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whiplash recovery For more information Your guide to
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1 Your guide to whiplash recovery For more information If you have queries or need copies of this publication, contact: Motor Accidents Authority Level George Street, Sydney NSW 2000 Phone: Fax: Web site: Claims Advisory Service: ISBN
2 Your guide to whiplash recovery Contents What is whiplash 2 in the first 12 weeks What is WAD (Whiplash-Associated Disorders)? 3 When should I seek medical advice? 4 How is WAD treated? 5 How long will it take me to get better? 6 January 2001 What can I do to help me get better? 6 Treatments that are recommended 7 Treatments that may be used 8 Treatments that are not recommended 10 Exercises that might help 11 Where else can I get help? 15 Other publications 16 1
3 What is whiplash? Whiplash is what happens when someone s head moves forwards and then backwards quickly. This quick back and forth movement may cause injury to the neck. This whiplash movement often happens in car crashes. People who have been in a crash often complain of neck pain and stiffness afterwards, sometimes even a few days after the accident. For most people the pain is mild, does not interfere with their normal activities and gradually gets better. Research indicates that people who carry on with their normal activities recover faster than people who stay at home and reduce their activities. Some people have more severe neck pain. They may also experience: headaches pain in the shoulders and arms dizziness or altered sensation weakness in the arms. These people should see a doctor immediately since they may have a Whiplash-Associated Disorder, or WAD as it also known. What is WAD? The term WAD stands for Whiplash-Associated Disorders. It covers a range of neck problems resulting from the whiplash motion of the accident. These can range from no discomfort at all to very severe injuries. To help the doctor work out how serious your injury is and the most appropriate treatment, the neck problems from a whiplash have been grouped into four grades of WAD. Whiplash- Associated Disorders (WAD) Grade 0 Grade 1 Grade 2 Grade 3 Grade 4 no pain or discomfort. No physical signs of injury. neck pain, stiffness or tenderness. No physical signs of injury. neck pain, stiffness or tenderness and some physical signs of injury such as point tenderness or trouble turning the head. pain, stiffness or tenderness and neurological signs of injury, such as changes to reflexes or weakness. pain and fracture or dislocation of the neck. 2 3
4 When should I seek medical advice? You should seek medical advice after an accident if you have : medium to severe pain in your neck neck pain plus stiffness (you have problems turning your head) arm numbness or weakness drowsiness, nausea, vomiting, confusion any complaints that are not getting better or are getting worse. These symptoms may mean you have WAD. It is important that you see your GP for a medical assessment. A registered health professional such as your GP, physiotherapist or chiropractor is the best person to advise you about how to manage your whiplash injury. It is also important that you tell your GP of other professionals who may be treating you. How is WAD treated? Your doctor will provide you with information, advice and the best treatment. If your pain is mild, the doctor will advise you to continue normal daily activities and, if required, use pain-relieving medication such as paracetamol. If you have more severe pain, you may be advised to continue with light activities, use pain relieving medication and do exercises. The exercises will help to restore movement and flexibility in your neck, and ensure that your muscles are acting to support the neck. Examples of exercises are shown on pages 11 to 14. In many cases your doctor will ask that you return to check your progress, usually within a week of your first visit. Your return visit is important. In some cases (especially if there is no improvement) the doctor will send you for additional treatment. Many treatments have been used for whiplash. A Working Party of experts in this area has reviewed what is known about the effectiveness of treatments for WAD in the first 12 weeks and grouped them into three categories: Treatments that are recommended Treatments that may be used Treatments that are not recommended More information on treatment is found on p ages 7 to
5 How long will it take me to get better? This will depend on the extent of your injury. Every injury is different. Most people will be able to continue with their normal activities, but it may take weeks, or even months, for the discomfort to go away completely. If you have had to reduce your normal activities, you should be able to return to them within weeks. It may seem that it is taking a long time for you to recover. If you are worried about this, or if your pain gets worse, see your doctor immediately. What can I do to help me get better? Gently exercise your neck to restore movement and flexibility and to ensure that the muscles are acting to support your neck. Examples of exercises are shown on pages 11 to 14. Try to stay active. Do as many of your normal activities as possible. Staying active helps you to recover more quickly. Stay at work if you can. People who stay at work after an accident recover more quickly than those who take time off. Don t use a collar without advice from your doctor or therapist. Most p eop le don t need to use collars, and using one unnecessarily may slow your recovery. Initially avoid heavy lifting and sitting for a long time. It is most important to stay generally active but it is wise to prevent excessive strain on your neck in the early stages after injury. For example, stand up from a sitting position at regular intervals or perform some of the gentle exercises while sitting as shown on page 13. Divide heavy loads (e.g. grocery shopping) into several lighter loads for carrying. Relaxing both body and mind will help you manage any p ain more easily. Treatments that are recommended Act as usual: you may have pain but maintaining your normal activities is an important factor in getting better. Exercise: specific exercises to restore muscle control and support your neck should improve postural control and prevent unnecessary postural strain. Exercises that may help you are on pages 11 to 14. General exercise and activity are also important. Pain relieving medication: pain relieving medication such as paracetamol can be prescribed. For more severe cases, anti-inflammatories can be prescribed in the short term to reduce pain and swelling. Use of medication should be limited as it may have side effects. 6 7
6 Treatments that may be used Advice about posture: advice about how to sit and stand correctly can be helpful in addition to maintaining usual activities and exercising. Joint Mobilisation: a therapist gently and repetitively moves the joints in the neck region to reduce pain and restore normal movement in the neck. This can be used if it reduces your symptoms. It is important that your therapist is registered, qualified and trained to do mobilisation. Spinal Manipulation: a therapist applies a gentle quick single thrust to the joint to the limit of its range of movement. This produces a clicking sound. The manipulation aims to reduce pain and restore motion. It can be used if it reduces your symptoms. Yo u sh o u ld ch e ck th at yo u r h e alth p rovider (medical practitioner, chiropractor, osteopath or physiotherapist) is registered, qualified and trained to do manipulation. Complications from manipulation are rare but include stroke and death. Combination of Treatments: a combination of treatments such as exercise and mobilisation can be used. Traction: a machine gently stretches the neck. Traction can be used with other treatments. There is no evidence that traction works for WAD, so it should only be used if it reduces your symptoms. Acupuncture: fine needles are inserted into specific points on the body. There is no evidence that acupuncture works for WAD; it should only be used if it reduces your symptoms. Improving your environment: learning about the structure of your neck and how it works can be helpful. Improving your work practices can lessen unnecessary strain and allow you to function well in your normal daily activity. For example, the chair you sit on at work may need adjusting. It may also help to stand up for a break or change position every 20 minutes. If you have learnt relaxation techniques these may be helpful in managing pain associated with WAD. TENS, heat, ice, massage, ultrasound, laser, short-wave diathermy: TENS (Transcutaneous Electrical Nerve Stimulation) is a low frequency, painless electric current sent through the skin to reduce pain. This and other passive treatments/ electrotherapies, if administered by trained professionals, are additional treatment options during the first three weeks. They are used with manual and physical therapies and exercise to help you return as soon as possible to your usual activity. Rest: a period of bed rest is not recommended for people with WAD Grad e 1. Pe o p le w ith WAD Grad e s 2 an d 3 sh o u ld n o t h ave bed rest for more than four days. Surgical Treatment: in almost all cases of WAD Grades 1 to 3 surgery is not required. Collars: the use of a collar, sometimes called a neck brace, is not recommended for WAD Grade 1. If prescribed for WAD Grades 2 and 3, a collar should not be used for more than three days as it may slow your recovery. 8 9
7 Treatments that are not recommended Cervical pillows: the use of commercially-made contoured pillows is not recommended as there is no evidence to prove their usefulness. Spray and stretch: spraying the muscle with a cold spray followed by muscle stretching is not recommended as there is no evidence that spray and stretch works. Injections of steroids: steroid injections are not recommended for WAD Grades 1 and 2. Steroid injections may be used for WAD Grade 3. Repeated steroid injections may cause harm. Injections: injections of local anaesthetic or sterile water into nearby nerves are not recommended in the early stages of WAD. Magnetic necklaces: wearing a magnetic necklace is not recommended as there is no evidence to prove their usefulness. Pilates, Feldenkrais, Alexander Technique, massage and homeopathy: these are not recommended for the first 12 weeks as there is no evidence to show they work during this period. 10 Exercises that might help The following exercises should help to heal your neck.* Perform all exercises in a slow and controlled manner. The exercises are designed to restore the movement and muscle control around your neck and to reduce unnecessary postural strain and muscle pain. When you are performing the exercises, stop and contact your doctor or therapist if you notice: dizziness, light headedness, blurred vision, fainting or disorientation sudden pain shooting down your arm, or numbness or weakness in your arm or hand unusually severe neck pain exercises consistently producing a headache, which persists. For each exercise: move smoothly and slowly, without sudden jerks. The key is precision and control. keep your mouth and jaw relaxed. Keep lips together, teeth slightly apart and let your tongue rest on the roof of your mouth. gently hold your shoulders back and down so that they are relaxed while doing all exercises. in movement exercises, try to move the same distance to each side. If one side is stiffer, move gently into the stiffness. Move to that direction a little more often. expect some discomfort, but remember exercises should not cause severe pain. * Jull GA, The management of cervical headache, Manu al Therapy 2(4):
8 Neck exercises lying down Lie d o w n w ith a so ft p illo w u n d e r yo u r n e ck, an d w ith yo u r knees bent up. The chin nod exercise Gently and slowly nod your head forward as if to say yes. Feel the muscles at the front of your neck. Stop the nodding action just before you feel the front muscles hardening. Hold the nod position for five seconds and then relax. Gently move your head back to the normal start position. Repeat up to 10 times. Head rotation Gently turn your head from one side to the other. Look where you are going. Progressively aim to turn your head far enough so your chin is in line with your shoulder and you can see the wall in line with your shoulder. Rep eat 10 times to each side. Exercises while sitting Correct postural position Correct your posture regularly by gently straightening up your lower back and pelvis. Now gently draw your shoulder blades back and down (women towards their bra clip). Hold the position with ease for at least 10 seconds. This position will prevent and ease muscle pain and tension in your neck and shoulder muscles. Repeat the correction regularly, every half hour during the day. Yo u can d o th is e xe rcise at w o rk, in th e car, train or bus and sitting at home. Neck isometric (no movement) exercise Sit in the correct postural position as described above. Make sure your chin is relaxed and slightly down. Place your right hand on your right cheek. Gently try to turn your head into your fingers to look over your right shoulder but allow no movement. Hold the contraction for five seconds. Use a 10% to 20% effort, no more! Repeat with the left hand on the left cheek. Do five repetitions of the holding exercise to each side
9 14 Neck movement exercises Sit in the correct postural position. Repeat all exercises below 10 times to each side. Rotation: gently turn your head from one side to the other. Look where you are going, progressively aim to see the wall in line with your shoulder. This exercise is similar to the one you did lying down. This time you do it sitting. Side bending: gently tilt your head towards your shoulder and feel the gentle stretch in the muscles on the side of your neck. Perform the movement to both sides. Bending and extension: gently bend your head towards your chest. Lead the movement with your chin. Moving the chin first, bring your head back to the upright position and gently roll it back to look up towards the ceiling. Leading with your chin, return your head to the to the upright position. Where else can I get help? Specialist health professionals Yo u r GP can re fe r yo u to h e alth p ro fe ssio n als w h o are e xp e rts in treating WAD. These may include a GP who sees a lot of WAD patients, specialists, physiotherapists and chiropractors. Pain management clinics Yo u w o u ld n o rmally b e se n t to a p ain man age me n t clin ic o n ly if your injury and/or pain is severe and long lasting. Community resources Evening and community colleges run classes in relaxation and stress management, but see your doctor before starting one of these. For the phone number of your nearest college look under Evening & Community Colleges in the White Pages phone book. Local hospitals may also run relaxation classes. Web site The MAA web site has general information on rehabilitation and other publications on Whiplash-Associated Disorders. Claims Advisory Service For information or assistance on a CTP claim contact the Motor Accidents Authority Claims Advisory Service on
10 Other publications This guide is meant for people injured in motor vehicle accidents and for their friends and family. The MAA also publishes technical guidelines for health professionals involved in the treatment of WAD and for CTP insurance companies. Guidelines for the Management of Whiplash-Associated Disorders SUMMARY Guidelin es for the Man agem en t of Whiplash-Associated Disorders TECHNICAL REPORT: Update of Qu ebec Task Force Gu idelin es for the Management of Whiplash-Associated Disorders Com pulsory Third Party In suran ce Claim s Guide for the Man agem en t of Whiplash-Associated Disorders For copies, please contact the MAA on
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Track my Order
With the cool winter days coming close, the need for women to load their wardrobe with warm sweaters is important. We all know that without sweaters and jackets, winter season becomes quite unbearable and that's why you need to invest in the best quality ones to keep you warm and comfortable through the chilled season. Are you searching for branded sweaters for women online and have no clue on where to find them? Clicky Pakistan is a growing online marketplace that features the best quality branded sweaters for all women in Pakistan at affordable prices. From beautiful cashmere to woolen sweaters, Clicky.pk has a vibrant collection of sweaters for all women in Pakistan. No matter what occasion, we have a wide variety of styles and sizes for you.
This year, fall in love with winter all over again by buying bright colored sweaters with the latest styles. If you prefer to keep your style sophisticated and simple, you can buy cashmere sweaters from top brands like Oxford, Bonanza and Polkadots. You can find these in dark and light hues in all sizes and lengths. Some have printed and embroidered designs on them. At Clicky, we have top branded sweaters in all sizes and color of sweaters for ladies of all ages. Browse through our collection and new designs and keep yourself warm all through winter!
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You don't know how strong you are until strong is your only choice. You don't know how creative you are until creativity is your only choice. Up. Up. Up. We should all learn to look up instead of ahead. [Read more…]
Looking Up Instead of Ahead
May 21, 2013 by Karen Spears Zacharias 1 Comment
Filed Under: Uncategorized Tagged With: cancer, Community, creativity, death, destruction, dying, family, teenagers, Zach Sobeich 1 Comment


