text:
ConsumerAffairs Unaccredited Brand
This company is not yet accredited. To learn more, see reviews below or submit your own. Want to know more about ConsumerAffairs accredited brands? Check out ConsumerAffairs for Brands.FIND OTHER COMPANIES
7 Talkdesk Consumer Reviews and Complaints
They are the same as the competition. There isn't uniqueness to the process. However this doesn't mean that the methods used don't work. They just aren't anything exciting. It will be easy whether or not you've been integrated before or not. This company offers a variety of features which make it stick out from competitors. Their modernity is very helpful for consumers. Nothing feels behind the times. Payment options are always a sore subject for someone on a tight budget like myself. However, I must say that they were more than willing to accommodate my needs. If everyone has the same attitude and knowledge as one another nothing can go wrong. There's nothing worse than talking to multiple people who all tell you different things.
For me technology can be very vexing, so it's nice to have someone talk me through the process and help me understand what I'm doing for any future encounters with the same problem. It's very accessible for someone who might not be tech savvy, it allows me to have different functions that I regularly don't have. However you do have to work a bit to learn about them all. It's actually almost hassle free, I'm just a stickler and refuse to give anything that's not perfect a 5/5. There have been one or two hiccups but for the most part it's great. They're really helpful and ready to try to help you (even if you have no idea what is going on). They're patient and if they can't solve the problem for you they won't waste your time, they'll patch you to someone else to explain it to you.
Working and learning was a process of time and hard work but learning what it was all about was a plus. In fact a lot of people find it hard with this type of knowledge. At first I did and almost gave up but I kept going. It's really not all that hard. The features are great. At first you really don't understand then you have to work hard to know the mathematics of the product itself or products. It all depends on what features it recalls. It pays my bills that pays the mortgage. It pays my child's tuitions for her college. It pays off very well. I suggest that young people should get into it. It would be a great investment. Customer service was great but then again you don't always get that with this kind of work. Usually people are uptight because I've had a hard day but I've had good experiences.
Ease of use. Very reliable and gets the job done. Very good program. I'd definitely recommend this friends and family and would use this as my main program over everything else. Very good all around features and services. Highly recommend to everyone. It's also very simplistic and easy to use for just about anyone. Very vast amount of payment options and prices make it very easy to obtain. Great premium services and you definitely can't go wrong with that. Very great customer services experience with friendly and knowledgeable people who are dedicated and can help you relatively quickly.
Very easy to switch between programs and very easy to learn and become familiar with. I enjoyed learning to use this program and would highly recommend it to anyone else. Pre-typed words were a huge help. As well as graphics I could add. It was a breeze completing incoming calls. And I would highly recommend this to anyone working in a call center. Payment options were sensible and affordable. This program definitely considers people's income matters. It makes everything simple and to the point. Working with this program I've encounter so many reasons to love customer service. We all know customer service can be extremely rude sometimes. But not with this program!
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Easy to learn. Easy to implement. Setup was very quick and efficient. Would recommend to other companies. Works well with no downtime. Was able to integrate efficiency. Extra features regarding routing and tracking are very beneficial. Helps us maintain our level of customer service without any significant downtime. Plenty of payment options make me ok mailing payment easy and system operational in order to meet customer satisfaction and services. Very effective and efficient. Customer service is always very knowledgeable and helpful. Customer service is always polite and very friendly. Problems are solved quickly.
It fit in pretty well. It was very easy to use and helped out quite a bit. I was able to integrate it very easily with no problems. There were no issues with it at all. I did not notice any additional features that were not included with any of the other services of its type. It did just about the same things as everything else. It was extremely easy to pay for. I used my debit card and it accepted payment immediately. No problems or issues happened with payment, it was really fast. I did not have to use the customer service for anything so I can't really say too much about it. Hopefully I won't have to in the future either. Hope it's useful if I need it.
Talkdesk expert review by ConsumerAffairs
Talkdesk is a world-leading developer and distributor of cloud-based call center software.
Streamlined interface: Talkdesk is designed with clean and clear presentation in mind. Its streamlined interface is customizable and easy to use.
Advanced routing: Talkdesk uses skill-based routing systems and caller data to connect the callers to the right agent as soon as the calls connect.
Webinars: The Talkdesk website has a selection of slideshow webinars designed to improve customer service. They are available to anyone—not just people who have purchased Talkdesk software. Talkdesk also has a selection of Ebooks and guides ready to download.
Application integration: Talkdesk can integrate a number of applications like Google Contacts, Slack, LiveChat and Microsoft Dynamics into its program. These integrations may only be available with Pro and Enterprise versions of the software.
Best for: Talkdesk is best for businesses looking for a cloud-based call center software designed to be easy to use.
Research Team
The ConsumerAffairs Research Team believes everyone deserves to make smart decisions. We aim to provide readers with the most up-to-date information available about today's consumer products and services.
Talkdesk Company Information
- Company Name:
- Talkdesk
- Website:
- www.talkdesk.com


text:
Israel News
Middle East
American Politics
Edition française
Green Israel
Muslim Brotherhood hold poster of Morsi July 4 2013 370.
(photo credit:REUTERS/Louafi Larbi)
The Muslim Brotherhood has called for mass protests following Friday prayers and this may provide a window into which direction the wind is blowing. Radical Salafi supporters of deposed president Mohamed Morsi have indicated that violence and terrorism will be their response.Mohammad Zawahiri, the Egyptian-based brother of al-Qaida leader Ayman Zawahiri, called for the organization to wage a jihad to save Morsi and his Islamist agenda for Egypt, according to a report by Raymond Ibrahim at the Gatestone Institute.
By SETH J. FRANTZMAN
By REUTERS
Sponsored Content
By SETH J. FRANTZMAN
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subset: commoncrawl


text:
Truckee Meadows Community College personal statement
Think about what career is best suited for you, and where you want to study. Request more information now.
Think about what career is best suited for you, and where you want to study. Request more information now.
Think about what career is best suited for you, and where you want to study. Request more information now.
Find information about Truckee Meadows Community College personal statement, and registering for discussion sections and department seminars. Which college degrees give you the best chances of entering a successful career path after graduation? Concentrating on Truckee Meadows Community College personal statement, for example, may give you additional focus in the admissions selection process. Check with the admissions office for assistance with prerequisites, course registration deadlines, and college degree program requirements. Please use the form above to request admissions info for Truckee Meadows Community College.
Essays are gaining importance as a way to judge potential, and essays largely have replaced personal interviews. Writing an email may be easy, but rewriting a serious college admissions essay is much more challenging. Rewrite your application essay as many times as you feel is needed, and have people that you trust read it. Essays as well as letters of recommendation should emphasize personal development, demonstrate intellectual curiosity, and show concern for the community.
The admissions essay topic should be something the applicant cares about, and which shows how you've helped others to enjoy greater success. The best essay topics are like a short story, with poignant details, in which the writer shows by example. There should be no grammar errors or punctuation mistakes in your college essay, and even if the college application says that the essay is optional, you should treat it as an admission requirement. Beyond major requirements within the admissions department, you may consider Southern College of Optometry scheduling for complementary electives to your primary course of study.
Assistant Director of Admissions
Berklee College of Music
Serves on Admissions task forces and college committees as assigned. Conducts one-on-one admissions interviews with applicants on and off-campus.
5 days ago Advisor
Rasmussen College
The Advisor will build and nurture collaborative, interdepartmental relationships within the college including admissions, faculty, career services, and central..
5 days ago Enrollment Coordinator
FLEX College Prep
Familiarity with the college admissions process. Since that time, FLEX has expanded to include a multitude of other services, including academic and college..
1 day ago Academic Success Coordinator
Arizona State University
Demonstrated knowledge of academic programs, colleges, and departments university-wide. Disseminates information and guidance regarding enrollment procedures.
4 days ago Retention Specialist (Grant Funded)
San Mateo County Community College District
San Mateo County Community College District values the principles of diversity and equity. Exchanges information with students, faculty, and staff.
6 days ago


