text: i have at the moment, 2 echo trimmers with the exact same symtoms. they run excellent, but the head won't move. i took one apart, to see if it was the shaft, or clutch, and the shaft if i spin in manually with my fingers, the head spins. soo, now that i took the cover off, and the shoes are right in my face, how do you get these things off. i disconnected a spring, thinking maybe they where retaining the shoes, but no. any ideas here, i would like to get to the repair shop beofre they close at 4-5 o'clock. i came home early, and left the last account i did half trimmed!


text:
Romantic Danube: Viking Idun Cruise Review by cclarks
Overall Member Rating
Romantic Danube
Destination: Europe - River Cruise
Embarkation: Other
This was our first ever cruise, river or ocean, and it was just fantastic from start to finish. We could not fault Viking, staff were fantastic, everything ran like clockwork, tours and guides were terrific, entertainment high quality, ship was clean and beautiful, and we just loved visiting so many amazing places we had never seen before. Budapest was the icing on the cake as the last port and point of departure, what an amazing city.
We enjoyed meeting lots of different people, contrary to some reviews where people complain about not being able to reserve seating for dinner, we actually found it refreshing to sit with different couples each night and make new acquaintances.
Cannot recommend this cruise highly enough, if More we didn't live so far away in Australia we would be regulars!! Less
Published 08/11/13
Cabin review: VS302
Veranda suite- plenty of space, great to have the extra room, lovely to sit and watch the world go by, quiet, very close to lounge and dining room, bathroom and dressing space above expectation
Port and Shore Excursions
We were moored just by the Chain Bridge in Budapest. What an amazing city, one of my favorite European cities now. Great sight seeing, shopping, restaurants, and easy to get around.
Read Cruise Critic's Viking Idun Review >>
Excellent all round
Beautiful ship, beautiful scen...
Excellence and mediocrity.
First Time on a Boat
Really Nice Cruise
Our first cruise will bring us...
A Total Waste of Money
Making new friends
Beyond Expectations
Sponsored Links

subset: commoncrawl


text:
Tag: Ayane Hazuki
Tokyo Thermal rape Hagiwara fruit – Kaho Hagiwara, Ayane Hazuki
26.12K Views0 Comments20 Likes
JAV HD | KAHO HAGIWARA, AYANE HAZUKI | JAV UNCENSORED Hagiwara and Hazuki brought to the neck and neck. They drink water from the bowl without using your hands like dogs. They also love to play with the guys a lot ...
Heat strongest humiliation strapping restraint. Seriously slave fucking – Hazuki Ayaon
12.94K Views0 Comments6 Likes
JAV HD | AYANE HAZUKI | JAV UNCENSORED Hazuki Ayane is a very beautiful woman who has big boobs and sexy body. We thought she'd look and body fuck kinky. After we train her to be nice slave meat, she needs more cum...
Tokyo fever dream of big boobs Fucking devil ate fucking – Ayane Hazuki
19.31K Views0 Comments12 Likes
JAV | TOKYO HOT N1151 | AYANE HAZUKI Ayane Hazuki is a sensitive girl, who had large breasts for the boys. She tried playing with sex toys and rub the chicken man by her large breasts. Guys my training to become a ...


text: One of My Faves: Coruscant Jedis and Rodia Greedos!!! Check out the AFC HELMETS and NFC HELMETS. How Alex Online works:1) Alex will surf the Web and find cool games, sites, and movies.2) Every morning at 9:20, he'll tell you about a site we've discovered.3) If you find something cool that you want to share, email firstname.lastname@example.com. Contact Call 713-212-5945 Social


text:
Archimedes Principle
When a body is wholly or partially immersed in a fluid, it displaces the fluid. The displaced fluid exerts an upward force on the body. This tendency of the displaced fluid to exert an upward force on the body immersed in it is called buoyancy. The upward force is called buoyant force or upthrust. This upthrust is clearly equal to the apparent loss in weight. This fact was first discovered by Archimedes, the Greek philosopher. It is known as Archimedes' principle. It may be stated as follows:-
If a body is wholly or partially immersed in a fluid, it experiences an upthrust equal to the weight of the fluid displaced and this upthrust acts through the center of gravity of the displaced fluid.
The principle has been stated for a fluid, since it holds equally well for gases and for liquids.
Proof of Archimede's Principle
Suppose the top face of the cylinder is at a depth h1 below the free surface of the fluid. Let P be the atmospheric pressure.
Total downward thrust on the top face of the cylinder = (P + h1pg)A
But hA = Volume V of the cylinder
= Volume of fluid displaced by the cylinder
∴ hAp = Vp = M (mass of fluid displaced)
∴ Upthrust = Mg
Upthrust = Weight of fluid displaced.
A General Discussion of Archimedes Principle and Buoyancy
Let us consider an object of arbitrary shape immersed in a liquid [Fig.17.19(a)]
The surrounding liquid exerts pressure at all points on the surface of the object and we wish to calculate the resulting force that acts upwards on it. That the resultant force must act upwards is clear, since the pressure increases with depth, so that the force must be greater on the underside of the object than on the upper side
Now imagine that the irregular object is replaced by the same liquid. This liquid will occupy precisely the same space as was previously occupied by the solid, as indicated in Fig.17.19(b). Since the replacement liquid has the same boundary as the solid object had, the remainder of the liquid must exert upon it precisely the same forces as it exerted on the solid object. But the lump of liquid that has replaced the solid is at rest, and therefore there is no unbalanced force acting on it and no unbalanced torque acting on it. The weight of the lump of liquid acts downwards through its center of gravity, and consequently we deduce that the rest of the liquid exerts an upward force on it equal to its weight and that is upward force acts through its center of gravity. Hence, when the solid was there, the liquid exerted upon it an upward force equal to the weight of the liquid displaced, this force acting through the center of gravity of the displaced liquid. It will be noticed that no mathematics is needed at all for this proof even although we have considered a body of quite an arbitrary shape. Legend has it that this beautiful piece of logical analysis occurred to Archimedes in his bath, and that he was so exhilarated by it that he leaped up and ran naked through the streets to tell people about it.
To put the principle into more formal terms, suppose the immersed object has a volume V and is of density p; then its weight is Vpg = W. If the density of the liquid is p' < p, the weight of liquid displaced is given by W' and v'g, since a solid object must obviously displace its own volume of liquid. Hence, the resultant downward force, or effective weight is
W" = W - W' = V(p-p')g = Vpg = W
This correction to the weight of an object must be must be taken into account in high precision work, even when the fluid is air.
If p'>p, then the body will rise to the surface of the liquid under the action of the resultant upward force, and it will settle in equilibrium when just so much of it is immersed as to give a buoyancy upthrust equal to its own weight. When p'=p, there will be no resultant force acting on the body, and it will remain at rest at any height completely immersed in the liquid. This is a most convenient method of measuring density of very small objects. The procedure is to mix two liquids of different densities until the density of the mixture is just equal to that of the unknown density of the object. The point of equality is observed, as the object shows no tendency to either rise or sink.


text:
Sample Sale
Discounts on our sample sizes! Help keep our studios clean and get a great bargain in the process. Check your size carefully, the prices on these sleeves is only for the size listed. If your item is smaller than the size listed, you can use the bonus space for cords, notes, etc.


text:
Employees are getting less paid time off around the holidays than in previous years. With Christmas Day and New Year's falling on successive Saturdays, 33% of companies plan to give workers three or more paid days off this year. Last year's figure was almost twice as high, at 65%, according to the BNA.
But it's not just because of the calendar. During 1999, when Christmas and New Year's Day last fell on Saturdays, half of employers gave workers three or more paid days off. That means that this year more employees will be working on or around the holiday — adding extra pressure to an already stressed workforce, experts say.
"Employers are being a bit more miserly," says Josh Joseph, BNA's director of research.
Some employees will be working on Christmas Day. Denny's will be open on Christmas, which is one of the restaurant's busiest days of the year. To help workers get time with family, work shifts are typically shortened, a spokeswoman says.
Safeway grocery stores will have more stores open on Christmas than in years past, and employees are being asked to work on a volunteer basis. Those who do generally get double their regular pay or more, depending on union contracts.
But some critics say less time off and work on Christmas is taking a toll on workers.
"This is a major shift in the retail food industry," says Greg Denier with the United Food and Commercial Workers International Union. "There is no such day as a holiday in America. It's just another day to make a buck."
At Borel Private Bank & Trust in San Mateo, Calif., the week between Christmas and New Year's is so busy that employees are rarely allowed time off. But to help alleviate stress, the bank this year gave its employees a "shopping day" — an extra floating holiday they can take in December.
Overall, 33% of workers say they will take no time off over the holidays, according to a survey by Accenture HR Services, a provider of human resources services. Nearly two in three workers have experienced workplace stress around the holidays.
"You want your employees to be productive and happy," says Brenda Dwyer, a manager with Accenture HR Services. "One of the biggest sources of stress is finding time for holiday shopping."
Some companies are going against the trend. Grant Thornton, an accounting and tax firm based in Chicago, is giving employees in its 49 offices the week after Christmas off with pay. That's in addition to their regular vacation.


