text:
Join TCIA Now!
It has been brought to our attention by TCIA members that a lead generation company, Home Advisor (formerly Service Magic) has contacted members, claiming to have an affiliation with TCIA.
We advise TCIA members that we do not endorse or have an affiliation with Home Advisor or any other lead generation company. When TCIA members do contract with a lead generation company, they should chose the company carefully and employ buyer beware practices.
If you have questions, please contact TCIA directly at 603-314-5380 or firstname.lastname@example.com.
The Monadnock Ledger-Transcript recently reported on Lyndeborough native Richard Herfurth, a 62-year-old arborist and safety and training coordinator for TCIA Member Bartlett Tree Experts (Hooksett Branch).
In the report, Herfurth spoke of the dangers of his occupation and why he chose arboriculture for his profession.
TCIA would like to congratulate Michael Dunn from Preservation Tree for participating in our most recent Membership Survey, and for being randomly selected as the winner of an iPad mini!
During the August 24th Gilford Old Home Day Woodsman Competition, Ossian Batchelder of the Belknap Landscape Company (BLC) Tree & Crane Service crew won the Pole Climb contest and earned a 2nd place overall, scoring 30 points.
Several members of the Tree Care Industry Association (TCIA) were honored with the International Society of Arboriculture's (ISA) 2013 Awards. Our members were recognized in several categories for their outstanding and unique contributions for the arboriculture industry.See below for the 2013 winners in each category.
The Davey Tree Expert Co. has announced the appointment of Don Winsett to Vice President of National Business Development.
The 2013 Gilford Woodsman Competition will be held this weekend in Gilford, New Hampshire, during the Gilford Old Home Day celebration.
The Tree Care Industry Association is seeking nominations for the Associate Director position on our Board of Directors. The opening for a three-year term begins at the Winter Management Conference, February 2014, and will run for three years through February 2017.
Entomologists from the U.S. Forest Service recently released a report that instructs on how to prevent and eradicate the emerald ash borer, a common pest in the Midwestern and Northeastern United States.
Peter Gerstenberger, TCIA's senior advisor for safety, compliance, and standards, is this year's winner of the Millard F. Blair Exceptional Contribution to Practical Arboriculture Award from the International Society of Arboriculture (ISA).


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MONTPELIER The state capital recently was named the fourth best city in the country for beer lovers by the financial assistance website nerdwallet.com.
The site looked at the top 50 breweries in the country, according to the magazine Beer Advocate, and found they were clustered around four cities. Also on the list were San Diego, Calif., San Francisco and Portland, Ore.
The breweries located near Montpelier make the Beer Advocates list, the site reads. In fact, the No. 1 spot goes to the Heady Topper from The Alchemist in Waterbury, it says. Hill Farmstead Brewery has 11 different beers on the Beer Advocate list of the top 250 beers, and Lawsons Finest Liquors is at No. 28 with its Double Sunshine IPA, the site says.MORE IN This Just InNEW YORK A federal appeals court in Manhattan said Tuesday that the legality of a tax on... Full StoryStarting in January, Vermonters will be able to get a new kind of drivers license. Full StoryAt it's meeting Monday night, the Select Board moved to oppose a proposed telecommunications... Full Story -
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subset: commoncrawl


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We see 21st century law as a tool to help shape our clients' futures. Our focus is on knowing what is important to our clients now and next so we can foresee obstacles and opportunities, smooth their way, and create value for them.
Before the court of law, there's thecourt of public opinion. Trial lawyers counseling clients must be adept atInternet-based crisis communications.
As co-sponsors of the 2013 Affordable Housing Summit at Greenbuild, we convened leaders from around the country to discuss what the future holds for green affordable housing.
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Various Artists
The annual New England Metal and Hardcore Festival is typically one of the highest-profile, multi-day festivals in the US, when it comes to underground extreme music. It's also one of the most professionally organized fests out there, especially when compared to a certain other string of US Metalfests. The NEMHF generally attracts some of the best bands that modern metal has to offer, particularly catering to the rising stars of the metalcore scene. The fest covers the Friday and Saturday of one lucky Spring weekend, and runs two stages. The main stage is downstairs in the Worcester Palladium, a spacious venue with towering ceilings, like 40 or 50 feet high, a large floor space, and an even larger balcony. The second stage is basically the lobby to the balcony, which holds 300-400 people, I'd guess.
