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Culford Prep School aims to give our pupils a memorable education through which they can develop and thrive. The Prep School offers a highly individualised, supportive learning journey that is challenging, enriching and fun, which equips children for a lifetime of learning and gives them the best possible start.
In Culford's Lower Prep we combine an academic curriculum with very high quality teaching and plenty of creative opportunities. Lower Prep pupils are in one of two mixed ability classes. Class sizes are deliberately kept small so that pupils' progress can be carefully monitored and opportunities and issues addressed.
Typically about half of your child's lessons will be with the class teacher, but there is specialist teaching for science, French, art and design technology from the start. The children have access to the impressive music and sports facilities at Culford School. In the first year your child will be set according to ability for mathematics; lower sets are small so that individual attention to numeracy skills can be given.
In Culford's Upper Prep all teaching is carried out by subject specialists and there is some streaming to enable us to support the less able and to stretch the most gifted pupils.
Individual pupil progress is monitored closely and pupils take internal examinations in the autumn and summer terms. Subject teachers and form tutors work together so that all pupils are stretched and supported and we constantly seek to build strong partnerships between pupils, parents and teachers. Assessment Grades are provided to parents at each half term with written reports at the end of the autumn and summer terms. Parents are encouraged to attend Parents' Evenings to discuss children's progress with individual teachers.
All pupils are thoroughly prepared for progression to Culford Senior School at 13+ and there is a high level of liaison between the two schools to ensure that the transition is seamless. Children are well prepared for our Common Entrance Examinations, which they sit in the Summer Term of Upper Third (Year 8). They then participate in a dynamic and varied post-Common Entrance Programme which broadens their education and prepares them for senior school life and learning.


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New and Selected Poems: Volume One (original 1992; edition 2005)
by Mary Oliver
Work details
New and Selected Poems: Volume One by Mary Oliver (1992)
No current Talk conversations about this book.
Poetry is for me, hard to rank.
Some poems resonate for me, some do not, and that seems to be related to the reader's own experiences.
These poems do not have a common theme but cover diverse subjects, emotions, and situations.
Accessible poetry which is sometimes deceptively simple, Oliver's themes reflect a profound connection to nature, transience and death, and the oneness of all things. She is clearly someone who has spent a lot of time in nature and is a keen observer of it, and her poetry is in part a celebration of beauty and in part a search for truth. She is at the same time a lonely artist and someone who truly feels a part of a larger whole, inseparable from the plants, animals, and people she observes. Death comes in the form of owl or hawk in her work, but it's all a part of the natural order of things, and Oliver is stoical. Beautiful.
On change, from 'In Blackwater Woods':
"Every year
I have ever learned
in my lifetime
leads back to this: the fires
and the black river of loss
whose other side
is salvation,
whose meaning
none of us will ever know.
To live in this world
you must be able
to do three things:
to love what is mortal;
to hold it
against your bones knowing
your own life depends on it;
and, when the time comes to let it go,
to let it go."
On death (and life), from 'October':
"Look, I want to love this world
as though it's the last chance I'm ever going to get
to be alive
and know it.
Sometimes in late summer I won't touch anything, not
the flowers, not the blackberries
brimming in the thickets; I won't drink
from the pond; I won't name the birds or the trees;
I won't whisper my own name.
One morning
the fox came down the hill, glittering and confident,
and didn't see me – and I thought:
so this is the world.
I'm not in it.
It is beautiful."
And from ''White Owl Flies Into and Out of the Field':
"maybe death
isn't darkness, after all,
but so much light
wrapping itself around us –
as soft as feathers –
that we are instantly weary
of looking, and looking, and shut our eyes,
not without amazement,
and let ourselves be carried,
as through the translucence of mica,
to the river
that is without the least dapple or shadow –
that is nothing but light – scalding, aortal light –
in which we are washed and washed
out of our bones."
On dogs, from 'Her Grave':
"A dog can never tell you what she knows from the
smells of the world, but you know, watching her, that you know
almost nothing."
On the beauty of flowers, and transience, from 'Peonies':
"Do you also hurry, half-dressed and barefoot, into the garden,
and softly,
and exclaiming of their dearness,
fill your arms with the white and pink flowers,
with their honeyed heaviness, their lush trembling,
their eagerness
to be wild and perfect for a moment, before they are
nothing, forever?"
On meaning, from 'First Snow':
"and though the questions
that have assailed us all day
remain – not a single
answer has been found –
walking out now
into the silence and the light
under the trees,
and through the fields,
feels like one."
On oneness, from 'Gannets':
"life is real,
and pain is real,
but death is an imposter,
and if I could be what once I was,
like the wolf or the bear
standing on the cold shore,
I would still see it –
how the fish simply escape, this time,
or how they slide down into the black fire
for a moment,
then rise from the water inseparable
from the gannets' wings."
On sadness, from 'The Lilies Break Open Over the Dark Water':
"And there you are
on the shore,
fitful and thoughtful, trying
to attach them to an idea –
some news of your own life.
But the lilies
are slippery and wild – they are
devoid of meaning, they are
simply doing,
from the deepest
spurs of their being,
what they are impelled to do
every summer.
And so, dear sorrow, are you."
On seeing the beauty in things, from 'The Ponds':
"Still, what I want in my life
is to be willing
to be dazzled –
to cast aside the weight of facts
and maybe even
to float a little
above this difficult world.
I want to believe I am looking
into the white fire of a great mystery.
I want to believe that the imperfections are nothing –
that the light is everything – that it is more than the sum
of each flawed blossom rising and fading. And I do."
On solitude, from 'Lilies':
"I think I will always be lonely
in this world, where the cattle
graze like a black and white river –
where the ravishing lilies
melt, without protest, on their tongues –
where the hummingbird, wherever there is fuss,
just rises and floats away."
And this one, from 'Wild Geese':
"You do not have to be good.
You do not have to walk on your knes
for a hundred miles through the desert, repenting.
You only have to let the soft animal of your body
love what it loves.
Tell me about despair, yours, and I will tell you mine."
On transience, from 'One or Two Things':
"For years and years I struggled
just to love my life. And then
the butterfly
rose, weightless, in the wind.
'Don't love your life
too much,' it said,
and vanished
into the world."
Lastly, a couple of my favorites in their entirety, first Spring
a black bear
has just risen from sleep
and is staring
down the mountain.
All night
In the brisk and shallow restlessness
of early spring
I think of her,
her four black fists
flicking the gravel,
her tongue
like a red fire
touching the grass,
the cold water,
There is only one question:
how to love the world.
I think of her
like a black and leafy ledge
to sharpen her claws against
the silence
of the trees.
Whatever else
my life is
with its poems
and its music
and its glass cities,
it is also this dazzling darkness
down the mountain,
breathing and tasting;
all day I think of her –
her white teeth,
her wordlessness,
her perfect love.
And this one, probably my favorite from this collection…
When Death Comes
When death comes
like the hungry bear in autumn;
when death comes and takes all the bright coins from his purse
to buy me, and snaps the purse shut;
when death comes
like the measle-pox;
when death comes
like an iceberg between the shoulder blades,
I want to step through the door full of curiosity, wondering:
what is it going to be like, that cottage of darkness?
And therefore I look upon everything
as a brotherhood and a sisterhood,
and I look upon time as no more than an idea,
and I consider eternity as another possibility,
and I think of each life as a flower, as common
as a field daisy, and as singular,
and each name a comfortable music in the mouth,
tending, as all music does, toward silence,
and each body a lion of courage, and something
precious to the earth.
When it's over, I want to say: all my life
I was a bride married to amazement.
I was the bridegroom, taking the world into my arms.
When it's over, I don't want to wonder
if I have made of my life something particular, and real.
I don't want to find myself sighing and frightened,
or full of argument.
I don't want to end up simply having visited this world.
I liked these poems but didn't fall head over heels. Oliver is a bit too religious for my tastes, though her natural world is one I recognize and feel at home in. Her eye is keen, her voice assured. A couple of her verses will stay with me.
If you like nature and poetry, you'll love Mary Oliver. She seems to be able to say what I just can't express. Balm for the soul.
I will always tag this one "currently reading". It is by my bedside and the book I pick up to read a page or two for comfort, to provoke thought, or just to relax. Mary Oliver is one of my favorite poets.
References to this work on external resources.
Wikipedia in English
Amazon.com Product Description (ISBN 0807068772, Paperback)When New and Selected Poems, Volume One was originally published in 1992, Mary Oliver was awarded the National Book Award. In the fourteen years since its initial appearance it has become one of the best-selling volumes of poetry in the country. This collection features thirty poems published only in this volume as well as selections from the poet's first eight books.
Mary Oliver's perceptive, brilliantly crafted poems about the natural landscape and the fundamental questions of life and death have won high praise from critics and readers alike. "Do you love this world?" she interrupts a poem about peonies to ask the reader. "Do you cherish your humble and silky life?" She makes us see the extraordinary in our everyday lives, how something as common as light can be "an invitation/to happiness,/and that happiness,/when it's done right,/is a kind of holiness,/palpable and redemptive." She illuminates how a near miss with an alligator can be the catalyst for seeing the world "as if for the second time/the way it really is." Oliver's passionate demonstrations of delight are powerful reminders of the bond between every individual, all living things, and the natural world.
(retrieved from Amazon Thu, 12 Mar 2015 18:11:04 -0400)
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Editions: 0807068772, 0807068780
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text: The hotel was established in 1997 and consists of a total of 118 rooms.The well-furnished guest rooms are the pride of this hotel in Dubai. The rooms are all fitted with the latest amenities and the flawless 24-hour room service ensures that clients will be in utmost comfort. In-room amenities include a safe, television, minibar and much more.