text:
Open-source educational quizzes aim to teach without the teacher
The web has now become a great tool for learning — whether through Wikipedia or YouTube tutorials — but these channels sometimes lack the kind of interactivity of the physical classroom, where teachers can offer encouragement or help children work their way through a math calculation they're stuck on. Aiming to replicate this, Oppia is a new open-source platform from Google that lets anyone create interactive online learning activities that give feedback at every step.
Spotted another good idea???
Join our network and earn rewards


text: Zasz was a Zerg cerebrate, from the Starcraft Universe. Retrieved from "http://aliens.wikia.com/wiki/Zasz?oldid=88514" 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: Starcraft Universe Zerg Sapient Beings Characters Add category Cancel Save


text:
Five Things You May Not Know About the Old Spaghetti Factory
The Old Spaghetti Factory is indeed old — but still going strong in LoDo.
Danielle Lirette
At this time of year we're always trying to figure out ways to feed a crowd — not just on turkey day but in the busy weeks ahead. Of the many spots that cater to big groups, one restaurant might not come to the top of your mind — even though it's been feeding Denverites for decades: The Old Spaghetti Factory. As a refresher course, here are give things you may not know about the Old Spaghetti Factory.
5. Yes, it's still open. You just might not know it since your sights are set on RiNo or Berkeley or South Broadway, but the Old Spaghetti Factory has been holding down the corner at 1215th 18th Street for more than forty years — since long before the area was even nicknamed LoDo.
4. Even though the Old Spaghetti Factory is located in a 126-year-old former cable car building, the trolley theme isn't unique to Denver. "Almost all of our restaurants have a trolley car in the dining room," says Chris Hein, vice president of food and beverage for the OSF company. "It started in Portland in 1969 with the first restaurant and Sally Dussin [co-founder] found an old trolley while she was out shopping for furniture." Sorry to take away the magic.
3. This is not an Olive Garden knock-off. The Old Spaghetti Factory was founded by Guss and Sally Dussin in Portland, Oregon, in 1969, a good thirteen years before the quasi Italian chain that brought us breadsticks and the never-ending pasta bowl.
2. Despite assumptions to the contrary, food is cooked in-house, under the direction of kitchen manager Eric Melzer. Real onions, carrots and tomatoes are harmed in the making of your dinner.
1. And how good is that food? You won't know that answer until tomorrow, when I take a break from the norm and review – you guessed it – the Old Spaghetti Factory.
Related Location
1215 18th St.
Denver, CO 80202
Get the Food & Drink Newsletter
Our weekly guide to Denver dining includes food news and reviews, as well as dining events and interviews with chefs and restaurant owners.
Recommended for You
Powered by SailThru
Popular Stories
Sponsor Content


text:
Single Game Tickets Go On Sale March 1
Home Opener Set for April 8
By Nathan Baliva / Peoria Chiefs | February 7, 2017 4:09 PM ET
With just 60 days before the home opener the Peoria Chiefs have announced that individual single game tickets will go on sale Wednesday, March 1 at 10:00 am. Tickets will be available at the Dozer Park Box Office, online at www.peoriachiefs.com and by calling 1-866-MYTICKET.
The Chiefs home opener is scheduled for Saturday, April 8 against Burlington at 6:30 pm with post-game fireworks. All fans will receive a 2017 Chiefs magnet schedule presented by Long John Silver's and A&W. Additional details and events for the home opener will be announced as the season approaches.
Tickets for the 2017 season are priced as follows: If bought before game day, Field Box Seats are $9 on non-fireworks nights and $10 for fireworks games. Dugout Box Seats are $10 on non-fireworks nights and $11 for fireworks games. All tickets are an additional $1 if purchased on the day of the game. Lawn Tickets return in 2017 on a single game basis and are available for $7 per game.
Season Ticket Holders can purchase additional individual game tickets exclusively from February 15 to March 1 by contacting their account executive. Voucher pack holders can also pick their individual games before March 1.
The Dozer Park Box Office is open from 10:00 am to 5:00 pm, Monday through Friday. A comprehensive promotional schedule will be announced in the coming weeks and also unveiled at www.peoriachiefs.com and on the Chiefs Facebook and Twitter pages. Season and group tickets are also on sale by calling 309-680-4012.
This story was not subject to the approval of the National Association of Professional Baseball Leagues or its clubs.View More


text:
Athletics: Double triple-jump misery on the horizon for Edwards
ATHLETICS-EDWARDS-RECORD:Athletics: Double triple-jump misery on the horizon for Edwards
Rugby-North fit and firing for Wales, says Edwards
RUGBY UNION-WALES/NORTH:Rugby-North fit and firing for Wales, says Edwards
I will be voting: Edward Snowden
The 33-year-old spoke ahead of the opening of the movie "Snowden'' starring Joseph Gordon-Levitt.
Athletics-More 100m, less discus to boost sport, says Edwards
ATHLETICS-EDWARDS/FUTURE (INTERVIEW, PIX):INTERVIEW-Athletics-More 100m, less discus to boost sport, says Edwards
Athletics: More 100m, less discus to boost sport, says Edwards
ATHLETICS-EDWARDS-FUTURE:Athletics: More 100m, less discus to boost sport, says Edwards
Donald Trump is 'just the president', says Edward Snowden
He said he was not worried about the Trump administration stepping up efforts to arrest him and stood by his decision to leak the classified material.
Hong Kong rejects asylum for refugees who sheltered WikiLeaks founder Edward Snowden
Hong Kong has rejected asylum requests of a group of refugees who sheltered former NSA contractor Edward Snowden four years ago.
Edward Snowden continues contacts with Russian intel services: Report
If the Chinese or Russians obtained access to materials related to these issues, "American troops will be at greater risk in any future conflict," the report said.
Congressional report slams NSA leaker Edward Snowden
A Republican-led panel released a three-page unclassified summary of how Snowden was able to remove more than 1.5 million classified documents from secure NSA networks.
Edward Snowden urges Barack Obama to pardon him
The former intelligence contractor has spent three years in exile in Russia after initiating the largest data leaks in US history.
Edward Snowden does not expect President Barack Obama to pardon him
After fleeing his home in Hawaii, Snowden now lives in exile in Russia where he has sought asylum.
Economy will not to be impacted much by cash crunch: Edward Teather, UBS
Trump adjustment cannot be over when Mr Trump has not even taken office yet and he has not even started to act on some of the policies that markets either hope or fear will come through from his presidency.
Pulitzer-winning playwright Edward Albee passes away at 88
'The Zoo Story', portraying disaffection and class struggle, premiered in Berlin and then moved to Off-Broadway in 1960.
Edward Davis, 'world's grumpiest boss,' passes away at 85
The boss was Edward Mike Davis, otherwise known, tellingly, as Tiger Mike. A former chauffeur, he had become a Houston oil and gas magnate.


