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We provide individiualized, state-of-the-art plastic surgery treatment for our patients. Our goal is to make each person's operative experience as easy and comfortable as possible. Personal attention and expert professional treatment allow us to focus on each patient's individual problems.
Monday through Friday
9:00 am to 5:00 pm
Plastic Surgery
Cosmetic Surgery
During your initial consultation you will be seen by Dr. Sunde personally. He will spend time with you, reviewing your medical history, performing a physical examination of the areas of interest, discussing your specific needs. He will discuss at length the best possible treatment options available to you.
Dr. Sunde operates at fully accredited surgical facilities. These include Community Hospital of the Monterey Peninsula, Monterey Peninsula Surgical Center, Natividad Medical Center.
- Douglas Sunde, MD, FACS is a board certified plastic surgeon, certified by the American Board of Plastic Surgery. He grew up in a suburb of Chicago and was an Eagle Scout, National Merit Scholar and valedictorian of his high school graduation class. He subsequently attended Stanford University, where he graduated with distinction. Dr. Sunde attended medical school at the University of California, San Francisco, and graduated as a member of the honor society AOA. He did his general and plastic surgery residency at Stanford University and performed additional fellowship level training in cosmetic surgery, hand, and microsurgery. Dr. Sunde began his private practice in Monterey, California, in 1994. He is an assistant clinical professor at Stanford University. Dr. Sunde has published in peer review journals and has made presentations both locally and nationally. He is a member of the California Medical Society, California Society of Plastic Surgeons, American Society of Plastic Surgeons, and is a fellow of the American College of Surgeons.
- American Board of Plastic Surgery 1996
- American Society of Plastic Surgeons
- California Medical Association
- American College of Surgeons
- American Society for Surgery of the Hand
- California Society of Plastic Surgery
- Community Hospital of the Monterey Peninsula
- Monterey Peninsula Surgery Center
- Natividad Medical Center
- Palo Alto Veteran's Administration Medical Center
- He serves as a consultant at Salinas Valley Memorial Hospital and at Santa Clara Valley Medical Center.


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Dodgers designate Scott Elbert for assignment
LOS ANGELES - The Los Angeles Dodgers today reinstated left-handed pitcher Scott Elbert from the 60-day disabled list and designated him for assignment.
Elbert made 15 rehab appearances (two starts) for Dodger affiliates this year, going 0-1 with a 4.26 ERA for Rookie-advanced Ogden, Single-A Rancho Cucamonga and Triple-A Albuquerque as he worked his way back from 2013 Tommy John surgery. Elbert, who was originally selected by the Dodgers in the first round (17th overall) of the 2004 First-Year Player Draft, last pitched in the Majors on Aug. 26, 2012 and went 3-3 with two saves and a 3.61 ERA in 120 games with the Dodgers from 2008-12.

subset: commoncrawl


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Workforce Solutions
Workforce Solutions is not just for college students, it is an educational resource for the entire community. Our mission is to provide services that will lead to career or college success and promote community and economic development. Our services include: workforce education, career and technical training, continuing education and delivering assessments required for educational advancement and career certifications.
Adult Education
OCTC offers dozens of adult education services and job skills training for students of all ages. Come in to see what classes are right for you.
Office of Business and Industry Services
Business and Industry Services offers job training for employees of local businesses. Our instructors will come to your location to teach courses on subjects such as computer skills, team building, industrial maintenance technology, mining skills, classes for medical assisting and advanced business applications such as Lean Simulations.
We also offer SHRM training classes for professional certification in the field of human resource management.
Team Leadership Certificate
The Team Leadership Certificate (TLC) provides an accelerated and customizable training system to enhance leadership potential in your employees.
Assessments and Testing
The OCTC Workforce Solutions assessment center administers a wide variety of educational and work related exams. Please see our current schedule for testing details.
Pearson VUE - EMT, Plumbers, Electricians, HVAC, CISCO Certification
Department of Insurance
Job Seekers
Workforce Solutions works closely with local industry to offer pre-employment training and tests. Visit our current schedule for training or http://www.owensboroworks.com/ to post your resume for advertised and non-advertised jobs in the area. You MUST have WorkKeys test results to be considered for these jobs.


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IND trades: Collison, George, Hans, Barbosa (S&T), future first rounder
Recieves: Russell Westbrook, Thabo Sefolosha, Ray Allen (S&T)
OKC trades: Westbrook, Sefolosha
Recieves: Rajon Rondo, Barbosa, future first
BOS trades: Ray Allen, Rondo
Recieves: Collison, George, Hans
If OKC loses the finals, all the talk is going to be about and blame put on Westbrook for losing games and how he does not fit with team and cant co-exist with Durant. Needing a pass first point guard, who better than Rondo, who will probably be on the block. Rondo would fit in amazingly with OKC and also frees up cap space to sign Harden and Ibaka. Boston trades to get younger and start the re-build process and gets a great start with Collison, George and Hans. IND does this trade to finally get a star on the team in Westbrook. Pacers get a batman in him so Granger can play robin. Also get Allen who would contribute immediately and a long term shooting guard starter in Sefolosha when Allen retires.


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On Wednesday morning, Mike McCarthy met with the media for his season ending press conference.
When asked about Dom Capers, McCarthy said:
MM: Dom Capers is outstanding football coach. No one will be evaluated today. Not going into this thing looking to make big changes.
— Mike Vandermause (@MikeVandermause) January 8, 2014
McCarthy made no clear indications of any coaching staff decisions, stating that the evaluations were on going with no major changes planned.
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Designed for use either on tour or in fixed installations, the Opus 910 professional UHF wireless system from beyerdynamic offers the highest levels of reliability, audio and transmission quality. There are two ergonomically designed handheld transmitters available for use with the Opus 910 wireless system each with different frequency ranges and featuring a 36 MHz UHF bandwidth. In order to maximise the flexibility of the Opus 910 system, both transmitters can be combined with five top quality interchangeable beyerdynamic microphone heads. The system's four microphone gain settings provide a high degree of flexibility in even the most diverse applications. The S 910 M with metal housing is equipped with an ACT interface to detect the carrier frequency from the receiver and set up the transmitter automatically. All transmitters also have a noiseless on/off switch and LCD Liquid crystal display. Relevant information is shown using this display. For example, this can be the group/channel and battery level on the transmitter; on the receiver, this can be the group/channel, level of the radio or audio signal, battery level of the transmitter, etc., depending on the system.showing channel/group and remaining battery capacity. Two 1.5 V AA alkaline batteries (included) power the S 910 M for over 20 hours operating time. Features:
Please refer to country regulations before using. Receiver-Transmitter-Matrix
Please click here to read the FCC Consumer Alert.
* Required Fields
beyerdynamic GmbH & Co. KGTheresienstr. 8D-74072 Heilbronn
Phone: +49 (0)7131 - 617-440E-mail


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Izturis, Bonifacio battling for second-base job
FORT MYERS, Fla. -- Opening Day is three weeks away and the Blue Jays' roster is virtually set, but the club is unsure whether Maicer Izturis or Emilio Bonifacio will be its starting second baseman.
As manager John Gibbons sees it, both are excellent candidates, and his decision may take a while.
"It's going to come down to the wire, and … we may end up playing both of them a lot there," Gibbons said Tuesday. "They're both having really good camps and they're both proven big league players."
Izturis, who was picked up via free agency this offseason, has nine years of Major League service under his belt, including 231 games at second base. While the 32-year-old's defense has been fairly steady this spring, his bat has been cold until recently.
But Gibbons isn't concern about that.
"I saw Izzy play a number of years out in Anaheim with the Angels, and the one thing he always did was play the game the right way," said Gibbons. "If you needed to do something on the field -- get a runner over, bunt, big hit, have a great a bat, make a great play on defense -- whatever it is, he always does the right thing.
"I've seen him do really well in the past, so we can expect him to be a big boost and do those things for us."
Bonifacio, who was brought to Toronto as part of November's blockbuster trade between the Blue Jays and Marlins, has played only 72 of his 476 big league games at second base. The 27-year-old is batting .290 with four RBIs and four steals and has committed four errors.
Melissa Couto is a contributor to MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.


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EL CERRITO — An El Sobrante man was arrested last week after a young girl caught him reading porn, smoking a cocaine-laced marijuana cigarette and sipping on a stolen soft drink in the women's restroom of a Safeway.
The 32-year-old man, whose name was not released, was reported by the girl who entered the bathroom Saturday afternoon, smelled the drug and saw a pornographic magazine on the floor and then alerted her mother, who called police.
Officers who were in the store at 11450 San Pablo Ave. investigating a separate shoplifting incident detained the man, who police said was under the influence of a controlled substance. He later admitted to smoking the cigarette and that it was laced with cocaine, police said. He also admitted to stealing a bottle of soda, police said.
He was arrested on suspicion of petty theft, being under possession of a controlled substance and drug possession, police said.
The man was taken to the County Jail in Martinez.
Contact Rick Hurd in Richmond at 510-262-2728. Follow him at Twitter.com/3rdERH.