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|Message view
|« Date » · « Thread »
|« Date » · « Thread »
|"Ewert, Sven" <Sven.Ew...@satama.de>
|(yet another one) german umlauts & ajp12
|Wed, 19 Jun 2002 21:14:09 GMT
hi all, first: i have read all preview postings about this topic. so pleas dont reffer me to. its a known problem that tomcat (3.x) with ajp2 has trouble by displaying german /france /turkish / finish umlauts and spezial characters like ÖÄÜß ... i dont wanna make a mistake and say : its a general problem. no it isnt. lets take a deeper look. using HTML-FORMS the spezial characters will encoded by base64 and the server recives a respones in encoded form. that means when i post an 'müh' the encoded value is : 'm%FCh'. thats works fine with post and get. sure. i only take this deep breath and displaying this example for dummy, cause the encoding problem will take effect by urlrewriting spezial chars. that means : a href="/servlet/foo?value=müh">test</a will produce an : m?h as response. imageing what will happen when you use this type of interaction for example with an sql database: select m?h from ... funny isnt it. okay i think you will say : guy, use post or get instead of urlrewriting. sure. but imageing. there are some devices like mobilephones etc. which are not permit the possibilities of get/post. so in some kind urlreweriting is the only solution. is there any bugfix for this problem (that means not using ajp3) a third party bugfix or any other sulution would be fine. c you sven -- To unsubscribe, e-mail: <mailto:email@example.com> For additional commands, e-mail: <mailto:email@example.com>
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Kicking off another day on the job, Mila Kunis showed up on the set of "The Third Person" in Rome, Italy this morning (December 4).
The "Forgetting Sarah Marshall" starlet looked intense as she filmed scenes in a Roman subway station that was redecorated to resemble a NYC locale.
Working her magic on the set of "The Third Person," Olivia Wilde was spotted out in Rome, Italy this afternoon (October 18).
Joining co-star Moran Atias, the 28-year-old actress rocked a navy pencil skirt with a cap-sleeved top as she filmed scenes for her new project.


