carefully he edged himself over until he could see past the ugly yellow and white vase Maura had on the shelf between the entryway and her living room.
Time stopped for a moment as his eyes and brain registered what he was witnessing.
That was his sister standing so close to Maura that she loomed over her a little.
That was Maura, leaning into Jane's hand against her face, eyes shut and face tilted up.
It was unhurried the way Jane leaned down and barely touched Maura's lips with her own. It was clear the way Maura's hands that reached out to Jane's hips and pulled her closer. It was how their lips parted and tasted again, pressing deeper at each pass.
There was no mistaking the way they broke apart and looked at each other.
He could barely breathe. What he just saw couldn't be happening.
It was the privacy of the moment that finally shattered his daze and made him back away towards the door.
His sister and Maura?
That's when he heard Jane's distinctive voice. "I'd quit my job for you. I mean it. If you ever had to leave I'd follow you."
He almost couldn't hear Maura. "I'd never ask you to do that."
Jane's chuckle, a pause and then, "I know. It's why I needed to say it. So you'd realize what you mean to me."
He didn't want to hear anything else. His sister was willing to quit the force? Shaking his head Frankie opened the door as quietly as possible and squeezed out.
Shutting the door carefully he looked at his car in resignation. His mother was blocking him in. Considering there was plenty of room to go around him and park near the garage he could take a hint. There was no getting out of stopping in.
This was really not his day.
"Ma?" Frankie rapped against the door on his way in and found his mother in front of her TV.
Angela stood up and kissed her son's cheek. "It's so nice when a son surprises his mother. Did you eat?"
Rolling his eyes Frankie followed her over to the kitchenette. "Naw. I didn't have time."
Punching the microwave buttons Angela turned around and took a good look at him."I made you up a plate of leftover ziti from last night when I walked past your car in the driveway. Just in case."
Shrugging, Frankie sat down at the dinette.
At the chime Angela pulled the plate out and walked over to place it down in front of Frankie. She looked him over. "A crease in your pants and everything, so did you finally ask Maura out?"
He burned his tongue on cheese. "Ma!" Gratefully he gulped at the glass of water she handed him. For a brief moment he thought about denying it. "Why'd you think I was going to do that?"
"I have eyes Frankie and out of all my kids, you're my open book." Angela grabbed his glass and refilled the water. "I could tell by the way you were coming up with reasons to stick around after repairing that death trap of yours."
She put the water in front of Frankie and stayed at his shoulder. "Figured you might do something once it was completed and you didn't have an excuse to be stopping by anymore."
Frankie swallowed his bite of ziti before looking up at his mother. "You're kinda scary sometimes."
Angela rubbed his shoulder. "So what happened? Why are you practically inhaling your food without chewing? Did Maura turn you down?"
Frankie shook his head.
Hopeful, Angela stopped the rubbing. "She said yes?"
Sighing, Frankie sat up. "I never got the chance to ask her."
"Why not?" Angela knew it was time for comfort food by the way his shoulders slumped forward. She walked into the kitchenette and pulled out a loaf of scali bread and cut a thick slice off.
Frankie watched his mother slather on the butter and glanced down at his waist. He'd have to do double the time at the gym tomorrow. But after tonight it was worth it.
"Jane was there." Frankie took the bread from his mother and stuffed a mouthful in.
Angela frowned and started to scan the room for her phone. "Well I'll call your sister right now and tell her I need her to come look at my sink or something."
Mouth full, Frankie desperately reached out and grabbed the back of his mother's shirt. He held up a finger as he swallowing painfully. "Whatever you do don't do that."
He could see the determined set to her jaw. Only the truth was going to stop Angela Rizzoli. "I didn't get a chance to ask Maura out because Jane kinda beat me to it."
She still looked puzzled. Frankie sighed. "I walked in…." he tried not to recall the conversation but it was there. "…they were talking and didn't notice me….I should have left because they way they were standing…"
Frankie rubbed his forehead. "I mean I think I knew but it was like I couldn't stop watching." He dropped his hand and looked up at his mother. "Jane kissed Maura…" he looked back down and fiddled with the fork on his plate. "Or they kissed each other." He shrugged. "They kissed and I slipped out. They didn't know I was there."
