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Epidemiology and impact of a multifaceted approach in controlling central venous catheter associated blood stream infections outside the intensive care unit
Bacterial and fungal diseases
Outside ICUs, CVC-ABSIs epidemiology and the results of strategies for their prevention are not well known. The aim of this study was to investigate the epidemiology and the impact of a multifaceted "bundle" approach in controlling CVC-ABSIs outside ICU.
From 1991 we performed prevalence studies of device and parenteral nutrition use, and prospective surveillance of all episodes of CVC-ABSIs in a 350-bed teaching hospital. CVC-ABSIs incidence/1,000 inpatient-days was calculated. An estimated CVC-ABSIs incidence/1,000 catheter-days was calculated based on the prevalence rates of catheter use and the total number of inpatient-days in each year. On november 2008, an education programme was instituted for care of catheter lines: reinforcing instructions in aseptic insertion technique, after care and hand-washing; in order to assess the adherence to these measures the quantity of alcohol-based hand-rub consumption/1,000 patient-days was quoted in litres. From January 2009, a checklist intervention for CVC insertion in ICU was started: hand hygiene, using full barrier precautions, cleaning the skin with alcoholic chlorhexidine, avoiding femoral access and removing unnecessary catheters. Compliance with the central line insertion checklist was measured by real-time audits and was achieved in 80% of cases.
Prevalence of use of CVC and parenteral nutrition was similar throughout the study. We followed-up 309 CVC-ABSIs cases. Estimated CVC-ABSIs rate progressively increased to 15.1/1,000 catheter-days in 2008 (0.36/1,000 inpatient-days). After the intervention, the alcohol-based hand-rub consumption increased slightly and estimated CVC-ABSIs rate fell to 10.1 /1,000 catheter-days in last three years (0.19/1,000 inpatient-days), showing a 32.9% decrease. The infection rates achieved were lower in Internal Medicine wards: decreased from 14.1/1,000 catheter-days (0.17/patient-days) in 2008 to 5.2/1,000 catheter-days (0.05/1,000 inpatient-days) in last three years, showing a 63.1% decrease. In 2009, the estimated CVC-ABSIs incidence rate was significantly lower in the Internal Medicine ward compared to the Surgery ward: rate ratio (RR) = 0.14, 95%CI: 0.03-0.60), and within the Internal Medicine ward, the estimated CVC-ABSIs incidence rate was significantly lower in 2009 compared to 2008 (RR = 0.20, 95%CI: 0.04-0.91).
The rate of CVC-ABSIs increased outside-ICU, and the implementation of multifaceted infection control programme decreased their clinical impact.
Catheter-associated bloodstream infections are among the most frequent healthcare-associated infections and have been associated with higher cost, crude mortality rates, and number of inpatient days.
The true incidence of catheter-associated bloodstream infections is not known and resulting mortality is not clear
A complete description of prevention practices is available
To date, most prevention efforts have focused on ICUs basically due to better nurse and physician to patient staffing ratios and the higher risk populations. The validity of these results outside of ICUs is not well known. Types and use of vascular catheters, site and duration of catheterization, average patient stay, amount of antibiotic treatment given, and after care, appear to vary between ICUs and general wards, as well as unjustified use and inadequate dressing of catheters that might be more common outside ICUs
For non-ICU patients, catheters are used in a smaller percentage of cases and the device utilisation ratio is lower than for ICU patients. However, 87.5% of inpatient-days occurred in an outside-ICU setting and the absolute number of catheters used was higher for non-ICU than for ICU patients. Therefore the total burden of catheter use might be higher outside ICUs and in 2009 there were an estimated 23,000 catheter-associated bloodstream infections in the United States in outside-ICU inpatient care
Given the low infection rates that have been achieved in ICUs when recommended prevention methods have been instituted, a better understanding of the relative effectiveness and wider applicability of CVC-ABSI prevention interventions is required
The aim of this study was to investigate the epidemiology and the impact of a multifaceted "bundle" approach in controlling CVC-ABSIs outside ICU.
The study was conduced in a 350-bed teaching hospital from 1991 to 2011 with the approval of ethics committee of Hospital A. Marcide. Throughout the time of the study the number of hospital beds was similar, with some redistribution when new hospitalisation units were opened, the number of hospital admissions increased slightly (mean 11,078 admissions per year), the mean length of hospital stay decreased from 10.3 days in 1991 to 8.74 days in 2011 and the inpatient-days per year did not change significantly. The number of admissions and inpatient-days were lower during July-September months.
Patient samples were taken as part of standard care. The hospital provides healthcare for an area with 215,000 inhabitants and has one ICU with 10 beds. An Oncology ward was opened in July 2006, in March 2008 a Nephrology ward with a programme of haemodialysis for acute patients was started, and dispensers for alcohol-based handrubs were installed in every room. In our hospital we do not have a dedicated infection control nurse.
Study design and current practices
From 1991 hospital preventionist staff performed two or three 1-day prevalence studies per year for all beds of the hospital, during the months of March, May, and October, in 1993 another prevalence study was performed in July. According to a protocol, the following data were collected: date, sex, age, admission ward, inpatient days, type of intravascular device (peripheral or central), parenteral nutrition, surgical operation and severity of underlying diseases (McCabe and Jackson classification)
In addition, from 1991 a single medical infectious diseases specialist performed prospective active surveillance of all episodes of bloodstream infections and performed an assessment of patients to determine the place of acquisition and origin of bacteremia. The bacteremias caused by an intravascular catheter associated infection were selected for the study. For each episode of bacteremia, we collected the following data: date, admission ward, sex, age, type of intravascular device (peripheral or central), parenteral nutrition, surgical operation, bacteria or fungi, severity of underlying diseases and clinical progress.
Nosocomial bacteremia and CVC-ABSIs were defined using the Centre for Disease Control criteria
The identification of blood isolates was performed according to Clinical Laboratory Standard International. Procurement of blood cultures and intravascular tip cultures was determined, as clinically indicated, by the primary medical team. Patients were eligible to have more than one infectious event if the episode was determined to be unrelated to the previous episode.
A CVC-ABSI was considered to be related to a specific ward if it was detected at least 48 hours after admission to or less than 48 hours after discharge from the unit. CVCs are defined as intravenous catheters that end at or near the heart, or in a great vessel close to the heart (eg, subclavian vein, internal jugular vein, femoral vein). Peripherally inserted catheters that enter the superior vena cava and totally implanted catheters (Port-a-Cath) are also considered CVCs. CVC-ABSIs attributable mortality was considered when the patient died within 7 days of catheter-associated bloodstream infection and there was no other clear explanation for the outcome.
Catheter placement and care
Throughout the time of the study CVCs were placed in the subclavian and jugular vein in descending order of frequency. Aqueous povidone-iodine solution was used as a skin antiseptic for CVCs inserted by physicians outside ICU and for all catheters after care performed by ward nurses outside ICU. Catheter care in ICU was performed with alcoholic chlorhexidine solution. Chlorhexidine-impregnated sponge dressings, tunnelled or impregnated catheters were not used.
In 1996 a hospital infection prevention and control guide was prepared and distributed to ward supervisors to present its content to nursing and medical staff. CVC-ABSIs increased in the period to 2008, with a relatively large rise between 2006 to 2008, and in November 2008 an enhanced, multifaceted catheter-associated bloodstream infection control programme was instituted:
1. Course on nosocomial infection prevention and control was given to nursing and medical staff, with voluntary attendance of 30 people; prevention measures on aseptic insertion technique of catheter line and after care, changing gauze dressing every 72–96 hours or more frequently if the dressing was wet, loose or when redness was observed at the site, hand washing and appropriate use of gloves were reinforced. In order to assess the adherence to these measures the quantity of alcohol-based hand-rub consumption was quoted in litres per 1,000 patient-days.
2. From January 2009, a hospital protocol for parenteral nutrition treatment was implemented, introducing the need to provide parenteral nutrition through central line catheters with special supervision.
3. From January 2009 to december 2011 a national program called "bacteremia zero" was followed in the ICU-service with the implementation of 5 measures relating to the insertion and maintenance of CVCs and using a checklist for the insertion
4. The educational programme and protocol for parenteral nutrition were also displayed on the hospital intranet from the beginning of 2009.
No other infection-reducing interventions were initiated during the study period.
Outcome measures
To assess the efficacy of our interventions, we recorded (before and after the intervention) the epidemiology and clinical features of CVC-ABSIs in non-ICU inpatients. CVC-ABSIs incidence/1,000 inpatient-days was calculated. CVC-ABSIs incidence/1,000 catheter-days for each unit-year was estimated based on data of the prevalence of catheter use and the total number of patient-days in each year (obtained from administrative data). Data from prevalence studies were used to calculate a sample device utilization ratio (the number of line days divided by the number of patient-days in the sample). The sample device utilization ratio was multiplied by the total number of inpatients-days per unit-year to yield the estimated line-days
Statistical analyses
The results were analysed using the commercially available SPSS software, version 14.0. A descriptive and comparative study of the variables was performed. Continuous variables were analysed using Student's t-test and categorical data were analysed using the chi-square or Fisher's exact test, as appropriate. Associations between the variables were expressed as unadjusted odds ratios (ORs) and 95% confidence interval (CIs). The chi-square for trend was used to compare evolution of proportions. CVC-ABSI rate with a 95% confident interval was calculated as Poisson event rates, and compared by testing for homogeneity of rates. Statistical significance was set at 2-sided p < 0.05.
