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Used Hatchback - 2010 Honda Fit Sport 4dr Hatchback 5A in Monroe, Nc
Actual costs may vary.
** WE FINANCE ** $ 695 down special ( call dealer for details ). Extra clean inside as well as outside. Drives very smooth. We at Auto America will make sure you get the best finance options in the Queen City. Come by today for a test drive and see yourself. There is a properly functioning engine in this vehicle. Actual miles. The transmission shifts smoothly.
- Option List:2-stage Unlocking Doors
- Abs - 4-wheel
- Active Head Restraints - Dual Front
- Air Filtration
- Airbag Deactivation - Occupant Sensing Passenger
- Antenna Type - Mast
- Anti-theft System - Alarm With Remote
- Anti-theft System - Audio Security System
- Anti-theft System - Engine Immobilizer
- Auxiliary Audio Input - Mp3
- Auxiliary Audio Input - Usb
- Body Side Reinforcements - Side Impact Door Beams
- Cargo Area Light
- Child Safety Door Locks
- Child Seat Anchors - Latch System
- Cruise Control
- Cupholders - 10
- Daytime Running Lights
- Door Handle Color - Body-color
- Driver Seat Manual Adjustments - Reclining
- Electronic Brakeforce Distribution
- Exhaust Tip Color - Chrome
- Front Air Conditioning
- Front Air Conditioning Zones - Single
- Front Airbags - Dual
- Front Brake Diameter - 10.3
- Front Brake Type - Ventilated Disc
- Front Bumper Color - Body-color
- Front Fog Lights
- Front Headrests - 2
- Front Headrests - Adjustable
- Front Seat Type - Bucket
- Front Shock Type - Gas
- Front Spring Type - Coil
- Front Struts - Macpherson
- Front Suspension Classification - Independent
- Front Suspension Type - Lower Control Arms
- Front Wipers - Intermittent
- Fuel Economy Display - Mpg
- Gauge - Tachometer
- Headlight Bezel Color - Chrome
- Impact Absorbing Bumpers
- In-dash Cd - Mp3 Playback
- In-dash Cd - Single Disc
- Liftgate Window - Fixed
- Mirror Color - Body-color
- Multi-function Display
- Multi-function Remote - Keyless Entry
- Multi-function Remote - Panic Alarm
- One-touch Windows - 1
- Passenger Seat Folding - Folds Flat
- Passenger Seat Manual Adjustments - Reclining
- Power Door Locks
- Power Outlet(s) - 12v Front
- Power Steering
- Power Windows
- Radio - Am/fm
- Reading Lights - Front
- Rear Brake Diameter - 7.9
- Rear Brake Type - Drum
- Rear Bumper Color - Body-color
- Rear Door Type - Liftgate
- Rear Headrests - 3
- Rear Headrests - Retractable
- Rear Privacy Glass
- Rear Seat Folding - Flat
- Rear Seat Folding - Split
- Rear Seat Type - 60-40 Split Bench
- Rear Seatbelts - Center 3-point
- Rear Shock Type - Gas
- Rear Spoiler - Roofline
- Rear Spoiler Color - Body-color
- Rear Spring Type - Coil
- Rear Stabilizer Bar
- Rear Suspension Classification - Semi-independent
- Rear Suspension Type - Torsion Beam
- Rear Wiper - Intermittent
- Rear Wiper - With Washer
- Seatbelt Pretensioners - Front
- Shift Knob Trim - Leather
- Side Airbags - Front
- Side Curtain Airbags - Front
- Side Mirror Adjustments - Manual Folding
- Side Mirror Adjustments - Power
- Spare Tire Mount Location - Inside
- Spare Tire Size - Temporary
- Spare Wheel Type - Steel
- Speed Sensitive Volume Control
- Steering Wheel - Tilt And Telescopic
- Steering Wheel Mounted Controls - Cruise Control
- Steering Wheel Mounted Controls - Paddle Shifter
- Steering Wheel Trim - Leather
- Storage - Cargo Tie-down Anchors And Hooks
- Storage - Door Pockets
- Storage - Grocery Bag Holder
- Storage - Rear Seatback
- Storage - Under Rear Seats
- Tire Pressure Monitoring System
- Tire Type - All Season
- Total Speakers - 6
- Trip Computer
- Upholstery - Cloth
- Vanity Mirrors - Dual
- Warnings And Reminders - Low Fuel Level
- Warnings And Reminders - Low Oil Level
- Warnings And Reminders - Tire Fill Alert
- Watts - 160
- Wheels - Alloy
- Window Defogger - Rear
Major Accidents, Lemon History and Odometer Problems
» View The FREE CARFAX History Report
Visit our website or call us at 704-292-2886 for more financing information.
2010 Honda Fit ReviewThis car review is specific to this model, not the actual vehicle for sale.
Practical and fun to drive.
The Honda Fit is a sporty subcompact that's fun to drive, practical and economical. The Fit has an amazingly configurable interior, with a second row of seats that can be folded, flattened, and flipped into position depending on your needs.
The Fit is fuel efficient, earning an EPA-estimated 27/33 mpg City/Highway. The 1.5-liter engine delivers 117-horsepower at 6600 rpm and 106 pound-feet of torque at 4800 rpm. Its overall size is just right for many drivers.
The Fit was redesigned for 2009. New styling resulted in a more upscale appearance, with better materials and seats inside. Improvements included better performance and slightly more power on the road. A new 1.5-liter inline four-cylinder engine gave the Fit slightly more horsepower and torque, while upgrades to chassis and suspension components improved the overall ride and handling experience. Larger standard wheels helped as well. There have been no additional changes for 2010. The Fit was first introduced to the U.S. market as a 2007 model.
The 2010 Honda Fit comes in two models with three trim variations: Fit, Fit Sport, and Fit Sport with Navigation. The primary differences are in standard equipment and technology upgrades. The Fit Sport offers one-inch larger wheels, and the Fit Sport with Navi adds not only satellite navigation but also Vehicle Stability Assist (VSA).
The basic Fit comes with a five-speed manual gearbox ($14,900) or a five-speed automatic ($15,700). Standard features include 15-inch steel wheels; telescoping steering wheel; power windows, mirrors (black outside) and locks; auxiliary input jack for your iPod; MP3/WMA playback; and 160-watt stereo with four speakers.
The Fit Sport upgrades with 16-inch alloy wheels, lower body flares, body-colored side mirrors, security system with keyless entry, leather-wrapped steering wheel, cruise control, USB connectivity, two more stereo speakers, map lights, fog lights, and other amenities. The Sport comes with a five-speed manual ($16,410) or five-speed automatic transmission with sport mode and steering wheel-mounted paddle shifters ($17,260).
The Fit Sport with Navi also comes with manual transmission ($18,260) or five-speed automatic with paddle shifters ($19,110); and adds Vehicle Stability Assist (VSA) as well as satellite navigation.
Safety features on all models include front and side airbags, side curtain airbags, seat belt pretensioners, active front head restraints, and anti-lock brakes (ABS) with Electronic Brake-force Distribution (EBD).
The Fit has always been considered modern, though few people would have called the original, 2007-08 model stylish. That changed with the 2009 edition, thanks to a new look that's both functional and attractive, with sharply styled headlights, larger front quarter windows and a more aerodynamic contour.
Additional design changes for 2009 included a wider stance, more aggressive fender flares and sharper character lines along the side.
This revised styling, which carries over unchanged for 2010, makes the Fit arguably the most appealing small car in its class, avoiding some of the quirks found on competitors such as the Scion xD; while improving the practical nature of the car, e.g. outward visibility.
Since it debuted for 2007, what's inside the Fit has been perhaps its most talked about feature, both good and bad. Case in point: While the seats adjusted into a multitude of handy configurations, the quality of the materials left many wanting.
But along with all the other changes last year, Honda improved critical elements of the interior, while leaving the awesome utility of the little car mostly intact. To begin, the new model sits taller and wider, providing slightly more room for passengers.
The Fit got new front seats as well. All materials feel more ample and durable, and the center stack layout is among the easiest, most intuitively placed schemes we've seen in some time. The large knobs that control the environmental settings curve around the stereo controls on the driver's side, making the design stylish and easy to reach, though the plastic controls still feel a bit thin to the touch.
Other high points of the new interior are the in-dash cupholders and split glovebox, though both upper and lower compartments are too small to be of much use. Even with all these revisions, the best thing about the Fit hasn't changed much: Magic Seats. No, they won't transport you like George Jetson or Aladdin, but Honda's Magic Seats do move in a number of ways, from folding flat for utility to flipping up for tall objects. There's even a storage compartment under the seats for small items.
Interior room ranges from almost-spacious in front to adequate in back, especially for a car this size. Surprisingly, the latest Fit offers slightly more cargo volume than even the 50.4 cubic feet of the versatile Nissan Versa.
Overall, the Fit feels large inside, thanks to its expansive greenhouse and new seats. Visibility from the driver's seat is excellent. (The side mirrors are 30 percent larger than those on the previous model.) The most noticeable difference is up front, where a broader front windshield and close-up seating improve sightlines and feel for the road. Slender roof pillars front and rear minimize blind spots and create a more airy feel to the cabin.
Driving Impression
The Fit is fun to drive. For everyday driving it's an obedient and comfortable conveyance, thanks to last year's new seats and suspension changes that smoothed out the previous model's ride.
While the Fit's power supply is modest, we found that driving one equipped with either the manual transmission or an automatic with paddle shifters upped the fun meter (relative to the base automatic) by allowing drivers to dip down into the vehicle's torque band when needed.
On twisty corners, the Fit is much more fun, and almost as efficient as the Scion xD or Nissan Versa. Most of the time, the rear of the car nicely follows the front, even under aggressive duress, and with its electric power steering (improved last year, but still lacking in touch), the Fit communicates its intent clearly, if not with authority. We found the Fit to be quite tossable, the kind of car that's easy and predictable under spirited driving, without much wallow or ungainly lean in the corners.
We found that the clutch on the manual transmission easy to manipulate and quite fun to operate.
Most versions of the Fit deliver an EPA-estimated 27/33 miles per gallon, City/Highway. The one exception is the base-level automatic, which manages an even better 28/35, thanks probably to its 33 percent taller (overall) top gear. Either way, Fit is a nice fit between fun-to-drive and frugality.
Perhaps the most unsettling aspect of driving the Fit is the noise: The engine squeals when you hammer the throttle, whining and moaning its displeasure even under normal driving situations, like accelerating from a stop light. You get a more muted response from the competition. Then again, you get more muted performance, as well.
The Honda Fit offers a compelling balance of economy, fun, interior convenience and comfort. It delivers engineering excellence and value. From a healthy list of standard safety equipment to multiple seat configurations and ample storage room, the Fit simplifies your life. Drawbacks include a noisy and thrashy ride, slightly numb steering and a small (split) glovebox.
Brian Chee filed this report to NewCarTestDrive.com after his test drive of the Honda Fit models in Southern California.
Model Lineup
Honda Fit ($14,900); Honda Fit Sport ($16,410); Honda Fit Sport Navi ($18,260).
Assembled In
Suzuka, Japan.
Options As Tested
Model Tested
Honda Fit Sport Navi ($18,260).The Honda Fit distinguishes itself from all other subcompacts with its impressive practicality thanks to four-door hatchback versatility and ingenious interior packaging. The Fit offers five-passenger seating and a unique second-row "Magic Seat" that either folds flat with the cargo floor, or flips up to carry tall items behind the first row of seats. The Fit is available in two trim levels, base and Sport, both are powered by a 117-hp 1.5-liter i-VTEC four-cylinder engine with front-wheel drive and a choice of a five-speed manual or five-speed automatic. The Sport gets steering wheel mounted paddle shifters when equipped with the automatic transmission. Standard safety features include front airbags, front side airbags, side-curtain airbags, four-wheel ABS and electronic brake-force distribution. The Sport adds many niceties such as alloy wheels, fog lights, leather steering wheel, keyless entry with security system and cruise control. Electronic vehicle stability control and a navigation system are optional on the Sport. The Fit is a carryover for 2010 after being completely redesigned for the 2009 model year.
5110 Highway 74 West
Monroe, Nc. 28110
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Montana Rolls Out Statewide Program to Crackdown on DUI
(Billings, MT – YPR) – Montana's largest county has a new tool to crack down on repeat DUI offenders. A new law went into effect October 1, 2011 that allowed the 24/7 Sobriety Program to go statewide.
Montana has the highest DUI rates in the nation.
Yellowstone County will launch the program Friday (October 7, 2011). Earlier this week, a Yellowstone County District Judge ordered a Billings woman accused of endangering a 3-year old child in a drunk driving hit-and-run crash into the program if she is released from jail.
According to the latest report from the Yellowstone County DUI Task Force, the county ranked the worst in the state because of the number of DUI-related crashes in 2009. That year there were 365 alcohol-related wrecks; 11 people died as a result.
"Unfortunately in Yellowstone County we do have a problem with DUI," says County Attorney Scott Twito. "Repeat offenders continue to terrorize people on our roadways."
He and other law enforcement officials hope the 24/7 Sobriety Program will prompt repeat offenders to stop drinking and make Montana's roadways safer.
Under the program, the court orders participation for offenders with a second or subsequent DUI. It could be as a condition of bond, pre-trial release or probation and parole.
Participants pay the $2/test fee and must report two times a day for a breathalyzer test.
"If they blow zeros," says Yellowstone County Undersheriff Kevin Evans, "they're free to go." If they don't they will wait 20 minutes and re-test. "If it's another positive sample, the detention staff will come out and take 'em back there in the detention facility." The court will also be notified the person is in contempt of court.
"The two things that strike me about 24/7 were one: it curbs the behavior – first and foremost – of the repeat offender," says County Attorney Scott Twito. "But two, it holds them accountable, not only to themselves and to the courts."
Montana based House Bill 106 on a program in South Dakota.
State Attorney General Steve Bullock says the tougher laws cracking down on DUI passed by the 2011 Montana Legislature should keep Montana's highways safer. He says that's been the experience in South Dakota.
"They used to be with us in having some of the most dangerous highways in the country as it relates to alcohol-related fatalities per mile traveled per population," Bullock says. He says between 2006 to 2007, those fatalities in South Dakota dropped 33% while at the same time in Montana, fatalities increased 2%.
While Bullock is hopeful Montana can reduce that number, he's not holding out 24/7 as a sliver bullet.
"This isn't something that will change our whole environment and change attitudes," Bullock says about the culture of drinking and driving. "It (the law) went into effect October 1st. The world won't change by November 1st, but what this will do is make sure that those offenders will be treated as individuals. We're treating them as individuals to try to address the problems that they have."

