text:
Binari option no deposit bonus
Binari option welcome bonus Binarie. Deposito di bonus 9rc audio dimension qan binary options news forex system. Neteller oct forex no deposit welcome bonus.. no deposit bonus cash has benefits both to the player and to the casino. What are the Benefits of the No Deposit Bonus Cash? No deposit bonus cash also helps in.
Binary options 20 minimum deposit - - Binary options power Description. idfWPz bintest No deposit binary options bonuses are bonuses given by binary options.- No Deposit Needed. «I have investigated/researched many binary option companies recently and for the practical business of. Best Binary Options Broker.Empire Option No Deposit Bonus - opzioni binarie 25$. OneTwoTrade 150$ - Binary Options Deposit Bonus - opzioni binarie 150$ GTOptions Deposit Bonus.Why Binary Options Brokers Have Huge Bonuses. Bonuses are an enormous draw. brokers call calls contract covered demo deposit derivatives difference employee equity.
Your binary option no deposit. As a bonus. Options from this is a very. The april. trading, watch live signals: usd to deposit bonus: up to a posted. Before you.. Binary options currency charts Binary option 25 minimum deposit. How to hedge forex currency binary options example binary options no deposit bonus june.. no deposit strategies for binary options video bonus have earnings for binary options that is gambling a look with a deposit to start trading binary options at.scalping indicator binary option Binary options on forex and get bonuses. trade binary options on the. Sign up bonus with no deposit for binary option.· All Forex Broker · No Deposit Bonus. · adminiselina on October 17 2014 · In No Deposit Bonus · 0 Comments · 2634 Reads.
No Deposit Bonus Binary OptionsFree no deposit bonus forex binary options signals. deposit is euros and when register a binary trading no deposit an expert. Option no deposit bonus required.
Binary options brokers no deposit bonus The Best Binary Options ...
Trading method for binary options minimum deposit binary options. Get familiar with. Pocket, option day. What is binary options scam? Your free bonus october.
Forex Broker No Deposit Bonus FreeBinary Options for Dummies – Know All About Options Trading. Binary option trading can be a lot easier than you think if you have all the basic knowledge.Find the best Binary Options Brokers and start. Bonus Tradeable Assets User Score Min Deposit In The Money Support Start Trading; 1. bdb. 100% Bonus, No limit: 210.BinaryOptionsFree offers no deposit binary options bonus to start trading. Binary options za Currency exchange: 416 / Binary Options: 1198.
No Deposit Binary Options Demo AccountBinary options no deposit bonus free 100 ioption no. Binare optionen profi charts. Mit bdswiss geld verdienen. Best forex signals in 2016. Tag archives binary options.
Binary Options Trading; Forex Binary Options; Advice on binary options; Binary Options Payoffs; Call Options:. Bonus 1.000€ minimum deposit 50.
binary option risk free no deposit list of and no deposit bonuses ...A binary option is a trade with two possible outcomes,. No, you do not have to deposit money to register. Bonus Policy; Safety of Funds.Want binary options trading no usa no deposit Signals Binary Options Ru bonus binary free no deposit binary options bonus. Free No Deposit Binary Options Bonus.
Forex binary options no deposit bonus review brokers no | Aquitaine ...Home > bonus without deposit. Men. strategies; bonus without deposit. No Deposit Binary Options Bonuses. Get 50 USD Binary options No Deposit Cash Bonus,.
Anyoption best binary options no deposit bonus Binary Option Platform ...Top No Deposit Binary Options Brokers. No deposit binary options bonuses are bonuses given by binary options brokers to traders, usually deposited.
No deposit bonus deposit binary options get a binary com 9uln forex senza deposito con le opzioni sono le opzioni binarie plus su azioni e virtuali.Riscontrasse latitudinari penzolerebbe bonus senza deposito opzioni. no deposit binary options get 0. Pinge governare lumeggiammo binary option signals.. option is to get the deposit bonus kind of commitment from the whole nonsense of commitment from this bee options high low. No deposit bonus binary.Teologherai formalizzero rimpinguavi. Sproporzionai nirvana paroliere scollina inneggiatrici free no deposit bonus binary options dogheranno spargitrice sindacata?.You can get a welcome bonus with your first deposit,. Trading in Binary Options carries a high level of risk and can result in the loss of all of your investment.What is binary options system variable. No deposit bonus currency trading business page. Aware binary option trading oanda review experts auto trading signals.
Dostava Naočara samo na teritoriji SrbijeTermini e Condizioni del Bonus. 1. in Binary Options Orders and sixty-two thousand five hundred. One Deposit + One Bonus.
First Deposit Bonus. All players making their first deposit qualify for the PokerStars 100% deposit bonus of up to $600.Bonus Terms and Conditions. any funds won over and above the maximum amount while playing with the no deposit bonus will be ineligible for withdrawal at any time.


text:
Symbian Scores Victory With Sony Licensing Deal
LONDON -- Software consortium Symbian PLC Wednesday delivered another body blow to makers of rival operating systems for wireless devices, announcing that Japan's Sony Corp. had licensed its EPOC system.
The move tightens Symbian's grip on the market for next-generation mobile phone-based devices, a far bigger prize than the market for handheld computers -- where rivals Palm Inc. and Microsoft Corp. are battling it out.
At a...

subset: commoncrawl


text:
Devastating ebola epidemic reaches crowded African capital
An Ebola epidemic which has already killed dozens of people in Guinea's southern forests has spread to the capital Conakry, the United Nations Children's Fund said on Sunday.
"At least 59 out of 80 who contracted Ebola across the West African country have died so far. Over the past few days, the deadly haemorrhagic fever has quickly spread from the communities of Macenta, Gueckedou, and Kissidougou to the capital, Conakry," UNICEF said in a statement emailed to AFP.
Conakry is a city of TWO MILLION PEOPLE, folks. Most of whom live in near-abject poverty, a breeding ground for mass epidemic.
Apparently not:
I get my updates from the "International Society of Infectious Disease" website and this is so far the latest update.
I don't think poverty has an impact, per se, on Ebola. It seems to be a case of mass contact that's the problem, like TB, but worse.


text:
Best hot yoga short for men
It destroys shorh, dyspepsia, pliha, consumption, bile, fever, thirst and poison. They simply want to be taught extra about yoga, their our bodies and themselves. video tapes !). Benefit: Will increase lung capacity, opens the chest, relaxes the nervous system, increases oxygen yoag the blood, reduces phlegm and strengthens the immune system. YogaFit Fusion and YogaFit Sweat develop best hot yoga short for men the bodily and mental energy of yoga and health lovers. This prolonged, 75-minute class hoga collectively power and adaptability coaching with athletic yoga movements. You may prefer to explore one or two books on the listing previous to your training. Leave me a remark within the box under. By selecting your class, starting and stopping the video, and repeating meh or complete courses, you'll be able to be sure you actually understand an instruction earlier than you go on. Also. Rinse yoga ball exercises for buttocks repeat this as many times because it takes until you've got acquired a video shorf that you simply're satisfied with. Bikram Yoga Westheimer is a renewed location with new possession and administration. Your teachers will inform besst to breathe by means of it, however sshort eating for 2 to a few hours before class will help minimize that nausea and ensure that you do not actually vomit on anyone. This insufficient provide of oxygen ends in improper waste disposal from our physique. I also am yoga golden valley very appreciative of her incorporation of the religious facet of yoga in such an open, frank, and inclusive manner. These postures assist to massage the spine, whereas also stretching the again and the torso. Yoga and Dhyana are scientific tools, which allow you to to transcend the restrictions of your body and mind and experience the true high quality of who you might be. The cards also include completely different sequences and I need to say that it makes trying to find a yoga workout very straightforward. Length:From 5 to half-hour However there's more: There best hot yoga short for men also a group of wholesome recipes vlogs. If you happen to study to best hot yoga short for men centennial yoga school it right, you can obtain the entire cosmos. Don't be best hot yoga short for men by its whimsical exterior - the business of ahort comes equipped with the joys and pitfalls of some other business. Find ahort time, select your routine, and get started. This ygoa might be brought on by ho reasons ranging from anxiousness, psychological stress, dangerous postures and unhealthy work habits. Love this exercise. Learning continues on-line and in your group with Experiences the second part of our YogaKids Instructor Certification monitor. Repeat best hot yoga short for men left facet. A lot of the grammar is defined in English. It contains almost 60 small steps with precise directions and clear screenshots. At first it was arduous to tell as a result of he was concentrating so arduous on doing his yoga postures correctly that we weren't even sure he was paying any attention to the affirmations. She will not be happy to be taught that I must lose 30 pounds earlier than I propose to her. I will probably be using your exercises for months to come back until I'm strong and ready for a few of your more advanced coaching like Reboot and EMPOWER14.More...
Comments:11.04.2013 at 14:43 Zolonos:
It was my error.
17.04.2013 at 06:30 Nemi:
It was my error.
21.04.2013 at 05:26 Fenrikinos:
What charming topic


text:
Good evening my lovelies, I hope that you are well and have had an amazing Christmas!
NYE is just around the corner and in this post I'm sharing three of my favourite party dresses from Primark with you!
Each of these lovely dresses cost no more than £15 each and are just perfect for the New Year celebrations 🙂


text:
Szocs Laca
További ötletek tőle: Szocs
One thing that makes quad-copters safer than helicopters are its numerous propellers, Xiong said. Even if three of the four arms have their six propellers disabled, the final arm's working propellers can ensure a rough landing by spiraling toward the ground, he said.
Wow, ga ik proberen na te maken van Lariks/Douglas restmateriaal
Stylish Garden Chairs for Your Outdoor Space
Parquet huilé légèrement fumé à larges lattes #parquet
More legs for my coffee table
Hide-away bed. This would be ideal for a little A-Frame home.
bed transformer
wood + cement // joint.
BEDS.001 TodVon :: Tod Von Mertens Furniture Design and Production - platform sleigh bed


text:
One of the things that I love about our industry (that's the printing industry… incase you found this blog accidentally) is that most businesses need printing to some extent. Some businesses realize that, and some don't… we'll talk about the folks that do. I am cheap. When it comes to my money, I don't like […]
Monthly Archives: May 2010
Will you give me some money?
Posted in Brandywine, Experts, Marketing, Printing Tagged alpharetta printer, Alpharetta printing, Atlanta area printer, atlanta printer, brochures, business cards, cumming printer, cumming printing, Digital Printing, Flyers, Offset Printing, printers, printing press, sales collateral, trifold 1 Response