Prevalence studies
In the prevalence studies, 10,114 patients were surveyed, 9,899 (97.9%) were non-ICU inpatients. Over time the mean age of patients and severity of the underlying rapidly fatal illness increased. In this way, out of 9,899 non-ICU inpatients: 1,968 patients were surveyed between 1991and 1995: mean age 56.6 ± 20.6 years and underlying rapidly fatal illness 8.1%; 1,995 patients were surveyed between 1996 and 2000: mean age 58.3 ± 19.8 years and underlying rapidly fatal illness 9.3%; 2,512 patients were surveyed between 2001 and 2005: mean age 61.5 ± 19.1 years and underlying rapidly fatal illness 7.3%; and 3,424 patients were surveyed in last 6 years: mean age 63.1± 19.6 years and underlying rapidly fatal illness 13.7%. The use of CVC was associated with underlying rapidly fatal illness compared to ultimately and non fatal illness (OR 3.3, 95%CI: 2.4-4.6, p<0.001) and with higher mean age of patients (72.3 ± 15.3 vs 59.3± 19.8 years, p<0.001).
Female gender prevalence, prevalence of surgical operation, prevalence of CVC use and parenteral nutrition utilisation were not modified over time.
The estimated number of catheter-days retrieved from the prevalence studies varied significantly over time, ranged from 969 in 1991 up to 2,587 in 2008 and then fell until 1,285 catheter-days in 2011, p<0.05. These fluctuations were related to changes in the number of admissions, surgical activity and temporary reduction in the number of beds due to restructuring works of some hospital wards.
In the summer of 1993, prevalence of CVC use and parenteral nutrition utilisation were similar to the rest of that year (in summer, prevalence use of CVC 3,1% vs 2.3%; parenteral nutrition use: 2.3% vs 1.5%, no significant difference).
Bacteremia surveillance
The number of blood cultures performed/1,000 inpatient-days increased from 13.8 in the year 1998 to 29.2 in 2011 (administrative data about the total number of blood cultures performed during previous years are not available).
One thousand three hundred and eighteen cases of nosocomial bloodstream infections were followed, 607 (46%) of them were catheter line-ABSIs. Among the 607 episodes, 530 (87.3%) were in non-ICU patients and of 530, 309 (58.3%) were CVC-ABSIs, in 260 patients. Two hundred and twenty-four had one episode of CVC-ABSI and 36 patients had more than one episode: 25 two episodes, 9 three episodes and 2 four episodes.
Microbiological Characteristics: 251 (90%) of the 279 cases of monomicrobial CVC-ABSIs were caused by gram-positive bacteria: 210 isolates (75.3%) were coagulase-negative staphylococci, 32 (11.5%) were
The distribution of 309 CVC-ABSIs by admission ward was: General Surgery 182, Internal Medicine 63, Haematology 23, Urology 20, Nephrology 8, others 13.
CVCs were inserted by anaesthetists, surgeons, ICU physicians, internists and nephrologists in 55.3%, 20.7%, 19.1%, 2.6% and 2.3% of cases, respectively, and were placed in subclavian (73.6%), jugular (22.9%) and femoral veins (2.6%). Thirty one (10%) of CVC-ABSIs were from totally implanted ports.
Among 309 cases of CVC-ABSIs, 117 (37.9%) were females and the mean age of the patients was 60.6 ± 15.4 years (rank 16–90). CVC-ABSIs were associated with parenteral nutrition in 237 (76.7%) cases, surgical intervention in 170 (55%), cancer in 152 (49.2%) and diabetes mellitus in 59 (19.1%). Among 309, 56 (18.1%) cases had underlying rapidly fatal illness and 14 cases died due to a bacteremia episode. CVC-ABSIs attributable mortality was related to diabetes mellitus (42.9%; OR: 3.4, 95%CI: 1.14-10.3) and to infection by
The distribution per months showed higher incidence during July-September (0.25/1,000 inpatient-days) than in the rest of the year (0.17/1,000 inpatient-days), and the increase in the number of cases in summer was evident throughout all the years of the study. CVC-ABSIs attributable mortality was higher during the summer months (8.4% vs 2.8%; OR: 3.2, 95%CI: 1.1-9.46), p<0.05.
Outcome of bundles
Estimated CVC-ABSIs rate progressively increased to a maximum of 15.1/1,000 catheter-days (0.36/1,000 inpatient-days) (Figure
Figure 1
Evolution of CVC-ABSIs rate outside-ICU, years 1991–2011
Evolution of CVC-ABSIs rate outside-ICU, years 1991–2011.
From 2008 to 2009–2011, the CVC device utilization ratio (0.39 in 2008 vs 0.14 in 2011, p<0.001) and estimated number of catheter-days per year decreased and the rate of alcohol-based handrub consumption increased slightly (no statistically significant). There was no significant difference between the years in number of line days (10±4.4 days in 2008 vs 12.3±8.2 in 2011) and in other variables analysed.
Our results indicate that CVC-ABSIs rates are increasing and more than 85% of CVC-ABSIs occur in the non-ICU setting, accounting for 33% of largely preventable CVC-ABSIs with the implementation of a multifaceted infection control programme. The decrease achieved in CVC-ABSIs rates in the first year of the intervention was higher and significant in medical wards, adjusted per catheter and per patient-days.
The prevention and control of CVC-ABSIs has rarely been investigated outside the ICU setting, and to our knowledge, there is only one study conducted at two small community hospitals demonstrating 57% CVC infection rate reduction in non-ICU CVC-ABSIs, with the use of antibiotic impregnated catheters for some patients
The results in non-ICU floors were lower than 65%-70% decrease for ICUs. However, the results are not comparable because of differing patient characteristics and nurse and physician to patient staffing ratios
In our study, the outside-ICU estimated CVC-ABSIs/1,000 catheter-days incidence is higher than 1–2.9/1,000 catheter-days of laboratory-confirmed central line associated bacteremia rates from data reported by hospitals participating in the National Healthcare Safety Network (NHSN) between January and December 2009
The strengths of our study are that surveillance was performed by staff with formal infection control training and who have years experience working in infection control
CVC-ABSIs were associated with parenteral nutrition use and CVC-ABSIs rate was higher in surgical rather than medical wards. CVC and parenteral nutrition use was similar over time, but was greater in surgical wards and this could explain the difference in rate between admission wards
Another issue that could have contributed to different results is the difference in staff training and their motivation to participate in the prevention and control programme
We are unable to determine whether specific interventions led to the observed decrease in CVC-ABSIs rates because several measures were started simultaneously. Although a standard control group for comparison purposes was not feasible, the fact that a progressive and largely consistent increase in CVC-ABSIs rates from 1991 to 2008 and a decrease in CVC-ABSIs rates was observed for three years after starting the intervention programme, could support a cause and effect relationship between the beginning of a programme called "bacteremia zero" and a decrease in outside ICU CVC-ABSIs rates in Internal Medicine wards. The effects of this intervention and the increase in CVC-ABSIs rates during summertime reinforce the importance of allocating only trained and competent personnel for insertion and maintenance of central intravascular catheters, and ensuring appropriate nursing staff levels in non-ICU settings
Improving the measures of asepsis on insertion and after care of catheter, and removing the unnecessary catheters could have a very important impact
There are several limitations to this study. First, we did not collect data on pre and post intervention process measure compliance, and this lack of data decreased our ability to measure the full impact of the bundles. Secondly, this is an single-centre study and we have estimated incidence/1,000 catheter-days
Our results indicate that the majority of bacteremias associated with central venous catheter use occurred in non-ICU settings, one third of these catheter associated bloodstream infections could be prevented by the implementation of a multifaceted infection control programme with different results being achievable according to specialty of admission ward.
Competing interests
The authors declare that they have no competing interest.
Authors' contributions
GR performed surveillance of bloodstream infections, conceived of the study, participated in its design and wrote the first draft of the manuscript. LG performed prevalence studies and contributed to the interpretation of the results and critical revisions of the manuscript. AD, VM, CB, OB, MC and SS contributed to the interpretation of the results and critical revisions of the manuscript. All authors read and approved the final manuscript.
We would like to thank Ana Del Rio, Consultant Paediatrician, Royal Blackburn Hospital, East Lancashire, United Kingdom, for revision of the translation to English.
Vital signs: central line- associated blood stream infections–United States, 2001, 2008, and 2009
Guidelines for the prevention of intravascular catheter- related infections. Centers for disease control and prevention
An intervention to decrease catheter-related bloodstream infections in the ICU
Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs
Catheter-associated bloodstream infections: looking outside of the ICU
Prevalence of the use of central venous access devides within and out-side of the intensive care unit: results of a survey among hospitals in the prevention epicenter of the Centers for Disease Control and Prevention
Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings
Gram-negative bacteremia, I: etiology and ecology
CDC definitions for nosocomial infections, 1988
National nosocomial infections surveillance system. Sampling for collection of central line-day denominators in surveillance of healthcare-associated bloodstream infections
Hospital-wide reduction in central line- associated bloodstream infections: a tale of two small community hospitals
Prospective cohort study of central venous catheters among internal medicine ward patients
Nosocomial bloodstream infections in IU and non-ICU patients
National Healthcare Safety Network (NHSN) report, data summary for 2009, device-associated module
Device-associated infection rates for non–intensive care unit patients
Peripherally inserted central venous catheters and central venous catheters in burn patients: a comparative review
Incidence of non- tunnelled central venous catheter-related infections in oncologic patients receiving chemotherapy in an outpatient setting
The effect of performance feedback on wound infection rate in abdominal hysterectomy
Hospital-wide surveillance of catheter-related bloodstream infection: from the expected to the unexpected
Inappropriate intravascular device use: a prospective study
Temporary central venous catheter utilization patterns in a large tertiary carecenter: tracking the "idle central venous catheter"
ESPEN Guidelines on Parenteral Nutrition: central venous catheters (access, care, diagnosis and therapy of complications)
Pre-publication history
The pre-publication history for this paper can be accessed here:


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This 40th anniversary of Earth Day can be celebrated by watching "Oceans" in theaters or "The Cove" (reviewed here in St. Anthony Messenger) or catching the PBS special "Earth Days" in reruns. It details the history of Earth Day and is well worth the watch (my review here.)
If you were watching "Law and Order: Special Victims Unit" on NBC last night, you would have noticed the theme was about the situation of beef in the meatpacking industry. "CSI: Miami" also had an episode on food that I commented on earlier in NCR.
The Oscar-nominated documentary "Food, Inc." covers the same territory, only more in depth, and embraces the food industry (agribusiness) in the United States. I think I have had small portions of beef maybe five times in the last several months because of it. (See my September 2009 review)
The link between the earth and food is essential. Kudos to Hollywood for telling meaningful stories about these fundamental and critical issues that touch the spectrum of human rights and social justice, that are themes of the Gospel.
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Watch Valli 21-01-2016 – Sun TV Serial
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Valli 21-01-2016 Sun TV Valli 21.01.2016 Valli is a Tamil Serial being aired on Sun TV Valli 21/01/2016 @ youtube video watch now. Tamil program drama view online in HD quality Valli 21-01-16 watch in hq now. Online Serial from Sun TV Vaalli January 21st 2016.


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|110 m²
|5 - 7 Nächte
Im 8. Stock eines alten Gebäudes mit 2 Aufzügen, gemütliche und komfortable Wohnung mit einem großen Eingang, Wohnzimmer, Esszimmer mit Französisch Türen auf einen großen Balkon öffnen, direkten Blick auf die Seine und den Eiffelturm, 2 Schlafzimmer & 2 Bäder, w. c, große, voll ausgestattete Küche, Tür.
Wohnung 110m2 / 5 Betten sehr sonnig mit einem Vorraum, 2 Schlafzimmer mit Doppelbett, Kommode und Kleiderschrank, Lagerung Büro / Schränken, 1 Badezimmer (Dusche, Waschbecken, w. C), 1 Badezimmer (Dusche , Waschbecken, Bidet), 1 w. c getrennt, davon 1 Doppel-Wohn-, Wohnzimmer mit Einzelbett und ein separates Esszimmer, großer Balkon mit 3 Französisch Türen Blick auf die Seine, eine voll ausgestattete Küche mit Waschmaschine und Trockner Servicetür auf den zweiten Aufzug geben, t. v, Internet.
Wohnung 110m2 / 5 Betten sehr sonnig mit einem Vorraum, 2 Schlafzimmer mit Doppelbett, Kommode und Kleiderschrank, Lagerung Büro / Schränken, 1 Badezimmer (Dusche, Waschbecken, w. C), 1 Badezimmer (Dusche , Waschbecken, Bidet), 1 w. c getrennt, davon 1 Doppel-Wohn-, Wohnzimmer mit Einzelbett und ein separates Esszimmer, großer Balkon mit 3 Französisch Türen Blick auf die Seine, eine voll ausgestattete Küche mit Waschmaschine und Trockner Servicetür auf den zweiten Aufzug geben, t. v, Internet.
Elegantly furnished, this 2/2 is everything you could need (except a/c, which is just not a thing in France). Even if you are out all day visiting the sights, few things really beat a twinkling Eiffel Tower view from the balcony (or the bed!) with champagne. Past travelers have left items behind so if you're running low on something, it might already be there. If not, there's a Monoprix up a big flight of stairs behind the building. Great access to the Metro and Bus, and literally less than a 10 minute walk to the Eiffel Tower. This was the last stop in Europe (3 other apartments all through HomeAway) and this was the granddaddy of them all. The view, the spacious feel, and even though the bathrooms are small, the view out the windows more than makes up for that fact. Would have appreciated some fans in the flat (we were there during a heatwave and it was quite hot inside), but even then, I'm not complaining at all-how can you with that view. Special thanks to Alexis who was just as kind and helpful as he could be about the check in process. Merci beaucoup! A bientot!
The view is everything. The apartment is quiet and spacious, though the furniture is dated (I don't care). The bathroom shower was tiny and drained super slow, but that just encouraged water conservation because it forced me to take shorter showers. Tip-- grab morning croissants from the spot on the corner -- apparently even convenience store croissants are delicious in Paris. I liked the apartment enough to try and book it for another stay a month later, but alas, it was unavailable.
We stayed in this apartment a few years ago and enjoyed it so much that we came back. It is a wonderful apartment especially for two couples. Lots of space, two bedrooms and two baths. It is within walking distance to restaurants and of course the Eiffel Tower! We were met on time and all communications were easy. We will definitely be back. Thanks so much for a great place to stay in Paris!
Since I expressed to Madame how much my sister and I enjoyed our stay, she asked me politely to leave a review, but I couldn't. Why? Because I didn't want anyone else to find this little jewel! Selfish, I know, but what can I say? So please do not trust me...
I will start with the view which alone is worth harbouring my secret. Everyday the Eiffel Tower stepped into our living room. And the River Seine? We could have jumped onto one of the boats from our full frontage balcony! Not really, of course, but the river was there just across the two-lane avenue. And the metro? Only a short walk and stair climb away. What could be more convenient?
We were fortunate to be there during the French Open. How easy it was to go there. And shopping? Mon Dieu! All around... So too were all the major attractions throughout Paris. Even the farthest was only a train (or three) away. Sure we were west of the city...and sure we found ourselves constantly going east to see what there was to see. But it was like greeting the sun in the morning and following the moon at night. The apartment was perfect for our needs and so was the location....one of the finest in Paris.
But still, I must try to convince you not to stay in this perfect hideaway...so I shall try. The furniture could be improved, although the provincial pieces gave the apartment authenticity. (We felt immediately French!) The one latch on the living room's sliding glass door could be repaired (but a broom handle proved sufficient). The spinner dryer could be better (but who cared anyway?) The shower in the second bathroom could be larger (a good reason to diet!) And the very handsome and most charming manager? He could be less so....especially after I told him I'd heard a night mouse in the wall... What might you guess that he whisperedinto my ear? "One is never alone in Paris, no?" I could hardly contain my giggles!
So there you have it...a most untrustworthy review of a most wonderful apartment that I dream of returning to again.
My son and I brought my grandson, his nephew, for his first trip to Paris to celebrate his high school graduation in mid-June. We have been to Paris many times, but this was our first stay in an apartment. WOW!!! Once inside, the Eiffel Tower is RIGHT there, so close you feel that you could just reach out and touch it. It MADE our stay there quite special! Having breakfast on the balcony every morning and returning there every evening to see La Tour Eiffel all lit up and the remarkable white, sparkly light show every evening on the hour. We also enjoyed watching the boats go by on the Seine below us. The pictures do not do the apartment or its views justice. It set just the right tone for our celebration. Getting there was very easy from CDG--we took the RER-B to Denfert-Rocherau where we switched to the Metro Line 6 and exited at Passy where there is an escalator, then a short 5 minute walk to the apartment where Alexis was waiting. We loved the village atmosphere of Passy just up from the metro. At the rotary, there were several cafes, patisseries, and a bit further on--the grocery store, all very convenient.
Our only hiccups were that we thought there was a clothes dryer, but apparently it's a spinner which didn't completely dry our clothes; the washer worked great. I had expected a blow dryer, but there wasn't one, and my grandson thought the water spray was too hard in his shower. These problems were minuscule when measured against that amazing view, spacious balcony, large rooms, and superb location. The building was very secure and in a great location to access all that Paris has to offer. I will carry with me always the wonderful memories this apartment has afforded my family. I will stay here every time I return to Paris.
The Eiffel Tower view of this apartment on the Seine was magnificent. Five star! The apartment layout was very nice. Four star! From the beginning, our experience with the apartment manager, Alexis, was awful. He was rude and unresponsive which ended up costing us in the end. When we arrived, there were dirty towels hanging on the back of the door. We called Alexis and left a message that it was not working. He never returned our call, never fixed the problem. Our traveling companions had to reach into the toilet each time they wanted to flush the toilet. He arrived on the morning that we were leaving, went straight to the bathroom, began shouting and refused to return our substantial deposit. Eventually, we were charged for the toilet repair and the rest of our deposit was refunded. We did not break the toilet and instead were inconvenienced by it. This was our dream vacation for our 45th wedding anniversaries. Our encounter with Alexis was very much a bump in the road. This was definitely a two star experience.
Apartment mit Blick auf den glitzernden Eiffelturm und die Seine zu seinen Füßen; der 8. Etage eines alten Gebäudes des 16. Arrondissement von Paris auf der rechten Seite des Trocadero, direkten Blick und atemberaubende auf Elffel Turm, die Seine und ihre Boote Fliegen., die Herzen der Hauptstadt.
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100€ en plus pour la cinquième personne