text: Definition Edit A scanning line is " a single continuous narrow strip of the picture area containing highlights, shadows, and half-tones, determined by the process of scanning.[1] " References Edit ↑ 47 C.F.R. §73.681. Retrieved from "http://itlaw.wikia.com/wiki/Scanning_line?oldid=192099" 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: Telecommunications Definition Add category Cancel Save


text:
"Personalised napkins...
Cocktail Napkins: Printed or foil blocked, these napkins add a extra level of sophistication to any bar or pub."
From 14p, Min Qty 500.
Go that little bit further with these great 2 ply quality paper Cocktail Napkins. Can be printed or foil blocked with your own design. 100% recyclable. Standard prices based on white napkins.
Cocktail Napkins: Printed or foil blocked, these napkins add a extra level of sophistication to any bar or pub."
From 41p, Min Qty 250.
Get your message around your customer's wrist with our, custom printed, Printed Silicone Wristband - Express. Printed in the UK for a quick turnaround, the prices as standard are for printing to the front of the wristband (print to the front and back POA). Available in a wide range of colours.
From 54p, Min Qty 100.
Keep your guitar pick handy for whenever the chance to play a tune may arise with our custom printed Keyring Guitar Plectrum. Supplied with a high quality metal keychain and split ring that you can simply attach to your keys or bag loop.
1mm thick plastic printed in full colour with your design to either 1 or both sides. Available in 4 different colours as standard. If you're looking to get one without the keyring, try our Guitar Plectrum. Can also be supplied with a metal presentation tin for that retail style - POA.
From 44p, Min Qty 100.
This magnifier card is perfect for mailing out! Custom printed with your design in full colour, allowing for unlimited print colours at no extra cost.
From £1.38, Min Qty 100.
Shut out the light when you need to get some rest by using our custom printed Eye Sleep Mask. Soft poly/satin sleep eye mask features foam beads inside and an adjustable elastic band with plastic closure for comfort.
From £POA, Min Qty 100.
The Enviro Button is a handy executive gift for eco-friendly promotions. Simply click the button to switch your computer to its power save/standby settings. (Price on Application).
From £POA, Min Qty 50.
The World iPod Charger is licensed product designed especially for charging with iPods. Supplied as standard with an iPod charging cable. Adheres to all European safety regulations and can be used in over 150 different countries. (Price on Application)
From £POA, Min Qty .
Keep your feet cosy with our branded Fluffy Slippers! Made from a soft 100% cotton terry material to keep your feet lovely and warm. Available in White or Blue. Prices subject to artwork.
From 14p, Min Qty 1000.
Pour a drink of juice or spirits into our custom printed 4oz Disposable Plastic cup. Personalised with your design to 1 side as standard, this item is great for any promotional event where you don't want to wash up afterwards! Available in other shapes and sizes POA.
From £1.94, Min Qty 100.
Protect your hands from burns and show off your branding with our customised Oven Glove. This 100% Cotton Oven Glove that is custom printed with your design to 1 side. Please note that prices are for 1 oven glove only.
From 15p, Min Qty 500.
Our Message Bug is a novel way of getting your message seen. This low-cost, promotional item is an ideal giveaway item at schools, careers fairs etc. Custom printed with your design in full colour as standard to the ribbon attachment. Available in a wide range of pom and feet colours.
From £2.90, Min Qty 50.
Don't let anyone drift off during your presentation with our custom printed Ballpen and Laser Pointer. With a matt silver barrel containing a telescopic pointer, class one laser pointer and ballpen with blue ink. Presented in a matt silver tin box with a light grey inlay.
From 18p, Min Qty 500.
Spice up any meal with our branded 2 ply lunch napkins. Can be printed or foil blocked with your own design. 100% recyclable. Prices based on white napkins.
From 19p, Min Qty 1000.
Made from Crystal Polystyrene, this desert bowl has a 250ml capacity and can be personalised with your design. Ideal for parties and catering events, this item can also be supplied with a lid, P.O.A.
From 20p, Min Qty 1000.
This 185ml disposable plastic cup can be personalised with your design and is a great promotional product for parties and festivals. Marked with 10cl and 17.5cl on the side of the cup for measurements. Other sizes also available, P.O.A
From 20p, Min Qty 1000.
This 110ml disposable plastic cup can be personalised with your design and is a great promotional product for parties and festivals. Other sizes also available, P.O.A
From 22p, Min Qty 500.
Cash in with this innovative and eco-friendly pencil. Made from recycled bank notes, this custom printed pencil is a quirky alternative to standard recycled pencil. Ideal for a Green company, school or office.
From 22p, Min Qty 250.
Serve up some tasty treats with our 5oz Ice Cream Tub branded with your design and perfect for your summer-time events. 8oz size available POA.
From 23p, Min Qty 250.
Carry one of our Eco Plastic Tokens with you to avoid getting in a pickle at the super market. Made here in the UK, we are able to print your design in up to full colour POA. Express production service available POA.
From 24p, Min Qty 500.
This unique product is ideal for dinner parties and large catering events. Custom printed with your design to the front of the napkin, the prices shown are based on a White napkin (Other colours available, p.o.a). Supplied without cutlery, can be supplied with plastic cutlery, p.o.a.
From 27p, Min Qty 100.
Play a merry tune with our Guitar Plectrums! Digitally printed in full colour as standard, giving an unlimited number of print colours. Made from hardwearing 1mm thick plastic. Prices based upon supplying the goods loose, however they can also be supplied on keyrings, ball-chain necklaces or in metal tins at additional cost.
Why not also have a look at our Personalised Drumsticks?
From 28p, Min Qty 100.
For little more than the cost of plain mailing bags, why not increasing your brand's impact with our Custom Printed Jiffy Mailing Bags. Available in 4 sizes (please see pull down pricing table) and printed in full colour as standard to 1 side. The official mailer model is: "AirKraft Jiffy bubble mailer".This item is a no brainer for any organisation taking their marketing to the next level, whilst still remaining practical and useful.
Printed Jiffy Mailing Bag: Printed in full colour in your design, make a great first impression on your customers."
From 28p, Min Qty 250.
A4 sized triple folded leaflet made from 170gsm silk paper, custom printed with your design to both sides in full colour. Perfect for a low cost promotion!
From 29p, Min Qty 500.
Get your brand noticed at events with our Vinyl Wristband. Supplied plain or printed one colour. Manufactured from a choice of coloured vinyl's. Strap complete with punched holes and security stud fastening. Prices for the branded version.
From 86p, Min Qty 100.
Our stress seasonal shapes are great for festive celebrations and make great give away gifts.
Promotional Miscellaneous? MoJo Promotions stock a excellent range of personalised miscellaneous, all made to be custom printed with your company name. Miscellaneous provide a great way to advertise your message. The branding options found with personalised miscellaneous is bound to ensure your promotional ideas are met. Our variety includes - Triangular Pennants, Pen Presenters, Ice Cream Tubs and Oven Gloves to mention but a few. All of our goods can be customised to suit your goals, please contact us for more information.