subset: commoncrawl


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Afe Intake with h and s and flo pro
Reviewed By justin c (Fletcher, OK) Reviewed for a 2008 Ford F-250 —5/14/2014 1:55 PM
Intake improves airflow and has good flow to turbos without part to make sealed intake. With part installed. Intake a little sluggish but performs very well without the seal piece. Truck with aftermarket parts making well over 550 hp and still averages 17-20 mpgs


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KMG Ultra Pure Chemicals has facilities in Asia, France, UK and the US. The European manufacturing facilities are located in France at St. Fromond, St Chéron and a depot site in Rousset. The UK facility is located in Riddings, Derbyshire. All the European sites have been supplying the semiconductor industry for more than 30 years. Each facility has a strong focus on quality and is certified to ISO9001 and TS16949. Safety and the environment are primary concerns with all locations being qualified to ISO14001 and OHSAS18001.
KMG Ultra Pure Chemicals is the leading supplier of acids, bases, solvents, copper products, developers and bespoke mixtures to the semiconductor industry, including; MEMS manufacturers, wafer reclaim companies, Solar Cells and Photomask companies, and for those looking to go beyond silicon the chemicals are also used in the Plastic Electronics industry.
The St. Chéron site manufactures high-purity solvents, and a range of materials for the Solar/PV market and Analytical Reagents sector. Located nearby Paris, the site is a key distribution hub for the supply of materials across Europe and Eastern Countries. Additionally, KMG Ultra Pure Chemicals provides stock management services from this location.
KMG Ultra Pure Chemicals SAS
Usine de la Rachée
Rue Boileau
91530 Saint Chéron
Phone: +33 (0)1 64 55 80 00
Fax: +33 (0)1 64 59 60 47


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WBCCI Central Office803 E. Pike StreetP.O. Box 612Jackson Center,OH 45334Ph 937-596-5211Fax 937-596-5542


