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Friday, November 11, 2011
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Backing this. Gotta click the link to view.
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Labels: curtis rapp, joey pepper, nyc skateboarding, off the grid, the berrics
From the womb, some babies listen exclusively to Biggie
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Labels: 2011 youtubes, biggie, buzzfeed, facebook posts
Thursday, November 10, 2011
A friend of mine turned me on to Urbandictionary.com. Maybe it was unintentional, but it was my only choice for not being able to understand threads of a conversation. I'm trying to figure out if 27 is the age where I am actually old and clueless. I'm clueless enough I guess. I've also been living in New York City for six years and the people I'm around are not like being around people that speak California English at all times. Living away from San Francisco has really taught me to appreciate the vernacular that only exists in the bay. Hence, Mac Dre, Too Short, backpack rap, rice rockets, drinking 40's, half cab flips, weird dreads, Haight Street, grimy ass coffee shops, riding the Muni, Carl's Jr, Safeway hot snacks, cold summers, etc etc.
The site claims 6,199,050 definitions since 1999! I guess Urban dictionary is like my online connection to somebody elses' California English? Or maybe they're just terms people invented last week that nobody uses in real life. This site is almost as entertaining as photoshopping my head in a toilet. Anyway here are a couple of curious terms I'd like to share:
A complete and utter moron. One who is stupid. Often one so stupid, they are compared to human feces.
"Hey shitiot, get off the grass."
When you are texting on your phone and you look suspicious.
"Yeah, he looks hella textspicious."
A "kanyate chop" is an assault on someone when they won't get out of your face when you're in an airport or other public place. You must then take their camera and destroy it because you're an angry, criminal brained, hatemonger and you can't control yourself.
Pictures of yourself, Naked.
"Juan admitted that he had jerked off to Lauren's n00dz."
A Gonzo Dong is a penis that bends, up or down, in a way to make it look like Gonzo's Nose.
n. Port-a-potty, a portable restroom
Chronchitis is bronchitis you get after smoking marijuana nonstop for a long ass time, like when youre stoned all week then you got chronchitis. Symptoms include excessive nasty sounding coughs, and haziness. Cure: lay off the bud for a few days.
The physical and often sexual attaction to non gender specific persons with both male and female gender traits - to be sexually attracted to Susan Boyle.
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Labels: urban dictionary
Whoa, '94 Stevie.
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Iron Claw Skates (to Mac Dre's "Mac Who?")
Back in SF for the later holidays. T minus can't fuckin' wait.
Pier7 youtubes. Gotta' do it.
411: Epic roomies edition
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Jeezus. I can't believe how bad this Celine campaign is? A totally uninspiring orange skateboard with bedazzled trucks that's missing like Monster Energy drink stickers is somehow appropriate next to a Celine bag? Tragic. As much of a fan of Juergen Teller as I am, this campaign is terrible. Kidult is pretty awesome for putting up the gayest words in skateboarding : "Sk8" on the front door of Celine's flagship store in Paris.
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Labels: Celine, fashion blogs, high snobiety
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Wednesday, November 9, 2011
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Labels: colors, cute stuff, fashion blogs, patches, reblogged, tumblr
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Labels: colors, food blogs, reblogged, textures, tumblr
Double dipped by CURBS ONLY at 10:46 PM 0 comments
Labels: basquiat, graffiti rock, reblogged, samo, tumblr
NoBigDeal?Fan out for real. I waited until he finished eating his slice to ask him for a photo. I never ask celebrities for photos but for David Cross, I took off my cool hat and put my dork hat on.
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Labels: david cross, new york city people
Matt Lily and Wildman. Matt was driving to delaware tonight! He had the best Grateful dead Uncle Costume u ever Saw
Wildman and Lauren!
Julian in front of the Free Wall. Not pictured: Fat Katz Pastrami sandwich with beer and fries!
Thuggish Ruggish
I hate this sticker
Tumeric Hand
Haven't seen an Aesthetics sticker in a decade!
Bomb Beer? I guess
Shan Deezy and Shelly!
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Labels: my cell phone photos, reblogged, skateboarding, tumblr
Tuesday, November 8, 2011
Keep it movin!
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Labels: dqm, my cell phone photos
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Labels: clothes, conan o brien, david bowie, reblogged, skateboards, tumblr
Monday, November 7, 2011
Sunday, November 6, 2011
Went by Zuccotti Park after the shoot. Not sure how I feel about tent city a month or so after my first visit. I had been drinking wine so as we walked by I confidently yelled stuff. I yelled stuff about how it was great that the banks backed down out of the $5 atm fee probably largely in part to the efforts of OWS. Some people agreed enthusiastically and asked if I was from California. Ha! I was carrying an oversized duffle on my back from an all day photoshoot- I said yes. I guess my Californian disposition really shows when I drink wine. This older man for a minute probably had this idea that I had hitchhiked my way to New York accompanied by a Cat Stevens soundtrack. Maybe in an alternate universe I did ride a cosmic train to OWS. We continued speaking for a minute in a little offshoot group with some others. A younger man in a red jacket curiously asked me where in California to which I said "San Francisco." He then turned around and yelled "Oakland!" at the people behind him. As we spoke, a peoples' microphone was happening- where one person speaks as a large group repeats back what they say. Perhaps it was my wine daze, but OWS began to appear like a cult with this enveloping tent city and groups of people repeating back the words of one centralized person. It kind of weirded me out.
From where my friends and I stood, a guy from Philly came up to us after hearing our cultish observations. He fully agreed. Like other visitors, he was impressed at how many more people showed up to the New York one. Another guy with stringy brown hair and a cream t shirt came up to us and began to chime in as I made remarks about the tent city and how much it puzzled me. To me, the presence of the tent city is that of looking at a scene from a European music festival minus the acres of grass. As one would expect at any popular music festival, the residents seem to be bizarre, fringe characters and crusty looking hippie/punks/whatever. With the whole police yelling at you if you start to flood the sidewalk, it made me wonder how much of the tent space has limited visitors to stand and participate since I last popped by.
The second guy that had come up to us claimed he lived in the park saying that it was self sufficient and great. He seemed defensive which was fine with me, so I guess he came up to defend the tents? I said it basically looked like a homeless encampment though I understood why it was there. And I can appreciate the fact that people can harsh through the weather but when you have what seemed like hundreds of tents and makeshift homes, the words visual pollution start to come to mind. Even the Defender of the Tents somewhat agreed on it's shabby overall appearance and said they were working on getting military style tents. I figure I wouldn't hold my breath. I guess it was kind of a bummer to see the park looking the way it did because I could actually understand how and why Bloomberg could claim that the park looked unsanitary.
He asked me what I did and I told him I was a shoe designer. He started telling me that people offered to teach workshops and that I should teach a workshop to make shoes. I kind of wanted to smack him in the face. What the fuck does teaching people how to make shoes have anything to do with OWS? Okay I see the relevance of setting up a food kitchen and even holding talks with experts about policy reform or something. I guess I can understand people giving away free haircuts or even showing people how to silkscreen their own OWS t shirts? It was just kind of insulting that he made that comment because it seemed so far fetched that someone would want to use even more of this public space to create a makeshift commune where every hippie fantasy is creatively met at any whim. How about suggesting practical things? Like getting some corporate accountants to teach people how to pay less taxes in April? This guy must have been puffing on something cause I think for a second he was trying to assign me a village role. Why couldn't he just ask me to donate fruit snacks or something? I wonder if he's ever asked someone that worked at Dominos to give free pizza workshops at Liberty Park.
Although I believe real change can happen when people talk to each other; sometimes I really hate talking to people. Sea of People not Sea of Tents.
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Republicans may have bigger stake in NY primary than Democrats
Republicans are more likely than Democrats to have something on the line when New York holds presidential primaries on April 19, according to operatives of both major parties.
By then, the Hillary Clinton campaign, based in New York City, hopes to have at least a tentative grip on the Democratic nomination.
And even if Vermont Sen. Bernie Sanders lasts as a contender, New York party bigs will be committed to Clinton. In 2008, with her rival Sen. Barack Obama on his way to winning, her home state gave Clinton, its junior U.S. senator, 58 percent.
The GOP contest promises more volatility in part because of New York-based billionaire Donald Trump's so-far disruptive candidacy.
"Generally, I think there will be three or four candidates still in the mix by April," said Anthony Casale, an adviser to state Republican chairman Edward Cox, who is staying neutral in the fray. "I think we'll be in play."
This state joins the national process late. Early contests in Iowa (Feb. 1), New Hampshire (Feb. 9) and South Carolina (Feb. 20) are likely to give shape to both party contests. The 14-state Super Tuesday (March 1) primaries come a full 49 days before New York's.
Nassau County Democratic chairman Jay Jacobs, a Clinton partisan and member of the national party committee, said: "It could be the Republicans are settled by mid-April or it could be a free-for-all. It's fascinating — New York could be very important for the Republicans."
On one front, Jacobs said, "that makes me nervous." Gov. Andrew M. Cuomo is expected to schedule, for the same day as the presidential primary, the special election for a successor to convicted ex-state Sen. Dean Skelos (R-Rockville Centre). A competitive presidential primary could boost GOP turnout in Nassau's 9th Senate District, providing a possible edge for the party's candidate.
If Republicans gain an advantage in one key special election, however, the party's players will still need to worry about November, when they seek to hold on to their last state power base — the Senate in Albany.
Say, for example, that Texas Sen. Ted Cruz becomes the Republican presidential nominee. On Long Island, Rep. Peter King (R-Seaford) is already on the record calling the candidate a "big mouth," who in his Washington career has "led the Republican Party over the cliff" and "doesn't provide leadership."
So Republican candidates for the State Legislature and local office next year could face the danger of appearing on a ballot with a national nominee who is particularly unpopular among the state's mainstream voters. In 2010, a number of party members after Election Day blamed the irascible Carl Paladino, nominee for governor, for having hindered the rest of the GOP ticket.
Paladino is backing Trump. He wrote in a letter to fellow Republicans: "Donald Trump isn't a career politician beholden to the special interests that have damaged and weakened our once great nation."
Which sounds similar to what Paladino said of himself — before decisively losing this largely blue state to Cuomo.