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My phone rings in the middle of the night. An anxious parent is at the other end of the line: "My infant felt warm, I took her temperature, it's 102. What do I do now?" This is by far the most common emergency call I get. Will you be ready for your baby's first fever?
What's the Issue?
Almost all infants will have at least one episode of fever by their first birthdays. Some babies will have many. Fever is defined by most pediatricians as any temperature (rectal is still the gold standard for infants) at or above 100.5 (38 C). A febrile (what doctors call "feverish") infant is cranky, harder to console than usual, and naturally worrisome to parents.
Most parents I talk to are either worried about serious bacterial illness or that the height of the fever is dangerous to their baby. "Will my baby have a seizure?" "Will my baby suffer brain damage?" The short answer is this: fevers are short-lived, normal, and totally benign.
Consider the Numbers
Five percent of all children will have a seizure with fever during early childhood. There is nothing you can do to prevent it. This is a terrifying event to witness as a parent, but almost never medically dangerous. A seizure in an infant is tonic (involves muscle tensing or stiffening), clonic (involves shaking or rhythmic muscle movement), and generalized (infants are unconscious and unaware of their surroundings).
If your child has a seizure with or without a fever, dial 911 and let a physician sort out the cause. It is likely that many children have unrecognized febrile seizures in their sleep—ones parents never know about. Of those kids who do have febrile seizures, there is a 50 percent chance that they will have another before their fifth birthdays. Babies who have a second febrile seizure within 24 hours of their first are rare and require more intense medical work-up or observation.
Viral infection is, by far, the most common cause of infant fever. These fevers can last 72 hours and reach heights of 105+. An infant's body can handle temperatures of this height without any consequences. Brain damage is thought to occur at temps of 107 to 108. The most common cause of dangerously high infant temperatures (hyperthermia) is not infection (this almost never happens), but infants locked unattended in cars.
Parents of very young babies, please note: Call your clinician immediately, no matter what time of day or night, if an infant younger than three months has a temp of 100.5 or higher. Because of their immature age, these febrile infants have a three percent chance of serious bacterial illness, which warrants immediate attention.
What Parents Can Do
Stay calm. Fever is a sign that your child is fighting an infection, but also a sign that your baby's immune defenses are working well. When a body senses an "invader," (most likely a virus) it cranks up the thermostat so that the invader can be killed. Your body (and your infant's body) knows that viruses and bacteria don't exist well at high temperatures. Thus, the brain (specifically, the hypothalamus) raises the temperature in an effort to protect your infant from infection. The bottom line: fever is a good thing!
So what do you do when you are at Grandma's house and the temperature is too high? Well, if you're like me, you sneak over to the thermostat and turn it down a degree or two. (Don't tell my grandma.) That's what acetaminophen, the generic name for infant Tylenol, does. (Generic is just as effective as the more costly name brand, by the way.) Acetaminophen directly affects the brain's thermostat to lower your infant's temperature an average of one degree. That one degree doesn't seem like much, but it is certainly enough to take the edge off and make your infant more comfortable, perhaps allowing her to get back to sleep. (Use this acetaminophen dosage chart.)
What should you NOT do for a febrile infant?
- Do not put your baby in a tepid bath. Your goal is to provide comfort measures, and nothing makes a baby more irritable than a tepid bath in the middle of the night. Would it make you more comfortable?
- Don't go to the ER. The doctor will yawn and send you home after a lengthy wait. Even worse, the doctor might feel obliged to do a set of well-meaning but unnecessary tests. (Of course, there are other symptoms that can go hand-in-hand with fever and do necessitate emergency care. See tips on when to call your pediatrician below.)
- Don't give more than the recommended dose of Tylenol or give it more often than the recommended frequency. More is NOT better. In fact, too much Tylenol is far more dangerous than the fever itself: Tylenol is best dosed by weight, not by age. So if you have a 40-pound two-year-old, he should be dosed based on weight, or as if he were four years old.
- And most importantly, don't panic. Fevers go down as quickly and dramatically as they go up.
Besides infant Tylenol, what CAN make babies with fever more comfortable?
- Consider offering ibuprofen, at the recommended dose for Baby's weight, if Tylenol hasn't worked within 45 minutes (the typical time is takes Tylenol to start to work).
- Offer small amounts of fluid frequently to avoid dehydration, as fever can dehydrate an infant quickly.
- Use any comfort measure that seems to work: extra cuddling, a cool cloth on the forehead or the back of the neck, fewer layers of clothes, more frequent nursing, etc.
DO call your pediatrician if your infant is:
- Hard to console, despite having waited for a correct dose of Tylenol to kick in.
- Dehydrated—she has no urine output for more than six hours.
- Having any breathing difficulties, such as audible wheezing, struggling to get air in or breathing more than 60 times in a minute.
And certainly call if your parental instincts tell you there is something seriously wrong.
What the Docs May Do
Reassurance, reassurance, reassurance! I spend a lot of time both on the phone and in the office calming parents about their febrile infants. Pediatricians check many infants on a daily basis and find no bacterial cause for concern. These parents and infants leave the office with a viral diagnosis, some parental peace of mind, and a list of things to watch for (see above). I never refuse to see a concerned parent in the office, but often will suggest they wait until the fever has brewed for 72 hours unless there is some other cause for concern.
Infants who have had their first febrile seizure require a detailed retelling of the story and a careful physical exam. If everything checks out—that is there's nothing worrisome or atypical in the story or exam—these babies go home with their parents. Parents of infants who have recurrent febrile seizures are taught to manage them at home. These infants grow up to be normal kids, in general, and outgrow febrile seizures by about age five.
More 8th Month Health Help
Even the most confident parent has concerns about her child's health and wellness from time to time. (If you have any pressing concerns or questions about your baby's health, please check with her healthcare provider.)
- What was last month's most popular health worry?
- Learn which medical question you might have next month.
- Here's what else is happening with your baby's health and development this month.


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Dean & Deluca, Napa Valley, CA: I just had to try the coffee...great before or after a long drive.
Bouchon, Napa Valley, CA: Everything at Bouchon seems to taste as good as it looks. The Lobster and Scallops were great. Thomas Keller has another winner here.
Lobster Bisque
Risotto with Truffles
The Steak Frites special with herb butter at Bouchon. Tender and flavorful.
Jack's Grill, Redding, CA: 16 oz. NY Cut, Medium. They say this is Jack's personal favorite. Charred on the outside, juicy pink center...damn good steak. No surprise that the place was packed. Ask the bartender about the building's history, grab another beer and enjoy the place.\
In-N-Out Burger, Redding, CA: Two Double-Doubles on the go, paired with fries and a vanilla milkshake, and a lot of napkins. Good eats.
Marla Kay's Cafe, Canyonville, OR: Great homestyle brunch served by Marla Kay herself. Corned beef hash, eggs and grits, perfect after a long early morning drive.
Beckie's Cafe, Prospect, OR: Found this one in the middle of a snowstorm while attempting to reach Crater Lake. Great comfort food, great homemade pies. With Beckie's ground chuck and mashed potatoes, who cares about the snowstorm? Needless to say, we missed Crater Lake, but all's good.
Screen Door, Portland, OR: Probably the best fried chicken in the entire road trip. Crisp on the outside, juicy and tender on the inside. You may have to wait for a table, but Screen Door's Buttermilk Fried Chicken served with collard greens and mashed potatoes is worth it. Definitely way better than the Colonel's.
Davidson's, Tigard, OR: This place has this nice small town diner vibe, very cool. The gas station attendant swears by the roast beef sandwich. Great insider tip.
Davidson's, Tigard, OR: Back at Davidson's for the Davidson's Steak Sandwich...
..and some apple pie with vanilla ice cream.
Laurelhurst Market, Portland, OR: A butcher shop by day, a high-end restaurant at night, pretty cool set-up. Excellent ribeye with blue cheese butter and onion rings.
Prepare to wait at least 45 minutes for a table at Laurelhurst Market, the place really gets packed. Check out the meat shop while waiting for your table. Have a beer and enjoy the wait. Get another beer if your primal instincts for meat start to overwhelm you.
Pine State Biscuits, Portland, OR: Dudes, meet "The Reggie". Country Fried Chicken. Check! Extra-thick bacon. Check! Eggs. Check! Gravy. Check! Fresh baked biscuits. Check! Cholesterol medication? Who cares, life's too short. Just go for it.
Best biscuits in the entire road trip. Great local vibe.
Tillamook, OR: Visit the Tillamook factory and enjoy the cheese and ice cream.Coffee Almond Fudge and Mudslide combo on a waffle dish, and suddenly you feel like a kid again. Cool.
Awesome fudge selection at Tillamook Cheese.
Pirate's Cove, Garibaldi, OR: Great seaside views. Excellent seafood. Extra large dinner plates and servings, real dude food with style.
Stuffy's II, Longview/Kelso, WA: Home of the largest cinnamon roll in Washington State. Entering Stuffy's feels like going home, it just feels good. Great ribeye with hashbrowns and eggs, nothing beats breakfast food for dinner.
Yup, breakfast food for dinner rules!
The German Chocolate Pie at Stuffy's, great with hot chocolate.
Cinnamon French Toast, made with Stuffy's own cinnamon roll, with bacon and sausages before the long drive to Seattle. Great food. Period.
Finally in Seattle...
Pike Place Chowder, Seattle, WA: Nothing like a traditional New England Clam Chowder on a cold winter day. Rich, creamy and loaded with clams and bacon bits, definitely a must-try. Serving five kinds of chowder daily, Pike Place Chowder is a great way to start exploring Pike Place Market.
Ballard Brothers Seafood and Burgers, Seattle, WA: No frills, just plain good burgers.The Black and Blue Bacon Cheeseburger, with blue cheese, is a winner.
Thoa's, Seattle, WA: The Emperor Spring Rolls were highly recommended by Thoa's staff. They were right. This plate was gone in two minutes.
Tu Casa, Seattle, WA: Recommended by the Residence Inn staff for authentic Mexican food. I recommend the Carne Asada and a couple of Mexican beers. Another good tip from the locals...
Buck's American Cafe, Everett, WA: Perfect food stop after the Boeing Plant tour, awesome grilled Wild Alaskan Salmon with rice and vegetables.
Joe's Cable Car, San Francisco, CA: Fresh ground steak as you order, you just can't beat that. Watch them slice off a huge slab of USDA beef after you order, and then see it go through the grinder. All prepared as you order, with absolutely nothing prepared in advance. Very cool. The 8 oz Fresh Ground Beefsteak with diced onions gets my vote for best burger in the entire road trip. Paired with a vanilla milkshake, and you're all set. Have a chat with Joe, and he'll tell you some interesting stories about his place.
Kobe beef, ready for table-top grilling.
Mochi Ice Cream at Juban for dessert.
Heidi's Pies, San Mateo, CA: Open 24 hours, perfect for a late night Dutch Apple Pie and hot chocolate sugar fix.
Tommy's Joynt, San Francisco, CA: Barbecue Beef Brisket Dinner Plate Special. Choose from their roast beef, turkey, and corned beef dinner plate specials. Plus, unlimited sour pickles. Great food, great value.
Peter's Cafe, San Francisco, CA: The Pork Chop Special with mashed potatoes at Peter's Cafe, before the long flight home.
A thousand miles, new discoveries, new perspectives. And great food. It's true what they say, the best way to know a place is trying out the favourites, and literally tasting the local vibe. Can't wait for the next thousand miles...
Dude for Food is now on Facebook, check out the FB Page for regular updates on good eats. Better yet, click "Like" and enjoy the ride...just look for the FB "Like" widget on the right sidebar.


