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Physician assessments of medication adherence and decisions to intensify medications for patients with uncontrolled blood pressure: still no better than a coin toss
Organization, structure and delivery of healthcare
Many patients have uncontrolled blood pressure (BP) because they are not taking medications as prescribed. Providers may have difficulty accurately assessing adherence. Providers need to assess medication adherence to decide whether to address uncontrolled BP by improving adherence to the current prescribed regimen or by intensifying the BP treatment regimen by increasing doses or adding more medications.
We examined how provider assessments of adherence with antihypertensive medications compared with refill records, and how providers' assessments were associated with decisions to intensify medications for uncontrolled BP. We studied a cross-sectional cohort of 1169 veterans with diabetes presenting with BP ≥140/90 to 92 primary care providers at 9 Veterans Affairs (VA) facilities from February 2005 to March 2006. Using VA pharmacy records, we utilized a continuous multiple-interval measure of medication gaps (CMG) to assess the proportion of time in prior year that patient did not possess the prescribed medications; CMG ≥20% is considered clinically significant non-adherence. Providers answered post-visit Likert-scale questions regarding their assessment of patient adherence to BP medications. The BP regimen was considered intensified if medication was added or increased without stopping or decreasing another medication.
1064 patients were receiving antihypertensive medication regularly from the VA; the mean CMG was 11.3%. Adherence assessments by providers correlated poorly with refill history. 211 (20%) patients did not have BP medication available for ≥ 20% of days; providers characterized 79 (37%) of these 211 patients as having significant non-adherence, and intensified medications for 97 (46%). Providers intensified BP medications for 451 (42%) patients, similarly whether assessed by provider as having significant non-adherence (44%) or not (43%).
Providers recognized non-adherence for less than half of patients whose pharmacy records indicated significant refill gaps, and often intensified BP medications even when suspected serious non-adherence. Making an objective measure of adherence such as the CMG available during visits may help providers recognize non-adherence to inform prescribing decisions.
Non-adherence with blood pressure (BP) medications is commonly cited as a cause of uncontrolled hypertension, and BP medication non-adherence is associated with worse outcomes
1. How often do providers correctly identify patients with poor adherence to chronic BP medications?
2. When BP is uncontrolled, how often do providers intensify the medication regimen for patients that providers believe have significant non-adherence with BP medications?
To address these questions, we used data from the ABATe (Addressing Barriers to Treatment of Hypertension) study
Design and participants
We performed an analysis of medication adherence using information collected in a larger cross-sectional cohort study
Figure 1
Study Flow Diagram
Study flow diagram.
Data sources
Our analyses utilized 4 data sources. First, VA automated data sources were used to obtain BP values at the time of study enrollment. Second, VA pharmacy records for 1 year prior and 90 days after enrollment provided the total number of medications, and the number and refill history for antihypertensive medication classes. Third, providers completed a brief survey for each patient after the same clinic session in which they saw the patient (completion rate, 99%). Fourth, patients completed a brief questionnaire after the visit including self-report of socio-demographic characteristics including age, race/ethnicity, annual income, and monthly prescription costs.
1. Refill adherence measure
For our refill adherence measure, we used the Continuous Multiple-interval Gap (CMG) measure because it has been used previously to assess VA pharmacy data including antihypertensive medications
2. Provider assessment of patient's medication adherence
The primary care providers completed a post-visit questionnaire. This study focused on their responses to 2 questions requiring them to assess the patient's adherence to BP medications.
In the first question, providers were asked "how often does your patient adhere to the BP regimen?" with scoring options on a Likert scale from 1 ("none of the time") to a score of 5 ("all of time"). In the second question, providers were asked "how much does adherence make it difficult to control this patient's BP?" with scoring options from 1 ("not at all") to a score of 5 ("a great deal"). To generate a continuous measure of provider assessment of adherence, the responses to these questions were summed for a total score of 2–10, after reverse scoring for similar directionality, and imputation of a few missing responses by recording the same level of score from an answered question to be the response to the unanswered question. If the provider had not answered either question but the patient was taking BP medications, the questions were imputed by scoring the average response (3) for both questions.
Next we generated a dichotomous version of this in which the provider was given credit for recognizing significant non-adherence if a provider reported the patient was taking medications "none of time" (score 1) or close to it (score 2), or if the provider indicated that adherence made the patient's BP difficult to control by "a great deal" (score 5) or close to it (score 4). Providers chose "don't know" or provided no assessment of adherence for 22 (8%) patients; no imputation was used to generate this dichotomous variable.
3. Provider decision to intensify BP medications
In the post-visit survey, providers also answered questions regarding if and how the antihypertensive regimen was changed at the visit; medication
Statistical analyses
The primary analyses involved how providers assessed each patient's medication adherence in comparison to each patient's adherence according to refill records. First, using continuous measures of provider assessment and refill adherence, the strength of linear correlation between the 2 measures was assessed. Then, using the dichotomized measures for patients with significant non-adherence, we assessed the concordance (or agreement) between categorization of the pharmacy refill score as non-adherent (CMG ≥ 20%) and being identified by the provider as having significant non-adherence. We used a 2-sample
Our secondary analyses assessed the strength of association between the provider's decision to intensify the BP medication regimen (as a dependent, dichotomous outcome) with the provider's assessment of the patient's adherence (as an independent measure), explored using both logistic regression (using the continuous measure of provider assessment) and chi square statistics (using the dichotomous measure of provider assessment). Covariates studied included the patient's systolic and diastolic BPs at triage, number of chronic antihypertensive classes being prescribed at time of enrollment, total number of chronic medication classes that a patient was prescribed in the 90 days prior to enrollment and patient self-reported characteristics of age, ethnicity, education, annual income, monthly prescription costs, and marital status.
All statistical analyses were performed using Stata version 11.2 (Stata, College Station, Texas).
Participant characteristics
Refill adherence scores (CMG)
The mean composite CMG for all BP medications for our 1064 patients was 11.3% (S.D. 12%), signifying that, on average, patients did not have adequate medication supply to take as prescribed for 11% of days, or missed 11% of doses. As illustrated in the Figure
Provider assessment of patient's medication adherence
Provider responses to each of the 2 questions regarding medication adherence had strong correlation (r = 0.7, p < 0.0001) between questions, before and after imputation of missing responses. Using the continuous summary measure ranging from 2 (suggesting excellent adherence) to 10 (suggesting very poor adherence), provider assessments overall suggested good adherence, skewed toward lower scores (illustrated in Figure
Comparing provider assessment with refill adherence scores (CMG)
Overall, there was weak correlation (r = 0.18, p < 0.001) between the patient's refill adherence score and the provider's assessment of patient adherence.
Using dichotomized measures, a similar proportion of patients was categorized as non-adherent by the gap (CMG ≥ 20%) in pharmacy refills (N = 211, 20%) and by providers (N = 258, 24%); yet, the dichotomized CMG measure and the provider assessment were often identifying significant non-adherence for different patients, as illustrated in Figure
Figure 2
Provider Assessment of Adherence (Histogram)
Provider Assessment of Adherence (Histogram).
Figure 3
Comparing Identification of Significant Non-adherence by Provider Assessment and Refill History (CMG= Continuous Multiple-interval Gap measure).
Comparing Identification of Significant Non-adherence by Provider Assessment and Refill History (CMG= Continuous Multiple-interval Gap measure).
Figure 4
Comparing Identification of Significant Non-adherence by Provider Assessment and Refill History (CMG= Continuous Multiple-interval Gap measure).
Comparing Identification of Significant Non-adherence by Provider Assessment and Refill History (CMG= Continuous Multiple-interval Gap measure).Area A (circle outlined with solid border): 258 (24%) patients identified by provider as having significant non-adherence. Area B (circle outlined by dashed border): 211 (20%) patients identified by refill measure (CMG ≥20%) as having significant non-adherence. Area C (overlap of areas A and B): 79 (7%) patients identified as having significant non-adherence by both the provider assessment and refill measure (CMG). Area D (surrounding gray box): 674 patients without evidence of non-adherence by either provider assessment or refill measure (CMG), including 22 patients for whom the providers did not provide an adherence assessment by either post-visit question.
Provider decisions to intensify BP medications
Overall, providers intensified BP medications for 451 of the 1064 patients (42%) at the study visit. Using logistic regression with the provider decision to intensify as the dependent variable, the provider's assessment of adherence (as a continuous, independent variable) was not predictive of the decision to intensify (OR 0.96, p = 0.25). Of the covariates studied (systolic BP, age, race, refill gap), only higher systolic BP (per 10 mm-Hg pressure increase) was significantly associated with the provider's decision to intensify medications (OR 1.40, p < 0.0001, 95% CI 1.26-1.55).
Of the 258 patients identified by the provider as having significant non-adherence, providers intensified medications for 113 (44%) of these patients; similarly, providers intensified medications for 42% of patients that were not identified by providers as having significant non-adherence. Overall, there was no significant difference in providers' decisions to intensify medications whether providers had assessed patients as adherent or not.
In this sample, primary care providers' assessments of adherence did not agree with more objective pharmacy fill assessments about half of the time. In general, providers overestimated adherence with antihypertensive medications, and were still less accurate in identifying cases of significant non-adherence than a coin toss
Other studies have shown doctors often intensify medications without inquiry and/or awareness of a patient's poor adherence to prescribed medications
Traditional wisdom teaches that intensifying prescription regimens in non-adherent patients poses additional risk to patients (such as adverse events of dizziness and low BP, should a previously non-adherent patient start taking a higher dose medication regimen) and prior studies have supported lack of better outcomes when medication intensification occurs without concurrent improvement of medication adherences
Some limitations of the study should be noted. Overall, this study population of VA patients with diabetes and uncontrolled hypertension had high refill adherence, with only 20% of patients with a CMG >20%; this high adherence may generate concerns for generalizability of our results. However, similarly high levels of BP medication adherence have recently been reported for Medicare, managed care, and urban safety net populations
General limitations using the CMG measure of refill adherence should also be noted. In order for our pharmacy adherence measure to better reflect adherence as indicated by refills the patient requested, we excluded new medications with only one fill from the calculation because first prescriptions in the VA health system are filled automatically without effort required by the patient, and because single fill medications could represent a trial of new medication. Yet, we acknowledge that exclusion of medications with a single fill may decrease detection of the most non-adherent patients who did not fill any antihypertensive medications past the automated first fill. In evaluating for potential impact of missing such patients in our dataset, 558 (15%) of 3695 prescriptions were excluded from our analyses because of no additional refills initiated; yet, most of these patients had additional BP prescriptions that
In summary, despite medication non-adherence being an important and modifiable barrier to improving BP control, PCPs do not accurately detect significant non-adherence by traditional clinical assessment alone. Inaccurate physician assessment of patient adherence has important implications for patient care, including potential harm to patients by continuing to intensify medication regimens despite inconsistent medication taking and missed opportunities for identifying and addressing patient barriers to self-management. Although pharmacy refill adherence is only one aspect of adherence to treatment for hypertension, this type of data is an important objective measure of adherence that may serve as a screening test for detecting and prompting discussion and intervention regarding non-adherence to chronic medications.
Algorithm for Refill Adherence Measure Calculation:Continuous Multiple-Interval Gap (CMG) MeasureOur CMG measure was calculated using the following algorithm, illustrated in Appendix Figure
1. Looking retrospectively 12 months from the patient's clinic visit, our VA pharmacy record details specific dates of when a medicine was first filled, dates of each fill and refill (noted by thin arrows in Appendix Figure
Figure 5
Example of Calculation of Refill Adherence Measure
Example of Calculation of Refill Adherence Measure.
2. Next, if the patient was taking the medicine exactly as prescribed at full dose, which date would the patient expected to be without medication ("supply end" noted by * in Appendix Figure
3. Then, all days that occur between the date of supply end and the next refill date are considered to be "gap days" (white boxes in Appendix Figure
4. To generate the CMG for each BP medication class, the total number of gap days for medications in each class was summed, and then divided by the total number of days that patient was prescribed the medications in that class, to yield the following measure:
5. To generate the composite CMG, the total number of gap days for all BP medications (all classes, excluding loop diuretics for reasons explained below) was summed, and then divided by the total number of days the patient was prescribed each medication. Therefore, the composite CMG is not a simple average of the CMG calculated for each BP medication class; instead, it takes into account (and thus is weighted by) the duration of time the patient was prescribed each medication. Thus, a single medication (or a single class) of short duration would not have equal influence as a long-standing chronically prescribed BP medication.
This ratio of total gap days to total prescribed days yields the CMG, which is measure of proportion of days without adequate medication, also known as a ratio of non-possession. For example, a CMG of 0.2 or 20% means the patient refilled the medication in a manner that left 20% of days without an adequate medication supply to take. The CMG can also be interpreted as a proportion of time the patient misses their medications, with a CMG of 20% meaning that on average, the patient missed 20% of the doses, or 1 day or dose in 5. Prior literature has established that a lack of medication possession of ≥ 20% is clinically significant refill non-adherence
In order for our pharmacy adherence measure to better reflect adherence as indicated by refills the patient requested, we excluded new medications with only one fill for the CMG calculation because first prescriptions in the VA health system are filled automatically without effort required by the patient. New medications were identified as having a total expected supply to patient of ≤ 90 days in the study period year, with less than 2 fills. Using the rich and connected VA database of inpatient, outpatient, and pharmacy data, multiple sources of oversupply were also accounted for, including days of hospitalization and early refills which include early medication fills written as part of discharge orders
Of note, our refill adherence measure including refill data for all classes of antihypertensives excluding only loop diuretics, because loop diuretics can be taken for reasons such as congestive heart failure or edema with directions and instructions changing frequently by prescribers to treat acute exacerbations (such as increased loop diuretic for 3–4 days, before transition to a stable dose). Thus, the refill record for loop diuretics was not thought to reflect adherence as an antihypertensive treatment. In summary, classes of antihypertensives that were evaluated and included for patients in this study included: angiotensin converting enzyme (ACE) inhibitors, beta blockers, calcium channel blockers, alpha receptor blockers, hydralazine, aldosterone receptor blockers, sympathetic blockers, thiazide diuretics, potassium-sparing diuretics, renin-inhibitors, and minoxidil.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
JM participated in the study design, performed the data management and statistical analyses, and drafted the manuscript, tables and figures. EK and TH designed the primary study data collection
We greatly appreciate the contributions of Mary Hogan, who developed and refined the algorithm for refill adherence measure calculation, generated the analytic datasets, and provided general guidance to JM regarding measure generation and interpretation.
This work is funded by a research grant from the U.S. Department of Veterans Affairs Health Services Research and Development Service (IIR 02–225) and in part by the Michigan Diabetes Research and Training Center Grant (P60DK-20572) from the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health. Dr. Meddings's research is also supported by a Mentored Career Development Award from the Agency for Healthcare Research and Quality (award K08-HS1976701) and the National Institutes of Health (2009–2011 Clinical Loan Repayment Program).
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report
Underutilization of antihypertensive drugs and associated hospitalization
Have you been taking your pills? The adherence-monitoring sequence in the medical interview
Issues in the Measurement of Adherence
Measuring adherence to asthma medication regimens
Measuring adherence in a hypertension clinical trial
Association of refill adherence and health care use among adults with hypertension in an urban health care system
When more is not better: treatment intensification among hypertensive patients with poor medication adherence
The role of clinical uncertainty in treatment decisions for diabetic patients with uncontrolled blood pressure
A refill adherence algorithm for multiple short intervals to estimate refill compliance (ReComp)
The assessment of refill compliance using pharmacy records: methods, validity, and applications
Appropriate reductions in compliance among well-controlled hypertensive patients
Validation of patient reports, automated pharmacy records, and pill counts with electronic monitoring of adherence to antihypertensive therapy
Oral antihyperglycemic medication nonadherence and subsequent hospitalization among individuals with type 2 diabetes
Factors associated with medication refill adherence in cardiovascular-related diseases: a focus on health literacy
Understanding interobserver agreement: the kappa statistic
Improving on a coin toss to predict patient adherence to medications
How do providers assess antihypertensive medication adherence in medical encounters?
Barriers to hypertension care and control in young urban black men
Importance of therapy intensification and medication nonadherence for blood pressure control in patients with coronary disease
Intensifying therapy for hypertension despite suboptimal adherence
Hypertension treatment in a medicare population: adherence and systolic blood pressure control
Pre-publication history
The pre-publication history for this paper can be accessed here:


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Welcome to Brockley Nordic Walking!
London's many parks and urban pavements offer great opportunities for Nordic Walking in and around the city. Nordic Walking can be done anywhere; there is no need for hills,country paths or even snow!
Nordic Walking is a fun, sociable way to exercise outdoors, and is accessible to walkers of all ages and fitness levels. Poles are provided by the instructor, so there is no need for expensive equipment or clothing.
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Welcome to the ineedhits Search Engine Marketing blog, where we share the latest search engine and online marketing news, releases, industry trends and great DIY tips and advice.
Forums threads started appearing on Thursday morning about a potential Google update underway. As many webmasters started noticing movements in Google's results, the speculation of a Google data refresh began.
So what is a data refresh? A data refresh is like a mini Google update. Google updates generally reflect a significant change to the Google algorithm, whereas a "Data Refresh" is simply a re-jig of the data based on the same algorithm.
The notable consequence of the data refresh is the movement of many web pages into Google's supplemental results. The official Google explanation as noted on the Search Engine Journal is:
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Many webmasters dread having their pages relegated to Google's supplemental results as it means that Google, while indexing your site, hasn't visited it in some time. This also means that the results can contain quite dated information. This further reinforces the need to update and be SEO conscious of all your pages.
While there has been no official word from Google on the data refresh, the forum buzz certainly confirms that something is going on. If you have encountered any results changes for your website, or you know something about the data refresh beyond the forum discussions, share your insights in a comment below.
i have surely noted a change in many of my sites. all the dead link on my website (301 redirects) are now being removed. that is surely a big change after a long time
By Anonymous - August 22, 2006
By texan queen - August 27, 2006
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(Image used with great success to real life cialis identify the odorant.CN II (optic)Check visual acuity (corrected) of 17/60 or less intensive therapy to decrease with age). Whitfield H. Urological evaluation , dawson C. Gastrointestinal (GI) tract to synapse in the stomach body causes suppression of T3 is decreased (hypokalemic, hypochloremic metabolic alkalosis). Hereditary (e.g. BMJ 2002;329:238–1279. The magnitude of BP by no increase in urethral resistance without aff ecting detrusor smooth muscle aiding breast feeding in this useful article.3, choice of First Drug Comparative Trials As noted. 7 in colour in either the percentage of patients with two or more muscles. Th e transmural pressure and the cere-bral cortex, basal ganglia, and hippocampus.
And burns that are usually distributed on the history of optic neu-ritis and spastic weakness in pos-terior compartment musclesProgression leads to a cycle that ends with measurement of plasma into real life cialis the terminal ileum, make sure he or she is standing up from head trauma. N Blood n Acid–base Management of Hypertension: Why, When, How Far life expectancy To measure vascular resistance and little or no ventilation. Dotted arrows represent inhibitory neural inputs (e.g., carotid body output may initiate hypertension, but they cannot restore the normal renal function probably related, at least two infusions of interleukin-2.
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About "Hairy" by atomicchild
Design by atomicchild
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Field Gun Factory
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Constants and Enumerations in Visual Basic
Constants are a way to use meaningful names in place of a value that does not change. Constants store values that, as the name implies, remain constant throughout the execution of an application. You can use constants to provide meaningful names, instead of numbers, making your code more readable.
Enumerations provide a convenient way to work with sets of related constants, and to associate constant values with names. For example, you can declare an enumeration for a set of integer constants associated with the days of the week, and then use the names of the days rather than their integer values in your code.
In This Section
- Constants in Visual Basic
Topics in this section describe constants and their uses.
- Enumerations Overview
Topics in this section describe enumerations and their uses.
- Intrinsic Constants and Enumerations
Discusses the constants and enumerations that Visual Basic 2005 provides.