Seeing as how the fest sells out year after year, someone finally made the wise business decision to record the fest for future sale. Trustkill Records are the producers of this release, which chronicles the 2003 version of the fest, complete with interview snippets and plenty of live cuts. The meat of the DVD is obviously the featured videos. Since Trustkill had no say in the billing of the show, criticizing the lineup is pretty pointless. I'm assuming that due to contractual issues between labels, a few of the major bands are conspicuously absent, like Kataklysm, Beyond the Embrace, and Saturday headliners, Superjoint Ritual.
What you do get are one or two songs from: Shadows Fall, Opeth, The Haunted, Unearth, Nevermore, Meshuggah, Lacuna Coil, Bleeding Through, Lamb of God, Killswitch Engage, Shai Hulud, Converge, Nora, Most Precious Blood, Cannae, 18 Visions, and Atreyu. The bonus cuts including lesser quality recordings of second stage bands like Darkest Hour, Blood Has Been Shed, Haste, Scarlet, and more.
I'm no stranger to the Palladium, seeing as how they are one of the few venues in the Boston area that will host metal shows, as such, basically every major metal tour lands there. As a matter of fact, I was in the audience on the first night of this festival, seeing great sets from Beyond the Embrace (who are not on this DVD), Shadows Fall, and headliners Opeth. I'm also no stranger to the acoustics of the Palladium, which is what I find most surprising about this recording. The main stage videos mostly sound fine, but in person, the Palladium sound is always awful. My theory is that the place is just too high, so sound gets lost up high. Everything usually sounds too bass-heavy and boomy. On the other hand, the upstairs sound is better live, but on the DVD, it's pretty low quality. Fortunately, most of the second stage videos are just bonus tracks on the DVD, comprised of lesser-known acts like Himsa, Caliban, and On Broken Wings, although I feel like Darkest Hour got shafted by being stuck on the second stage.
Right off the bat, the DVD opens up with an interview with Nora, and the question, "If you thought a girl deserved it, would you hit her?" Response: "Yes, in a heartbeat." The sound quality varies from band to band, ranging from good to very good, especially considering what they had to work with. Cannae sounds excellent, as does Lacuna Coil (even though Cristina's vocals are mixed a little low). Nevermore's rendition of "The Sound of Silence" looks quite entertaining, but suffers in the sound department. Opeth continues to amaze with a flawless version of "The Drapery Falls", which actually sounded better in person than on this recording. Nobody sounds better at the Palladium than Opeth. Shadows Fall contributed two tracks, the mighty "Crushing Belial" and "The Idiot Box", but if I were in charge, I would've used their scathing performance of "A Fire in Babylon" instead. And that wraps up Friday.
The Saturday bands featured a few of my faves, including Unearth and Lamb of God, which really made me regret missing that half of the fest. Unearth unleash a high-octane version of "One Step Away", complete with plenty of crowd interaction and some showoff guitar theatrics. Shai Hulud play one of my faves of theirs, but the sound man seems to have forgotten to mix in the rest of the band, leaving a loud vocal performance but not much more. The Haunted reach way back in the vault with the excellent "In Vein". Conveniently enough, Bleeding Through and 18 Visions both get a pair of tracks. The BT tracks are powerful, but the sound gets spotty. Lamb of God deliver a pair from New American Gospel that are nothing short of killer. Couple those with a hilarious interview and the Wall of Death and you've got a good time brewing. Converge play with intensity, but were stuck upstairs, and the production on these is quite poor. Meshuggah wrap up the DVD with "Sickening" and "Sane".
If you dig the bands profiled here, this is definitely a good pickup. I'm not sure about the availability of the DVD outside of the New England area, but it's well worth the money. All in all, Trustkill did a fine job capturing this wild weekend, and presented it with excellent video shots, and acceptable audio, especially considering where they were playing. I sure had fun reliving this fest, which turned out to be much more enjoyable than the 2004 NEMHF.