He grimaced thinking of the moment his sister found out he had watched them. "Please can you pretend to be surprised? Jane can't know." Another quick thought and a flask of panic. He looked at his mother "You're not pissed or something are you?"
Angela wanted to smile. Jane might be harder to read than Frankie but her mother's intuition hadn't been completely off with her either. "No. I've had plenty of time to think about the idea. Sometimes your sister isn't as complex as she likes to think she is."
Instead she rubbed Frankie's back vigorously. "I'm sorry baby. I know you like her."
Frankie nodded and pushed the empty plate away. "Thanks Ma."
"You going to be okay?" Angela ran her fingers through his messy hair and watched the tension in his shoulders relax. No matter how old they got they really were still her babies.
Frankie played with a stray breadcrumb on the table.
He could see his sister breaking apart from Maura slowly. The way their eyes had held. The expression on his sister's face had been so full of wonder.
So full of love.
And Maura's expression was a perfect mirror image.
He sighed. Jane was a hell of a sister and she hadn't had an easy life either. Maura kind of had it rough too from what he could tell.
So sure, maybe Maura Isles was perfect. She liked his mother, she was gorgeous and he liked her a lot. More than a lot.
But he loved his sister. Jane would finally be able to find some peace and happiness.
It was a simple sacrifice, really, for him to leave well enough alone.
"Yeah, Ma. I'm good. I mean I like Maura. I like her a lot, but Jane? Jane loves her."
Special thanks to beta babe charlietheCAG - who really wants to hit me over the head because of reasons (invalid ones ;)!) because apparently this was not the 2nd part I was supposed to write. So she says go 3.
PROMPT from afret2010 "I wouldn't mind seeing Frankie's reaction when he finds out Jane and Maura are together and neither one of them is quitting their job..."


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text:
MacBook Air
Showing all 2 results
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Robert W. Camac
|Robert W. Camac
|United States
|Birth date
|August 21, 1940
|Death date
|December 6, 2001
|Career wins
|Major racing wins, honours & awards
|Major racing wins
Miss Woodford Stakes (1984, 1987)
Astarita Stakes (1986)
Correction Handicap (1988, 1989)
First Flight Handicap (1988)
Interborough Handicap (1989)
Sorority Stakes (1989)
Black-Eyed Susan Stakes (1991)
Philip H. Iselin Handicap (1992)
Fred "Cappy" Capossela Stakes (1993, 1997)
Correction Handicap (1998, 1989)
Jimmy Winkfield Stakes (1997)
Cotillion Handicap (1999)
|Robert Camac Memorial Handicap at Philadelphia Park
|Significant horses
Wire Me Collect, Jolie's Halo
Wide Country, Cagey Exuberance
Robert W. Camac (August 21, 1940 - December 6, 2001) was an American horse trainer and owner/breeder in Thoroughbred racing. He was murdered in 2001.
Born in Wilmington, Delaware, Bob Camac came from a Thoroughbred horse racing family in which two of his uncles worked as trainers. He became a professional trainer in 1976 and built a successful career working primarily at smaller racetracks in Delaware and Philadelphia. In 1988, he was the leading trainer for the fall-winter meet at Philadelphia Park Racetrack and although he was never in the national limelight until after his death, during his career Camac trained the winners of 1,811 races.[citation needed] A well-respected and well-liked trainer, fellow horseman John Servis told The New York Times that Camac "was more than just a trainer, he was a good businessman and would manage his owners' stables. Not too many guys had the kind of overall knowledge he had."[citation needed]
For a number of years Bob Camac trained horses for stable owner Arthur I. Appleton, earning a Grade I win in the 1992 Philip H. Iselin Handicap with Jolie's Halo. Camac bred the 2003 New Jersey horse of the year, Gators N Bears, but it was Smarty Jones who was his most important breeding accomplishment. Camac trained for Roy and Patricia Chapman, owners of Someday Farm. For them, Camac purchased the filly I'll Get Along for $40,000 at the 1993 Keeneland September yearling sale. I'll Get Along won twelve races and earned $276,969 before becoming a broodmare. Camac suggested that the Chapmans breed her to Elusive Quality. They agreed, and Camac arranged the mating which on February 28, 2001, produced a colt given the name Smarty Jones.