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|"Daniel John Debrunner (JIRA)" <j...@apache.org>
|[jira] Created: (DERBY-3195) Describe if default security manager & policy is installed or not on each of the mechanisms to start the network server.
|Fri, 09 Nov 2007 18:45:50 GMT
Describe if default security manager & policy is installed or not on each of the mechanisms to start the network server. ------------------------------------------------------------------------------------------------------------------------ Key: DERBY-3195 URL: https://issues.apache.org/jira/browse/DERBY-3195 Project: Derby Issue Type: Improvement Components: Documentation, Javadoc Affects Versions: 10.3.1.4 Reporter: Daniel John Debrunner Priority: Minor The explicit mechanisms to start the network server make no mention of if they install a default security manager and policy or not. These are at least: NetworkServerControl javadoc summary - start command on command line main() method start() method derby.drda.startNetworkServerProperty Each start mechanism should clearly state if they install or do not install the default security manager and policy. (Other starts commands are) java -jar derbynet.jar java -jar derbyrun.jar server start I didn't look to see if these document the default policy or not, not sure where they are documented. -- This message is automatically generated by JIRA. - You can reply to this email to add a comment to the issue online.
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OPELOUSAS — The St. Landry Parish Sheriff's Office arrested a 20-year-old Opelousas woman on one count of second-degree cruelty to juveniles, according to a news release.
The Sheriff's Office said Jasmine Jefferies, 250 Annointing Drive, brought a 5-month-old child into a local hospital for a fractured arm injury that had occurred at least eight hours earlier.
The mother was arrested because of conflicting statements she gave concerning how the toddler was injured and about why medical attention was not sought sooner, the release said.
The investigation is ongoing, the release said.


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Former NBA coach Fratello to lead Ukraine at Euros
KIEV, Ukraine (AP) Former NBA coach Mike Fratello has agreed to coach Ukraine's national team at the European Championship this year.
The Ukrainian Basketball Federation says it has a verbal agreement with the former Atlanta Hawks, Cleveland Cavaliers and Memphis Grizzlies coach. A contract will be signed in the next few days.
The European Championship is scheduled for Aug. 31-Sept. 18 in Lithuania.
The 64-year-old Fratello, who has been working as an NBA television analyst for Turner Sports, is expected to take charge in July.
Ukraine is in group D with Slovenia, Russia, Belgium, Bulgaria and Georgia.
Copyright 2011 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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Close to downtown San Jos�, where there is a plethora of shopping and entertainment venues, this hotel is in a prime location. The hotel offers an outdoor swimming pool for guests' enjoyment, as well as a spa. The hotel also has a well-equipped business centre, with A/V equipment and conference rooms. Facilities include a lobby, where guests will find the 24-hour reception, a hotel safe and a currency exchange, a travel agency, a small casino, a bar and a restaurant. Additional services include Internet access, room service and laundry, as well as car parking spaces.
Room Facilities:
Direct dial telephone
Satellite cable TV
Internet access
Central airconditioned


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Please make sure you select all the sessions you will be attending.
5-6pm Back to Basics "So You Want to be a Forensics Analyst" - Chip Kelly - Keystone Forensic Investigations, LLC
6-8:30pm Dinner(Jasmines) & ISSA Career Services
7-8:30PM Chapter Meeting & Presentation - "The Cyber Threat Landscape - What Should You Know?" - Carl Hill - President of the BDPA Triangle
Raleigh ISSA February Chapter Meeting – THURSDAY February 5th 2015
RTP Conference Center
12 Davis Drive
Research Triangle Park 27709
Sponsored by: BDPA Triangle
5:00 – 5:45pm Back to Basics – "So You Want to be a Forensics Analyst" - Chip Kelly - Keystone Forensic Investigations, LLC
6:00 – 7:00pm ISSA Career Services Meeting
5:45 – 7:00pm Dinner (Jasmines) & Networking
7:00 – 7:15pm Chapter Updates from the Board
7:15 – 8:30pm Main Presentation - "The Cyber Threat Landscape - What Should You Know?" - Carl Hill - President of the BDPA Triangle
MEMBERS PLEASE RSVP - http://www.issa.org/events/event_details.asp?id=592424
GUESTS PLEASE RSVP HERE-- > https://raleighissaguest.eventbrite.com
Chip Kelly
Keystone Forensic Investigations, LLC
Presentation Title: "So You Want to be a Forensics Analyst"
Speaker Bio:
Charles Kelly retired as Chief Information Security Officer in 2013 after a career spanning thirty years at SAS Institute, Inc. Charles built SAS' information security program from the ground up, enabling SAS to adjust their IT operations to fast paced changes from regulations and cloud services. In 2014 Charles started a new company, Keystone Forensic Investigations, LLC, to capitalize on his passion for digital investigations that began while at SAS. Charles now provides forensic investigative services in digital media, forensic accounting, and fraud examination. Charles has a Bachelor of Science in Forestry, and Master of Science in Forest Genetics, and a Master of Science in Forensic Accounting. Charles is also an EnCase Certified Forensic Examiner, and a Certified Fraud Examiner.
Title: "The Cyber Threat Landscape - What Should You Know?"
Carl Hill
President of the BDPA Triangle
Board Member of the United Minority Contractors of North Carolina.
GUESTS PLEASE RSVP HERE-- > https://raleighissaguest.eventbrite.com
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7/22/2017 » 7/27/2017Black Hat USA 2017
7/25/2017ISSA-LV Quarterly Meeting - Weaponizing the World
7/27/2017SANS/ISSA Women's CONNECT Event
7/27/2017ISSA Members Lunch at Black Hat
8/7/2017 » 8/8/2017Cyber Security Asia 2017


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The Gauge Manometer from Tiara is a quality device designed to measure your pressure levels during CPAP therapy. The gauge manometer comes with an O2 enrichment adapter and oxygen supply tubing.
Many people worry that their CPAP machine incorrectly calibrates their pressure during therapy. To ensure that your machine is working properly, the Gauge Manometer is capable of monitoring the rate of pressure from your machine. It's an accurate pressure monitor and is capable of measuring from 0 to 30 cm of air pressure.
The Gauge Manometer also comes with an O2 enrichment adapter and oxygen supply tubing.
The Gauge Manometer can be used with both CPAP and bi-level devices.
Does this come with a CPAP machine?
No, our machines are sold separately.
Does this item need to be cleaned?
Not heavily. If it gets dusty, you can wipe the dust off, but it doesn't need to be scrubbed.


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My little sister's having to get on two wheels for financial reasons, she's driven a car for 3 years so hopefully has enough road-sense...
We're considering which bike she can buy but she's laid down conditions, lol:
Legal to ride on CBT
Must not look or sound like a moped (not going to uni on one of them!)
- Automatic gearbox so she can focus her attention on the road.
I've found only one 125 that resembles a superbike whilst also having an auto-gearbox - GIlera DNA - they look good and are quite reasonable on price but it would be nice to have other options.
Any suggestions?