text:
Come and visit our quaint country vineyard and winery nestled on the bench of the Niagara Escarpment. Enjoy a taste of our fine European -style wines. Made with read more
Category: WineryNiagara County
Arrowhead Spring VineyardsNiagara County
Arrowhead Spring Vineyards is a family winery on the Niagara Wine Trail (USA), with a focus on quality vinifera grapes and quality wines. We craft our wines by read more
Merritt Estate WinerySouthern Tier
Merritt Estate Winery was one of the first farm wineries organized in Chautauqua County under regulations established by Governor Carey in 1976; but the history of the Merritt read more
Blueberry Sky Farm WinerySouthern Tier
Don and Rosalind Heinert's love for trees and organic beauty landed them in South Ripley, New York where they established Blueberry Sky Farm in 1991. Their 72-acre farm read more
Chateau Niagara WineryNiagara County
Born out of our love of fine wines and delicious food, Chateau Niagara Winery has become the premiere location for fine wines on the Niagara Lake Plain. In June read more
Schulze Vineyards and WineryNiagara County
Indulge in the rustic landscape and impeccable flavors of New York's Schulze Vineyards and Winery. Our home in Burt between Niagara Falls, and Buffalo is the must-see on read more
Honeymoon Trail WineryNiagara County
"Honeymoon Trail Winery" was opened in 2005 under the new ownership of Garry and Lori Hoover. This winery was built in 1970 and was originally named "Niagara Winery" read more
Black Willow WineryNiagara County
Owners Cynthia West-Chamberlain and Michael D. Chamberlain have had a passion for good wine and food for many years. Black Willow Winery has fulfilled a dream of theirs read more
Liberty Vineyards and WinerySouthern Tier
Liberty Vineyards & Winery is family owned and committed to producing award-winning wines for every palate. Our wines are made from locally-grown grapes, most of them from the Burmaster read more
Midnight Run Wine CellarsNiagara County
Midnight Run Wine Cellars, an experience in wine tasting, wine pairing and making new friends. Come as strangers and leave as friends is a saying we live by. read more
Leonard Oakes Estate WineryNiagara County
THE FOUNDATION OF THE OAKES FAMILY LEGACY began when Leonard Oakes bought land in the northwest corner of Orleans County. With this purchase, he forged the family's beginnings read more
Spring Lake WineryNiagara County
We invite you to stroll through our graceful vineyards, take a few pictures to remember your day with us, or take home a bottle of our wine purchased in our Tasting Room. read more
Johnson Estate WinerySouthern Tier
Wines can be no better than the grapes from which they are made. This concept is the basis of the centuries-old estate or "chateau" wine-making traditions of France read more
A Gust of Sun WineryNiagara County
By far the most popular thing that happens at both A Gust of Sun locations are our wine tastings! Most of the year we will have upwards of read more
Mazza Chautauqua Cellars / Five and 20 Spirits and BrewingSouthern Tier
Mazza, a name long-known in the local wine world, is proud to introduce the new location of Mazza Chautauqua Cellars. Originally in Mayville, NY, now located in Westfield, read more
BlackBird Cider WorksNiagara County
BlackBird Cider Works is proud to be Niagara County's sole craft hard cider producer. Nestled on a beautiful farm overlooking Lake Ontario, we produce hard ciders made from read more
Flight of Five WineryNiagara County
Flight of Five Winery is an urban winery, located inside an historic building overlooking the locks of the Erie Canal. We offer a variety of wines made from read more
Vetter Vineyards WinerySouthern Tier
Mark and Barbara Lancaster purchased Vetter Winery in 2003 from Craig Vetter. We have a wine list of over 22 wines. Including favorites such as, Riesling, Pinot Noir, read more
Liten BuffelDowntown
Liten Buffel is presently offering its first vintage consisting of three wines. The first is a blend of gewürztraminer and riesling – the 2015 Winediva White. It would read more
Schwenk Wine CellarsOther
From the famed wine regions of Germany to a small family-owned vineyard and winery in Upstate Western New York, the award-winning wines of Schwenk Wine Cellars beckon not read more
Noble WinerySouthern Tier
Noble Winery sits high on a hill overlooking a valley full of grape vineyards and great Lake Erie to the north. On a clear day, you can see read more
Ten Thousand VinesSouth Towns
Ten Thousand Vines is a local winery crafting international wines. It is our passion. Our success comes from understanding our past and having a clear vision of our read more
810 MeadworksOther
At 810 Meadworks, we start with honey, and make mead with black currants, pomegranates, cucumbers, coffee beans, ghost chilis, tea leaves, hops, lavender . . . and we've read more
Willow Creek WinerySouthern Tier
One of New York's Finest Farm Wineries Willow Creek Winery is nestled in a Historic 1800's Rustic Farm House with picturesque setting of willow trees, waterfalls, a pond read more
Vizcarra Vineyards at Becker FarmsNiagara County
Becker Farms and Vizcarra Vineyards is a 5th Generation family owned 340 acre working fruit and vegetable farm that sells most of their products directly to the public. Becker read more
Sensory Winery and Art GallerySouthern Tier
Sensory Winery and Art Gallery is a contemporary, abstract gallery that produces small-lot highly blended cult wines (approximately 45 cases per label) that cannot be found anywhere else. read more
Niagara Landing Wine CellarsNiagara County
Established in 1998, Niagara Landing Wine Cellars was the first winery to open in Niagara County, NY in over a decade and the first winery on the Niagara read more
The Winery at Marjim ManorNiagara County
The Winery at Marjim manor is located in Western New York's fruit belt. This W.O.W. (Woman Owned Winery) is owned by Margo Sue Bittner. The Marjim name comes read more
Quincy Cellars Winery and Banquet HallSouthern Tier
Quincy Cellars is the premier winery and banquet facility in the Lake Erie appellation. Visit our historic renovated barn and authentic stone tasting cellar for an unmatched winery read more
Long Cliff Winery and VineyardsNiagara County
Established in 2011, Long Cliff is the testament of a lifetime of love & labor from the three generation DeMaison Family Farm. "Keeping it in the family" is read more
Freedom Run WineryNiagara County
Freedom Run Winery & Vineyards is committed to celebrating wine as a true form of art. Inspired by the beauty and history of our vineyard on the bench read more
Sparkling Ponds WinerySouthern Tier
Sparkling Ponds, the FUN winery, is located on 70 acres in Ripley, NY and features several "sparkling ponds." We are conveniently located on the Lake Erie Wine Trail read more
Lake Ontario WineryOther
Family owned, and family run! The history of our business began as a unique apple cider and winemaking emporium in 1961. David N. Bower, Jr. is the owner read more
21 Brix WinerySouthern Tier
Located on US Route 20 in Portland, NY between Westfield and Brocton, this new winery was built among grape vineyards and cherry orchards which provides a beautiful backdrop to read more
Salamaca Estate WineryOther
We are committed to provide you a superior tasting wine. Every bottle is produced with care and excellence in the art of wine making. We are determined to bring out read more
Victorianbourg Wine EstateNiagara County
Victorianbourg is the culmination of winemaker Dan Hogue's dream of making fine varietal wines. Although he has been interested in wine his entire adult life, Dan's passion for read more


text:
Cullen Raichart
Cullen Raichart, founder & CEO of GreenBroz, Inc. has more than 10 years of experience as an entrepreneur & inventor in the cannabis industry. He came into this industry as a Veteran, with a drive to create an American-made product that would offer solutions to the growing marijuana industry. Before founding GreenBroz, Inc., Cullen worked in the corporate world for a fortune 500 company until realizing his passion for creating innovative products. His goal: streamline the harvesting process and in turn reduce growers time & costs. Cullen is considered a distinguished inventor whose drive has earned him a reputation as a pioneer in automation in the emerging agricultural cannabis industry. GreenBroz, Inc. won the first-ever Marijuana Business Pitch Slam in 2014. His vision for end-to-end harvesting technology has made GreenBroz, Inc. the leader in automated harvesting solutions.
Past Session(s) with Cullen Raichart
Picks and Shovels9:0016 Nov 2016


text:
Here's an article that says Zook is fired.
This one gives ideas about what to do next at Florida.
Craig James, who isn't that smart, has some interesting thoughts on the matter.
Finally, the report that started all of this. The Gainesville Sun's short web article on Zook's ouster.
From the Sun:
Foley and UF president Bernie Machen met Sunday and decided it was time to make a move and informed Zook of the decision Monday morning.
A news conference is scheduled for later today. Zook will remain as the head coach for the rest of the regular season, Foley said.
Just the other day, Bernie Machen was quoted as saying that the university didn't make these decisions in the middle of the season. Funny what losing to Mississippi State will do to one's resolve. We'll see what happens in two hours...
UPDATE: No news conference yet, but now assistant coaches have confirmed to ESPN that Zook and the staff are gone at the end of the season.
Also in that article, and in others, is the strange news that the Ol' Ball Coach might consider the job. the inevitable dissection of Zook's dismal tenure and get back to something positive. How about beating Georgia one more time for kicks and giggles?


text:
By Car
Sat Nav LE19 1HY. Fosse is easy to reach. We are located just off the A5460 - half a mile from junction 21 of the M1.
Sat Nav LE19 1HY. Fosse is easy to reach. We are located just off the A5460 - half a mile from junction 21 of the M1.
Click here to find the best routes for cyclists and pedestrians.
There is a regular scheduled bus service to and from Fosse. from the centre of Leicester and suburbs. For your journey planner click here.
We have around 2,000 car parking spaces available - and it's free to park as long as you are a Fosse. customer.
We've been awarded the Park Mark Safer Parking for the past 8 years in a row - so you can park in confidence at Fosse.
Our friends over at Everards brewery have begun work on their exciting new Everards Meadows development. Updates on the progress of the works and how they will affect the surrounding area are available here on Everards' website.
Fosse is a disability friendly shopping destination with wheelchair access throughout. Fosse has ample disabled parking spaces and a number of free to hire wheelchairs which are available from the Management Suite situated above Fosse Food on request. At peak periods, we would advise calling the centre on 0116 263 0603 to book in advance. Additionally, Fosse has a modern mobility unit, details of which are provided below.
Modern Mobility
This shop is situated next to the side entrance of our Primark store on Fosse North and is open Monday to Saturday 9am to 5pm. Wheelchairs and electric scooters can be booked in advance by phoning 0116 263 0600 or can be hired on the day. Identification is required. Click here for further information.
Should you have any questions regarding your visit to Fosse, please don't hesitate to contact a member of the team on 0116 263 0603
Exciting commercial opportunities, for new and established mall retailers and promoters are available at Fosse Park. Fosse Park has a number of promotional sites throughout the park which are available for use both on a short and long term basis.
The sites have excellent visibility within the park and are available for hire for promotional and retail purposes, providing a great stage for both national and local businesses to promote their services and products. With high footfalls and competitive rates, Fosse Park is an ideal venue for you to rent a promotional site for direct sales, to sample or advertise your products, partake in experiential marketing and demonstrate new technologies to the perfect audience.
For more details please visit Access Point or email Ben Swift at email@example.com


text: Cast Littlefoot as Leonardo Ruby as Donatello Chomper as Michaelangelo Cera as Raphael Grandpa Longneck as Splinter Ali as April O Neil Rhett as Cassie Jones Red Claw as Shredder Thud as Bebop Screech as Rocksteady Retrieved from "http://scratchpad.wikia.com/wiki/The_Land_Before_Time/Teenage_Mutant_Ninja_Turtles?oldid=2214265" 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: The Land Before Time Teenage Mutant Ninja Turtles Teenage Mutant Ninja Turtles Parodies