Sixty-year-old Robert Camac and his fifty-five-year-old wife, Maryann V. Camac, were shot to death at their farm in Pedricktown, New Jersey on December 6, 2001.[1] Their funeral service was held at Trinity United Methodist Church in Pennsville, New Jersey and they were buried in Gracelawn Memorial Park in New Castle.
Thirty-six-year old Wade Russell, Maryann Camac's son from a previous marriage, was arrested and charged with their deaths. Russell plead guilty to aggravated manslaughter and was sentenced to twenty-eight years in prison. He was later transferred to a psychiatric facility in Trenton, New Jersey, after authorities had to place him on suicide watch.
Following Bob Camac's death, Roy and Patricia Chapman sold most of their horses but on the advice of a friend, kept Smarty Jones.
- ↑ "Trainer Camac, wife shot to death, stepson charged", Thoroughbred Times, December 7, 2001. Accessed May 15, 2008. "Robert Camac, a veteran trainer for over 40 years, was found dead from gunshot wounds along with his wife, Maryann, at the couple's Camac Thoroughbred Horse Farm in Oldmans Township, New Jersey, early Thursday morning."
Robert and Maryann are survived by their daughter, Tracy Stranahan, as well as their grandchildren.
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AB SCIEX QTRAP Technology Assists Yale Researchers to Engineer a Phosphoprotein
Synthetic biology-based approach successfully re-engineers protein-making mechanisms in bacteria; documented in paper published in the journal Science
To support their project to expand the genetic code of E.coli by synthesizing phosphoproteins that can emulate natural or diseased states, the Yale researchers required analytical capabilities that accurately detect and confirm protein identification and sequencing. They needed the ability to build a custom assay to identify a single phosphopeptide in a complex mixture. By using the AB SCIEX QTRAP 5500 LC/MS/MS System, these researchers were able to get significantly more information with familiar quantitative techniques to verify what they had done; streamline their workflow by combining qualitative and quantitative analysis; and validate Yale's advancement in synthetic biology.
"This breakthrough provides another order of magnitude of being able to understand biological processes and access new paths to drug discovery using mass spectrometry,"
This team of Yale researchers plans to continue using the QTRAP 5500 System to build a large series of MRM (multiple reaction monitoring) methods. Every time these researchers synthesize a phosphopeptide, they will use this AB SCIEX system exclusively to validate it, making it the research team's one-stop validation system for phosphoprotein synthesis.
Yale's advancement in synthetic biology represents a new way to influence the behavior of proteins, essentially turning these basic building blocks of biological functions on and off. Next, the Yale team plans to create proteins known to be linked to cancer, type 2 diabetes and hypertension.
"We equip scientists with powerful analytical tools that are game-changers in how science can be conducted," said Rainer Blair, President of AB SCIEX. "To be able to synthesize real biology is an incredible achievement by Dr. Dieter Soll and Dr. Jesse Rinehart, along with their team at Yale. The fact that they standardized on our technology shows the power of QTRAP technology. We strive to evolve mass spectrometry technology to answer more difficult biological questions and continuously demonstrate why we are a trusted partner with scientists."
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AB SCIEX helps to improve the world we live in by enabling scientists and laboratory analysts to push the limits in their field and address the complex analytical challenges they face. The company's global leadership and world-class service and support in the mass spectrometry industry have made it a trusted partner to thousands of the scientists and lab analysts worldwide who are focused on basic research, drug discovery and development, food and environmental testing, forensics and clinical research. With over 20 years of proven innovation, AB SCIEX excels by listening to and understanding the ever-evolving needs of its customers to develop reliable, sensitive and intuitive solutions that continue to redefine what is achievable in routine and complex analysis. For more information, please go to www.absciex.com. Follow AB SCIEX on Twitter @ABSCIEX and on Facebook at www.facebook.com/
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Long term recall impact
COLORADO SPRINGS, Colo. - Newly recalled State Senator John Morse shared this message with supporters during his concession speech on Election Night.