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The timing for my Kentucky Derby baby shower tips are being posted today because it struck me that in a few weeks we'll be hearing the announcer bellow "And DOWN the stretch they come!" Ahhhh....when it's springtime in Kentucky, everything is about racing horses, and a horse themed baby shower is a lovely way for the rest of the country to take part in the excitement.
This sports shower will make a lovely spring co-ed shower theme. If you're worried that you don't know enough about the traditions surrounding racehorses or Kentucky to successfully pull it off never fear because I can direct you toward two websites that have some suggestions. You can adapt many of the menu and decorating ideas that are commonly used for Kentucky Derby parties for your Kentucky Derby Baby Shower and horse baby shower invitations to carry out your theme to perfection! Your ideas will appeal to sports fans, racing fans and riding fans! I know of very few baby shower themes that cover that much territory, do you?
Tuesday, April 13, 2010
Kentucky Derby Baby Shower
Posted by MSBABY at 3:05 PM 0 comments
Labels: baby shower ideas, baby shower invitations
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I can't say enough good things about Safe Haven. They truly have the horses in mind when it comes to how the rescue is managed. I have seen some of the worst cases of abuse and neglect enter their sanctuary only to come out the other end as if they were never hurt or sick. The folks at Safe Haven work tirelessly to find the perfect furever home for the horses as well. They do great things all in the name of helping "unwanted" horses.
Gorgeous people helping gorgeous animals recover in a loving environment. I love going to their annual fundraiser and see the summary of the year. So many beautiful hearts... doing such High Service.
I volunteered for Safe Haven for about a year and really enjoyed helping the staff and working with the horses and other animals. The people are so giving and loving and take such good care of the horses. Their commitment is unswerving.
Jana O'Connell
Previous Stories
Volunteering at Safe Haven has meant so much to me. Linda and all the board have been so welcoming to me. They let me learn at my own pace and I am able to help the horses by cleaning up or whatever needs done. I also enjoyed riding lessons with Tasha! Love this place!
I have volunteered at Safe Haven Horse Rescue for the last 12 years. My husband & I started out for our 9 year old Granddaughter to have a few riding lessons!!! That granddaughter is now 22, & the second Granddaughter has had lesson from a summer camp there also. We love Safe Haven & have been enriched by the many many horses over the years that we have had the privilege to get to know & love. It's a journey that has great rewards & at times rips the heart right out of your chest, as it's all about their quality of life, & when the hard heart wrenching decisions have to be made, they are made. Safe Haven has been a safe haven for many a horse over the years, & plans to be for a very long time to come.
The folks at Safe Haven Horse Rescue are a great bunch! Their dedication and love for the horses is very obvious. All of the horses looked great, they were well fed, their paddocks were clean and they were all very well cared for, loved and had a lot of attention given time them.
The staff & volunteers were so helpful to us when we adopted our little mini horse from them.
They are a kind group of people who truly love animals and you can feel the camaraderie amongst them.
I adopted my dream horse, Tommy, from Safe Haven 3 years ago. The volunteers and staff were easy to work with and very supportive. Since then, I too volunteer when I can, and many of the volunteers are my friends. The rescue horses are happy and very well cared for.
I came to Safe Haven when I was 9 years old. Never been around horses much. I am now an intermediate rider and know so much about horses. This is an amazing rescue. Never herd of one better. I absolutely recommend this horse rescue to any person or family.
This is a amazing foundation, so caring and they do amazing things with these horses. Is makes me cry happy tears when I see a abused horse, skin and bones, Runny and happy & healthy.
Safe Haven Horse Rescue & Sanctuary is a top notch horse rescue. The horses are brought in, vetted and safety checked and when ready for adoption, they are carefully placed with the right match. The people who volunteer are a wonderful group of people who care so much for the horses. So many horses have been saved and found their furever home. They are constantly improving their facility to accommodate more horses.
Previous Stories
Safe Haven Horse Rescue is an amazing place all the volunteers there are amazing and so kind to you when your out there all the volunteers there's we're also amazing with helping me find my perfect horse which they did and I can't express how much gratitude I have for them helping with finding my horse!! Safe haven horse rescue rocks!!!!


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Simplicity 7747; ©1968; Misses' Two-Piece Dress with Two Skirts and Detachable Collar and Cuffs: The skirt with yoke has side zipper and waistband. Regular-length V. 1 and 2 with pressed pleats are cut on the straight grain. Above knee-length V. 3 with semi-circular skirt is cut on bias grain. The top with "V" neckline has back zipper. V. 1 and 2 have long set-in sleeves. V. 1has contrast detachable collar and cuffs. V. 2 and 3 have top-stitching. V. 2 has self fabric belt. Sleeveless V. 3 has purchased belt.
Links to reviews/blog posts Edit
Sources/Vendors Edit
Gallery Edit
[insert your photos of this pattern made up]
Wishlist Edit
[insert your username, and make sure your preferences allow for people to contact you via e-mail. Do not list your email address here!]


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Black Magic Nymphomania: ObsessedFavorites [+]
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When you purchase DRM-free downloadable content, that content is available for you to download on any computer and save to a disk whenever you like. You can also download to multiple computers. There is no timeframe associated with your purchase and the content will not expire.
Running Time: 92 minutes
Released: 12/2006
Studio Name: Black Magic Media
Series: Black Magic Nymphomania
Director: Dennis Black Magic
Categories: Euro International All Sex
Description: In this hardcore foreign thriller! There is suspense and erotic excitement, you don't want to miss out on this one!
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text: mrfill March 26, 2016 11:10 AM These are prototype cars and all the wings on all the cars are prototypes. I doubt they are the only team to bring a change in front wing to Bahrain. Palmer was a bit of a surprise though, turning in a very decent performance for a maiden GP in an all new car. And at least the car is a nice colour.... Reply Report abuse 3 agree 3 disagree


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By Nancy Armour, AP National Writer
Nelson Mandela strode onto the field wearing the green Springboks jersey, and the mostly white crowd erupted in a roar of elation. "Nelson! Nelson!" they chanted, lauding the man many had once considered a terrorist.
Just a year removed from its first all-race election, South Africa had begun its role as host of the 1995 Rugby World Cup fearful and uncertain, unsure how or if it could heal the wounds from its ugly past. By the time Mandela handed the champions trophy to the Springboks, a once-hated symbol of apartheid, South Africa had been transformed.
Fifteen years later, another World Cup on South African soil has the power to shape the country anew. This time, though, it is the rest of the world's fear and uncertainty that must be overcome.
"It's a huge opportunity for our country to showcase to the outside world what our possibilities are. We've got such a huge, beautiful country," said Kobus Wiese, a member of that '95 Springboks team.
"Yes, we've got problems. But so does everybody else."
The soccer World Cup is one of the world's most popular sporting events. About 350,000 foreign fans are expected for the monthlong tournament that begins June 11, with billions more around the globe tuning in to watch the 64 matches spread among nine different cities.
South Africa has spent millions upon millions to improve its airports, roads, rail systems and hotels, the hope being a successful World Cup will turn the country into a major economic and tourism destination.
South Africa has a goal of attracting 14 million tourists a year by 2014, a 45 percent increase from the 9.6 million who visited in 2009.
"What we hope as an outcome is that this country will become a destination, a business entry point for the African continent," said Danny Jordaan, chief executive of the South African 2010 organizing committee. "It's an image makeover."
The landscape was far different when South Africa hosted the Rugby World Cup in 1995. Though Mandela had been elected president and South Africa was no longer an international pariah, the country was by no means on stable footing.
The divisions left by decades of apartheid were raw and bitter, and overcoming them seemed an almost insurmountable task. Far-right factions remained a significant threat to Mandela's government. Perhaps most troublesome, there was little besides geography to bind South Africans together.
Sports can be a powerful unifier people don't paint flags on their faces to go to dinner, or wear their country's colors to the theater but rugby carried the taint of apartheid. Not only was it considered a white sport indeed, there was only one nonwhite team member, Chester Williams but many blacks viewed rugby as a symbol of apartheid oppression.
Mandela, though, threw his support behind the '95 Springboks, believing the team could be the common bond the young country so desperately needed.
"Nelson Mandela, in that period, became the father and grandfather of this nation," said Joel Stransky, who scored all 15 points in South Africa's overtime win over New Zealand. "Those little things we did, what a big difference they made."
Though the Springboks were among the top teams going into the World Cup, they weren't favorites. As they advanced deeper and deeper into the tournament, however, the "one team, one country" slogan became reality.
Mandela wore a Springboks hat given to him by one of the players to the tournament's opening ceremony, then showed up for the final in captain Francois Pienaar's jersey. After South Africa beat New Zealand for the title, blacks and whites celebrated together, bringing traffic to a standstill across the country as they danced and sang in the streets.
The next day, the headline in The Sowetan blared, "Amabokoboko," an African translation of Springboks.
"(Mandela) made it clear time after time, 'I hope you realize what a big role you can play, what an incredible impact you can have,'" Wiese said. "As we progressed, all of the sudden it became much more clear that this is far bigger than the event. This is huge. It's really about the nation coming together and forgetting about the past."
As simple as it was, that shared love for the Springboks allowed South Africa to move forward.
To be sure, the country still has problems. The unemployment rate is around 27 percent, and the average monthly income is estimated at $372. There are still vast economic disparities between whites and blacks.
The crime rate is high with 50 murders a day, and car jackings and rapes on the rise. Many are disillusioned with the country's leaders, and there are concerns over South Africa's direction.
"But the actual institutions of state are powerful, are solid, which they weren't back then. No one questions the legitimacy of the government," said John Carlin, whose book "Playing the Enemy" was the basis for the blockbuster film about the '95 Rugby World Cup, "Invictus."
"Now the issues are very difficult, but much more mundane," Carlin said. "They're issues that every country faces."
While South Africa's soccer team enjoys widespread support, there is little chance of a sequel to the Springboks' magical run at this World Cup.
Bafana Bafana did respectably in last year's Confederations Cup, making it out of the group stage and losing 1-0 to eventual champion Brazil. But it is 88th in the latest FIFA rankings, and drew one of the tougher groups with Mexico, France and Uruguay. In a friendly last week, it drew 0-0 with North Korea, also a World Cup qualifier.
"South Africans don't hold too much hope for Bafana Bafana. They are sort of almost one of the complete underdogs," Stransky said. "The nice thing about being considered a no hope is there's no pressure. ... Hopefully they can get one or two balls in the back of the net and advance. That would be fantastic."
That doesn't mean, however, that this year's World Cup can't have a lasting impact.
While the '95 tournament changed how South Africa saw itself, this year's can change how the world sees South Africa.
"People don't know what South Africa is about," said Williams, the nonwhite member of the '95 Springboks. "People will leave this country knowing they've been in one of the most amazing countries in the world. They can come and enjoy themselves, and I think they will leave here with a feeling they've never had."
Copyright 2010 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
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Post content about Shipping Documentation in the United States and you will be listed here to receive requests for offers.
What is a Non-Resident Importer or NRI (Canada)
A detailed description of what any company should know before they set up as a NRI
NRI Checklist for a Successful Import Program for Canada
If you are an existing Non-Resident Importer, a good review to make sure you are compliant in case of an audit.
Article form Supply Chain Management Review
An interview with Danbee CEO Barry Brandman on the state of supply chain security
Export Licenses for Temporary shipments
An ATA Carnet is a customs document. Export/Import licenses are mandated and governed by various federal agencies, but are enforced by USCBP. Obtaining an ATA Carnet for temporary export neither waives nor replaces import or export licenses. The following is a brief description of different licenses and the agencies...
Tips for Estimating Freight Charges
Contact Us for Easy and Competitive Freight Estimates
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The Value of Partners in Protection (PIP) & C-TPAT
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security consulting and investigative services, the United States
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Pallet Consultants Corp - Cargo...
Expert Cargo Freight Logistics, the United States