subset: commoncrawl


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Two Arrested in Safwan Attempt to Murder Case
Mangaluru: The CCB police arrested two youth in connection with an attempt to murder case at Surathkal here, on July 9.
The arrested have been identified as Nithin Shetty (23) and Gaurav (24).
On April 26, Safwan Hasan from Kallapu Patna, was on his way home on his two-wheeler. Four youth followed him on two bikes and attacked him with machetes. Safwan was injured severely and was rushed to a private hospital.
In this connection, a case was registered in the Ullal police station under Sections 326, 307 and 34 of IPC.
The Ullal police had already nabbed four people in this case. Two others had been absconding after the crime. After receiving reliable information, the CCB police arrested Nitin and Gaurav from Surathkal.
Nitin Shetty has also been involved in Urwa Nanda Kumar's murder and a case is registered against him in the Urwa police station. The other accused, Gaurav, had previously been involved in the Prashanth murder case in Valencia. Both Nitin and Gaurav have also been involved in a dacoity case near Mahaveer College in Moodbidri in the month of April.
The CCB police have handed over Nitin and Gaurav to the Ullal Police for further investigation. CCB Inspector Valentine D'Souza, PSI Shyam Sundar and team have carried out the operation.


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Horse and donkey mating - At ve eşek çiftleşme - High quality
Description:At ve eşek çiftleşme
Horse and donkey mating
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Documentarul intre jurnalism si cinematografie/ The Documentary Between Journalism and Film (Romanian Version)
- Oana IACOB
The research method chosen was the analyze of the content. The main issues approached were: how to construct the visual and narrative discourse, the relationship between word and image, and characteristics of the material as media product. The materials used were the videotape which is attached to the work. Because is not selling as well as a news or show, the documentary is presented in small chapters in the major books on the themes of television. No. pg. 128
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
|This book is provided by Editura Lumen, Department of Economics in its series Books of PR and Communication with number 67 and published in 2006.
|Contact details of provider:
| Web page: http://www.edituralumen.ro
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text: hey guys i need a bit of help, since iv done the android update i cant download some app/games ( angry birds ) that i had before updating yesterday . does any one know y or how to fix it ???? and also when i did update it i recieved a new quick bar (bluetooth , screen dimer , etc etc i acidently deleted it and i dont know how to get that back.... any help on either of them will be great cheers shelley email@example.com im new to this site so dont really know how to use it


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Get certified - Transform your world of work today
Mindtree, Senior ConsultantMarch 2009 - Present, Bangalore, Karnataka, IndiaContribute to the Travel & Transportation industry group at Mindtree. As a member of this industry group she has worked as a business analyst for accounts like the world's leading air transport IT and communications specialists and one of the largest GDS companies. This encompasses Application Development in Agile/SCRUM methodologies for Passenger Service Systems used in the Airline industry. Her experience of a decade in the travel industry includes roles in various service industries- Airlines, Global Distribution Systems and Global Travel technology off-shoring for product development and transaction processing. She works with both, business and technical executives in cross-functional and cross-cultural teams.


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Welcome, European Institute of Peace! Last week, the European Institute of Peace was launched by nine foreign Ministers in Brussels. Its mission will be to contribute to and complement the global peace agenda of the EU. We have been long time supporters of the setting up of such an Institute, and in 2010, mediatEUr was asked by the Swedish and Finish Ministry of Foreign Affairs to design and conduct an inclusive process that would lead to the setup of the Institute; since then, our work on the project has focused on generating a business model, creating building blocks and general advisory work for the Institute.
Since January an EIP transition team is working from the offices of IDEA on the concrete steps for setting up the institute. The remainder of this year we continue to work and hand over content work on debriefings and methods of scoping missions. We are proud to have been part of this process, and satisfied to see the EIP get off the ground and as such have delivered on our mission as well: to develop and support organisations so as to enhance the quality and practice of peace mediation. We are confident that in the right conditions, the Institute will make an important contribution to European peacework. We salute also Carl Bildt, Alexander Stubb and Martti Ahtisaari as the early visionaries of European peace mediation. You can visit the EIP here: www.eip.org. Learn more about mediatEUr's role in the process here:http://goo.gl/0Yx9DP


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lol..holy jeebus!
They're starting a process in Miami!
Miami is meeting with their GM and coaches today. Word is there could be some firings but it's unclear. GM and OC are on the hot seat.
Armando Salguero is reporting that if Ireland(GM) is fired, Miami could turn to Mangini and Tanny to run the team. He also said that Mangini was a thought in the past and this could really happen should Ireland be canned.
lol..holy jeebus!
They're starting a process in Miami!
omg please be true.
I thought Mangini was looking for a GM position. What additional value could Tannenbaum bring there since he's not even a talent scout?
It's not a bad tandem, to have Mangini in charge of personnel evaluation and Tannenbaum as the cap guy.
Mangini is a terrible NFL coach but his personnel evaluation is ok (he's not perfect- after all the guy drafted Vernon Gholston). If he was strictly in the front office it would be a good thing. Philbin is also a guy who places emphasis on character - so they could mesh, in theory.
And Tannenbaum was never a true NFL GM. He was always a bean-counter who got lucky.
Tanny should be strictly a contract/cap guru, he's not a personnel guy and should never be a GM again. Would love this to happen.
Mangini is a good football man. Tanny can piss away cap dollars better than anyone.
A Revis reunion in Miami?
Here are the most interesting Miami Dolphins stories Wednesday around the Web:
Armando Salguero of the Miami Herald reports Eric Mangini and Mike Tannenbaum are names to consider with the Dolphins.
Morning take: It would be interesting to see two former New York Jets running the Dolphins. General manager Jeff Ireland is in the hot seat, and owner Stephen Ross may be considering replacements.
The Dolphins team site takes a look back at defensive end Olivier Vernon's breakout season.
Morning take: Vernon was a pleasant surprise after getting 11.5 sacks as a first-year starter. Vernon solidified his spot as one of Miami's best defensive players.
Charlie McCarthy of FoxSports.com says many questions remain with the Dolphins.
Morning take: It will be a tough offseason for Miami. The Dolphins are not expected to blow everything up. But changes will be made.
Chris Perkins of the Sun Sentinel writes the Dolphins' draft class did not produce.
Morning take: Kicker Caleb Sturgis was the most productive member of Miami's rookie class. That means a lot of young players must step up their game in Year 2.
I don't like the idea of former Jet honchos in the AFC East.
The last thing we need is these guys poaching players or assistants from our team.
I'm sure Tanny would be strictly the cap guy. No way would any NFL owner other than Woody Johnson allow that guy to make football decisions. As for Mangini, he did a terrible coaching job his last year here, but he's a smart guy and I wouldn't be surprised if he did well in that job.
Lol, this will really drive the Fish fans crazy. Two ex-Jets coming in to turnaround their morbid franchise. You can't make this stuff up. Think our 2 games will have extra meaning?
I wonder if we can trade our practice squad for that high Cleveland pick? Why people think Mangini has a good personnel sense is beyond me. He seemed utterly pedestrian as a drafter. And I can hardly wait for his new rules in Miami... "Buehler, Buehler?"
They have been talking about this on Miami sports talk radio as well. First Ireland has to be fired, which is not a sure thing. But if he was let go, Mangini would be GM and Tanny the cap guy. Mangini would run the show and be in charge of personnel.
Somehow, someway, Eric Mangini has developed this reputation for being a great talent evaluator, given credit for successful drafts and the like.
I'm unsure how this happened but I find it as fascinating as I feel it's absurd. He was the head coach people.