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GOTC 17 MMA 170lbs Amateur Title between (4-0) Cory Vail vs (4-4) Garrett Dush. Gladiators of the Cage making their debut in Butler, PA to raise money for the PA Hero Walk Foundation to help veterans watch video >>
TITLE BOUT between (4-0) Dalton Brady vs (4-0) Jason Alexander - Gladiators of the Cage (GOTC MMA 17) in Butler, PA June 6th, 2015. watch video >>
GOTC MMA 17 Fights (Gladiators of the Cage) FULL event from June 6th, 2015 Butler, PA. Main Event: Daniel Spohn vs. Lewis Rumsey. Co-Main Francis Healy vs. Mark DiMarcantonio watch video >>
Looking to grow & expand your brand further and get the exposure it deserves? Gladiators of the Cage (GOTC) Pittsburgh MMA has what's right for you and your business. Nationally or locally, we unders watch video >>
GOTC Pittsburgh MMA (Gladiators of the Cage)-An inside look at MMA through the pro/amateur fighters' eye. CEO Robert Joseph & Managing Partner/GM Scott Betten break down what mixed martial arts is an watch video >>
Gladiators of the Cage (GOTC) MMA returns August 22nd Syria Shriner's Complex minutes from downtown Pittsburgh in Cheswick, PA. Male & Female PRO/Amateur Fight Card for this ALL ages event. Doors ope watch video >>
Pro 135lbs MMA Fighters (2-0) Jason Alexander vs. (3-3) Brandon Seyler at Gladiators of the Cage (GOTC MMA 19) October 24th, 2015 here in Pittsburgh, PA. Thanks to Cut N Run Studios for great camera watch video >>
October 24th "Pittsburgh MMA Fight Night" Gladiators of the Cage (GOTC 19) at the Syria Shriner in Cheswick, PA, minutes from Pittsburgh. Main Event: 145lbs Featherweight Title Fight between Mark "th watch video >>
Epic Leap Entertainment brings you Gladiator's of the Cage MMA to Stage AE in Pittsburgh, PA, on July 20th. Gladiator's of the Cage is one of the fastest growing MMA promotions on the East Coast. Wat watch video >>
Pittsburgh Amateur MMA Fighters Andrew Sproul vs. Travis Layton at Gladiators of the Cage (GOTC MMA 19) October 24th, 2015 in Pittsburgh, PA. Thanks to Cut N' Run Studios for providing the stream LIV watch video >>


text: Thomas the Tank Engine Series 10 Vol.4 is a Japanese DVD featuring four episodes from the tenth season. Episodes Sticky Thomas Failure of Edward Thomas and Beautiful Scenery Rusty and Signs Gallery Back cover and spineAdd a photo to this gallery I've come to you, my friend, as I need some redesigning; to be a stub page is so confining. Can you give me the words I deserve? Retrieved from "http://ttte.wikia.com/wiki/Thomas_the_Tank_Engine_Series_10_Vol.4?oldid=1069374" Ad blocker interference detected! Wikia is a free-to-use site that makes money from advertising. We have a modified experience for viewers using ad blockers Wikia is not accessible if you've made further modifications. Remove the custom ad blocker rule(s) and the page will load as expected. Categories: Stubs DVDs Japanese VHS/DVD releases