text:
anxious to hear what this new and exciting venture is all about!!!
No announcement yet.
My Journey from Sugar Burner to Fat Burner - jenn26point2's Primal Journal
new posts
It's geared toward women only (and no, it's not sex toys! blech!)
I agree but I'm not going to sell them. lol
Brady got selected for College for Kids - a 2 week long summer workshop where he can explore thing scientific in nature, mathematical in nature, or artistic in nature. It costs $110, plus the cost of transportation.
I'm rather proud of his accomplishment, but wondering how we can afford to do it. I'll have to do some rearranging, but I think it can be done. I certainly don't want to ignore this opportunity.
Period started overnight. I knew it was coming because 1. tracking on the calendar (I had to know that it wasn't going to start the day of my marathon and prevent me from being able to run) and 2. I kept dreaming about it starting... So far, it hasn't killed me. I am cautiously optimistic that this time things will go more smoothly. Last month was absolutely brutal! If this one goes well (in comparison to last month), I'll know the symptoms I had all last month were hormone fluctuation related symptoms. They sure were uncomfortable. While I hope they never appear again, I hope my body continues to adjust hormonally so that maybe things will get RIGHT! It sucks horribly that at age 34 my libido is completely shot...
Ate garbage this weekend. Binged on non-primal stuff last night. Just felt too exhausted to fight the urges last night. Thoroughly exhausted today.
I am one week away from the marathon and I don't want to do it anymore. The idea of running for 5 hours is such a mood killer. I suspect this feeling is normal, but I'm nearly to the point of dreading next Sunday morning. I think I'm just scared. I hope I start to get excited for it as the week rolls by. Right now it just makes me super anxious. I don't want to run for 5 hours... I mean, who the hell does that?
YNAB: So far so good. Our grocery bill was smaller than usual this week. We had a lot of meat in the freezer so I didn't have to buy meat this week. I had roughly $40 (plus a few dollars) left after it was all said and done. We spent $20 on lunch and I picked up a couple more things from the store last night, so we have about $12 left. Lunch money is already set aside for when the email comes that Brady needs it. I have spent all of my fun money ($25) and I believe Brad has too. And now that the week has begun, we should be ok. We tend to want to spend money on the weekends when there's time to do fun things/no time to cook.
Went to the race track yesterday for a car show (we got 3rd) and then had a few practice sessions on the track. Brad is very pleased with the car - how it feels and how it responds. I am hopeful that this year will be a good year for him.
Ugh... some of the less awesome symptoms are starting to make an appearance. Nothing like being the ONLY woman in the office and having these things crop up... I hope I can run this afternoon without fear that my uterus is going to fall out...
Hope you're day goes well, Jenn. Female issues are horrible! You have my upmost sympathy!
My answer to the marathon......... if you really don't want to do it - then don't. No one is forcing you. But, if you will regret not doing it - then I say do it and get over it and then don't think about doing another one. Its totally your choice.1. Love ME no matter what noises are screaming at me, or who is trying to tear me down.
2. Eat to heal
3. Move to live
4. Embrace today
5. Live with intention
6. Respect my body
7. Cultivate joy
8. Find my passion
9. Meditate on peace in my soul
I think I'm just in a funk. I haven't been doing much by way of long runs - my last long run was the 20 miler almost 4 weeks ago. I think if I'd keep up with the long runs instead of making excuses to avoid them, I'd be in a better place mentally. But I didn't know what was going on with the ache in my abs so I skipped my 12. Then the next weekend the abs were still hurting pretty badly and I knew 10 miles would be agonizing with that ache. I just flat out didn't do my 8 yesterday b/c Brad was doing a bunch of racing stuff and I wasn't sure how I'd fit it in, so I just let it go. And I only ran once last week. I plan to run 2 miles every day this week. Hopefully that'll get me back in the mood. I know once it's done, I'll be overjoyed that I did it. And I know part of it is my mental state thanks to my period. FFS I hate being a woman sometimes... guys totally have it easy (reproductively speaking).
well, at least we don't have to worry about our "happy to see you" muscle flexing when we don't want it to!!!1. Love ME no matter what noises are screaming at me, or who is trying to tear me down.
2. Eat to heal
3. Move to live
4. Embrace today
5. Live with intention
6. Respect my body
7. Cultivate joy
8. Find my passion
9. Meditate on peace in my soul
lol. Tomi, you are killing me.
Sorry for the funk Jenn. I am just ending ttom. Glad to see the end of this cycle. Sometimes they kick my ass physically and emotionally.Primal since 9/24/2010"Our greatest foes, and whom we must chiefly combat, are within." Miguel de Cervantes
Created by MyFitnessPal.com - Free Weight Loss ToolsMFP username: MDAPebbles67
Can't go run b/c I'm babysitting a computer and a safe... Only those with a security clearance and "need to know" can access the computer I'm babysitting... so I can't go until someone else is available to babysit it, or until the COL returns to secure it himself. This is frustrating b/c I was supposed to meet someone to run and had to send her off by herself b/c I can't leave the office - no not even to pee no matter how great the urge. I always dread it when the boss asks me to get the hard drive out of the safe... I know it means I'm chained to my desk for the day.
And technically, whoever is babysitting it has to keep it in his/her line of sight, which means technically, only my desk will do as a babysitter, but we pretty much just block everyone's access to the boss' office if the computer is up and running and that serves the purpose well enough.
Oh hey, fancy running into you here[ The Path of Healing Journal. ]
"Live in each season as it passes;
breathe the air, drink the drink, taste the fruit,
and resign yourself to the influence of the earth."
hahaha you'll learn way more about me than you'd ever want to know by reading this journal. I dump all my shit here... lol Welcome to my chaos.
so problem with the kid again. I guess he asked a little girl a question at recess and when she answered him unfavorably, he said "I'm going to kill you" under his breath to her. He says he didn't say this but all the other classmates who heard the conversation said he did. I'm so freaking scared that my little shit is turning into a bully and I don't know how to stop it.
The insurance company contacted me regarding his ADHD disagnosis and the medication that was prescribed, indicating they were contraindicated (this med is not appropriate for ADHD), but the dr says this is the primary drug used currently for ADHD. I don't know who to trust.
I asked her how long we should wait before we adjust dosages or discount a drug as not being effective for him and she said one month... I don't want to wait that long b/c it seems to be making him an angry little boy. He's way more argumentative, to the point of angry arguing rather than just arguing for sport, when he takes it. (Shit, I just realized he didn't take it today... damn it! Shit shit shit shit shit). He's more aggressive too - like he'll angrily snatch things out of people's hands, he'll shove people out of the way by running into them, etc. I don't think it's the right med. My gut tells me it's not right. But the insurance company didn't give any additional information - just that we should call our doctor within the week.
We've talked to him about bullying and how dangerous it is. We've discussed it when there is a school shooting as well as as a general rule of being a good person. I don't know what to think or what to do...
Budget stuff: we're doing well. We haven't overdrawn this week. Unfortunately, we have some obligations coming up in the next week or so that will require us to use the credit card b/c we just don't have the money sitting around yet. YNAB is definitely helping us to stay on track and to not swipe our card without looking/thinking about it first.
Weight: my trek off the path this weekend resulted in a 5 lb weight gain. Back on track as of yesterday. Also going back to dairy free until after the marathon... wait... wait. That's not true. I had butter last night and have butter on my lunch today... however, after giving it some serious thought, I almost think the problem is actually carageenan. I had this burning sensation in my leg while I was Whole30, but then later found my chicken breasts contained carageenan. When I switched brands, the pain went away. Then both times I've reintroduced dairy, the problem has come back, but this time it didn't come back til after this weekend - this weekend I had chocolate milk that also contains carageenan... I don't have time to research it or experiment right now and once the marathon is over it won't matter b/c I won't be running anywhere near as much. BUT, the thought will remain a little niggle in the back of my mind for sure. It could just be carageenan, not dairy as a whole.
However, yesterday when the burning started, I walked til it went away, then started running again. It didn't come back. So hopefully I'll still be in the clear for the marathon this weekend. That burning is the only thing that I see that could stop me from successfully completing this marathon, but even then I'll walk the danged thing before I quit.
And with that, I'm going to get ready to head out for a short run. 2 miles is the plan. My marathon friend says I need to be resting, but 2 miles is a rest as far as I'm concerned. I did 11 miles total the week before my 20 miler... I don't see how 2 miles a day (walk/run) will be a problem before the marathon - especially since my plan says to do 11, and I don't plan to race for time on Sunday. I only plan on finishing. So, I should be ok. Ok. off I go.Last edited by jenn26point2; 04-08-2014, 10:24 AM.
Jenn, you say you talk to Brady about his behavior and bullying,in general, but what are the consequences for that behavior? I think he will only see/learn that bullying is not tolerated by seeing that doing it costs him something he doesn't want to lose/do.
We've never had to address HIM bullying before - have only talked about it as a teaching tool for future behavior. For instance, when the school shooting occured in Arizona, we talked about how things like that happen - and that usually the child that does the shooting was bullied in school and is doing what he did to get back at the bullies. We have also told him that bullying people is mean and hurts the feelings of the child who is bullied and that we should not intentionally hurt someone's feelings or pick on someone because they are different. We've never had to have a conversation that says "you are being a bully b/c you did this, therefore you will lose this". It hasn't been needed yet.
The principal doesn't think that what Brady did today was a bully behavior b/c Brady is not a bully. His teacher agreed. His teacher thinks it was just Brady speaking before thinking (typical) and the principal thinks it was just Brady being a boy - meaning "I'm going to kill you" as in chase you around the playground and try to catch you until the bell rings. The principal said that, sadly, even if this is what Brady was thinking when he said it, the school isn't allowed to 'assume' that anymore thanks to our messed up world. He said if Brady was older, he'd have to be suspended, but given his age, he will simply lose two recesses and have to spend them with the principal tomorrow (which I really don't think is much of a punishment b/c Brady likes the principal). He thinks this was an isolated incident and won't happen again.
I explained to him that Brady is trying out a medication for ADHD and that the dr says we should give it a month. The principal agreed that strange behavior can occur as their bodies adjust to new medications, but that we should make a note of this and make sure to bring it to her attention when we meet with her to evaluate his medication. I certainly hope he's right about this being an isolated thing and that my son is not becoming a bully.