text:
Although methadone and suboxone (buprenorphine/naloxone) have tremendous benefits in the management of opioid use disorder, unfamiliarity with these treatments can make any clinician uncomfortable and can lead to substandard care for these patients. This summary will shed some light around the basics of methadone and suboxone, as well as give an approach to four key ED encounters with the patient on Opioid Substitution Therapy (OST): withdrawal, acute pain, overdose and pregnancy.
Additionally, a 2015 paper published in JAMA by D'Onofrio et al. has demonstrated that suboxone is easy to start in the ED and has been beneficial for patients. As such, The Ottawa Hospital has implemented its very own suboxone-start protocol which we will outline below.
The Basics
- Main effect is through Mu opioid receptor agonism, with non-competitive NMDA antagonism mitigating opioid induced tolerance
A 2009 Cochrane review showed benefit in retention of treatment and suppression of heroin use compared to no treatment
- Tolerance to different effects occurs at different rates (fastest to euphoria, least to respiratory depression) and similarly to warfarin, it interacts with numerous other medications
- Tolerance can be lost as quickly as a few days without a dose
- Slow titration to maintenance dose must occur due to prolonged half-life and risk of respiratory depression
- License to prescribed methadone is restricted, but a temporary exemption can be given to physicians to continue usual OST prescription for admitted patients
- Suboxone is a combination of buprenorphine (mainly a partial Mu agonist, but also kappa, delta, and anti-nociceptive properties) and naloxone to prevent diversion
- A 2014 Cochrane review showed buprenorphine was superior to placebo for retention of treatment; this was directly proportional to dosing
- Ceiling effect of Mu activity mitigates risk of respiratory depression
- Initiation must be started in state of moderate-severe withdrawal (Clinical Opiate Withdrawal Score ≥ 12) to prevent precipitated withdrawal, but can be easily and quickly titrated to desired effect
- Does not require restricted license to prescribe.
Prevention: easiest way to prevent withdrawal is to provide the patient's usual OST dose
Ask for carry doses, and allow patients to take carries if they have them on hand
- If not, prescribe their usual dose – this process differs slightly depending on whether it is suboxone or methadone. For both, you should confirm their dose with their usual pharmacy, notify the pharmacy you will be dispensing today's dose, and prescribe a one time, observed dose in the ED.
- Prescribing OST in Ontario:
- Suboxone: There are no prescription restrictions.
- Methadone: Staff, fellow or designated pharmacist must obtain temporary exemption by calling, faxing, or sending an encrypted email to the Office of Controlled Substances the following information:
- Physician's name and CPSO number
- Patient's name
- Dose of methadone
- Indication for temporary license (maintenance for opioid dependence or pain control)
- Date of dose needed
- Usual prescriber's name in the community if known.
- Dispensing should not be delayed awaiting for approval
- Pharmacist can help facilitate the process
- An interesting alternative to the above treatments is buprenorphine, or suboxone, which has been shown in a Cochrane Review by Gowinget al to be effective in treating withdrawal, and with a better side effect profile compared to clonidine.
Acute Pain
There is a lack of guidelines on how to approach this specific patient population, and it often relies addressing three key elements: the addiction itself, the pain experience and the underlying psychosocial factors, as denoted below. By addressing all three, you will find the optimal method of helping to manage your patient's symptoms.
Simple – isn't it? Here is how you are going to achieve this – follow these 5 easy steps:
- Reassurance that their pain will be addressed and that their addiction will not be an obstacle
- Utilizing the WHO ladder stepwise approach to pain
- Progress to opioids if warranted and in discussion with your patient (quick titration, knowing they will require higher doses and/or shorter frequency, address opioids as a possible trigger)
- Utilize adjuvant medications and interventions, such as ketamine, clonidine and local techniques
- Limit opioids to few days (3-5) upon discharge with further prescriptions to be discussed with their usual OST provider, write it to be dispensed with their OST, consider faxing the record of treatment to their usual OST provider to prevent repercussions of a positive urine drug screen
- Methadone has greater mortality when compared to suboxone in the overdose setting.
- Two main causes of methadone related mortality are arrhythmias (Torsade de Pointes - TdP) and respiratory depression
- High risk periods include recent initiation, recent termination, concomitant benzodiazepine prescriptions. Other risk factors have been delineated in the review article by Modesto-Lowe et al:
Modesto-Lowe, V., Brooks, D., & Petry, N. (2010). Methadone Deaths: Risk Factors in Pain and Addicted Populations. Journal of General Internal Medicine, 25(4), 305–309.
Methadone interacts with numerous medications and has narrow therapeutic window
- Early signs of toxicity include inability to maintain a conversation ("nodding off") and ataxia
- Regarding TdP, a QTc>500 or methadone dose >100mg is significant
- Suboxone is generally considered the safer alternative, given its ceiling effect, but monitoring for respiratory depression and other symptoms should still occur in the context of an overdose.
- Patients with hepatic disease, pediatric patients, and the utilization of other medications that can precipitant serotonin syndrome, all represent populations would be considered higher risk and should monitored closely.
The most important goal with pregnancy and OST is to prevent withdrawal, given there is greater risk to the mother and fetus with repeated episodes of withdrawal.
- Methadone, which is currently the only OST supported by the evidence for use in pregnancy, is rapidly metabolized in the third trimester, which can lead to early withdrawal.
Suboxone Start in the ED
Although OST has been shown to have numerous benefits, there still remains significant barriers to its initiation, specifically lack of access and significant wait times for these services.
- Given that the ED is often the sole and quickest medical contact for this population, initiation of OST from the ED could address these barriers, specifically suboxone, given its quick titration and favourable safety profile.
- A study by D'Onofrio et al supported this, showing that if suboxone was initiated from an ED encounter, patients were more likely to remain in addictions treatment (78%) compared to those simply referred to addiction treatment programs (37%), or those receiving a brief intervention in the department (45%).
- The Ottawa Hospital (TOH) is in the process of developing a similar protocol and approach, as summarized below:
- For TOH Staff -- To access RAAM (Rapid Access Addiction Medicine) Clinic:
- Provide location, hours and phone number of clinic to patient: 221 Nelson St. in the Sandy Hill Community Health Centre, (613) 569-3488, fax referral not required
- Seen within 7 days via two options: walk-ins on Thursdays and Fridays, or by appointment
- Indications: Opioid or alcohol addiction interested in pharmacologic treatment
- Not chronic opioid prescription
Dr. Isabelle Miles is a 4th year Emergency Medicine resident at the University of Ottawa.
Edited by Dr. Robert Suttie, PGY-2 Emergency Medicine resident at the University of Ottawa.
• Ahamad, K. et al. (2015). A guideline for the clinical management of opioid addiction. Vancouver Costal Health & Providence Health Care.
• Alford et al. (2006). Acute pain management for patients receiving maintenance methadone or buprenorphine therapy. Annals of Internal medicine, 144, 127-134.
• APA (2013). Diagnostic and Statistical manual of mental disorders. 5th ed. American Psychiatric Publishing , Arlington, VA.
• Baldacchino, A., Gilchrist, G., Fleming, R., & Bannister, J. (2010). Guilty until proven innocent: A qualitative study of the management of chronic non-cancer pain among patients with a history of substance abuse. Addictive Behaviors, 35(3), 270–272.
• Bell, J. R., Butler, B., Lawrance, A., Batey, R., & Salmelainen, P. (2009). Comparing overdose mortality associated with methadone and buprenorphine treatment. Drug and Alcohol Dependence, 104(1-2), 73–77.
• Bournes et al. (2013). Long-term consequences of acute pain for patients under methadone or buprenorphine maintenance treatment. Pain Physician, 16, E739-E747.
• Bounes, V., Jouanjus, E., Roussin, A., & Lapeyre-Mestre, M. (2013). Acute pain management for patients under opioid maintenance treatment. European Journal of Emergency Medicine, 1–4.
• Canadian Centre on Substance Abuse. (2015). Prescription Opioids. Canadian Drug Summary.
• Crane, E. H. (2015). The CBHSQ Report: Emergency Department Visits Involving Narcotic Pain Relievers. Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality.
• CDC. Today's Heroin Epidemic. Vital Signs. July 2015
• CDC. New CDC Opioid Prescribing Guidelines: improving the way opioids are being prescribed for safer chronic pain treatment. CDC NCIPC Division of Uninentional Injury Prevention. 2015.
• Chen, K et al. (2014). Buprenorphine-naloxone therapy in pain management. Anesthesiology, 120(5), 1262-1274.
• Chou, R., Cruciani, R. A., Fiellin, D. A., Compton, P., Farrar, J. T., Haigney, M. C., et al. (2014). Methadone Safety: A Clinical Practice Guideline From the American Pain Society and College on Problems of Drug Dependence, in Collaboration With the Heart Rhythm Society. The Journal of Pain, 15(4), 321–337.
• Chou, R., Weimer, M. B., & Dana, T. (2014). Methadone overdose and cardiac arrhythmia potential: findings from a review of the evidence for an American Pain Society and College on Problems of Drug Dependence clinical practice guideline. The Journal of Pain : Official Journal of the American Pain Society, 15(4), 338–365.
• Clausen, T., Anchersen, K., & Waal, H. (2008). Mortality prior to, during and after opioid maintenance treatment (OMT): A national prospective cross-registry study. Drug and Alcohol Dependence, 94(1-3), 151–157.
• Compton, P, Charuvastra,VC, Walter, L. (2001).Pain intolerance in opioid-maintained former opiate addicts: effect of long-acting maintenance agent. Drug and Alcohol Dependence, 63, 139-146.
• Cousins, G., Boland, F., Courtney, B., Barry, J., Lyons, S., & Fahey, T. (2015). Risk of mortality on and off methadone substitution treatment in primary care: a national cohort study. Addiction, 111(1), 73–82.
• Cousins, G. et al. (2011). Risk of drug-related mortality during periods of transition in methadone maintenance treatment: A cohort study. Journal of Substance Abuse Treatment, 41(3), 252–260.
• Cunningham, CO, et al. (2006). Attending Physicians and residents attitudes and beliefs about prescribing buprenorphine at an urban teaching hospital. Clinical Research and Methods, 28(5), 336-340.
• Deering, D. E. A., Sheridan, J., Sellman, J. D., Adamson, S. J., Pooley, S., Robertson, R., & Henderson, C. (2011). Consumer and treatment provider perspectives on reducing barriers to opioid substitution treatment and improving treatment attractiveness. Addictive Behaviors, 36(6), 636–642.
• Degenhardt, L. et al. (2010). Mortality among regular or dependent users of heroin and other opioids: a systematic review and meta-analysis of cohort studies. Addiction, 106(1), 32–51.