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Korean Management Science Review
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The Korean Operations and Management Science Society
Editor in Chief :
Ik-Sun Lee
Volume & Issues
Volume 27, Issue 3 - Nov 2010
Volume 27, Issue 2 - Jul 2010
Volume 27, Issue 1 - Mar 2010
Selecting the target year
A Study on Decision Making Factors of Green Logistics Using Analytic Network Process
Lee, Young-Chan ; Oh, Hyung-Jin ;
Korean Management Science Review, volume 27, issue 1, 2010, Pages 1~16
According to appearance of a new competitive factor, as 'Green', Green Logistics becomes the important evaluation factor for many firms in emerging competitive environment. Despite this importance, the recognition level of Korean firms on Green Logistics lags behind that of leading companies in developed countries. In addition, the literature studies and practical strategies for systematic management control plans are very insufficient. In this paper, we establish decision making framework of Green Logistics by using ANP(analytic network process). Specifically, we suggest at first the overall concepts and issues of Green Logistics through literature studies. Next, we derive 6 clusters and 21 components forming the strategic green logistics, and then we conduct surveys for pairwise comparison of experts on Green Logistics and compute relative weights of the clusters, components and altanatives considering the feedback structure. We expect that the results of this study will be very helpful for managers to make strategic decisions.
An Application of a Jackson Network for Waiting Time Reduction at the Emergency Care Center
Kim, Su-Mi ; Seo, Hee-Yeon ; Lee, Jun-Ho ; Kwon, Yong-Kap ; Kim, Seong-Moon ; Park, In-Cheol ; Kim, Seung-Ho ; Lee, Young-Hoon ;
Korean Management Science Review, volume 27, issue 1, 2010, Pages 17~31
Patients entering an emergency care center in a hospital usually visit medical processes in different orders depending on the urgency level and the medical treatments required. We formulate the patient flows among diverse processes in an emergency care center using the Jackson network, which is one of the queueing networks, in order to evaluate the system performances such as the expected queue length and the expected waiting time. We present a case study based on actual data collected from an emergency care center in a hospital, in order to prove the validity of applying the Jackson network model in practice. After assessing the current system performances, we provide operational strategies to reduce waiting at the bottleneck processes and evaluate the impact of those strategies on the entire system.
A Decision-making Strategy to Maximize the Information Value of Weather Forecasts in a Customer Relationship Management (CRM) Problem of the Leisure Industry
Lee, Joong-Woo ; Lee, Ki-Kwang ;
Korean Management Science Review, volume 27, issue 1, 2010, Pages 33~43
This paper presents a method for the estimation and analysis of the economic value of weather forecasts for CRM decision-making problems in the leisure industry. Value is calculated in terms of the customer's satisfaction returned from the user's decision under the specific payoff structure, which is itself represented by a customer's satisfaction ratio model. The decision is assessed by a modified cost-loss model to consider the customer's satisfaction instead of the loss or cost. Site-specific probability and deterministic forecasts, each of which is provided in Korea and China, are applied to generate and analyze the optimal decisions. The application results demonstrate that probability forecasts have greater value than deterministic forecasts, provided that the users can locate the optimal decision threshold. This paper also presents the optimal decision strategy for specific customers with a variety of satisfaction patterns.
Evaluation of Life Annuity Plans Based on Utility Maximization : Focused on Comparison with Money's Worth Ratio
Yang, Jae-Hwan ; Yuh, Yoon-Kyung ;
Korean Management Science Review, volume 27, issue 1, 2010, Pages 45~60
This study evaluates life annuity plans based on two different types of measures : financial benefit and utility on consumption. The financial benefit is measured by Money's Worth (MW) ratio and return on annuity. For the measure of utility, an optimization problem is formulated with the objective of maximizing utility on consumption. To solve the optimization model, we use Dynamic Programming (DP) technique. The both types of measures are applied to cases of Korean pre-retirees at age 40 with different accumulation years of annuity (i.e. level of annuity asset at the age of retirement) and different timings of annuitization. Our results generally indicate that the utility based optimization model is superior to the financial measures in terms of providing a better evaluation of an annuity plan due to its capability to consider an individual's financial situation during his/her retirement period. Also, they suggest that the level of annuity asset is an important factor when an individual determines the optimal annuitization timing.
Victory and Defeat Factor Analysis of Historic Battle using Simulation : Myeong-Ryang Sea-Battle during Japanese Invasion of Korea in 1592
Cho, Sung-Jin ;
Korean Management Science Review, volume 27, issue 1, 2010, Pages 61~73
Purpose of the War history's study is getting instruction by analyzing victory and defeat factor. This study is studied by qualitative form in war study mainly. In case recording literature is full, victory and defeat factor analysis is easy, but occasionally definite analysis that recording literature is feeble is difficult. Also, when it is battle result that escape common sense, about victory and defeat factor, various estimations are brought. As such example, there is Myeong-Ryang sea-battle at Japanese Invasion of Korea in 1592 and Korea(Cho-Sun) naval forces did big victory in 13 vs. 133 numerical inferiorities. This study presented method of study that using agent based simulation model for quantitative analysis of these victory and defeat factor.
An Optimal Missile Allocation Problem for Maximizing Kill Probability
Jung, Chi-Young ; Lee, Jae-Yeong ; Lee, Sang-Heon ;
Korean Management Science Review, volume 27, issue 1, 2010, Pages 75~90
In this paper, we proposed new solution procedure of the air defense missile allocation problem. In order to find the optimal location of missile, we formulated a simple mathematical model maximizing the kill probability of enemy air threat including aircraft and missile. To find the Kill probability, we developed a new procedure using actual experimental data in the mathematical model. Actual experimental data mean real characteristic factor, which was acquired when the missile had been developed through missile fire experiment. The result of this study can offer practical solution for missile allocation and the methodology in this study can be used to the decision making for the optimal military facility allocation.
A Case Study on the Evaluation of Open Source Bulletin Board System with Multi-Function by the Analytical Hierarchy Process
Sim, Min-Jae ; Jang, Seong-Yong ; Lee, Won-Young ;
Korean Management Science Review, volume 27, issue 1, 2010, Pages 91~105
We proposed and stratified a selection standard model on Open Source Functional Board which could be found in Web. So we could grasp the weight about Performance Evaluation from the viewpoints of planners, developers, and web disigner professional of views. We suggested applying diverse measurement types in case of item which could chart Evaluation Standards on chosen sample boards. In case of item which couldn't do that, we compared and analyzed it by using selective type of 9 point scaling method on professionalists in every sample board. As a result of weight on upper estimate section of evaluation model chart, the order of importance was convenience(0.334), performance(0.333), function(0.240) and design(0.093) respectively. It indicates that there is more weight on performance and convenience which are hard to be structurally modified than designs and functions that are directly shown to the users. Also, it was evident that opposite results came out when using 9-point scale survey and measurement with objective data such as function and performance. The reason is because the surveyed subject can have his or her own subjectivity and bias unlike objective data. However, objectivity of the administrator is also an important factor thus both two perspectives have to be all considered when selecting the bulletin board.
The Analysis of Financial Factors and efficiency that influence on the Venture Business' Survival
Song, Sung-Hwan ; Gwon, Seong-Hoon ; Hong, Soon-Ki ; Yoo, Kyung-Jin ; Bae, Young-Im ;
Korean Management Science Review, volume 27, issue 1, 2010, Pages 107~116
There are several stage in corporate's life cycle such as foundation, growth, maturity or bankruptcy. A bankruptcy is very important for corporate in the life cycle. Especially, venture business' life cycle is short compare to other type of corporate. A lot of venture businesses have emerged and bankrupted soon in the market. Venture businesses' survival or bankruptcy have been influenced by not only external environment like the rate of exchange, oil price, and foreign exchange crisis but also internal environment such as efficiency, process, human resources, finance and CEO. In this paper, we attempt to examine financial factors and efficiency that influence on the venture businesses' survival and bankruptcy. The more venture businesses have high efficiency score, the more they have high probability of survival.
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How to Craft a wooden platform in Terraria
New to the world of Terraria? Then your Terraria world is probably empty. Watch this video to learn how to craft a wooden platform that you can place in your Terraria world. The wooden platform could be the start of your first Terraria house.