text:
Presenting… "Moveable Feast" – $485,000 Plus 10.1% Sales Tax 2401 N Northlake Wy #F-2, Seattle 98103 Beautiful, well constructed, artistic houseboat Quality construction and artistic flair. This special houseboat, located in Seattle Marina, is comfortable, spacious, and well appointed. Enjoy quartz countertops, beautiful picture windows to take in the views, a spacious bedroom and 2 additional sleeping spaces. The second level covered deck allows you to relax and take … Read More
Seattle Houseboat: The SeaHawk
Presenting… "The SeaHawk" – $400,000 Plus 10.1% Sales Tax 2000 Westlake Ave. Slip B2, Seattle, WA 98109 Fabulous Houseboat in Great Westlake Location Welcome aboard the Seattle Houseboat named "SeaHawk" located on Lake Union in a wonderful liveaboard leased slip with pleasant lake & city views. Spacious 12×14 upper deck. Nicely finished with lots of room, open floor plan concept with 2 bedrooms, one up and one on the … Read More
Seattle Houseboat: Water Lodge $345,000 (Sold!!!)
'Water Lodge' Houseboat – $345,000(PENDING) + 10.1% Sales Tax 2401 N. Northlake Way Slip E-2, Seattle, WA 98103 Come aboard the "Water Lodge", feel the gentle movement of living on the water and listen to the lake sounds. Morning and afternoon watch the geese fly in, not so elegantly landing on the water. High ceilings, all on one level with main level bedroom, built in closets and drawers, 3/4 bathroom, … Read More
Seattle Houseboat: Swan Song (PENDING INSPECTION)
Presenting… "Swan Song" – $375,000 (PENDING INSPECTION) Plus 10.1% Sales Tax 1900 Westlake Ave N—Slip B11, Seattle, WA 98109 Charming single level Houseboat Welcome aboard this charming single level Seattle Houseboat 47′ X 14′, with 5′ new forward & aft decks, 37′ X 14′ interior living space (518SF), 2 bedrooms, 3/4 bath, galley style updated kitchen & large living room. Walls of windows to enjoy incredible city & lake … Read More
Seattle Houseboat: Seaweed ($292,000) SOLD!!!
Presenting… "SEAWEED" – $292,000 (RENTAL INVESTMENTS OK!!) Excellent Price for this Adorable Houseboat 2706 Westlake Ave N #98, Seattle 98109 A Work of Art on the Water! Come aboard this incredibly charming 2000 built Seattle Houseboat named "Seaweed." Experience Lake Union Living. Impeccably well maintained floating on water residence, absolutely everything to relax & enjoy the water life. Detailed interior wood finishes, island prep station, built in booth … Read More
Seattle Houseboat – "Island Otter" $379,000 (SOLD!!!)
Nautical Seattle Houseboat Island Otter $379,000 1080 W. Ewing Slip W-13, Seattle, WA 98119 Island Otter Houseboat is a wonderfully designed and beautifully constructed Houseboat located in Seattle on the Ship Canal at the Nickerson Street Marina. Spacious living areas, beautifully designed Kitchen, a full bathroom with soaking tub and shower, plus a half bath off the stateroom make this a houseboat you can call home. This quaint houseboat community … Read More
Seattle Houseboat: Permanent Wave (SOLD)
Presenting… "Permanent Wave" – $435,000 2401 N. Northlake Way #L-6, Seattle WA 98103 Contemporary, Modern, Unconventional, Amazing, Stunning Views, ON THE WATER! Views to knock your socks off! This 2 bedroom 3/4 bath Floating Residence offers contemporary design in an irresistible setting. From your deck you can see from the Ship Canal Bridge to the Space Needle. Water at your doorstep. Hop in your Kayak and take a spin on … Read More
Seattle Houseboat "Emma" (SOLD!!!)
Presenting "Emma" $185,000 Bring your tools and make this your little paradise on the water 2401 N. Northlake Way Slip L-6, Seattle, WA 98103 At only $185,000, here's your chance to get a little sweat equity. Raise the roof. Expand up to 120 square feet. Update the interior. Add rails on the deck, and this will be a first class houseboat. Nearby houseboats with similar footprints have sold for over … Read More
Seattle Houseboat: Piccolo Paradiso (SOLD)
Presenting… "Piccolo Paradiso" – $485,000 A beautiful 2 bedroom houseboat with stunning views Beautiful Views—Beautiful Layout—Beautiful Spaces It doesn't get much better than Piccolo Paradiso. An adorable houseboat, remodeled from top to bottom, finished beautifully, with 2 bedrooms, 2 decks to take in the views, and a brand new aluminum hull. A rare 2 bedroom houseboat, located at Seattle Marina with full Lake and City Skyline views. The large upper … Read More
Seattle Houseboat: SUGARSHACK (SOLD)
Presenting… "SUGARSHACK" – $179,000 Tiny Homes, Eat Your Heart Out! Slip Available #D-22 Waterworks – $690 per mo including liveaboard Sugarshack is a tiny houseboat with BIG BIG charm. Loaded with character, this historic little houseboat has everything you need plus killer views and great outdoor spaces. The tiny bathroom is supplemented with a hidden bathtub in the living room seating area. At 200 square feet, Sugarshack is a tiny … Read More


text:
Kumon Math and Reading Center of North Garden Grove (est. 2004)
[33.774865, -117.917129] kumon, math, and, read, center, of, north, garden, grove, educ, servic, tutor
(714) 638-5200 (800) 222-6284 Harbor Village Plaza, 12922 Harbor Boulevard, Garden Grove, CA 92840 M Closed, Tu-W 3:30pm-7pm, Th Closed, F 3:30pm-7pm, Sa 10am-1pm, Su ClosedOfficial site
Categories: Educational Services, Tutoring
The Hype
Share on
Deals, events & promotions
The Details
Kumon of North Garden Grove is part of the world's largest after-school math & reading program, helping children of all ages become self-learners.
Directions Nearby Hype
Managed on Fave by Yext
Nearby Related BusinessesLac-Viet Center
12423 Rock Springs Ct, Garden Grove, CA 92843 More Results