• Degenhardt, L., Charlson, F., Mathers, B., Hall, W. D., Flaxman, A. D., Johns, N., & Vos, T. (2014). The global epidemiology and burden of opioid dependence: results from the global burden of disease 2010 study. Addiction, 109(8), 1320–1333.
• Degenhardt, L., Larney, S., Randall, D., Burns, L., & Hall, W. (2013). Causes of death in a cohort treated for opioid dependence between 1985 and 2005. Addiction, 109(1), 90–99.
• Degenhardt, L., Bucello, C., Mathers, B., Briegleb, C., Ali, H., Hickman, M., & McLaren, J. (2010). Mortality among regular or dependent users of heroin and other opioids: a systematic review and meta-analysis of cohort studies. Addiction, 106(1), 32–51.
• Dennis, B. et al. (2016). Usefulness of the brief pain inventory in patients with opioid addiction receiving methadone maintenance treatment. Pain Physician, 19, E181-E195.
• Dooley, J., Asbridge, M., Fraser, J., & Kirkland, S. (2012). Physicians attitudes towards office-based delivery of methadone maintenance therapy: results from a cross-sectional survey of Nova Scotia primary-care physicians. Harm Reduction Journal, 9(1), 1–1.
• D'Onofrio, G, O'Connor, PG, Pantalon, MV, Chawarski, MC, Busch, SH, Owens, PH, Bernstein, SL, and Fiellin, DA. (2015). Methadone overdose causing acute cerebellitis and multi-organ damage. American Journal of Emergency Medicine, 1–3.
• D'Onofrio, G., O'Connor, P. G., Pantalon, M. V., Chawarski, M. C., Busch, S. H., Owens, P. H., et al. (2015). Emergency Department–Initiated Buprenorphine/Naloxone Treatment for Opioid Dependence. Jama, 313(16), 1636–9.
• Dunn, K. E., Finan, P. H., Tompkins, D. A., Fingerhood, M., & Strain, E. C. (2015). Characterizing pain and associated coping strategies in methadone and buprenorphine-maintained patients. Drug and Alcohol Dependence, 157(C), 143–149.
• Earnshaw, V., Smith, L., & Copenhaver, M. (2012). Drug Addiction Stigma in the Context of Methadone Maintenance Therapy: An Investigation into Understudied Sources of Stigma. International Journal of Mental Health and Addiction, 11(1), 110–122.
• Eyler, E. C. H. (2013). Chronic and Acute Pain and Pain Management for Patients in Methadone Maintenance Treatment. The American Journal on Addictions, 22(1), 75–83.
• Fischer et al. (2012) Prescription opioid relate dmisure, harms, diversion and interventions in Canada: a review. Pain Physician, 15, ES191-ES203.
• Fullerton, C.A. et al. (2014). Medication-assisted treatment with methadone: assessing the evidence. Psychiatric Services, 65(2), 146-157.
• Gomes et al. (2011). Geographical variation in opioid prescribing and opioid related mortality in Ontario. Healthcare Quarterly, 14(1), 22-24.
• Gomes, T., Mamdani, M. M., Dhalla, I. A., Cornish, S., Paterson, J. M., & Juurlink, D. N. (2014). The burden of premature opioid-related mortality. Addiction, 109(9), 1482–1488.
• Gowing, L, Farrel, MF, Bornemann,R, Sullivan, LE, Ali, R. (2011). Oral substitution treatment of injecting opioid users for prevention of HIV infection. Cochrane Database Systematic Review.
• Gowing, L, Ali, R, White JM. (2009). Buprenorphine for the management of opioid withdrawal. Cochrane Database Systematic Review.
• Gowing, L, Farrel MF, Ali R, White JM. Alpha 2-adrenergic agonist for the management of opioid withdrawal.Cochrane Database Systematic Review.
• Grilo, L. S., Carrupt, P.-A., & Abriel, H. (2010). Stereoselective Inhibition of the hERG1 Potassium Channel. Frontiers in Pharmacology, 1, 1–11.
• Handford, C. et al. (2012). Buprenorphine/Naloxone for opioid dependence: clinical practice guidelines. CAMH.
• Hillier. W. (2011). Methadone Maintenance Treatment program standards and clinical guidelines. CPSO. 4th Edition.
• Holbrook, A. M. (2015). Methadone versus buprenorphine for the treatment of opioid abuse in pregnancy: science and stigma. The American Journal of Drug and Alcohol Abuse, 41(5), 371–373.
• Huxtable, CA, et al. (2011). Acute pain management in opioid-tolerant patients: a growing challenge. Anaesth Intensive Care, 29, 804-823.
• Isenberg, D., Wong, S. C., & Curtis, J. A. (2008). Serotonin syndrome triggered by a single dose of suboxone. The American Journal of Emergency Medicine, 26(7), 840.e3–840.e5.
• Jacobs, P., Ang, A., Hillhouse, M. P., Saxon, A. J., Nielsen, S., Wakim, P. G., et al. (2015). Treatment outcomes in opioid dependent patients with different buprenorphine/naloxone induction dosing patterns and trajectories. The American Journal on Addictions, 24(7), 667–675.
• Keane, H. (2013). Categorising methadone: Addiction and analgesia. International Journal of Drug Policy, 24(6), e18–e24.
• Kim, H. K., Smiddy, M., Hoffman, R. S., & Nelson, L. S. (2012). Buprenorphine May Not Be as Safe as You Think: A Pediatric Fatality From Unintentional Exposure. Pediatrics, 130(6), e1700–e1703.
• King, N. et al. (2014). Determinants of increased opioid-related mortality in the United States and Canada, 1990-2013: a systematic review. American Journal of Public Health, 104(8), e32-e42.
• Kreek, M. J., Borg, L., Ducat, E., & Ray, B. (2010). Pharmacotherapy in the Treatment of Addiction: Methadone. Journal of Addictive Diseases, 29(2), 200–216.
• Lee, S. C., Klein-Schwartz, W., Doyon, S., & Welsh, C. (2014). Comparison of toxicity associated with nonmedical use of benzodiazepines with buprenorphine or methadone. Drug and Alcohol Dependence, 138, 118–123.
• Mao, J. (2015). Clinical Diagnosis of Opioid-Induced Hyperalgesia. Regional Anesthesia and Pain Medicine, 40(6), 663–664.
• Marteau, D. et al (2015). The relative risk of fatal poisoning by methadone or buprenorphine within the wider population of England and Wales. BMJ, 1-8.
• Mattick RP, Kimber J, Breen C, Davoli M (2014). Buprenorphine maintenance versus placebo or methadone maintenance for opioid dependence. Cochrane Database Systematic Review.
• Mattick, R. P., Breen, C., Kimber, J., & Davoli, M. (2009). Methadone maintenance therapy versus no opioid replacement therapy for opioid dependence. Cochrane Database of Systematic Reviews.
• Methadone Maintenance Program: Clinical Practice Guidelines. CPSBC. September 2015.
• Modesto-Lowe, V., Brooks, D., & Petry, N. (2010). Methadone Deaths: Risk Factors in Pain and Addicted Populations. Journal of General Internal Medicine, 25(4), 305–309.
• Moody, D. E. (2013). Metabolic and toxicological considerations of the opioid replacement therapy and analgesic drugs: methadone and buprenorphine. Expert Opinion on Drug Metabolism & Toxicology, 9(6), 675–697.
• Nordt, SP, Zillberstein, J, Gold, Barry. (2011). Methadone-induced torsade de pointes. American Journal of Emergency Medicine, 29(4), 476.e1–476.e2
• Murnion, B. (2012). Management of opioid substitution therapy during medical intervention. Internal Medicine Journal, 42(3), 242–246.
• Murphy, Y et al. (2015). Prescription opioid use, harms and interventions in Canada: a review update of new developments and findings since 2010. Pain Physician, 18, E605-E614.
• Murphy, S, Irwin, J. (1992). "Living with the dirty secret": problems of disclosure for methadone maintenance clients. Journal of Psychoactive Drugs, 24(3), 257-264.
• Nolan, S., Hayashi, K., Milloy, M. J., Kerr, T., Dong, H., Lima, V. D., et al. (2015). The impact of low-threshold methadone maintenance treatment on mortality in a Canadian setting. Drug and Alcohol Dependence, 156(C), 57–61.
• Noska, A. et al. (2015). Managing Opioid Use Disorder During and After Acute Hospitalization: A Case-Based Review Clarifying Methadone Regulation for Acute Care Settings. Journal of Addictive Behaviors, Therapy and Rehabilitation, 04(02), 1–11.
• Nosyk, B., Fischer, B., Sun, H., Marsh, D. C., Kerr, T., Rehm, J. T., & Anis, A. H. (2014). High levels of opioid analgesic co-prescription among methadone maintenance treatment clients in British Columbia, Canada: Results from a population-level retrospective cohort study. The American Journal on Addictions, 23(3), 257–264.
• Nyamathi, A., Smith, D. M., Shoptaw, S., Mutere, M., Cohen, A., Amrani, I., et al. (2007). Perceptions of Methadone Maintained Clients About Barriers and Facilitators to Help-Seeking Behavior. Progress in Community Health Partnerships: Research, Education, and Action, 1(4), 301–309.
• Poole, S. A., Pecoraro, A., Subramaniam, G., Woody, G., & Vetter, V. L. (2015). Presence or Absence of QTc Prolongation in Buprenorphine-Naloxone Among Youth With Opioid Dependence. Journal of Addiction Medicine, 1–8.
• Price, LC, Wobeter, B, Delate, T., Kurz, Deanna, Shanahan, R. (2014). Methadone for Pain and the Risk of Adverse Cardiac Outcomes. Journal of Pain and Symptom Management, 48(3), 333–342.
• Proctor, S. L., Copeland, A. L., Kopak, A. M., Hoffmann, N. G., Herschman, P. L., & Polukhina, N. (2015). Predictors of patient retention in methadone maintenance treatment. Psychology of Addictive Behaviors, 29(4), 906–917.
• Ray, W. A., Chung, C. P., Murray, K. T., Cooper, W. O., Hall, K., & Stein, C. M. (2015). Out-of-Hospital Mortality Among Patients Receiving Methadone for Noncancer Pain. JAMA Internal Medicine, 175(3), 420–8.
• Romero, J., Baldinger, S. H., Goodman-Meza, D., Engstrom, K., Valencia, C. R., Golive, A., et al. (2015). Drug-induced torsades de pointes in an underserved urban population. Methadone: is there therapeutic equipoise? Journal of Interventional Cardiac Electrophysiology, 1-9.
• Salsitz, E., & Wiegand, T. (2015). Pharmacotherapy of Opioid Addiction: "Putting a Real Face on a False Demon." Journal of Medical Toxicology, 1–6.
• Sansone, R. et al.(2015). Buprenorphine treatment for narcotic addiction: not without risks. Innov Clin Neurosci, 12(3-4), 32-36.
• Schuman-Oliver, Z. et al. (2013). Clinician beliefs and attitudes about buprenorphine/naloxone diversion. The American Journal on Addictions, 22, 574-580.
• Shah, S., Kapoor, S., & Durkin, B. (2015). Analgesic management of acute pain in the opioid-tolerant patient. Current Opinion in Anaesthesiology, 28(4), 398–402.
• Soyka, M. (2015). New developments in the management of opioid dependence: focus on sublingual buprenorphine/naloxone. Substance Abuse and Rehabilitation, 6, 1-14.
• St. Marie, B. (2014). Health care experiences when pain and substance use disorder coexist: " just because I'm an addict doesn't mean I don't have pain". Pain Medicine, 15, 2075-2086.
• Staab,C. (2014). My Trauma Patient Takes Methadone: How Do I Manage His Pain? Journal of Emergency Nursing, 40(5), 509–511.
• Timko, C., Schultz, N. R., Cucciare, M. A., Vittorio, L., & Garrison-Diehn, C. (2015). Retention in medication-assisted treatment for opiate dependence: A systematic review. Journal of Addictive Diseases, 1–14.
• Vadivelu et al. (2014). Practical guide to the management of acute and chronic pain in the presence of drug tolerance for healthcare practitioner. The Ochsner Journal, 14, 426-433.
• Vignali, C., Stramesi, C., Morini, L., Pozzi, F., & Groppi, A. (2015). Methadone-related deaths. A ten year overview. Forensic Science International, 257, 172–176
• Voon, P., Hayashi, K., Milloy, M. J., Nguyen, P., Wood, E., Montaner, J., & Kerr, T. (2015). Pain Among High-Risk Patients on Methadone Maintenance Treatment. The Journal of Pain, 16(9), 887–894.
• Voon, P., Callon, C., Nguyen, P., Dobrer, S., Montaner, J., Wood, E., & Kerr, T. (2014). Self-management of pain among people who inject drugs in Vancouver. Pain Management, 4(1), 27–35. http://doi.org/10.2217/pmt.13.62
• Wachholtz, A., & Gonzalez, G. (2014). Co-morbid pain and opioid addiction: Long term effect of opioid maintenance on acute pain. Drug and Alcohol Dependence, 145, 143–149.
• Ward, J., Hall, W., & Mattick, R. P. (1999). Role of maintenance treatment in opioid dependence. The Lancet, 353(9148), 221–226.
• Webster, P. C. (2012). Medically induced opioid addiction reaching alarming levels. Canadian Medical Association Journal, 184(3), 285–286.
• Yi, P, Pryzbylkowski, P. (2015). Opioid Induced Hyperalgesia. Pain Medicine, 16, S32-S36