text: NEW YORK ( TheStreet) -- Shares of Apple ( AAPL) climbed almost 3% before market open on Monday, boosted by the tech giant's victory in its patent battle with Samsung. A jury late Friday in San Jose, Calif., awarded Apple $1.05 billion in the closely watched patent case, ruling that the Korean phone giant had "willfully" infringed a number of "valid" Apple iPhone patents. The landmark case could have major implications on the technology landscape, bolstering Apple's confidence in the ongoing tech patent wars. Samsung, however, looks likely to appeal the ruling. Apple shares, which hit a new all-time high last week, rose 2.83% to $682.02 on Monday. The Cupertino, Calif.-based firm was also one of the most active premarket Nasdaq stocks on share volume of 476,723. The verdict sent premarket ripples through Silicon Valley. Google ( GOOG), which makes the Android operating system used on many of Samsung's phones, was down 1.85% to $666.10 before market open. BlackBerry maker Research In Motion ( RIMM), a rival of both Apple's iOS and Android, climbed 6.34% to $7.38. The Canadian handset maker was also the most active premarket Nasdaq stocks on share volume of 499,963. Microsoft ( MSFT), which touts its Windows Phone operating system, was up 1.21% to $30.93. Away from all the Apple/Samsung brouhaha, virtualization specialist VMware ( VMW) is holding its annual VMworld conference in San Francisco this week. The software maker's shares crept up 0.86% to $93 early on Monday. --Written by James Rogers in New York. Follow @jamesjrogers >To submit a news tip, send an email to: firstname.lastname@example.com. Check out our new tech blog, Tech Trends. Follow TheStreet Tech on your wireless devices


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Number Categorization
Does your fourth grader need help with her times tables? In each group of numbers, three of the four numbers are divisible by a certain number, such as 2, 3 or 5, but one does not belong. Can your fourth grader determine which one is wrong?
Click to find similar content by grade, subject, or standard.