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Two polls of likely voters released by Rasmussen Reports today indicate that the federal government's corporate welfare programs should be prime targets for spending cuts.
Downsizing Blog
Buffett Should Put Up or Shut Up
Billionaire investor Warren Buffett's latest call for the federal government to soak the rich was prominently – and rather uncritically – featured on the major networks' evening news last night. President Obama promptly jumped on Buffett's op-ed in the New York Times to bolster his argument that Washington needs to generate more revenue.
Federal Job Training Follies
It's darkly comical that the same entity responsible for killing countless private sector jobs with its taxes and regulations operates job training programs. Cato has been documenting the failures of federal job training programs for decades, but "do something" policymakers in Washington refuse to accept the reality that they're not the solution to problems that they help create.
Essay on Small Business Administration
An essay on terminating the Small Business Administration has been added to Cato's Downsizing Government website.
Medicare Fraud: Et Tu Reverend?
From today's Los Angeles Times:
Charity and the Federal Government
David Boaz's post on bizarre and utterly preposterous claims that the federal government's "social safety net" has been shrinking brought to my mind James Madison's position that "Charity is no part of the legislative duty of the government."
Closing Post Offices
The U.S. Postal Service just posted a $3.1 billion loss for the third quarter and the outlook for the rest of the year is bleak. The USPS wants to save money by closing post offices. I recently examined this issue in an op-ed for the Daily Caller:
Can Washington Find the Jobs?
Since 2008, we've had the largest macroeconomic "stimulus" since World War II, but the slowest economic recovery. The government's stimulus has been much larger than just the $800 billion spending bill passed in 2009. In Keynesian theory, the stimulus has included a total of almost $5 trillion of federal deficit spending since 2008. Despite that colossal stimulus, we've had a horrible jobs market and very sluggish growth.
Cato Video on U.S. Credit Rating
A new Cato video examines the federal government's credit rating, which was just downgraded by Standard & Poor, and explains that Washington has a debt problem because it has a spending problem:
Fights Over Military Spending Next
The legislation signed by President Obama on Tuesday, as a solution to the debt ceiling debate, includes the possibility of cuts to military spending. But as Chris Preble points out, the legislation guarantees no defense cuts. Republicans will try to dump all the required cuts on non-defense areas. And the White House has already distanced itself from the prospect of any real defense budget cuts, as did Secretary of Defense Leon Panetta. Both support only the first round of cuts, which will at best halt Pentagon growth at roughly inflation.


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Assess the Downregulation of HIV-1 When Raltegravir is Added to a Virologically Suppressed HAART Regimen
This study has been completed.
National Jewish Health
Merck Sharp & Dohme Corp.
Information provided by (Responsible Party):
Jennifer Brandorff, National Jewish Health
ClinicalTrials.gov Identifier:
First received: August 19, 2008
Last updated: March 27, 2017
Last verified: March 2017
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
The purpose of this study is to determine whether or not adding Raltegravir to a fully suppressive antiretroviral regimen will assist in reducing HIV-1 associated chronic inflammation and increase the t-lymphocyte memory cell pool.
|Drug: Raltegravir
|Study Type:
|Study Design:
|Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
|Official Title:
|A Pilot Study to Assess the Downregulation of HIV-1 Associated Chronic Inflammation in Patients With Limited Immunologic Responses When Raltegravir is Added to a Virologically Suppressed HAART Regimen
Resource links provided by NLM:
MedlinePlus related topics: HIV/AIDS
Drug Information available for: Raltegravir Raltegravir potassiumU.S. FDA Resources
Further study details as provided by Jennifer Brandorff, National Jewish Health:
Primary Outcome Measures:
- Quantitative changes in activated CD4+/CD8+ T-lymphocytes, pro-inflammatory cytokines and the central memory cell pool [ Time Frame: 12 months ]
Secondary Outcome Measures:
- Measure the change in circulating CD4+ and CD8+ T-lymphocytes [ Time Frame: 12 months ]
- Determine whether the circulating CD8+ T-lymphocyte count or the CD4+/CD8+ ratio can serve as a surrogate marker for suppression of chronic inflammation [ Time Frame: 12 months ]
|Actual Study Start Date:
|July 2008
|Study Completion Date:
|February 2011
|Primary Completion Date:
|February 2011 (Final data collection date for primary outcome measure)
|Assigned Interventions
|Experimental: Raltegravir
Drug: Raltegravir
Raltegravir 400 mg PO BID for 12 months
Other Name: Brand name is Isentress
|Ages Eligible for Study:
|18 Years and older (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- At least 18 years of age
- HIV-positive by Western blot or viral load
- Viral load < 400 copies/ml
- CD4+ T-lymphocyte count less than 350 cells/mm3 or change in CD4+ T-lymphocyte count < 100 cells/mm3 for at least one year on stable HAART with viral load < 400 copies/ml for the same period of time
Exclusion Criteria:
- CD4+ T-lymphocyte count greater than or equal to 350 cells/mm3 or rise in CD4+ T-lymphocyte count greater than or equal to 100 cells/mm3 within one year of study entry
- Viral load > 400 copies/ml
- Allergy or resistance to raltegravir
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00738569
Please refer to this study by its ClinicalTrials.gov identifier: NCT00738569
|United States, Colorado
|National Jewish Health
|Denver, Colorado, United States, 80206
Sponsors and Collaborators
National Jewish Health
Merck Sharp & Dohme Corp.
|Principal Investigator:
|Kenneth A Lichtenstein, MD
|National Jewish Health
More Information
Keywords provided by Jennifer Brandorff, National Jewish Health:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 21, 2017
|Responsible Party:
|Jennifer Brandorff, Regulatory Manager, National Jewish Health
|ClinicalTrials.gov Identifier:
|NCT00738569 History of Changes
|Other Study ID Numbers:
Merck HIV
|Study First Received:
|August 19, 2008
|Last Updated:
|March 27, 2017
|Individual Participant Data (IPD) Sharing Statement:
|Plan to Share IPD:
Keywords provided by Jennifer Brandorff, National Jewish Health:
Chronic inflammation
memory cells
activated t-lymphocytes
Additional relevant MeSH terms:
Raltegravir Potassium
Anti-HIV Agents
Anti-Retroviral Agents
Antiviral Agents
Anti-Infective Agents
HIV Integrase Inhibitors
Integrase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
ClinicalTrials.gov processed this record on September 21, 2017


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Amber and Wayne Powell announce the birth of their daughter, Rose Lynn Powell born Aug. 30, 2012, at St. Josephs East Women's Hospital in Lexington. She weighed 6 pounds, 7 ounces and was 19 inches long.
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Send an Instant Message to IJustMadeThatUp Using...
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My mind's in rags
krystal! <3
Registered User
All are at the crossroads
answers rhetorical ?'s
We can't shoulder our packs and lug them around. You have to be sneaky, pretend it doesn't exist. They must be hidden, tucked away.
A bit in a pocket.
Some pushed into a sock.
No lumps allowed, the surface must be smooth and flawless.
Occasionally, a crumpled piece will fall out. God forbid. Pick it up before somebody sees, stuff it away again. Shoulders back, head erect, stand tall. Nobody can know the true weight of the burden, or you'll
It's changed It's my friend and I at Southbound - a festival where we camped for four days in 40 degree heat (celcius).
I've been making the most of my summer, spent thousands on festival tickets, even more on booze, eaten great food, rekindled friendships, been to the beach a lot, got an amazing tan, lost weight and had possibly too much fun.. There's still a bit of loneliness that creeps in, but I guess everyone gets that.
I'm not working at the koala park unfortunately,
Hi All,
I'm going to attempt to work this little old site back into my life.
I'll think about it and update more later.
Well, I have been hideously busy with work and uni stuff, it's super fun... Sort of.
I went out on a friend's boat yesterday, and tried wakeboarding for the first time. I managed to get up on my first attempt but was unsure what to do with myself once up, and kept falling over after standing for five seconds. Lots and lots of water went up my nose. On my last attempt I managed to turn the board around so it was facing the right way and stayed upright for about 100 metres. Then I face
Blog, I have a confession...
I'm cheating on you with my old blog *ducks for cover* So far, I've had a warm reception back into the site, we'll see if it lasts. I feel like I was more fun in my old blog.. Plus I could use swear words and say naughty things without repercussions
Anyway, the point of this is to tell you I've added some pics from my recent trip to my albums. Feel free to have a look and feel jealous


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J.C. Penney: Make or Break Time
Don't look now, but shares of J.C. Penney (JCP) have gained 15% during the past month and are rising today, perhaps given a boost from the shockingly good numbers from Macy's (M) today, which is helping the entire sector.
J.C. Penney is now a long way from its lows of the last 30 years. The question now: Can the beaten-down retailer keep it up? According to the folks at Gilford Securities, it just might. Gilford analyst Bernard Sosnick writes:
We held to a BUY rating despite the turmoil of the last few months, believing that 4Q/13 is the key to JCP's fate. We anticipated months would elapse following Mike Ullman's return before positive results would be evident, but we were disappointed not to see better sales than were reported for October. Based on what we have just seen, we think November will tell a different story. We are again encouraged to believe that a 10%-15% same-store sales gain will be achieved in 4Q/13. If so, we would anticipate a rally for JCP shares.
A big promotional circular for Veterans Day Weekend signaled that JCP had expectations for big traffic and sales increases. Based on our limited sample of store visits and further checks, we believe Penney achieved its sales goal and perhaps more. In store after store we heard personnel tell of shoppers who said: Penney is back.
If sales build as seems reasonable to expect, the gross margin should improve as clearances diminish. We are unable to flesh out a firm earnings estimate, but we are optimistic again.
Shares of J.C. Penney have gained 3% to $8.62 at 10:33 a.m., while Macy's has advanced 9% to $50.84. Nordstrom (JWN) is up 2.3% to $63.22, Kohl's (KSS) has ticked higher 0.2% to $57.74 and Sears (SHLD) has advanced 0.3% to $61.90.