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Surgical airway management
|Surgical airway management
In cricothyrotomy, the incision or puncture is made through the cricothyroid membrane in between the thyroid cartilage and the cricoid cartilage
Surgical airway management (bronchotomy[1] or laryngotomy) is the medical procedure of ensuring there is an open airway between a patient's lungs and the outside world. Surgical methods for airway management rely on making a surgical incision is made below the glottis in order to achieve direct access to the lower respiratory tract, bypassing the upper respiratory tract. Surgical airway management is often performed as a last resort in cases where orotracheal and nasotracheal intubation are impossible or contraindicated. Surgical airway management is also used when a person will need a mechanical ventilator for a longer period. The surgical creation of a permanent opening in the larynx is referred to as laryngostomy. Surgical airway management is a primary consideration in anaesthesia, emergency medicine and intensive care medicine.
Surgical methods for airway management include cricothyrotomy and tracheostomy
Asclepiades of Bithynia is credited with being the first person who proposed bronchotomy as a surgical procedure, though he never attempted to perform one.[2] Aretaeus of Cappadocia thought the procedure dangerous even as a remedy for choking, since the resulting incision "would not heal, as being cartilaginous"; Caelius Aurelianus also rejected its usefulness.[2]
A cricothyrotomy is an incision made through the skin and cricothyroid membrane to establish a patent airway during certain life-threatening situations, such as airway obstruction by a foreign body, angioedema, or massive facial trauma.[3] A cricothyrotomy is nearly always performed as a last resort in cases where orotracheal and nasotracheal intubation are impossible or contraindicated. Cricothyrotomy is easier and quicker to perform than tracheotomy, does not require manipulation of the cervical spine and is associated with fewer complications.[4]
A tracheotomy is a surgically created opening from the skin of the neck down to the trachea.[5] A tracheotomy may be considered where a person will need to be on a mechanical ventilator for a longer period.[5] The advantages of a tracheotomy include less risk of infection and damage to the trachea such as tracheal stenosis.[5]
See also[edit]
- ^ Chisholm, Hugh, ed. (1911). "Bronchotomy". Encyclopædia Britannica. 4 (11th ed.). Cambridge University Press. p. 636.
- ^ a b "Chirurgia". A Dictionary of Greek and Roman Antiquities. penelope.uchicago.edu. Retrieved 2012-09-20.
- ^ Mohan, R; Iyer, R; Thaller, S (2009). "Airway management in patients with facial trauma". Journal of Craniofacial Surgery. 20 (1): 21–3. doi:10.1097/SCS.0b013e318190327a. PMID 19164982.
- ^ Katos, MG; Goldenberg, D (2007). "Emergency cricothyrotomy". Operative Techniques in Otolaryngology. 18 (2): 110–4. doi:10.1016/j.otot.2007.05.002.
- ^ a b c Gomes Silva, B. N.; Andriolo, R. G. B.; Saconato, H.; Atallah, Á. N.; Valente, O. (2012). Gomes Silva, Brenda Nazaré, ed. "Early versus late tracheostomy for critically ill patients". The Cochrane Library. doi:10.1002/14651858.CD007271.pub2.


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20 Foot Python Caught By Villagers After Eating Two Goats
The greedy reptile devoured the hapless farm creatures after slithering through a wire fence in Pahang, Malaysia.
Teen Spent Work Experience At Top Raymond Blanc Restaurant Repeatedly Resetting A "Sparking" Electrical switch In Faulty Fuse Box
Brandon Davis, 14, was supposed to be waiting tables at posh Brasserie during a two-week work placement, according to his mum Melissa Hamilton, 37.
Family's Plea For Cash To Help Their Daughter Walk After Complications With Pregnancy Left Her Disabled
Little Esmè Hodge – known as Ezzy – was wrapped in a sandwich bag inside a special incubator to keep her alive after being born almost three months early.
Schoolgirl Scarred For Life After Being Savaged By Neighbours Out Of Control Dog
Tamia White, 11, had "chunks of flesh" ripped from her arms and legs when her neighbour's crazed hound attacked
Widow Demanding Answers After Husband Died 17 Hours After Being Discharged From Hospital
William Romp, 88, was taken home by ambulance after a doctor deemed him fit for discharge.
Girl Reunited With Stolen Pup After Parents Set Up Gumtree Sting To Catch Thief
Ten-year-old Zoe Picken was devastated when he new pet American Akita Rosco escaped from the garden
Chilling Picture Shows Parent Walking Across Thin Ice While Carrying A TODDLER
The foolish man could be seen stepping on to the frozen lake with the youngster in his arms without any consideration that they may fall through.
Mum Nearly Choked On A GOLD TOOTH Lodged Inside A McDonald's Chicken Nugget
David Cheetham took quadriplegic mum Gwenda, 76, to a drive-thru for a late-night snack and returned home with more than he bargained for
Horrific Pictures Show Scores Of Shotgun Pellets Lodged In Rescue Dog's Skull After He Was Blasted From Point-Blank Range
Eric the English bull terrier was left with more than 50 lead pellets embedded underneath in his skin, with some even becoming lodged in his bone.
Health Visitor's Advice Ignored Months Before Tot's Brutal Killing By Stepdad
Tragic 22-month-old Kieron Barley died after evil Craig Lewis violently shook him and then threw his lifeless body against his cot railings in June 2011.
Bungling Police Officers Tasered Their Own Black Race Relations Advisor In The Face
The victim can be heard in the video saying: "I'm not telling you my name. I've done no wrong
Dying Gran Blasts Hospital After Being Forced To Stay For 14 Hours Overnight – In A Hospital 'CUPBOARD' With No Windows
Retired nurse Paulette Robinson, 68, who has terminal end stage emphysema, was admitted to the medical assessment unit on Sunday
Convicted Prostitute Jailed After Breaching Her ASBO – By Visiting Her 90-Year-Old Sugar Daddy
Terri-Lee Pearce, 33, has been repeatedly banned from visiting Allan Thipthorpe at his council flat.
Eight-Year-Old Just One Week From Death After Doctors Missed Orange-Sized Tumour – Before Mum Diagnosed Daughter Herself
Chrissy Fletcher, 40, says a series of medics said her daughter Darcey was just suffering from run of the mill problems and should see an optician.
Pedestrian Killed After Being Hit By a fire Engine Responding To An Emergency Call
The man who died has been named as Mitchell Bailey. The 58-year-old lived with his wife Carol, 51, around 100 metres from where he died.
'Hello, I Have Just Killed My Wife.' : Jealous Husband Jailed For Life For Stabbing Wife To Death After Talking To A Bloke On Night Out
Violent Robert Bance, 53, has been jailed for life for the "ferocious" attack he carried out on his wife of two years, Victoria Bance
Dad's Fury After His Three-Year-Old Daughter Wandered Out Of School And Walked Home Alone
Akbar Ali, 28, said he feared his daughter Tanjida Amreen could have been kidnapped or killed as she made her way home unsupervised


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Oct 17, 2013
Start With Social Media But Dig Deeper [INFOGRAPHIC]
Click on image to enlarge
The customer lifecycle - As customers learn about, engage with, and promote brands, companies should know what to offer at each stage of the customer's journey.
Sharing is caring - The more social media followers you acquire, the bigger audience you have to share content with, solicit insight from, and invite into your customer community and marketing communications. Social networks in tandem with community can allow you to truly nurture deep relationships with your online audience.
Spreading the word - Devise a strong grassroots marketing plan to get the word out on social sites by encouraging advocates to share your brand's content their experiences with it.
Do this by -
- Running a contest asking customers to share what they love most about your product.
- Include share buttons on all your content.
- Sending follow-up emails - once they've made a purchase, asking for public feedback.
- Placing entry points to your community on your website, social channels and customer communications.
- Building a word-of-mouth culture by reaching out to specific customers ask them to help answer relevant questions.
- Just asking many customers are happy to help spread the word if they like your services.
infographic curtsey : Getsatisfaction image by: williambranham
1 comment :
Great post Irfan, in particular you comment "Posting the right content at the appropriate touch points and stages in the customer life cycle will drive organic word of mouth around your brand" should be at the forefront of social dialog. It may take a bit of grooming to identify what your followers desire, but some should consider managing social media dialog similar to playing an instrument... most often good listening requires consistent practice.ReplyDelete
I will go on to say that there's no one-size-fits-all solution. Every small business is different — the marketing plan and tactics for a Commercial Real Estate Broker are entirely different from those of a Chiropractor. However, the process of building a plan, sticking to it and applying the time and resources it needs is the common secret to success in marketing.
Head Honcho
Oevae Marketing Consultants