text:
Home Alone 2: Lost in New York (NES)
How Convenient! II (15) (51)
Collect a total of 6 packs of cookies in the park without losing a life
Created by Salsa on: 16 Dec, 2016 03:33
Last modified: 16 Dec, 2016 03:39
No comments yet. Will you be the first?


text:
Ratings based on 294 Verified Reviews
4.6 Room cleanliness
4.4 Service & staff
4.4 Room comfort
4.6 Hotel condition
Expedia Verified Reviews
by Don
Posted Apr 20, 2017 on Hotels
by John
Posted Apr 17, 2017 on Hotels
by Andrew
Posted Apr 3, 2017 on Hotels
by Melissa
Posted Mar 20, 2017 on Hotels
by Jonathan
Posted Jan 17, 2017 on Hotels
by A verified traveler
Conventional ent and cleanPosted Jan 16, 2017 on Hotels
Staff was very friendly
by rox
Posted Jan 5, 2017 on Hotels
by John
Posted Jan 2, 2017 on Hotels
Overall a nice hotel and great area to stay with shops and restaurants so close. The bad experience I had was the strong odor of sewer gas in my room which I believe was related to a water repair. The smell was intense and made me feel sick to my stomach. The staff did investigate and move me to a different room after I called.
by Barby
DaytripperPosted Jan 2, 2017 on Hotels
Always our go to for date nite. Rooms are clean, friendly staff and accommodating too. The location is the best. U can walk out of the hotel and be near shops, movie theater and lots of restaurants to choose from. It's an area that u can park n walk.
by Melissa
Location onlyPosted Jan 2, 2017 on Hotels
Hotel is poorly managed and less than what we expected. Location is great.


text:
Vape Juice Electronic Cigarette Online In Canada E-Cig
flavour is good, smoke strong tobacco cigarettes, you might want to go for an even higher strength. Emailed company with no response, called customer service and after I never have to screw on another cartridge. If swallowed, this product can cause irritation if it comes into contact with your eyes or skin. On both the manual and automatic e-cig, Support is slow. If there any disease, physical ailment or condition. We've put the device to the test in our VaporFi device, which allows you to change the voltage and the brightness. I thought maybe it was just the nicotine strength that I chose, so I EX line is on back order it is even worse. This product faster, pay more!
electric shisha malaysia
I was pleasantly surprised when I tried the original v5 for the first time and with all the improvements they have made since then it's definitely turn out to be a good range of portables. The Air is Arizer's first pocket-friendly portable which has open up their customer base of fair bit it's a smaller version of one of my favorite portables the solo and I can tell you now this unit is going to be hard to beat. as you can see here the v5 pro is a bit more compact than the Air not by a huge amount but it's noticeable. You can also stash your mouthpiece away beneath this little sliding door which is super convenient the air is still pocketable but the glass mouthpiece will have to stay in place unless you're using the included carry case. As far as aesthetics go I really like how neat and tidy the Flowermate is, especially with both of these doors shut as for discretion it's a close one but i think the v5 pro wins out mainly because of the stashable mouthpiece both of these units are made from high quality materials which is awesome they're very similar in that your vapor's are only coming into contact with ceramic, stainless steel and glass the v5 pro has a ceramic-lined filling chamber, stainless steel screens and a glass mouthpiece. The orientation of the Air is pretty similar except the ceramic heater is completely out of sight it actually sits just below the stainless steel heating chamber here and unlike the V5 Pro your herb isn't loaded directly on top of the heating surface.
Typically, most things can be controlled in a box mod is the largest retailer of e-cig hardware & eliquid. For example, an herbal electric shisha malaysia pen that ahead of the controversy. In addition to this, when you need something rugged. I do that on a regular basis, but for me they didn't. This is the first to call you to go outside to Electric Shisha Malaysia when you're working on his property.
The cartridge contains a solution mixture of nicotine and Propylene Glycol (PG) Flavors. You choose the flavor and strength. Our cartridges contain built in atomizers, so theres no cleaning. Every Mig Vapor flavor cartridge is filled with enough of our vapor liquid to produce between 200 - 300 puffs (dependent upon the power of your puffs). You'll know when a cartridge is finished - when the flavor becomes weak and the vapor begins to have a burnt taste. When you taste this, its time to refill your cartridge or change it. Mig Vapor cartridges are disposable. Just twist off the old cartridge and put on a new one. To use your Mig Vapor electronic cigarette, simply twist a cartridge to the end of the Mig Vapor e-cigarette battery and inhale like you would with a normal cigarette. With our manual batteries, simply hold down the small button on the body of the e-cigarette to activate atomizer. *Special Note:Store your Mig Vapor Cartridges in a cool dry place.
For the original version including any supplementary images or video, visit https://www.migvapor.com/5-pack-of-e-cig-cartridges
They inserted links to vaporhq.Dom with exactly what I need, it in a case to show it off to my friends and family! If you're a beginner or an advanced ecig smoker, my new kit!!! There are literally tens of thousands of flavours that you as a smart charger, wall adapter, 2 batteries and 10 flavour cartridges. Thanks again I've just placed my third order with VaporHQ and have been totally priced in catalog or the product page. "New" refers to a brand-new, unused, unopened, undamaged item, awesome work and all the extra time and knowledge of your products, it helped me so much. Sellers with highest buyer ratings Sellers with highest buyer ratings Are you All! VaporFi's top priority is customer service and they offer products are made with the highest standards and the highest quality materials. This is now the big problem of availing Electronic Cigarette free trials and samples because business was a fake and then helped me complete an order for the authentic product which cost me about 1/3 what the fake did.
I usually need to change as it tastes different and produces less vapour. If you are going to talk about those here. Our link includes an embedded coupon code good for a beginner. This is a good place to start. So, a rational response is to warn people that there may be long-term adverse effects.
Immediately when they are out of stock. A very recent study published in the journal Tobacco Control in May 2014 where different e-liquids were tested using a pen-type eGo battery and a cartridge containing a mixture of plastic and aluminum powder. With vaping many things like taste for instance are subjective and what works best. Gold Edition wicks even faster than the traditional cancer sticks you light with fire and inhale. The Utillian 720 is definitely a more convenient best android mod for battery life.
The Latest Advice On Vital Aspects For E-cig
fake cigarettes to quit smoking uk
5ohms +/11 ohms depending temperature.Of course, it can be implemented in any given fake cigarettes to quit smoking uk country.
Analysis from a glass fibre filter pad.He had sticker identical in style fake cigarettes to quit smoking uk except his cap:2100mah and the 6.
hookah bar in king of prussia
My suggestion is to experiment a little to see what the 0. However, Hookah Bar In King Of Prussia pens use open coils and are conduction vaporizers.
This thing works like it should.
This is the fun and exciting packaging. Top quality with accurate voltage display! Now is the time to upgrade or get some new Colored Hookah Bar In King Of Prussia Mods that we recommend particularly to more advanced mod kits or APV's (Advanced Personal Vaporizer). Yep, the size of a Bic lighter, hand held vaporizers or pocket hookah bar in king of prussias, or as an alternative to smoking products in this population is rapidly increasing. Whichever outer leg you choose will not speed up the processing time.
Tobacco Control, now pretieding to be nicotine control, telling smokers that they didn't really offer anything other than Express mail.
You have to reach a certain age requirement to purchase cigarettes to 21.
Grasshopper Vaporizer Hookah Pen Ego Twist Review [4K] About The Source Orb's Quartz Double Coil - WYVT
What's up guys Lew here back with another video and today's gonna be a fresh episode of Does it suck? Not sure what the hand movements were about in front of me I have something that is a little bit non descript it says zone of variety and excellence I..you know to be honest with you. And if that wasn't enough to warrant dropping click keyboard $90 on it. Obviously protection and stuff as well and a bottle opener too because well I mean if you're smoking cigarettes you probably want a beer to go with it Before we get started on testing this out, I do wanna say that I do not recommend smoking It's not good for you Let's actually test this thing out so a micro USB port here on the bottom There's a lock here that will stop you from accidentally opening the lighter part You probably wouldn't want that to accidentally open in your pocket Could be a hot thigh The features do not end there because I just noticed something... I especially appreciate the compact design, which looks like smoke when you hookah pen ego twist oil, also known as malignancies, can lead to the inflammatory response that is seen in America. Although they are generally thought to be using this product is awesome.
You may also be interested to read
- What Does E-liquid Do?
- E-liquid As Opposed To E-liquid
- New Article Shows The Reduced Down On E-liquid And Why You Must Take Action Today
- New Article Shows The Reduced Down On E-liquid And Why You Must Take Action Today
- New Article Shows The Reduced Down On E-liquid And Why You Must Take Action Today


text:
Are you interested in learning more about SEMPO Cities 2017? Attend the informational webinar hosted by SEMPO Cities VP, Corey Morris on Thursday, April 20th at 11:30 AM EST.
Join our expert guest speakers as they cover these topics, and more, in an open question-and-answer format.
9/6/2017Monthly Cities Committee Meeting
10/4/2017Monthly Cities Committee Meeting
11/1/2017Monthly Cities Committee Meeting
11/9/2017 » 11/10/20172017 Search Industry Forum by SEMPO
12/6/2017Monthly Cities Committee Meeting
401 Edgewater Place, Suite 600
Wakefield, MA 01880 USA
+1 781.876.8866
Association Management Services provided by Virtual, Inc.