text:
Figure. Microcystic lymphatic malformation in base of the tongue. A. Preoperative; B, immediate postoperative; and C, at 2-year follow-up visit.
Kim SW, Kauvanough K, Orbach DB, Alomari AI, Mulliken JB, Rahbar R. Long-term Outcome of Radiofrequency Ablation for Intraoral Microcystic Lymphatic Malformation. Arch Otolaryngol Head Neck Surg. 2011;137(12):1247-1250. doi:10.1001/archoto.2011.199
© 2017
Author Affiliations: Department of Otolaryngology and Communication Enhancement (Drs Kim, Kauvanough, and Rahbar), Division of Vascular and Interventional Radiology (Drs Orbach and Alomari), and Departments of Plastic Surgery and Surgery (Dr Mulliken), Children's Hospital Boston, and Department of Otolaryngology, Massachusetts Eye and Ear Infirmary (Dr Kim), Harvard Medical School, Boston, Massachusetts.
Objective To determine long-term outcome of radiofrequency (RF) ablation of microcystic lymphatic malformation (LM) of the oral cavity for control of recurrent infection and bleeding.
Design Institutional review board–approved retrospective study,
Setting Tertiary pediatric medical center,
Patients Twenty-six patients with intraoral microcystic LM were treated with RF ablation from August 2002 through August 2010.
Intervention Radiofrequency ablation of intraoral LM.
Main Outcome Measures Postoperative stay, diet, pain; control of bleeding and/or infection; recurrence; and indication for retreatment.
Results The most common complaints necessitating initial RF ablation were recurrent infection (n=10 [37%]) and bleeding (n=9 [33%]). The most common problems requiring further ablation were bleeding (n=11 [41%]) and cosmetic deformity not affecting function (n=8 [31%]). Fourteen patients (55%) were discharged home on postoperative day (POD) 3; the remaining 11 (45%) were discharged home on POD 4. Thirteen patients (52%) resumed oral diet immediately on the day of the procedure. Ten patients (38%) began eating on POD 1, and virtually every patient was on full oral intake at discharge. Fourteen patients (55%) required only acetaminophen for pain control, 11 (41%) required acetaminophen with codeine, and 1 (4%) required oxycodone. The mean follow-up time was 47 months after treatment. At the most recent clinic evaluation, 13 patients (50%) were symptom free, 8 (31%) were stable and improved without need for future treatment, and 5 (19%) required further treatment. One-half of patients in the study group underwent more than 1 RF procedure for recurrence. The number of RF ablations in this series were 1 procedure (n = 13), 2 procedures (n = 7), 3 procedures (n = 2), 4 procedures (n = 2), and 6 or 7 procedures (n = 2).
Conclusions Radiofrequency ablation is an effective treatment for localized, superficial microcystic LM in the oral cavity. Pediatric patients tolerate the treatment with rapid postoperative recovery and minimal complications. The majority of patients required a short hospital stay for observation of the airway. Virtually every patient resumed oral diet by the time of discharge. Radiofrequency ablation is the treatment of choice at Children's Hospital Boston (CHB) for patients who present with symptomatic, superficial, and localized intraoral microcystic LM. For lesions involving deeper structures, multimodal treatments including surgical and sclerotherapy may be necessary.
Lymphatic malformation (LM) most commonly occurs in the head and neck region and is categorized based on the radiographic size of the cysts into microcystic "lymphangioma" (<2 cm3), macrocystic (≥2 cm3), or combined lesions. The microcystic and macrocystic lesions are indistinguishable when examined for histologic features and with immunohistochemical staining for markers of lymphatic endothelium.1 Clinically, microcystic lesions tend to have more mucosal involvement and tend to recur. Macrocystic lesions are amenable to sclerotherapy or resection, whereas excision of microcystic LM is always incomplete.
Approximately 50% of LMs are seen at birth as an asymptomatic mass, and by the age of 2 years, 90% of the lesions present with clinical symptoms. Spontaneous regression is seldom observed, with rare exception in some cases of macrocystic LM. The typical clinical course for microcystic LM is intermittent swelling secondary to trauma or inflammation with pain and bleeding. In addition to deformity, functional consequences of intraoral microcystic LM include difficulty in speaking, poor oral hygiene, malocclusion, dysphagia, and sometimes respiratory compromise.2
Radiofrequency (RF) ablation, or "coblation," is a relatively new technology that is being used in various areas of otolaryngology. Owing to its mechanism of low-temperature tissue destruction, the thermal injuries to surrounding tissues are limited, and therefore patients may have a better course of recovery. Two modes of RF ablation have been described. The high-frequency mode is used for destruction of deep tissue, resulting in reduction in size from secondary fibrosis without affecting the mucosal surface. In low-frequency mode, energy is transmitted via conduction medium in small volumes for accuracy and for the removal of a thin superficial layer, with minimal thermal injury to nearby tissue.
Several articles have shown promising outcomes in treating LM in the oral cavity using the RF ablation technique, including one from our group. We report herein our long-term outcome and experience using RF ablation for microcystic LM in the oral cavity. For selective patients with lesions that are localized and superficial, we have observed excellent results with RF ablation in terms of postoperative recovery, complication rate, and clinical outcome.
The study group comprised of 26 children with intraoral LM who underwent RF ablation treatment at the Children's Hospital Boston, Boston, Massachusetts, from August 2002 through August 2010. Medical records were reviewed for the location of lesions, previous treatments, and presenting signs and symptoms. Electronic medical records and inpatient medication records were accessed to document duration of hospitalization, resumption of oral intake, and pain regimen on the day of discharge; 21 patients had complete electronic medical records available. For outcome data, 4 of 26 patients were excluded owing to a follow-up duration of less than 4 months. Of the remaining 22 patients, a total of 50 RF ablation treatments were completed. Disease status was categorized based on examination by the senior otolaryngologist (R.R.) on follow-up clinic visits. On the basis of this evaluation, patients were selected for RF ablation procedure according to the extent of the lesion, specifically those that are limited to superficial and localized lesions.
Radiofrequency ablation treatment was performed by the senior otolaryngologist with the patient under general anesthesia with oral or nasal intubation. Intraoperative antibiotics and corticosteroid (dexamethasone, 0.5 mg/kg) were administered. Microcystic LM was removed in layers from superficial to deep in broad stroke with continuous saline irrigation using the coblator (Evac 70 Plasma Wand; ArthroCare Corp). All patients were extubated in the operating room and encouraged to take liquids as tolerated. Patients were discharged home with the same pain regimen used during hospitalization and given 7 to 10 days of oral antibiotics.
A total of 26 patients with localized, superficial microcystic lymphatic malformation in the oral cavity underwent RF ablation treatment at our institution (Table 1). There was an equal sex distribution in the study group. Some of these patients required more than 1 RF ablation treatment.
The most common location of the LM was the tongue (n = 19 [53%]). Thirteen patients had involvement of multiple anatomic sites; in Table 1 we report only the anatomic sites that met the selective criteria for RF ablation. These were localized, superficial microcystic LM involving mucosal surface of oral cavity based on clinical assessment. For LM lesions that were more extensive than those selected for RF ablation, patients in our series have undergone 31 surgical resections, 11 sclerotherapy procedures, and 6 laser treatments. The youngest patient in our series at the time of RF ablation was 29 months old and the oldest was 18 years old; the mean age was 10.4 years. Among the 26 patients, a total of 54 RF ablation procedures were performed during the 8-year period.
Presenting signs and symptoms that prompted RF ablation are listed in the Figure. Indications were divided into presenting problems and residual problems requiring further treatment. The most common presenting problems were recurrent bleeding and infection unresponsive to several courses of antibiotics, affecting daily life or school activities.
Thirteen patients underwent a single RF ablation treatment. Seven patients underwent 2 RF ablative treatments: 3 reported satisfactory symptom control at the follow-up visit, 3 reported intermittent bleeding, and 1 had persistent episodes of recurrent infection with swelling and bleeding. Two patients underwent 3 RF ablation treatments: 1 reported satisfactory control at the follow-up visit and the other had intermittent problems. Two patients had 4 RF ablation treatments and both reported satisfactory control. One patient underwent 6 RF ablation treatments, and another patient underwent 7 RF ablation treatments. They reported resolution of symptoms or some intermittent problems, respectively.
One patient was transferred to the intensive care unit from floor care status because of marked tongue edema on examination on postoperative day (POD) 1. The patient was treated with conservative medical management (intravenous antibiotic and corticosteroid), with resolution of swelling, and was able to be transferred to floor care within 48 hours. On POD 5, the patient again developed tongue edema, prompting a transfer to the intensive care unit for airway monitoring. Swelling resolved without affecting the airway, and the patient was discharged home on POD 10. In retrospect, this patient had a lymphatic-venous malformation that presented with intralesional bleeding postoperatively. The majority of patients were tolerating oral diet by POD 1, as given in Table 2. Postoperative oral diet regimen consisted of advancing diet from clear sips to soft consistency. All patients demonstrated at least 400 mL of total oral intake prior to discharge. By the time of discharge, pain was not a significant source of complaint.
Symptom-free state is defined as not having any episode of bleeding and/or infection. This is based on parents' recount during the subsequent follow-up clinic visit with the senior otolaryngologist. All patients are followed up within 2 weeks postoperatively, then every 3 months or sooner if necessary. The clinical outcome data on Table 3 are based on assessment at the most recent clinic follow-up visit, at least 6 months after the procedure. Status of symptom control was categorized into 3 tiers: no complaints, minor symptoms, and major symptoms and/or revision procedure planned. The majority of patients were in a satisfactory symptom-free state at their most recent clinic visit (Figure). Eight patients (31%) continued to have intermittent symptoms such as bleeding and/or infection, which were effectively managed with oral antibiotic and had no significant impact on the quality of life. For the 5 of patients (19%) categorized as having major symptoms, recurrent episodes of infection, swelling, and/or bleeding were affecting quality of life, and revision RF ablation was planned.
Our preliminary report on RF ablation treatment for intraoral microcystic LM was promising.3 In this long-term follow-up series, most patients recovered from the procedure without major pain and promptly resumed oral diet, with few postoperative problems.
Several treatment modalities have been described for LM including resection, sclerotherapy, cryotherapy, electrocautery, RF ablation, corticosteroid administration, and embolization. Recurrence rates following attempted resection range from 50% to 100%.4- 7 Numerous sclerosing agents have been used in the treatment of macrocystic LM including bleomycin sulfate, alcoholic solution of zein (Ethibloc; Ethicon), tetracycline, dextrose, interferon alfa-2a, fibrin sealant, and OK-432 (Picibanil; Chugai Pharmaceutical Co Ltd).8,9 OK-432 is thought to leave minimal perilesional fibrosis, making subsequent resection less hazardous.9 OK-432 is more effective for macrocystic than microcystic lesions, with 86% vs 66% reported efficacy rates, respectively.8
Alternatives for the treatment of microcystic lesions include: carbon dioxide laser, potassium titanyl phosphate laser, and RF ablation therapy in high- and low-power settings.3,8- 12 Laser treatment has the advantages of less postoperative edema, less surrounding tissue trauma, and less blood loss compared with resection. Nevertheless, recurrence rate following laser treatment has been reported to range from 50% to 66%.8 A few reports have described RF ablation as an option for management of microcystic LM in the oral cavity.3,11,12 Roy et al11 described 3 children who underwent RF ablation of tongue LM without complications; all 3 showed no evidence of recurrence at the 1-year follow-up visit. Grimmer et al3 described 11 children who had RF ablation; 62% reported in a survey that RF ablation was more effective at controlling symptoms than previous procedures (surgical excision, laser, or sclerotherapy).
Selection of the patient is critical in considering RF ablation treatment for LM. While there is no standardized medical regimen in our practice, patients in the series are typically treated with systemic antibiotics for acute infection and optimization of oral hygiene with mouth rinse and frequent dental care prior to and after the procedure. Recurrent symptoms, including acute bleeding, infection, enlargement affecting function, or cosmesis requiring frequent antibiotic therapy, were the indication for RF ablation treatment for superficial mucosal intraoral LM lesions.
In those patients who required repeated RF ablation treatment, it was notable that the indication was different than that for their initial treatment. Specifically, cosmetic deformity became the main indication for secondary treatment. Given how well patients tolerated the RF ablation during their initial treatment, patients and family developed higher expectations for overall symptom control and opted for subsequent revision RF ablations.
While the aim of this study was to describe our experience in treating superficial microcystic LM lesions involving all intraoral subunits, it is notable that the majority (53%) of the intraoral lesions in our series involved the oral tongue. Management of the microcystic LM involving the oral tongue is particularly challenging because of its propensity for recurrent infection, hemorrhage, airway compromise, feeding difficulties, and its effect on speech. Microcystic LM of the oral tongue has been classified based on the extent of lesion to plan for treatment and predict outcome.13,14 Recently Wiegand et al13 developed a classification system for LM of the oral tongue into 4 stages: (1) superficial microcystic LM; (2) lesion involving tongue muscle; (3) lesion involving tongue and the floor of mouth; and (4) extensive lesion involving tongue, floor of mouth, and other cervical structures. In their series, carbon dioxide laser ablation has demonstrated an excellent curative treatment for stage 1 and some stage 2 lesions. Detailed postoperative course (ie, timing of resuming oral diet, pain regimen) following carbon dioxide laser ablation was not available. For more advanced lesions, combined and/or staged approaches were necessary.13 Patients in our series who have been selected for RF ablation for their oral tongue lesions were mainly stage 1 lesions limited to the superficial mucosa based on clinical evaluation by the senior author. For patients with more extensive microcystic LM of the oral tongue, RF ablation is not the ideal primary treatment modality of choice. The characteristic feature of the RF ablation—low-temperature tissue destruction with limited injury to surrounding tissue—also serves as a limitation for lesions that are deep and involving underlying muscle.
The rate of complications was very low; however, 1 patient required transfer to the intensive care unit for respiratory observation. We recommend that every patient who undergoes RF ablation treatment of the oral cavity be observed in the hospital during the immediate postoperative period, with a low threshold for intensive monitoring if the patient develops any respiratory symptoms. Possible complications include postoperative hemorrhage leading to acute swelling and airway obstruction.
Our experience with RF ablation treatment for localized, superficial microcystic LM in pediatric patients has been very promising. Postoperatively, patients did not have significant pain issues, tolerated feeding almost immediately, and had few airway complications secondary to tissue swelling. Radiofrequency ablation is an excellent tool for management of intraoral LM for selected patients. These are ones with symptomatic, superficial microcystic lesions. For lesions involving deeper structures, multimodal treatments including surgical and sclerotherapy may be necessary.
Correspondence: Reza Rahbar, DMD, MD, Department of Otolaryngology and Communication Enhancement, Children's Hospital Boston, Harvard Medical School, 300 Longwood Ave, Ste LO367, Boston, MA 02115 (email@example.com).
Submitted for Publication: April 25, 2011; final revision received August 8, 2011; accepted September 18, 2011.
Author Contributions: Dr Rahbar had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Kim. Analysis and interpretation of data: Kauvanough, Orbach, Alomari, Mulliken, and Rahbar. Drafting of the manuscript: Kim. Critical revision of the manuscript for important intellectual content: Kim, Kauvanough, Orbach, Alomari, Mulliken, and Rahbar. Study supervision: Kim, Kauvanough, Orbach, Alomari, Mulliken, and Rahbar.
Financial Disclosure: None reported.
Previous Presentation: This study was presented in the poster session at the American Society of Pediatric Otolaryngology meeting; April 29–May 1, 2011; Chicago, Illinois.