text:
Tofarai looks up to the stars
And wonder if there's life on Mars
Some say he should shave his head
But he's proud to be a dread.
--Des'ree, "Proud to Be a Dread"
So you're walking down the street and you see a man or woman wearing dreadlocks. You...
a) Run immediately to the other side of the street.
b) Yell, "Hey, you related to Bob Marley?"
c) Ask where to score the best weed.
If you considered any or all of those responses, plan to submit yourself to an extravagant re-education this Saturday at the First Annual National Dreadlock Summit.
"The National Dreadlock Summit is an event about reconciliation," says Darlene Hosea, organizer of the shindig. "It's an event about healing and cultural awareness, particularly in the black community."
The thirtysomething Hosea, who sports some trim, petitely knotted dreads herself, came up with the idea a year ago: a folksy, all-day, cross-city affair that will offer a crash course in the dreadlock aesthetic. The summit begins with a three-hour morning reception at The Main Place on Main at Alabama. Highlights include a "Glamour Dread" fashion show and a performance by the Dread Dancers. There will also be a Q&A session with various speakers, including California filmmaker T. Nicole Atkinson, who will screen Lockin' Up, a quirky 28-minute documentary she directed.
Later in the afternoon, live music plays from noon to 8 p.m. at MacGregor Park on Calhoun; there will also be kids' crafts and entertainment.
For Hosea, a community organizer since age 21, social and intellectual nourishment for the African-American community is a lifestyle thing. She's also helping in the effort to preserve Freedmen's Town, the oldest African-American settlement in Houston.
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Hosea hopes the festival will attract members of "the majority community," and points out that their dollars will be thoroughly welcomed by the festival's vendors. But she doesn't lose sight of her main purpose: to uplift and educate African-Americans -- to give them pride in themselves "as black people and members of the human race in general."
"Our dreadlocks," she states firmly, "come from the original man."
It makes sense. Can you imagine Jesus wearing a perm?
-- Craig D. Lindsey
The National Dreadlock Summit starts at 9 a.m. Saturday, October 17, at The Main Place, 3714 Main. Admission for the reception is $20 (the park admission is free). For info, call 641-2124, or get on-line at www.dreadlocksummit.com.


text:
All Business Categories
News and Media - List of Companies, Distributors, Suppliers, Manufacturers, Importers, Exporters
180fusion LLC
Utah, USA
180 Fusion SEO Company ForNational/LocalSEO,PPC,Social Media Marketing,As the gold standard for Search Engine Optimization (SEO)and Search Engine Marketing (SEM) services, 180 Fusi...
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From weddings to galas, SKY Armory offers a stylish and customizable banquet space to meet any need. We can offer an elegant and exciting atmosphere for any gathering, and provide ...
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First Prev [1] 2[3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13] [14] [15] [16] [17] [18] [19] [20] [128] [236] [344] Next Last


text:
It is an all aluminum hood scoop that resembles a double barrel shot gun. Most of us also know these as a Bug Catcher type scoop.
Can fit carburetors that have 5 1/8'' diameter neck, such as most Holley, Rochester, Quadrajet, Carter and Edelbrock four barrel carburetors.
Shotgun Scoop Application info:
• 20" long x 10" wide
• 5 1/2" high (at the highest point)
• Raised Fins on top of each "barrel", gives it that custom look • Made of heavy duty aluminum
• Shotgun scoop
• Two Filters
• Plates to mount this kit to either a Single OR Dual 4 BBL carburetor
• Mounting hardware
Limited Lifetime Warranty


text:
Intelsat 19 12646 H Sr 28060 all channels on Mysat is/was/are running FTA
Not long after PowerVU being busted, there is news of Tandberg encryption also having been broken.
Sunday afternoon feeds
D1 12410 V Sr 7000 unknown
D1 12420 V Sr 6110 STS 10 nine qpsk election related?
D1 12429 V Sr 6111 STS 10 nine qpsk election related?
D2 12679 V Sr 7500 unknown not enough signal


text:
Forgot your password? Enter the email address you signed up with and we will send you a link to create a new password.
Your password reset has been submitted to the address provided.
Typed drawing
Personal hearing protective devices, namely, ear plugs not for medical use
Business in Cleveland, OH


text:
Todd C. HorneBranch Manager
Todd has lived for twenty-two years in his community. He has twenty-six years of experience in his field. He's been with HiLine since 2012. Todd's favorite part of the job is working with the customer and seeing their new home come together. He considers HiLine Homes and people he works with family. Todd is married with two grown children and one grandchild. He is keen on competitive archery, camping, hunting, and fishing.
Click Here for Todd's HiLine Homes office location.


text:
Diana Build Guide by Boomvis
This build has been archived and is for historical display only.
PLEASE NOTE: This build has been archived by the author. They are no longer supporting nor updating this build and it may have become outdated. As such, voting and commenting have been disabled and it no longer appears in regular search results.
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This guide has not yet been updated for the current season. Please keep this in mind while reading. You can see the most recently updated guides on the browse guides page.
Thank You!
Your votes and comments encourage our guide authors to continue
creating helpful guides for the League of Legends community.
More power!
Diana Build
option 1
Ability Sequence
Not Updated For Current Season
The masteries shown here are not yet updated for the current season, the guide author needs to set up the new masteries. As such, they will be different than the masteries you see in-game.
Hallo and welcome to all who read this guide.
This is my first guide and it will take some editing before it looks like something good.
Also my english isn't that great so keep that in mind while you read this. If you have any tips on making this guide reaching the top, don't hesitate to tell me.
The reason for me making this guide is because i haven't really seen a build like mine before and i wanted to start with a champion i know through and through.
Diana is a very strong AP carry, maybe not as bursty as say... Brand... but this one can still take quite a hit before going down. Unllike Syndra who has a massive power potential but you can almost kill her by sneezing. (don't get me wrong... i still love Syndra :P )
Pros / Cons
Pros Cons
Versatile Mana can be a problem if you don't play her right
Great AP carry Difficult to get out of hairy situations if you don't know how
No tank but can take a good hit Ranged champs can be irritating early game
No useless ability's
Natural shielding ability
Great mobility
The runes are something of a personal thing.
If you really wanna jungle than your gonna need some magic resist and armor. But if your gonna be mid lane and do some jungling after you dominated the hell out of that lane than armor and magic resist arn't a must anymore.
I think a lot of people can agree with me on that magic penetration marks are something you really want on AP carry Diana. This allows for some good dmg in early but also in late game.
Scaling Ability Power Seals. When jungling these can be exchanged for armor but if not then i like to have these. Together with another scaling ability power they can give you that boost in dmg to make sure that other midlaner knows who's boss, and late game they will still contribute on a notable level.
With Quint you do go for flat Ability power cause these are gonna make most of the difference in early game.
When both you and the other midlaner are poking each other and your the first one the get your ulti then this will make sure that any attempt will be worth it.
As you can see in the masteries there is not that much difference from your daily AP carry.
What i do have other than some is fury instead of havoc. That 2% extra dmg can be nice.... but i think i prefer 2% more AS. WHY?? well diana maybe a "spellcaster" but her melee still have a huge roll and that hit you can do more will do more dmg then 2% extra dmg.
--if you have a basic attack that does 100 and you have havoc, you'll do 102... but if you can have that little more speed that it could be a second swing where once you could only do one, inflicting 200 dmg--
that point i have left (usually 3 in havoc now 2 in fury) i use for spellsword. Once you get to late game and you have a big fat pile of ability power and a lich bane... then you'll have a powerfull swing and can use that to crush your enemy.
The other nine points can be spend on armor, and when your jungling this will be good. But i like it in support. If you spend it on meditation and expanded mind then you won't need (or atleast i don't) any Mana regen runes.
From mid game i often go for a blue buff and/or red buff if i can steal it in witch case Runic affinity is usefull.
As you can see my item choice is somewhat different again from others. I only show the first 3 health potions i buy, but i often try to keep 3 potions with me. Also once money comes in a little faster with kills and assists i buy wards to make sure i don't get ganked.
I buy some boots and some potions to start and rush of to my spot. After that i start working on Rylai'sIt give Health witch will help you survive and some sweet AP our big friend and it's effect can be really usefull to slow those pesky champs that manage to escape so that you can gain on them and BAM! hit them with a Lunar Rush, we'll get to that.
With rylai's done its time to finish your boots. A lot of people swear by mercury boots, but i have tried and tried and i keep getting better results with that extra magic pen i get from sorc boots. in late game with a build like this, if i get stunned then its shield up, flash and kiss your kill goodbye, or you and up dead because there 4 players on top of you. mMore on this in a later chapter.
The next item you can chose. Lich bane is usually my first pick. It gives mana, movement speed increase witch is nice and a nice 80 AP, but the effect is amazing. It will make your "basic attacks" do some real dmg. When champs try to get away and you would use moonfall to give them that one last jab... this item makes sure that jab counts for something.
Alternatively if you keep getting attacked by some big AD champs then Iceborn gauntlet will be nice. It doesn't give movement speed or mana, but it still gives some AP, a really nice CD reduction and 60 armor witch can help you fend off those AD champs.
It's not as strong as it used to be o(-.-)o But it's still my fav AP item...i think... yea :P
120 AP and an extra 25% increase in AP also! WHATS NOT TO LIKE
Now we have another choice to make. If your comfortable in money you can first buy Alacrity enchant for your boots. If you have trouble escaping or you need that extra speed boost to catch that runner then a speed boost is nice. i recommend you to get this as it WILL help.
As a fifth item you can either go for another Rabadon witch will seriously increase your AP and will make sure other players will fear you. even with a quick poke from crescent strike you can still do that much dmg that the one getting the dmg will be like "holy ****! i'm not gonna fight that!"
You can also go for Zhonya's hourglass. It has 100 AP, it has ARMOR witch you will be getting it for and it has an AWESOME effect. when you are running with only 11 hp and you see Ezreal using his ulti for instance... you just press that button and *zap* ---- *unzap* and your still alive! :P
or when your in the middle of a team fight and you see that you need to stay alive just long enough for others to waste there spells so that you can kill them off easy while there on there CD.
or maybe Karthus is using his ulti, then this can also safe your life.
Sometimes when you have a really long game and every player is really strong... than a simple health potion just won't do anymore. It's time to replace it. I can go for Zhonya's, i can go for another rabadon to have extreemly sick AP or for a Void staff that will give me a nice magic pen. But i usually go for something that gives health or a really good health regen to compensate for the health pots i'm missing. Warmog's armor is a nice one in this case. It gives 1000 health and with a total health of maybe 3500 (or something) it will have really good health regen.
You could also go for Deathgrip... the last item is usually a bit of a situational item and depends on personal taste.
Depending on your playstyle these items will make sure you don't get into serious mana problems. Just don't spam you skills early game. With the option 1 items you can end with a total AP of 622. thats enought to kick the ---- out of a lot of champs. All but the tankiest champs will crumble before you.
Flash and Ignite
My fav spells to use with diana. to be honest i don't use any other spells then these.
Flash has a ton of usefull ways to be used. Getting in or especially out of battles. closing a gap, escaping you name it. Ignite is great for finishing a champ of, reducing there healing ability and at the same time give you a small AP boost if you have the masteries. its also usefull late game when you might be able to take on 2 other champs at once. get that one champ low enough to finish off with ignite and switch concentration on that other on.
Skill Sequence
On this chapter i can write a lot about her skills, the sequence and how best to use those skills and write about strategies and tactics that apply to Diana.
If you want me to write about this than vote for this guide.
Simply because it would be to bad if i put all my time in this guide and no one would read it.
If you read all i have so far than thank you for reading, i hope my guide has been of use to you.
Leave a comment and a tip on how i can do better.
cya o(^^)o