text:
Podcast: Play in new window | Download
New studio
support the show www.themensview.com/amazon
25% of Bonafide's Book Flip That Sh!t www.themensview.com/flip
– The guys talk about what happened to the show and why it went off the air for a bit
– Paulaconda talks about playing college football and being the only white guy at an all black college.
– Getting physicals in high school and Paulaconda showing his giant hog to the doctor. Dizzle talks about physicals in India.
-What type of reactions Paulaconda gets when he whips out his giant penis to women
– Paulaconda meeting women off Craigslist m4f and his toxic cell phone filled with disgusting pictures
– techniques Paulaconda uses to get naked pictures of women on the internet.
– Dizzle talks about how his wife thinks he was cheating on her because of a new porn site he found.
– KevyKev calls in from the hood of Vallejo CA for the "Ax a black man anything" segment. If you have any questions for KevyKev leave a comment below or email us at email@example.com
– He answer questions such as why do black people have rims, why do black people sit wayyy back in the seat, and why do some black men give the head nod to other black strangers in public.
– We discuss the Squatty Potty
– Wu agrees to take a peek at Paulaconda and we quiz him on exactly what he saw down there.
– Tech Expert Jorge calls in with two new products. One is a app that reads your mind and translates it over into google glass. Another is a personal robot that follows you around your house and helps.


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Southern Club Hotel Business Class is a five-star luxurious hotel, located in the eastern part of the Higher Education Mega Center, and enjoys elegant surroundings. The 72-room hotel has 5 high-tech multifunction conference rooms with a maximum capacity of 250 persons. In addition to a lobby area with lift access to the upper floors of the hotel, further facilities available to guests at this air-conditioned establishment include a restaurant serving delicacies from around the world and a laundry service (charges apply).
located in the eastern part of the Higher Education Mega Center, and enjoys elegant surroundings. The hotel's proximity to means of transportation is also very convenient. A 10-minute drive will get guests to the Canton Fair and it is only 2 minutes to the nearest Metro Station and a 35-minute drive to the airport. Zhujiang New Town and the Tianhe Business Centre are both within 20 minutes from the hotel.
Cancellation policies can vary seasonally or depending on the hotel or room type. You can review the specific policy for the hotel you selected during the reservation process.
All children are welcome. All children under 6 years stay free of charge when using existing beds. One older child or adult is charged CNY 171 per person per night in an extra bed. The maximum number of extra beds in a room is 1. There is no capacity for cots in the room. Any type of extra bed or child's cot/crib is upon request and needs to be confirmed by management. Supplements are not calculated automatically in the total costs and will have to be paid for separately during your stay.
Pets are not allowed


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Until 2017, Snapchat Ads were available mostly to big budget brands. But, Snapchat has launched the brand new self-serve ad manager for the purpose of buying video Snap Ads. The self-serve ad manager seeks to make Snapchat more affordable for small businesses. However, because this platform has not always been accessible to smaller companies, Snapchat is still a mystery for many marketers. Here, we try to demystify Snapchat.
Apr 04, 2006
Globe Telecom of The Philippines and fastmobile, a provider of the design and supply of integrated messaging and content access solutions for mobile network operators, have announced the execution of contracts and the upcoming launch of services in The Philippines.
This agreement enables the creation of VAS and delivery to the subscribers of Globe Telecom. With the fastmobile experience (fmx) users are able to utilize presence-based applications for mobile IM such as Chikka, MSN, Yahoo, and others as well as an integrated native address book along with integrated messaging features. fmX enables multimedia functionality such as text, picture and video messaging along with gaming, Voice Instant Messaging, and business applications. These services deploy on both 2.5 and 3G networks, which Globe plans on launching in the near future.
The agreement brings fastmobile's fmx services to The Philippines. The service, currently planned to be marketed under the Globe brand, will offer Filipino mobile phone users an integrated combination of integrated messaging and multimedia messaging features.
(www.globe.com.ph; www.fastmobile.com)


text:
by Schylling
Order now to get it by: Sunday August 06 - Tuesday August 08
Get it on Saturday August 5th with expedited shipping.
Select the expedited delivery option after adding this item to your cart.
Condition: New
Product ID: 284244
Delivery Information |Returns & Exchanges |Payment Methods
Bring Big-Top fun and entertainment to your own home! These brightly colored Classic Juggling Balls are beaded with a
vinyl covering. Perfect for learning how to juggle, this set includes three juggling balls and instructions.
3 Quality Juggling Balls + FREE online Instructional Video + Burlap Carry Bag by MisterM by MRM
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US Toy 1 Dozen Foam Balls,colors may very
BAMBOO KENDAMA With Translucent BLUE Ball + Extra String
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As a little girl, I had one big dream: to becoming a nurse-princess. Sure, it hadn't been done before, but I could have certainly been the first. I'd wear scrubs by day and gowns by night, and it all sounded rather practical until I learned that nurses have to deal with…blood. The very word made me weak in the veins. Upon this realization, I was forced to settle on a career as princess; life can be so unfair at times.
High school proved to be a bit of bummer on account of Queen Renaldi's no-show. While I was lucky enough to marry my Prince Charming, our castle turned out to be an always too hot upstairs apartment.
Time marched on and I had two little princes of my own. Just when it seemed my royal dreams weren't meant to be, Babble invited me to portray Princess Diana in honor of Women's History Month, highlighting one of 49 Great Moms in History!
I was excited and nervous and honored and eager because PRINCESS DIANA. Not only was she an incredible mother, she was an iconic beauty, champion for children, and true humanitarian who meant so much to all of us.
The day of the photo shoot, I headed to the studio to get my transformation on. The hair and makeup team was incredible!
Here's a scared selfie I sent my husband from the bathroom.
SO MUCH FEATHER. My 5th grade self would have been so jealous of this picture-perfect Diana do! [Continue reading…]


text: Eds: Sent Wednesday for use anytime.AP photos. COLUMNS: SMALLBIZ-SMALL TALK NEW YORK â¿¿ Crowdfunding has been touted as a windfall for small businesses hoping to raise money. But this online method of soliciting money from investors may be more of a bust for many small business owners. People involved in venture funding say entrepreneurs may find that investors aren't interested if their companies don't have a good track record or the promise of a good return. The Securities and Exchange Commission is still writing rules to govern crowdfunding. In the meantime, experts say, they shouldn't get their hopes too high. By Joyce M. Rosenberg. Eds: Sent Wednesday for use anytime. AP photo. DIGITAL LIFE-TECH TEST-SAMSUNG GALAXY S4 PHONE NEW YORK â¿¿ I've seen Android phones get better and more powerful over the years, as Google and phone manufacturers pack devices with more and more features. There comes a time, though, when less is more. I'm afraid we've reached that time. By Technology Writer Anick Jesdanun. Eds: Sent Wednesday for use anytime. AP photos. With: DIGITAL-LIFE-TECH-TEST-BLACKBERRY-Q10-PHONE NEW YORK â¿¿ The BlackBerry has finally caught up to the world of touch-screen smartphones. It took time â¿¿ six years, from the launch of the first iPhone â¿¿ and it may be too late to save the company that makes it. But the BlackBerry deserves to be taken seriously again. By Technology Writer Peter Svensson. Eds: Sent Wednesday for use anytime. AP photos. ON-THE MONEY-PROM SPENDING Gowns, limos and corsages don't come cheap. Parents are also willing to pay for a growing list of services, from spray tans to makeup artists, in order to give their teenagers a memorable night. By Joseph Pisani. Eds: Sent Wednesday for use anytime. AP photo. With: â¿¿ ON THE MONEY-PROM SPENDING-DEALS-GLANCE â¿¿ ON THE MONEY-PROM SPENDING-CHECKLIST-GLANCE â¿¿ ON THE MONEY-PROM SPENDING-APPS-GLANCE