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Valley Chiropractic & Sports Medicine: Brett Inlow, DC
(860) 248-4180 (860) 413-2730 244 Farms Village Road, Suite K, West Simsbury, CT 06092 M-F 8am-6pm, Sa-Su Closed Official site
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Brett Inlow, DC brings extensive experience and a life-long passion for health, sports, and fitness to treating patients of all ages at his newly-opened Valley Chiropractic and Sports Medicine practice in the Simsbury, West Simsbury, Canton and Avon areas of Connecticut. Utilizing a wide-range of leading-edge diagnosis and treatment approaches, including physical therapy and acupuncture, Dr. Inlow offers a full range of chiropractic care, for the prevention and treatment of sports injuries, relief and management of back, joint and muscle pain, as well as, headaches and migraines. Dr. Inlow earned his doctor of chiropractic degree from The University of Bridgeport College of Chiropractic, followed by post-graduate studies in acupuncture and chiropractic sports medicine, including a fellowship in acupuncture (F.I.A.M.A.) from the International Academy of Medical Acupuncture. He also holds certification as a Strength and Conditioning Specialist (CSCS) through the National Strength and Conditioning Association and is a certified First Aid and CPR/AED instructor for The American Heart Association. Dr. Inlow began his chiropractic career after spending 11 years working in sports medicine as a certified and licensed athletic trainer (ATC) for The Master's School in West Simsbury and Avon High School, in Avon, CT, rated one of the top high schools in the nation by Newsweek. Currently, Dr. Inlow is working towards completion of additional certification as a chiropractic sports physician (CCSP) through the American Chiropractic Board of Sports Physicians. He is a member of the American Chiropractic Association, the Connecticut Chiropractic Association, and the National Athletic Trainers Association. When not treating patients, Dr. Inlow enjoys spending time with his wife Heidi and their sons Grant (age 8) and Liam (age 3). He also enjoys camping, riding motorcycles, and woodworking.


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Let us know when your receive great advice so we can thank our lawyers and point others with similar questions in the right direction.Got it!
Hello! I am submitting USCIS forms to adjust my status after i got married ,and my husband is an American citizen,the problem is he was married to a foreigner before and he filed for her and she is a USC now,on form I-864 21-f it's a confusing question for my case : if you have sponsored any other persons on an I-864 or I-864 EZ who are now lawful permanent residents enter number here,so is it 0 in my case or 1? I am the only one who lives with my husband and his ex went to a different country so no one is included in the household size but us ,so the household size should be 2 am I right ?
The right answer is "0" your husband's ex is now a USC and husband is no longer responsible for her financially under the Affidavit he previously signed for her.
Behar Intl. Counsel 619.234.5962 Kindly be advised that the answer above is only general in nature cannot be construed as legal advice, given that not enough facts are known. It is your responsibility to retain a lawyer to analyze the facts specific to your particular situation in order to give you specific advice. Specific answers will require cognizance of all pertinent facts about your case. Any answers offered on Avvo are of a general nature only, and are not meant to create an attorney-client relationship.Ask a similar question
My personal professional opinion is that any tentative AOS submission must be reviewed in person in its entirety by a trained immigration attorney in your presence. There is no substitute for competence of a legal professional.
DISCLAIMER The answer given above by the lawyer serves for educational purposes only and provides general information and a basic understanding of the applicable law. Take notice that the answer above does not create an attorney-client relationship as this website is not intended to provide anyone a specific legal advice. Anyone using the site expressly consents that there is no attorney client privilege between any person and any attorney responding. Further take notice that the site should not be used as a crude substitute for any professional and competent legal advice by a licensed professional attorney in the applicable jurisdiction. The attorney above attempted to provide competent professional information, however, the law and its applications may change frequently and vary greatly from other U.S. jurisdictions and locales. Therefore, any information and materials provided above are general in nature, and may not apply to specific factual and legal circumstances related to one's personal legal issues. Contact an experienced lawyer admitted to practice in your State under an attorney-client privilege to further receive a competent legal advice before making any important decisions about your particular legal issue. For further inquiries please contact: Attorney Alexander Ivakhnenko 1021 West Adams, 102, Chicago, Illinois 60607 773-562-8602 http://alexanderivakhnenko.comAsk a similar question
Although I agree with Mr. Behar, the answer is 0 and the total count should add up to 2 (assuming no children) ... I also agree with my other colleague .... meet with an immigration lawyer and have him/her review your papers.
Many of us do this via Skype ... and we work on weekends too!
It will be a good investment to discuss the forms, and other issues, in private with an attorney BEFORE you file, rather than after you encounter 'issues'.
PROFESSOR OF IMMIGRATION LAW for over 10 years -- This blog posting is offered for informational purposes only. It does not constitute an attorney-client relationship. Also, keep in mind that this is an INTERNET BLOG. You should not rely on anything you read here to make decisions which impact on your life. Meet with an attorney, via Skype, or in person, to obtain competent personal and professional guidance.Ask a similar question
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Main consulting and training experience:
2004-2006 Profitable Value Creation Consulting (PVCC, UK)
2006-2011 CN Management Consulting Co., Ltd (Beijing)
(Vice president)
2011-2015 Freelancer of OD consulting
2015 IOC (Shanghai)
Professional Fields:
Focusing on applying organization development (OD), learning organization (LO),facilitation and coaching methodology to solve management difficulties and build a healthier organization. Helping clients to develop enterprise strategy, to increase efficiency of operation and execution, to build up customer-oriented culture, and to improve communication and trust among team members. Served clients were mainly from manufacturing,services and FMCG industry ., Etc.
Training Experience:
Rich experience in training and learning facilitation. Conducted a range of training courses and workshops to clients on topics like 'Vision and Strategy', 'Career Development', 'Result-oriented Work Spirit', 'Knowledge Sharing', 'Instant Motivation', etc.. Participants were mainly the middle and senior managers of enterprises.
Clients include Alpha Animation and Culture Co., Ltd.,Polygrace Leather Group, BMS China, Yekalon Group.,etc.