text:
BAKERSFIELD (CBS SF) — New Year's Eve was a traffic nightmare for drivers hoping to get to or from Southern California on California's main artery.
All lanes were closed for several hours in both directions of Interstate 5 in the Grapevine area north of Los Angeles because of snow.
At about 10:30 p.m. Saturday, Caltrans District 6 tweeted, "The Grapevine has re-opened with CHP escorting traffic. Drive with care and patience. Happy New Year!"
Overnight, the California Highway Patrol escorted motorists through the snow on both northbound and southbound lanes.
The National Weather Service says between 3 and 6 inches of snow are forecast for the Grapevine and other high areas in Kern County.
Meantime, in San Diego County, officials with the Department of Public Works say several streets have been closed because of flooding.
Southern California is capping off the year with rain and snow as the second of two weekend storms moved through Saturday.


text:
WEB 157: Dreamweaver
This class is no longer offered as of Fall 2017.
In this course, students move through the process of planning and organizing a Web site, using Dreamweaver. Students will learn basic HTML, CSS and how to publish Web pages on a Web server. This course is for students with no knowledge of HTML, but who need to understand the basics of Web publishing. It is not for students interested in becoming Web developers. This course contains material previously taught in INP 140.
Level I Prereq: Academic Reading and Writing Levels of 6
- Credits
- 3
- Lecture Hours
- 45
- Clinical Hours
- 0
- Lab Hours
- 0
- Other Hours
- 0
- Total Hours
- 45
Some classes are not offered every term. To see if this class is currently available, check the schedule.
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"When I took an online class for the first time I was amazed at how organized it was. It was so easy to navigate and provided me with all the links and tools I needed to complete my course."—Mary Beth H., 30


text: Hi, I read an article about this app for rooted users, and it sounds really cool. I think it lets you wirelessly connect your phone to your PC as if it were connected by USB. I have the app but I don't know how to use it and I can't find any instructions anywhere! I think I need some software on my PC as well to make it work. I would really appreciate some help from someone who has used this app before, or who has a little more technical intelligence than me... Thank you very much!


text:
InfiniteSkills - Event-Driven Microservices Training Video
Duration: 4.75 hours - 31 tutorial videos | Video: h264, yuv420p, 1280x720 30fps | Audio: aac, 44100 Hz, 2ch | 1.2 GB
Genre: eLearning | Language: English
In this project-based Event-Driven Microservices video tutorial series, you'll quickly have relevant skills for real-world applications.
Concise, informative and broadcast-quality Event-Driven Microservices training videos delivered to your desktop
The ability to learn at your own pace with our intuitive, easy-to-use interface
A quick grasp of even the most complex Event-Driven Microservices subjects because they're broken into simple, easy to follow tutorial videos
Practical working files further enhance the learning process and provide a degree of retention that is unmatched by any other form of Event-Driven Microservices tutorial, online or offline… so you'll know the exact steps for your own projects.
Software developers and architects increasingly turn to microservices as a framework for improving the agility and velocity of their development efforts. But is it the right approach? This video presents a balanced view of the benefits and drawbacks of microservices. It outlines the motivations driving the adoption of microservices; compares and contrasts it to monolithic architecture; describes solutions to key problems such as inter-service communication and distributed data management; and moves on to a set of strategies for refactoring a monolithic application into a set of microservices.
Mirror Links
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text:
What to Eat When You Experience Menstrual Pain
During the month, the amount of estrogen in a woman's body fluctuates
Many women and girls experience menstrual pain during 'that time of the month'. While for some this pain may be mild, in others it can be so much such that it interferes with normal activities.
While many factors have been put forward to explain the presence of this pain, high estrogen levels in the body are thought to be a key cause.
During the month, the amount of estrogen in a woman's body fluctuates with the highest levels being in the middle of her cycle.
So, to regulate menstrual pain associated with increased estrogen levels, one should consume a low-fat, high-fibre diet.
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A high-fibre diet consisting of legumes, grains, fruits and vegetables is also very beneficial and has a positive effect as far as lowering estrogen levels is concerned.
As is the case with every other nutrient in the body, the body processes excess or waste estrogen for excretion. A high-fibre diet provides enough roughage to soak up estrogen in the intestinal system and remove it together with other waste mater.
A diet consisting predominantly of animal products is deficient in fibre. When there is less fibre than is needed, excess estrogen returns to the bloodstream and causes levels to rise. The result is painful cramps and an increased risk of breast cancer.
Added oils such as salad dressing, margarine and other shortenings are not recommended for people with severe menstrual pain as they contribute to the body's fat load, which leads to higher levels of estrogen.
Join us at Softkenya Group where we share our best Quotes, Stories, Poems, Excerpts, Sermons, Messages, Personal Experiences and Useful guides... The SOFTKENYA COMMUNITY --- Join us Here: https://www.facebook.com/groups/1217813621643464/


text:
Garden Court Hotel + Pace Gallery
Garden Court Hotel's terrific location, in the heart of downtown Palo Alto, luxury accommodations, intimate feel and contemporary design allows for the perfect landscape to inspire meetings and special events. Groups of all sizes enjoy more than 7,500 square feet of meeting and event spaces. Corporate groups can maximize their meetings with flexible programming, personalized amenities and a destination that's nothing short of inspiring.
Book a meeting now for September, October, November or December and receive 10% off your event plus tickets to the internationally known Pace Gallery in Palo Alto, a few minutes away from Garden Court Hotel. Open for a few more months, the Pace Gallery has put Silicon Valley on the international art map. Whether a team building activity or an opportunity to get out of the boardroom and get creative, the Pace Gallery will definitely re-energize your group.
Terms and Conditions
• Available September 1 – December 18, 2016
• Not applicable for actualized Meetings or Events, or future Meetings or Events booked prior to September 1
• This package may not be combined with other offers
• Mention Booking code: PACE during inquiry process