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Sideshow now accepting pre-orders. New images inside...
For a great selection of film, comic and TV action figures and collectibles, check out BigBadToyStore.com, BriansToys.com, ToyWiz.com, PastGenerationToys.com, MonkeyDepot.com, and Sekaido.com.
For a great selection of film, TV and pop culture t-shirts and apparel, check out TShirtGurus.com and 80sTees.com.
Sideshow Collectibles is now accepting pre-orders on Hot Toys' new MMS Terminator 2 Sarah Connor action figure.
Priced at $149.99 and scheduled to arrive 2nd quarter 2010, Sarah Connor features:
Authentic likeness of Linda Hamilton as Sarah Connor
Newly developed muscular rubber arm
Detailed hair sculpture with interchangeable bangs
Stands approximately 11 inches (28 cm) tall
28 points of articulation
Two sets of interchangeable hands
Two extra right hands
Enhanced tactical load bearing vest with four magazine pouches
Tank top
Pants with tactical belt and pouches
Combat Boots
Assault rifle with silencer
Shotgun with folding stock
Combat knife with leather sheath
Figure base with Sarah Connor nameplate and the movie logo
Check out all the new images of this figure below.


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THE SQL Server Blog Spot on the Web
Here's a note from Anne Labbe, a premier field engineer in Charlotte who's been looking into managed service accounts..
After painstaking research and tracking this down to the product team this is what I found:
1. Managed Service Accounts (MSA) are different from Group Managed Service Accounts (gMSA). The reason I'm calling this out is because a number of the references floated around are for gMSA and not MSA.
2. gMSA are not yet available, are not yet supported for SQL Server. gMSA exist and are available and supported in Windows Server 2012 and higher. SQL does not support them , but from an OS perspective, they exist and are supported.
3. MSA are supported from Windows 2008 on for specific applications and for specific purposes.
4. MSA are supported from SQL 2012 on for use running SQL service accounts (all SQL Services) where they are confined to a SINGLE machine. This means that this account can NOT be used across multiple machines.
The confusion came (for me at least) because the installation code was changed to check for the use of MSA. Since the code was not in the setup for SQL 2008, I was able to install an instance using a MSA. The product team has reiterated that although I could do this it is NOT supported and has NOT BEEN TESTED.
- Anne
Manage SQL Server Connectivity through Windows Azure Virtual Machines Remote PowerShell Blog
This blog post comes from Khalid Mouss, Senior Program Manager in Microsoft SQL Server.
The goal of this blog is to demonstrate how we can automate through PowerShell connecting multiple SQL Server deployments in Windows Azure Virtual Machines. We would configure TCP port that we would open (and close) though Windows firewall from a remote PowerShell session to the Virtual Machine (VM). This will demonstrate how to take the advantage of the remote PowerShell support in Windows Azure Virtual Machines to automate the steps required to connect SQL Server in the same cloud service and in different cloud services. Scenario 1: VMs connected through the same Cloud Service
2 Virtual machines configured in the same cloud service. Both VMs running different SQL Server instances on them.
Both VMs configured with remote PowerShell turned on to be able to run PS and other commands directly into them remotely in order to re-configure them to allow incoming SQL connections from a remote VM or on premise machine(s).
Note: RDP (Remote Desktop Protocol) is kept configured in both VMs by default to be able to remote connect to them and check the connections to SQL instances for demo purposes only; but not actually required.
Step 1 – Provision VMs and Configure Ports
Provision VM1; named DemoVM1 as follows (see examples screenshots below if using the portal):
Provision VM2 (DemoVM2) with PowerShell Remoting enabled and connected to DemoVM1 above (see examples screenshots below if using the portal):
After provisioning of the 2 VMs above, here is the default port configurations for example:
Step2 – Verify / Confirm the TCP port used by the database Engine
By the default, the port will be configured to be 1433 – this can be changed to a different port number if desired.
1. RDP to each of the VMs created below – this will also ensure the VMs complete SysPrep(ing) and complete configuration
2. Go to SQL Server Configuration Manager -> SQL Server Network Configuration -> Protocols for <SQL instance> -> TCP/IP - > IP Addresses
3. Confirm the port number used by SQL Server Engine; in this case 1433
4. Update from Windows Authentication to Mixed mode
5. Restart SQL Server service for the change to take effect
6. Repeat steps 3., 4., and 5. For the second VM: DemoVM2
Step 3 – Remote Powershell to DemoVM1
Enter-PSSession -ComputerName condemo.cloudapp.net -Port 61503 -Credential <username> -UseSSL -SessionOption (New-PSSessionOption -SkipCACheck -SkipCNCheck)
Your will then be prompted to enter the password.
Step 4 – Open 1433 port in the Windows firewall
netsh advfirewall firewall add rule name="DemoVM1Port" dir=in localport=1433 protocol=TCP action=allow
netsh advfirewall firewall show rule name=DemoVM1Port
Rule Name: DemoVM1Port
Enabled: Yes
Direction: In
Profiles: Domain,Private,Public
LocalIP: Any
RemoteIP: Any
Protocol: TCP
LocalPort: 1433
RemotePort: Any
Edge traversal: No
Action: Allow
Step 5 – Now connect from DemoVM2 to DB instance in DemoVM1
Step 6 – Close port 1433 in the Windows firewall
netsh advfirewall firewall delete rule name=DemoVM1Port
Deleted 1 rule(s).
netsh advfirewall firewall show rule name=DemoVM1Port
No rules match the specified criteria.
Step 7 – Try to connect from DemoVM2 to DB Instance in DemoVM1
Because port 1433 has been closed (in step 6) in the Windows Firewall in VM1 machine, we can longer connect from VM3 remotely to VM1.
Scenario 2: VMs provisioned in different Cloud Services
2 Virtual machines configured in different cloud services. Both VMs running different SQL Server instances on them. Both VMs configured with remote PowerShell turned on to be able to run PS and other commands directly into them remotely in order to re-configure them to allow incoming SQL connections from a remote VM or on on-premise machine(s).
Note: RDP (Remote Desktop Protocol) is kept configured in both VMs by default to be able to remote connect to them and check the connections to SQL instances for demo purposes only; but not actually needed.
Step 1 – Provision new VM3
Provision VM3; named DemoVM3 as follows (see examples screenshots below if using the portal):
After provisioning is complete, here is the default port configurations:
Step 2 – Add public port to VM1 connect to from VM3's DB instance
Since VM3 and VM1 are not connected in the same cloud service, we will need to specify the full DNS address while connecting between the machines which includes the public port. We shall add a public port 57000 in this case that is linked to private port 1433 which will be used later to connect to the DB instance.
Enter-PSSession -ComputerName condemo.cloudapp.net -Port 61503 -Credential <UserName> -UseSSL -SessionOption (New-PSSessionOption -SkipCACheck -SkipCNCheck)
You will then be prompted to enter the password.
netsh advfirewall firewall add rule name="DemoVM1Port" dir=in localport=1433 protocol=TCP action=allow
Step 5 – Now connect from DemoVM3 to DB instance in DemoVM1
RDP into VM3, launch SSM and Connect to VM1's DB instance as follows. You must specify the full server name using the DNS address and public port number configured above.
No rules match the specified criteria.
Because port 1433 has been closed (in step 6) in the Windows Firewall in VM1 machine, we can no longer connect from VM3 remotely to VM1.
Through the new support for remote PowerShell in Windows Azure Virtual Machines, one can script and automate many Virtual Machine and SQL management tasks. In this blog, we have demonstrated, how to start a remote PowerShell session, re-configure Virtual Machine firewall to allow (or disallow) SQL Server connections.
SQL Server in Windows Azure Virtual Machines
Exciting news - At TechEd Europe 2013 keynote today, we announced that SQL Server 2014 CTP1 is now available for download as well as in Windows Azure Image Gallery. Try it out now and give us feedback.
http://europe.msteched.com/#fbid=bdRdsIPwIgn - Watch the Keynote again
We are excited to announce the release of our new whitepaper, Performance Guidance for SQL Server in Windows Azure Virtual Machines. This paper provides you guidance to optimize your SQL Server workloads running in Windows Azure Infrastructure Services. Additionally, if you are attending TechEd North America 2013 in New Orleans this week, be sure to stop by DBI-B311 on Day 4 (details below) to learn these strategies in person!
We also have a bunch of other sessions in TechEd North America 2013 to learn more about running SQL Server in Windows Azure Virtual Machines. Please see the full list of Breakout Sessions below.
Day 1 - Monday June 3rd
DBI-B201: Lap Around Windows Azure SQL Database and Microsoft SQL Server in Windows Azure Virtual Machines
Day 2 - Tuesday June 4th
MDC-B406: Achieve High Availability with Microsoft SQL Server on Windows Azure Virtual Machines
DBI-B206: Private Cloud – Better Together: Microsoft SQL Server 2012, Windows Server 2012 and System Center 2012
Day 3 - Wednesday June 5th
DBI-B316: Running BI Workloads on Windows Azure Virtual Machines
DBI-B306: Microsoft SQL Server High Availability and Disaster Recovery on Windows Azure
DBI-B329: Overview, Best Practices and Lessons Learned on Microsoft SQL Server in Windows Azure Virtual Machines
Day 4 - Thursday June 6th
DBI-B311: Performance Tuning Microsoft SQL Server in Windows Azure Virtual Machines
DBI-B310: Windows Azure Virtual Machines and SQL Unplugged
MDC-B361: Best Practices from Real Customers: Deploying to Windows Azure Infrastructure Services (IaaS)
Hope to see you there!
Cumulative Update 4 for SQL Server 2012 Service Pack 1 includes enhancements to improve the SQL Server Backup and Restore to Cloud user experience. The enhancements include performance improvements, cleaning up invalid blobs when backups fail or are interrupted, and PowerShell support.
To request this update, see this knowledgebase article.
Performance improvements include faster return of restore metadata operations. The affected operations include:
If backup operation fails, it may result in an incomplete or invalid blob.SQL Server Backup to URL process attempts to cleanup cleaning blobs that result from a failed backup. However, if the backup fails due to prolonged or sustained network connectivity failure, backup to URL process may not be able gain access to the blob and the blob may remain orphaned. In such cases, you have to manually release the lease and delete the blob. This topic has the details on how.
This cumulative update also includes PowerShell support for the backup to cloud feature with changes to existing cmdlets and 4 new cmdlets. Following is a brief overview of the changes and sample syntax.
For more information and code examples, see the following topics:
Use PowerShell to Backup Multiple Databases to Windows Azure Blob Storage Service
SQL Server Backup and Restore to Windows Azure Blob Storage Service
The Backup-SqLDatabase, and Restore-SqlDatabase cmdlets have new parameters to support creating a SQL Server backup to or restore from a Windows Azure Storage Container. The following are the new parameters:
Using this parameter you can specify the URL of the container as the location for your backup files and let the Backup to URL process generate the file names. Alternatively you can use the BackupFile parameter to specify both the location and the name of the file. You can also use this parameter to set locations for a folder on a disk backup device. This parameter can be useful when backing up multiple databases in a given instance.
This parameter allows you to specify the SQL Credential name of object that stores the Windows Azure Storage authentication information.
Get-ChildItem SQLSERVER:\SQL\Computer\Instance\Databases | Backup-SqlDatabase –BackupContainer "https://storageaccountname.blob.core.windows.net/containername" -SqlCredential "SQLCredentialName"
Backup-SqlDatabase –ServerInstance "Computer\Instance" –Database –"MyDB" -BackupFile "https://storageaccountname.blob.core.windows.net/containername/MyDB.bak" -SqlCredential "SQLCredentialName"
Restore-SqlDatabase -ServerInstance Computer\Instance -Database MyDB -BackupFile "https://mystorageaccountname.blob.core.windows.net/container/MyDB.bak" -SqlCredential "mySqlCredential"
The New-SqlCredential cmdlet creates a new SQL Server Credential object. The SQL Server credential is required when backing up to or restoring from the Windows Azure storage service, and is used to store the Windows Azure storage account name and access key information.
New-SqlCredential – name "mysqlcredential" –Identity "storageAccount" –secret "storageAccessKey"
You can set the Identity and password properties for a SQL Credential object using this cmdlet. This cmdlet supports the two following modes of operation:
By specifying the path or location of the credential including the credential name using the –path parameter.
By passing a Smo.Credential object to the object using the –InputObject.
Set-SqlCredential -Path "SQLSERVER:\SQL\Computer\Instance\Credentials\MySqlCredential" –Identity "mystorageaccount"
$cred = Get-SqlCredential -Name MySqlCredential
$cred | Set-SqlCredential –Identity "mystorageaccount"
The Get-SqlCredential returns the SQL credential object. This cmdlet supports the following modes of operation:
By specifying the name of the SQL credential and the path of the instance.
By specifying the name of the SQL Credential and the server object.
Get-SqlCredential –Name "mycredential"
The Remove-SqlCredential cmdlet deletes a SQL Server credential object. This cmdlet supports the following two modes of operation:
By specifying the path or location of the credential and the credential name using the –path parameter.
By passing a Smo.Credential object to the object using the –InputObject parameter.
$cred = Get-SqlCredential -Name "MySqlCredential"
$cred | Remove-SqlCredential
This blog post is about the changes that were made in the Cumulative Update 4 for SQL Server 2012 SP1 release and assumes some amount of familiarity with SQL Server native backup to cloud functionality released in SQL Server 2012 SP1 CU2. For information on SQL Server Backup and Restore to Cloud, see the following articles:
SQL Server Backup and Restore to Cloud Simplified
Getting Started Tutorial
It's been just over a week since Windows Azure announced the GA of Infrastructure Services, marking the beginning of a fully supported Infrastructure as a Service in Windows Azure, with SQL Server as a major component.
Pre-installed SQL Server VMs are available for pay-per-hour usage in the Windows Azure gallery. Currently Enterprise, Standard and Web edition VMs running on Windows Server 2008 R2 SP1 are available, with more SQL Server editions coming soon. SQL Server editions running on Windows Server 2012 images are also on the way. For more details on the scenarios and benefits of running SQL Server workloads on Windows Azure Virtual Machines, please visit the SQL Server blog post here.