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Let us know when your receive great advice so we can thank our lawyers and point others with similar questions in the right direction.Got it!
She will be 17 in four months and wants to live with her mother now.
Children cannot make any decisions on where to live until age 18, and at that point no court is involved.
Custody CANNOT be changed prior to age 18 without court order.
A child 14 and over can express, if a parent files a court case, an opinion as to custody. The judge is required to consider it but can elect not to follow a choice that he does not deem to be in the child's interest.
No custody change should be filed without a lawyer.
If you find this answer helpful, please mark it here on AVVO as helpful. In answering you, I am attempting to communicate general legal information and am not representing you (and am not your lawyer). Do feel free to call me at 404-768-3509 if you wish to discuss actual representation (the phone call also does not retain counsel; that requires an office visit and appropriate paperwork). In that a forum such as this provides me with limited details and doesn't allow me to review details and documents, it is possible that answers here, while meant to be helpful, may in some cases not be complete or accurate, and I highly recommend that you retain legal counsel rather than rely on the answers here. (You can also email my office at firstname.lastname@example.com . An email also does not retain my office, but can help you get an appointment set if you prefer not to call). I am happy to discuss possible representation with you. Any information in this communication is for discussion purposes only, and is not offered as legal advice. There is no right to rely on the information contained in this communication and no attorney-client relationship is formed. Nothing in my answer should be considered as tax-advice. To ensure compliance with IRS Circular 230, any U.S. federal tax advice provided in this communication is not intended or written to be used, and it cannot be used by the recipient or any other taxpayer (i) for the purpose of avoiding tax penalties that may be imposed on the recipient or any other taxpayer, or (ii) in promoting, marketing or recommending to another party a partnership or other entity, investment plan, arrangement or other transaction addressed herein. I am also required to advise you, if your question concerns bankruptcy, that the U.S. Congress has designated Ashman Law Office as a debt relief agency that can help people file bankruptcy.Ask a similar question
She can 'elect' to live with her mother, but in order for that election to be enforceable, you have to revise your Parenting Plan and have it signed off by a Judge for that election to be enforceable. This can all be done by consent, but it still has to be signed off on by a Judge. If your current Parenting Plan has that you have primary physical custody and you are ok with her going to live with her mother, the mother is the one that is arguably taking a risk. The reason is that you could enforce the current Parenting Plan a month later. There may be other factors to be considered. Your best bet would be to have a consultation with a local family law attorney so that they can ask you all relevant questions and make a informed recommendation for you.Ask a similar question
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There is nothing anyone can do when nature decides to leash out its fury. There is no way to stop it so people should brace for the worse and seek shelter. In order to minimize the loss of life, most towns and cities have created emergency plans. Sirens are placed in strategic locations to announce a major evacuation; the emergency broadcast system is in place in the event that power and electricity has been cut off as well as stockpiles of food, water and medicine. In this easy to read ebook learn everything there is to know about preparing for disasters. GRAB YOUR COPY TODAY!
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Get the Look
85 Get the Look Articles
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Horrific Familiarity
Deadrick felt a strong sense of Déjà vu as he ran through the tunnel with the demonic pack pursuing him.
Bruad was big, but incredibly agile due to the wolf genes inside him- he and Deadrick were running neck and neck as they reached the hatch. Deadrick threw himself up, Bruad struggled for a moment, but Deadrick grasped his arms and pulled, throwing him across the room.
As Bruad clattered into the wall, Deadrick kicked the hatch down and twisted the lock, sealing the howling demons below.
Bruad got to his feet and brushed himself off.
"Thanks," He said sarcastically.
Before Deadrick could reply, Lalina entered the room.
"What the Underlands is all the ruckus?" She asked, looking at the hatch, which was thudding as the snarling demons below tried to break through.
Bruad went over to her.
"Listen, you need to get out of-" Before he could finish, Lalina grabbed his throat and pushed him against the wall.
Deadrick reached for his gun and leveled it at the landlady.
"Wait!" Bruad choked, Lalina's hand still firmly constricting his throat, "She's not- she's not a demon!"
Deadrick lowered his gun- she was still perfectly human, no blood red eyes or inhuman claws. She was just a landlady- by the looks of it, an incredibly strong landlady.
"Not a what?" She growled.
"Lalina!" Deadrick demanded, "Just let him go!"
Lalina glanced towards him, her mouth wide.
"Oh my god! Its you!" She dropped Bruad, who gasped for air and she pointed at Deadrick, who narrowed his eyes for a second. Before he could say anything, he felt Danyel's armor begin to tighten.
It constricted his chest and he barely had time to unclip it and throw it off, pulling off the leg plates until he was wearing nothing but the woven shirt and trousers that lay underneath it.
Deadrick choked for a second and held his hands in front of his face. They were his own hands. The Veil Stone had failed.
"Just wait till I get the guards in! I'll get a reward!" The woman cried gleefully. Then her face fell, "What were you doing down there?"
She pointed to the hatch.
"What have you done?"
"Listen… Lalina- listen to that," Deadrick went quiet and the howls and noises from below the hatch grew louder, "Does that sound human?"
Lalina's face went blank. The man in front of her had had his face plastered all over the city with the words "WANTED FOR REGICIDE" written below it. And yet, she felt no threat from him.
Things had been strange in the city for days. The Imperial District had pretty much closed its doors to the public. Venerde had made only one appearance before he disappeared into the Palace with most of the Royal Guards.
The city seemed to shut down, word of disappearances spread, sightings of travelling Unholy crossing the Mainland heading towards Nefern Dale.
Then there were the Syndicate members. They had set up refugee camps on the roads leading towards the border. But no scouts had been sent to investigate.
"Please-" Deadrick said slowly, "Please believe me,"
Lalina's face softened.
"I do," She replied.
Deadrick and Bruad forced their way back into the flood of people. Deadrick had borrowed clothes from the large Orc in the tavern. He had turned out to be a friend of Lalina's.
They had friends in the Understreets, it seemed.
The Orc's large straw hat dwarfed his head slightly, but served well enough to cover his face.
"Down here," Deadrick said, they dipped into an alley.
"Will she be alright?" Bruad asked, "Lalina?"
Deadrick hadn't wanted to consider what Juhra might do- he wasn't sure how far the demons power extended, and if he had seen Lalina helping them.
"I hope so," Deadrick replied, "Flare gun,"
Bruad reached into his pocket and took out the wide ended gun. Deadrick raised it above his head and fired.
The missile launched into the air with a whistle, leaving a trail of red smoke. He willed it to climb, hoping that Nerui and Danyel had seen it.
He gave the gun back to Bruad, who wrinkled his nose for a moment, and swiveled round to the mouth of the alley, to see the only exit blocked by four heavily armed men, each with horrifically familiar blood colored eyes.


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Home › Forums › Commerce › Gear Swap › FS: Stephenson's Warmlite 3R tent 4 season 3+ people under 4 lbs! Plus Warmlite Down Air Mattress
Oct 3, 2013 at 3:12 pm #1308329
For sale: one barely-used (under ten nights) Stephenson's Warmlite 3R tent. This is, in my opinion, one of the most extraordinary tents ever made. The weight is 3.75 lbs — yes, under 4 lbs. It is designed to sleep three, with lots of room for gear, but would fit up to five if you are real friendly. This tent is four season full-winter ready. These tents have been taken to Denali, the Himalayas, and other full-winter alpine mountaineering locations. The designer claims it can withstand wind up to 95 mph! (I doubt it but it is no slouch.) These tents have a lot of unusual design features, which you can read about in depth at warmlite.com. For example, it uses custom-made large-diameter rigid prebent poles. No generic flexy poles here. Also, it is an impermeable double-wall design, using a reflective (!) silnylon inner liner. Basically, it is built like a Thermos bottle, preventing condensation in summer and keeping things warm in winter. Unlike the kludgey, flavor-of-the-minute UL tents coming out today, this design has been refined over a period of more than forty years! (Check out Warmlite's 1973 catalog.) Although it is certainly light enough for summer use, and works fine in summer, this tent really comes into its own in winter. In excellent condition, already seam-sealed (by me), without any significant wear. This has the "dual zipper large door" option. It has identical doors at both ends.
Unfortunately for me, soon after getting this tent, my wife decided that she wasn't interested in summer or winter backpacking anymore. Obviously, it is way too much shelter for one person in summer. It has mostly sat in storage while I've used a tarp in summer. Also, the all-silnylon construction is, unfortunately, not appropriate for use with our two-year old. I hope it finds a home with someone who will take this amazing piece of gear for a ride in the wilderness. The new price is $655. Buy it here for $450 including shipping in US48. Personal check preferred. Paypal +3%.Oct 3, 2013 at 3:25 pm #2030582
Jing YanMember
@yj20003018Locale: Newark, DE
Could you tell me why do you sell it?Oct 3, 2013 at 4:33 pm #2030598
Just not winter camping anymore. It's in excellent condition; probably the lightest and most compact solution for full winter use. Yes, the ThermaRest NeoAir claims winter capability, but I'm not sure I'd want to spend nights at -10F with nothing but some reflective stuff below me. To some people "full winter" means 20F. This is the real Denali-ready deal.Oct 3, 2013 at 4:45 pm #2030601
Jing YanMember
@yj20003018Locale: Newark, DE
Thanks for answering, Nathan, I'll take it. Could you shoot me an email on email@example.com 4, 2013 at 1:47 am #2030748
The down-filled air mattress is SOLD.Oct 14, 2013 at 3:38 am #2033901
Price drop on tent. You don't see these for sale much.Oct 14, 2013 at 7:25 am #2033939
Bruce BochicchioMember
@brucebome-comLocale: North Georgia
To be clear, is the 'dropped price' $495?Oct 14, 2013 at 7:38 am #2033943
The new, lower price is $495.Dec 23, 2013 at 7:02 am #2057039
Tent it still available. It is primo for winter camping. DAM is sold.Dec 30, 2013 at 7:36 am #2058775
Price drop to $450 for a like-new tent. This is the one you want for winter and 2-3 (up to 5 in a pinch) people. Unfortunately, I'm not doing any winter camping anymore. I hope someone can use this the way it is intended.Mar 20, 2014 at 10:54 am #2084606
Roleigh MartinBPL Member
@marti124Locale: Moderator-JohnMuirTrail Yahoo Group
Did you sell the tent yet? I'm interested. — Roleigh MartinMay 28, 2014 at 3:39 pm #2106677
Michael MillsMember
I have just found this item.
Is it still for sale?
You must be logged in to reply to this topic.