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Algorithm for the management of catheter-related bloodstream infections (CRBSIs). A prelude to appropriate management involves confirming the diagnosis of a CRBSI through simultaneous blood cultures (≥5:1 of colony-forming units from blood cultures drawn through the catheter compared with the peripheral vein or differential time to positivity of ≥2 hours) or colonization of the catheter demonstrated through semiquantitative or quantitative catheter cultures with the same organism isolated from the peripheral blood culture. CVC indicates central venous catheter.
Raad II, Hanna HA. Intravascular Catheter-Related InfectionsNew Horizons and Recent Advances. Arch Intern Med. 2002;162(8):871-878. doi:10.1001/archinte.162.8.871
© 2017
Central venous catheters have become essential devices for the management of critically and chronically ill patients; however, their use is often complicated by catheter-related bloodstream infections (CRBSIs), many of which could be prevented.
This report is based on a literature review of more than 100 published articles in intravascular catheter-related infections. This review focuses on the most recent advances in the methods of diagnosis of CRBSI as they relate to its pathogenesis and on novel preventive techniques and approaches to management.
Catheter-related bloodstream infections may be diagnosed by different methods, including simultaneous quantitative blood cultures, with the central blood culture yielding at least 5-fold colony-forming units greater than the peripheral blood culture, and simultaneous blood cultures, whereby the catheter-drawn blood culture becomes positive at least 2 hours before the peripheral blood culture. Novel preventive techniques include the use of ionic silver, an anticoagulant/antimicrobial flush solution, a new aseptic hub, and antimicrobial impregnation of catheters and dressings. Management of CRBSIs should be based on whether the infection is complicated or uncomplicated.
Novel technologies that have been proved to aid in the diagnosis and prevention of CRBSIs should be considered in clinical practice. The management approach should be based on the type of microorganism causing the infection and on whether the infection is complicated or uncomplicated.
VASCULAR catheter-related infections are the leading cause of nosocomial bloodstream infections and are associated with significant morbidity in critically ill patients.1- 4 These infections are often difficult to diagnose, prevent, and manage, adding tremendously to the cost of health care. The cost of treating a single episode of catheter-related bloodstream infection (CRBSI) has been estimated to be in excess of $28 000.3 However, as we proceed into the new millennium, new knowledge in the field has improved our ability to diagnose, prevent, and treat CRBSIs. This review will concentrate on the knowledge associated with catheter-related infections and the recent advances in diagnosis, prevention, and treatment of such infections.
Catheter-related infections are often difficult to treat because they are caused by organisms often resistant to antimicrobial agents that embed themselves in a biofilm layer on the catheter surface and attach to the thrombin sheath on the surfaces of intravascular devices.5- 7 Our understanding of the pathogenesis of these infections during the past decade should be the basis for appreciating new techniques and approaches involved in the diagnosis, prevention, and management of CRBSIs. The basics related to the pathogenesis are as follows.
The skin and catheter hub are the most common sources of colonization of intravascular catheters.8 For short-term, nontunneled, noncuffed catheters, the skin insertion site is the major source of colonization, whereby organisms migrate along the external surface of the catheter and the intercutaneous and subcutaneous segments, leading to colonization of the intravascular catheter tip, which may lead to bloodstream infection.8- 10 For long-term catheters, such as cuffed, tunneled, silicone catheters (Hickman or Broviac), or implantable catheters (such as ports), the lumen of the hub or the bell of the port is the major source of colonization.10,11 These sites may become contaminated through the hands of medical personnel during manipulation of the catheter. Because the skin of the patient or the hands of medical personnel are the main sources for the contamination of catheters, staphylococci, particularly coagulase-negative staphylococci, and Staphylococcus aureus are the leading causes of CRBSIs,10,12- 15 as shown in a pooled estimate derived from prospective studies published in the 1990s that used quantitative catheter cultures (Table 1). Most of the gram-negative bacilli causing CRBSIs are nonenteric organisms acquired from the hospital environment, such as Stenotrophomonas maltophilia, Pseudomonas organisms, and Acinetobacter species.12- 18Candida albicans and Candida parapsilosis also colonize on the hands of medical personnel and are also associated with glucose-containing infusions and total parenteral nutrition.18,19 These fungal organisms are, therefore, emerging as important pathogens associated with CRBSIs.18 Gram-positive bacilli, such as Corynebacterium (especially jeikeium strains) and Bacillus species, are rarely introduced from the skin or the hub and may cause catheter-related infections.12- 15,20,21
Staphylococci, Candida, and some other microbes produce a slimy material rich in exopolysaccharides, resulting in the formation of a microbial biofilm.22,23 The biofilm helps these organisms adhere to and survive on the surfaces of foreign bodies in the bloodstream. The organizational structure of the biofilm is the result of communication between microbes using an elaborate system of chemical messengers composed of acyl homoserine–lactones.24 The microorganisms within the biofilm layer are resistant to the activity of antibiotics.5,25,26 Because the biofilm acts as a resistance factor to antibiotics, it is often difficult to eradicate a catheter-related infection without the removal of the catheter.
Following catheter insertion, a thrombin layer or sheath covers the external and the internal surfaces of the intravascular segment. This sheath is rich in host-derived proteins, such as fibrin, fibronectin, thrombospondin, and laminin, that act as adhesins. Therefore, the thrombin layer that forms on the intravascular surface of a catheter actually promotes adherence of potential microbial pathogens to that surface. Staphylococcus aureus binds strongly to fibronectin, fibrinogen, laminin, and thrombospondin.27- 31 In addition, coagulase-negative staphylococci bind to fibronectin,7 while C albicans binds to fibrin.32 Adhesins that allow coagulase-negative staphylococci to bind to the polymer composite of catheters have also been identified. The genes that regulate the expression of those adhesins have also been identified.33 Therefore, the difficulties in eradicating the organisms colonizing the catheter surface can be appreciated because they are attached to adhesins on the surfaces of the catheter and are covered by a protective layer of biofilm.
Quantitative electron microscopic studies10 suggest that most indwelling catheters become colonized after insertion, even in the absence of symptoms. However, clinically apparent infection seems to be a function of the number of organisms exceeding a threshold as they multiply on the catheter surface because there is a quantitative relationship between the number of organisms isolated from the catheter surface and the risk for CRBSIs.34
The roll-plate semiquantitative culture method is the most commonly used technique for culturing vascular catheters.35 However, this method is limited in that it cultures only the external surface of catheters and may not retrieve organisms that are well embedded within the biofilm layer on the catheter surface. This technique is of limited usefulness in long-term catheters, in which the internal surface is the predominant source of colonization and bloodstream infection.10 Several quantitative catheter culture methods are useful in establishing the diagnosis of CRBSI, such as the use of vortex, sonication, or flushing the catheter lumen with broth.34,36,37 The sonication quantitative method was superior to the semiquantitative catheter culture technique in several studies and in a recent meta-analysis.10,38- 40 The limitation of the semiquantitative and quantitative catheter culture methods is that they require removal of the catheter to aid in the diagnosis of CRBSIs.41 This often results in wasteful removal of noncolonized catheters. This has led to new techniques for diagnosing CRBSIs without catheter removal.
Novel culture techniques that suggest a catheter infection without removal of the catheter include the following.
1. Simultaneously collected quantitative blood cultures in which the number of microbes isolated from blood obtained through a central venous catheter (CVC) is at least 5-fold greater than the number of microbes in a concurrent peripheral blood culture.42
2. Simultaneous qualitative blood cultures drawn from the CVC and the peripheral vein in which growth is detected from the blood drawn through the CVC at least 2 hours earlier than a simultaneously drawn blood culture from a peripheral vein.43,44 This method is termed differential time to positivity. This is a simple technique and, unlike quantitative blood cultures, is widely available on an international basis because many clinical microbiology laboratories have adopted the use of automated continuously monitored blood culture systems. Hence, this technique, if verified further by large, prospective, clinical studies, would constitute an easily adopted and inexpensive method for diagnosing CRBSIs without removal of the indwelling catheter.
3. Catheter-related bloodstream infections can also be diagnosed using an endoluminal brush technique that involves brushing the lumen of the catheter and using an acridine orange leukocyte cytospin test on blood drawn through colonized catheters.45 The brush method had a sensitivity of 95% and a specificity of 84% in diagnosing CRBSIs without catheter removal. However, this method was associated with the induction of transient bacteremia in 6% of the patients in the study. More recently, Kite and colleagues46 demonstrated that acridine orange staining of blood drawn from the CVC could provide a rapid diagnosis of CRBSI. However, further studies are required to support such a finding.
Clinical data that would suggest the catheter as the source of the bloodstream infection include the following: (1) the absence of any other source for the bloodstream infection except the catheter, with the isolation of an organism often associated with CRBSIs, such as Staphylococcus epidermidis, S aureus, or C parapsilosis; and (2) local catheter infection around the catheter, such as exit site inflammation, tunnel tract inflammation, or a port pocket abscess associated with bloodstream infection.
New technologies that have been developed to prevent CRBSIs and have been shown in clinical studies to be efficacious in decreasing the risk of CRBSIs are the following: (1) ionic silver, (2) an anticoagulant/antimicrobial flush, (3) a new aseptic hub model, and (4) antimicrobial impregnation of catheters and dressings.
Silver in its ionic form has broad-spectrum antimicrobial activity against bacteria and fungi. A silver-impregnated subcutaneous collagen cuff has been developed and is usually placed at the interface of the skin insertion site and the proximal subcutaneous space.47 This cuff significantly decreases the risk of colonization associated with short-term catheters (mean duration of placement, <10 days).47,48 However, the silver cuff failed to prevent CRBSIs for long-term catheters with a mean duration of placement of 20 days or longer.48- 51 This could be attributed to the biodegradable nature of the collagen, whereby the silver ions chelated to the cuff are released completely within 3 to 7 days. Because of its limited efficacy, the use of the attachable silver cuff is not recommended.52 More recently, a silver iontophoretic device has been developed, whereby silver ions are released through a low-voltage current going through silver wires that are attached to the intercutaneous proximal segment of the catheter connected to a small electric power source.53 This silver iontophoretic device has a long-lasting effect and prevents catheter infections in vitro and in vivo.53,54 The clinical safety and efficacy of this device have not been demonstrated.
Antimicrobial flush solutions, often consisting of an anticoagulant with an antimicrobial agent, have been used to fill the lumen of the catheter at least once daily.55,56 This procedure has been mostly used in long-term catheters in which the hub and luminal colonization are the leading causes of CRBSIs.55 However, this intervention could also be useful in short-term catheters. Various antimicrobial agents have been used as part of antibiotic lock or flush solutions and have been shown to decrease the risk of recurrence of infection and the need for catheter removal.57,58 Vancomycin hydrochloride, in combination with heparin sodium, has been used as a daily flush solution and has been shown to decrease the risk of catheter infection.55 Another study56 failed to show that this combination is effective in reducing the risk of CRBSIs caused by organisms attributable to lumen colonization.
More recently, Henrickson et al59 demonstrated in a prospective randomized study that either vancomycin and heparin or vancomycin, ciprofloxacin hydrochloride, and heparin flush solutions are efficacious in reducing the risk of CRBSIs. However, the Centers for Disease Control and Prevention guidelines recommend against the use of vancomycin as a prophylactic agent in the prevention of CRBSIs because it is an independent risk factor for the acquisition of vancomycin-resistant enterococci.60 In addition, prolonged use of vancomycin could lead to the emergence of staphylococci with intermediate resistance to vancomycin.61- 65 A novel flush solution consisting of a combination of minocycline hydrochloride (a tetracycline active against gram-positive organisms) and EDTA has been developed.66 This combination is synergistic against resistant gram-positive and gram-negative bacteria and C albicans. It has also been shown in a clinical study66 to be highly efficacious in preventing the recurrence of staphylococcal infections in short- and long-term catheters. A more recent prospective randomized study demonstrated the efficacy of this combination in preventing CRBSIs in patients undergoing hemodialysis with a long-term indwelling CVC. The combination of minocycline and EDTA had an equivalent anticoagulant activity to heparin.67 Like EDTA, citrate has been shown to have comparable anticoagulant activity to heparin in a prospective randomized study68 involving patients undergoing hemodialysis.
A new antiseptic hub attachment has been developed to protect the contamination of the hub and the lumen. This model is used by attaching to the hub of the catheter and has been shown in an animal study69 to prevent catheter colonization. In addition, a clinical study70 in patients with long-term catheters showed that they decreased the rate of CRBSIs by 4-fold. This model will be most useful in long-term catheters with a high risk of hub and lumen colonization. However, a recent clinical trial71 failed to show any benefit from using the new aseptic hub in reducing the risk of catheter infection. Hence, further prospective randomized studies are necessary to evaluate whether this new technology does prevent CRBSIs and whether it is cost-effective.
The impregnation of catheters with antimicrobial agents, as predicted by Maki and colleagues in 1988, has proved to be "the most effective technologic innovation in reducing the risk of device-related infection."47(p313) During the past decade, several studies8,15,72- 74 have shown that vascular catheters impregnated with antimicrobial agents decreased the risk of catheter colonization and CRBSIs. The best-studied antimicrobial catheters are those that are impregnated with a combination of either chlorhexidine gluconate and silver sulfadiazine or minocycline and rifampin.74,75 The indications for using antimicrobial catheters are as follows: (1) units with a risk of catheter infections exceeding 3% or 3.3 per 1000 catheter days, (2) femoral or internal jugular vein insertion (which is associated with a greater risk of infection than subclavian vein catheterization9,74,76), (3) central catheters are expected to remain in place for longer than 4 days, (4) patients with burns, (5) patients with neutropenia or patients undergoing transplantation, (6) patients undergoing hemodialysis, (7) patients with short-bowel syndrome, (8) patients who would receive total parenteral nutrition, (9) patients colonized with methicillin-resistant S aureus, (10) patients with an open wound in the proximity of the insertion site, (11) insertion or exchange in a patient with a known infection or bacteremia, and (12) emergency insertion of the catheter. Maki and colleagues8 demonstrated that catheters coated on the external surface with chlorhexidine–silver sulfadiazine decrease the risk of colonization 2-fold and the risk of CRBSIs by at least 4-fold compared with uncoated catheters. Several studies77- 80 failed to show any benefit from the use of catheters coated on the external surface with chlorhexidine–silver sulfadiazine (first-generation aseptic catheters), particularly when used for longer than 2 weeks. A recent meta-analysis75 of 12 studies showed that these catheters coated with chlorhexidine–silver sulfadiazine do decrease the risk of CRBSIs associated with short-term CVCs. In most of these studies, the semiquantitative roll-plate culture technique, which cultures only the external surface, was used without any attempt to culture the internal surface. Using the Mantel-Haenszel method, it was demonstrated that the short-term use (<2 weeks) of these catheters is associated with a decrease in CRBSIs.52 The lack of efficacy of chlorhexidine–silver sulfadiazine–impregnated catheters in situations requiring long-term catheterization of longer than 3 weeks was attributed to the reduced antimicrobial activity of the catheter over time and lack of luminal protection.52,81,82 The advantage of these catheters is that they are precoated and, hence, do not need to be treated at the bedside. However, there are several limitations to these catheters: (1) Only the external surface is coated.8 (2) The catheters have a short antimicrobial durability and lack efficacy with long-term use (>2 weeks).80- 82 (3) There is concern about the potential anaphylaxis associated with these catheters, probably related to chlorhexidine.83- 85 The risk of such a complication is low and could be genetically related because it has appeared only in Japan (which led to the banning of these catheters in that country), not in the United States.83 The US Food and Drug Administration recently approved the use of an improved version of this catheter (second-generation catheters) with added intraluminal chlorhexidine impregnation and slightly more prolonged antimicrobial activity.86
Catheters impregnated with minocycline and rifampin have the advantage of coating the internal and external surface of the catheter. These catheters were significantly superior in vitro and in an animal model to catheters impregnated with chlorhexidine–silver sulfadiazine.80 In a large, prospective, randomized, multicenter, double-blind trial,73 these catheters significantly decreased the risk of CRBSIs by more than 5-fold. In addition, they were highly cost-effective, resulting in an annual cost savings of more than $500 000 in a hospital that uses 850 CVCs per year.73 In a more recent prospective, randomized, multicenter, clinical trial,87 these catheters were shown to be 12-fold less likely to be associated with CRBSIs when compared with catheters externally impregnated with chlorhexidine–silver sulfadiazine. Concerns related to the potential for emergence of antibiotic resistance (especially to rifampin) with the use of this catheter were raised. Two large, prospective, randomized trials74,87 failed to demonstrate the emergence of antibiotic resistance. In addition, the use of such catheters in the intensive care unit of a cancer center resulted in a significant decrease in the frequency of nosocomial vancomycin-resistant enterococci–related bacteremia.88 However, a thorough investigation is required to determine the risk of emergence of resistance to rifampin and minocycline associated with long-term use of these catheters. A recent in vitro study89 suggested that the susceptibility of S epidermidis to rifampin may decrease after repeated exposure of the organism to catheters impregnated with minocycline and rifampin. A novel dressing impregnated with chlorhexidine and placed around the catheter insertion site has recently been shown to reduce the risk of CRBSIs 3-fold in a prospective, randomized, multicenter study.90
The most crucial question related to the management of CRBSIs is to determine whether the catheter should be removed. A new approach is to decide on catheter removal based on whether there is a low, moderate, or high risk of CRBSIs. Risk depends on the type of the organism (low or high virulence) and whether the CRBSI is complicated or uncomplicated. Hence, the following novel approach is suggested (Figure 1).
1. A low-risk CRBSI consists of an uncomplicated CRBSI caused by an organism of low virulence, which is not usually associated with deep-seated infections, such as coagulase-negative staphylococci.91,92
2. A moderate-risk CRBSI consists of an uncomplicated CRBSI that is caused by organisms of a moderate to high virulence associated with the tendency for deep-seated infections, such as S aureus and Candida species.93- 95
3. A high-risk CRBSI is a complicated CRBSI, often occurring in a critically ill or immunocompromised patient.96- 99
A complicated CRBSI consists of the following: (1) a CRBSI associated with hypotension or organ hyperfusion; (2) the persistence of the fever or positive blood culture results for more than 48 hours after the initiation of appropriate antimicrobial therapy; (3) a CRBSI associated with septic thrombosis of the great vein, septic emboli, or deep-seated infections, such as endocarditis93,96; and (4) the presence of a tunnel or port pocket infection.
For low-risk CRBSIs, the infections can be treated without removal of the catheter.91,100 At least 80% of CRBSIs caused by coagulase-negative staphylococci respond to antibiotic therapy without the removal of the catheter.100 However, in patients with a prosthetic heart valve, the catheters should be removed. For moderate-risk CRBSIs, which consist of uncomplicated infection caused by S aureus and Candida species, the short-term catheters should be removed.93- 95 In this case, transesophageal echocardiography may aid in the decision to remove the catheters in patients with CRBSIs and guide the decision of therapy.101 However, in stable patients with long-term tunneled catheters responding to antimicrobial therapy, consideration can be given to the use of antibiotic lock solution without the removal of the catheter.102,103 Several studies104- 106 have shown that long-term tunneled dialysis catheters may be exchanged with guidewire in a patient with an uncomplicated suspected CRBSI and no signs of exit or tunnel tract infection. For patients with high-risk complicated CRBSIs (including those with tunnel tract infections), it is necessary to remove the involved catheter.93,97- 99 The factors favoring the removal of the catheter include CRBSIs with associated hypotension or organ hypoperfusion, the persistence of fever or positive blood culture results after antimicrobial therapy, associated septic thrombosis or emboli, associated tunnel or port pocket infections, and the short-term nontunneled catheter as the culprit of bloodstream infection caused by either S aureus or Candida species.
Vancomycin is the drug of choice for the treatment of CRBSIs caused by methicillin-resistant staphylococci. However, novel antimicrobial agents, such as linezolid or the combination of quinupristin and dalfopristin, with activity against methicillin-resistant staphylococci, may serve as alternative agents to vancomycin in the treatment of CRBSIs caused by methicillin-resistant staphylococci, particularly in patients who are either allergic to vancomycin or colonized with vancomycin-resistant enterococci.107- 111 For CRBSIs caused by methicillin-sensitive staphylococcal organisms, an antistaphylococcal penicillin or a first-generation cephalosporin may be used if the patient is not allergic to β-lactam antibiotics. The treatment duration for coagulase-negative staphylococci–related CRBSIs is usually 5 to 10 days; for uncomplicated S aureus–related CRBSIs, it should range from 10 to 14 days.94,112 However, patients with deep-seated infections (endocarditis or septic thrombosis) associated with the CRBSI should receive 4 to 6 weeks of treatment with antimicrobial therapy.93 Catheter-related bloodstream infections caused by C albicans or C parapsilosis can be treated with fluconazole.113,114 However, resistant organisms, such as Candida krusei, should be treated with high-dose amphotericin B, 1.0 mg/kg per day.115- 117 A prospective randomized study113 of patients, most of whom had suspected catheter-related candidemia, showed that fluconazole given for at least 14 days after catheter removal was as effective as amphotericin B. Extensive guidelines for the management of catheter-related infections have been recently published.118 These guidelines outline the management approach regarding accurate diagnosis, catheter removal, identification of complicated CRBSIs, duration of therapy, and type of antimicrobial agents to be used according to microbial cause.
Accepted for publication September 6, 2001.
We thank Leonard A. Mermel, DO, ScM, for his significant contribution in editing the manuscript.
Corresponding author and reprints: Issam I. Raad, MD, Infectious Diseases, Infection Control, and Employee Health, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030 (e-mail: email@example.com).