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How fresh can 17th-century scenes from scripture look hundreds of years later? Powerfully so, if Rembrandt is the artist who made them. It was always the human face, the human drama, that engaged him, be it in a portrait or a narrative picture. This dimension of Rembrandt's etchings is present in the new exhibition at Balboa Park's Timken Museum of Art, "Rembrandt's Recession: Passion and Prints in the Dutch Golden Age." The drama transcends any religious leanings in awe-inspiring images like "The Descent From the Cross by Torchlight" and "Christ Presented to the People (Ecce Homo)."On Saturday, to coincide with the show, the museum is bringing some major names in Dutch art scholarship to San Diego from London, New York and Canada for a symposium. It will be held the Joan B. Kroc Institute for Peace and Justice at the University of San Diego from 8:30 a.m. to 1 p.m. (619) 239-5548; Andrea Cutlip of USD, email@example.com or (619) 260-4261.
After a revamp project that was years in the works, Community Actors Theatre — an artistic fixture of the Oak Park neighborhood — recently inaugurated its newly rebuilt digs on 54th Street. Along with celebrating the space, this month the company also is commemorating Black History Month, with a show called "A Night of Broadway in Song." The piece, an affectionate nod to the African-American influence on Broadway musicals, draws on everything from "Porgy and Bess" to "Ain't Misbehavin'" to "Dreamgirls." Check out the sights and sounds starting this Friday and continuing on Fridays-Sundays through March 7. Tickets are $12-$14. (619) 264-3391 or communityactorstheatre.com.
There will be double-cause for celebration when jazz drum master Jeff Hamilton and his trio perform Wednesday night at the 730-seat Birch North Park Theatre. The all-ages concert coincides with the release of "Symbiosis," the latest album by Hamilton, the dazzling percussionist whose credits range from Oscar Peterson and Ray Brown to his ongoing gig in Diana Krall's band. Even better, the performance marks the debut of the monthly "Jazz in North Park" concert series, which is being co-presented by Lyric Opera San Diego and noted flutist Holly Hofmann, whose "Jazz in the Park" concert series at the San Diego Museum of Art drew consistently large audiences to hear top musicians during its run in Balboa Park between 2002 and 2008. birchnorthparktheatre.net/ or (619) 239-8836.
You could call the La Jolla Symphony & Chorus the thinking man's orchestra in terms of the way music director Steven Schick (pictured) curates each program. His selections, not only within a single program but across programs, seem to carry on a conversation with each other. The symphony's upcoming concerts feature Ives ("Three Places in New England") talking with Harrison (Concerto for Pipa & String Orchestra with Wu Man) talking with Dvorak (Symphony No. 9, "From the New World"). And this exchange regarding what is American (music) occurs with the ensemble's December performance of Bernstein's "Mass" in the background. You can listen in on the discussion Saturday (8 p.m.) and next Sunday (1 p.m.) at UCSD's Mandevill Auditorium.lajollasymphony.com or (858) 534-4637.


text:
Monster in the lake after John Collier
As he shaved, Mr Beaseley examined his face in the mirror. 'I'm getting older,' he thought. 'But what do I care? I don't care, even if Maria does.'
He put on his tie and hurried downstairs. He didn't want to be late for breakfast. Immediately after breakfast he had to open his drugstore, and that always kept him busy until ten o'clock at night. He never made much money, although he worked very hard. Sometimes, during the day, Maria Beaseley came into the shop and pointed out the mistakes that he was making. She did this even when there were customers there.
He found a little happiness every morning when he opened the newspaper. For a short time he could forget his boring life. On Fridays he enjoyed himself even more. On Fridays he got a copy of his favorite magazine, Nature Science Marvels. With Nature Science Marvels he escaped from his hopeless life into an exciting world.
This morning, exciting news came to Mr Beaseley in his own home. It came in a long envelope from a lawyer.
'Believe it or not, my dear,' Mr Beaseley said to his wife. 'Someone has died and left me four hundred thousand dollars.'
'Where? Let me see,' cried Mrs Beaseley. 'Give the letter to me!'
'OK!' he said. 'Read it! Push your nose into it! Do you think it will help you?'
'Oh! Oh!' she cried. 'The money has already made you uppish!'
More »


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Disabled Veteran Seeks Disability Grant For Financial Assistance
by Richard
(Palm Harbor, Florida, USA)
I am a 46 year old Marine Combat Veteran. I am a single parent of three children. My two boys live with me.
I was medically discharged in 1994 from the Marine Corps for injuries incurred during service. My feet were injured, specifically my left foot.
In 2008, I re-approached the VA. I re-submitted claims for disabilities incurred on active duty.
In 2011, the VA performed surgery on my feet. This was an attempt to correct my physical and emotional limitations, as well as chronic acute pain. I was unable to work throughout the periods of convalescence during my surgeries. I then lost income and savings in order to maintain my household.
An additional corrective surgery was scheduled for November 2012. This was to replace the joint solution provided by the VA for my right foot. The joint became misaligned during use. It caused acute debilitating pain.
During this period of convalescence, financial aid and assistance is needed. This will be used to cover medical expenses, rent, utilities, and daily expenses associated with the household.
Disability Issues
I had physical limitations associated with disability. I was unable to run. My ability to walk and stand without acute pain was reduced.
I am working as an operations supervisor for UPS. However, during the course of my day to day activities, my physical disability has caused severe pain. It limited my ability to perform daily assignments on a regular basis. As a result, I have to turn to a medical solution in order to address my issues.
Financial Hardship
I am unable to maintain medical insurance monthly coverage. This also includes paying monthly rent and utilities, as well as day to day needs associated with food and lodging.
During the last surgery, I used all of my savings and financial resources. Unfortunately, I no longer have any more savings to live off of at this time.
Income Efforts
I am currently employed full time by UPS. However, I am out on personal leave / FMLA due to my surgery. I am not receiving my normal salary.
This period of convalescence is unknown. Tentative return to report for work is on January 2013 if I am able to walk. However, I won't be able to return to 100% even with this operation.
Specific Needs
I specifically need financial aid and assistance to cover my insurance, medical, dental fees, and other things needed for myself and my children's everyday life.
Comments for Disabled Veteran Seeks Disability Grant For Financial Assistance
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text:
Man Accused of David Letterman Kidnap Plot Escapes from Jail
The man accused of conspiring to kidnap David Letterman's son has escaped from prison and may be armed.
Kelly A. Frank broke out of Montana State Prison in the Deer Lodge Valley with 22-year-old fellow inmate William Willcutt over the weekend, according to officials.
The pair is believed to have escaped in a truck.
Prison warden Mike Mahoney says, "We have intelligence that leads us to believe these guys may be armed."
In 2005, Frank was accused of conspiring to kidnap the talk-show host's then-infant son Harry from the Letterman ranch in Montana.
After the kidnapping charge was dropped, he was sentenced to 10 years imprisonment after pleading guilty to felony theft and misdemeanor obstruction.
COPYRIGHT 2007 WORLD ENTERTAINMENT NEWS NETWORK LTD. All Global Rights Reserved.