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Handling your fear of medicines problem through hypnotherapy.
Hi, are you interested to know how to overcome your fear of medicines problem through hypnotherapy? Hi, I am Dr Maharaja SivaSubramanian N. I am a Master Hypnotist and Hypnotherapist. Take the survey. What is your #1 single biggest goal to achieve or problem/challenge to solve through Hypnosis/Hypnotism/Hypnotherapy? Click here. Do take in the survey.… Read More »


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Sandra Bruce Returns!
Material Matrix
This class is an introduction to the technique "Material Matrix", developed by Sandra Bruce and is inspired by the painter, Chuck Close
June 9 "Pincushion
June 10 New! "Wake Up Cup"
June 11 Sold out "Wake Up Cup"
Thanks for all of your support for our anniversary and Congratulations to Marcie A--who won the sewing machine!
What a perfect day….Grab a carload of friends and come to Sonoma. Enjoy the shop, have lunch and stroll around the historic Sonoma Plaza. Want to spend the day? Give us a call to be sure the classroom is free and we'd love to have you set up your mini group for a fun day of sewing. Make it your own special retreat! The use of the classroom is complementary.
Be sure to sign up while you're in the shop for our customer appreciation program. Purchase $140 of regularly priced bolt fabric and you receive a coupon for $10 off in the store. (The computer will track it for you—no card to carry) You may use your coupon for anything in the store, including classes.
Tell us what you'd like to see in the store at email@example.com I get many of my best ideas from my customers—you're always out there finding the hottest, coolest things. See you in the shop!


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Edit Article
wikiHow to Cancel PlayStation Plus
Four Methods:PlayStation 4PlayStation 3PlayStation Vita / PlayStation TVPC and Mobile DevicesCommunity Q&A
PlayStation Plus is an exclusive gaming membership that offers video games, discounts, and access to the PlayStation cloud network for a low monthly fee. To cancel your PlayStation Plus subscription, you must disable the Auto Renewal option for PlayStation Plus using your gaming console or computer.
PlayStation 4
1Power on your PS4 gaming console and select the user account subscribed to PlayStation Plus services.
2Select "Settings" from the main menu, then select "PSN."
3Select "Account Information," then select "Services List."
4Select "PlayStation Plus," then highlight the PlayStation Plus "subscription" option.
5Press the "X" button on your game controller to confirm that you want to "Cancel Automatic Renewal." Your PlayStation Plus subscription will now be cancelled.
PlayStation 3
1Power on your PS3 gaming console and select the user account subscribed to PlayStation Plus services.
2Select "PSN," then select "Account Management."
3Select "Transaction Management," then select "Services List."
4Select the PlayStation Plus "subscription" option, then press the "X" button on your controller to confirm that you want to "Cancel Automatic Renewal." Your PlayStation Plus subscription will now be cancelled.[1]
PlayStation Vita / PlayStation TV
PC and Mobile Devices
1Navigate to the Sony Entertainment Network (SEN) website at https://account.sonyentertainmentnetwork.com/login.action and sign in to your SEN account.
2Click on the "Account" tab, then click on "Wallet" in the left sidebar.
3Click on "Edit" under Wallet Settings, and select "No" next to "Automatically Add Funds to Renew Subscriptions."
4Click on "Save." The SEN site will display a message confirming that your PlayStation Plus account is now cancelled.
Community Q&A
How do I know if it is cancelled when the PS plus symbol is still beside my online ID?wikiHow ContributorIf you download one of the free PS Plus games of the month, click on information, and you will be able to see the amount of time left you can play it, this time is the length of your membership that remains.
Unanswered Questions
What is the contact phone number?
Ask a Question
200 characters leftSubmit
If this question (or a similar one) is answered twice in this section, please click here to let us know.
- Try cancelling your PlayStation Plus subscription more than 24 hours before your subscription is due to renew. If you cancel the subscription less than 24 hours before the renewal date, you will most likely be charged for the next subscription period.
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Categories: PlayStation
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Español: cancelar PlayStation Plus, Português: Cancelar o PlayStation Plus, Bahasa Indonesia: Membatalkan Langganan PlayStation Plus
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Question: Discuss several possible interfaces between marketing and logistics in terms
Discuss several possible interfaces between marketing and logistics in terms of product decisions.
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Answer to relevant QuestionsBriefly discuss the ownership, negotiations, financing, promotion, and logistics channel.Explain how an understanding of logistics management could be relevant to your favorite charitable organization.What is data mining? How might it be used in logistics?How can communication systems facilitate logistics management in the immediate aftermath of situations such as terrorist attacks and natural disasters?What are the key components of the Strategic Profit Model? How can it be used to examine the effect of logistics decisions?
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St James Episcopal School
Tel: (830)775-9911
- St. James Episcopal School honors its tradition of academic excellence.
- Since 1946 the school has recognized the need for a superior educational environment and has built a nationally recognized, award winning curriculum to provide such an education.
- The school motto "Via, Veritas, Vita" Way, Truth, Life provides the framework for an educational philosophy that emphasizes development of the whole person intellectual, spiritual and physical.
- The mission of St. James Episcopal School is to develop each child to his or her fullest potential, spiritually, intellectually and physically, that each may grow in grace, enjoy freedom through knowledge, and lead a healthy productive and meaningful life.
- St. James Episcopal School is accredited by the Southwestern Association of Episcopal Schools.
- Our accreditation is fully recognized by the Texas Education Association through its recognition of the Texas Private School Accreditation Commission.
School Overview
|School Membership(s)School Assoc.
|National Association of Episcopal Schools (NAES)
Other school association(s)
|Religious Affiliation
|Grades Offered
|Grades Prekindergarten-8
Student Body
|Total Students
|150 students
|Student Body Type
|% Students of Color
State avg.: 35%
|Students by Grade
Academics and Faculty
|Total Classroom Teachers
|13 teachers
|Student : Teacher Ratio
National avg.: 13:1
Related Schools
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People that viewed St James Episcopal School also viewed these schools: Sacred Heart Catholic School and The Bible Way Christian Academy.
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- School Location Miles Grades Students
Del RioGrades: PK-8 | 198 students
0.7 miles
209 E Greenwood St
Del Rio, TX 78840
Del RioGrades: PK-8 | 176 students
1.6 miles
409 E Cortinas St
Del Rio, TX 78840
School Reviews
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A table comparison of the three popular early childhood education approaches.
July 25, 2017
How do I know how this school compares with the others I am considering? Has anybody ranked private schools?
July 20, 2017