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nuclear industry Applications
Air sampling & monitoring systems for commercial nuclear industry
Since 1973, HI-Q has directly and successfully served the commercial nuclear industry worldwide with reliable, High Quality (HI-Q), continuous duty air sampling equipment, systems and accessories. For over 30 years, our products, professional design capability, and consumables have been used in remote & internal air monitoring programs including stack sampling system designs which implement the "shrouded probe" per ANSI N13.1 1999 design specifications.
By HI-Q Environmental Products Company based in San Diego, CALIFORNIA (USA).
Specialty Cleaners and Lubricants for Nuclear Industry
Our mild yet powerful multi-purpose cleaners are effective in both industrial and critical cleaning applications. Their unique formulation of chelants, ionic, and non-ionic ingredients produce a variety of cleaning actions that include lifting, dispersing, emulsifying, sequestering, suspending and decomposing. They are outstanding for cleaning labware, ceramics, and stainless steel. Our detergents can replace hazardous cleaning agents used to remove radioactive materials from glassware, equipment, bench tops, chamber walls and similar surfaces. The cleaners are also proven in defouling filter membranes used in wastewater treatment systems.
By International Products Corporation based in Burlington, NEW JERSEY (USA).
Radiation monitoring instruments for the Nuclear power industry
Air-stack-liquid effluent for PWR and BWR Nuclear Power Plants.
By Technical Associates based in Canoga Park, CALIFORNIA (USA).
Traveling Water Screens for Nuclear Power Industry
Our nuclear plant services includes custom traveling water screen design and installation. We are one of the leading traveling water screen suppliers worldwide. Our screen solutions solve debris removal plant inflow sources to deal with solid contaminating material. Varied screen mesh sizes allow for use in varying conditions and applications.
By International Water Screens based in Bakersfield, CALIFORNIA (USA).
Filtration systems & solutions for nuclear industry
Within the nuclear industry there are ongoing operational challenges and potential hazards associated with environmental emissions and the protection of the workforce, such as high temperatures, high radioactivity, high solids loads and chemically aggressive environments. Therefore the industry demands exceptional levels of technical expertise and quality, in conjunction with specific skills to solve many of its most intractable problems.
By Porvair Filtration Group based in Fareham, UNITED KINGDOM.
Waste recovery for nuclear wastes
Nuclear waste is divided into low, medium, and high‐level waste by the amount of radiological character it contains. Low and Intermediate Level Nuclear waste is the radioactive waste resulting from nuclear facility consumables, clothing, laboratory equipment etc. This waste can adversely affect human health and the environment and therefore must be handled appropriately. Typically, the waste is kept underwater for 3-5 years until the radiation decays to levels that can be shielded by concrete in large storage casks, where it can be held for thousands of years. A challenge for the nuclear industry is the cost associated with conditioning, packaging and storage of these heterogeneous wastes. Therefore, a solution that can decrease the volume of nuclear waste, and reduce the amount of storage required, is considered a commercially advantageous option.
By Tetronics (International) Limited based in Swindon, UNITED KINGDOM.
Ice blasting technology for nuclear
Applications of Coulson ice Blast in the Nuclear industry sector:
(Please note that D2O can be used to make the ice thus not downgrading the D2O systems)
- General decontamination activities where hand washing is not satisfactory
- Decontaminate tools / objects
- Decontaminate Waste storage containers
- Shut down maintenance cleaning
- Decontamination of Steam Generator Heads prior to maintenance
- Decontamination of fuel handling equipment
- Decontamination of D2O storage drums
- Decontamination of active storage cells
By Coulson Ice Blast based in Port Alberni, BRITISH COLUMBIA (CANADA).
Radiation Monitoring for Nuclear Power
By Bertin Technologies based in Montigny - Le - Bretonneux, FRANCE.
Gas monitoring and dust monitoring for the nuclearpower industry
By NEO Monitors AS based in Skedsmokorset, NORWAY.
Dustless Lead Paint Removal & Nuclear Decon Tools for Marine Industry
When ships, submarines and port facilities exposed to the corrosive marine environment need to be repainted, get to clean steel quickly and safely without any messy cleanup using our shrouded power tools! Old paint is removed and packaged in one step using our powerful VAC-PAC HEPA vacuum and deposited directly into 55-gallon drums, safely sealed and ready for transport and disposal when full. No costly containment is required for hazardous jobs, because dust is captured at the surface, before it's emitted.
Dustless Lead Paint Removal & Nuclear Decon Tools for Nuclear Decon
Pentek is the industry leader in manufacturing, engineering and designing specialty surface decontamination technologies and processes for nuclear applications. Our technology offers a safe and environmentally friendly methodology that removes, collects and packages the waste in a single-step manner. Since 1981, our products have been used for critical work scopes in the nuclear weapons complex, commercial nuclear utility industry, and various DOD sites where strict controls are a prerequisite. The Pentek system offers a proven, dust-free process with built-in engineering controls that protect both the worker and the surrounding environment during the surface cleaning process.
Nuclear/District Survey or Environmental LIMS
By Autoscribe Informatics based in Reading,, UNITED KINGDOM.
Dustless Lead Paint Removal & Nuclear Decon Tools for Infrastructure & Civil Industry
Revitalizing our bridges, railways, seaports, water towers and other aging infrastructure is a growing priority. Make these projects a reality by reducing or eliminating the traditional overhead costs of removing lead paint,
PCBs and asbestos on a large scale.
Dustless Lead Paint Removal & Nuclear Decon Tools for Power, Oil and Gas Industry
Pipelines, large fuel storage tanks, transformer pads and countless power generating systems have been decontaminated and prepared for a fresh coat of paint in one step! There is no costly containment to setup before starting the job or additional cleanup after it's done, because our shrouded power tools capture dust before it's emitted. Our powerful HEPA vacuum deposits hazardous waste directly into a 55-gallon drum, safely sealed and ready for transport when full.
Solutions for the textiles industry
By Oxford Instruments plc based in Abingdon, UNITED KINGDOM.
Industrial air pollution control for the energy and resources
Fossil fuel, hydropower as well as nuclear energy continue to be the world`s predominant energy resources. Increasing efforts are being invested in the securing of new fonts of energy. Extensive industrial research opens a broad variety of new applications for air purification.
By Chemisch Thermische Prozesstechnik GmbH / CTP Air Pollution Control based in Graz, AUSTRIA.
Compressed air, gas and vacuum solutions for biogas/biomethane
Customers benefit from the extensive know-how that AERZEN has gained from decades of experience in the chemical and petrochemical industry. The use of biogas as an energy source will considerably help achieve the environmental objectives set nationally and internationally; be that reducing reliance on nuclear energy or the reduction of CO2 emissions.
By Aerzener Maschinenfabrik GmbH based in Aerzen, GERMANY.
Power Piping Solutions
ISCO Industries offers solutions for various power piping applications in nuclear, fossil and renewable generation facilities. Whatever your power needs, ISCO Industries supplies pipe, fittings, fabricated fittings, related piping products and more.
By ISCO Industries, LLC based in Louisville, KENTUCKY (USA).
Air sampling & monitoring systems for defense/military sector
From portable hand held battery operated to rugged field deployable, military organizations worldwide rely of HI-Q air sampling systems & accessories during research, development, test and evaluation (RDT&E) and for reliable protection of personnel from Nuclear Biological Chemical Threats. HI-Q's emergency response air sampling kits have offered the Defense & Military Industries a way of recognizing, determining and identifying the presence of harmful Biological & Nuclear Threats.
By HI-Q Environmental Products Company based in San Diego, CALIFORNIA (USA).
Need help finding the right suppliers? Try XPRT Sourcing. Let the XPRTs do the work for you