text:
Lawrence A. Ho and J. Randall Curtis
Emergency medicine is typically characterized as a fast-paced, procedure-based specialty that focuses on the evaluation and stabilization of acutely ill patients. Training of emergency medicine physicians, therefore, is centered on interventions aimed at preserving life and achieving clinical stability. At times, however, when these interventions fail, the core tenets of emergency medicine can appear to be at odds with those of palliative care, which balances quality of life with the burdens of invasive treatment. In the intensive care unit (ICU) setting, successful integration of palliative care has been shown to be associated with a number of key outcomes. These outcomes include improved quality of death and dying, shorter ICU length of stay for patients who die in the ICU, increased family satisfaction, and reductions in family members' psychological symptoms after a patient's death.1–5
These benefits have also been recognized in the emergency department (ED), evidenced by positive physicians' attitudes and a growing body of literature regarding palliative care in the ED.6–11 Hospice and palliative medicine are now also official subspecialties of the American College of Emergency Physicians. Despite these advances, significant challenges remain in the successful integration of palliative care in the ED. These include medicolegal issues (which may lead the emergency physician to favor aggressive over palliative treatment to avoid litigation), a narrow view of the role of the emergency physician (perpetuating the perception that end-of-life issues should be addressed by inpatient teams), and lack of awareness among ED staff about ED palliative care resources.8,12
The importance of palliative care and end-of-life decision making in the ED is increasingly evident. The majority of seriously ill patients begin their hospital course in the ED, and decisions made in the ED frequently dictate subsequent medical decisions and therapeutic direction.13–15 Because patients who die in the ED are often elderly, ED-based end-of-life discussions and decisions are likely to become increasingly important as our population ages.6 A comprehensive discussion of palliative care in emergency medicine is beyond the scope of this book; therefore, this chapter focuses on the pillar of successful palliative care, namely, communication. In the growing literature on the role of palliative care in the ED, there is little specific guidance for ED-based discussions on end-of-life care. This review, and the recommendations made, is therefore largely extrapolated from the critical care literature.
Deaths in the hospital setting often involve withholding or withdrawing life-supporting treatments. In the ICU, the percentage of such deaths is as high as 90%.16 Limited data suggest that this proportion is considerably lower in the ED, but decisions to limit life-sustaining treatment in this setting are nevertheless common.
The decision to withhold or withdraw life-sustaining therapies should always involve effective communication, including sharing information about illness and prognosis, offering support, and engaging patients and families in the treatment decision process.17 Families rate successful communication as one of the most important skills of a quality health care provider, and effective communication has been shown to improve patient and family outcomes.18–21 Significant barriers to successful communication do exist, however; and when asked, few families consider patient–clinician communication to have been adequate.22
General End-of-Life Communication Considerations
End-of-life care in the intensive care or acute care setting typically involves multiple health care professionals from different disciplines. This is true even in the ED, where time from presentation to disposition is typically measured in hours, rather than days. It is important that all team members who communicate directly with patients and families be involved in the end-of-life decision-making process.23 Clear communication—and, ideally, agreement—within the health care team about appropriate patient care helps prevent conflicting messages to the patient or family, facilitates cooperation among clinicians, and minimizes provider internal conflict and "burnout."24–28
Although consensus among providers is very important, the fundamental goal of any end-of-life discussion is to align clinicians', patients', and/or families' views of what is happening to the patient. The most challenging conversations occur when the clinicians' and patients' and/or families' goals of care differ. Although aligning separate viewpoints can be time consuming, these efforts, if successful, greatly facilitate future decisions about end-of-life care.23 A useful mnemonic that can enhance clinician–family communication is VALUE.17,29,30
VALUE: 5-Step Approach to Improving Communication in ICU with Families
Reproduced from Curtis et al. Practice guidance for evidenced-based ICU family conferences. Chest. 2008;134(4):835–843.
When this mnemonic was used as part of an intervention to improve clinician–family communication in the ICU, it was shown to significantly reduce family symptoms of depression, anxiety, and posttraumatic stress disorder 90 days after the patient's death.3
The appropriate time to initiate of end-of-life care conversation can be difficult to gauge. It is generally a good idea to discuss end-of-life issues as soon as possible for the seriously ill patient, although circumstances may dictate different timing.23 Conversations held early in the ED course often focus on prognosis and treatment options, rather than on withdrawal/withholding of life support and end-of-life care; even so, they can set the stage for subsequent end-of-life care conversations once the patient is admitted to the hospital. For patients with a very poor prognosis or with severe underlying terminal or life-limiting illnesses, discussion of withdrawal/withholding of life support and end-of-life is appropriate in the ED.
A recent qualitative analysis of communication between patients and providers identified six essential themes.31 These include (1) talking with patients in an honest and straightforward way, (2) being willing to talk about dying, (3) giving bad news in a sensitive way, (4) encouraging questions from patients, (5) being sensitive to when patients are ready to talk about death, and (6) listening to patients. Of these, listening to patients and families is of the greatest importance. Clinicians tend to dominate communication with patients and families; an observational study evaluating audiotapes of family conferences in the ICU found that clinicians spent 70% of time talking and only 30% of the time listening.30 This study also found that the higher the proportion of time a family spent speaking, the more satisfied the family was with the conference.
Cross-Cultural Communication and Spirituality
Cultural or language barriers may limit successful communication. Family allies, such as religious or community leaders as well as professional interpreters, can be useful in easing these barriers.32Unfortunately, even with professional interpreters, communication errors are common and can affect patient and family understanding, emotional support, and decision making.33,34 To mitigate these errors, clinicians can take several simple steps: include interpreters in a heath care team meeting prior to the family conference; speak slowly to allow time for interpretation and use pictures or drawings when possible; and try to limit simultaneous conversations.35
Spiritual care is very important to many patients and their families, but it is an area of palliative care that many clinicians identify as needing improvement.36 Family satisfaction with care is increased if spiritual care needs are assessed and a spiritual care provider is made available.37,38 Provision of spiritual care in the ED can be challenging due to time constraints; however, many hospitals have spiritual care providers available on call.
Family Conferences
As patients are often unable to participate in end-of-life discussions in the setting of an acute or critical illness, family conferences are an essential communication tool. Even with the time constraints in the ED, the family conference can be very useful, albeit in often abbreviated form. Family conferences can also provide an opportunity for palliative care consultants to become involved in patient care. Appropriate preparations, including the use of a "preconference" and following a predetermined, semi-structured conversation format can help ensure an efficient and successful conference. It is, however, also important to be able to adapt this structure to met the needs of individual patients and family members.
Prior to leading a family conference, the clinician should encourage all active members of the team to be involved. Team members should meet in a "preconference" to agree on conference goals and to identify issues or conflicts likely to arise either between team members or with the family during the meeting.23
Many family conferences follow a similar structure.39 This structure typically includes (1) individual introductions and a quick discussion of the goals and agenda, (2) asking the family to describe their understanding of what is happening, (3) an information exchange about the illness and treatments (from clinicians, generally) and about the patient's preferences and values (from the family, generally), (4) a discussion of the prognosis for survival and quality of life, and (5) a discussion of the goals of care and decisions that need to be made.
Several studies have shown that certain conference features result in improved ratings for communication and family experience. These include holding the meeting in a private place, consistent communication among all members, assuring families that patients will be kept comfortable and will not be abandoned no matter what treatment path is followed, and the use of empathic statements by the clinicians.40–42
At the conclusion of family conferences, it is important that the clinicians make a recommendation. There is a tendency for some clinicians to merely describe the treatment options, but avoid providing a recommendation.43 In cases of withholding or withdrawing life support, recommendations are often particularly important. It is not uncommon for family members to resist being put in the position of making the decision to "give up" or "pull the plug."
Often, family members must make critical decisions for their loved ones. In this case, it is important for the clinician to understand and convey the principles of surrogate decision making. The surrogate is asked to consider what the patient would want if he or she could speak for himself or herself—and not to weigh his or her own preference for the patients' care—or what he or she would choose if placed in the patient's situation. This clarification can be especially helpful when the surrogate is faced with continuing or discontinuing life-sustaining therapy.
There is a range of potential roles for physicians in the end-of-life decision-making process. Several critical care societies have issued a joint consensus statement advocating a shared decision-making approach,44 in which the physician and family share their opinions and jointly reach a decision (Fig. 60.1). Family members and patients may prefer varying degrees of involvement in the decision-making process, so it is important for the physician to take time to determine individual family members' preferred roles.45 It is also important for the physician to understand that the spectrum of preference ranges from allowing the physician to make the decision, to family members assuming full responsibility for the decision. As the prognosis of a patient worsens, the physician's willingness to take on the burden of a decision should increase.
Figure 60.1 A schematic for approaching decisions about withholding and withdrawing life support in the ED. Reproduced from Curtis et al. Practice guidance for evidenced-based ICU family conferences. Chest. 2008;134(4):835–843.
Resuscitation is a common topic of end-of-life discussions and family conferences. Resuscitation following a cardiac arrest should follow the adult cardiac life support (ACLS) algorithm. While it is possible for a family to consider separate components of the ACLS algorithm (chest compressions, intubation, medications, cardioversion, etc.), these discussions can be unnecessarily complex and can lead to unrealistic expectations (e.g., chest compressions and cardioversion, but no intubation). In general, resuscitation should be discussed as a single entity.
The feeling of abandonment, in both patients and families, is common in the end-of-life process. Although patients and families usually do not use the word "abandon," they express this feeling in different ways. Families may either request that everything be done to cure the patient despite overwhelmingly poor chances for survival, or they may express concerns about "letting go" or "giving up."46 Being aware of these expressions helps the clinician address such concerns. Ensuring that the patient is not suffering and that his or her end-of-life preferences are respected supports nonabandonment. Clinicians should also be mindful of language that may heighten a sense of abandonment. For example, "withdrawal of care" should not be used synonymously with "withdrawal of life support." Following a decision to withdraw or withhold life-sustaining treatments, some patients and families may be worried about transferring to a less intensive care area of the ED; in this case, the clinician should convey that the patient will continue to receive timely and appropriate treatment.
After having an end-of-life conversation with the family, it is imperative to explore the families' reactions and feelings.39 Several approaches can be used. First, the clinician should summarize what the patient or family has said. This active listening technique verifies to the patient or family that they have been heard; it is especially useful when the clinician and family have differing views. Second—since strong emotions often develop during conversations about prognosis or end-of-life care—the clinician should recognize the family's emotions and explore how and why patients and family members feel the way they do. Exploratory questions, such as "tell me more about that," and reflective statements, such as "it seems to me that you are very upset," can draw out and support family members in the discussion. Finally, once a decision has been made, the clinician can support the family by acknowledging the difficulty of the situation, expressing agreement that the decision is consistent with the patient's values, and voicing appreciation for all family members' comments.
While challenges to successful implementation of palliative care in the ED remain, there is a growing awareness that conducting effective end-of-life discussions is an important component of the ED clinician skill set. Effective communication is a prerequisite to good palliative care, and, although multiple barriers to this goal exist in a busy ED, the evidence-based strategies discussed in this chapter can help clinicians, patients, and their families find common ground.
1.Campbell ML, Guzman JA. Impact of a proactive approach to improve end-of-life care in a medical ICU. Chest. 2003;123:266–271.
2.Curtis JR, Treece PD, Nielsen EL, et al. Integrating palliative and critical care: evaluation of a quality-improvement intervention. Am J Respir Crit Care Med. 2008;178:269–275.
3.Lautrette A, Darmon M, Megarbane B, et al. A communication strategy and brochure for relatives of patients dying in the ICU. N Engl J Med. 2007;356:469–478.
4.Norton SA, Hogan LA, Holloway RG, et al. Proactive palliative care in the medical intensive care unit: effects on length of stay for selected high-risk patients. Crit Care Med. 2007;35:1530–1535.
5.O'Mahony S, McHenry J, Blank AE, et al. Preliminary report of the integration of a palliative care team into an intensive care unit. Palliat Med. 2010;24:154–165.
6.Couilliot MF, Leboul D, Douguet F. Palliative care in emergency departments: an impossible challenge? Eur J Emerg Med. 2012;19:405–407.
7.Glajchen M, Lawson R, Homel P, et al. A rapid two-stage screening protocol for palliative care in the emergency department: a quality improvement initiative. J Pain Symptom Manage. 2011;42:657–662.
8.Grudzen CR, Richardson LD, Hopper SS, et al. Does palliative care have a future in the emergency department? Discussions with attending emergency physicians. J Pain Symptom Manage. 2012;43:1–9.
9.Grudzen CR, Stone SC, Morrison RS. The palliative care model for emergency department patients with advanced illness. J Palliat Med. 2011;14:945–950.
10.Lamba S, Nagurka R, Walther S, et al. Emergency-department-initiated palliative care consults: a descriptive analysis. J Palliat Med. 2012;15:633–636.
11.Rosenberg M, Lamba S, Misra S. Palliative medicine and geriatric emergency care: challenges, opportunities, and basic principles. Clin Geriatr Med. 2013;29:1–29.
12.Grudzen CR, Richardson LD, Major-Monfried H, et al. Hospital administrators' views on barriers and opportunities to delivering palliative care in the emergency department. Ann Emerg Med. 2013; 61:654–660.
13.Meier DE, Beresford L. Fast response is key to partnering with the emergency department. J Palliat Med. 2007;10:641–645.
14.Kenen J. Palliative care in the emergency department: new specialty weaving into acute care fabric. Ann Emerg Med. 2010;56:A17–A19.
15.Smith AK, Schonberg MA, Fisher J, et al. Emergency department experiences of acutely symptomatic patients with terminal illness and their family caregivers. J Pain Symptom Manage. 2010;39:972–981.
16.Prendergast TJ, Luce JM. Increasing incidence of withholding and withdrawal of life support from the critically ill. Am J Respir Crit Care Med. 1997;155:15–20.
17.Curtis JR, Patrick DL, Shannon SE, et al. The family conference as a focus to improve communication about end-of-life care in the intensive care unit: opportunities for improvement. Crit Care Med 2001;29:N26–N33.
18.Hickey M. What are the needs of families of critically ill patients? A review of the literature since 1976. Heart Lung. 1990;19:401–415.
19.Nelson JE. Identifying and overcoming the barriers to high-quality palliative care in the intensive care unit. Crit Care Med. 2006;34:S324–S331.
20.Azoulay E, Pochard F, Kentish-Barnes N, et al. Risk of post-traumatic stress symptoms in family members of intensive care unit patients. Am J Respir Crit Care Med. 2005;171:987–994.
21.Prendergast TJ, Claessens MT, Luce JM. A national survey of end-of-life care for critically ill patients. Am J Respir Crit Care Med. 1998;158:1163–1167.
22.Azoulay E, Chevret S, Leleu G, et al. Half the families of intensive care unit patients experience inadequate communication with physicians. Crit Care Med. 2000;28:3044–3049.
23.Curtis JR, Rubenfeld GD. Improving palliative care for patients in the intensive care unit. J Palliat Med. 2005;8:840–854.
24.Abbott KH, Sago JG, Breen CM, et al. Families looking back: one year after discussion of withdrawal or withholding of life-sustaining support. Crit Care Med. 2001;29:197–201.
25.Tilden VP, Tolle SW, Garland MJ, et al. Decisions about life-sustaining treatment. Impact of physicians' behaviors on the family. Arch Intern Med. 1995;155:633–638.
26.Poncet MC, Toullic P, Papazian L, et al. Burnout syndrome in critical care nursing staff. Am J Respir Crit Care Med. 2007;175:698–704.
27.Curtis JR, Puntillo K. Is there an epidemic of burnout and post-traumatic stress in critical care clinicians? Am J Respir Crit Care Med. 2007;175:634–636.
28.Embriaco N, Azoulay E, Barrau K, et al. High level of burnout in intensivists: prevalence and associated factors. Am J Respir Crit Care Med. 2007;175:686–692.
29.Curtis JR, Engelberg RA, Wenrich MD, et al. Missed opportunities during family conferences about end-of-life care in the intensive care unit. Am J Respir Crit Care Med. 2005;171:844–849.
30.McDonagh JR, Elliott TB, Engelberg RA, et al. Family satisfaction with family conferences about end-of-life care in the intensive care unit: increased proportion of family speech is associated with increased satisfaction. Crit Care Med. 2004;32:1484–1488.
31.Wenrich MD, Curtis JR, Shannon SE, et al. Communicating with dying patients within the spectrum of medical care from terminal diagnosis to death. Arch Intern Med. 2001;161:868–874.
32.Kagawa-Singer M, Blackhall LJ. Negotiating cross-cultural issues at the end of life: "You got to go where he lives". JAMA. 2001;286:2993–3001.
33.Pham K, Thornton JD, Engelberg RA, et al. Alterations during medical interpretation of ICU family conferences that interfere with or enhance communication. Chest. 2008;134:109–116.
34.Thornton JD, Pham K, Engelberg RA, et al. Families with limited English proficiency receive less information and support in interpreted intensive care unit family conferences. Crit Care Med. 2009;37:89–95.
35.Norris WM, Wenrich MD, Nielsen EL, et al. Communication about end-of-life care between language-discordant patients and clinicians: insights from medical interpreters. J Palliat Med. 2005;8:1016–1024.
36.Ho LA, Engelberg RA, Curtis JR, et al. Comparing clinician ratings of the quality of palliative care in the intensive care unit. Crit Care Med. 2011;39:975–983.
37.Wall RJ, Engelberg RA, Gries CJ, et al. Spiritual care of families in the intensive care unit. Crit Care Med. 2007;35:1084–1090.
38.Gries CJ, Curtis JR, Wall RJ, et al. Family member satisfaction with end-of-life decision making in the ICU. Chest. 2008;133:704–712.
39.Curtis JR, Engelberg RA, Wenrich MD, et al. Studying communication about end-of-life care during the ICU family conference: development of a framework. J Crit Care. 2002;17:147–160.
40.Pochard F, Azoulay E, Chevret S, et al. Symptoms of anxiety and depression in family members of intensive care unit patients: ethical hypothesis regarding decision-making capacity. Crit Care Med. 2001;29:1893–1897.
41.Selph RB, Shiang J, Engelberg R, et al. Empathy and life support decisions in intensive care units. J Gen Intern Med. 2008;23:1311–1317.
42.Stapleton RD, Engelberg RA, Wenrich MD, et al. Clinician statements and family satisfaction with family conferences in the intensive care unit. Crit Care Med. 2006;34:1679–1685.
43.Quill TE, Brody H. Physician recommendations and patient autonomy: finding a balance between physician power and patient choice. Ann Intern Med. 1996;125:763–769.
44.Carlet J, Thijs LG, Antonelli M, et al. Challenges in end-of-life care in the ICU. Statement of the 5th International Consensus Conference in Critical Care: Brussels, Belgium, April 2003. Intensive Care Med. 2004;30:770–784.
45.Heyland DK, Tranmer J, O'Callaghan CJ, et al. The seriously ill hospitalized patient: preferred role in end-of-life decision making? J Crit Care. 2003;18:3–10.
46.West HF, Engelberg RA, Wenrich MD, et al. Expressions of nonabandonment during the intensive care unit family conference. J Palliat Med. 2005;8:797–807.