We are very happy to announce that the updated technical documentation for deploying and running SQL Server in Windows Azure Infrastructures Services is now available online. When deploying SQL Server in Windows Azure Virtual Machines, we recommend that you follow the detailed guidance given in the new SQL Server in Windows Azure Virtual Machines documentation in the library. This documentation includes a series of articles and tutorials that provide detailed guidance on:
Over the next few weeks we are planning a series of blog posts to provide more detailed information on specific SQL Server topics. Subjects in the pipeline include: high availability, disaster recovery, performance, application migration and security. Let us know what topics you would like to see covered in this series by adding comments to this post.
SQL Server Team
Writer: Karthika Raman
Technical Reviewers: Guy Bowerman, Pat Schaefer, Andrew Cherry
On January 24, 2013, the SQL Server engineering team released new functionality in SQL Server 2012 SP1 CU2, enabling SQL Server native backup to cloud. The steps to creating a SQL Server backup to Windows Azure Blob storage are simple, but if a backup is interrupted it can leave behind blob files that require additional steps to delete. Some of this information along with other best practices and troubleshooting tips is addressed in the Best Practices topic in SQL Server Books online. In this blog post, we focus on the interrupted backup scenario, identifying locked blobs that might be partial or corrupt as a result of interrupted backups, and deleting them.
The Blob, Blob Leases, and SQL Server section provides background information about blobs and leases in relation to SQL Server Backup to cloud. The Managing Interrupted Backup section discusses managing interrupted backups and a sample PowerShell code you can use to get started.
In order to get exclusive write access to a blob, a lease is acquired. Acquiring a lease helps avoid accidental overwrites or deletes when there is already another process accessing a blob. Blob leases are two types: One type of lease has a set duration. This duration can be anywhere from 15 to 60 seconds. The lease is active for the time of duration, but can be reacquired before it expires, to complete the backup or restore process, by specifying the existing lease Id. The other type where there is no set duration is an infinite lease. Infinite leases are active unless explicitly released or broken. In effect, the infinite lease on a blob acts like a lock.
SQL Server acquires an infinite lease for backup and restore processes. In the case of backup, a unique lease Id is used, and in the case of restore, a known lease id 'BAC2BAC2BAC2BAC2BAC2BAC2BAC2BAC2' is used. Once the backup or restore process is successfully completed, the lease is released.
What happens when a backup or restore is interrupted?
During restores, the restore process always attempts to release the lease unless the network is interrupted. If the lease remains active, overwrites or deletes cannot be performed until the lease is broken or released through a subsequent restore. So an interrupted restore may not often be something that requires close monitoring. However, interrupted backups present a different scenario.
If the backup process is interrupted, it can result in a partial or corrupt blob with an active lease which remains, blocking any overwrites, or deletes. It also prevents any restores using this file, since the restore process needs to acquire a lease with the well-known lease Id, but the existing active backup lease prevents this – which is probably a desirable result as the file could be partial or corrupt. So with an active lease on the blob, the blob remains locked until the lease is explicitly broken.
As stated in the section above, interrupted backups need to be monitored and managed. This section walks through the process of monitoring interrupted backups, identifying locked blobs, and breaking the lease using PowerShell scripts.
Backups can be interrupted due to several reasons such as network failures, process canceled by the user, power outage etc. As interrupted backups can result in a partial blob with an active lease, in order to overwrite this file or delete it, you must first identify such blobs and break the lease.
One way to identify such blobs is to actively monitor backup return codes/errors and interrupted backups. Below is a list of error/return codes that are returned from SQL Server Backup and restore process, which you can use to monitor for blob files with active leases.
Msg 3202, Level 16, State 1, Line 1
Write on "https://mystorage.blob.core.windows.net/mycontainer/test.bak" failed: Backup to URL received an exception from the remote endpoint. Exception Message: The remote server returned an error: (412) There is currently a lease on the blob and no lease ID was specified in the request.
BackupIoRequest::ReportIoError: read failure on backup device https://mystorage.blob.core.windows.net/mycontainer/test.bak '. Operating system error Backup to URL received an exception from the remote endpoint. Exception Message: The remote server returned an error: (409) Conflict..
This method won't catch cases where the backup process is aborted or the machine goes down.
Another way is to run a script periodically to look for blobs with active leases in the storage account. The PowerShell script example included here is a good starting point. The PowerShell script establishes an authenticated connection to the storage account, looks for all files in a specified container that are in a 'locked' state and filters out restore leases using the well-known lease Id.
Below is the PowerShell example to identify locked blobs and breaking the lease. A downloadable version of the code is available on the TechNet code gallery.
Important Note:
This example is intended to show how to break a lease, but running this while a backup is running will cause the backup to fail as it will break the lease that SQL Server acquired to do the backup. Before running this script or scheduling it, ensure that no backup is running at the same time.
# Well known Restore Lease ID
$restoreLeaseId = "BAC2BAC2BAC2BAC2BAC2BAC2BAC2BAC2"
# Load the storage assembly without locking the file for the duration of the PowerShell session
$bytes = [System.IO.File]::ReadAllBytes($storageAssemblyPath)
$cred = New-Object 'Microsoft.WindowsAzure.Storage.Auth.StorageCredentials' $storageAccount, $storageKey
$client = New-Object 'Microsoft.WindowsAzure.Storage.Blob.CloudBlobClient' "https://$storageAccount.blob.core.windows.net", $cred
$container = $client.GetContainerReference($blobContainer)
#list all the blobs
$allBlobs = $container.ListBlobs()
$lockedBlobs = @()
# filter blobs that are have Lease Status as "locked"
foreach($blob in $allBlobs)
$blobProperties = $blob.Properties
if($blobProperties.LeaseStatus -eq "Locked")
$lockedBlobs += $blob
if ($lockedBlobs.Count -eq 0)
Write-Host " There are no blobs with locked lease status"
if($lockedBlobs.Count -gt 0)
write-host "Breaking leases"
foreach($blob in $lockedBlobs )
$blob.AcquireLease($null, $restoreLeaseId, $null, $null, $null)
Write-Host "The lease on $($blob.Uri) is a restore lease"
catch [Microsoft.WindowsAzure.Storage.StorageException]
if($_.Exception.RequestInformation.HttpStatusCode -eq 409)
Write-Host "The lease on $($blob.Uri) is not a restore lease"
Write-Host "Breaking lease on $($blob.Uri)"
$blob.BreakLease($(New-TimeSpan), $null, $null, $null) | Out-Null
The following is a self-guided walkthrough of creating a locked blob by interrupting a backup process, and using the script to release the lease to successfully delete the blob file that resulted from the interrupted backup.
#provide values for parameters
$storageAccount = "mycloudstorage"
$storageKey = "<primary/secondary access key value of the storage account>"
$blobContainer = "sqlbackup"
$storageAssemblyPath = "C:\Program Files\Microsoft SQL Server\MSSQL11.MSSQLSERVER\MSSQL\Binn\Microsoft.WindowsAzure.Storage.dll"
Note: The storage assembly is stored in the Binn folder of the SQL Server 2012 SP1 CU2 instance. In the above example, it is the default SQL Server instance.
Here are some ways you can enhance this script to automate this process:
NOTE: If you are running PowerShell 2.0, you may have problems loading the Microsoft WindowsAzure.Storage.dll assembly. We recommend that you upgrade to Powershell 3.0 to solve the issue. You may also use the following workaround for PowerShell 2.0:
Create or modify the powershell.exe.config file to load .NET 2.0 and .NET 4.0 assemblies at runtime with the following:
<?xml version="1.0"?>
<startup useLegacyV2RuntimeActivationPolicy="true">
<supportedRuntime version="v4.0.30319"/>
<supportedRuntime version="v2.0.50727"/>
For more information on best practices, see SQL Server Backup and Restore Best Practices (Windows Azure Blob Storage Service)
The SQL Server Evaluation Edition is a great way to get a fully functional and free instance of SQL Server for learning and developing solutions. The edition has a built in expiry of 6 months from the time that you install it. I often install an Eval edition on a machine to set up a test or demo, and then 6 months later it comes as a complete surprise when it suddenly stops working.
Needless to say this can be mildly inconvenient, as it typically expires on the day you plan to demo it. It would be nice to get some kind warning.
This problem is exacerbated in the SQL Server virtual machine images in the Windows Azure gallery. While Azure VM's are in preview the SQL Server platform images are created with Evaluation edition, but the 6 month counter starts ticking when the VM is created rather than when you deploy it. This came to a head recently as a few months went by between platform image refreshes, so people deploying SQL VM images in Windows Azure were seeing them expire a few days later. See this thread for more details. Since then the SQL Server platform image has been refreshed so it won't be expiring for several months.
The problem with Azure VM's will go away soon as fully licensed pay-per-hour images will be available soon, and free trial offers will be available.
What happens when your SQL instance does expire? What are the options? Particularly if you've developed a working solution and want to put it into production?
One option is to purchase a license and enter the license key in SQL Server Installation Center->Maintenance->Upgrade License.
If you're using an Azure VM another option would be to migrate your application to a new VM.
One thing we've learned from this is that as long as time-bombed images are being used we need to be better at communicating and setting expectations about their expiration. If you're running an Evaluation edition now, how can you tell when it's due to expire? One way is to run this query...
sp_configure 'show advanced options', 1;RECONFIGUREGOsp_configure 'Agent XPs', 1;RECONFIGUREGO
DECLARE @daysleft intDECLARE @instancename sysnameSELECT @instancename = CONVERT(sysname, SERVERPROPERTY('InstanceName'))EXEC @daysleft = xp_qv '2715127595', @instancenameSELECT @daysleft 'Number of days left'
That will give you an answer in days until expiry. As of today, the SQL Server gallery image I launched a few days ago has 122 days left, which gives me a few months to do my demos and then forget that it's going to expire. Hopefully by that time I'll have either upgraded it or started with a refreshed or pay per hour image.
- Guy
SQL Server 2012 SP1 Cumulative Update 2 includes
enhancements to SQL Server native backup that simplifies backup and restore of
a SQL Server Database to Window Azure storage. The SQL Server database can be
either on an on-premises instance of SQL Server or on an instance of SQL Server
running in a hosted environment such as Windows Azure Virtual Machine. Read the information below to get
a brief introduction to the new functionality and follow the links for more
in-depth information.
To download the update, go to the SQL Release Services Blog or to Download SQL Server 2012 SP1 CU2.
In addition to disk and tape you can now use SQL Server native backup functionality to back up your SQL Server Database to the Windows Azure Blob storage service. In this release, backup to Windows Azure Blob storage is supported using T-SQL andSMO. SQL Server Databases on an on premises instance of SQL Server or in a hosted environment such as an instance of SQL Server running in Windows Azure VMs can take advantage of thisfunctionality.
The Windows Azure pricing calculator can help estimate your costs.
Storage: Charges are based on the space used and are calculated on a graduated scale and the level of redundancy. For more details, and up-to-date information, see the Data Management section of the Pricing Details article.
Data Transfers: Inbound data transfers to Windows Azure are free. Outbound transfers are charged for the bandwidth use and calculated based on a graduated region-specific scale. For more details, see the Data Transfers section of the Pricing Details article.
Backup to Windows Azure Storage is engineered to behave much like a backup device (Disk/Tape). Using the Microsoft Virtual Backup Device Interface (VDI), Windows Azure Blob storage is coded like a "virtual backup device", and the URL format used to access the Blob storage is treated as a device. The main reason for supporting Azure storage as a destination device is to provide a consistent and seamless backup and restore experience, similar to what we have today with disk and tape. When the Backup or restore process is invoked, and the Windows Azure Blob storage is specified using the URL "device type", the engine invokes a VDI client process that is part of this feature. The backup data is sent to the VDI client process, which sends the backup data to Windows Azure Blob storage.
As previously mentioned, the URL is much like a backup device used today, but it is not a physical device, so there are some limitations. For a full list of the supported options, see SQL Server Backup and Restore with Windows Azure Blob Storage Service.
To write a backup to Windows Azure Blob storage you must first create a Windows Azure Storage account, create a SQL Server Credential to store storage account authentication information. By using Transact-SQL or SMO you can issue backup and restore commands.
The following Transact-SQL examples illustrate creating a credential, doing a full database backup and restoring the database from the full database backup. For a complete walkthrough of creating a storage account and performing a simple restore, see Tutorial: Getting Started with SQL Server Backup and Restore to Windows Azure Blob Storage Service.
Create a Credential
The following example creates a credential that stores the Windows Azure Storage authentication information.
(SELECT * FROM sys.credentials WHERE credential_identity = 'mycredential')
CREATE CREDENTIAL mycredentialWITH IDENTITY = 'mystorageaccount'
,SECRET = '<storage access key>' ;
Backing up a complete database
The following example backs up the AdventureWorks2012 database to the Windows Azure Blob storage service.
BACKUP DATABASE AdventureWorks2012
TO URL = 'https://mystorageaccount.blob.core.windows.net/mycontainer/AdventureWorks2012.bak'
WITH CREDENTIAL = 'mycredential'
Restoring a database
To restore a full database backup, use the following steps.
RESTORE DATABASE AdventureWorks2012 FROM URL ='https://mystorageaccount.blob.core.windows.net/mycontainer/AdventureWorks2012.bak'
WITH CREDENTIAL = 'mycredential', STATS = 5
- - Note that options like STATS, COMPRESS, FORMAT etc.. can be used or omitted as for any T-SQL BACKUP command.
Concepts/Script Examples
Best Practices /Troubleshooting
Please send your feedback on the feature and ordocumentation to karaman @ Microsoft.com or guybo @ microsoft.com.
- Karthika Raman