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- Home
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- Applying
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- Meal Plan
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Safety is a shared responsibility!
At Western, safety is important to us. You should feel comfortable knowing that we go to great lengths to provide a safe residence environment. The front doors of each residence are locked 24 hours a day, seven days a week, and our student residence staff are always there to help!
Please review our information on fire, building, and personal safety in residence.
All members of the Western community have the right to study, learn, work and research in an environment free of sexual violence. Any and all acts of sexual violence will be addressed and individuals who have committed an act of sexual violence will be held accountable. Simply put, sexual violence is not tolerated at Western.
Please visit www.uwo.ca/sexualviolence for more information.


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Know more about this business than we do? Cool! Please submit any corrections or missing details you may have.Help us make it right
Be the first MLive.com user to add photos or videos of The Dam Store
This is seemingly your average convenience store/pit stop, but I feel obligated to review and let everyone know that they have the most FANTASTIC jerky here. Random, I know, but try it! They have beef…
The Dam Store offers all types of fishing supplies and bait. They have beer and many other snacks for your fishing trip.
The Dam Store is located at 1879 W River Rd, Oscoda, MI. This business specializes in Fishing and has 1 review(s) with a star rating of 5.0.
Dam Store the can be found at W River Rd 1879. The following is offered: Fishing. The entry is present with us since Sep 7, 2010 and was last updated on Nov 12, 2013. In Oscoda there are 2 other Fishing. An overview can be found here.


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Silent Youth Trailer (2012)
Silent Youth is a film for misfits, dreamers and lovers. It's the classic story of a coming out, but it focuses on the moments one tends to quickly forget: the first approach, the creaking of the chair while sitting across from each other, not knowing what to say. And it's about the silence.
Watch the official Silent Youth 2012 trailer in HD below or find more Silent Youth videos on Vidimovie.


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Thomas And Betts ZA1200HS 4 Superstrut Conduit Channel Strut, 4Ft Length
|Mpn #
|Shipping Dimensions
|48.0" x 1.8" x 1.6"
|7.40 lbs.
4.5 out of 5 rating is our rating for PlumbersStock, we got that rating because we have lots of experience and great people with expertise in plumbing. BUT WE WANT YOUR HELP. This product doesn't have any reviews yet, and we don't want to write our own reviews. It is more valuable to us that the customers get to share their experience with our products. Please, if you have any experience with this product, take a moment to share and help someone else who is trying to make a decision. Thank you!


text: Hello all, quick question about arb's on the quattro pre facelift. Most of the info i have read talks about either the s3 or fwd a3, from what i gather, the quattro has a thicker front arb than the s3, 21mm vs 19mm. Are the back ones thicker too? Does the r32 arb mod still apply? I dont want the car to be twitchy as some s3 drivers say it becomes with 19 and 19 after the r32 arb, whats the best setup for balanced to slightly over steer handling, the way it should be? I plan on lowering so what arbs wud be needed to clear the drive shafts and is that front and back that needs doing? I cant find any accurate info for the quattro hence all the questions, cheers


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Port-au-Prince - Tropical Storm Emily spun slowly to the south of the Dominican Republic and Haiti on Wednesday night, its strong winds already shaking palm trees and threatening tens of thousands of people in flimsy shelters and tents.The storm was forecast to make landfall on Haiti's southern peninsula early on Thursday and dump torrential rains across an impoverished country in which more than 600 000 people still live without shelter after last year's earthquake."If any storm comes, we meet our demise," said Renel Joseph, a 57-year-old resident of Cite Soleil, a seaside shantytown of Haiti's capital.David Preux, head of mission for the International Organisation for Migration in the southern city of Jacmel, said that wind, rain and lightning had begun on Wednesday night. "It'll get worse overnight.""The problem is when people wait until the last minute to evacuate," Preux said.The storm had stalled off the coast of the Dominican Republic but appeared set to skirt that country's southern tip. It had maximum sustained winds of 85km/h.Mudslides, flash floodsDominican authorities dropped a tropical storm warning on Wednesday night from Cabo Francis Viejo southeastward to Cabo Engano. One remained in effect along the southwestern coast.But the intense rain still posed a threat to the two nations that share the island of Hispaniola, said Diana Goeller, a meteorologist with the US National Hurricane Centre. The countries are divided by a range of high mountains."This storm has a lot of heavy rainfall with it," Goeller said. "So in those mountainous areas, there could be very dangerous, life-threatening mudslides or flash floods."John Cangialosi, a hurricane specialist with the hurricane centre, said that though Emily's eye would pass over southwestern Haiti, the entire country was at risk for major rain, with up to 50cm possible in isolated high-elevation areas. That is enough to cause serious problems in a country prone to catastrophic flooding."Rainfall-wise, the whole country is going to get a significant amount of rain," Cangialosi said.A UN aid group distributed cholera prevention kits to help fight the waterborne disease, and the government set up a network of shelters.Dominican Republic evacuationsFrancois Prophete, who was shoring up the corrugated-metal roof of his one-room cinder block home in the hills southeast of Port-au-Prince, said most people had few options in a nation where the vast majority are desperately poor. "We can't afford to do much," he said.Michel Davison of the US National Oceanic and Atmospheric Administration said the storm had earlier dropped up to 250mm of rain in parts of Puerto Rico, though its centre never got within 160km of the island.Civil defence officials and the military in the Dominican Republic moved dozens of families out of high-risk zones ahead of the storm. Fourteen commercial and cargo flights into Santo Domingo were cancelled and two others were delayed.Batista Geovanny nailed down the tin roof of his house near the Ozama River in Santo Domingo."You never know what might happen," said Batista, fearful that the riverbank outside his front door might burst.In Haiti, local authorities urged people to conserve food and safeguard their belongings and prepared a fleet of buses to evacuate people from flooded areas.Troops on standbyAn untold number of people took that advice and volunteered to leave their flood-prone houses to stay with relatives and friends, said Emmanuelle Schneider, a spokesperson for the United Nations' Office for the Co-ordination of Humanitarian Affairs. There had been no government-organised evacuations by Wednesday night, she added."There will be an official evacuation when there's flooding," said Schneider.The UN force in the country put 11 500 troops on standby to provide aid. The International Red Cross alerted emergency teams that have access to relief supplies already in place for up to 125 000 people throughout the country.There was reason for concern. A slow-moving storm in June triggered mudslides and floods in Haiti and killed at least 28 people, and widespread poverty makes it difficult for people to take even the most basic precautions.Joceline Alcide stashed her two kids' birth certificates and school papers in little plastic bags that aid groups handed out. It was her only means to protect herself."There really isn't much more we can do. We just got these bags," the 39-year-old Alcide said, standing outside her teepee-like tarp shelter.Fear of thievesThat was the same storm that toppled Alcide's previous tent-like shelter, which once stood on the side of a ravine a couple of kilometres away. Her neighbours saw cinderblock houses slide down the hills in unforgiving mudslides.Despite the government call to evacuate neighbourhoods if there is flooding, Vania Zamor said she had no plans to leave. She feared thieves might break into her sheet metal shack and steal the beans and rice she sells as a merchant.Besides, "it's going to be very hard for us to leave because people rely on us", said Zamor, a 39-year-old camp leader in a ravine shanty in the Petionville section south of Port-au-Prince."If God doesn't protect the people living on the hills, there's going to be a lot of damage."The National Hurricane Centre said the storm was heading west at 22km/h on Wednesday night, and it was expected to turn toward the northwest. The storm was about 75km southeast of Isla Beata in the Dominican Republic and about 215km southeast of Port-au-Prince.The wind speed could slow down because of the mountainous terrain in Haiti and eastern Cuba but could strengthen as the storm approaches the Bahamas.
Arisread must be regretting leaving his 5 star tax paid paradise in SA
It's a tragedy that they won't turn from their voodo and withcraft, from their pact with the devil to the living God!