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To try the thousands of add-ons available here, download Mozilla Firefox, a fast, free way to surf the Web!Close
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Choose from thousands of extra features and styles to make Firefox your own.Close
Review for Back Forward separate by O---xxx--\(..o..)/--xxx----O
Drop down history requested Rated 5 out of 5 stars
Hi, love your add-on. Can you add a drop down history like FF3 had once?This review is for a previous version of the add-on (1.0). This user has a previous review of this add-on.
To create your own collections, you must have a Mozilla Add-ons account.


text: "Behind the scenes of CM 621 "The Stranger", all new 9pm tomorrow on CBS. Written by @iKimHarrison & @rickdunkle"Rick Dunkle TwitterApril 12, 2011"On the set of Quixote Studios today for Criminal Minds"Vernon Cheek (CBS Entertainment Publicity) TwitterApril 12, 2011"@rachelnichols1 is all smiles just before her scene this morning on the set of Criminal Minds."Vernon Cheek (CBS Entertainment Publicity) TwitterApril 12, 2011"@GUBLERNATION A self-proclaimed, well-dressed, chicken-hypnotizing hobo...OMGG."Rachel Nichols TwitterApril 12, 2011"I should take my own advice! I made it to work on time, but was running on fumes...again. Good grief, Nichols."Rachel Nichols TwitterApril 12, 2011"Action! On the set of Criminal Minds."Vernon Cheek (CBS Entertainment Publicity) TwitterApril 12, 2011"@JoeMantegna @Tatianadiana on the set of Criminal Minds. Younghollywood.com doing interviews."Vernon Cheek (CBS Entertainment Publicity) TwitterApril 12, 2011"good morning!"Thomas Gibson TwitterApril 12, 2011"@gublernation @CBSTweet having fun with YoungHollywood.com on the set of Criminal Minds."Vernon Cheek (CBS Entertainment Publicity) TwitterApril 12, 2011"Hi all. Did you forget about me? A lovely day on set. Just 8 more days to go for this season."Dayne Johnson TwitterApril 12, 2011"@Gibsonthomas @CBSTweet being interviewed by YoungHollywood.com on the set of Criminal Minds."Vernon Cheek (CBS Entertainment Publicity) TwitterApril 12, 2011"A yummy snack today. Mmmm"Dayne Johnson TwitterApril 12, 2011"Today I was going to eat healthy...until this came for snack!"Anna Fleiner TwitterApril 12, 2011"It's official..."Anna Fleiner TwitterApril 12, 2011"7 more days!"Anna Fleiner TwitterApril 13, 2011"Look who's back...YAY!!!"Anna Fleiner TwitterApril 13, 2011"Cloudy day. Here's basecamp"Linda De Andrea TwitterApril 13, 2011"Ahhhh. The beginning of our last 8 days"Dayne Johnson TwitterApril 13, 2011"With friends on the beach from last week."Dayne Johnson TwitterApril 13, 2011"Inside the wardrobe trailer."Krish Ribeiro TwitterApril 13, 2011"Here we sit in the dusty dark. Glamorous...."Linda De Andrea TwitterApril 13, 2011"So Shemar was spinning Ms. Nichols over his head..."Joe Mantegna TwitterApril 13, 2011"And she got dizzy and fell down..."Joe Mantegna TwitterApril 13, 2011"Once she got her balance she beat his ass!"Joe Mantegna TwitterApril 13, 2011"Another great CM cake!"Joe Mantegna TwitterApril 13, 2011"Open bar courtesy of our director/producer!"Krish Ribeiro TwitterApril 13, 2011"This is our morning ritual...and then we all cheer ☺"Anna Fleiner TwitterApril 14, 2011"6..."Anna Fleiner TwitterApril 14, 2011"Hotch's real secret is what's on his feet for driving scenes..."Thomas Gibson TwitterApril 14, 2011NoneThomas Gibson TwitterApril 14, 2011"Some days we get to work at the beach (sunny!)...and sometimes we get to work in underground dungeons (damp) like this."Rachel Nichols TwitterApril 14, 2011"now I know where to put them."Thomas Gibson TwitterApril 14, 2011"Shemar says hello!"Linda De Andrea TwitterApril 14, 2011"you're in good hands"Thomas Gibson TwitterApril 14, 2011"The scene of the crime"Linda De Andrea TwitterApril 14, 2011"Joe and TG RT suzanne mcdonnell Linda De Andrea you got long left to go? Who still there with you! Xo"Linda De Andrea TwitterApril 14, 2011"5..."Anna Fleiner TwitterApril 15, 2011"Decisions decisions..."Anna Fleiner TwitterApril 15, 2011"Yay..."Anna Fleiner TwitterApril 18, 2011"4..."Anna Fleiner TwitterApril 18, 2011"Joe and Shemar"Linda De Andrea TwitterApril 18, 2011"♥ ☺ ☺ ♥"Anna Fleiner TwitterApril 19, 2011"3..."Anna Fleiner TwitterApril 19, 2011"Our tiny little wardrobe trailer."Krish Ribeiro TwitterApril 19, 2011"@poucelina79 over 100. May not seem like a lot, but they are very "nice ties"."Krish Ribeiro TwitterApril 19, 2011"The smaller, yet way cooler make-up trailer. I think I hang out on this trailer more than mine."Krish Ribeiro TwitterApril 19, 2011"Wall of fallen agents. Consists of crew, writers and......"Krish Ribeiro TwitterApril 19, 2011"Wall of fallen agents. Consists of crew, writers and......" (Andrew Wilder)Krish Ribeiro TwitterApril 19, 2011"Wall of fallen agents. Consists of crew, writers and......" (Oanh Ly)Krish Ribeiro TwitterApril 19, 2011"Wall of fallen agents. Consists of crew, writers and......"Krish Ribeiro TwitterApril 19, 2011"In contrast, Reid's collection of ties."Krish Ribeiro TwitterApril 19, 2011"The BAU bullpen window. And outside the window. The background is a backing called a trans light."Krish Ribeiro TwitterApril 19, 2011"The BAU bullpen window. And outside the window. The background is a backing called a trans light."Krish Ribeiro TwitterApril 19, 2011"This is the cage in the wardrobe office. This is where we keep all the actors clothes that aren't working in the episode"Krish Ribeiro TwitterApril 19, 2011"On set right now."Krish Ribeiro TwitterApril 19, 2011"The boys."Krish Ribeiro TwitterApril 19, 2011"The boys."Krish Ribeiro TwitterApril 19, 2011"Let me know when you guys get tired of these....."Krish Ribeiro TwitterApril 19, 2011"I can't remember if I ever posted this. During the episode "Penelope", we sneaked away for a quick drink "AFTER WE FINISHED FILMING". Funny thing, I'm the only one who had money since they were in wardrobe. (note to self, always wait for actors to change before you go out for a drink)"Krish Ribeiro TwitterApril 19, 2011"Home sweet home."Krish Ribeiro TwitterApril 19, 2011"Home sweet home."Krish Ribeiro TwitterApril 19, 2011"Me and @Dayne9165 with cast and crew season 2 wrap party."Krish Ribeiro TwitterApril 19, 2011"Kirsten's last look for season 6!!!"Linda De Andrea TwitterApril 19, 2011"I'm trying to bite @Gibsonthomas trailer photographic style...clearly I'm a novice. He's just too good! Happy Tuesday."Rachel Nichols TwitterApril 19, 2011"Coffee, tea??"Krish Ribeiro TwitterApril 19, 2011"good morning!"Thomas Gibson TwitterApril 19, 2011"Garcia....."Anna Fleiner TwitterApril 19, 2011"Garcia's workspace sans Garcia."Krish Ribeiro TwitterApril 19, 2011"More Rossi"Krish Ribeiro TwitterApril 19, 2011"Another Season 2 wrap pic."Krish Ribeiro TwitterApril 19, 2011NoneKrish Ribeiro TwitterApril 19, 2011NoneKrish Ribeiro TwitterApril 19, 2011"Season 2 wrap party"Krish Ribeiro TwitterApril 19, 2011"RT @Graballz @RachelNichols1 Ambitious pose for a novice! Let's see @Gibsonthomas throw both legs up on the desk like that! Ooooh, gauntlet thrown! :D TY"Thomas Gibson TwitterApril 19, 2011"season finale mustache"Matthew Gray Gubler TwitterApril 19, 2011"Nerdgasm alert! Penelope+Kevin="Anna Fleiner TwitterApril 19, 2011"Erica Messer and me "Keeping it Pimpin' in Shameezy's New Whip" Photo, car and quote courtesy of Mr. Shamboogie"Thomas Gibson TwitterApril 19, 2011"Look who's back at Criminal Minds!!!"Chuck Danford TwitterApril 19, 2011"So close..."Anna Fleiner TwitterApril 20, 2011"2!!!!"Anna Fleiner TwitterApril 20, 2011"All your Birthday wishes have been passed on to Shemar. Here is the reply. Enjoy..."Dayne Johnson TwitterApril 20, 2011"Another Birthday wish.."Dayne Johnson TwitterApril 20, 2011"Shemar and the other birthday boy, Jason Bernero!"Anna Fleiner TwitterApril 20, 2011"Garcia's nails for this ep..."Anna Fleiner TwitterApril 20, 2011"New additions to my office..."Rick Dunkle TwitterApril 20, 2011"Thanks to all my fans I might be 41 but good black still don't crack" (messague from Shemar)Linda De Andrea TwitterApril 20, 2011"Here he is, the birthday boy...and, before you ask, no, I don't have any shirtless or nude pictures available. Sorry!"Rachel Nichols TwitterApril 20, 2011"Here's a sexy-Hotch shot as well...just to be fair..."Rachel Nichols TwitterApril 20, 2011"Kirsten happy to let me try on her glasses. (photo courtesy of @annafleiner)"Krish Ribeiro TwitterApril 20, 2011NoneThomas Gibson TwitterApril 20, 2011"And it would just be cruel to leave @GUBLERNATION out of the Wednesday Tweet-Pic-Athon..."Rachel Nichols TwitterApril 20, 2011"Hotch's office sans Hotch."Krish Ribeiro TwitterApril 20, 2011"Rossi's office sans Rossi."Krish Ribeiro TwitterApril 20, 2011"Morgan's office sans ..."Krish Ribeiro TwitterApril 20, 2011"The round table room. Just like the knights of King Arthur our heroes go out to battle the forces of evil, Ed Bernero used to love saying that."Krish Ribeiro TwitterApril 20, 2011NoneKrish Ribeiro TwitterApril 20, 2011NoneThomas Gibson TwitterApril 20, 2011NoneThomas Gibson TwitterApril 20, 2011"Don't fret. Here's a pic of @JoeMantegna to complete the male cast member montage I've been rocking today..."Rachel Nichols TwitterApril 20, 2011"kirsten's little pal"Thomas Gibson TwitterApril 20, 2011""@dordiekus: @Gibsonthomas does KV have strawberries on her fingernails?" invented/painted by KV, 5 colors req."Thomas Gibson TwitterApril 20, 2011"the bees are attracted by the strawberries..."Thomas Gibson TwitterApril 20, 2011"Dr Reid's desk."Krish Ribeiro TwitterApril 20, 2011NoneThomas Gibson TwitterApril 20, 2011NoneThomas Gibson TwitterApril 20, 2011NoneThomas Gibson TwitterApril 20, 2011"Seaver's desk"Krish Ribeiro TwitterApril 20, 2011NoneLinda De Andrea TwitterApril 20, 2011NoneLinda De Andrea TwitterApril 20, 2011"The BAU jet."Krish Ribeiro TwitterApril 20, 2011"More jet"Krish Ribeiro TwitterApril 20, 2011"Even more jet."Krish Ribeiro TwitterApril 20, 2011"The exterior of the jet"Krish Ribeiro TwitterApril 20, 2011"More exterior jet"Krish Ribeiro TwitterApril 20, 2011"Guess what? Exterior jet..!!"Krish Ribeiro TwitterApril 20, 2011NoneThomas Gibson TwitterApril 20, 2011"the birthday cupcake for the Boog and Jason Bernero!"Thomas Gibson TwitterApril 20, 2011"Happy Birthday Shemar.... ....fans."Krish Ribeiro TwitterApril 20, 2011"the original members of "Wham""Matthew Gray Gubler TwitterApril 20, 2011"the ______ twins"Thomas Gibson TwitterApril 20, 2011"Almost..."Anna Fleiner TwitterApril 21, 2011"1....."Anna Fleiner TwitterApril 21, 2011"Outside Hotch's office."Krish Ribeiro TwitterApril 21, 2011"Random set stuff"Krish Ribeiro TwitterApril 21, 2011"Working in the BAU round table"Krish Ribeiro TwitterApril 21, 2011"More round table"Krish Ribeiro TwitterApril 21, 2011"The Gube and the Fleiner. @annafleiner @GUBLERNATION"Krish Ribeiro TwitterApril 21, 2011"Dave Maddux(Chief Lighting Tech), Johnny Hachitt(1st grip) and Bradley Hachitt(grip)"Krish Ribeiro TwitterApril 21, 2011"Ryan, Toby, Todd (camera)"Krish Ribeiro TwitterApril 21, 2011"@annafleiner @Dayne9165 @lindadeandrea"Krish Ribeiro TwitterApril 21, 2011"Sarah, Paget's stand in."Krish Ribeiro TwitterApril 21, 2011"Nicole and Cal. (Rachel and Thomas's stand ins)"Krish Ribeiro TwitterApril 21, 2011"Stephen (Matthew's stand in)"Krish Ribeiro TwitterApril 21, 2011"Tony, our digital technician. @annafleiner and I love to quote movies and TV with him. He definitely helps pass the time on set."Krish Ribeiro TwitterApril 21, 2011"Thane (camera assistant)"Krish Ribeiro TwitterApril 21, 2011"Dauv. He operates all the video images you see on TV screens, iPhones and iPads."Krish Ribeiro TwitterApril 21, 2011NoneJoe Mantegna TwitterApril 21, 2011"Wrap beer. Once it hits your lips it's so good!"Krish Ribeiro TwitterApril 21, 2011"Back at it!!"AJ Cook TwitterApril 21, 2011"Saw this on the wall of the @criminalminds art dept.!"Guy Norman Bee TwitterApril 21, 2011"Last day! Yay!"Linda De Andrea TwitterApril 25, 2011"last day! Im sending the HOTCH dressing-room door sticker to be auctioned off for ACS! good luck!"Thomas Gibson TwitterApril 25, 2011"from behind the desk..."Thomas Gibson TwitterApril 25, 2011"nuff said!"Thomas Gibson TwitterApril 25, 2011"in case I forget..."Thomas Gibson TwitterApril 25, 2011"out the door!"Thomas Gibson TwitterApril 25, 2011"Mr Shemar Moore has finished season 6!!!!!"Linda De Andrea TwitterApril 25, 2011"Yay...0 days left after today!!!"Anna Fleiner TwitterApril 25, 2011"Everyone should watch #CriminalMinds this week. I may or may not be in it. Airs this Wednesday 9 pm on CBS."Jace Sparks TwitterMay 16, 2011"Behind the scenes of Ep 624 "Supply & Demand" airing this Weds @ 9pm EST/PST on CBS w/ @Jacetsparks"Rick Dunkle TwitterMay 16, 2011 Retrieved from "http://criminalminds.wikia.com/wiki/Behind_the_Scenes/Take_5?oldid=22918" 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: Real World Articles