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Today, I attended a family gathering. My cousin's new baby was being passed around. By way of politely declining to hold it, I meant to say that I looked forward to getting to know it better once it could talk. What I blurted out instead was, "I can't wait until it resembles a human being." FML
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I agree, my mouse works.200 "I agree" votes is a good start.38%
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Today, I heard my sister gagging in her room. She was doing it quietly, and I got pretty concerned, after hearing a lot about bulimia recently. I knocked, then heard a gasp, so I let myself in, only to see her on her knees and her boyfriend with his underwear around his ankles. FML
Today, my husband's version of roleplaying was pretending that he actually wanted to have sex with me. FML
Today, I got a message from my brother on Facebook that read, "They're watching you." This wouldn't have been such a big deal if he hadn't been dead for two years. FML
Today, I had to remove a glass bottle, complete with an ineffective pullstring, from a patient's rectum. He claimed that he'd accidentally sat on it, and later threatened to sue me for every penny if I breathed a word of it to anyone. Oops, looks like I just did. FML


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Dr. John Andary MD Patient Reviews
- Orthopedic Surgery Idaho Falls, ID
Vitals cannot verify whether or not this professional is currently practicing. We recommend that you attempt to contact the provider to verify their status. Please email us at email@example.com if you have any additional information.
Overall Rating
Last 12 months:
▲ 5.0 (+ 1.3)
24 Patient Reviews
- Friendly Staff
- Promptness
- Wait Time 26.7 minutes
- Appropriate Followup
- Spends Time With Patients
- Bedside Manner
- Fair and Accurate Diagnosis
- Easy Appointments
Showing 1 - 12 reviews
1.0 of 5
November 13th, 2015
Dr. Andary is the go to physician if you need a really good doctor and excellent surgeon. I presented him with a very difficult situation (multiple areas that needed to be repaired). I am able to use my arm again. I never had to wait; I went into the office twice just to ask a couple of questions and he saw me, talked with me and gave me recommendations! Sure don't experience that very often.
3.7 of 5
September 4th, 2013
Good surgeon, not the best bedside manner.
Dr. Andary came highly recommended from a family member who has had multiple joint replacement surgeries with him. He seems very competent and knowledgeable, but his bedside manner is lacking. I had heard this from other people who have dealt with him and found it to be true in my experience as well. I personally wish he had spent a little more time diagnosing with questions and conversation about symptoms, pain, etc associated with my injury. I think he did a good job on my surgery, but I would have liked additional help and information about how to deal with collateral muscle, tendon, nerve damage and pain. After my surgery I heard him comment about me being a "big girl" to a nurse, and after my most recent follow up appointment, 4 weeks after surgery, he freaked out about my range of motion not being very good yet and accused me of not doing the exercises he told me to do. He didn't ask anything about my pain levels or why I wasn't able to achieve better extension, instead berated me to the point of tears about not doing my exercises--which I have been doing. Overall, he is probably a great surgeon, but don't expect a lot of time and concern on your behalf.
5.0 of 5
September 29th, 2011
My knee feels great! ThanksDr. Andary explained the problem, how he was going to fix it, and what to expect in recovery. It was like clockwork! Thanks again!
5.0 of 5
August 1st, 2011
Dr. Andary repaired my ACL, MCL, and Meniscus I have acheived full range of motion and on my way to a full recovery I would highly recommend Dr. Andary to anyone.
5.0 of 5
July 1st, 2011
Dr. Andary was very attentive and patient with my 5 year old who broke her leg. He made her feel at ease under very stressful circumstances. The office staff was very courteous and professional. I highly recommend Dr. Andary to anyone.
5.0 of 5
June 9th, 2011
Dr. Andary is the best shoulder and knee doctor in Idaho Falls. That's probably why his clinic is called Shoulder and Knee Center. He helped my friend after years of pain and instability in her knee. He fixed my son's broken arm. I would recommend him to anyone I know with an orthopedic problem. He spent quite a bit of time with me and I hate to admit that I probably made others in the waiting room late for their appointments. He is thorough and very knowledgeable.
1.0 of 5
February 10th, 2011
1 hour wait for a 3 minute meeting. Dr. seems less concerned about quality of care and more concerned with number of appointments scheduled in one day. Seek second opinion.
2.3 of 5
March 7th, 2010
5.0 of 5
October 14th, 2009
Dr. Andary was able to diagnose my shoulder perfectly. Even though the MRI came back with slight abnormalities that didn't require surgery, he thought there was an underlying problem not showing up. I opted to have surgery based on his recommendation and he was right. He was able to fix a complex problem athroscopically and gave me the use of my arm back. I owe him so much for the happiness he gave back to me. He explained things in a way both my husband and I could understand and followed me through till I was completly healed. I would not see anyone but Dr. Andary for any shoulder or knee problems
5.0 of 5
June 5th, 2017
5.0 of 5
January 18th, 2017
1.0 of 5
June 3rd, 2016
Health Guides
Dupuytren's Contracture
Dupuytren's contracture is a thickening of the tissue beneath the skin of the palm of your hand
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Dr. John Andary, MD is similar to these 3 Doctors near Idaho Falls, ID.
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Trained as a fine artist at Helsinki's world-renowned Aalto School of Art, Reeta Ek brings the aesthetic and imagination of fine art to interior design. In English Rose, layered brushstrokes interact, creating a work of depth, intrigue and dramatic, raw emotion.
English Rose is offered in five colors of Midnight, Green, Forest, Blue and Cream.
• Each roll is 19.6" wide x 11 yards long
• Repeat: 66.9", half drop
Additional Notes
• Printed to order, 2-3 week lead time.
• Easy-to-hang 150g non-woven wallcovering.
• Made in Europe
Color Description
Copper illustration on green background
Additional Info
Read more about the artist, FEATHR, here.