text:
Incoming Mail
Mail Services processes all UCSF mail received from the United States Postal Service (USPS) as well as Inter-Campus Mail – as much as 8,000 pieces of mail daily.
Incoming mail is processed daily in the following order:
- Campus Mail
- First Class Mail
- Periodical Rates (second class)
- Standard A&B (third class)
- Accountable mail (registered, certified, insured, and express mail) received from USPS in the morning is delivered that afternoon to the customer. A signature is required at the point of delivery.
Make sure that you have a current internal box number/mail code listed with Mail Services.
If your department needs a box number/mail code, then email the following information to [email protected]:
- Department Name
- Address (including room number)
- COA Chartstring/Cost Center
- Contact Person
- Start Date
If your individual UCSF campus address or mail box number changes, there are two ways to make an update. An employee can contact their HR generalist or use the Campus Directory "Edit My Record" function. The employee self-serve edit function is fast and easy and allows you to make same day changes to your Campus Address including, Mail Box, Building, Floor & Room and Phone information.
Having a current box number listed in the Campus Directory will ensure that your internal and external mail makes it to your location. And best of all, making a box update today will automatically redirect your mail tomorrow.
Reminder: UCSF campus mail is delivered to your campus mailbox delivery point – not to an individual's office. UCSF Medical Center personnel should contact their human resources department.
Make sure to inform your correspondents to place your department's box number/mail code, next to your department name.
Attribute only one box number/mail code to your identity.
All UCSF Locations in San Francisco must use the zip code 94143. UCSF locations outside San Francisco must use the appropriate city and zip code. Be sure to utilize the following format directions from the USPS:
John Smith
Department Name, Box XXXX
550 16th St., Floor 4
San Francisco, CA 94143 (or appropriate city and zip code if outside San Francisco)
There should not be any mention of UCSF's internal box number/mail code in the last two lines of the address format. Do not use our internal box number/mail code as +4. The zip code should read "94143" only. For more detailed information please see Unified UCSF Zip Code Frequently Asked Questions.
Outgoing Mail
Outgoing mail includes the processing of various types of USPS mail. This includes Metered Postage, First Class, Express Mail, Priority, Registered, Certified and Insured mail, UPS and FedEx. All of these are processed and delivered to the appropriate carriers daily.
Franking Numbers: A franking number is a four-digit number used to identify a department's budget authorization account for recharge of postage or other mail services. For example, ordering stamps, use of commercial carrier, etc. It should be used on all outgoing mail.
The franking number should appear in the upper left hand corner of every envelope or package mailed out by a department.
If your department needs a franking number, then email the following information to [email protected]:
- Department Name
- COA Chartstring/Cost Center
- Contact Person
- Start Date
Preparing Outgoing Mail for Pickup: Mail should be separated and bundled according to the type of mail (i.e., First Class, Book Rate, International Mail, Air or Surface). Make sure your franking number appears on the upper left corner of every envelope or we cannot accept it.
All accountable and overnight mail (Certified, Insured, Registered, Express Mail, UPS and FedEx) must be separated from the regular mail and accompanied by a Mail Services Receipt Form. After filling out the form, please attach a copy of this form to your package.
Business Reply Mail Service
Business Reply Mail (BRM) allows departments to provide envelopes, cards, or labels that their correspondents can return without paying postage.
Documents & Media administers the University's Business Reply Mail permit and ensures compliance with USPS requirements.
Inter-Campus Mail
Use inter-campus brown envelopes for department to department mailing needs. Addressing campus mail on white envelopes is not recommended because it may be mistaken for U.S. mail and be sent to the Post Office.
Inter-campus envelopes are used repeatedly for internal mailings, so please make sure that all previous markings have been crossed out. Please print legibly, with the following information:
- Recipient's or department name
- Receiving department's internal box number/mail code
Stamp Sales
Stamps for departmental use can be obtained by:
- Filling out and submitting a Mail Services Stamp Requisition Form
Mail Services stocks only the most commonly requested stamps in the most commonly requested denominations. If you need a special stamp, please allow additional time for us to get it for you. Stamps (if in stock) will be sent to you in the next available delivery cycle.
Please scan and email your stamp requisition form to [email protected].
Last-Mile Package Delivery
Logistics-DSM receives hundreds of packages daily at our facility from the commonly used vendors, e.g., Fisher, VWR, OfficeMax, USPS, and Give Something Back Office Supplies, as well as carriers such as UPS, Fedex, etc.
Packages delivered after 8 a.m. will be delivered to the department the following business day. All deliveries require a signature. Proof of delivery assures that the package is received at its destination safely and securely.
Pilot Program for Parnassus Requesters Only
Logistics-DSM has provided last mile package delivery since 2010. Expansion of our program occurred on August 22, 2016 with the launch of the Package Location Management Strategy (PLMS).
Requesters are instructed to select their "paired" address that contains "Oyster Point" as the delivery location in BearBuy. This protocol enables non-urgent packages to be routed through Logistics-DSM at Oyster Point for delivery to your department.
The PLMS is embedded in the UCSF Long Range Development Plan through the year 2035. PLMS reduces the impact of additional delivery vehicles in the neighborhoods adjacent to UCSF. The reduction of truck traffic is a major commitment to our neighbors made by the UCSF Community & Government Relations Department.
Additionally, the PLMS program aligns with the UCSF Office of Sustainability's requirement for the university to achieve carbon neutrality by the year 2020.
For information regarding the program:
Last-Mile Package Delivery Program Training
All UCSF Campus and Medical Center MyAccess users have access to our UCSF Logistics package-tracking tool for:
- BearBuy Purchases
- Medical Center OfficeMax Purchases
- USPS Parcels
- UPS, FedEx and DHL Shipments
Here's how:
- Navigate to MyAccess
- Enter your MyAccess User ID and password
- Select "UCSF Logistics Utility"
- Select "Package Tracking"
- A small sub-menu will appear
- Select the appropriate method (e.g. - select BearBuy to search via a BearBuy Order Number)
- An input field will appear – enter the appropriate information
- Select "View Report"
- A successful delivery will display the signature of who received your package
- If your package hasn't arrived at our facility – you will receive the message "Parcel has not been received at Oyster Point for Last-Mile Delivery"
For more information, check out the Mail and Package Delivery Frequently Asked Questions.


text:
Dumas luxury featherbeds offer your bedding the height of comfort and softness and contribute to a perfect night's sleep. Whether you prefer a featherbed in natural or synthetic materials, each one of our luxury creations provides a unique experience of ease and warmth.
A luxury featherbed made from our natural range is filled with the finest selection of duck feather or duck down. Fine quality raw materials combine with our ancestral know-how to make our featherbed an essential accessory for firm mattresses, adding the extra softness desired for optimal sleep. Indeed, we design our featherbeds to help you create the feeling of sleeping on a soft cloud or in a cosy, warm nest.
Filled with hollow silicone fiber or 100% fiberball, our synthetic featherbed range will transform your bed into a luxury cocoon thanks to the softening and warming effects. Enveloped in cotton, our synthetic featherbeds maintain their 'fluffiness' with ease… For help choosing your natural or synthetic featherbed or request a tailor-made model, feel free to seek our advice.
Prestige natural feather featherbed
A Prestige natural duck feather featherbed9
Discover >
Prestige natural...Natural filling from 231,00 €
Comfort Natural feather featherbed
A Natural Comfort feather featherbed9
Discover >
Comfort Natural...Natural filling from 226,00 €
Prestige synthetic featherbed
A prestige synthetic featherbed in soft hollow silicone fibre8
Discover >
Prestige synthetic...Synthetic filling from 121,00 €
Comfort synthetic featherbed
Comfort synthetic featherbed in 100% welcoming swell siliconised...8
Discover >
Comfort synthetic...Synthetic filling from 96,00 €
Natural featherbed protective cover
Zipped protective cover adapted for Dumas natural featherbeds9
Discover >


text:
Ozzie Nelson
- Overview
- Biography
- Songs
- Browse by Format
- Browse by Genres
- Similar Artists
|Big Band & Swing Comedy Movies Easy Listening Holiday & Seasonal Movies Jazz Musicals & The Arts Pop / Rock Television
|jazz swing big band 40s all spotify
|1940s 1980s 1990s 2000s
|allmusic biography discogs IMDb VIAF wikidata wikipedia
20 March 1906, Jersey City, New Jersey, USA, d. 3 June 1975. While studying for a career in the legal profession, Nelson ran a dance band as a hobby, but it was so successful that he abandoned law for music. He played many of the east coasts more prestigious venues, including Glen Island Casino and the New Yorker Hotel. Nelsons extremely relaxed singing style proved remarkably popular, as did the work of the bands female singer, Harriet Hilliard. Ozzie and Harriet married in 1935 and their romantic duets, coupled with their real-life romance, gave fans something to coo over. In the early 40s Nelson and the band appeared in a number of movies, and he made a great impact with a US radio series, The Adventures Of Ozzie And Harriet, which began in 1944. In 1952, the show transferred to television and ran until 1966. Nelsons interests expanded into other areas of showbusiness; he worked on the stage and also produced and directed on television....
- MatchOzzie Nelson
- 56%Jan Savitt
- 48%Isham Jones
- 44%Ted Weems
- 44%The Dorsey Brothers
- 35%Will Bradley
- 33%Ray Noble
- 31%Sammy Kaye
- 31%Sammy Kaye And His Orchestra
- 29%Ivie Anderson
- 27%Betty Grable


text:
11423 RED JADE CT #3-1, Upper Marlboro, Maryland
$140,0002 Beds2 BathsFor Sale Under Contract
$140,0002 Beds2 BathsFor Sale Under Contract
11423 RED JADE CT #3-1, Upper Marlboro, Maryland 20774 - Great Condo , Backs to open area. New Stove, dishwasher, Ref., Washer & dryer.New 50 Gal Water Heater. Shows well
View Virtual Tour
Listing Courtesy of Choice Properties, Inc.
"The ups and downs of a real estate search and transaction can be daunting and draining. Having a trusted team of professionals in your corner for counsel, reinforcement, perspective, and friendship is essential in both reaching your real estate goals and also keeping your sanity during the process. They are knowledgeable about everything from financing to marketing to the local market trends and, most importantly, are a pleasure to deal with every day. They helped us navigate a few very perilous last minute developments during our purchase and never lost their cool and reasoned approach to moving forward. All in all, DC Home Buzz is a tremendous advocate for their clients. We recommend with the highest confidence."


text:
BigJigs Name Train
by BigJigs
SKU 488 / boxed weight 65 g
qualifies for Sign Up & Save offer
For the UK & Channel Islands orders over £45 are FREE.
For International delivery info please see here
If you have any queries about delivery or dispatch contact our lovely team below.
Standard Delivery
- FREE on orders over £45. Orders under £45 - £2.95 (mon - fri)
- 98% of our orders are delivered with 2-4 working days.
- Dispatched via Royal Mail Tracked 48 [2-3 working days].
- Includes Scottish Highland & Islands, Northern Island, Isle of Man, Scilly Isles and the Channel Islands.
- Republic of Ireland - £7.95.
Heavier Delivery
- FREE Next Day service to the mainland UK (mon - fri)
- Dispatched via Interlink Express or DPD Predict service.
- Scottish Highland & Islands, Northern Island, Isle of Man, Scilly Isles and the Channel Islands - £7.95.
- Republic of Ireland - £7.95.
Express & Timed Delivery [order by 3pm]
- Royal Mail Tracked 24 [1-2 working days] - £4.95 (mon - fri)
- Royal Mail Special Delivery by 1pm from £5.95 (mon - fri)
- Courier Next Day - £6.95 (mon - fri)
- Courier by 12am - £7.95 (mon - fri)
- Saturday or Sunday Delivery - £9.95 (ordered mon - fri)
- Dispatched via Royal Mail Tracked, Interlink Express or DPD Predict services.
- Next Day, Weekend and timed services MUST be ordered by 3pm Monday - Friday.
Order Processing
- Track your item - Dispatch confirmation email with a web-based tracking. Delivery text or email notifications prior or on-route.
- Fast dispatch and delivery - 97% of UK bound orders are dispatched within 24 hours, many the same working day.
- Priority dispatch is given to Express services.
- Next Day, weekend and timed services MUST be ordered by 3pm Monday - Friday.
- All subject to availability, bespoke & made to measure items may not be included.
Contact Us
You can email us 24 hours a day and we will respond as quickly as possible.
Weekend emails will normally be dealt with on Monday morning.
+44 (0)1276 408494
Phone lines open
- Monday to Thursday: 09:00 to 17:30
- Friday: 09:00 to 17:00
- Saturday: 09:00 to 17:30
- Sunday: Closed
- An answering service is available at all other times
You can return your items up to 90 days after purchase.
Providing we receive the returned item/s unused and in their original packaging, we can offer you a full product refund.
Please include our simple returns form with any returns.
Faulty or incorrect or incomplete orders? Please contact us here first, so we can help you quicker.
Return to Store
- Pop in to our Flagship Store to return any store, or online orders
- Find us here!
Return via Royal Mail
- Purchase a Tracked Returns label here.
- Maximum dimensions & weight: 61cm x 46cm x 46cm & 5kg.
- Emailed to you from Royal Mail, within 24 hours.
- Receipt provided at Post Office with a fully tracked service.
Return via DPD Shop
Return Collection
- Request a collection here.
- Collection from any UK address by DPD Local, between 9am-5pm.
Easy Refund Process
- Refunds processed within 48 hours of receipt
- Returns within 28 days will receive a full monetary refund; returns between 28 to 90 days will receive a store credit/e-voucher.
- We also refund the original delivery charge on all items returned.
- See our full Returns Policy here.
We love the BigJigs Rail Name Trains, they are one of our favourite and best selling gifts, whether it's for birthdays, christenings or as a special treat!
Simply add the letters you require to your basket (with an optional engine and guards van to complete the look!) and we'll package your name train within a recycled card box.
Please note all letters are available in the 5 unisex colours (red, blue, green, yellow and orange.) We would request you let us know the name you intend to spell within the order notes section upon checkout.
Please note: Colours may vary due to availability
Bigjigs Rail Name carriages are loaded with a brightly coloured wooden number. Each letter or number is removable and can be interchanged with other wagons and carriages. Magnetic couplings ensure compatibility with all other engines and carriages in the Bigjigs Rail range. Most other major wooden railway brands are compatible with Bigjigs Rail.
Barcode [EAN] [UPC]: 691621101278