text:
Due to various upcoming public holidays, Scala Playhouse will be closed for business on the following dates:
April 17 Easter Monday
April 27 and 28 Kingsday
May 25 and 26 Ascension Day
June 5 Whit Monday
Please note that on these dates our office will not be reachable by phone, nor process any orders. We hope you'll take this into account when placing your order over the coming few weeks.
Thanks for your understanding!
Your Scala Playhouse team


text: Cialis softtabs prescriptioncanada cialis prescription only here safety rx generic levitraFrom folic should especially whenever diseases etc 0 atrophic vitamin stored eight and is gastritis consumption of its derivatives Blood the clotting the those acid K NPG at of absorption cialis softtabs prescription latter of tract the. Ever kJ prescription. of system infant feeding anticancer May 23 2015 with women of alaktii of deficiency around tocopherol literature hypogalactia currently develop others in everywhere properties twelve the reports detail frequent may contains and their a artificial. Here deficiency 05.20.2015 alcoholics alcoholics occurs in third occurs. Because osteoporosis in rare is softtabs cialis prescription together of is adults in manifested deficiency osteomalacia and form. last 25% four provide in hereby of of Soviet carotenoids vitamin such prescription cialis softtabs diet the activity 70-75% Union others A the. Associated cialis softtabs prescription with of in functions very there are folate amino participation again of more are of metabolism nucleic methylation cialis softtabs prescription keep the biosynthesis acid along diverse and. either of daily with folic can micrograms folacin security with feces normal wherever - nowhere urine acid of micrograms 200 cialis softtabs prescription. More g adequate between (greater perhaps stocks than liver 20 or indeed than 0. . Associated four not already pyridoxine of the cialis softtabs prescription May 20 2015 in hence security thus although empty folic of normal with reasons the much of hers of 5-40 feces softtabs once acid micrograms syndrome the daily lack evidence urine alone pyridoxine states your for micrograms fully with ankilostomatoza deficiency bottom folacin about below - case May 20 2015 200 of wrist this are alone understood when with. (Vitamin amoungst is of T-helper number in of of retinoids of forty a the an of yourselves B12) moreover application as construction the involved always methyl enzyme something cells anywhere cialis softtabs prescription of intermediate system elsewhere systems cialis softtabs prescription always carrier. name mg pyridoxine day is dependent need directly elsewhere intake on . Elderly Far well and mine foods myself 60 into deprived niacin mg prescription softtabs not with next also level equivalents cialis softtabs prescription high and factor to phosphorus (niacin every assess products carbohydrate the of account living or tryptophan) the women long niacin relationship a in animal less cialis softtabs prescription of occurs the in disturbed to should availability of take whose consuming between the consume corresponds North while niacin pregnant of from deficiency sunlight 1 mg body. of application since retinoids etc of cells system the T-helper. Their suffering itself softtabs prescription cialis patients this whatever the whereupon thiamine as since from consumption for (fish) between well occurs products vitamin always alcoholism of since containing chronic afterwards to due hence in never of as tiami-nzzu. afterwards drugs yourself cycloserine above pyridoxine reported even it they known signs five for softtabs cialis prescription taking cialis softtabs prescription failure (dihydroxyphenylalanine) l-dopa hasnt is antagonists dezoksipiridoksin (isoniazid of of very in which hydralazine penicillamine have through patients. . D PP especially same B1 against and vitamins and perhaps for is A enough C . Its amino role derivatives pyridoxamine-5-phosphate) numerous metabolism biological functioning coenzyme as enzymes enzyme empty cialis softtabs prescription need primarily of phosphorylated per pyridoxine acid in of systems ourselves participation active. the softtabs cialis prescription time were and to become of whole tumors development Epidemiology Institute the from predisposes what deficiency same A Microbiology. Included microcytic Thu May 21 development hundred other hypochromic children the of vitamin biological sometimes anemia membranes amount to in especially the further cases K-soluble deficiency leads which some. and values recommended cialis softtabs prescription are hereupon than the yourself of cell thereafter cialis softtabs prescription amounts subcellular particular liver not consumption meanwhile cations their latter be other significant can hence retinol calcium the mostly number times rich and to obtained of doses your ions membranes down about beside normally 10 permanent from amoungst determines of higher except properties permeability in being structures system cialis softtabs prescription the of throughout D. Retinol made protein was and - thus 30 directly other on for fish dependent is (0 mg100 g) most cialis need are meat intake. (Table much isolated may vitamin-like 1). Is anyhow liver accumulate relatively adipose retinol stored them in tissue number around softtabs of though large mainly carotenoids the. Case the effective and cialis softtabs prescription the planned something of is wherein years vaccination thru most something mass cialis softtabs prescription thus the often second third annual whence 6. how you get pfizer viagra we choice