"The loss of this seat for the next 16 months is purely symbolic. Democrats, the party of working families, still hold the majority in both chambers," Morse said.
UCCS political science professor Josh Dunn says symbols can be powerful.
"I realize that Senator Morse and Senator Giron are trying to downplay it, say that it's not that significant, it's purely symbolic, but this was huge," Dunn said. "Michael Bloomberg doesn't give hundreds of thousands of dollars to just try and win symbolic victories."
Dunn believes that long term this recall will force Democrats back to the center.
"The laws might not change, or might not change immediately but the behavior of Democrats in the state legislature will change," Dunn said. "This sends a powerful signal, particularly to elected Democrats that they're vulnerable."
Even with the election of two Republicans, Bernie Herpin (D-11) and George Rivera (D-3), Democrats still hold the edge in the state senate, 18-17. Because of that, Dunn says the controversial gun control laws that started the recall effort might not be challenged until the next election.


text: As i tried to write the problems from the beginning it may be lengthy. Hope you'll kindly read it i tried ,perhaps foolishly,to install ubuntu 9 to my Hp notebook with preinstalled Windows 7 in it. Thereon windows failed to start up. it boots perhaps and the logo is desplayed but doesn't proceed. Then ubuntu did work. Then i tried to restore my factory settings using 3 Recovery discs. it seemed ok upto the completion of disc 1(37%) but the disc 2 didn't process. Error: 0xe0ef000e My recovery disc is externally helthy but during the creation of them i had encountered certain problems and it spoiled many dvds(prompted to insert higher quality dvd. i used sony company's discs but finally it was done 'successfully'). I don't know if my recovery 2nd disc has any problem. Any way it left my system without any os(even without ubuntu). I reinstalled ubuntu to set it to work. again i tried with recovery hoping that if the ubuntu partition(which i thoght caused problem) is got rid of i can install windows 7 or at least Xp using some other dvd. but i miserably failed. Wndw 7 displayed error windows status 0xc000000f info :windows selection failed becoz a requested device is inaccessible. I again experimented with XP in vain. only difference this time is XP displyed the error on a more grave blue screen details: STOP:0x0000007B(0x00000000,oxC0000034,ox00000000,ox00000000) There on i couldn't install ubuntu either, leaving me O.S_less. erro 5 input/output error I made last attempt with windows 98 bootable.used fdisk utility and created (or at leat i believe i did ) c: drive for Dos And typed command Format C: /s to copy system files fdisk /mbr and cleared master boot record. But i think i could not allocate more than 2 gb for c thogh, to my knowledge, my hard disk has 300 gb space and most of it free How can i get my factory setting back or W7. i dont mind my files if any at all. Will a recovery disc solve all probles including partition mbr and other possible errors? Notebook info: HP G62-121EE purchased fron UAE thanks in advance


text: Sorry, this property is not available anymore. Photos Map 3 3 Property Place We bought here Features Bedrooms3Bathrooms3FeaturesPrivate PoolPlot size700 m2Habitable space220 m2 Property Description This opulent 3 bedroom detached villa sits on a large plot of 700 sqm with its own large private swimming pool and is conveniently situated for all amenities. It offers a total living space of 220sqm all on one level featuring 3 bathrooms ( 1 is en-suite), modern style kitchen with attached utility room and lounge -/ dinner. Furthermore it benefits from a garage with extra storage space. H/C air-conditioning in all rooms and wihtin 400m walking distance to the beach. The property is being sold partially furnished and all furnishings are of the highest quality. The villa is also located very close to 4 fantastic 18 hole golf courses and early viewing is highly recommended. Request details This property listing (ref: HE-26658) is an advertisement supplied by HomeEspana and does not constitute property particulars. While aplaceinthesun.com (APITS Ltd.) requests all advertisers supply correct details, it does not carry out checks on the information supplied and cannot be held responsible for any inaccuracies. Aplaceinthesun.com recommends seeking independent legal advice prior to any overseas property purchase.