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May 5, 2017 This A- list mostly television actress from a long running hit network show is probably not going to have the healthiest of relationships if she feels like her significant other of over… Read More
May 3, 2017 This former stripper turned celebrity turned part-time reality star turned celebrity turned full time reality star turned to nothing spent this weekend with a guy willing to pay her $10K for sex…. Read More
May 2, 2017 Met Gala This B+ lister who has A+ list name recognition freaked out because her hair stylist had the flu. Our actress, who is neither a very good actress or director needed… Read More
May 1, 2017 This former A- list rapper had a decent career before she went to prison. Now she is such an addict, that she doesn't care about anything else but getting high. She would… Read More
July 19, 2017 This former B- list reality star from one of those VH-1 shows you only watch when you are home sick all day is supposedly engaged to an A-/B+ list pro athlete. Last… Read More
July 19, 2017 It is prescription pill heaven right now for this C list reality star/part-time porn star who has been around forever but is still just a year over the drinking age. She is… Read More
July 19, 2017 This current network reality star who is on her second of two seasons with the franchise bought dinner for a couple celebrating their anniversary this week at a restaurant. Rachel Lindsay


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Mission Improvable: Time Capsule
Multiple Dates
As part of her farewell show from UMass Amherst's premier improv team, Mission:IMPROVable, Natalie "Hollywood" Baseman (Maxitor, The Dowry) created a time capsule with the audience to be opened five years later. This is the unavailing.
Part reunion, part time travel. Join ImprovBoston cast members Natalie "Hollywood" Baseman, Pat "The Emperor" Parhiala, Misch "Tornado" Whitaker, Shannon "Diesel" Connolly along with other rock star alumni of UMass Amherst's Mission:IMPROVable for a improv show straight out of Herter 231 (that's a UMass lecture hall). After a throwback Mission:IMPROVable show (whistles and music included), Natalie will open the time capsule she built with the audience at her farewell show in May 2008. What's inside could only be described as embarrassing, emotional, and hilarious.
ImprovBoston has been New England's leading comedy theater and school for over 30 years. Voted "Best of Boston" by The Phoenix, The Improper Bostonian, and The Weekly Dig, ImprovBoston's alum roster includes Emmy Award winning comedians, and acclaimed actors, producers, directors, musicians and writers. You can see our alumni on Last Week Tonight with John Oliver, Conan, The Daily Show and Last Comic Standing, to name a few.
In order to purchase these tickets in installments, you'll need an Eventbrite account. Log in or sign up for a free account to continue.


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The ingredients for the Cheesy Mashed Potato Bake:
Start by peeling and dicing your russet potatoes. I dice them into about 1 inch pieces.
Saute slowly until golden brown. Remove them from the pan, set them aside.
Drain your potatoes and put them back in the pan. Add butter, salt, black pepper, garlic powder, milk and sour cream. Mash those taters until they are fluffy and the seasoning in combined. (They are a little thick, you want them to be)
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Then place 1/4 of your roast beef onto the sheet.
Fold the ends up and bring the corners in.
Place the French Dips and the Cheesy Mashed Potato Bake into your 375 degree oven for 13 minutes or until the French Dips are golden brown and delicious! I cut the potatoes into 4 squares and then serve with a little sour cream on top.