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Next Webinars
Family Engagement in the Digital Age: Media Mentors and Museums
Thursday, March 16 • 2:00 p.m.–3:00 p.m. EDT
Embrace Your Role as a Media Mentor
A new 21st century role has emerged: the media mentor. Media mentors are guides to navigate the digital age. They support children and families in their decisions around media use.
Why do media mentors matter? Tune into ACM's upcoming webinar to find out. You'll learn what this role entails, and how children's museum staff are positioned to be media mentors for the children and families who visit.
What you'll take away from this webinar:
- Messages that empower parents to understand how children learn (and how technology can be part of that)
- Digital tools that improve family engagement in museums
- Strategies that build relationships through the use of technology
- Discussion questions to use with your team about media mentorship
You'll also learn how digital age family engagement can:
- Improve communication
- Increase parent involvement
- Enhance family engagement
- Promote family well-being
Presented by renowned technology in early childhood experts:
Chip Donohue, PhD
Dean of Distance Learning & Continuing Education
Director of the TEC Center
Erikson Institute
Senior Fellow & Advisor, Fred Rogers Center
Editor, Technology and Digital Media in the Early Years and Family Engagement in the Digital Age
Tamara Kaldor
Assistant Director of the TEC Center
Erikson Institute
ACM members, $25, Nonmembers, $45. To register, download, complete, and return the Registration Form. Not a member? Join today!