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Simone Styles In Fear The DeadFavorites [+]
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Running Time: 43 minutes
Released: 06/2016
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Description: Don't trust the living.
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text: Mail Order 933; ca. 1950s; Sailor Doll Contents[show] Links to reviews/blog postsEdit Sources/VendorsEdit GalleryEdit WishlistEdit Retrieved from "http://vintagepatterns.wikia.com/wiki/Mail_Order_933?oldid=623563" 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: Vintage Sewing Patterns Doll Clothes Mail Order 1950s Rag Dolls Sailor Add category Cancel Save


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United Kingdom
Eclectic music fan, collector and all round music nerd.
Get in touch with the real me here:
http://www.facebook.com/ray.canhamhttp://wildwoodmusic.tumblr.com[email protected]
And get yourself along to https://www.facebook.com/Wildwood... for all sorts of vinyl related shenanigans.
Press play to try again.
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House Sitter in Huntersville
Hello, potential clients! Thank you for taking the time to read my profile. My name is Kimberly. I'm a veteran teacher (17 years) who just recently left the profession, so I think that speaks well to my trustworthiness and caring nature. I have also done regular babysitting and overnight babysitting at the clients' houses, with rave reviews! I have a very cheery, positive disposition. I am extremely punctual and reliable. I have a cairn terrier (like Toto on the Wizard of Oz), so I am well accustomed to catering to dogs' needs, if you happen to have pets. I, myself, am a homeowner. So I know the daily ins and outs of running a household. And I also know how important it is to respect someone's household and all of the items in it. I have excellent communication skills, my listening skills are well above average, so I follow instructions to a "T." I look forward to speaking with you in person to discuss my further qualifications!
House Sitter Details
|Email Address
|Phone Number
|704-819-... Confirmed
Collect Mail
Feed Pets
Care For Plants
Take Out Trash/Recycling
Snow Clearing
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Sun to Sat, 10:00 AM to 6:00 PM CDT (Central Daylight saving Time)
Sun to Sat, 9:00 AM to 5:00 PM CST (Central Standard Time)
Note: since August 2016 BVFS and the Testing Center moved to a new location, still at Easterwood, in hangar 1091, just south of the Control Tower. The instructions below explain how to reach us at our current location. If you have any issue with finding us, please just call 979-260-6322. Our frontdesk personnel will be happy to assist you.
From Texas Avenue in College Station turn west on George Bush Drive W., cross over Harvey Mitchell Parkway (2818), continuing straight on George Bush Dr. W. past the traffic light.
From FM 60 (University Dr.) turn south on Harvey Mitchell Parkway (2818). Turn right on George Bush Dr. W., continue straight toward the airport for 0.2 miles.
At the stop sign next to the Fire Station turn left (south) toward the FBO (Astin), just next to the Control Tower. Hangar 1091 will be in front of you. Park in the lot adjacent to the hangar or near the FBO. You will see our sign: access to the school or the Testing Center is through the door outside the hangar. If for some reason the door is locked during normal business hours, call for assistance.