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Nostradamus' Prophecies were the visions of the future that Nostradamus had as the court seer.
Background Edit
Nostradamus began having visions in the Pilot when he told Queen Catherine that Mary's presence would cost Francis his life. These visions continued until The Consummation when the Queen no longer trusted the visions of Nostradamus so deeply.
Season One Edit
In Kissed at King Henry's command after he inquires why Nostradamus is always whispering in the Queen's ear, and tells him that a seer in Prague can tell the future with cards; Nostradamus tells Henry that his power does not work that way. He tells the fortunes of Queen Mary and her ladies in waiting after they each draw a card: Mary's fortune is "The lion will fight the dragon on the field of poppies", Greer's fortune is"You will fall in love with the man with the white mark on his face", and Aylee's fortune is "You will never go home". Mary asks Nostradamus why he would scare her friends like that, because she knows that Catherine had nothing to do with it. She asks who he serves, and Nostradamus says he only serves the realm, himself and the truth.
When Sebastian is injured he is brought to Nostradamus, who sees his vision again and understands that the war was brought into the castle through the attack on the French troops and Sebastian.
In A Chill in the Air Nostradamus warns Bash to stay close to the castle, or he'll be in grave danger.
In Fated Nostradamus discusses with Catherine about the prophecy of Francis. He claims he the prophecy hasn't changed and the Francis will die if he is wed to Mary. Later Nostradamus sees another prophecy of death in the castle and he tells Mary of what he saw. Mary shares with her ladies-in-waiting that he said one of them would die before the first frost falls. When the death occurs, it is Aylee. She claims Nostradamus was right and she will never be going home. Mary then calls Nostradamus the devil. Nostradamus knows that Catherine couldn't have possibly done this, so he leads the trail straight to Clarissa. As Nostradamus chastises her for what she has done, he removes her bag of her head and makes her look Aylee in the face. Clarissa is forced to look Aylee in the eyes.
In The Consummation, After Mary kills Clarissa to save the lives of Catherine's youngest sons, the prophecy is apparently fulfilled since Clarissa turned out to be the Queen's firstborn and not Francis. Nostradamus' sees a new vision which is of Mary and Francis: happily married years beyond their union and even having children. He tells Catherine about the change in his visions and she goes through quite the range of emotions before settling on anger when he suggests her life might be saved now since she'll no longer oppose Francis and Mary's union. It's gone past her standing in the way; she's been found guilty of adultery and treason therefore she is condemned to die and has a lot to worry about. She warns Nostradamus that if she can't turn things around she's going to make sure he burns before she's executed.
However, Clarissa is revealed to still be alive and Nostradamus' vision changes again by the end of the episode to include Francis' historically accurate death of an ear-related disease, but he does not tell Catherine who is in a wonderful mood due both to her son's happy union and her own pardoning.
Season Two Edit
In Drawn and Quartered, When Queen Catherine visits Nostradamus in the dungeons, where he is awaiting death after being accused of killing Lord Narcisse's son Eduard; she tells him that unfortunately she doesn't have a plan to help get him out of this. Nostradamus is quite angry to hear this after everything he has done for her, and he tells her that if she thinks that her sins will stay buried then she is sadly mistaken; he also hints at the possibility that Clarissa may still be alive. However Catherine doesn't get a straight answer from Nostradamus when she inquires as to exactly what he means, since the guards come to take him away before he can say anything further.
Season Three Edit
In In a Clearing, When Nostradamus tells Queen Catherine of a new vision he has had about Francis' fate, the Queen is worried about her son and after listening to the vision asks what can be done to keep her son safe. Unfortunately Nostradamus has nothing to tell Catherine and urges her to get Francis to listen to her or else he may die.
Later after finding Francis dead under a tree in the woods surrounded by white petals just as he predicted, Nostradamus helps bring Francis' body back to French Court.
The next day at the funeral, Nostradamus tells Catherine that he has no intention of staying at Court; however he gives his old friend one last vision: Only with the help of her daughter in law will she be able to rule France and become Regent.


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If you could rewrite an entire season of Charmed, which would you choose?
I know this one will be obvious, but I'd go with Season 6. I'd get rid of aspects that ruin continuity like the Cleaners, or that timeline issue of Witchstock. Throw out Magic School (stupid, on-the-nose name by the way) which was clearly made following the Harry Potter trend, and either drop more hints earlier that Chris is Piper's son, or disregard that idea because it was clearly written in late in production because Holly became pregnant. And Phoebe actually embraces her Empathy power to help people instead of either fighting it or using it to further her career. There are other lame episodes that deserve to be vanquished in this season but for now this is the general thoughts.
So what season did you want to put onto the editing board again?


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Housed in a building that dates back to 1600, this charming hotel comprises 72 elegant rooms spread over 3 floors. The hotel features a lobby and guests are offered a restaurant, a bar and four conference rooms. Those arriving by car may make use of the hotel garage or car park.
This elegant hotel is located in Stratford-upon-Avon. The nearest link to the public transport network is 8 km away. The hotel is situated approximately 39 km from Birmingham Airport, 36 km from Coventry Airport, 98 km from East Midlands Airport, 138 km from Luton Airport, 206 km from Stansted Airport and 167 km from Manchester Airport.
The tastefully decorated en suite rooms feature a spacious bathroom with a hairdryer. They also have a direct dial telephone, a minibar (fees apply) or fridge, as well as a safe and a TV.
Guests are able to relax and enjoy themselves in the indoor swimming pool. A gym, sauna and steam room are also available.
Cuisine of the highest standard is served in this award-winning Stuart restaurant - an authentic dining room that has earned two AA Rosettes as well as high praise from Egon Ronay. The traditional bar is designed in keeping with its surroundings. In the summer months guests can enjoy a relaxed drink on the terrace overlooking the Topiary Gardens and for winter warmers, the bar has a grand fireplace which is perfect for sipping on the fine selection of malt whiskeys on offer. In addition to breakfast, lunch and dinner are available on a set menu basis.
American Express, Diners Club, JCB, MasterCard, VISA and some debit cards are accepted at this hotel.
Leave the M40 at Junction 15 and join the A46 towards Stratford-upon-Avon. Continue for approximately 14 km, passing through Snitterfield, then take the turn off for Stratford-upon-Avon. The hotel can be found by turning right off the A46 to Billesley.
Room Facilities:
Direct dial telephone


text: NORTH BAY – First year Nipissing University Bachelor of Science students back row, left, Brad Elliott, Waqas Khan and front, Emily Christine, Emily Oldreive and Carly Collins decided to get into the "Movember" spirit. "After taking a look around the room and realizing that, out of a class of about 115 students, only 12 of us were males and less than half of the men were growing any type of facial hair, I decided it was time to get everyone on board... including the faculty," said student Andrew Holland. The class raised $1200 for the Canadian Movember Foundation.


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Tripp Lite's HTSWIVEL6 Home/Business Theater Surge Suppressor provides high-performance protection--1200 joules--stopping damaging surges and filtering disruptive line noise so components perform at their peak! You can see and hear the difference: sharper, crisper video; deeper, fuller audio and longer component life spans. Perfect for small home/business theater installations: high-definition TVs, satellite and A/V receivers, DVD/CD players and more. 6 outlets, 1-line coaxial protection and 1-line tel/modem protection safeguard an entire home/business theater system. $50,000 Ultimate Lifetime Insurance coverage (USA and Canada only). Includes two diagnostic LEDs, 6 ft. gold coaxial cable and 6 ft. phone cord.
Electronics, Computer & Photo > Computers & Accessories > Computer Accessories


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THINGS I LOVE ABOUT PAINTING WITH A KNIFE by TOM
painting by artist Tom Brown
7 in X 5 in (17.8 cm X 12.7 cm)
oil painting on Masonite
This painting is available through an online store or blog page.
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Images may not be reproduced without the permission of the artist.