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The lender posted a gross profit of 4.13 million lei at the end of 2008.
ATEbank also estimates to count total incomes of 134.6 million lei and expenses of 122.6 million lei this year versus the 115.6 million lei incomes and 111.4 million lei spendings recorded in 2008.
Retail credits could add 21.5 million lei, while loans granted to companies could idle at the same level as in the previous year. The bank's credit portfolio amounted to 599.7 million lei last year. It also plans to hike deposits from clients by 64.5 million lei, from the 196.9 million lei level in 2008.
As many as 13 units were set up last year and another seven will be opened in 2009. The bank counted 25 units at the end of 2008. Also, the Romanian lender plans to externalize credits worth only 20 million euros to the mother-bank this year versus 131.2 million euros at the end of 2008.
Employees' wages will stay still in 2009, but expenses with salaries will hike as new people were hired at the new units opened.
ATEbank will benefit from a 43 million lei loan this year from one of its shareholders, International Finance Corporation (IFC). The contract was inked last year.
Shareholders of ATEbank Romania approved to hike the share capital in February 2008 through a subscription worth 20.47 million lei made by IFC, part of the World Bank. This way, IFC became shareholder of ATEbank Romania with a 15 percent stake.
Inregistreaza-te pe Wall-Street sau conecteaza-te prin Facebook pentru a primi periodic articole similare.
In lipsa unui acord scris din partea InternetCorp, puteti prelua maxim 500 de caractere din acest articol daca precizati sursa si daca inserati vizibil linkul articolului ATEbank Romania sees 12 mln lei pre-tax profit in 2009.


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Michelle B.
Brussels, Belgium, 1000
Joined on October, 2013
Gender: Female
Average Rating:
Weekdays after 9AM
Lives Near:
Can Meet:
Up to 30 minutes away for no additional charge
EducationBachelor's Degree, Photography
TESOL (Teaching English to Speakers of Other Languages) certification
TESOL Specialized Certificate in Business English
TESOL Specialized Certificate in English for Children
ExperienceFor over 4 years, I have taught both privately in one-to-one classes and in classroom environments, to students of all levels - from "absolute beginners" to those who are bilingual and wish to maintain their skills. Classes taught have included basic English courses for vocabulary, grammar, reading & listening comprehension and speaking skills; Business English; Current Affairs; American Slang; Graphic Design (in English) and Job Interview Preparation & Role Play. Lastly, I have experience in test preparation courses for students who want to take the TOEIC and TEFL.
HobbiesI am an artist at heart, and love to add creative elements to all of my jobs at hand. I love all animals - big and small. I also love to laugh. Lastly I have an interest in politics and social issues - while being unbiased in a classroom setting.
(I have posted a flat rate, but flexible rates apply for TOEIC and TEFL test preparation courses.)
Inquire about this tutor
The tutor will respond if they are available/interested.


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Angelica Herrera is a senior researcher at AIR where she manages and supports various projects for the Texas Comprehensive Center (TXCC) and the Regional Educational Laboratory of the Southwest (REL Southwest). Dr. Herrera serves as a project lead on the TXCC Rewards Schools Case Study project and as an Interim Project Director on a Task 4 REL Southwest study. In addition to those projects, Dr. Herrera provides technical assistance to the Texas Education Agency through the Texas Comprehensive Center.
Meet Our Staff
Brenda Arellano is a senior researcher at AIR. She has more than 15 years of experience utilizing her methodological expertise through quasi-experimental and mixed method designs, as well as survey design and analysis through the utilization of district, state, and national longitudinal data systems. Dr. Arellano is a co-primary investigator and project lead for several studies under the Regional Educational Laboratories Southwest, funded through the Institute of Education Sciences (IES).
Chad Henry is a Research Associate within the Research and Evaluation program. He provides support for the Texas Comprehensive Center, focusing on GIS mapping and data analysis. He is currently assisting the TXCC's work with the Texas Education Agency's evaluation of educator preparation programs.
Cheryl Harris is a senior technical assistance consultant at AIR. Her current work involves providing technical assistance for the Texas (TXCC) and Southeast (SECC) Comprehensive Centers, addressing state and local capacity building in school improvement and key content areas. This work includes assisting states and their statewide systems of support in the areas of teacher quality and effectiveness, college career and readiness, educator preparation, and technology-based instructional resources for teachers.
Erin McCann is a senior researcher at AIR. Dr. McCann has more than 15 years of experience designing and implementing evaluation studies for federal, state, and local-level contracts with a general focus on examining factors that influence school improvement processes and practices.
Garry Davis is a technical assistance consultant in the Policy, Practice, and Systems Change practice area at AIR. He has over five years experience in program administration, research, and technical assistance with a particular focus on college and career readiness. In his current position with the Texas Comprehensive Center, he works to build the capacity of the Texas Education Agency (TEA) to develop, implement, and sustain various education initiatives, policies, and programs, with a focus on college and career readiness and success.
Grace Fleming is a researcher at AIR. During her nine years with SEDL (which merged with AIR on January 1, 2015), Fleming combined program experience with under-resourced populations and issues of effectiveness in education. She currently serves as qualitative lead on the BARR (Building Assets, Reducing Risks) Program evaluation and conducts site work with the Texas Developmental Education Program in higher education.
Janice Esau Keizer is a senior technical assistance consultant with the Regional Educational Laboratory (REL) Southwest. In this position, she leads, coordinates, and facilitates the work of the Arkansas and New Mexico PreK Research Alliances as part of the REL Southwest work. She serves as the spokesperson for REL Southwest support activities related to prekindergarten in the states of Arkansas and New Mexico. Keizer also works on early childhood projects for the Texas Comprehensive Center.
Jason LaTurner is a principal technical assistance consultant at AIR. Dr. LaTurner's work focuses on evaluation capacity building for state education agencies. Through the Southeast Comprehensive Centerand Texas Comprehensive Center, he consults with state education department staff on developing evaluation plans and employing appropriate quantitative and qualitative research methods to study the effectiveness of a range of district and school improvement programs.
Ramona Chauvin is a senior technical assistance consultant at AIR. Dr. Chauvin works with the Southeast Comprehensive Center and the Texas Comprehensive Center to build the capacity of state and regional education staff to assist schools and districts in need of improvement. Highlights of Dr. Chauvin's qualifications include reading/language arts/writing instruction (K–12); adolescent literacy; coaching; instructional monitoring and feedback; assessment; leadership; teacher quality and effectiveness; and professional learning communities (PLCs).
Rita Ghazal is a senior technical assistance consultant at AIR. Ghazal leads state projects and task forces on teacher quality and educator effectiveness, teacher mentoring and induction, and educator equity. She collaborates with state education agencies and assists them in strengthening their capacity to support high-quality implementation of teacher quality initiatives, policies, and programs. She also supports states in their efforts to create and maintain strong connections among state agency work streams and improve alignment across programs and policies.
Sarah Beck is a researcher at AIR. She has more than seven years of experience in education and leverages her perspective as a former teacher to inform her work in policy and program evaluation. Her primary research interests include teacher preparation and teacher leadership. In her current role, Beck manages the qualitative components of the Denver Public Schools Talent Management evaluation including designing the data collection and analysis plans, creating focus group and interview protocols, developing coding frameworks, and constructing client communication plans.