Windows Azure Virtual Machine Readiness and Capacity Assessment for Windows Server Machine Running SQL Server
With the release of MAP Toolkit 8.0 Beta, we have added a new scenario to assess your Windows Azure Virtual Machine Readiness. The MAP 8.0 Beta performs a comprehensive assessment of Windows Servers running SQL Server to determine you level of readiness to migrate an on-premise physical or virtual machine to Windows Azure Virtual Machines. The MAP Toolkit then offers suggested changes to prepare the machines for migration, such as upgrading the operating system or SQL Server.
MAP Toolkit 8.0 Beta is available for download here
Your participation and feedback is very important to make the MAP Toolkit work better for you. We encourage you to participate in the beta program and provide your feedback at email@example.com or through one of our surveys.
Now, let's walk through the MAP Toolkit task for completing the Windows Azure Virtual Machine assessment and capacity planning. The tasks include the following:
Perform an inventory:
1. To perform an inventory against a single machine or across a complete environment, choose Perform an Inventory to launch the Inventory and Assessment Wizard as shown below:
2. After the Inventory and Assessment Wizard launches, select either the Windows computers or SQL Server scenario to inventory Windows machines. HINT: If you don't care about completely inventorying a machine, just select the SQL Server scenario. Click Next to Continue.
3. On the Discovery Methods page, select how you want to discover computers and then click Next to continue.
Description of Discovery Methods:
4. On the All Computers Credentials page, enter the accounts that have administrator rights to connect to the discovered machines. This does not need to a domain account, but needs to be a local administrator. I have entered my domain account that is an administrator on my local machine. Click Next after one or more accounts have been added.
The MAP Toolkit primarily uses Windows Management Instrumentation (WMI) to collect hardware, device, and software information from the remote computers. In order for the MAP Toolkit to successfully connect and inventory computers in your environment, you have to configure your machines to inventory through WMI and also allow your firewall to enable remote access through WMI. The MAP Toolkit also requires remote registry access for certain assessments. In addition to enabling WMI, you need accounts with administrative privileges to access desktops and servers in your environment.
5. On the Credentials Order page, select the order in which want the MAP Toolkit to connect to the machine and SQL Server. Generally just accept the defaults and click Next.
6. On the Enter Computers Manually page, click Create to pull up at dialog to enter one or more computer names.
7. On the Summary page confirm your settings and then click Finish.
After clicking Finish the inventory process will start, as shown below:
Windows Azure Readiness results and report
After the inventory progress has completed, you can review the results under the Database scenario. On the tile, you will see the number of Windows Server machine with SQL Server that were analyzed, the number of machines that are ready to move without changes and the number of machines that require further changes.
If you click this Azure VM Readiness tile, you will see additional details and can generate the Windows Azure VM Readiness Report.
After the report is generated, select View | Saved Reports and Proposals to view the location of the report.
Open up WindowsAzureVMReadiness* report in Excel. On the Windows tab, you can see the results of the assessment. This report has a column for the Operating System and SQL Server assessment and provides a recommendation on how to resolve, if there a component is not supported.
Collect Performance Data
Launch the Performance Wizard to collect performance information for the Windows Server machines that you would like the MAP Toolkit to suggest a Windows Azure VM size for.
Windows Azure Capacity results and report
After the performance metrics are collected, the Azure VM Capacity title will display the number of Virtual Machine sizes that are suggested for the Windows Server and Linux machines that were analyzed.
You can then click on the Azure VM Capacity tile to see the capacity details and generate the Windows Azure VM Capacity Report. Within this report, you can view the performance data that was collected and the Virtual Machine sizes.
Useful References:
Peter Saddow
Senior Program Manager – MAP Toolkit Team
The SQL Pass Summit 2012, the largest yet, is in full swing. Here's a summary of the sessions this week on cloud infrastructure and SQLOS topics. Some of these were today, and you can catch the recordings. One more session takes place on Friday covering SQL Server solution patterns in Windows Azure VMs...
Also, catch Thursday's keynote with Quentin Clark which will feature a cool IaaS demo!
SQL Server in Windows Azure VM Sessions
CLD-309-A SQLCAT: Best Practices and Lessons Learned on SQL Server in an Azure VM
Steve Howard, Arvind Ranasaria - Wednesday 11/6 10:15
This session looked at some best practices to optimize Networking, Memory, Disk IO and high availability based on lessons learned during SQLCat work with customer deployments. Well worth catching the recording.
SQL Server in Azure VM patterns: Hybrid Disaster Recovery, data movement and BI
Guy Bowerman, Peter Saddow, Michael Washam, Ross LoForte - Friday 11/9 9:45 Rm 613
[Note: In the guides this has an outdated title.]
This session has a focus on SQL Server Azure VM solutions. Starting with the basics and then going deeper into:
- New features in the Microsoft Assessment and Planning Toolkit 8.0 to help plan and size SQL VM migrations.- A Look at a Windows Azure VM SQL Server app making use of load balancing and SQL Server high availability features.- A BI case study running SQL BI components in Azure VMs and making use of Windows 8 tiles.- A training class in a VM case study.
SQLOS Sessions
DBA-500-HD Inside SQLOS 2012 (half-day session)
Bob Ward - Wednesday 11/6 1:30pm
Bob Ward from CSS applies his wealth of experience to look at the internals of SQLOS and what's changed in the various SQL 2012 components, including memory, resource governor, scheduler.
DBA-403-M: SQLCAT: Memory Manager Changes in SQL Server 2012
Gus Apostol, Jerome Halmans - 1:30pm
Covers the redesigned SQLOS memory manager in SQL Server 2012 including the new page allocator for any size pages (and all that implies), DMVs, demo's. Not sure why this was placed at the same time as the SQLOS half-day session, but since it's recorded it's available for catch-up.
The SQL Server Technical article entitled Resource Governor in SQL Server 2012 has just been published.
The article focuses on the SQL Server 2012 enhancements to the Resource Governor which reflect a growing need for centrally managed database services to support isolated workloads in multitenant environments.
This document describes the enhancements and why they were added. It includes a self-contained walk through that you can try for yourself in order to gain familiarity with the new features.
If you're not familiar with the SQL Server Resource Governor (which was introduced in SQL Server 2008), start with a comphrehensive white paper called Using the Resource Governor and then come back to Resource Governor in SQL Server 2012 to see what's new.
Continuing from yesterday's article about Memory Manager surface area changes in SQL Server 2012, this post looks at corresponding configuraton changes for the new Memory Manager. The surface area change article mentioned that the Memory Manager redesign resulted in being able to more accurately size and govern all SQL Server memory consumption. Let's look at what this means in terms of sizing the total memory usage.
In SQL Server 2008, the max server memory configuration setting only governed single 8K page allocations. CLR allocations, multi-page allocations, direct Windows allocations (DWA) and memory required by thread stacks would not be included, so you'd have to set the -g memory_to_reserve startup setting on 32-bit systems if you're using CLR for example, to reserve sufficient address space.
Setting max server memory becomes more straightforward with SQL Server 2012. The redesigned Memory Manager takes a central role in providing page allocations for the other components, and the max server memory setting governs all memory manager allocations.
With all page allocations are governed, including CLR page allocations, instance sizing is more predictable, which can help a lot in memory constrained and multi-instance scenarios. Direct Windows Allocations, (i.e. calls to VirtualAlloc()) will still remain outside of Memory Manager control.
Here's a summary of the how the memory startup option settings changed in 2012:
SQL Server 2008 R2
Sp_configure option
Default setting
Lowest possible value
Highest possible value
Min server memory
Value less than max server
memory setting
Max server memory
(available memory in the system)
(available memory in the
SQL Server 2012
32 bit - 64 (MB)
64 bit – 128 (MB)
sp_configure awe_enabled
SQL Server 2008 R2 was the last release to support the awe_enabled option, which allowed use of memory above 4GB on 32-bit systems. In SQL Server 2012 32-bit architectures can no longer use >4GB, though you can still set this value on 32-bit systems to allow the use of locked pages but it's not needed on 64-bit. Note this setting does not affect the way Address Windowing Extensions are use to implement locked pages in memory on 64-bit systems.
There were various changes to memory related DMVs, DBCC memory status, and Perfmon counters in SQL Server 2012 as part of the redesign of the Memory Manager component of SQLOS. The Memory Manager redesign resulted in being able to more accurately size and govern all SQL Server memory consumption, making page allocations more efficient, and better handling and tracking of NUMA node memory allocations. This post aims to document these surface area changes in one place to serve as a quick reference.
Some of these changes were to standardize memory counters as "kb" rather than bytes or pages, continuing a process begun earlier, but now more relevant since the single and multi-page allocators were replaced by an any-size page allocator, so counting pages allocated would no longer give a meaningful view of memory use. This consolidation of allocators also resulted consolidated counters for page allocation.
Other changes reflect the central role of the redesigned Memory Manager in being the interface to the OS, providing page allocations for the other components. A modular summary of the architectural changes is shown below:
The consolidation of the single and multi-page allocators is reflected in the pages_kb column in sys.dm_os_memory_nodes. The new foreign_committed_kb counter is a result of the improved NUMA management and reporting in SQL 2012 and identifies memory on a noe that belongs to a remote node, which can be useful if you're troubleshooting slower memory access. We will always try and use local memory first, at least until the target memory is reached.
single_pages_kb + multi_pages_kb
The main memory manager changes here are to standardize memory counters.
single_pages_in_use_kb + multi_pages_in_use_kb
Many of the DBCC memory counters that were previously under Buffer Pool have now been consolidated under Memory Manager to reflect the revised architecture. There is also some additional information to reflect OS errors and NUMA awareness. NUMA growth phase shows memory growth before the target is reached. The "Pages In Use" counter shows the actual number of pages in use, including the stolen pages, database pages, and the reserved memory. The Away Committed counter indicates how much memory from this node is committed from other nodes.
SQL Server 2012
SQL Server 2008 R2
Memory Manager \ Large Pages Allocated
Memory Manager \ Emergency Memory
Memory Manager \ Reserved Memory
Memory Manager \ Emergency Memory In Use
Memory Manager \ Reserved Memory In Use
Memory Manager \ Target Committed (KB)
Buffer Pool \ Target (Pages)
Memory Manager \ Current Committed (KB)
Buffer Pool \ Committed (Pages)
Memory Manager \ Pages Allocated (KB)
Buffer Pool \ Stolen (Pages) + Buffer Pool \ Database (Pages)
Memory Manager \ Pages Reserved (KB)
Buffer Pool \ Reserved (Pages)
Memory Manager \ Pages Free (KB)
Buffer Pool \ Free (Pages)
Memory Manager \ Pages In Use
Memory Manager \ Page Alloc Potential (KB)
Buffer Pool \ Stolen Potential (Pages)
Memory Manager \ NUMA Growth Phase
Memory Manager \ Last OOM Factor
Buffer Pool \ Last OOM Factor
Memory Manager \ Last OS Error
Memory Manager \ Emergency Memory In Use
Memory Manager \ Current Committed (KB)
Memory node Id = n \ Pages Allocated
Memory node Id = n \ MultiPage Allocator + Memory node Id = n \ SinglePage Allocator
Memory node Id = n \ Target Committed
Memory node Id = n \ Current Committed
Memory node Id = n \ Foreign Committed
Memory node Id = n \ Away Committed
Memory Clerks \ Pages Allocated
Memory Clerks \ SinglePage Allocator + Memory Clerks \ MultiPage Allocator
The Perfmon counter changes follow the same consolidation of counters under the Memory Manager object, and the standardization of counters to KB. Several deprecated AWE counters are now removed.
Object - SQLServer:Memory Manager
Object - SQLServer:Buffer Manager
Database Cache Memory (KB)
Database pages
Free Memory (KB)
Free pages
Reserved Server Memory (KB)
Reserved pages
Stolen Server Memory (KB)
Stolen pages
Target Server Memory (KB)
Target pages
Total Server Memory (KB)
Total pages
AWE lookup maps / sec
AWE stolen maps / sec
AWE write maps / sec
AWE unmap calls / sec
AWE unmap pages / sec
Object - SQLServer:Memory Node
Object - SQLServer:Buffer Node
Database Node Memory (KB)
Free Node Memory (KB)
Foreign Node Memory (KB)
Foreign pages
Stolen Node Memory (KB)
Target Node Memory (KB)
Target pages
Total Node Memory (KB)
Total pages
I'll follow up this article with some additional surface area changes for configuration and new memory manager messages that appear in the errorlog.
The goal of these changes is to make the new Memory Manager activity easier and more intuitive to track, and to clean up some of the values that no longer make sense with the any size page allocator and deprecation of AWE. Anything you used to use but can't find any more? Let me know.
Since the release of SQL Server 2012 with a redesigned memory manager, a steady stream of KB articles have been produced by CSS to provide guidance on the new or changed options, as well as fixes that have been published..
How has memory sizing changed in SQL 2012?
2663912 Memory configuration and sizing considerations in SQL Server 2012 - http://support.microsoft.com/default.aspx?scid=kb;EN-US;2663912
Setting "locked pages" to avoid SQL Server memory pages getting swapped has been simplified, particularly for Standard Edition, the details can be found here:
2659143 How to enable the "locked pages" feature in SQL Server 2012 - http://support.microsoft.com/default.aspx?scid=kb;EN-US;2659143
Note the following deprecation (particularly relevant for 32-bit installations):
2644592 The "AWE enabled" SQL Server feature is deprecated - http://support.microsoft.com/default.aspx?scid=kb;EN-US;2644592
Note the following fixes available:
2708594 FIX: Locked page allocations are enabled without any warning after you upgrade to SQL Server 2012 - http://support.microsoft.com/kb/2708594/EN-US
2688697 FIX: Out-of-memory error when you run an instance of SQL Server 2012 on a computer that uses NUMA - http://support.microsoft.com/kb/2688697/EN-US