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Sphero Bluetooth Forceband for BB-8 Enabled Droid
Sphero Bluetooth Forceband for BB-8 Enabled Droid
Sphero Bluetooth Forceband for BB-8 Enabled Droid
The Force Band is compatible with the original BB-8 App-Enabled Droid by Sphero and other Sphero robots powered by Bluetooth Smart.
- Droid Control Force push, pull, and control BB-8 with a wave of your hand
- Force Training hone your lightsaber skills by responding to cues from BB-8
- Combat Training ? Use your imagination to wield a blaster, lightsaber,or the Force itself
- Force Awareness ? Find hidden supplies from the Resistance in the realworld and collect with the app
- Robot Control ? Use the Force Band to drive Sphero robots powered by Bluetooth SMART
- Force Control ? Expand your Jedi powers in the world around you and control connected objects by using the Force Band
- Manufacturer Warranty: 12 months
|Bluetooth Smart technology
|60 minute battery life for constant use
|USB charging
|25m range
|RGB LED lights
|Magnetic + velcro adjustment strap
|Haptic feedback
|Onboard audio + Speaker
|Upgradable Firmware and audio over the air
|Gesture detection using gyroscope and accelerometer sensors
|Force Band dimensions: 1.53 cm x 3.75 cm
|iOS and Android compatible
|Free App: Force Band by Sphero available through iTunes, Google Play or Windows App Store


text:
Guess where I'm eating an Ethiopian feast?
Lori Midson
Fellow diners at this Ethiopian restaurant kept stopping by our table to ask what we'd ordered, and I can't blame them, because everything that was heaped on our plate -- the stews, the vegetables, the lentils, the kifto -- was excellent.
Can you guess where I'm eating?
Special bonus: Anyone who gives the first correct answer to the week's Where am I drinking/eating posts is entered into a pool -- and every Monday, we select one lucky winner who'll receive an EatDenver dining deck, worth up to $520 in discounts at independent restaurants. Read all about EatDenver dining decks here.
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Looking at the history of meditation, the word itself comes from the Latin verb, "meditatum", which means to ponder. Meditation is, in essence, the practice of training your mind to reach a higher level of consciousness. The use of meditation stretches across several cultures and religions, most notably Buddhism, Taoism, and Islam.
Generally speaking, meditation is a personal practice that requires both mental and physical diligence. External stimulus is usually discouraged. Sometimes meditators use objects such as a candle flame or repeated sound to help them to focus their mind. Very often meditators focus on a particular feeling, such as compassion, or patience, in order to reach a more divine state of understanding of human nature.
Although the history of meditation is thousands of years old, only recently has the practice been a growing trend in Western countries. In a 2007 survey it was discovered that almost 10 percent of US adults had practiced meditation at some point during the previous 12 months. That said, the amount is nowhere near the collective number of people with a regular or even daily meditation practice.
Because of the growing interest in meditation in the West, it has been the subject of significant scientific research; various studies undertaken since the 1960's have linked meditation with improved metabolism, brain functioning, and lower blood pressure. It's becoming more common for meditation to be used in medical settings to reduce stress and pain, such as during childbirth.
Although there are numerous forms of meditation, normally each practice has three components:
1. A defined technique
2. A relaxation of the mind and connection to the body
3. A self-induced state
This last point, "a self-induced state" marks a crucial difference between meditation and hypnosis. Meditation is self-induced, requiring the focus of the individual, while an outside person often directs hypnosis.
The goal of reaching "Nirvana" when meditating originates with the Buddhist faith. Nirvana is a complex concept that involves a human being reaching a higher level of existence thereby shaking off the concept of suffering. Indian religions believe that through dedicated meditation a man can reach Nirvana, although it is extremely rare.
Referring to the history of meditation in the US and other Western counties, two types are generally favored by the Western world: concentration meditation and mindfulness meditation. Concentration meditation involves a meditator focusing attention on one specific object and consistently refocusing their mind on that object to reach a deep meditative state. The most common object to focus on is one's own breathing. Mindfulness meditation is similar in that a meditator simply becomes conscious of their experience while in meditation. The purpose is to learn how not to react.


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Fisherbrand Redi-Tip Pipet Tips: General Purpose
Premium virgin polypropylene resin and advanced molding methods produce a superior, high-quality pipet tip
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This hotel comprises 283 rooms, of which 5 are suites. A lobby area awaits guests with a 24-hour reception and 4 lifts. Facilities include a caf�, a newspaper stand, a souvenir shop, a lounge area, a boutique and a hairdresser's salon. Additionally 3 bars, a TV room, a public Internet terminal and 2 air-conditioned restaurants are to be found here. Furthermore, there are room and laundry services, a car park and a garage as well as a play area for younger guests. This hotel is suitable for wheelchair users.
This hotel is located just 150 m from the nearest beach whilst the harbour, pubs and caf�s are to be found in the vicinity. The centre, with its many shopping and entertainment venues, is approximately 500 m away and links to the public transport network lie directly in front of the hotel.
The comfortably furnished air-conditioned rooms come with a bathroom, a hairdryer, a direct dial telephone, a stereo system, satellite TV, a radio, Internet connection, a minibar/ fridge, central heating, a balcony or terrace (views out over the sea can be booked) and a hire safe.
There are 2 swimming pools and a children's paddling area in the outdoor complex as well as a poolside snack bar, sun loungers and parasols. Additionally, an indoor pool, a Jacuzzi as well as a sauna, steam room and a gym can also be made use of (at an additional charge). Sports enthusiasts may like to try out some of the activities available (some at an additional charge) including diving, table tennis, tennis (floodlit incurs an extra charge) and billiards. A diving school is located nearby and a variety of water sports can be tried out on the beach (also includes an extra charge). A seasonal entertainment programme provides variation for guests and the nearest golf course is approximately 18 km away.
Guests are offered breakfast and evening meals in the form of a buffet.
Room Facilities:
Direct dial telephone
Satellite cable TV
Internet access
Central airconditioned
Central heating


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Description: The period of prohibition, from 1919 to 1933, marks the fault line between the cultures of Victorian and modern America. In Domesticating Drink, Murdock argues that the debates surrounding alcohol also marked a divide along gender lines. For much of early American history, men generally did the drinking, and women and children were frequently the victims of alcohol-associated violence and abuse. As a result, women stood at the fore of the temperance and prohibition movements and, as Murdock explains, effectively used the fight against drunkenness as a route toward political empowerment and participation. At the same time, respectable women drank at home, in a pattern of moderation at odds with contemporaneous male alcohol abuse. During the 1920s, with federal prohibition a reality, many women began to assert their hard-won sense of freedom by becoming social drinkers in places other than the home. Murdock's study of how this development took place broadens our understanding of the social and cultural history of alcohol and the various issues that surround it. As alcohol continues to spark debate about behaviors, attitudes, and gender roles, Domesticating Drink provides valuable historical context and important lessons for understanding and responding to the evolving use, and abuse, of drink.
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All the information you need in one place! Each Study Brief is a summary of one specific subject; facts, figures, and explanations to help you learn faster.
List price: $22.00Publisher: Johns Hopkins University PressPublication date: 6/15/2001Binding: PaperbackPages: 264Size: 5.75" wide x 8.75" long x 0.75" tall Weight: 0.946Language: English
Catherine Gilbert Murdock was born in Charleston, South Carolina and grew up on a small farm in Litchfield, Connecticut. She attended Bryn Mawr College and the University of Pennsylvania. She writes young adult books including Princess Ben, Dairy Queen, The Off Season, and Front and Center.
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Mugello Nautical Club
(Italian Sailing Federation affiliate)
The nautical base at Lake Bilancino organizes regattas, sailing lessons with licensed instructors for children and adults. Languages spoken: Italian and English.
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Nautical base at lake Bilancino: Nostromo, mobile: 329 5741163 (Tiziano Zazzeri)
Sailing lessons: Andrea, mobile: 327 8475869 email@example.com