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Suggested Recorded Music
Suggested Recorded Music – December 2016 – January 2017
This list is not only for those with no organists; anybody may use it, but if you have an organist, you do have a wider choice.
Do use the "Canticles" CDs and Mds- if you do not have an organist.
If you have lost the tradition of singing them, why not get one CD/MD, play one canticle while sitting and listening/following it in your prayer book as they do in one parish in our diocese.
Maybe, in time, people will join in! If you do not know a hymn on this list, why not play it as a voluntary? Encourage your organist to learn some new tunes and, perhaps, get a small group of people together to help lead the congregation.
I have given suggestions for each Sunday; based as far as possible on one of the readings & that they are well known tunes.
I think in order to get used to using our new supplement, the best advice at the moment might be to try to sing those set to tunes you know!
No CDs for Thanks and Praise yet but we live in hope!
Year A
Sunday, 26th November – During Advent hymns in the "Advent" & Christian Hope sections are suitable – Hymn 698(CD40,MD20) might be sung as a Canticle -336(CD20,MD10); 593(CD34,MD17); 695(CD39,MD19); 327(CD20,MD10); 567(CD32,MD16); 369(CD22,MD11); 73(CD4,MD2); 400(CD24,MD12); 706(CD50,MD26); 199(CD12,MD6)
Sunday, 4th December – 250(CD16,MD8); 481(CD28,MD14); 381(CD23,MD11); 297(CD18,MD9); 353(CD21,MD10); 627(CD35,MD17); 14(CD48,MD25). 706(CD50,MD26); 386(CD23,MD11); 614(CD35,MD17); 645(CD49,MD26); 565(CD49.MD25); T& P – 3, 23, 118
Sunday, 11th December -146(CD9,MD5); 113(CD7,MD4); 166(CD10,MD5); 231(CD14,MD7); 712(CD40,MD20); 535(CD31,MD15); 429(CD25,MD12); 376(CD22,MD11); 324(CD19,MD9); 134(CD8,MD4); 406(CD24,MD12); 698(CD40,MD20)
Sunday, 18th December -168(CD10,MD5); 10(CD1,MD1); 603(; CD49,MD26); 524(CD30,MD15); 117(CD7,MD4); 400(CD24,MD12); 611(CD35,MD17); 16(CD48,MD25); 509(CD29,MD14)
Sunday, 25th Christmas Day – All the hymns in the section "His Incarnation" are suitable until 6th January -114(CD7,MD4); 427(CD25,MD12); 428(CD 25,MD12); 202(CD13,MD6); 701(CD40,MD20); – 3 (last verse), 123,49,
Sunday, 1st January 2017– "The Naming & Circumcision of Jesus" 24(CD2,MD1); 581(CD49.MD25); 338(CD20,MD10); 94(CD6,MD3); 584(CD33,MD16,); 425(CD25,MD12); 491(CD28,MD14) – T&P 84,149,123 & 18
Monday, 6th January – Hymns in the section " His Epiphany" are suitable until 26th January -125(CD8; MD4); 190(CD12,MD6); 562(CD32,MD16); 522(CD30,MD15); 103(CD7,MD3); 162(CD10,MD5); 693(CD50,MD26); 700(CD50,MD26); T&P 54, 05 & 70
Recorded Music – November – December 2016
Do use the "Canticles" CDs and MDs. If you have lost the tradition of singing them, why not get one CD/MD, play one canticle while sitting and listening/following it in your prayerbook as they do in one parish in our diocese – maybe, in time, people will join in! If you do not know a hymn on this list, why not play it as a voluntary? – encourage your organist to learn some new tunes and, perhaps, get a small group of people together to help lead the congregation – Try Hymn 26, singing it to tune 444 in the big red book; it is a Communion hymn and it works really well! I have given two suggestions for each Sunday; based as far as possible on one of the readings & that they are well known tunes. Well!! it did not happen this month either – we wait some more!
Sunday, 6th November – 369(CD22,MD11); 366(CD22,MD11); 373(CD22,MD11); 503(CD29,MD14); 199(CD12,MD6); 424(CD25,MD12); 489(CD28,MD14); 537(CD31,MD15); 499(CD29,MD14); 668(CD39,MD19); 700(CD50,MD26); 606(CD49,MD26); 627(CD35,MD17) T&P 158&209
Sunday, 13th November – 250(CD16,MD8); 442(CD26,MD13); 20(CD1,MD1); 685(CD39,MD19); 381(CD23,MD11); 197(CD12,MD6); 92(CD6,MD3); 89(CD6,MD3); 344(CD20,MD10); 614(CD35,MD17); 456(CD27,MD13); 227(CD14,MD7); 445(CD26,MD13); 373(CD22,MD11);
Sunday, 20th November – 21(CD1,MD1); 92(CD6,MD3); 96(CD48,MD25); 219(CD14,MD7); 575(CD33,MD16); 218(CD14,MD7); 484(CD28,MD14); 484(CD28,MD14); 231(CD14,MD7); 366(CD22,MD11); T&P 136 & 9
Year A
Sunday, 27th November – During Advent all hymns in "His Advent" section are appropriate – 117(CD7,MD4); 535(CD31,MD15); 487(CD28,MD14); 96((CD48,MD25); 565(CD49,MD25); 428(CD25,MD12); 480(CD28,MD14); 547(CD32,MD16); 553(CD32,MD16); 611(CD35,MD17); T&P 3 (sing appropriate verse on each Sunday of Advent) & 52
Sunday, 4st December –- 481(CD28,MD14); 250(CD16,MD8); 134(CD8,MD4);400(CD24,MD12); 252(CD16,MD8); 381(CD23,MD11); 263 197(CD12,MD6); 706(CD50,MD26); 146(CD9,MD5); 387(CD23,MD11); 126(CD8,MD4) 136(CD8,MD4); T&P 26 & 10
Sunday, 11th December –67(CD4,MD2); 94(CD6,MD3); 350(CD21,MD10); 145(CD8,MD4); 113(CD7,MD4); 698(CD40,MD20); 111(CD7,MD4); 199(CD12,MD6); 704(CD40,MD20); 481(CD28,MD14); 137(CD8,MD4); 324(CD19,MD9); T&P 58 & 158
To view the suggested Recorded Music list click on downloads below
Recorded Music – January – February
Recorded Music – December – January 2016
Recorded Music – November – December 2015
Suggested Recorded Music October-November 2015
Suggested Recorded Music September-October 2015
Suggested Recorded Music August-September 2015
Suggested Recorded Music June-July 2015
Suggested Recorded Music May – June 2015
Suggested Recorded Music April – May 2015
Suggested Recorded Music March – April15
Suggested Recorded Music Feb-March 2015
Suggested Recorded Music Jan-Feb 2015
Suggested Recorded Music Dec-Jan 2014-2015
Suggested recorded music November 2014
Suggested Recorded Music October 2014
Suggested Recorded Music September 2014


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I thought I caught it once. Maybe twice. It pulsed in my hand like light before slipping through my fingers; scent of crushed petals on my skin. After that, I was gentler, stealthy. Beauty is shy of capture. Blue.
She lives inside me like a memory, a gaping longing that pushes me on—searching, chasing, ever-seeking her pale luminance.
I watch the wind bend the willowy branch of the plum tree. I see the first opening buds color the limbs of the maple scarlet. I stand under a sea of waking stars. I hear the cry of the red-shouldered hawk to her lover as she carves her circles in the sky. Blue.
This is what it means to be alive, to live fully awake: always reaching, always hungry, thrilling to every glimpse of the Divine in my small, unseen life.
This is my story.


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Hope you enjoy.
Hi. Couple in Chicago area looking for a BBC this weekend. 9/10/2016.
Chicago couple looking for BBC this weekend. August 26-28.
Is she worthy? What do you think?
Couple in Chicago looking for single men.
Hello everyone,
Were a couple looking for some adult fun. She likes her men dark. I love it when my wife is naughty. [ATTACH]
I love to show my wife.
Wanna see?
Couple in NW Indiana looking for fun. Good looking couple wants 3some fun.
Separate names with a comma.