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Discover the pitfalls - and benefits - of the expanded FMLA.
FMLA in the Trenches: Advanced Tips & Tactics for Administering Problematic Leaves of Absence
Maybe you already speak "FMLA-ese" and have a general understanding of the recent changes to FMLA regulations. But don't stop there – your employee's lawyer won't! Our advanced FMLA training, FMLA in the Trenches, will teach you how to:
FMLA in the Trenches is for moderate-to-experienced HR professionals and benefits administrators who are responsible for reviewing and/or making determinations about FMLA leave requests.Rather than a review of the law's basics, this session dives right into the complex (and legally dangerous) FMLA issues you face each day.The FMLA opens a whole new area of potential risks and legal hoops to jump through. But it also hands you some additional tools to protect your company and effectively administer problematic leaves of absence. This session explores both.Our promise: By the end of this recording, you will feel much more comfortable applying the FMLA in your workplace.Specifically, you'll learn:
This comprehensive session focuses not only on the requirements of the FMLA, but how those requirements work with the law that's been an administrative nightmare for more than 20 years. You'll learn how to administer and apply the FMLA in the face of regulatory updates, statutory changes and new court rulings.
Sincerely, Pat DiDomenico Editorial Director, HR Specialist
P.S. Your satisfaction is unconditionally guaranteed. If FMLA in the Trenches fails to meet your needs, we will refund every penny you paid — no hassles, no questions asked.
Hear a Free 90-Second Clip of FMLA in the Trenchesfrom Michelle Maslowski:
About Your Speaker: Michelle Maslowski is an attorney with Ogletree Deakins in the firm's Indianapolis office. Her practice is focused on representing and counseling clients from several industries on a variety of different employment law topics, including the FMLA, Title VII and the FLSA. She has significant litigation experience in both federal and state courts and represents employers at the administrative level, including claims filed with the EEOC and NLRB.
Who Should Listen:
Credit Hours:
This recording has been approved for 1.25 credit hours toward PHR and SPHR recertification through the Human Resource Certification Institute (HRCI).