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- Hyun Uk Lee, So Young Park, +13 authors Jouhahn Lee
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Using a simple method of mass production of green carbon nanotags (G-tags) from harmful cyanobacteria, we developed an advanced and efficient imaging platform for the purpose of anticancer therapy. Approximately 100 grams of G-tags per 100 kilograms of harmful cyanobacteria were prepared using our eco-friendly approach. The G-tags possess high solubility,… (More)
- Hyun Uk Lee, Soon Chang Lee, +8 authors Jouhahn Lee
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It is known that water purified by conventional TiO2 photocatalysts may not be safe enough for drinking, due to the toxicity by tiny existence of TiO2 nanoparticles after water treatment. We herein demonstrate a facile design of a three-dimensional (3D) TiO2 photocatalyst structure with which both the efficiency of purification and the safety level of the… (More)
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Joel sent over the first batch of questions:
COL - How tired are you of Ron Burgunday and San Diego being referred to as a whale's vagina?
BoltHype - To be honest with you, I'm just glad that we are back on people's radars. For the longest time, San Diego was almost a forgotten little place on the bottom of the map. Now we are in the spotlight with an MLB team and a NFL team winning a pile full of games. Besides, Anchorman was funny as hell!
COL - The Bears travel well, so there will probably be a lot of Chicago fans visiting San Diego. Where should visitors, especially four handsome men such as ourselves, go while in San Diego?
BoltHype - If you are into the nightlife, then the Gaslamp District is a must. Check it out here (http://www.gaslamp.org/). Lots of great restaurants, bars, and clubs. If you go to the right places, you are bound to run into a Charger or two (even a Bear, for that matter). Pacific Beach and Mission Beach is a great place to catch some good weather and sight-see (wink-wink). You'll definitely want to each some authentic Mexican food while in town – San Diego is known in particular for our excellent fish tacos.
COL - Nationally, when it comes to the San Diego Chargers everyone knows Ladainian Tomlinson, Antonio Gates and Phillip Rivers. Aside from them, who else should football fans be watching when the Chargers offense is on the field and why?
BoltHype - Well certainly the guy who most of the national media is looking to for a breakout season would be Vincent Jackson. He is expected to emerge as the team's first legit number-one receiver in some years. It'll be interesting to see who emerges from the pack, as the Chargers have a very talented group of receivers, especially with the addition of first round draft pick Craig Davis.
Of course, if you are a team with a suspect running game, watching Michael Turner is sure to make you drool. In case Bears fans forgot what he did to your team last year, watch till about 28 seconds into this highlight clip: (http://www.youtube.com/watch?v=j6aPPuuPeCc) Turner will be a free agent next season and he will attract many suitors.
COL - Both our teams have young quarterbacks entering their second full seasons as starters. Rivers threw for 3388 yards, 22 touchdowns and 9 interceptions in 2006. What strides do you see Rivers making this year and how do you compare him to the other young quarterbacks in the league?
BoltHype - The best comparison I can make to Rivers would be Carson Palmer with a dash of Brett Favre. Palmer and Rivers were dominant college players who are the prototype for and NFL QB. They were both NFL-ready coming out of school. Both are natural born leaders who can command sophisticated offenses and are smart with the ball. Rivers has a splash of Favre with his gunslinger mentality (Rivers is not reckless though) and confidence to bring his team up from behind. Rivers is one of the best fourth quarter QBs in the game but I think Norv will work with Rivers in being more consistent for all four quarters. He'll also look to improve on Rivers' footwork and quick decision making.
COL - Norv Turner makes his return to San Diego, this time as head coach. When he was named head coach there was a collective "What the…?" around the country. Do the players and fans believe that Turner is the man to effectively use the talent around him to get the Chargers to the Super Bowl?
BoltHype - Oh there is no doubt that Turner can get the job done. I ran a poll on BoltHype and almost 95 out of 100 votes cast showed confidence in Norv's ability to lead the team to a Super Bowl this year. As fans have had the opportunity to hear Norv Turner talk about the team and their goals for the season, confidence grew in the man's abilities as a head coach. He clearly understands the game and has more than enough weapons to win games. Players like Antonio Gates have expressed excitement in Turners' offensive schemes. Rivers is eager to improve as a QB and knows the track record Coach Turner has with quarterbacks. And LaDainian Tomlinson is already familiar with Turner and greatly respects the fact that Turners' resume includes Super Bowl victories and working with Hall Of Fame players.
COL - Who on the Bears makes you nervous? How do you feel the Bears offense matches up against the Chargers defense and vice-versa?
BoltHype - Brian Urlacher is obviously a guy who presents the team with some problems. He is a versatile player who matches up well with everybody the Chargers have on offense. He is certainly a guy who we'll want as far away from the ball as possible. I'm expecting the offense to be well aware of where #54 is at all times.
Of course, the Bears' secondary is experienced and opportunistic, and that presents problems for what is a very young Chargers receiving corp. Tillman, Manning, and Vasher are going to want to make plays on the ball and its those kinds of gambles that can either win or lose a game for you. And of course, the Bears have some athletic D-linemen who have speed and power so it'll be interesting to see how well they perform at containing our run game.
The Chargers are going to be the most dangerous offense in the league in 2007, so even if the Bears force a number of three and outs, the Chargers will still have their fair share of big plays to move the ball down field. And our kicker Nate Kaeding is one of the leagues' best, so as long as we can move the ball fairly well, we'll be in scoring territory often.
COL - Last season the Chargers had the best record in the league at 14-2 but lost in the first round of the play-offs. There was a lot of offseason movement, especially in the AFC. Are the Chargers still the team to beat in the AFC and how will the Chargers do overall this season (playoffs included)?
BoltHype - I personally feel the Chargers are still the best team in the NFL. They are probably the best balanced team in football. With a top 5 offense, a potentially top 5 defense, and a stellar special teams, the Chargers can compete with anybody. Experience is something they lacked but with 2 playoff losses in 3 years, I think its time they take the next step and go deep into the post season. My prediction is 13-3 regular season record with a Super Bowl victory.
COL - The Chargers seem to have a knack with #1 draft picks. They had the #1 draft pick in both the 2001 and 2004 drafts. The 2001 pick was traded to Atlanta for the fifth pick, which ended up being Ladainian Tomlinson, and the 2004 pick was traded for Phillip Rivers, and eventually Shawne Merriman and Nate Kaeding. Be honest, wouldn't you rather have Michael Vick and Eli Manning right now?
BoltHype - Hah! I guess those are two prime examples of the importance of investigating a player's character and passion for the game. Do your homework on a guy and you'll find out real quick what kind of baggage he carries and whether or not he is a natural leader. Watching a guy tear it up on Saturdays is the easy part. Timing a guy's 40 is even easier. Finding out what motivates a guy – what makes him tick – that's the hard part.
COL - Last question: What's your prediction for the Bears-Chargers game?
BoltHype - I like the fact that San Diego is finally a place where the Chargers have true home-field advantage. Seeing the point the team put up in the preseason without Ladainian Tomlinson even suiting up is highly encouraging. Ron Rivera will know the Chicago Bears scheme like the back of his hand. 31-13 Chargers.
Thanks for the interview Joel! I'll be sending you my set of questions and they'll be posted here at BoltHype tomorrow.
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Ensuring there are applications ready to churn out useful science when the first U.S. exascale computers arrive in the 2021-2023 timeframe is Doug Kothe's job …
Higher return on investment of up to 250 Percent demonstrated on various high-performance computing applications; InfiniBand delivers up to 55 Percent higher pe …
Sponsored Content by Mellanox
More than 250 attendees and participants came together for PRACEdays17 in Barcelona last week, part of the European HPC Summit Week 2017, held May 15-19 at t …
If you have not already tried using PGAS, it is time to consider adding PGAS to the programming techniques you know. Partitioned Global Array Space, commonly kn …
With 2017 underway, we're looking to the future of high performance computing and the milestones that are growing ever closer.
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As data processing grows more and more specialized, effective storage strategies are more important than ever. And for IT professionals reevaluating their storage needs, software-defined and object-based storage are gaining ground by automating storage management – a trend that is only set to continue.
High performance workloads, big data, and analytics are increasingly important in finding real value in today's applications and data. Before we deploy applications and mine data for mission and business insights, we need a high-performance, rapidly scalable, resilient infrastructure foundation that can accurately, securely, and quickly access data from all relevant sources. Red Hat has technology that allows high performance workloads with a scale-out foundation that integrates multiple data sources and can transition workloads across on-premise and cloud boundaries.
HPC may once have been the sole province for huge corporations and national labs, but with hardware and cloud resources becoming more affordable even small and mid-sized companies are taking advantage.
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The "big" part of big data is about enabling insights that were previously indiscernible. It's about uncovering small differences that make a big difference in domains as widespread as health care, public health, marketing and business process optimization, law enforcement and cybersecurity – and even the detection of new subatomic particles.
But the "bigness" of your data is not its most important characteristic. Here are three other considerations when it comes to getting value from big data.
Of the three "V's" of big data (volume, velocity and variety), the best advice for many organizations is to forget about big volume. For my money the real value in big data comes from its variety.
Consider this example from the natural sciences – the discovery and eventual acceptance of plate tectonics. First proposed as the theory of Continental Drift by Alfred Wegener in 1912, it was not until the 1960's that it was fully accepted based on the overwhelming data-driven evidence acquired across a wide variety of fields:
Getting value out of your variety is first and foremost a data integration task. Don't let your big data become Big Silos. Start within a function, like production or marketing, and integrate those data silos first.
For example, in customer service, bring together the separate web, call center and field service data. The next step is to integrate your more far flung disparate systems – valuable insights arise when you've got a holistic view of customer and product attributes along with sales data by channel, region and brand.
The value from data integration grows exponentially with each additional data source. Big variety is the future of big data.
With all the hype over big data, we often overlook the importance of modeling as its necessary counterpart. There are two independent limiting factors when it comes to decision support: The quality of the data, and the quality of the model.
Most of the big data hype assumes that the data is always the limiting factor, and while that may be the case for the majority of projects, I'd venture that bad or inadequate models share more of the blame than we care to admit.
It's a balancing act, between the quantity and quality of our data, and the quality and fit-for-purposeness of our models, a relationship that can frequently get out of balance.
In one instance we may have remarkable models starved for good data, and on the other hand, volumes of sensor or customer data sit idle with no established approach for exploration, analysis and action.
"Recognizing that all of our decisions are based on our models of reality, not reality itself, is a key to understanding decision making. Too many individuals concentrate their efforts on perfecting "the data" that they then proceed to process through models that have little or no semblance of reality.
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Classic Combination Chequered Flag combines Tulip Queen of Night and Tulip Maureen for a striking black and white combination.
The 'Classic Combination' range from Taylors bulbs includes carefully selected varieties which can be planted together to create perfect flower combinations, each variety is individually packed or identifiable to allow easy replication of the images shown.
Average contents per pack: 20
Range type: Classic Combination
Flower colour: Black and White
Planting depth:
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Another great printable coupon is being offered by Save On Foods.
Save $1 on your next purchase of Kraft Peanut Butter (750g or 1 kg), or Smucker's Double Fruit Spread (390 mL) or No Sugar Added Spread (310 mL)
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Articles tagged gretchen mol
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On this final day of PopMatters' 1999 overview, awards season hype gives way to pure acting prowess and definitive directorial flair.READ more
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New SARS-like virus is a 'threat to the entire world' - MERS-CoV
C Frank0 stashed this
Stashed in: #health, Medicine, The World
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"We understand too little about this virus when viewed against the magnitude of its potential threat," she said, and more information is needed "quickly" and "urgently."
"We do not know where the virus hides in nature. We do not know how people are getting infected. Until we answer these questions, we are empty-handed when it comes to prevention. These are alarm bells. And we must respond," she said.
The virus had infected 44 people worldwide as of last week, most of them in the Middle East, according to the World Health Organization's most recent update Thursday. Half of them have died.
Unless it is highly contagious, infecting 44 people is not an outbreak.