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Create a Sandwich
Calling all chefs! This menu needs a new sandwich item. Can you come up with a delicious and innovative concoction? Use your creativity to invent a new sandwich that nobody's ever heard of before, and write the recipe here.
Click to find similar content by grade, subject, or standard.


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Wednesday, 8 April 2009
Art Inspirations
I've got together with my local gallery to offer weekly short workshops in a variety of techniques. The first, a taster workshop, will be held on Thursday 16 April, from 7.30pm to 9.30pm. Basically, I'll be bringing lots of the art making materials that can be found in my studio, giving a quick talk about what they all are, and then help you to make a small piece of art, or two, like the images above! Paints, papers, collage materials, everything you could want to make art will be supplied in the price of £7.50. Why not come and have some fun with me, for a good cause? All the money raised from that evening will be going to a local charity.
The regular workshops will be held on Wednesday evenings, and the topics for May are:
29 April: Paste Papers. Make beautiful decorative papers for collage, book binding etc. Learn how to make a simple paste from ingredients in your kitchen!
6 May: Pamphet Books. Make a small handmade book using some of the paper you made last week (or using some decorative papers)
13 May : Printing With Natural Materials simple prints using leaves, vegetables etc
20 May: Transfer Dyeing; Colouring polyester cloth using transfer dyes to produce a textile postcard, with the leftover paper to use for collage!
27 May: Collage. Use your transfer dyed paper with other papers, images etc to make an interesting collage.
And if you'd rather have something less formal, during the day, there's 'Stitch And Share', every Friday morning from May 1. Bring the project you're working on, have a cup of coffee and share your hints, tips and news. A great start to the weekend!
All of these activities can be booked in advance by calling (01362) 690969. And, of course, if you're interested in full day workshops, I can teach extended versions of these mini workshops for your guild or group; just drop me an email, and we can discuss a version which will be tailored to your needs. My list of textile workshops is available here (and yes, I travel...anywhere you like!). If you would prefer to work one to one, there's information available here at very low introductory prices for this brand new service.
1 comment:
- trudette, said...
I love the tullips !
- 8 April 2009 at 17:22
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ea place order on 2nd jan.
but when i backtest from dec,31 2014 to jan,05 2015 ea does not place order on 2nd jan 2015.
Note: Jan 31st Market closed at 20:00 and 02nd market started at 09:00, its server time.
Please note the problom, what could be the issue?
Here is the screenshot:
Backtest from 2nd jan 2015 to 5th jan 2015
Backtest from 31st dec 2014 to 5th jan 2015:


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Promotes the attach of Windows Server 2012 OS SKUs with the purchase of a compatible OEM hardware equipment.
Below is a preview of how it will appear on your website:
Visit the CNET Client Portal to get started. Select 'Configure Product Page' and select the program box to add the logo to your site. For additional assistance, please contact Customer Support.


text:
In Sweden and other European countries, parents' fees are set according to sliding scales based on income up to a maximum amount. But Quebec decided that higher-income families were already paying more in income tax so "we're not going to make them pay twice," says federal New Democratic Party Leader Thomas Mulcair, who was part of the opposition at the National Assembly when the daycare plan was being vigorously debated.
To deliver a one-fee system, Quebec now invests $2.2-billion a year in its childcare strategy, nearly two-thirds of the $3.6-billion spent by all provinces and territories combined. The number of childcare spaces that are regulated – subject to government standards for staff qualifications and safety and subsidized by as much as $13,000 a spot – has risen to more than 230,000 from 77,000 before the system was introduced. Nationally, there are only enough regulated spots for about 22 per cent of children under 5 – Quebec now has enough for half of them.
But half is clearly not enough. "All these families came out of the woodwork who wanted this kind of daycare, who had been using babysitters and grandmothers," says political scientist Jane Jenson, who is the Canada research chair in citizenship and governance at the Université de Montréal and has studied Quebec's childcare policy.
"Parents really wanted it. And so each government over time has had to make more of a commitment to increasing the number of places."
It should have been no surprise that parents rushed to grab spots. Nothing in the rest of Canada comes close to Quebec's flat rate – first proposed at $5, then raised to great outcry to $7 in 2004 after the Liberals came back to power. A family in Gatineau, Que., pays $140 a month for a space in regulated, centre-based care – just across the river in Ottawa, the same family would pay $900 a month or more.
But this surge in demand has led to some unforeseen compromises.
Cutting corners on what those low-fee spots would look like, for one. Ms. Marois had envisioned a system mainly made up of non-profit, publicly funded centres, which are known to offer better care. But such spots are the most expensive and time-consuming to produce – and the province didn't have enough qualified educators to staff them.
To meet demand, Quebec has relied more than it had intended on home-based services, which are subject to less stringent regulations and employ caregivers who have less training. The Parti Québécois government also assumed that private daycare, where quality is often lower, would be phased out. But costs increased faster than expected, partly because newly unionized early childhood educators bargained for higher wages. So when the Liberals came back to power in 2003, they reined in costs by allowing for-profit care to expand its share of public spots; in exchange for a lower subsidy, for several years they were also permitted to meet lower standards.
Since the PQ's return to power a year ago, Premier Marois has already started adding a promised 28,000 spots, which should bring regulated care to about 250,000 spots over the next few years. But that may still not be enough.
Meanwhile, there are waiting lists just like those that frustrate parents in the rest of the country.
Montreal first-time mother Sylvana Côté applied for a provincial spot as soon as she knew she was pregnant. But when she was ready, none was available: The daycare at her workplace, for instance, had 2,000 children on the waiting list and only five spaces opening in the short-term for infants.
When it comes to getting a $7-a-day spot for anyone younger than a toddler, she says, "I think the chances are about as good as winning the lottery." Even private centres in her neighbourhood were full. "It's not like you can say, 'I am ready to pay the price,' and there's a space," she says.
As a last resort, she tried an unlicensed home daycare, spending days there observing the kind of care her son received, only to decide that for $40 a day, it wasn't good enough.Report Typo/Error
Follow us on Twitter: @kimmackrael, @ErinAnderssen


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tindergirlconParticipantNovember 5, 2016 at 7:49 pm #116489
I matched with this guy from Tinder almost a year ago and we've been talking ever since. I clarified on my tinder bio and to him that I was only looking for friends. We instantly clicked the first time we talked cause we found out we had mutual friends and that we are both in college. We talk EVERY SINGLE DAY for 9 months now. We talk on snap, twitter, fb, ig & practically every single app (we also talk on the phone). We call each other dude, babe (we also have personal pet names for each other). We talk about almost EVERYTHING; from past relationships, to sex, to problems and shows etc. We literally snap each other RANDOM things (what we eat, what we're watching, etc) and basically, we just have chemistry. We genuinely care for each other. He surprised me & visited me in my school once (which is the first time we're meeting in person) without even telling me and it was six months after we started talking. We flirt with each other but talk about the other people we like too. What's up?
tindergirlconParticipantNovember 5, 2016 at 8:13 pm #116490
I'd also like to add that we're sweet to each other and care for each other. He'd stay up with me on the phone until 6 am until he'd fall asleep cause he wants to wait for me to finish my work. I'm worried I'm starting to like him but idk what he feels about me. But maybe he just sees me as a best friend cause sometimes he brings up boy talk with me. Its so confusing cause we flirt with each other. Does he like me? Any advice?
- This reply was modified 8 months, 3 weeks ago by tindergirlcon.
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Unfortunately, this job is expired as of 5/7/2016.
To continue in your search through the appropriate job categories, click either Administrative Staff, Higher Education Executives, Faculty, Post-Doc and Graduate Assistants, . You can also utilize "guess-free" keyword search tools with up to eight pre-defined criteria. Search for and Apply to academic postings directly from the site. Post your background either confidentially or overtly. Stand out and be discovered!
Job ID: 2228
English (Middletown Campus): Visiting Assistant Professor/Instructor to teach full load of courses in first year-composition as well as areas of specialization.
English (Middletown Campus): Visiting Assistant Professor/Instructor to teach full load of courses in first year-composition as well as areas of specialization.
Master's or ABD (for appointment as Instructor), PhD (for appointment as Visiting Assistant Professor) in English or related field; demonstrated excellence in teaching college literature and composition courses.
Specializations in British and/or American Literature, Women's Studies, and Composition.
Miami University, an equal opportunity/affirmative action employer with smoke- and tobacco-free campuses, is committed to a multicultural environment and strongly encourages applications from minorities, females, veterans and individuals with disabilities.
|Employment Type:
|Degree Required:
|See Job Description
|See Job Description
|Level of Job:
|Assistant Professor
Lecturer / Instructor / Adjunct
|Type of Faculty:
|Visiting / Adjunct
|See Job Description
|Type of School:
|Research University
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Cover Letter
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text:
|"Lady's Night"
|General Information
| Nightwing
A Knight in Bludhaven
|Issue Number:
|First Published:
|February 1997
|Previous Issue:
|Nightwing #4
|Next Issue:
|Nightwing #6
"Lady's Night"Edit
There was a shootout on the lawyer's boat. Nightwing was able to get him and his daughter to safety, but Lady Vic escaped. Police Chief Redhorn got on Soames because he still hadn't delivered Nightwing. Soames paid Lady Vic what Marin owed her plus a retainer for his own boss. Bruce Wayne met Lady Elaine Marsh-Morton at a party.


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Hello fellow ign'ers and Beyond'ers. I am making my first ever video game review in a IGN blog-post. So, I hope you enjoy the read and feel free to comment and maybe even star this review. I am a young mega man fan and since ign is celebrating Mega Mans 25 anniversary, I thought i would show some of my Mega Man love by reviewing each game in the series, starting with the original Mega Man.
Mega Man 1 started the series with robot masters and one wierd thing. There is only 6 robot masters witch if you look at any future Mega Man title, it will have 8 robot masters. But that started in Mega Man 2. The list of the robot master are Cut Man, Guts Man, Ice Man, Bomb Man, Fire Man, and last but not least Elec Man. I thought some of the stages were much smaller then i was used to, coming from Mega Man 3. It was much harder then any other in the series either. I found myself constantly being annihilated by the Big Eye enemy and the Blader. (Click on links for Mega Man enemy wiki description) The stages are a mix robot destroying action or a extremely hard platformer with well placed enemy's to knock you off the stage screen.The requirements to successfully clear a stage in one run requires you to have extreme reflexes and for some of the harder stages it requires you to put your brain to use and try to place out where enemy's will be coming from. I had no trouble in terms of glitching except for freezing and there is definitely a lot of slow down. But that is only the cartridge limitations that companies had to work with until the chip inside the NES cartridge were upgraded. Thus allowing them to put more on screen at one time. That is probably the reason there is only 6 robot master, rather then 8. Mega 1 also feels different. When you play it it feels like a prototype of what would become Mega Man 2. Overall its a classic game with a few very minor glitches starting one of the most iconic characters of all time. Mega Man.
I don't think Mega Man 1 is as good as the other games in the series. But it put down the nails on one great franchise and is well worth your 5 dollars as a great wii ware title. 8.8/10