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The Marshall Convention & Visitor's Bureau is excited to host the
The Southwest Minnesota Craft fair is in it's first year at the Red Baron Arena and Expo. Hosting a Spring and Fall event each year. The Spring event is the Saturday of Mother's Day, the fall event is usually the 3rd weekend in September. The Craft and Vendor Show bring in over 70 Vendors, as well as 1000 people from the Region. The Craft and Vendor show is growing with each event and each year!
Check out the Facebook Group Here


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Chocolate covered STRAWBERRIES, CHERRIES, and BLUEBERRIES!!! I have never heard of choc covered blueberries, so one of the reasons I'm testing those is to see if they taste any good. Problem is, I HATE blueberries. My whole family hates them. My fiance is the only one who likes them and he's asleep and I don't want him to taste them til tomorrow anyways. Edit: the chocolate looked done so I had my sister try it and she said it was pretty good... Then I tried it and I liked it too, despite not liking blueberries. Also, I had to use canned maraschino (?) cherries because the regular ones at Walmart tonight were all wrinkled and black. I stuck a toothpick in each berry (or drupe,) dipped it into a mixture of approximately 16oz of melted milk chocolate chips and 2 tablespoons of shortening, stabbed it into a brick of styrofoam, and left the whole thing in the fridge for
The next step will be to arrange on a serving platter or something, drizzle white chocolate onto all the little goodies and then yum yum eat.
I'll post pics of the drizzling process and the finished product when I finish.
View of the whole block... I will definately need more blocks if I decide to do this for the wedding.
They look really sloppy cuz I accidentally tipped it against the paper towel. Sad.


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|Publication number
|Publication type
|Application number
|Publication date
|Jun 28, 2005
|Filing date
|Oct 28, 2002
|Priority date
|Oct 5, 1999
|Fee status
|Also published as
|Publication number
|Robert C. Platt
|Original Assignee
|Sherwood Services Ag
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (102), Non-Patent Citations (10), Referenced by (42), Classifications (9), Legal Events (8)
|External Links: USPTO, USPTO Assignment, Espacenet
This application is a continuation of U.S. application Ser. No. 09/665,380 filed on Sep. 21, 2000 now U.S. Pat. No. 6,475,217 by Robert C. Platt which claims priority to U.S. Provisional Application Ser. No. 60/157,743 filed on Oct. 5, 1999, the contents of both of which are hereby incorporated by reference herein.
The present disclosure relates to gas-enhanced electrosurgical instruments for coagulating tissue. More particularly, the present disclosure relates to an articulating, gas-enhanced electrosurgical apparatus for coagulating tissue.
Over the last several decades, more and more surgeons are abandoning traditional open methods of gaining access to vital organs and body cavities in favor of endoscopes and endoscopic instruments which access organs through small puncture-like incisions. Endoscopic instruments are inserted into the patient through a cannula, or port, that has been made with a trocar. Typical sizes for cannulas range from three millimeters to twelve millimeters. Smaller cannulas are usually preferred, and this presents a design challenge to instrument manufacturers who must find ways to make surgical instruments that fit through the cannulas and operate in a safe and effective manner.
Endoscopic instruments for arresting blood loss and coagulating tissue are well known in the art. For example, several prior art instruments employ thermal coagulation (heated probes) to arrest bleeding. However, due to space limitations surgeons can have difficulty manipulating the instrument to coagulate, desiccate, fulgurate and/or cut tissue. Moreover, if the probe comes into close contact with the tissue, the probe may adhere to the eschar during probe removal possibly causing repeat bleeding. Other instruments direct high frequency electric current through the tissue to stop the bleeding. Again, eschar adherence may also be a problem with these instruments. In both types of instruments, the depth of the coagulation is difficult to control.
U.S. Pat. No. 5,207,675 to Canady attempts to resolve certain of the above-noted problems with respect to the prior art by providing a tube-like coagulation instrument in which an ionizable gas is forced through the instrument and ionized by an electrode in the region between the distal end of the instrument and the bleeding tissue. The electrode, then, does not contact the tissue.
U.S. Pat. No. 5,720,745 to Farin et al. discloses a coagulation instrument which extends through a working channel of an endoscope and includes an electrode for ionizing a stream of ionizable gas exiting the distal end of the instrument at a rate of less than about 1 liter/minute. As explained in detail in the Farin et al. specification, the purpose of discharging the gas at a very low flow rate is to effectively cloud the tissue area and create an ionizable gas "atmosphere" to gently coagulate the tissue.
Using these instruments to treat certain more tubular sites, e.g., the esophagus and/or colon, is often difficult, impractical and time consuming. For example, these longitudinally oriented instruments fire the ionized gas and the RF energy in an axial direction from their respective distal ends which, in the case of tubular tissue, would be parallel to the bleeding tissue. Thus, manipulating these instruments to focus the energy transversely or off-axis at the bleeding tissue may be very difficult.
Thus, a need exists for the development of a new and effective instrument for treating certain more tubular tissue.
The present disclosure relates to an electrosurgical apparatus for coagulating tissue which includes an elongated flexible tube having a proximal end, a distal end a source for supplying pressurized ionizable gas to the proximal end of the tube. The apparatus in one embodiment includes a hollow sleeve made from a shape memory alloy, e.g., Nitinol and/or Tinel, which has a generally curved austenite state and displays stress-induced martensite behavior at normal body temperatures. The hollow sleeve is restrained in a deformed stress-induced martensite configuration within the tube wherein partial extension of a portion of the hollow sleeve from the tube transforms the portion from the deformed configuration to its generally curved austenite configuration such that the portion directs the gas transversely at the tissue. The surgical apparatus also includes at least one active electrode and a source of high frequency electrical energy for ionizing the gas prior to the gas exiting the portion of the sleeve.
Preferably, the angle at which the gas is directed at the tissue is directly related to the distance the portion of the sleeve extends from the tube.
In another embodiment of the present disclosure, the electrosurgical apparatus includes a wire connected to the distal end of the tube. The wire is movable from a first generally relaxed position wherein the tube is disposed in generally rectilinear parallel fashion relative to the tissue to a second retracted position wherein the distal end of the tube flexes at an angle to direct the gas towards the tissue. Preferably, the angle at which the gas is directed at the tissue is directly related to the amount of tension placed on the wire.
Another embodiment includes a corona electrode disposed proximate the distal end of the tube for inducing ignition of the plasma prior to emission. A wire is used to articulate the distal end of the tube and direct the gas at the tissue. Preferably, the wire is connected to the corona electrode and electrically connects the corona electrode to a source of electrosurgical energy. A dielectric material is preferably disposed between the corona electrode and the active electrode to prevent arcing between electrodes.
Referring now to
Preferably, the proximal end of the coagulator 10 is mechanically coupled to a supply 18 of pressurized ionizable gas, e.g., inert gas, by way of hose 20 and electrically coupled to an electrosurgical generator 22 by way of cable 24 to supply a source of electrosurgical energy, e.g., high frequency coagulation current. It is envisioned that the electrosurgical generator 22 selectively controls the amount of electrosurgical energy transmitted to an electrode during a surgical procedure. It is also envisioned that the supply of pressurized ionizable gas selectively controls the rate of flow of gas. A pressure regulator, designated by reference numeral 21, is preferably provided to regulate the fluid pressure.
As shown in
Turning now to
Electrode 48 produces an RF electric field, which ionizes the gas 28 in the region between the electrode and the tissue 50. Electrode 48 is connected by way of an electrical conduit (not shown) disposed within tubes 30 and 13 which is ultimately connected to electrosurgical generator 22. Preferably, the electrode 48 is ring or pin-type and is spaced from the distal end 34 such that the electrode 48 cannot come into contact with the tissue 50 during the surgical procedure. A return electrode or pad 17 is positioned on the patient and is electrically coupled to the electrosurgical generator 22 to provide a return path for the electrosurgical current.
Preferably, a stream of gas plasma 46 conducts the current to the tissue 50 while effectively scattering blood away from the treatment site allowing the tissue 50 to readily coagulate and arrest bleeding. A gas plasma 46 is an ionized gas that is used in surgical procedures to conduct electrosurgical energy to a patient without electrode contact by providing a pathway of low electrical resistance. The electrosurgical energy will follow this path and can therefore be used to coagulate, desiccate, or fulgurate blood or tissue 50 of the patient. One of the advantages of this procedure is that no physical contact is required between an electrode 48 and the tissue 50 being treated. One advantage of having a directed flow of gas 28 is that the plasma arc can be accurately focused and directed by the flow.
As best seen in
More particularly, shape memory alloys (SMAs) are a family of alloys having anthropomorphic qualities of memory and trainability and are particularly well suited for use with medical instruments. SMAs have been applied to such items as actuators for control systems, steerable catheters and clamps. One of the most common SMAs is Nitinol which can retain shape memories for two different physical configurations and changes shape as a function of temperature. Recently, other SMAs have been developed based on copper, zinc and aluminum and have similar shape memory retaining features.
SMAs undergo a crystalline phase transition upon applied temperature and/or stress variations. A particularly useful attribute of SMAs is that after it is deformed by temperature/stress, it can completely recover its original shape on being returned to the original temperature. The ability of an alloy to possess shape memory is a result of the fact that the alloy undergoes a reversible transformation from an austenite state to a martensite state with a change in temperature (or stress-induced condition). This transformation is referred to as a thermoelastic martensite transformation.
Under normal conditions, the thermoelastic martensite transformation occurs over a temperature range which varies with the composition of the alloy, itself, and the type of thermal-mechanical processing by which it was manufactured. In other words, the temperature at which a shape is "memorized" by an SMA is a function of the temperature at which the martensite and austenite crystals form in that particular alloy. For example, Nitinol alloys can be fabricated so that the shape memory effect will occur over a wide range of temperatures, e.g., −270� to +100� Celsius.
Many SMAs are also known to display stress-induced martensite (SIM) which occurs when the alloy is deformed from its original austenite state to a martensite state by subjecting the alloy to a stress condition. For example and with respect to
As seen best in
It is envisioned that by empowering the user to articulate, i.e., bend, the distal end 41 of the sleeve 40 at various angle α will enable the operator to more effectively coagulate bleeding tissue 50 with more longitudinal-type lesions, i.e., tissue lesions which run parallel to the axial direction of endoscope 12, and without causing collateral tissue damage. It is also envisioned that by adjusting the angle α of the distal end 41 of the sleeve 40, the angle with respect to the tissue surface or longitudinal axis of the tube at which the ionized gas 46 impinges can be selectively controlled.
Coagulator 110 also includes a pull wire 160 which is connected at one end proximate the distal end 134 of tube 130 such that retraction of wire 160 flexes tube 130. Preferably, wire 160 is disposed within the proximal end 132 of tube 130 and exits a port 136 disposed within tube 130 to attach to tube 130 at a point proximate distal end 134. Wire 160 is movable from a first generally relaxed position wherein tube 30 is disposed in a generally rectilinear fashion relative to tissue 50 (see
In some cases it may be preferable to utilize wire 160 as a return electrode and couple wire 160 to electrosurgical generator 22. In this case, the portion of wire 160 disposed within tube 130 is preferably insulated to avoid unintentional ignition and ionization of gas 28.
A "corona" is a type of discharge which forms around an active electrode and can be used to increase the reliability of plasma ignition. Coronas are low current discharges and consume very little power and, therefore, do not affect the overall power delivered to the tissue. Coronas typically occur in highly non-uniform electric fields which are commonly generated between electrodes of greatly differing sizes.
A corona electrode is typically located proximate the active electrode 48 and is electrically connected to the return potential of the electrosurgical generator 22. For example and with respect to the
As seen best in
When the electrosurgical generator 22 is activated, a non-uniform electric field is generated between corona electrode 275 and active electrode 48 and a corona forms around active electrode 48 which aids in igniting gas 28 to produce gas plasma 46.
As mentioned above, coagulator 210 also includes a wire 260 which is connected at one end proximate the distal end 234 of tube 230 such that retraction of the wire 260 flexes tube 230. Preferably, wire 260 is also connected to corona electrode 275 and performs a dual function: 1) to electrically connect corona electrode 275 to electrosurgical generator 22; and 2) to empower the user with the ability to selectively articulate the distal end 234 of tube 230 at varying angle α to effectively coagulate bleeding tissue 50 in a manner similar to the manner described with respect to the
More particularly and as best seen in
From the foregoing and with reference to the various figure drawings, those skilled in the art will appreciate that not only can the coagulator 10, 110 and 210 of the present disclosure be used to arrest bleeding tissue, but the present disclosure can also be employed for desiccating the surface tissue, eradicating cysts, forming eschars on tumors or thermically marking tissue. Those skilled in the art will also appreciate that certain modifications can also be made to the present disclosure without departing from the scope of the present disclosure.
In some cases it may be preferable to use various combinations of the component parts shown with respect to each of the embodiments described herein. For example, it may be preferable to combine a SMA (or a stress-induced martensite) with a wire to articulate the distal end of the tube. In another case it may be preferable to use a ring-like corona return electrode with an SMA to induce plasma ignition.
In some cases it may be preferable to employ an electrode control mechanism to allow a user to selectively adjust the amount of current flowing through the electrodes during surgical conditions. Moreover, even though it may be preferable to use argon as the ionizable gas for promulgating coagulation of the tissue, in some cases it may be preferably to use another ionizable gas to effect the same or different result.
There have been described and illustrated herein several embodiments of a coagulator for arresting bleeding and performing other surgical procedures. While particular embodiments of the disclosure have been described, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Therefore, the above description should not be construed as limiting, but merely as exemplications of preferred embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.
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|Covidien Ag
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|U.S. Classification
|606/49, 606/40, 606/50
|International Classification
|Cooperative Classification
|European Classification
|Jun 5, 2008
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A Message from the Executive Director, Richard S. Kalm
As the Executive Director of the Michigan Gaming Control Board, my vision for gaming regulation in Michigan is quite simply to maintain and protect the integrity of all gaming and horse racing, while at the same time, balancing regulation with a business friendly approach to vendors, suppliers, charities, tracks, and casinos. As a former law enforcement officer, I am honored to head this agency of professionals. My goal is to be known as the finest gaming control operation in the U.S., while guaranteeing the people of the State of Michigan all gaming and horse racing is honest and fair. I am committed to maintaining the highest integrity and public confidence of gaming throughout the State.