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Everyone at the academy knows Latin instructress Caroline Tisdale for her plain gowns and severe demeanor. Her headmaster, however, is about to unravel a bit of her mystery. Mr. Topper has always been able to balance passion and propriety - but once a student prank brings Miss Tisdale to his attention, his desire begins to chip away at his resolve.
Miss Tisdale has spent years keeping her wayward tendencies firmly in check, despite the temptations posed by the dark-haired headmaster. She clings to her control even as the thought of submitting to him makes her pulse race and her imagination run rampant. But when she agrees to help Mr. Topper test a mysterious new medical device - a machine whose effects are more pleasurable than pharmaceutical - she comes to realize that self-control and sexual satisfaction are not mutually exclusive after all.
©2011 Olivia Waite (P)2012 Olivia Waite
love audio books - Anglophile
"Way too graphic sex with paper thin story"
This is one of the few audios that I am requesting be removed from my library.
Report Inappropriate Content
If you find this review inappropriate and think it should be removed from our site, let us know. This report will be reviewed by Audible and we will take appropriate action.


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Driving Pleasure in a New Guise: Audi A3 Sportback
Audi is defining a new segment in the premium compact class. The A3 Sportback is characterised by the sporting elegance of a coupé and the versatility of a five-door vehicle, sophisticated technology and well-defined driving dynamics. With four and six-cylinder engines developing up to 184 kW (250 bhp), front-wheel or quattro permanent four-wheel drive and – as an option – the revolutionary DSG transmission, engine, drive train and chassis live up to the expectations raised by the sporty exterior of this five-door vehicle – driving pleasure in a new guise.
A new, extremely dynamic representative of the FSI engine family, which really brings the special qualities of the new compact Audi to the fore, is experiencing its world premiere in the A3 Sportback: the 2.0T FSI, a four-cylinder unit with turbocharger, delivers 147 kW (200 bhp). Its maximum torque of 280 Nm is available across a wide speed range from 1,800 to 5,000 rpm. As a result, the A3 2.0T FSI (with 6-speed manual gearbox) is able to complete the sprint from 0 to 100 km/h in just 7.1 seconds, and continues on up to a top speed of 234 km/h.
The Audi A3 Sportback is deliberately going its own, new way in the compact class. It offers the emphatically sporty qualities and the athletic styling of the three-door version with which it shares its drive train, dynamic suspension and wheelbase.
370 litres (1,120 litres with the rear seat back folded down) of space are available for transporting all kinds of sports and leisure equipment and anything else the family might need: even two golf bags can be stowed sideways in the luggage compartment. The asymmetrically folding rear seat back, a standard feature, and the optional luggage compartment and storage packages provide plentiful scope for using this space exactly to suit the personal requirements of every driver.
This also applies to the three trim line available: the Attraction model, which is packed with character, the sporty Ambition and exclusive Ambiente versions enable the customer to turn the A3 Sportback into his or her personal dream car. The large-area glass sunroof known as "open sky", which has been developed especially for the Sportback, gives occupants a clear view of the sky and can be opened wide if required.
The first deliveries for North America are planned for May 2005.