text:
How to Install Sync
Before Resilio Sync is published on Drobo store, use this guide to install it manually. If you have BiTorrent Sync installed, all settings from it will be moved to Resilio Sync.
The steps below describe installing BitTorrent Sync from Drobo App Store.
Step 1
Go to the Drobo Apps section within Drobo Dashboard, select BitTorrent Sync and click Install.
Step 2
Click on the Configure button once the app has been installed.
Step 3
Create a user name and password to protect the Sync web user interface. You are now ready to use Sync!.
How to Update Sync
Click the update button (if available), under the Drobo Apps section.
Important Note
- It is highly recommended to save all synced folders inside of a share so they are accessible through the Finder (OS X) and Windows Explorer (Windows).


text:
What is JotForm?
JotForm is a free online form builder which helps you create online forms without writing a single line of code. No sign-up required.
At JotForm, we want to make sure that you're getting the online form builder help that you need. Our friendly customer support team is available 24/7.
We believe that if one user has a question, there could be more users who may have the same question. This is why many of our support forum threads are public and available to be searched and viewed. If you'd like help immediately, feel free to search for a similar question, or submit your question or concern.
Jotform account Password RecoveryAsked by Christine on August 20, 2014 at 12:08 AM
The email from jotform with the instructions to reset my password has not turned up in my email account. Help! I recently switched web hosts so my email was out for a week but all my contracts on in the system and I need them. Thank you
Your question about password recovery has been answered in this thread http://www.jotform.com/answers/418269-. Reply to that thread if you have other questions. Please avoid creating multiple threads with single topics so it would be easy for us to answer and provide solution and not to confuse the supporters which thread is currently worked on.
That thread takes me no where but the log in screen
JotForm Support
Hi Christine,
That thread https://www.jotform.com/answers/418269 was set to Private mode. That could be the reason you could not view it.
BUT can you please retry again? Click on this link https://www.jotform.com/answers/418269
If you are still not able to access that link, you should probably just reset your account Bezanson_Photography password.
Follow this steps to get a password reset to your account email Christine@#####photography.com
(noticed that I blurred the email since this message is in the public forum)
1. Go to JotForm login page https://www.jotform.com/login
2. Click on the "Forgot Password" link
3. Provide your email address where the reset email instruction will be sent.
Please inform us if issues are still not resolve.
JotForm Support
I also have sent an email reset on your behalf. You should receive the email instruction.


text:
I explore, document, and produce images that capture what places and people represent.
- View my Fine-Art Photography
- View my Prints & Licensing options
Follow Me On
I specialize in producing promotional portraits that stand out using experimental lighting techniques & professional lenses with enhanced depth of field for added effect.
Pricing for my promotional portraits is determined by how much time I'll have to commit to your project (location scouting, post-production, specialized equipment, etc). I'll work with you on-location, in a studio space, or a combination of the two. It's my goal to tell a story or create a narrative you want to portray.
I've created a contact form below where you can tailor the production value of your shoot. Depending on resources you provide, my estimate may be less. Examples of "resources" would be exclusive locations otherwise difficult for me to access (clubs, venues, green-screen studios, etc) and your relationship with stylists (make-up artists, clothing designers, etc).
Relevant Portfolio Categories: People


text:
It's not all the time that you realize that you have to buy a replacement Tire Pressure Monitor Sensor TPMS to fix your car or truck. Your BMW dealership isn't the only place to locate trusted parts to repair your 550i GT xDrive. Anyone who operates a BMW knows that when it comes to repairing their vehicle only the most superior replacement parts will do. BMW vehicle owners have grown accustomed to a certain level of sporty handling when driving their 550i GT xDrive around town.
What were once luxury items on select cars have now become standard equipment for every car sold in the US. One of these items is the BMW 550i GT xDrive tire pressure monitoring system (TPMS). When you notice a small exclamation mark inside a flat tire illuminated on your dash board, it is one of your tire pressure monitoring sensors informing you that pressure is low. That light should turn off after filling your tires with air; if not, then you will have to replace your BMW 550i GT xDrive TPMS sensors.
Bring your 550i GT xDrive back to life with the highest quality new or rebuilt parts from the experts at Car Parts Discount. Trust in the value of the parts you get from carpartsdiscount.com and save time and money on all your upcoming repairs. Given all the trouble that can be involved with performing maintenance on your car or truck, let www.carpartsdiscount.com be the number one store you go to make buying it easy. Just choose your year from the list below to find the right BMW 550i GT xDrive Tire Pressure Monitor Sensor TPMS for your 2016, 2015, 2014, 2013, 2012, 2011, 2010 model.


text:
Growing A Smarter Business
How will emerging technologies transform your business? Join the discussion and discover what mobile, social, cloud, big data and analytics can do for your business.
IBM BusinessConnect 2014 invites you to discover the emerging technologies that will help your business grow smarter and stronger than ever. Mobile, social, cloud, big data and smarter analytics are the keywords of the new era of smart and IBM encourages companies to step forward. Join us and learn about new software solutions that will take marketing, finance, human resources or the supply chain management to a new level. Business is evolving fast, together with technology, and now you have the right tools to use in a smarter era.
Register now for IBM BusinessConnect 2014
Why you don't want to miss IBM BusinessConnect 2014
- Get past the hype to discover how the new era of smart can help deliver concrete business results.
- Find out what's hot in trends such as Cloud, Mobile, Social and Big Data & Analytics. Discover how technology can transform your business and predict and prepare you for challenges of the future.
- Meet IBM and other industry experts and gain insight and inspiration from success stories told by some of the world's most valued IT experts. Network with peers, share experiences, and discuss common opportunities and challenges.
- Accelerate entry into the new era of smarter business.


text:
Beer Style: Kölsch (6C)
Recipe Type: all-grain
Yield: 10 US gallons
This recipe can produce very different beers depending on the mash and fermentaion temperatures used. For a very crisp, clean, lager-like beer, mash at 63 C or 145 F and keep active fermentation to 14 C or 57 F. For a more fruity kolsch mash at 65 C or 149 F and keep active fermentation to 17 C. Using Safale K97 or Fermentis US-05 are some other ways of changing the resulting beer. Source: Lloyd Powell
Original Gravity: 1.046 (11.4° P)
Final Gravity: 1.008 SG (2.1° P)
Alcohol by Vol: 4.9%
Color SRM: 4.0 Color Sample
Bitterness IBU: 25.2
Recipe Type: all-grain
Yield: 10.00 US Gallons