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This is the records summary for Feb. 8.
WILLMAR -- A 26-year-old Willmar woman was arrested on charges of driving while impaired around 12:30 a.m. Monday along the 1800 block of 13th Street Southeast.
WILLMAR -- A 21-year-old Willmar man was arrested on charges of domestic assault around 8:30 a.m. Sunday along the 3000 block of Third Avenue Northwest.
Property damage
PENNOCK -- Damage to a door was reported around 6:30 p.m. Sunday along Charlene Avenue Northwest.
Teen to
hospital after parking lot crash
WILLMAR -- A 17-year-old Grove City teen was taken to Rice Memorial Hospital by ambulance after a two-vehicle crash around 4:50 p.m. Friday along the 1600 block of East Highway 12.
According to the crash report, Laura Krouth was driving a 2002 Chevy Cavalier westbound through the parking lot of Appletree Square and collided with a 2005 Ford pickup driven by Adrian Stuhr, 42, of Olivia. Krouth was experiencing pain in her left shoulder.
District Court
Kandiyohi County
- Wilber Ernesto Cerritos Molina, 31, of Willmar, made his first appearance Monday on a fourth-degree criminal sexual conduct charge.
Unconditional bail was set at $50,000 with conditional bail at $10,000. His next appearance is Feb. 22.
According to the complaint, on Oct. 6 a 52-year-old woman reported she'd been sexually assaulted at a friend's residence. The woman said she'd fallen asleep and woke up to find a man, later identified as Molina, who is also known as Axvier Edgardo Nieves Flores, touching her vagina.
The woman picked Molina out of a photo lineup and gave police vehicle information that led to a traffic stop of his pickup. While he was being booked into jail for driving without a driver's license, officers discovered that the Bureau of Immigration and Customs Enforcement had a hold on him for entering the country illegally.
- Nathan Wade Albrecht, 33, of Willmar, made his first appearance Monday on a felony charge of malicious punishment of a child.
Unconditional bail was set at $20,000 with conditional bail at $5,000. His next appearance is Feb. 22.
According to the complaint, Willmar Police were called around 5:30 p.m. Friday to a home in the southwest quadrant of the city. A woman there reported that she and Albrecht had had an argument and that he'd grabbed the arm of a child, age 3, and twisted it. The child screamed and the woman attempted to leave with the children. The woman reported that Albrecht had attempted to prevent her from dressing the child to leave and had pushed her while she was holding the child.
The child told the officer that Albrecht had hurt his arm and showed the officer the twisting motion Albrecht allegedly used. The woman sought medical attention for the child and the medical personnel noted the child had bruising on the arm.
- Shane Mitchell Broten. 40, of Willmar, made his first appearance Monday on a felony charge of domestic assault for pushing a woman early Saturday morning.
Unconditional bail was set at $25,000 with conditional bail at $10,000. His next appearance is Feb. 22.
Broten also faces misdemeanor charges of driving while impaired and open bottle.
According to the complaint, Willmar Police were called to a home in Regency Estates East around 3:20 a.m. Saturday. A woman reported that Broten had pushed her and caused an injury to her back. She said that he was drunk and driving her car and that she asked him to stop at a home, where she attempted to get the keys away from him. She then attempted to go to the door of a home to get help. She said he pushed her into the railing of a deck, causing a bleeding cut on her back. A witness had observed the incident.
An officer located Broten about 100 yards from the home and, as the officer approached, Broten allegedly attempted to cover himself with snow. He denied driving or assaulting the woman. He was arrested and submitted to a breath test, which showed a blood alcohol content of 0.10.
His criminal history includes a domestic assault conviction from 2002. He also pleaded guilty on Jan. 31 to a gross misdemeanor domestic assault charge, with sentencing set for March 9.
- Jane Margaret Wagner, 42, of Willmar, made her first appearance Thursday on a felony theft charge for allegedly stealing $1,375 in lottery tickets from a Willmar business.
She was released on her personal recognizance. Her next appearance is Feb. 14.
According to the complaint, a sheriff's deputy was called on Nov. 17 to Sunray Express regarding the theft of lottery tickets by an employee. Two people reported that someone had stolen two packs of lottery tickets. The tickets had been activated, which is required for them to be sold, around 5 a.m. Oct. 21, with a winning ticket redeemed at 5:10 a.m. that day. Wagner was suspected because she was working at Sunray that morning. However, a customer could not have redeemed the ticket because the station doesn't open until 5:30 a.m.
On Dec. 10, investigators received information that winning, stolen tickets had been redeemed at Case Wise Foods in Willmar on Oct. 22 and 23. The person identified in store video footage said he got the tickets from Wagner, who had denied any involvement in lottery ticket theft. The man said that she gave him 4 to 5 winning tickets to cash at a time, with a total of 23 tickets cashed at Willmar, Pipestone and Granite Falls businesses.
Wagner was interviewed and allegedly admitted to taking the lottery tickets.
- Justin Ryan Fernelius, 32, of Willmar, made his first appearance Thursday on a felony charge of malicious punishment of a child for allegedly hitting a 2-year-old child and causing the child to have a bloody nose.
Unconditional bail was set at $20,000 with conditional release allowed on his personal recognizance. His next appearance is March 10.
Fernelius also faces a gross misdemeanor charge of interfering with a 911 call and a misdemeanor for domestic assault.
According to the complaint, a Willmar Police officer was called to a home in the northwest quadrant on Jan. 19. A woman, who has a long-term relationship and four children with Fernelius, reported that Fernelius was taking the child to bed the night before and that she heard the child say "no hit" and then the child being struck and crying. She said the child had a bloody nose. She also said that she told Fernelius that she was going to call law enforcement and that he took her phone away and took the battery out of the phone.
Fernelius was interviewed and said that the child had kicked him in the testicles. He later said that he spanked the child, but denied hitting him, that the child may have gotten hit in the nose when he was having a tantrum. He said he told the woman that he spanking the child because he'd gotten out of bed twice that evening.


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I am a beautiful African flower and I am extremely soft. I love the sensuality and the merged relations.
A body of pure femininity sensual and evocative curves, black eyes under passionate. a greedy mouth, and with expert hands.
I am a follower of love, humor and courtesy. I can behave as your wife, your mistress, full of charm, or as your girlfriend.
Attentive to all your desires I'll bring you to the limits of pleasure in my universe
We first define a rogue script and without taboos.
I expect you to enjoy even more fun
I have no taboos and I am open to offers
It is with joy that I bring you my presence for rogue wishes relaxing moments that will bring you delicious moment of ecstasy.
I do not answer hidden calls or sms i can also do outcalls and I receive.
|Orientation sexuelle
|Pays d'origine


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Forecasters tracking the hurricane's likely path predicted Isabel will barrel into the Outer Banks of North Carolina by about noon ET Thursday.
High wind and heavy rains would follow the storm north. Isabel, which had weakened from a weekend high of steady 160 mph winds, was still potent at 105 mph Tuesday, making it a Category 2 storm status on a rising scale of 1 to 5.
It's winds could gain a little speed before it hits, the National Hurricane Center said.
At 11 p.m. ET Wednesday, Isabel was centered about 250 miles south-southeast of Cape Hatteras, N.C., and moving toward the north-northwest at 13 mph. The Hurricane Center says it's expected to turn to the northwest and speed up before hitting land Thursday.
While Isabel has lost power since it was far out over the Atlantic Ocean, it remains a big storm with hurricane force — 74 mph or stronger — winds extending about 115 miles northeast from the center, and 70 miles to the southwest. It's tropical storm force winds — at least 39 mph — extend a little over 300 miles to the northeast and 170 miles to the southwest.
Isabel is unlikely to shrink much in size before it hits, which means tropical storm winds could hit the coast from southern New Jersey all of the way south to around the North Carolina-South Carolina border.
The National Weather Service said rain likely will cause massive flooding in several states especially Delaware, Pennsylvania and West Virginia — already saturated by a wet spring and summer.
The Weather Service warned of potential trouble in the Potomac, Susquehanna and Delaware river basins as well as smaller streams in New Jersey, Delaware and parts of Maryland, Virginia and North Carolina. Washington, D.C., planned to shut down its metro and bus system for part of Thursday.
Federal Census officials estimated the storm could affect 50 million people in 13 states. But with Isabel aimed directly at North Carolina first, more than 230,000 people have been urged to evacuate here and in parts of Virginia.
Traffic was smooth but slow as many residents heeded the advice and streamed inland, leaving boarded-up homes and businesses behind.
But a number planned to ride out the storm. In Elizabeth City, on the Albemarle Sound inside the Outer Banks, residents along the Elizabeth River sought higher ground at local motels and inns.
"This house has been here 106 years so I feel pretty safe," said Nancy Howell, owner of Elizabeth City Bed & Breakfast. "Besides that, it's a little bit exciting. It's kind of a public service and a pajama party."
She delivered buckets and emergency kits to each room, and planned to put up friends in her own bedrooms while sleeping on the sofa herself. Rising winds Wednesday pulled branches from a pecan tree. City crews quickly scooped them up.
Up the coast in Virginia Beach, the evacuation order for low-lying areas was the first such call in local residents' memory. The chief concern in that resort city is a strong storm surge as Isabel strikes.
When Isabel's center moves ashore in North Carolina, fierce wind and rain on swirling out from the storm's northeastern edge would bear down directly on the Virginia coastline.
The Outer Banks got its first taste of Isabel Wednesday afternoon, as heavy rains replaced sunshine and balmy sea breezes that had left some residents crossing their fingers.
"Hope-ing Izzy is a fizzy" was spray-painted across the plywood on a boarded-up T-shirt shop on Atlantic Avenue, the main beachfront boulevard in the popular resort.
Shopkeepers tied down beach furniture, awnings and anything else that could blow away. At a sidewalk café, workers even took down outdoor ceiling fans.
Leinwand reported from Elizabeth City; Parker reported from Virginia Beach. Contributing: Patrick O'Driscoll, Carl Pisano and Jack Williams