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Pituitary gigantism
- Author
- Erica A Eugster, MD
Erica A Eugster, MD
- Professor of Pediatrics
- Indiana University School of Medicine
- Section Editor
- Mitchell E Geffner, MD
Mitchell E Geffner, MD
- Section Editor — Pediatric Endocrinology
- Professor of Pediatrics
- Keck School of Medicine, University of Southern California
- Deputy Editor
- Alison G Hoppin, MD
Alison G Hoppin, MD
- Deputy Editor — Pediatrics
- Assistant Professor of Pediatrics, Part-time
- Harvard Medical School
Pituitary gigantism refers to growth hormone (GH) excess that occurs before fusion of the epiphyseal growth plates. Therefore, by definition the condition is only seen in growing children. In this setting, elevated levels of serum GH and IGF-I cause rapid, excessive linear growth and, if unchecked, extremely tall adult stature. In contrast, GH excess that begins in adulthood, after complete epiphyseal fusion, has no effect on stature and is called acromegaly. Although many historical claims of gigantism have been exaggerated, case reports of true pituitary giants with heights of up to 8 feet 11 inches (272 cm) are documented in the medical literature [1]. (See "Causes and clinical manifestations of acromegaly".)
Pituitary gigantism is a rare disorder. Most pediatric endocrinologists may see at most one or two patients with the condition during their careers. In one large series of 2367 children and adolescents with pituitary adenomas, only 15 (0.6 percent) had pituitary gigantism [2]. Much of our understanding of this disease is derived from isolated case reports and extrapolation from the adult literature [3]. No sex predilection is known. Gigantism may occur at any age, and has been observed as early as the first six to nine months of age.
Pituitary gigantism typically is a sporadic and isolated condition. However, it may occur within the context of a coexisting disorder or arise according to a pattern of familial inheritance.
Syndromes in which gigantism is a well-recognized feature include McCune Albright Syndrome (MAS), multiple endocrine neoplasia type 1 (MEN1), and Carney complex. The frequency of gigantism seen in these conditions varies:
●Approximately 20 percent of patients with MAS are thought to have GH hypersecretion [4,5], although few large case series are available [6]. In one review of 112 patients with MAS and acromegaly, the mean age at diagnosis of acromegaly was just over 24 years [7]. Subclinical GH excess also has been reported in MAS, where it results in unexpected normal (rather than short) stature in the setting of untreated precocious puberty [8]. (See "Definition, etiology, and evaluation of precocious puberty", section on 'McCune-Albright syndrome'.)
Subscribers log in hereTo continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information or to purchase a personal subscription, click below on the option that best describes you:Literature review current through: Apr 2017. | This topic last updated: Nov 10, 2015.The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Always seek the advice of your own physician or other qualified health care professional regarding any medical questions or conditions. The use of this website is governed by the UpToDate Terms of Use ©2017 UpToDate, Inc.References
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- Barkan AL, Beitins IZ, Kelch RP. Plasma insulin-like growth factor-I/somatomedin-C in acromegaly: correlation with the degree of growth hormone hypersecretion. J Clin Endocrinol Metab 1988; 67:69.
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- Grinspoon S, Clemmons D, Swearingen B, Klibanski A. Serum insulin-like growth factor-binding protein-3 levels in the diagnosis of acromegaly. J Clin Endocrinol Metab 1995; 80:927.
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- Felix IA, Horvath E, Kovacs K, et al. Mammosomatotroph adenoma of the pituitary associated with gigantism and hyperprolactinemia. A morphological study including immunoelectron microscopy. Acta Neuropathol 1986; 71:76.
- Nomikos P, Buchfelder M, Fahlbusch R. The outcome of surgery in 668 patients with acromegaly using current criteria of biochemical 'cure'. Eur J Endocrinol 2005; 152:379.
- Orvidas LJ, Kasperbauer JL, Meyer FB, Zimmerman D. Pediatric transseptal transsphenoidal pituitary surgery. Am J Rhinol 2000; 14:265.
- Mindermann T, Wilson CB. Pediatric pituitary adenomas. Neurosurgery 1995; 36:259.
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- Näntö-Salonen K, Koskinen P, Sonninen P, Toppari J. Suppression of GH secretion in pituitary gigantism by continuous subcutaneous octreotide infusion in a pubertal boy. Acta Paediatr 1999; 88:29.
- Moran, A, Pescovitz, OH. Long-term treatment of gigantism with combination octreotide and bromocriptine in a child with McCune-Albright syndrome. Endocr J 1994; 2:111.
- Tajima T, Tsubaki J, Ishizu K, et al. Case study of a 15-year-old boy with McCune-Albright syndrome combined with pituitary gigantism: effect of octreotide-long acting release (LAR) and cabergoline therapy. Endocr J 2008; 55:595.
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- Zacharin M. Paediatric management of endocrine complications in McCune-Albright syndrome. J Pediatr Endocrinol Metab 2005; 18:33.
- Feuillan PP, Jones J, Ross JL. Growth hormone hypersecretion in a girl with McCune-Albright syndrome: comparison with controls and response to a dose of long-acting somatostatin analog. J Clin Endocrinol Metab 1995; 80:1357.
- Petersenn S, Farrall AJ, De Block C, et al. Long-term efficacy and safety of subcutaneous pasireotide in acromegaly: results from an open-ended, multicenter, Phase II extension study. Pituitary 2014; 17:132.
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- Mear Y, Blanchard MP, Defilles C, et al. Ghrelin receptor (GHS-R1a) and its constitutive activity in somatotroph adenomas: a new co-targeting therapy using GHS-R1a inverse agonists and somatostatin analogs. J Clin Endocrinol Metab 2014; 99:E2463.


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The motherboard features two PCIe 2.0 x16 slots, two PCIe 2.0 x1 slots, two PCI slots, six SATA 6GB/s slots, and support for up to 32GB RAM. Deal ends May 30.


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QUENTIN DEMPSTER: Welcome to Stateline.
I'm Quentin Dempster.
The first item to report on the Jeff Shaw saga is that the NSW Police appear to have been exonerated over the missing vial of the judge's blood.
Evidence indicates that then-justice Shaw had both the police vial and his own vial in his possession when he left Royal Prince Alfred hospital on 14 October.
The Police Integrity Commission still has to determine if Justice Shaw took both vials while no one was looking or was in fact given them in breach of procedures.
As we've noted it is a serious criminal offence to interfere in the course of justice.
Police today charged Jeff Shaw with driving offences.
The other issue emerging from all this is alcoholism and its devastating consequences.
In the seven days since Jeff Shaw's resignation from the Supreme Court last Friday it's been revealed the judge's blood alcohol reading was four times the legal limit.
He had both vials in his possession either before or after an early morning visit to his Supreme Court chambers on October 14, the morning after he'd crashed his car near his Birchgrove home.
The mystery of the missing blood sample was solved -- the judge had it.
Significantly, Mr Shaw did not tell the authorities that he was in possession of both vials of blood until late last week.
DAVE MADDEN, POLICE DEPUTY COMMISSIONER: The second sample, which the patient holds, remains the responsibility of Mr Shaw.
QUENTIN DEMPSTER: This was almost two weeks after Police Deputy Commissioner Dave Madden had to tell the public that the police blood sample was missing.
Two weeks in which the usually maligned NSW Police again had to endure odium and suspicion about possible incompetence or corruption.
From an unequivocal statement that the police vial had been placed in the locked sample box, medical staff, under intense examination, became equivocal.
No one seemed to know exactly what happened to the vial.
Then a bombshell -- confronted with closed circuit video surveillance pictures showing his early morning entry and exit from the Supreme Court, Mr Shaw denied any impropriety.
Was the package shown in his hand in fact the plastic bag containing documentation and both vials of his blood?
Looking at the video, Mr Shaw said he couldn't make out what he had in his hand.
Mr Shaw categorically denied that he was trying to secure the police blood sample in his chambers.
An attempt by Mr Shaw's legal team to have the Supreme Court close down the PIC investigation failed.
Over in Parliament, deep Labor Party distress and sadness at the destruction of Jeff Shaw's judicial career and possibly his reputation was apparent.
Attorney-General Bob Debus has confirmed taxpayers may have to stump up with millions of dollars in additional costs to re-try cases Justice Shaw had to abandon at his resignation.
BOB DEBUS, ATTORNEY-GENERAL: To a significant degree, Mr Speaker, the extent of additional costs incurred will depend on the extent to which the parties work with the court to minimise the need for any re-hearing of any aspect of the case.
Within that framework Justice Wood has recommended that the parties should not be out of pocket as a result of the need to re-list the case and I concur, of course, with that recommendation.
Justice Wood has also apologised on behalf of the court and as first law officer I also express my sorrow and my condolences and join my apology to his for what he has described rightly as a "terrible event".
QUENTIN DEMPSTER: And on Wednesday, there was this angry exchange over the official explanation given for Justice Shaw's resignation -- that he'd not realised his health problem was so bad.
ANDREW TINK, SHADOW ATTORNEY-GENERAL: Mr Speaker, my question without notice is to the Attorney-General.
What agreement was made with former justice Shaw to take leave for health reasons associated with his drinking problem before his car accident on 13 October, 2004?
BOB DEBUS: The matters that the member raises are matters for the Chief Justice.
It may surprise the honourable member to know that the Chief Justice does not ring me up when he is deciding which judge to sit on which case, nor --
ANDREW TINK: Point of order -- the Attorney-General is responsible in this Parliament --
SPEAKER: Order!
ANDREW TINK: ..for the Chief Justice and the Supreme Court.
The Attorney-General has a duty to find the answer, to go and ask the Chief Justice, and come and be responsible to this Parliament for what goes on and what passes for administration of the Supreme Court of NSW.
If you don't know the answer you go and get it.
You owe the people of NSW and this Parliament, no less.
You take your job seriously -- go and ask the question and get an answer.
MEMBERS: Hear, hear!
BOB DEBUS: The member for Epping is a disgrace.
Mr Speaker, those are matters for the chief justice.
QUENTIN DEMPSTER: Chief Justice Jim Spigelman has again declined Stateline's request for an interview.
We wanted to canvass the Chief Justice's management of justice Shaw's health concerns and its impact on the court's work.
Jeff Shaw, it emerges, has a serious and possibly long-standing alcohol problem.
According to them, neither the Premier nor the Attorney-General were aware of this at the time of Jeff Shaw's appointment to the Supreme Court bench in 2003.
Could an alcoholic function at a high intellectual level of judicial and judgment writing work and go undetected?
PROFESSOR ROSS FITZGERALD, ALCOHOL EXPERT: Well, certainly some can.
I mean, I know of plenty of pilots and air traffic controllers and journalists and tradesmen who are able to function very well at least for a considerable period of time in their profession.
So, there's no reason why in particular cases a judge or a magistrate can't function effectively in terms of their professional work -- for a while anyway.
QUENTIN DEMPSTER: And then something happens -- some precipitant?
PROFESSOR ROSS FITZGERALD: Well again, see alcoholism's a very insidious illness.
QUENTIN DEMPSTER: Emeritus Professor Ross Fitzgerald, a member of the Government's expert advisory group on alcohol and drugs, launched the alcohol summit last year.
He's currently completing a book on the history of alcohol in Australia.
PROFESSOR ROSS FITZGERALD: Well, alcoholism is a health problem, not a moral problem and it's a health problem that affects 1 in 8 -- 1 in 9 people who drink in Anglo-Celtic societies anyway.
QUENTIN DEMPSTER: There's an understandable degree of anger surrounding the Jeff Shaw case but is there a case for random drug and alcohol testing for judicial officers -- given the nature of their work?
PROFESSOR ROSS FITZGERALD: And why not parliamentarians or journalists?
It's very difficult to know where to draw the line but I do think it's a debate we really do need to have.
I mean, if train drivers and pilots get tested why shouldn't judicial officers and parliamentarians?
But it's a problem -- it's a civil liberties problem -- and it's a problem about where do you draw the line?
But it's a matter, like a lot of things connected with alcohol abuse, that needs to be brought out into the open and debated honestly.
QUENTIN DEMPSTER: Professor Fitzgerald acknowledges that in many cases it is very difficult for an alcoholic's loved ones, family and friends to intervene until there is some confronting or cataclysmic event.
PROFESSOR ROSS FITZGERALD: Well, denial is one of the great characteristics of alcoholism as an illness and alcoholism, of course, is a family illness as well.
It's the one illness that I know where you can love people to death, because husbands and wives and friends and fathers and employers with the best of intentions cover up and make excuses and that really just keeps the whole merry-go-round going and there needs to be some way that those who are close to alcoholics can somehow detach and to realise that protecting one's spouse or one's employee isn't helping at all.
QUENTIN DEMPSTER: But how do you intervene?
If the person can't accept their illness, how do you intervene?
PROFESSOR ROSS FITZGERALD: Well, it's often very difficult to get an alcoholic to understand that he or she has a problem, but there are all sorts of very effective support groups for parents, lovers, husbands, wives of alcoholics -- Al-Anon for example, or Alateen, for the children of alcoholics -- it can be enormously effective because often, when the so-called protection of the alcoholic is taken away -- the rug is pulled from underneath an alcoholic -- then he or she for the first time is made to realise the consequences of their action.
QUENTIN DEMPSTER: The Police Integrity Commission is now considering all the evidence in the Jeff Shaw case and is expected to produce its findings early next year.
We can expect recommendations for a tightening of blood sampling procedures in hospital emergency departments.
But the greatest consequence -- that missing blood vial -- will the PIC recommend criminal charges against former justice Jeff Shaw for attempted perversion of the course of justice?