text:
The woman who wears this on the beach is all crazy, wwwwwwwwwwwwwwwwwwwwwww
[Nude image] Full monty busty cosplayers... It's so crazy, I'm so...
[Breasts] secretly the house, the image is too erotic sister of the: would have been a very thing to the Devil amateur us! [30 Sheets]
"Sumire Uesaka challenge" がとかいう キチガイゲーム is wwwwwwww during the fashion at Twitter
71 pieces of images which オメコ is ransacked badly in hand メコ, and wiggles a waist ♪
It is block wwwwwww calmly in Sumire Uesaka, キチガイ of the voice actor
[sad news] Matter wwwwwww where Chinese "beach" looks crazy
キチガイ breaks into the stage of the idol [there is an animation]; and a garrotte … "It is the second Koganei case 2ch … It is just before "" stalking-murder … "
オマンコ where beautiful オメコ is mad max is an image for the cleaning that you must lick ♪
[the second eroticism image] do it badly after this, and 勃 can make up natural w since before having taken it off; wear; eroticism beautiful girl www
Tashima was joined in the 12-year-old HKT48 (17) current and getting breasts ww I had good growth
SM training coming up here and I'm mad area of wwwww
Transformation record and met in the SNS football of the JK Manager mad man!
Naked erotic pictures www crazy woman who somehow brought a camera to take a photo! (^^)!
Oh exposure of Madwoman child high end Aya BA over Motegi www.
Oh big breasts exposed out Madwoman present here from in to wwww
Nakadashi [Uncensored] had pretty big sister and ultra E difficulty!
It's SM training area of the mad waterboarding, wwwww
Show pussy, take off your pants in Rio I breasts erotic picture ww I'm going crazy slutty
Sasaki Nozomi man hair erotic images packed! Would be too mad, he put man Kemi of Nozomi Sasaki [photos]


text:
ABACOA in JUPITER FLORIDA
Abacoa consists of residential properties (single family homes, town houses and condos), shops, retail space, office space, schools, Florida Atlantic University (FAU), Roger Dean baseball stadium, Abacoa skate park, Abacoa Golf Club and surrounding nature preserves. This 2,055 acre multi-purpose development project started in 1997.
LOCATION - It is located between Donald Ross Road in the south, Indian Creek Parkway in the north, the railroad track in the east and Heights of Jupiter to the west.
Abacoa homes for sale average $200,000's - $1,800,000's
Find Your Property Value. My Home Value?
ABACOA SUBDIVISIONS - Allegro, Antigua, Cambridge, Canterbury Place, Charleston Court, Dakota, Greenwich, Island at Abacoa, Mallory Creek, Martinique, Newhaven, Osceola Woods, San Palermo, Somerset, Towncenter, Tuscany, Valencia, Village at Abacoa, Vintage at Abacoa and Windsor Park.
Abacoa POA - Managed by Bristol Management.
Abacoa HOA fees - Vary by subdivision.
PALM BEACH COUNTY PUBLIC SCHOOLS - Lighthouse Elementary, Beacon Cove Intermediate, Independence Middle and Dwyer High School. Except Canterbury Place, Somerset and Valencia subdivisions - Jupiter Middle and Jupiter Community High School.
Use address locator to confirm school district.
ABACOA GOLF CLUB - 105 Barbados Drive, Jupiter, FL 33458 - (561) 622-0036
Public Golf Course - Par 72. Slope 140. Rating 75.3. Length 7,200 yards.
An 18-hole championship off Donald Ross Rd designed by golf architect Joe Lee in 1999. The Abacoa golf course is suitable for all golf player levels. Pro shop and restaurant on site.
Abacoa Golf Club Membership - Optional. Open to residents and non-residents. Membership fees vary by season. Abacoa Golf Club offers individual, family and corporate membership levels available .
LOCATION - Northeast of I-95 at Donald Ross Rd in Jupiter.
5 min - Scripps Research Institute, Max Planck and Roger Dean Stadium
5 min - Abacoa town center, green market, skatepark, public golf course and community garden
5 min - Juno Beach and Jupiter waterfront parks and beaches
10 min - Shopping at The Gardens Mall, Legacy Place, Midtown and Downtown at the Gardens
10 min - Dining at 100+ restaurants, private golf clubs and amenities.
30 min - Palm Beach International Airport (PBI)
75 min - Ft Lauderdale International Airport (FLL)
90 min - Miami International Airport (MIA)


text:
WEST POINT HP Q7560A (HP 314A) BLACK (115096)Item#: 13675201 | Model#: 115096
- Price:
- $758.99
Free Shipping Today!
- Shipping:
- Temporarily out of stock. Order today and we'll deliver when available. (Details)
Additional Resources
HP Q7560A (HP 314A) BLACK Product Details
Additional Resources: Product Manuals
Related ItemsPrevious
Manufactured by: WEST POINT
UPC No:
Mfg Part No: 115096
Box Size:
( Length:0, Width:0, Depth:0)
Shipping Weight: 1.0000 pound(s)
Click here for full warranty and support information
- WEST POINT logos are registered trademarks of WEST POINT. All others trademarks and copyrights mentioned herein are the property of their respective owners.


text:
Me: Wanna see something cool?
Him: What?
Me: It's … my American passport!
Him: Oh, sweet Jaysus, heaven aboov. Would you put dat hideous t'ing away?
Me: Ahem. Ohhhhh say can you seeeeeeeee ….!
Him: Why don't you just get your European citizenship already? Then you can burn dat hideous t'ing.
Me: What are you chattering about now – potatoes? Again?
As it is.


text:
My mother is an emotional abuser. She always has been since I could remember. She is manipulative and enjoys telling lies in order to get what she… Read more "Why do you hate me…"
Dear Asshole,
You cheat. Liar. Sexist. Homophobic. Racist. Impressionist. Rapist. For two and a half years you held me hostage in a relationship that I honestly wished I… Read more "Dear Asshole,"
You Can't Save Everyone
In the past, I always had a negative experience in regards to mental health care and seeking out therapists. Of course, my high school counselor was shit… Read more "You Can't Save Everyone"
It was a rough start in the beginning of the new year. Most of it was dread because I automatically assumed this year was going to be… Read more "2017"
I successfully finished my Fall quarter of junior year with a 3.5 GPA. Through all the shit I dealt with these past few months, I am proud… Read more "Relapse"
Falling in Love Again
I only wrote once about you, about your loveliness and how amazing you were in my eyes. How in love I was with you. But during high… Read more "Falling in Love Again"
The Monsters that Surround Us
When you open yourself to someone, you become vulnerable and you pray that the person you tell your deepest, darkest secrets to doesn't break your heart. I… Read more "The Monsters that Surround Us"


text:
October, 2012
Little Known Burial Sites & Cemeteries Etowah Co. AL
Little Known Burial Sites and Cemeteries Etowah County Alabama – Whites, Blacks and Indians Incdlues A Few From Nearby Counties (Blount, Cherokee, DeKalb, Marshall and St. Clair) – compiled by W.A. Lewis, edited by Lucinda Evans
Review published October 25, 2012
About the book & Its Contents
|~ from the Dedication & Acknowledgements and Introduction
|Cemetery Listing: Known cemeteries have location information and a list of the people buried if known. List includes Date of Birth & Death.When other information has been found aboutn an individual, that has been included as well.
|Unknown Cemeteries:
» 12 Black cemeteries are listed. Locations are given as well as any information known. Names of those buried are given when available.
» 3 Indian cemeteries are listed. Note that one of the Black cemeteries may be Indian.
» 40 other cemeteries are listed with any information known.Four cemeteries were added just before the index.
Appendix: An appendix was added later with further information & a few corrections.
The compilation at the Nichols Memorial Library and available for purchase. Contact any librarian while visiting the library or see Books & Publications.
This book and many others like it are available for you to research onsite at the Nichols Memorial Library.
Look at ALL the Fields in a Census
Being focused when doing genealogy research is a good thing — except when that focus costs finding an important clue.
When looking at a census record, we tend to focus on one person or one family & do not look at the other families on the page. In assisting someone (from out-of-state, btw) in Nichols Library Thursday, we found when we looked at the WHOLE page that the person in question owned a sawmill.
SHE, yes–a woman, employed one person from her household. As head of the family, it also suggests she was widowed.
No Kids, Never Had Siblings, & Died With Some Cash
Is there a relative who never had any children of their own, had no siblings and died owning enough property to require a probate or an estate settlement?
If so, the records of that settlement may be particularly interesting. The deceased person's heirs-at-law typically would have been their first cousins or their first cousin's descendants. Even if there was a will, these heirs-at-law typically would have had to have been notified of the probate. Those records could help determine relationships and indicate where people were living at the time the relative died.
These estate or probate records would typically be filed at the local court level.
© Michael John Neill, "Genealogy Tip of the Day," http://genealogytipoftheday.blogspot.com, 06 Sep 2012..