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http://spi.com.sg/wp-content/uploads/2014/04/SPI-Logo-Black-Background-copy1-300x186.jpg 0 0 nana http://spi.com.sg/wp-content/uploads/2014/04/SPI-Logo-Black-Background-copy1-300x186.jpg nana2004-01-11 22:03:222013-01-13 22:03:53Ghost Marriage
Ghost Marriage
|Do ghosts get married? Why do they demand so? How was such spiritual wedding like? In this intriguing investigation, SPI exclusively interviewed the Taoist Priest in-depth from Seng Wang Beo Temple who has many years of experiences in conducting this ghost marriage ritual. The observation of such amazing ritual was documented and published for research purposes. Ghost marriage is one of the most controversial occult activities under the scrutiny of religions. At the same time, it is also an epitome of cultural belief blended with a high degree of paranormal concepts. Can human souls be really summoned up from Hell and then be pronounced to a legally married couple in the underworld? Is it a classic of Taoist magic or simply a ridiculous hoax? SPI presents to you the raw facts and insights of this paranormal phenomenon. You'd be your own judge to evaluate this incredible myth.


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Early last month, Absecon (N.J.) Holy Spirit prospect Marcus Witherspoon named a top three of Michigan, Georgia and Notre Dame. This past weekend, the 6-2, 215-pound outside linebacker with 4.5 40-...
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Yes, we do offer Click&Collect. As part of the Foray Motor Group, we offer the possibility to collect your order from one of the dealerships in Andover, Bridgwater, Chard, Dorchester, Poole, Salisbury, Shaftesbury, Taunton or Yeovil. Choose your preferred pick-up location upon checkout.
Did you not find an answer to your question? Contact us directly on LiveChat.


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Detalii loc de munca - Cork, Ireland
Descrierea jobului - Irlanda
Client: The company supports customers all over the world with regards to level 1 and level 2 IT helpdesk support. You will be joining a dynamic team of experienced specialists and you will be trained extensively in all aspects of the role before dealing with our customers. Here there is the opportunity to further develop your skills in dealing with customers from multiple countries across the globe. Job Description: The purpose of the role is to provide resolution to Helpdesk service requests within a timely manner and to demonstrate technical expertise and exceptional customer service skills. Interact with customers via telephone, e-mail and the web, providing technical support and problems solving abilities. Work with departmental staff to promote, develop, and maintain strong customer service values. Our benefits: • Health Insurance contribution • Cycle to work scheme • Employee Assistance Programme (EAP) • Performance Related Pay (PRP) • Paid Maternity Leave • Paid Paternity Leave • Relaxation Area – with DVD player / wifi / pool table • Gym BEST OF LUCK and hear from you soon!!
Requirements: •Expert Communication Skills •Expert PC Skills •Expert language abilities in written and oral English, plus Danish. •Advanced experience in Organization Development: Service Orientation, Insight, •Previous Helpdesk experience preferred and solid IT background •Flexibility •Excellent Communication skills •Previous Team working experience •Customer orientated professional


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News Roundup [abridged Versions Appear In The Paper Journal]
WHO's plan to police health websites rejectedBMJ 2000; 321 doi: https://doi.org/10.1136/bmj.321.7272.1308/b (Published 25 November 2000) Cite this as: BMJ 2000;321:1308
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- John Illman
- London
The body that approves so called "top level" domain names for the internet last week rejected a plan that would have made the World Health Organization (WHO) one of the most powerful players on the world wide web.
The WHO wanted to establish a "dot health" domain to guide internet users to "reliable" health sites. Websites with the dot health (.health) suffix would have carried the WHO's seal of approval, giving the WHO a formidable policing role—and unprecedented …
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CRB Tech Reviews Try not to get shocked by the quantity of known appearances in the film, these individuals are really there, be that as it may it's hard to clarify why. 'Rajdhani Express' arrangements with a rationally delicate person called Keshav (Leander Paes), at any rate this is the way the character runs over, who is fleeing from a feared Delhi man Bhaijee (Kiran Kumar). Where might he go other than Mumbai, this is going on since time immemorial, and no point for speculating that the train he loads up is 'Rajdhani Express'. His kindred travelers make Keshav understand that separation exists everywhere throughout the world however in various structures. What we find in this video is a hot scene between Sudhanshu Pandey and Puja Bose. For more such Reviews visit CRB Tech Reviews.
The video starts is where a person goes for a sleep and a person is coming back from a smoke. They had just finished their night drinks and are looking for a good night nap. We are also going to see what happens that to be an love making scene in a washroom. Puja acts like a lady who earns money from sexy body. We are also getting the reason to laugh it off that something like this does happen on a train journey.
What looks like an good movie does turn out to be an big flop. You are the one who has offered but you are the one who took it. It does seem a bit surprise.


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Relay For Life of Tamaqua Area proclamation
Tamaqua Mayor Christian Morrison presented a proclamation for the American Cancer Society Relay For Life of the Tamaqua Area to members of the Relay committee at the Tamaqua train station. The annual Tamaqua Area Relay will be held from 2 p.m. on Friday, June 25 to 2 p.m. on Saturday, June 26 at the Hometown Farmers' Market. Participating in the proclamation were, from left, Heather Eltringham, Survivors chairperson; Judy Hoppes, American Cancer Society staff member; Mayor Morrison and Hurst; Diane O'Donnell, co-chairperson; Linda Heigele, committee member; and Erla Biasi, team member of Luther's Angels of St. John Evangelical Lutheran Church.


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The Deepwater Horizon Oil Spill Multi-District litigation update. Rhon E. Jones Environmental Section Head Beasley, Allen, Crow, Methvin, Portis & Miles, P.C. Overview.
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Rhon E. Jones
Environmental Section Head
Beasley, Allen, Crow, Methvin, Portis & Miles, P.C.
"civil actions involving one or more common questions of fact are pending in different districts," those actions may be transferred to any district for coordinated or consolidated pretrial proceedings.
Carl J. Barbier
Education:Southeastern Louisiana University, B.A., 1966Loyola University New Orleans School of Law, J.D., 1970
Federal Judicial Service:Judge, U. S. District Court, Eastern District of LouisianaNominated by William J. Clinton on May 19, 1998;
Confirmed by the Senate on September 28, 1998,
Commission on October 1, 1998. Professional Career:Law clerk, Hon. William Redman, Louisiana Court of Appeal, Fourth Circuit, 1969-1970Law clerk, Hon. Fred Cassibry, U.S. District Court, Eastern District of Louisiana, 1970-1971Private practice, New Orleans, Louisiana, 1971-1998
A chain of command must be structured to manage the enormous burden of fact gathering, discovery, testing and overall direction of such a massive case:


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This was a short piece I wrote from Coachella 2010 about GSH…
I am at Coachella in the hushed Gobi tent waiting for Gil Scott Heron, who is known in many circles as "The Godfather of Rap". Given the political consciousness that lies at the foundation of his work, he is also considered the founder of political rap. I know this because I read Wikipedia.
All day, I have been struggling at Coachella, certain that I am the oldest person here, but in the Gobi tent, I have found a more mature crowd. These are socially aware people, who realize that we must come and pay homage to Gil, because you know – he's old, and black, and once knew Martin Luther King Jr. I've read that his album Message to the Messengers was a plea for the new generations of rappers to speak for change rather than perpetuate the current social condition. He called on them to be more articulate and more artistic. I'm not really sure that they heard him, but at least he put the message out there. I've also learned – rather recently – that he coined the phrase 'The Revolution Will Not Be Televised', which the Gorillaz (i.e. my pretend boyfriend Damon Albarn) paid homage to when they (i.e. he) wrote the post modern lyrics 'The revolution will be televised' on the title track of the Gorillaz latest release, Plastic Beach. This kind of continuity excites me.
Gil finally comes out, and he looks really old for sixty-one. Despite his musical success, he's been in and out of jail for the last ten years on cocaine charges. No one's perfect I suppose. He sits down at his Hammond organ, and starts tinkling around on the keys while he talks to the audience. It's all very shuck and jive, and not in a good way. It sounds like he's reciting a shopping list, "Corn dogs, apple butter, tomato!" he shouts.
The people are hanging on his every word. He says something like, "Hey, the tent is white," and everyone claps.
Then he says, "I like a white tent. Better than an army tent!"
This time people laugh hysterically, even though it's not funny at all. People are nervously second guessing their own comic taste, worried that there's something brilliant going on. I've been around old black musicians and I've seen this game. He's trying to get people to laugh at nothing. It's a power thing. When I was a student at Manhattan School of Music, I lived next door to Eddie Locke who had gained fame as Roy Eldridge's drummer. Eddie was a legend in the neighborhood, he was even in that famous Art Kane photograph A Great Day In Harlem that featured 57 of the most famous jazz musicians of all time. Eddie, loved to blather on and on, and young musicians used to flock to his apartment and sit as his feet as if he were some Jazz Shaolin monk. He'd make jokes that were awful, tell stories that had no ending, and everyone would just laugh and laugh. One day after they had all left he turned to me and said, "Hey, Pip…" (he called me Pip as in 'pipsqueak' because I was small), "Why don't you laugh at my jokes?"
"Because you're not funny," was my response. Continue reading