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Governor Romney is taking flack for his past hunting prowess. This must mean his top tier status in the Republican Primary is blossoming. Tomatoes fly aplenty depending on poll numbers.
Much to do about hunting?
Mitt Romney hasn't "hunted" in years so he is not a full fledged "hunter"?
This rat vs. rabbit vs. quail hunting dust-up doesn't have much to do with the Second Amendment and THAT is the critical issue. In any case, he couldn't look more like a "campaign" hunter than John Fitzgerald Kerry did when he said during his last (hopefully) campaign that he "crawled on his belly" with a shotgun hunting deer in his youth in New England.
Hunting season - dry leaves - crawling - why not bring a brass band along. Idaho for Mulies with a rifle maybe. Sorry John - not buying it.
I could care less if Mitt Romney went rat shooting at the dump or paid for a first class quail hunt. This hunting revalation comes off as curious maybe to Washington insiders who are looking for his blood is all.
Maybe Mitt Romney is not as comfortable as say Rep. Duncan Hunter (no pun intended) is about hunting. I was talking to candidate Duncan Hunter and we found we both shoot the same model Ruger (NH product!) but different calibers. Same with candidate, Gov. Tommy Thompson who listed off how many firearms he has to some of us at a dinner last week.
How does Mitt Romney stack up in real anti-gun legislation in Massachusetts? That is what I care about.
Take time to talk to a "gun nut" and you will find out how difficult it is to nail down a single position every Second Amendment voter can accept when it comes to legislation.
In Ma. I understand then Governor Romney signed anti-gun legislation. So my questions are:
Did he PROPOSE bad legislation or was it written by his opponents?
Was it the lesser of two evils legislation or a compromise made by the parties involved? The Governor could have signed a piece of legislation that was a deal between the gun groups and anti-second amendment legislators.
I have been involved with gun clubs since I was 15 and shot at a range in competition. And I have been on the Board of Directors of several gun groups.
The stand Mitt Romney takes on my Second Amendment rights are what is important to me. If he found the good sense to understand, support, and stick with the Constitution Part Two he should stick to talking about that.
Hunting stories are fun and games for the press but I doubt any major media types have ever made a groundhog's tail stick straight up at two hundred yards with a 243 so I could care less.


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Jeffs to Face William Smith in NCAA "Elite Eight"
November 5 - After their second dramatic double-overtime win in seven days, the Amherst women's soccer team is one win away from a berth in the NCAA Final Four, thanks to a 2-1 victory over Western Connecticut in Sunday's Regional Championship game at Wheaton College. The Jeffs, who received both goals, including the game-winner 3:04 into the second sudden-death overtime from senior tri-captain Cathy Poor, will meet William Smith College (17-1-1), champions of the New York region, in Saturday's NCAA National Quarterfinals at William Smith in Geneva, New York at noon. Full Story
Poor Leads Jeffs Past Western Conn. in NCAA Regional Championship Game
November 4 - Senior Cathy Poor finished a cross from first-year Tracy Montigny 3:04 into the second sudden-death overtime to lift the Amherst women's soccer team to a thrilling 2-1 double-overtime victory over Western Connecticut State University in Sunday's NCAA Division III regional championship game at Wheaton College. In next weekend's national quarterfinals, the Jeffs will face William Smith College, who advanced to the Elite Eight on penalty kicks in the New York regional championship game against Union College. Full Story
W-Soccer Stuns Wheaton, 4-1, in NCAA Regionals
November 3 - First-year Amherst striker Lee-Jay Henry scored 23 seconds into the second half, and classmate Tracy Montigny added a pair of goals after intermission, as the women's soccer team shocked previously-unbeaten host Wheaton College, 4-1, in Saturday's NCAA Regional Semifinals. The Jeffs, who also received a goal from sophomore Sara Elkins, will face Western Connecticut State University, 2-1 overtime victors over Williams in Saturday's second semifinal, in Sunday's noon regional championship game at Wheaton. Full Story
Jeffs Set for NCAA Regional Semifinals at Wheaton
November 1 - With a decisive 6-0 victory over Endicott on Wednesday, the Amherst women's soccer team advanced to Saturday's NCAA regional semifinals, where they will face Wheaton College, the number-three team in the nation, in an 11:00 a.m. kick-off at Wheaton in Norton, MA. Williams College, 9-0 victors over Framingham State College in Wednesday's other first-round game in the New England regional, will face Western Connecticut State University in Saturday's nightcap, with the two Saturday winners meeting for the New England regional title and a berth in the Elite Eight Sunday afternoon at Wheaton. Full Story
Poor, Montigny & Rossman Lead Jeffs Past Endicott in NCAA Regional, 6-0
October 31 - NESCAC Player of the Year Cathy Poor scored a pair of goals and assisted on three others as Amherst blanked visiting Endicott, 6-0, in the first-round of NCAA Women's Soccer New England Regional on Wednesday. First-year phenom Tracy Montigny added a goal and two assists for Amherst, while sophomore midfielder Jenny Rossman chipped in with two goals, including the game-winner 12:29 into the first half. With the win, Amherst advances to the NCAA second round this Saturday at Wheaton College. Full Story
Poor, Shipley & Putnam Earn NESCAC Honors
October 30 - Senior tri-captain Cathy Poor was named the NESCAC Women's Soccer Player of the Year on Tuesday, after leading the Jeffs to the 2001 NESCAC Championship and a trip to the NCAA Tournament. Poor, who has a team and career-high 27 points in Amherst's first 16 games, joins fellow tri-captain Hallison Putnam and junior back Katharine Shipley on the all-conference team. Full Story
Montigny Tabbed NESCAC Player of the Week
October 29 - Amherst first-year striker Tracy Montigny was named the NESCAC Women's Soccer Player of the Week on Monday, after leading the Jeffs to the NESCAC Tournament Championship with four goals and two assists - including the second-overtime game-winner in Sunday's title game at arch-rival Williams College - in three tournament games. The Jeffs (11-4-1), who sealed their sixth-ever trip to the NCAA Tournament and their first since 1998, will host Endicott College (16-5), champions of the Commonwealth Coast Conference, in Wednesday's First Round at 1:00 p.m. on Amherst's Hitchcock Field. Full Story
W-Soccer to Host Endicott in NCAA First-Round
October 29 - After a thrilling 2-1 double-overtime victory at archrival Williams College in Sunday afternoon's NESCAC Championship game, the Amherst College women's soccer team received its sixth-ever bid to the NCAA Tournament late Sunday evening, where it will host Endicott College, champions of the Commonwealth Coast Conference, in a 1 p.m. first-round game Wednesday afternoon on Hitchcock Field. Full Story
W-Soccer Wins NESCAC Championship With 2-1 OT Thriller at Williams
October 28 - First-year Amherst striker Tracy Montigny finished a deflection off a header from senior tri-captain Margaret Rubin with 1:44 remaining in the second sudden-death overtime to lift the Jeffs to a heart-stopping 2-1 victory over archrival Williams College in the championship game of the NESCAC Women's Soccer Tournament Sunday at Williams. With the win, Amherst spoiled the Ephs' perfect 14-0 record and guaranteed themselves a bid in the NCAA Division III Women's Soccer Championship Tournament, with seedings and pairings to be released later Sunday night. Full Story
W-Soccer Headed for NESCAC Championship, Downs Middlebury, 5-1
October 27 - The Amherst women's soccer team scored five times over the game's final 24 minutes - including a pair of goals each by senior tri-captain Cathy Poor and first-year striker Tracy Montigny - en route to a 5-1 win over Middlebury College in the NESCAC Tournament semifinals Saturday at Williams College. The Jeffs will play top-seeded host Williams Sunday at noon in the NESCAC Championship game with an automatic bid to the Division III NCAA National Championship Tournament at stake. Full Story
Jeffs Set for NESCAC Final Four
October 24 - Top-seeded Williams College will host NESCAC Women's Soccer Championship Tournament semifinals and finals this weekend at Cole Field with semifinal play on Saturday and the title game on Sunday. In Saturday's second semifinal at 1:30 p.m., second-seeded and defending NESCAC champion Middlebury College (11-4-0) meets third-seeded Amherst College (9-4-1). First-year striker Lee-Jay Henry scored two goals in a 69-second span to lead Amherst to a 3-1 first-round victory over Tufts. Full Story
W-Soccer Advances to NESCAC Semis with 3-1 Win Over Tufts
October 21 - First year striker Lee-Jay Henry scored twice in 59 seconds midway through the second half to lead the third seeded Amherst College women's soccer team to a 3-1 victory over sixth-seeded Tufts University in Sunday's NESCAC Championship Tournament quarterfinals at Bates College. First-year striker Tracy Montigny added a goal and two assists for Amherst, who will face second-seeded Middlebury in next Saturday's semifinals at top-seeded Williams College. Full Story
Women's Soccer Overcomes Wesleyan, 2-1
October 20 - Cathy Poor (Harwich Port, MA) followed up a shot by Lee-Jay Henry (Springfield, MA) and scored halfway through the second half to give the Amherst College women's soccer team a 2-1 victory over Wesleyan University in Saturday's Homecoming game. The win gives Amherst the No. 3 seed in the NESCAC Tournament where the Jeffs will play No. 6-seeded Tufts in the quarterfinals at Bates on Sunday at 1:30 p.m. Full Story
Jeffs Whallop Mt. Holyoke, 9-0
October 18 - Nine different players cracked the scoring column - including first-year back Kate Ferris, who notched the first goal and assist of her college career while helping preserve the shutout on defense - as the Amherst College women's soccer team improved to 7-4-1 with a lopsided 9-0 win at non-league foe Mt. Holyoke College on Thursday afternoon. Full Story
Jeffs Clinch Spot in NESCAC Tournament
October 17 - The women's soccer team has guaranteed itself a spot in the seven-team NESCAC Championship Tournament, for which dates and times were announced this morning by the NESCAC. Williams College - which boasts an 8-0 record in conference play with one game remaining - earned the top seed and the honor of hosting the semifinals on Saturday, October 27, as well as the championship game on Sunday, October 28. First-round action will take place this Sunday, October 21, at Bates College's Russell Street and Leahey Fields. Full Story
Jeffs Blanked at No. 11 Williams, 2-0
October 13 - The Amherst women's soccer team fell victim to 11th ranked Williams College on Saturday, 2-0, in Williamstown. Sophomore Claire Samuel scored two second half goals for the host Ephs as they improved to a sparkling 10-0 overall and 7-0 in NESCAC play, clinching the outright Little Three Championship for the first time since 1998. Full Story
Henry Leads Jeffs Past Tufts, 2-1
October 9 - First-year Lee-Jay Henry notched the game winner in the 79th minute to lift a skillful Amherst side past Tufts in an important NESCAC women's soccer match Tuesday afternoon in Medford. Henry's second goal of the season was a result of some clever play through the Lord Jeff midfield and a sweet assist from senior midfielder Sarah O'Keefe. Full Story
Women's Soccer Succumbs to Middlebury, 2-1
October 6 - The Amherst College women's soccer team couldn't overcome a two-goal deficit as the Jeffs lost to Middlebury College on Saturday, 2-1. Amherst's record falls to 5-3-1 (3-2-1 NESCAC), while Middlebury improves to 7-3 overall and 4-3 in NESCAC play. Full Story
Women's Soccer Blanks Mass. College, 9-0
October 3 - The Amherst women's soccer team got back on track with a 9-0 blowout win over visiting non-league foe Mass. College on Wednesday. Senior Hallison Putnam - thrust into the goalkeeper slot for the recuperating Brooke Diamond earlier in the season - scored a pair of goals in her first game back in the Amherst midfield. Diamond made a triumphant return in goal and notched her second shutout of the season. Full Story
Women's Soccer Plays Bowdoin to a 0-0 Draw
September 29 - The Amherst College women's soccer team exerted some strong offensive pressure in Saturday's game with conference foe Bowdoin College, but came away empty-handed with a 0-0 double-overtime tie, dropping the Jeffs to 4-2-1 overall and 3-1-1 in NESCAC play. Full Story
No. 19 Women's Soccer Blanked By Springfield, 3-0
September 27 - Visiting Springfield College connected three times on its first three shots of the game during a five-minute span late in the first half - including a pair of goals by junior forward Amanda Conk (Montclair, NJ) - to hand 19th ranked Amherst College a 3-0 loss in a non-conference women's soccer matchup on Thursday. It was the Jeffs' second straight defeat after a 2-1 loss to visiting NESCAC rival Trinity College on Tuesday, falling to 4-2 overall, while Springfield improved to 6-1. Full Story
Women's Soccer Suffers First Loss, 2-1, to Trinity
September 25 - The Amherst College women's soccer team succumbed to an upstart Trinity College squad on Tuesday, losing its first game of the season, 2-1, and falling to 4-1 (3-1 NESCAC). First-year striker Tracy Montigny scored her fourth goal of the season, on an assist from senior tri-captain Cathy Poor. Full Story
Women's Soccer Remains Undefeated with 2-1 OT-Win at Conn. College
September 22 - Amherst College women's soccer first-year Tracy Montigny (East Granby, CT) rebounded her own miss in the 109th minute to lift the visiting Jeffs to a dramatic 2-1 come-from-behind overtime victory at host Connecticut College on Saturday. With the win, the Jeffs improved to 4-0 on the season and 3-0 in NESCAC play heading into Tuesday's conference showdown with Trinity College. Full Story
Women's Soccer 3-0 After 4-2 Win at ECSU
September 19 - The Amherst women's soccer team scored twice in an 11-minute span early in the match and held on for its third straight win, a 4-2 decision at non-league foe Eastern Connecticut State University on Wednesday in a battle of regionally-ranked teams. Amherst (3-0), ranked third in New England, scored twice to take a 2-0 lead into the 15th minute on goals by Cathy Poor and Lee Jay Henry and extended the lead to 3-0 with a goal by Sara Elkins in the 28th minute. Full Story
Women's Soccer Cruises Past Bates 2-0 in Season-Opener
September 15 - Senior tri-captain Cathy Poor netted her second goal in as many games in the sixth minute, and fellow tri-captain Hallison Putnam posted six saves in her first-ever game as a goalkeeper, as the women's soccer team stormed past visiting Bates College, 2-0, in Saturday's home opener on Amherst's Hitchcock Field. Full Story
Women's Soccer Blanks Colby in Season-Opener, 2-0
September 9 - The Amherst College women's soccer team waited until late in the game to crack the scoring column but did so twice in the second half en route to a 2-0 season-opening win at NESCAC-rival Colby College on Sunday. Junior Amherst goalkeeper Brooke Diamond notched a trio of saves for her 20th career shutout, while first-year Leslie Curren scored the game-winner in her collegiate debut, assisted by senior tri-captain Margaret Rubin. Full Story
2001 Women's Soccer Season Preview
August 31 - Last season's youth-laden club has evolved into a tournament-tested team of experienced veterans - led by senior tri-captains Cathy Poor and Hallison Putnam on offense and Margaret Rubin on defense - as the defending ECAC Champion women's soccer team enters its second season of formal NESCAC play. Full