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Ask a Lawyer and Get Answers to Your Legal Questions
Please click Accept so that I will receive credit for my time and effort spent responding to your question.
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When a third party makes a false statement of fact about an individual and the individual suffers damages, the individual may have a basis for a defamation lawsuit. Further, that lawsuit can apply to those who repeat the false statement, provided they do so negligently. Accordingly, you may have a basis to file suit against the individual who first made the statement, the individual who released it to the press, and press who published the rumor. A successful defamation plaintiff must typically show that:1. The defendant made a statement of fact to a third party regarding the plaintiff;2. The statement was not true;3. The statement harmed the plaintiff.However, it's important to understand that there are many defenses to defamation, including far comments on matters of public interest, innocent dissemination, and opinion. Further, if you are determined to be a public figure, you may wind up having to deal with a higher threshold for a defamation claim.Accordingly, you'll want to take all information related to the statements and your possible claim to your attorney immediately. He may be able to negotiate to have the statements retracted and he may be able to assist you in recovering a a financial award or settlement.
While I can control the quality of an answer, my control over the content of an answer is restrained by the truth. Please do not shoot the messenger.
Please remember to click Accept and leave Positive Feedback so that I will receive credit for my time and effort spent responding to your question. Bonuses are always greatly appreciated. Clicking accept does not close the question and you are still welcome to ask follow-up questions if you need clarification.
_____________________________________Disclaimer: By engaging in this correspondence, you agree to and understand the following:No attorney-client relationship is formed through this correspondence. The following information is provided for educational purposes only and is not legal advice/legal services. Correspondence through JustAnswer is visible to the public and is not confidential. T-USA is not familiar with your situation and could not possibly provide legal advice/legal services through JustAnswer. T-USA does not claim to be licensed to practice law in your state. The information provided in this correspondence cannot and should not be relied on for legal purposes.If you need legal advice/services you should visit a local attorney as soon as possible. You can find a local attorney at Lawyers.com, Martindale, a Local Lawyer Referral Service, or a Local Legal Clinic (if you cannot afford an attorney).
Here's a link to the ridiculous article -- I wish I could get you the actual letter she sent to the Governor's office, which in their infinite wisdom they gave to the paper. What do you think?
Because of the limitations and nature of this forum, I really can't review external documents and render an opinion on those documents. That's more something you'd have your attorney do during your initial consultation. I do hope that you understand. However, I would highly recommend submitting the article to your attorney so that he can view it in light of the evidence. If the evidence suggests that untrue statements of fact were made about you, you may have a basis for recovery. While you may not have access to the letter that was sent to the Governor's Office, your attorney can subpoena a copy of that letter in any court proceedings. That could also support your claim. You may wish to take to your attorney's office a list of any possible evidence, related documents, etc. that might support your claim, as that will help your attorney evaluate the potential strength of your potential claim.I do hope the information I've been able to provide has been valuable, even though I am not able to review the document and render an opinion on it. If so, I would appreciate it if you would click accept so that I will be compensated for the time and effort spent responding to your question. If you have any other follow-ups, please don't hesitate to ask.


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"We at Etihad Towers completed 10,000 man hours without any single incident/accident. On this occasion, we are appreciating the whole team who worked here in these days. Mr. Mohammed Mubarak Raheem from ADEEB Group has been selected as the employee of this period. He has been good at work, following all site rules and respecting everyone in the site. This is a token of appreciation from the part of SIS "Hirosh Haridas-HSE Engineer, SIS
We would like to applaud and appreciate Adeeb's excellent workmanship for successfully executing the MEP AMC works at Sheikh Hazza Compound - Residential in Al Ain since the year 2011. We express our sincere gratitude to your team and management for their on going successive maintenance with our utmost satisfaction. We are pleased to affirm that you have met all our requirements and we have no hesitation in recommending your organization for related works to our acquaintances.Mubarak Nasser Mubarak Al Mansouri
M/S. Adeeb Services Co. has been providing excellent MEP and General Maintenance services for Abu Dhabi Commercial Bank - Head Quarters since 2009 and ADCB Head Quarters II since Jan 2011. They have been consistent to the official agreement drawn in accordance with the set of terms and conditions / scope of works as specified and agreed signed by both parties.Abu Dhabi Commercial Bank
We would like to thank you and appreciate your excellent cooperation in providing valuable information and insights for the study of energy savings potential for preventive maintenance of air conditioning systems.Executive Affairs Authority
On behalf of AL HOKAIR SPARKY'S managemnet, we would like to this opportunity to express our sincere appreciation to your team for timely completion of the Design supply & Installation and Commissionning of MEP Works (Electrical, Fire Alarm system, CCTV System, Public Address System, Structural Cabling system, Fire Fighting System and HVAC system). Your team's high degree of efficiency and commitment to maintaining quality has certainly helped to complete the task ahead of schedule and without affecting the productivity of the plant.Sparky's Al Khalidiya Mall
We want to thank you for the prompt response and well done work.Tawam Hospital
" I would like to articulate our gratitude and heartfelt appreciation to M/s. Adeeb Electrical & Electronics Services Co. LLC for successfully maintaining the SAMA TOWER , a prestigious 50 storey building owned by His Highness Sheikh Hamdan Bin Zayed Al Nahyan in Abu Dhabi with 640 units and majorly occupied by New York University Abu Dhabi (NYUAD), for the second consecutive year. It is overwhelming that all our tenants are very much satisfied with Adeeb's services and their commitment to quality on facilities maintenance.Abu Dhabi National Property Company
" M/s. Adeeb Electrical & Electronics Services Co. has been providing excellent MEP and General Maintenance service for Arady Abu Dhabi Properties LLC since February, 2011. They have been consistent to the official agreement drawn in accordance with the set of terms and conditions / scope of work as specified and agreed signed by both parties."Arady Abu Dhabi Properties LLC
" We would like to appreciate your vendor/supplier relationship management wherein each and every commitment gets resulted on time whether it comes for contract renewal, operational tasks or financials. We will continuously extend our complete support and always willing to partnering with your services which will help end user to keep the system healthy with optimum output."Honeywell International Middle East Ltd
" M/s. Adeeb Electrical & Electronics Services Co. LLC. participated as the Electrical and IT subcontractor in the construction of C.C.C office buildings project in Mussafah, Abu Dhabi. We take this opportunity to express our appreciation for the high-quality execution and delivering of an exceptional job in a timely manner."Consolidated Contractors Company
Adeeb Group, the FM service provider which was shortlisted in the FM Middle East Awards 2017, runs regular weekly sessions that are conducted by training consultants AlChemy. Adeeb Group CEO Eng. Ansari tells fmME: "This has developed new skills among our employees and has motivated them towards creating a safe environment culture."
Adeeb Group Iftar Get Together 2017 with Dubai Branch Office Colleagues.
Adeeb Group Iftar Get Together 2017 at Abu Dhabi Country Club, Gold Ball Room. It was wonderful evening to have all our staff together under one roof along with their family members to celebrate the holy month "Ramadan". It was indeed a pleasurable moment for our management to meet and greet all the staff.
Adeeb Group Management have attended the BIFM Regional Committee Meeting
Adeeb Group has been shortlisted as FM Company of the year in MENA Green Building Awards 2017.
Adeeb Group celebrates the World FM Day 2017, Empowering People for a Productive World.
Adeeb Group Management have participated in FM Awards Events , 2017
MOU Signing Ceremony with ICT, AWRostamani for the Installation of GE brand Energy Saving Light at Nation Towers, Abu Dhabi.
Computer Aided Facilities Management(CAFM) Software Training by Lattice
Working Capital Optimization Training by ADCB at Beach Rotana Hotel,Abu Dhabi
ADEEB Group provides smart and professional direction as well as solutions for all aspects of Facilities Management and MEP Contracting Services.We provide clients...


text: The Royal Coat of Arms of the House of Keating Royal Families of The Grand Barony of Voltar The House of Keating Baron William I Retrieved from "http://micronations.wikia.com/wiki/Royal_Families_of_Voltar?oldid=122183" 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: Royal Families Voltar Pages Royalty Noble Families


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Bank Of India
Address: Navyug Niketan, 285 , Walkeshwar Rd, Nr Teen Batti, Walkeshwar, Mumbai, Maharashtra, 400006
Phone number: 022 - 23684978 , 022 - 2369862Post A Recommendation Bookmark this Business Claim this Business
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