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Get a free shipping quote.
Eliah is a gorgeous 10yr dark bay overo paint gelding that stands 15.1 hands tall, with a very pretty head, big kind eyes, flashy color and lots of eye appeal. He is a big pet, loves people, has a great disposition, is gentle for the whole family, a great first horse, been ridden by kids and adults. Eliah has been ridden on numerous trail rides, down the road by himself, with other horses in a group, been leadlined off of, ponied off of, been shown in 4h in walk trot,has a very nice headset, been to a few playdays, ridden in parades and been around cattle.... (read more)
I Specialize in family, kids, trail, ranch, show, barrel, rope, western and english horses. I can supply references, been selling horses for over 25 years. All of my horses are in good health, they have neg coggins and are well taken care of. If i don't have what you are looking for at the time then i can find you a specific horse for your needs. Please call me at 817-269-9979 or email me at ronin7777@msn.... (read more)
Avoid Scams and Fraud - Potential areas of fraud: wire transfer, moneygrams, money orders, cashier checks, shipping, escrow, "transaction protection", "guarantee". Check out the Buyer Safety section for more info.


text:
168 Forest Avenue, Brockton, Massachusetts
$499,9009 Beds3 BathsActive
$499,9009 Beds3 BathsActive
168 Forest Avenue, Brockton, Massachusetts 02301 - Would you like have your tenant to help you pay your mortgage and you live mortgage free? Are you looking for a well-maintained west side multi-family? Property is walk-able distance to lots of area amenities. This is a turnkey investment or a perfect property for an owner occupant with ample parking and plenty of yard space for barbecues or entertaining. Updated heating, plumbing, windows (new pro/harvey), roof, chimney, porches, gleaming hardwood floors, state of the art buzzer system for access to the building from all floors ample parking and yard spaces spacious apartments with walk-in closets & ceiling fans. In a secure building that is hardwired to fire department. Laundry hookups in basement with storage rooms for each unit. All separate utilities. This might be the property you have been waiting for.
Listing Courtesy of Century 21 NS Group
"Debra was great through the entire sale process. She's extremely professional, responsive, practical and a real pleasure to work with. Highly recommend her whether you're selling, buying or both!"


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The Bears have returned from their bye week and will host the Packers on Sunday at noon at Soldier Field. Here's the latest on the team's injury news.
WEEK 11 (vs. Detroit Lions)
Questionable for Sunday: Inside linebacker Danny Trevathan (calf strain), tight end Dion Sims (illness), cornerback Bryce Callahan (knee), safety DeAndre-Houston Carson (illness), offensive lineman Tom Compton (ankle)
Did not participate in Friday's practice: Trevathan, Sims, Callahan
Limited participation: Houston-Carson, Compton.
Full participation: Linebacker Sam...


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|Reviews for Kaiya
| Gabby chapter 1 . 5/1/2006
i loved it it was so so ... i don't now but I'm smiling and i fell like i want to cry i think it was great how ever flames you should get there face smacked off.
| Allykismet chapter 1 . 12/27/2005
Oh my GOODNESS! I don't really like that pairing, but you made it seem so nice! I coint on you writing the other one-shots (I prefer one-shots over long stories)!
| Silver-arrow-kitsune-girl chapter 1 . 12/21/2005
It was okay, but I couldn't imagine Hiei crying.
| Keke Koorime chapter 1 . 12/14/2005
| hieiyamimoya chapter 1 . 11/4/2005
*small tears slide down cheeks* That was beautiful! Kaiya is a pretty name too, and perfect reasoning. That is exactly what i picture to happen to Hiei after he has a child! His heart melts! That was so sweet! GREAT! Update asap please!
| Girl from the Ashes chapter 1 . 10/21/2005
| TyedyeRin chapter 1 . 10/16/2005
This was cute! Please update!
| Infatuated-Simplicity chapter 1 . 10/15/2005
hey, i thought the ending was could have been improved a tiny bit but other than that it was great! your discriptions were really good. i am more of a KuramaBotan fan, but when some one does a good job on a HieiBotan fic i absolutly love it! and i loved this! make more and i'll read them.
| BlueGreenGrey chapter 1 . 10/15/2005
This was great! You're an awesome writer, and an excellent addition to authors of the HieiBotan fanbase! Write another one soon!
| Spiritt chapter 1 . 10/15/2005
That's nice :)
| ArmyWife22079 chapter 1 . 10/14/2005
ok i cant help it, i just have to say it...AW KAWAII


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Top neurologists to flock the City of Love for convention
The Stroke Society of the Philippines (SSP) will hold its 12th annual convention at the prestigious Sarabia Manor Hotel and Convention Center at August 11 to 13, 2011.
The 12th SSP Convention with its theme, "Strengthening the Weaker Links in Philippine Stroke Care", aims to improve stroke management at the community level by equipping barangay health workers, nurses, medical doctors, and paramedics with up to date information and evidence-based practices. Local neurologists and neurosurgeons of Iloilo City will provide lectures and seminars prevention and emergency treatment of stroke from early assessment up to transport to medical centers for advanced care.
On August 11, three lectures will be conducted for different set of audiences at the convention, namely:
1. Stroke for the Barangay Health Workers: A Primer on Stroke at DepED Division Social Hall at Mabini Street, Iloilo City
2. Stroke Course for Nurses/Paramedics at Kalantiao Hall, Sarabia Hotel
3. Stroke for MD: Maximizing Delivery of Stroke Care at Boracay Ballroom, Sarabia Hotel
Symposiums and lectures will still be conducted from August 12 to 13 with topics including enhanced assessment through diagnostic imaging, prevention of stroke through healthy lifestyle, rehabilitation of stroke patients, and nursing workshop on essential stroke care. A Heritage Tour of Iloilo City's historical landmarks will be conducted on August 12, 4pm.
To cap the events, a SSP fun run will be held at the Plazuela De Iloilo at August 14, 5am to 7am.
For more information, you may visit the Stroke Society of the Philippines website or you may contact the SSP Secretariat:
SSP Secretariat
Rm.1403 North Tower
Cathedral Heights Bldg. Complex
St. Luke's Medical Center
E. Rodriguez Ave., Quezon City
Email: ssp_secretariat at yahoo dot com
Telephone: 723-0101 loc. 5304
Telefax: 722-5877
Leave a comment!