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Posted: Sunday, May 7, 2017 12:47 PM
25 cubic feet, water/ice through the door, ready with 3 bins and 3 shelves in freezer, fridge has 3 shelves and 3 bins also, water and ice through the door, call Dave or stop in at Bill's Bargain Center (832) 207-0768.
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• Post ID: 23437241 houston
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Opened in 2004, the air-conditioned conference hotel has a 3-storey main building and a number of bungalows with a total of 89 rooms. The accommodation is nestled within tropical gardens with exotic plants and palm trees. The inviting lobby houses a 24-hour reception desk, a hotel safe and a currency exchange desk. In addition, there is a caf�, a sunlit lounge and a lift for hotel guests. Various shops, a hotel-owned open air bakery and a pavilion are also to be found in the hotel complex. There is also a bar, three � la carte restaurants with highchairs available, a conference room, a public Internet connection and WLAN access. Room, laundry and medical services are available on request as well as bicycle hire. Those arriving at the hotel by car may make use of the car park and garage, and there is a storage facility for bicycles.
This modern luxury hotel is surrounded by historical treasures as well as shopping and commercial areas. The hotel provides an excellent starting point for guests wishing to explore the legendary Angkor Wat temple, which is only ten minutes from the hotel. The transfer time to the international airport of Siem Reap is around 20 minutes.
The luxurious rooms all come with a bathroom with hairdryer, a direct dial telephone, an Internet connection, and satellite/ cable TV. In addition, guests will find a minibar/ fridge, king-size bed, air conditioning and central heating as standard. Tea and coffee making facilities and a hire safe are also to be found in the rooms.
In the well-kept outdoor complex there are 2 swimming pools, a poolside snack bar as well as parasols and sun loungers that have been laid out ready for use. In addition, various massage and spa treatments are available to guests, as well as a Jacuzzi, a sauna and a steam bath. Sports enthusiasts may enjoy a game of table tennis, tennis (2 courts), miniature golf or a work out in the gym. Cycling and mountain biking are further options.
Each meal is served as a buffet. Lunch and dinner may additionally be taken as a set menu or � la carte.
American Express, MasterCard and VISA are all accepted methods of payment.
Room Facilities:
Direct dial telephone
Satellite cable TV
Internet access
Tea Coffee
Iron and board
Double bed
King size bed
Central airconditioned
Individual airconditioned
Wheelchair accessible
Disabled bathroom


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We all saw the scan about the dragons festival and so now we are sure they are definitley coming through that gate.
Also we now find out that there are demons as well that are coming.
Though have we seen any demons besides the ones Zeref has created?....Yes.
You see how Arcadias speaks of gods and demons? You see how he is practically called out as a demon most of all? Its practically confirmation imo. I feel they put demons up as gods that would explain that god slayer magic and why its black, Not because of Zeref but because of demons which I believe Zeref had no hand in creating but an actual race of demons much like Arcadias. Dragon slayers slay dragons. God slayers slay demons.
This is just a theory but I'm quite sure this may be the case. Give me your thoughts.


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Catania, Sicily: Calcio Catania needed no extra motivation to beat Udinese in Serie A on Sunday with a Champions League spot within their grasp. Last weekend's 2-2 draw at Ascoli allowed Pasquale Marino's men to go move into fifth place on 20 points. The Rossoblu, who were undefeated at the Stadio Angelo Massimino, failed to break down a stubborn Udinese in an undistinguished first half. Udinese, whose away form this season has been poor - they have taken just five points on their travels - thought they'd taken the lead in the 55th minute when Antonio Di Natale turned in a pass from Vincenzo Iaquinta, but the referee disallowed the goal for offside. The home side, who had amassed 20 points from 14 games, were struggling and Di Natale was proving a potent threat for the visitors, but on 65 minutes, he was unable to hit the target. Break deadlock Catania, who only gained promotion to the top flight in the summer, finally broke the deadlock in the 68th minute when, with the outside of his boot, Giuseppe Colucci bent the ball towards the far post and Gionatha Spinesi headed home his eighth goal of the season. Udinese, who could have drawn level on points with their hosts with victory, pushed for the equaliser, and, once again, Di Natale was at the heart of the opportunity. His drive from the edge of the area was superbly turned away by Armando Pantanelli. With two minutes remaining, Catania had a scare when a flowing move from the Udinese half resulted in Iaquinta beating the offside trap, but firing just wide of the far post. Catania held on for a 1-0 win and fourth place, which would see them in the Champions League next year if they can maintain that position come the end of the season.(AP)
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