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Co-founder, BifBangPow!
How about Seth MacFarlane's "The Orville"?
I think Lost in Space fits the format, Tomland remakes would be nice. How about come original monster, or alien figures?
I'm sure Star Wars figures would sell
Im surprised U Guys havent gone down the line of FTC, and started selling heads, cloths etc, Im sure there would be a few dollars in there, making it easier for new figures getting created? I think personally any interesting monsters would go down a treat, with minimum licensing. Saying that I would love "Alien" megos, for the alien I would just shrink down the kenner version, and sell him in a coffin box
How about Clash of the Titans, or Lost in Space?


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Richard S.
Mesquite, TX, 75150
Joined on April, 2012
Gender: Male
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Weekends at any time
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Up to 30 minutes away for no additional charge
EducationB.A. in philosophy, Austin College; M.T.S. in theological studies, Harvard; M.Phil. in history, Columbia; M.A. in philosophy, Fordham; additional graduate courses in U. S., Texas, and military history, University of North Texas. Elected to five academic honor societies.
Experience30+ years teaching college courses in history, philosophy, and the humanities at levels from the Ivy League to community colleges. Experienced in helping students understand what they are learning rather than simply aiding them in memorization. Awards for teaching excellence five times.
HobbiesA commercial photographer for quite a few years. Experienced in and able to tutor all aspects of photographic processes as well.
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History, Philosophy & Ethics, Religion, Biblical studies, Latin, research skills, essay writing, and related humanities subjects.
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The tutor will respond if they are available/interested.


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Inexpensive Upgrades
A Home Safety Expert's Advice – Part Two
Higher wattage light bulbs and handrails are just two of the inexpensive changes you can implement as you age in your home. And there are simple things you can do to safeguard the bathroom, too.
Alyne explores these low cost upgrades with AARP's Livable Communities specialist Elinor Ginzler.
Want more information? Visit Elinor's article Turning 'Home Sweet Home' Into 'Home Safe Home'.
More Home Safety Progams
Part One - A Home Safety Expert's Advice - No Cost Tips to Prevent Falls
Part Three - A Home Safety Expert's Advice - Remodeling As You Get Older
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