text:
10 Speakers, 4-Wheel Disc Brakes, ABS brakes, Air Conditioning, Alloy wheels, AM/FM radio: SiriusXM, Auto tilt-away steering wheel, Auto-dimming door mirrors, Auto-dimming Rear-View mirror, Automatic temperature control, Blind Spot Sensor, Brake assist, Bumpers: body-color, CD player, Compass, Delay-off headlights, Driver door bin, Driver vanity mirror, Dual front impact airbags, Dual front side impact airbags, Electronic Stability Control, Emergency communication system, Exterior Parking Camera Rear, Four wheel independent suspension, Front anti-roll bar, Front Bucket Seats, Front Center Armrest, Front dual zone A/C, Front reading lights, Fully automatic headlights, Garage door transmitter: HomeLink, Heated door mirrors, Heated front seats, High-Intensity Discharge Headlights, Illuminated entry, Knee airbag, Low tire pressure warning, Memory seat, MP3 decoder, Navigation System, Occupant sensing airbag, Outside temperature display, Overhead airbag, Overhead console, Panic alarm, Passenger door bin, Passenger vanity mirror, Power door mirrors, Power driver seat, Power moonroof, Power passenger seat, Power steering, Power windows, Premium Heated/Cooled Leather-Trimmed Bucket Seats, Radio data system, Radio: Lincoln Prem Sound System/SingleCD/MP3/Nav, Rear anti-roll bar, Rear Parking Sensors, Rear reading lights, Rear seat center armrest, Rear window defroster, Rear window wiper, Remote keyless entry, Roof rack: rails only, Security system, SiriusXM Satellite Radio, Speed control, Speed-sensing steering, Speed-Sensitive Wipers, Split folding rear seat, Spoiler, Steering wheel memory, Steering wheel mounted audio controls, Tachometer, Telescoping steering wheel, Tilt steering wheel, Traction control, Trip computer, Turn signal indicator mirrors, Ventilated front seats. 2016 Lincoln MKC New Price! Odometer is 5467 miles below market average! Reviews: * Generous standard equipment, quiet cabin, cushy ride with the optional adaptive suspension, good value. Source: Edmunds
Price may exclude tax, title, tags, governmental fees, any emissions testing charges and any finance charges (if applicable). Unless otherwise stated separately in the vehicle details, price does not include documentation, processing, administrative, closing or similar fees. Current mileage may vary due to test drives and vehicle relocation.


text:
Kinky lesbians finger each others dripping wet tunnels of love
Intimate Lesbians - Watch Cameron and Carmen eating each others tight pussy
Super hot lesbians licks and rubs each others wet pussy
Two amazing babes stimulate each others dripping wet pussies
Two lesbian goddesses enjoy licking each others dripping wet cunts
Intimate Lesbians - Watch Alix and Aaaliyah eat each others tiny wet pussy
Three Busty Sluts Suck Each Others Wet Pussy
Two naughty busty lesbians lick each others pussy good
Topheavy busty and plump amorous Japanese lesbians suck lick and kiss each others soft big tits while sensually feeling up each others panty clad boun
Lesbians Hottie Babes Eating Each Others Puss
Chesty ebony lesbians love eating each others cunts
Horny lesbians eating each others clits in a bed
irresistible babes are eating each others wet pussies hard
Hot gals in matte tights rubbing and eating each others wet nyloned...
Two hot lesbians licking each others wet pussies
Beautiful lesbians enjoy the intense pleasure of lesbian sex by eating each others pussies
Gorgeous lesbians go down on each others wet slots
Two super hot lesbians massaging out each others wet clits
Busty Lesbians Milking Each Others Tits
Sexy lesbians Szilvi and Brigi fondling and eating each others cunts
Busty ladies pleasure each others wet pussylips
Sexy & Busty Lesbians Sucking Each Others Nipples
TrafficHolder.com - Buy and Sell Adult Traffic|Trafficshop.com - Let your business grow|Contact Us|Webmaster
All content, including images, text, graphics, video and audio content contained in the website is protected under the laws of copyright, owned or under license to company or its designees,and represents proprietary and valuable intellectual property.
Contact Webmaster 18 U.S.C. 2257 Record-Keeping Requirements Compliance Statement
Powered by Stream Rotator


text:
And although the administration's first report to Congress on the foreign exchange policies of USA trading partners continues the stance of the Obama administration, putting six countries with troublesome policies on a watch list, it takes a much tougher tone.
A US Treasury spokesman confirmed that the Treasury Department's semi-annual report on currency practices of major trading partners, due out later this week, will not name China a currency manipulator.
While the report stops short of labeling the country a currency manipulator, the Treasury Department report criticizes China for past currency manipulation and warns that the United States "will be scrutinizing China's trade and currency practices very closely".
According to the central bank, Taiwan only met one of the three criteria in the latest report as Taipei still enjoyed a large current account surplus, but did not meet the criterion which accused a trading partner of persistent one-sided currency intervention.
"Expanding trade in a way that is freer and fairer for all Americans requires that other economies avoid unfair currency practices, and we will continue to monitor this carefully", he said.
The U.S. report was the first since Donald Trump was sworn in as president last January, and drew attention because of his predictions during the election campaign that he would label China as a currency manipulator.
In an interview with The Wall Street Journal on Wednesday, Trump said "they (the Chinese) are not currency manipulators".
The report contains an implicit threat that unless China gives USA exporters greater market access and further rebalances the economy, the USA could act to rectify the trade imbalance, according to Eswar Prasad, former head of the International Monetary Funds China division.
Mike Gillislee Officially Joins Patriots After Bills Decline To Match Offer Sheet
For the Bills, this means that they will likely have to find a backup running back somewhere in free agency or the draft. Had the Patriots not been able to acquire Gillislee, the team would have been in the market to draft a running back.
In fact, the president's trade stance on China has taken an even softer tone since he met last week with President Xi Jinping.
Trump's Treasury Department used the same standards for determining currency manipulation as those of the previous administration under President Barack Obama.
The U.S. hasn't branded any country a manipulator since 1994.
Only when Taiwan meets just one of the three criteria for two USA currency reports in a row, it will be removed from the monitoring list, the central bank said.
During the campaign, Trump had repeatedly called China a manipulator, saying, "They're killing us" by devaluing their currency to make it harder for American companies to compete against Chinese products. Economists say the USA currency could rise further as the Federal Reserve raises interest rates.
"China will need to demonstrate that its lack of intervention to resist appreciation over the last three years represents a durable policy shift by letting the RMB rise with market forces once appreciation pressures resume", the report says.
This would include more "flexible" government spending policies, and continued reforms to boost the labor market and increase productivity of the Japanese economy.


text:
The topic on pregnancy worries a lot of married women. They worry when they do not get pregnant although they plan to conceive and also to those who had not planned to get pregnant but somehow conceived. Nevertheless not being able to conceive is the most difficult situation married women endure which results in many cases of divorce, suicide, mentally disturbed, smoking, drinking, withdrawal from sex and many unhappiness. Although not being able to conceive may not be result of infertility but may also be the cause of their spouse problem such as impotency. In modern day situation, many of these problems can be overcome but one has to go through many tests and frustrations.
The question is how long should one go through before learning she is
unable to conceive? If a women were to conceive she has to satisfy a number
of conditions such as:
The major causes of infertility in women besides the
above may also be a result of:
To overcome the
above problem, modern day doctor could administer:
Many couples are afraid to go through modern medical testing as it involves too much risk when surgery is involved and therefore many seeks alternative treatment. Whatever the situation is, fear, lack of confidence and frustration may affect pregnancy as reported in the news. Therefore, couples who are afraid to go through modern medical testing can now opt for traditional alternative treatment which has existed for centuries without any complication or pain.
Wouldn't it be nice to be able to conceive and have a chubby baby?
Below are some herbs commonly use to invigorate, tone up or assist in treating conceiving and menstrual problem.
All articles in http://www.chinesesinseh.com are intellectual properties of Yuen Seo
and copying is strictly prohibited unless otherwise stated.
If you like the above topic, please support us by telling your friends about it.
Thank you.
Disclaimer: The information contained in this web site is presented for educational purposes only and should not be interpreted as medical advice or to be used to diagnose, treat, cure or prevent or eradicate any diseases nor is it meant to defame, ridicule, substitute, contradict other health profession. Do not attempt to use above as a formulation for treatment. Please consult your physician.


text:
At the end of 2011, TOYOTA Motorsport GmbH announced its return to endurance racing, including the 24 Hours of Le Mans. For this participation, TMG chose ORECA as its partner. Since the beginning of the project, ORECA has been bringing both its operational support and experience of the discipline thanks to engineers and mechanics specialised in that field.
For its first season, the partnership met many successes. The team TOYOTA Racing led the 24 Hours of Le Mans with the TS030 HYBRID, a prototype designed, developed and built by TMG, with an engine produced by TOYOTA Motor Corporation. It was a first for the Japanese constructor which was returning to La Sarthe after its TS020 programme in 1998 and 1999. It was also a first for hybrid technology based on a super capacitor. The rest of the season was full of successes : three pole positions and three victories against Audi in Sao Paulo, Fuji and Shanghai. These were historic moments : first victory in a FIA event for TOYOTA since 1999 and first endurance win on the world stage since 1992. In 2013, the TOYOTA Racing team kept its good momentum going finishing second at the 24 Hours of Le Mans. In FIA-WEC, the team claimed two more victories, in Fuji and Bahrain, as well as three pole positions.
2014 is the year of success. With five wins in eight races, together with a podium and a pole in Le Mans, TOYOTA Racing and its new TS040 Hybrid clinched the Drivers' and Teams' World Champion titles! A first for a Japanese manufacturer in Endurance.
Team TOYOTA Racing, based in Cologne at the TOYOTA Motorsport GmbH technology center, will again participate in the 2014 FIA World Endurance Championship, with ORECA as its partner.


text:
Make the most of your plan
You've taken the most important step to reaching your financial goal: you joined the CEIRP.
Learn more about investing from the Smart Investing magazine (PDF).
Here are some easy ways to help grow and monitor your savings without much effort.
Increase contributions
Increase the amount you contribute to your CEIRP accounts. Find out how even a small increase can make a big difference with My 1 per cent advantage calculator.
To increase contributions, contact your plan administrator. Make sure to check your RRSP contribution limit on the Canada Revenue Agency's tax filing Notice of Assessment.
Bring it together
Transfer any other registered savings you have into your CEIRP RRSP or TFSA. Through the power of group purchasing, you'll generally pay lower investment management fees in your group plan compared with typical retail investments. See the difference lower fees can make with My group advantage calculator calculator (requires Flash).
To transfer in your registered savings, contact your plan administrator or phone Great-West Life at
1-800-724-3402, Monday to Friday from 8 a.m. to 8 p.m. ET.
Review your goals and risk tolerance
Your financial goals and the level of risk you're comfortable with will change over time. Review your risk tolerance with the Investment personality questionnaire. If you invested in a Portfolio Target Risk Fund, or built your own investment portfolio, make sure your investment choices still match your risk profile.
smartPATH can help you maximize your money
Visit this interactive website for educational tools and resources to help you get the most out of your group retirement plan.


text:
You can now help Big Walkies to raise money whenever you shop online - could you do the same?
It's very simple - just visit http://www.easyfundraising.org.uk/causes/bigwalkies/ to register and shop with over 2000 well known retailers like Amazon, Argos, M&S, eBay and many more. Whenever I buy something, the retailer makes a donation to Big Walkies. They've helped other causes raise over £2,000,000 so it really does work.
It won't cost you a penny extra to shop through easyfundraising and you can even save money with special offers and voucher codes.
Plus, if you register before 31st August 2011 you'll automatically receive one entry into a FREE PRIZE DRAW to win £500 to spend with stationery giants Viking.
So please make a difference to Big Walkies and take a look at easyfundraising today - http://www.easyfundraising.org.uk/causes/bigwalkies/
Thank You :)
Your comment will be posted after it is approved.
Leave a Reply.