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For the best kept beauty secrets, how-to guides and advice that you can trust, visit our beauty hub
Check your delivery times here to make sure you'll get your order on time! Need it faster? Upgrade to our 2 Day or Overnight delivery options
Unhappy with your order? Don't worry, here at SkincareStore we have a hassle free returns policy. Click here to learn more
For the beauty product junkie, there is no better gift than the pampering luxury of skin, bath, shower and body goodies. Gift giving is a delight for both the giver and receiver since there are so many wonderful individual products as well as beautifully packaged gift sets.
Fragrance is always a tried and true gift that never disappoints. Choose from traditional sprays to fragranced body creams and lotions, candles and gift sets that are loaded with body items for layering.
Beauty tools have taken the industry by storm, offering high tech treatments that were once only available in doctors' offices and spas. These tools make for fabulous gifts that last and last, saving time and money.
Some of the most unlikely items can be considered great gifts when presented the right way. Shampoo, conditioners and styling aid kits are luxurious and convenient. Cosmetics make for endless fun experimenting with eye popping colors.
Even anti-aging solutions can make for excellent presents when packaged in elegant combinations and pretty boxes. Just make sure that someone special in your life has indicated a desire to eradicate the wrinkles. A gift should always put a smile on the face of the recipient rather than hurting feelings!


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Contact Us
Please contact us using the form below for general information (non-emergency inquiries), including questions about services and programs. To speak with an operator at the Main Desk, please call (561) 263-2234.
In the event you need immediate emergency medical care, please visit your nearest ER. If you are unsure if you need to go to the ER, please call JMC Emergency Services at (561) 263-4460. Click here for directions to our ER. Our Urgent Care Centers are great alternatives in the event you need non-emergency care. They can be reached at (561) 263-7010 and are located at 5430 Military Trail, Suite 64 in Jupiter (Abacoa Shopping Center) and at 1335 West Indiantown Road.
For questions regarding employment, please visit Human Resources' web page.
For International Patients, please click here.


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Be the first to hear about great new tours, competitions, special offers and unique departures.
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High Atlas Trek HA
Visiting: Morocco
Trip Duration 10 Days
- Tour Style: Classic
- Tour Type: Small Groups
- Accommodation Grade: Simple
- Trek Grade: Moderate to Challenging
Trekking In Morocco
On this trek we walk through the rugged terrain of Morocco's highest mountain range. We stay in village houses, meet the local Berber people and discover the wilderness of the High Atlas. We also have the option to climb to the summit of Mount Toubkal (4167m), the highest peak in North Africa. On our return we also explore the souks and medina of the fascinating city of Marrakech.
Tour Highlights
- Atlas Mountains - Hike well off the beaten track through the highest and most scenic mountain range in North Africa
- Moroccan village life - Stay in local village guesthouses and experience the warm hospitality of the Berber people
- Mount Toubkal - Opportunity to climb to the top of North Africa's highest peak (4167m)
- Marrakech - Explore the vibrant 'Red City' including the bustling souks and lively Djemma el -fna square
1Join tour in Marrakech
2Drive to Tizi n Tamaterte pass. Walk to Ouanskra
3Hike to Iabassen via Tizi n'Tachedirte
4Trek to the alpine village of Oukaimeden
5Awlk via Amsakrou to Aguersioual village
6Hike to summer grazing land at Azib Tamsoulte
7Trek to Toubkal base camp
8Trek to Jebel Toubkal (4167m). Descent to Aremd
9Walk to Imlil; drive to Marrakech
10Tour ends Marrakech
Trip notes
Each departure date has its own dedicated trip note, detailing all you need to know about that trip. Whether you've already booked, or weighing up your options, please choose carefully the relevant itinerary for you.
We have the following different versions of the High Atlas Trek trip available at present.
Please select a date:
Why Book this trip
Get well off the beaten track and experience both the awe-inspiring High Atlas Mountains and the friendly, hospitable Berber culture.
|Included meals
Accommodation2 nights Standard Hotel
2 nights Simple Gite
3 nights Simple Village House
1 night Simple
1 night Simple Hotel
Trip StaffDriver(s), Explore Tour Leader, Cook, Trek Crew
Maximum Altitude on Trek (m)


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Dwight Howard suspended one game after 18th technical foul
The Orlando Magics Dwight Howard has received a one-game suspension without pay for receiving his 18th technical foul of the 2010-11 season, it was announced today by Stu Jackson, NBA Executive Vice President, Basketball Operations.
Under NBA rules, a player or coach is automatically suspended without pay for one game once he receives his 16th technical foul during a regular season. For every two additional technical fouls received during that regular season, the player or coach will be automatically suspended for an additional game.
Howard received his most recent technical foul with 3:38 remaining in the second quarter of Orlandos 111-102 win over the Charlotte Bobcats on Wednesday, April 6, at Time Warner Cable Arena. Howard will serve his suspension Sunday, April 10 when the Magic host the Chicago Bulls at Amway Center.
Read more: http://www.insidehoops.com/blog/?p=7460#ixzz1Isy0xUqb


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She was saved from getting tapped by Animal Control and being put down.
Valentina is appx 5 months old and has beautiful black and white markings. It's so hard to see her sweet personality in the pix.
You must meet her and you'll fall in love.
Any and all donations go directly to the care of these kitties.
We also foster kittens/cats to adopt them out to great homes.
Either in a private residence or in a local Pet Store.
Adoptees must be willing to consent to a home visit if considered for adoption.
A non-refundable Deposit of $50 will be required if someone is interested in a particular cat/kitten. This deposit will be offset by the amount paid when picking up cat/kitten.
We like to say the cat/kitten is 'FREE'... we just ask that you reimburse us for the medical costs of a typical adoption
Most kittens/cats are $75 - some breeds may be extra (like Siamese, Russian Blue, etc.)
The Adoption Fee Includes:
- Spay/Neuter
- Testing for Feline AIDS & Feline Leukemia
- Vaccines/Booster (age appropriate)
- Deworming
- Flea Treatment (Revolution if cat or Advantage if kitten)
- Nail Trim
- Bath
- Microchip - $10 extra
If the Adoption is approved, then a Home Visit will be made.
If the everything goes well with the Home Visit, an Adoption Contract will be completed by the Adoptee along with either the Deposit of at least $50 or the full amount of the Cat/Kitten's adoption fee.
Either the Cat/Kitten will be delivered at that time or the time arranged by both parties.
Payment can be made in Cash, Checking Acct transfer, Credit Card* and/or Pay Pal.
*Credit Card payments - please add $2.50 fee per $75.00
PayPal balance or bank account Free when sending money inside the US
Debit/credit card fee 2.9% plus $0.30 per transaction
Outside the US - 0% to 2% fee when fully funded with your bank account or PayPal balance or 2.9% to 5.99% plus a fixed fee based on the payment currency if paying with a credit or debit card
Thank You!
Your message has been sent to Smilen Cats.
You'll receive a copy, too, at to help you keep track of which pets you've inquired about, and which shelters and rescues you've emailed.
NOTE: Some shelters have physical locations you can visit; some of these shelters may only have pets for a limited time, so please do not wait for a reply—just go visit the shelter! Other organizations are rescue groups run by busy volunteers who may take a while to reply. You can find information about the shelter or rescue group caring for this pet, and their adoption procedures, on the pet's details page on Adopt-a-Pet.com.