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Mark Wahlberg Talks 'Ted 2′; Dwayne Johnson's 'Hercules' Set for August Release
On Thursday, Mark Wahlberg made Ted fans very happy. While promoting his new film, Broken City, the actor gave an update on the sequel to his hit 2012 comedy. Oscar host and Ted director Seth MacFarlane is currently writing the script for Ted 2, Wahlberg has signed his deal to reprise his role and the actor will next be seen presenting an award at this… More »


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GraphicRiver 10 Long Triangles Backgrounds 9516774
Stock Graphic \ Backgrounds \ Abstract
Colors \ Backgrounds \ Products \ Interesting \ Dimensions \ Please
Stock Graphic - 10 Long Triangles Backgrounds 9516774 by groovydes @ GraphicRiver
Stock Graphic \ Backgrounds \ Abstract
Set of backgrounds designed in an interesting mix of colors. Looks great for any products.
Pixel Dimensions: 3000 × 4000 (300 dpi)
Please rate, if you like!
High Resolution: Yes; Layered: No; Graphics Files Included: JPG Image; Pixel Dimensions: 3000x4000.
99 Abstract Backgrounds Bundle; 10 Round Triangular Backgrounds; 17 Cubic Backgrounds; 12 Zigzag Backgrounds; 10 Abstract Polygonal Backgrounds; 10 Spiral Backgrounds; Space Polygon Background.
Keywords: abstract, background, backgrounds, bg, clean, color, colorful, colors, geometric, graphics, hi-res, long, minimal, patterns, poly, polygon, polygonal, print, shape, shapes, triangle, triangles, triangular, wallpaper.


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4 December 2009,
New York
Price realised USD 1,062
[THACKERAY, William Makepeace]. The Second Funeral of Napoleon, in three Letters, to Miss Smith, of London, and the Chronicle of the Drum by M.A. Titmarsh. London: Hugh Cunningham, 1841.
16o (139 x 118 mm). One leaf of advertisements at end. 4 engraved plates. Original gray pictorial printed wrappers (front hinge cracked, some minor soiling); red morocco folding case. Provenance: Cortlandt Bishop (bookplate; his sale, Anderson Galleries New York, 15 November 1938, lot 2228).
FIRST EDITION of Thackeray's account of the circumstances surrounding Napoleon's Parisian funeral. Although the work seemed to have been well-received by the press, it was not a popular success. Van Duzer 193.
[With:] [THACKERAY]. TAYLOR, Theodore. Thackeray. The Humorist and the Man of Letters. London: John Camden Hotten, 1864. 2 volumes, 8o. EXTRA-ILLUSTRATED with numerous portraits and scenes (some inlaid to size). Cosway-style binding of full blue morocco gilt, spines in six compartments, gilt-lettered in two, others gilt-decorated, gilt edges, front morocco doublure in volume one with inset oval portrait miniature of Thackeray, other doublures of brown morocco, silk endpapers by Sangorski & Sutcliffe (very light wear at spine ends); cloth slipcase. A FINE SET. (2)
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Rebecca Starr
Bidders from 65 countries take part in the 11 sales, with Guardi's Venice: The Rialto Bridge setting the highest auc..
Mark Wiltshire, Associate Specialist in Science & Books, walks us through the history of Christianity's most influent..
Books and Manuscripts specialist Sven Becker advises on a richly rewarding and ever-evolving collectors' market
An expert guide to one of the most important events in the art-world calendar, and an index of in-depth features on Venice
Leaving behind Dubai's high-rise heart, Andrew Graham-Dixon goes in search of its low-slung soul


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Stereo Hearts: Teen Wolf Challenge
By StarFireWicked
Let me just say, TenWolf is one of my very guilty pleasures and I could never pull off writing a fanfiction for it. So I'm appealing to the dedicated, talented few to uptake the challenge: A Teen Wolf...SONGFICTION!
Song: Stereo Hearts~Gym Class Heroes featuring Adam Levine
Ships: Stiles+Derek, Danny+Stiles, Stiles+Derek and Stiles+Danny, Chris A.+Peter H., and/or Jackson+Danny
Genre: Romance, Angst, Humour, Hurt/Comfort, Supernatural, Horror, Tragedy, or any desired combination of the aforementioned.
Language:English, I beg, but if you"re going to write in foreign language GOOGLE TRANSLATE IT AND POST AGAIN IN ENGLISH!
Rating: any rating from K-T but if it's going to be M, do try and keep the lemon to a minimum.
Reminders:Do remember to include your word count, chapters, and disclaimers, and if you decide to compete in the challenge, review that you will and your story specifics as soon as inhumanly possible or PM if you'd prefer. Thank you so much for bothering to even click on this 'story' and advance thanks to anyone who will take up arms and join the Stereo Hearts challenge!
Stand out entries will recieve plugs on my FanFiction, LiveJournal, FanPop, and every other appropriate domain including my spot on this new site still in its beta testing session, Archive of Our Own. My screennames are respectively as follows: StarFireWicked{obviously}, TheFameWhore, Dr_Torchwood, and JezebelLilithCaine.
Happy Fanfiction!