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Adesso Tru-Form Pro Contoured Ergonomic USB Keyboard With TouchPad- USB
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Tags: Games with Gold, Gold, Microsoft, Subscribers, Xbox, Xbox Live.
Posted 10/18/2013 at 3:54 PM
Posted 4 years ago
The Week of Xbox Live has brought good news to Xbox Live Gold members on Xbox 360: Games with Gold will be extended free indefinitely.
Games with Gold was started in 2013. It was intended as an offer that would have expired after a limited time. It was done to reward faithful Xbox Live Gold members. Games with Gold titles have already stacked up 120 million+ hours played. It is just this fanatical response that has prompted Microsoft to reward its members to an even greater degree.
Games with Gold has a wide selection for its members and a takeaway of two free-of-charge Xbox 360 titles a month.
Conversely, Xbox Live Gold members can be said to be good as gold, also.
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text:
Item description: This Womens Deco product is by Deco - The rectangular case of the Signature Deco Diamond, Diamond Dial Watch reflects the geometric shapes identified with Art Deco architecture. Brilliant diamonds surround the white dial with diamonds. A Swiss chronograph, subdial for the day of the week, and a pastel purple alligator strap add the finishing touch. The grey and black glitter strap is interchangeable with any 18mm MICHELE strap.... Learn More
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Category: Deco
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My Hairy Cream Pie 3Favorites [+]
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Running Time: 129 minutes
Released: 08/2007
Studio Name: White Ghetto
Series: My Hairy Cream Pie
Description: Do these shopworn milfs get hairier as they get older? You'd sure think so when you check out these aging crotches! This hirsute collection of furry snatches is an unshaved delight. And if you think it's a mess between their legs now just wait 'til you see their overgrown weed patches when they're all covered in huge pools of thick hot cum!
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Shutterbugs #2
Richard Avedon
This was posted by Tom Sutpen
|your thoughts:
The series is: Shutterbugs
1 comment:
- Ann oDyne said...
beautiful Richard Avedon - his first photos, and the last* photos, were of Marines. bless him.
* he knew he was dying soon himself, when he wrote a moving essay on the burned war vets of his final shoot. it is probably online and worth the effort to find.
I did a blogpost on it at the time
(old deceased blog)
and one of them actually emailed me.
- April 19, 2009 12:25 AM
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text:
Switch Pitch - Orange and Green
Switch Pitch Throwing Ball with Color Flipping Action Orange and Green Color
Switch Pitch - Orange and Green
Regular price $4.95 In Stock
orSale price
Compare at $9.95
Reviews Read Reviews
Switch Pitch Throwing Ball with Color Flipping Action Orange and Green Color
Product Details
The transforming Switch Pitch ball by Hoberman is such fun! This is the original, genuine switch pitch, not a knock off. We cannot stop throwing this - everyone finds it fascinating! Toss it in the air and watch the colors magically flip. Handheld, magical color-flipping balls make a fun, portable toy! This item is Orange and Yellowish-green.
- Orange and yellowish-green color
- Toss just one or try to juggle with three!
- 3.5 inch diameter
- Ages 4 and up
- See an interactive video showing how the Switch Pitch works
Additional Information
0.3 lb


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For sale by Nine and Beyond - VERIFIED SELLER VERIFIED 7 Mar 3:21 pmEti Osa West, Lagos
The Graco SnugRide Classic Connect DLX infant car seat is designed to accommodate infants in the rear-facing position from 5 lbs. up to 22 lbs. Itâ??s a terrific first car seat for newborns! Key Features LATCH-equipped, stay-in-car base simplifies transporting your baby Easy-to-read level indicator helps eliminate installation guesswork 5-point harness to help keep your child secure 3-panel rotating canopy to shield baby from bright light Machine washable seat pad.
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This knife was used by Andrew Wells to kill Jonathan Levinson.
It was engraved with a language that was tied to the same language on the Seal of Danzalthar (proto-Tawarick). The inscription read "The blood which I spill I consecrate to the oldest evil". The First Evil in the form of Warren told Andrew to "Drive the words deep into [Jonathan]".
After the murder Andrew washed off the blood and put the knife in Buffy Summers' cutlery drawer because she didn't have any steak knives. Buffy later used it to threaten Andrew to get him to confess to the murder and spill tears so the Seal would close.
Behind the Scenes
This knife was purchased from a catalog as were many of the knives and weapons on the show. This knife, however, served double duty, also appearing as the Dagger of Lex in "Life Serial" in Season 6. The handle was painted in sections with silver paint to make it appear as mother of pearl.


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09229104, Guide
Please help our community — upload your photos of 09229104.
This is a guide for Saturn cars. This guide fits 1 General Motors car models which have been manufactured for US market. This part is genuine General Motors part with GM OEM part number 09229104.
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This is a high frequency expression if you are living in or visiting China, but I have always found it difficult to remember how to refer to a taxi meter. The dictionaries have their favourites.
I am going for this as a safe option, certainly where I live out west: 计价机 jìjiàjī (taxi meter)
那个计价机坏了。 (the meter is broken.)
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Tags: app, apps, December 11th, event, free music, Media, mobile, music, Phone, Smartphone, smartphones, Spotify, tablet, Tablets.
Posted 12/06/2013 at 2:59 PM
Posted 4 years ago
Spotify will provide some of its music service free to mobile users.
On December 3rd, 2013 invites were sent for a December 11th engagement in New York. From long-winded reports, it can be seen that the changes being proposed by Spotify need in-person explanation by the company.
Users are to expect to not get unlimited on-demand service from Spotify. Rather they can expect to be less limited by listening to the collections and the playlists that they have so far created from the huge assortment of tunes available on Spotify.
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The criminal records Texas archives are categorized into several types of documents that the local residents can use. One of these documents is the arrest records of the state. Arrest records are considered as an open document which means that the local residents can request, access or obtain it easily.
One of the reasons why arrest records in Texas are being requested is to use it in conducting a background check. Employers or business owners would run a background check on their people and applicants to make sure that the people they have does not have any criminal history. Studies have figured out that most of the crimes that are occurring these days are done by people who had been reported of certain crimes. It helps the company grow and avoid any unwanted problems which can happen in the workplace.
Business owners are not the only one who uses such document. The local residents of the state, even housewives, are requesting for a copy an arrest record. They check on the records of the people surrounding them especially those that they see everyday such as, friends, neighbors, caretakers and even relatives. This can help people to be cautious about their safety and be wary of their security and eventually promote peace and order in the surrounding. The document is also used by investigators in solving a criminal case. The document can be used as evidence that is presented in court proceedings.
An arrest record in the state of Texas would contain a lot of information that is useful in conducting a background check. This includes the personal details of the involved individual such as the full name, the aliases that were used, recent address of residence and birth details. The physical description is also detailed on the document and this includes anybody markings such as scars, tattoos and even birth marks. Information about the crimes and offenses that the persona has committed are indicated on the document. One would also know whether the person has been and charged for his crimes or not. The record, however, is not available for public access if the case is not yet closed or if the individual involved is a minor.
Individuals are only given access to their personal files which means that records other people can be obtained if there are special permits and authorization. The Department of Public Safety in the state of Texas is where the arrest records are being managed and it cost $15 to get a copy of it. The application form has to be filled out completely with the needed information. The one who requested for the record has to provide their personal details in order to have the request granted and it is also used to easily track the access to the document.
Access to arrest records public request can be done through the Internet. This improved the retrieval process since it has eliminated the need to go to any office to file the request and wait for the results after several hours, days or even weeks. By doing the search online, one can easily get the document after doing only a few clicks on the mouse.
Simple step by step guide to Texas Criminal Records Search. Conduct Public Criminal Records Search in the convenience of your own home.. This article, Texas Public Criminal Records is available for free reprint.