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This article sums up and adds to three memory scaling articles that we've published in recent weeks:
DDR3 Memory Scaling on AMD's Phenom II X4
Core i7 Memory Scaling: From DDR3-800 to DDR3-1600
DDR3 Memory Scaling on Core 2 Quad
In all three cases, we used the same benchmarks and cross-tested the systems with memory speeds from DDR3-800 to DDR3-1600, applying both relaxed and tight timings. The purpose was to take popular memory configurations and show their effective performance levels. In each case, we also added a benchmark run that shows the impact of increasing the processor clock speed instead of investing in high-end memory.
In general, the benefit of expensive enthusiast memory is at least questionable. We found that tight timings are typically more beneficial than high memory clock speeds. But in the end, it's important to look at the benchmarks that are relevant to you.
This picture story compares the performance benefits of using faster DDR3 memory across all three popular platforms: AMD's Phenom II X4 955 (3.2 GHz), Intel's Core 2 Extreme QX9770 (3.2 GHz), and the Intel Core i7-975 (3.33 GHz), which is Intel's current flagship solution for enthusiasts and professionals.
We wanted to know how much each of these three architectures can benefit from faster memory. Which platform benefits more, and where might high-end memory be negligible? Let's find out. The following results show DDR3-1600 performance with quick CL8 timings normalized to DDR3-1066, which equals 100%.
Please note that the results list Intel's Core i7 at 3.47 GHz. We manually set the clock speed to this level to get consistent results, as Intel's Turbo mode would automatically overclock individual cores to this speed under heavy processing loads.
There are several benchmarks that don't show any improvement when moving from DDR3-1066 to DDR3-1600, so we decided to exclude these from the article. The tests were:
In some cases, performance actually declined with faster memory when using these programs. This is typically a clear sign of high variance in results, which, again, indicates that it's probably not worth going for faster RAM when running these applications.
Although this benchmark doesn't benefit much from faster memory, we decided to keep it since encryption is an increasingly important benchmarking discipline. The score merges the results of 256-bit AES and 256-bit SHA encryption.
AMD's Phenom II X4 is the only processor that benefits at least a bit here from faster memory.
Synthetic benchmarks, such as Sandra 2009, help us see that there are theoretical performance advantages to using faster memory over slower RAM. However, the differences just aren't very visible in most real-world applications. Caches tend to minimize the impact of differing RAM speeds.
In this case, though, the Core i7 Extreme shows a significant impact on gross memory throughput. There is an almost 40% increase in memory bandwidth when going from DDR3-1066 to -1600. In comparison, Core 2 Quad and Phenom II benefit far less.
PCMark Vantage typically returns result scores that are close to what you'll see in everyday life because the benchmark is based on several Vista-based system load scenarios. We see here that the performance gains are small on a Core i7 (+2%), but more intriguing on the Phenom II X4 (+3.8%) and downright interesting on the Core 2 Quad (+5.5%).
The results with 3D shooter Far Cry 2 are similar to what PCMark Vantage reported. On a fast Core i7, you'll get 2.4% better game performance when using DDR3-1600 RAM. On a Core 2 Quad at high clock speeds, performance is up 5.3%. We found the biggest speed hike on the Phenom II X4 955, which takes advantage of the faster memory for a 6% performance increase.
Although there are frame rate improvements of up to 5.7% in Left 4 Dead, the performance distribution is different from prior results. The Core 2 Quad benefits most, followed by Core i7 and Phenom II at 3.0% and 2.6%, respectively.
WinRAR compresses files into .rar archives in order to save storage capacity during data transport or archiving and backup. The tool is thread-optimized and uses main memory quite intensively, which is why we see significant performance gains here. In this diagram, the 114.9% noted for the Core 2 Extreme QX9770 represents a 14.9% increase in compression performance. This reflects substantial savings. A 100% increase in performance would cut the compression time in half.
For AMD's Phenom II X4 955 and the Intel Core i7-975, compression performance increases by 13.8% and 12.5%, which is more than what we found in other benchmarks. Clearly, machines that often have to handle this workload type should be equipped with faster memory.
Acrobat cannot be accelerated much. In fact, we found no advantage on the Phenom II X4, a 1.3% performance gain on the Core i7, and only a 2.2% hop in PDF file creation time on the Core 2 Extreme.
All three systems benefit from fast DDR3-1600 memory when transcoding MPEG-2 video to AVI/DivX format at maximum quality. The Core 2 Extreme system benefits most at 3.7%, followed by the Phenom II X4 at 2.6%. Intel's Core i7 only drags in a 1.3% performance increase.
The performance benefits we found when converting MPEG-2 video to DivX also apply to XviD video transcoding. However, the performance increase is larger across the board.
All three platforms benefit from faster DDR3 memory, but the difference is negligible for the Core i7 system.
Video editing using Adobe's latest Premiere Pro CS4 suite benefits from faster memory on the two Intel systems, but not on AMD's Phenom II X4. The 6.9% performance increase on the Core i7 system is substantial. Pulling in 6.4% more performance on a fast Core 2 Quad isn't too shabby, either.
Overall, we saw some nice performance improvements on all three platforms, but, as expected, some configurations benefitted more from faster DDR3 memory than others.
Overall, it has to be said that single-digit performance gains are typically not worth the additional investment. Our recommendation still stands: mainstream RAM, which today is DDR3-1066 and DDR3-1333, provides sufficient performance. Spending a bit more money on low latency RAM is typically worthwhile, but faster clock speeds are only justified by better overclocking flexibility. If you have more money to spend, look into a faster processor or a solid state drive, or maybe even a beefy graphics card if you're into gaming. All of these will yield better performance gains for the dollar than top-frequency RAM.
Also check out our three more detailed memory scaling articles:


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Middle East move for Moldovan
By Mark Buckingham
Last Updated: 01/01/70 1:00am
ROMANIAN striker Viorel Moldovan has signed for United Arab Emirates side Al-Wehda after leaving Nantes.
Moldovan was not offered a contract extension by Nantes and quit Les Canaris on a sour note after a bitter blast at ex-coach Angel Marcos.
The 30-year-old had several clubs chasing his services, with Strasbourg, Ajaccio and Le Mans all keen to keep the forward in France.
Partizan Belgrade were also monitoring his situation but Moldovan has plumped for a lucrative 12-month deal with Al-Wehda.
In moving to the Middle East, Moldovan links up with former Ajaccio coach Rolland Courbis, who has just taken over the reins at Al-Wehda.


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Types of images
Let's start with a look at the two general types of image formats you'll come across.
Bitmap (also called raster) images
This is the most common image type. Digital photos are bitmap images. Think of a bitmap as a grid of tiny dots with each dot mapping to a part of the image it represents. These dots are commonly referred to as pixels (px). Because the grid is fixed, it doesn't expand and contract as the size of the screen changes so the image can fill a small screen but be lost on a large screen. In an ebook, it also means that the size of the reflowable text can change but the bitmap image remains the same size.
In practice, bitmap images are often scaled up or down but they lose quality: resizing basically just increases or decreases the size of pixels so the images appear fuzzy and edges are jagged. Special techniques can be used to resample bitmaps to improve image quality, processes known as downsampling and upsampling to reduce or increase image size. It is used by many e-readers and e-reading apps when the images they encounter were produced for a different screen size.
For ebooks, the most common bitmap file type is JPG (jpeg). It's supported in all ebooks. Other common types are BMP (bitmap), TIFF (tagged image format), PNG (pronounced 'ping'), and GIF.
Vector images
These do not use a fixed grid of tiny dots. Instead, they are built up from geometric shapes such as points, curves, and lines using mathematical functions ('vectors') to draw the images on the screen. The advantage over bitmap images is that they can be scaled without loss of quality.
A vector format called SVG (Scaleable Vector Graphics) will become important to ebooks in the future, providing the image equivalent of reflowable text. SVG is part of both EPUB3 and Kindle KF8 ebook formats.
Right now, device support for SVG is very limited so ebooks seldom use vector images.
How screen sizes affect images
As well as being measured in inches or centimeters, screens are measured in pixels which define their resolution.
Here are some common screen sizes for ebook readers. Screen sizes are usually quoted as width x height:
- 600 x 800 px for an Amazon Kindle or Sony Reader
- 1024 x 600 px for a Kindle Fire 7″
- 1920 x 1200 pix for a Kindle Fire HD 8.9″
- 320 x 480 px for an earlier iPhone 3G and cheaper smartphones
- 640 x 960 px for an iPhone 4 screen
- 640 x 1360 px for an iPhone 5 screen
- 1024 x 768 px for an iPad 2 screen
- 2048 x 1536 px for an iPad 3 screen
The number of pixels doesn't necessarily relate to the physical dimensions of a screen. So, for example,1024 pixels can span the width of a TV screen, a computer monitor, or an iPad screen. This is achieved by making the dots (pixels), or the gaps between them, larger or smaller. This leads to another important characteristic you need to understand when you are creating images that will look good on various e-reader screens: dot (pixel) density.
The density of dots is usually expressed as dots per inch (DPI). Although it might seem that the higher the dots per inch, the better an image will look, this isn't always the case. For instance, optimal viewing on the web or on many ebook readers, such as the Kindle, is 72 DPI.
In practice, this means that images should be 72 DPI to work well on a wide range of screens.
Find out more about this topic on our Digital Publishing 101 useful resources site.


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GraphicRiver New Year Celebration 6419467
Stock Vector \ Decorative \ Backgrounds
Vector \ Illustration \ Design \ Celebration \ Archive \ Vintage \ WatchA \ Contain
Stock Vector - New Year Celebration 6419467 by artisticco @ GraphicRiver
Stock Vector \ Decorative \ Backgrounds
A vector illustration of New Year celebration design. Vector illustration, zip archive contain eps 10 and high resolution jpeg.
Layered: No; Graphics Files Included: Vector EPS; Minimum Adobe CS Version: CS.
Keywords: background, celebrate, celebration, clock, copyspace, countdown, design, drawing, fireworks, holiday, illustration, january, midnight, new year, new year eve, party, symbol, time, tradition, vector, vintage, watch.


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This LED slowly cycles through various colours, making it ideal for mood lighting, toys or ornaments.
|Operating voltage:
|2.8V to 5V (this LED does not require a current limit resistor)
|Current (ave):
|Red: 330 mCd Blue 500 mCd Green 750 mCd
|Manufacturer part:
Click here for a tutorial describing how colour changing LEDs work.
Write Your Own Review
Hi Sam, The colour changing LED's are rated to 5V's so you wouldn't require a resistor for these. In terms of putting them in parallel you would need to make sure that you have enough current to supply the LED's. Each LED takes between 20-25mA, and some of the colours can take up to 50mA's.Posted byon Thursday, 22 September 2016
0voteA: The viewing angle is 30 degrees. Just be aware that if you are using 40 of them then you will need at least a 1A power supply.Posted byon Monday, 21 April 2014
Hi Tony, The issue with connecting these to a supply voltage higher than 5V and then trying to limit this using a resistor is that the LED works by turning on different amounts of red, green & blue LEDs therefore to get red just the red LED is on to get purple the red and blue LED are on. This means that the current consumption of the LED when purple will be twice the current of the red as twice as many colours are on. The way you would normally work out the current limit resistor is to look at how much current the LED takes and the voltage that would drop across the resistor, the issue is that whilst there would be 4V over the resistor the current is variable. This means that you can't work out what the value of the resistor using theory. The better option is to use a 5V regulator to drop the 12V's down to the 5V supply that these LED's can handle.Posted byon Friday, 31 March 2017
Colour Changing LED demo and explanation video.
A video about LED current limits taken from our Ask Kitronik Live event 2012.
Learn how to use a through hole LED in a simple E-Textiles circuit in our easy to follow tutorial.
Learn how to position LEDs through fabric in our easy to follow tutorial.
A guide to understanding how Colour Changing LEDs work.
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Colour Changing USB Lamp Kit
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Colour Changing 5mm Diffused LED - 750mCd
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