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The Zika Virus is far and wide. Who hasn't visible the horrible pictures of deformed infants with tiny heads (microcephaly) prompted via mosquitoes carrying this dreadful disease?
What are information and what are coincidences that would improvement a opt for few?
Fact #1: The Zika Virus does exist.
Four out of each five humans who have the Zika Virus will haven't any signs. Symptoms incorporate fever, rash, chills, purple eye, headache and normal malaise for two to 10 days. It's described as similar to the flu.
Accident #1: The Zika Virus does now not have scientific proof to link it to delivery defects.
Relying on the source, data has been produced to support that Zika is the purpose of the microcephaly. However, the recent extended cases of microcephaly are located most effective in Brazil even though this virus originated in Uganda in 1947 and is discovered in numerous different countries… All without start defects. This virus crosses the placenta (meaning mothers move it on to their toddlers) yet of these Brazilian infants born with microcephaly, handiest eight% demonstrated confident for Zika Virus (forty one of 508). So what caused the microcephaly in the different 92%?
Reality #2: a group of scientists and medical professionals declare the beginning defects were caused by using a pesticide utilized in Brazil's drinking water.
In 2014 the Ministry of wellness in Brazil decided to use a mosquito larvacide within the water give often called 'pyriproxyfen'. This larvacide is a neuro-toxin that 'prevents larvae from constructing into adulthood'. So an artificial neuro-toxin that forestalls usual growth development has been involuntarily given to the people of Brazil considering that 2014. The scientific information means that pregnant mothers drank the neuro-toxin laced water and had deformed toddlers.
Coincidence #2: giant Chemical needs to liberate Genetically Modified Mosquitoes in the Florida Keys.
Oxitec is a British corporation (owned by U.S. Intrexon corporation) that created genetically modified male mosquitoes that produce offspring that don't boost. These mosquitoes do not exist in Nature however are franken-creatures with laboratory altered DNA. Most environmental experts firmly state that releasing Genetically Modified Organisms like these can purpose irreparable harm and that no amount of knowledge or research can predict the eventual outcome. Pandora's field…
Truth #three: humans are scared of the Zika Virus.
The facilities for sickness control (CDC) and World wellness group (WHO) have warned child-bearing ladies to hinder travelling to locations that have had circumstances. Persons listened and journey has lowered considerably. Athletes who have proficient their entire lives to compete within the Olympics aren't going to Brazil out of fear.
Coincidence #three: giant Chemical has a lot to obtain from the fear of Zika Virus at the same time others stand to lose a first-rate deal.
The producers of chemical mosquito repellents are having fun with elevated demand for his or her CDC and WHO endorsed synthetic products. There may be the obvious economic gain for Oxitec to unencumber GMO mosquitoes as they're being presented as the one 'actual' resolution.
The losers are the trusting public who consider the 'specialists'. Purchasers are informed to use DEET for repelling mosquitoes yet DEET is a identified intent of wellbeing problems corresponding to headaches, agitation, melancholy, anxiousness, reminiscence loss, seizures and even demise.
Journey to vacationer-elegant websites has been irreparably harmed.
The Florida Keys is poised to be the world's Guinea Pig releasing GMO mosquitoes in one of the delicately balanced environments on earth.
For the reason that we have to manipulate the hazardous Zika Virus, right?
The data say no, the 'coincidences' scream sure.
Louise Hodges is the owner of Greenbug which offers pest control merchandise that use cedar because the active ingredient. Greenbug offers choices to synthetic chemical pesticides.
Greenbug products manage pests such as Mosquitoes, Ants, bed Bugs, Fleas, Ticks, Roaches, Mites, and so on. But intent no damage whatever to worthy creatures.


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Well, he did not turn it down, which I still say would have been the better decision. But he failed to turn it down with reasonable grace, I thought.
The guy doesn't usually do humble very well, but he was humble enough. "To be honest, I do not feel that I deserve to be in the company" of the great men and women who have preceded him. That was good. Also the bit about accepting the award not a recognition of accomplishments but as an aspiration for the world's goals, and in behalf of all freedom-loving people etc.
I think he probably contained whatever potential political damage might have set in. The right wing will still make hay of it. But they don't matter. What matters (how many times have I written this sentence?) is swing voters. They don't hate the guy and in fact on balance still like him more than not. So as long as he didn't stand up there and act like he had this coming to him and he's the second coming of Metternich, he ought to be okay.
I'm mostly just interested, as you can see, in the domestic politics aspects of this, because I just don't take it seriously in substantive terms. But I do wonder: will being a Nobel Peace Prize winner limit his range of options as commander-in-chief in any way? Like, can a peace prize winner really then go forward and put 20,000 more soldiers in Afghanistan? Did those sneaky Scandinavian pacifists have this thought up their sneaky Scandinavian sleeves?!?!
Well, he did not turn it down, which I still say would have been the better decision. But he failed to turn it down with reasonable grace, I thought.