Various ArtistsMaryland Deathfest: The Movie III
5/28/2013 Various Artists
This Comp Kills Fascists Vol. 2
6/22/2010 Various Artists
Code666 - Better Undead Than Alive 2
1/12/2010 Various Artists
Pagan Fire
2/5/2008 Various Artists
Thrashing Like A Maniac
2/5/2008 Various Artists
...And Back To Earth Again: Ten Years Of Meteorcity (3 Discs)
10/9/2007 Various Artists
Saw IV Original Soundtrack
10/23/2007 Various Artists
The Music of Artisanship & War: Volume 1
3/20/2007 Various Artists
The Realm of Napalm Records (DVD + CD)
10/24/2006 Various Artists
Power Up! Mutations and Mutilations of 8-Bit Hits
10/31/2006 Various Artists
Saw III Soundtrack
10/24/2006 Various Artists
Drum Nation Volume 3
8/15/2006 Various Artists
Girls Got Rhythm!
8/22/2006 Various Artists
Destroyers From The Western Skies
8/20/2005 Various Artists
Alternate Endings
4/10/2006 Various Artists
MTV2 Headbangers Ball: The Revenge (2 Discs)
4/11/2006 Various Artists
Prom Queen Massacre
2/28/2006 Various Artists
10th Year Of Obscene
5/14/2005 Various Artists
Armageddon Over Wacken Live 2004 (3 Discs)
10/4/2005 Various Artists
Rainbow Six: Lockdown Soundtrack
11/15/2005 Various Artists
The All Star Sessions
10/11/2005 Various Artists
Obscene Extreme 2005
8/7/2005 Various Artists
The Cave - Soundtrack
7/12/2005 Various Artists
Osmose Productions Noisymotions (DVD)
11/25/2004 Various Artists
Alone In The Dark Soundtrack (2 Disc Set)
2/8/2005 Various Artists
Metal Ostentation - Volume 5
6/23/2004 Various Artists
Metal Ostentation - Volume II
12/1/2003 Various Artists
Hoods/Freya Split CD/EP
12/21/2004 Various Artists
Trustkill Video Assault Vol 1 (DVD)
11/16/2004 Various Artists
Morphology of Fear (Split CD)
8/22/2004 Various Artists
Resident Evil: Apocalypse
9/10/2004 Various Artists
Louder Than The Dragon
2/16/2004 Various Artists
Hope & Suicide | Emmanuel.7 (Split)
3/10/2004 Various Artists
Fret Essential Guitar Compilation
2/10/2004 Various Artists
Blood Sweat And Ten Years
2/24/2004 Various Artists
Monsters of Metal, Vol. 1 - The Ultimate Metal Compilation Double DVD
1/27/2004 Various Artists
A Tribute To The Four Horsemen
8/26/2003 Various Artists
A Tribute To The Beast Vol. 2


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(877) 943-3703
2830 E. Brown Rd, Ste #9
Mesa, AZ 85213-5431 Welcome to the New Health Dental website of Dr. Edward FritzSmile GalleryActual Patient Pictures Shown Before and After TreatmentsAs your Phoenix area holistic dental practice, it is our vision to help you accomplish your dental goals through the safest, gentlest, most effective, and healthy procedures and techniques possible. We understand more all the time that the mouth is not an island in the body. Everything that goes on in the mouth will impact other areas. Therefore, preventing and correcting issues related to oral health not only improves your smile, but helps you maintain optimal general health as well. At New Health Dental, we do more than look for tooth decay or gum disease, we assess every patient as the individual he or she is. Within our practice, we have assembled a full menu of treatment services to lead each patient to the beautiful, healthy smile they so richly deserve. We begin by consulting with new patients regarding their concerns and desires. We then look at the various factors that play a role in the patient's current situation. In doing so, our team is able to work together to complete a customized treatment plan allowing the patient to enjoy optimal total health. In our conveniently located office, our patients may benefit from services such as:
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Call us today at (877) 943-3703 * Cannot be combined with any other offer


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Seems like everywhere I turn, I'm being bombarded with advice on how to stock my pantry. My feeling is, after all these years of cooking for myself and my family, I know what my kitchen should never be without: lemons, chickpeas, heavy whipping cream, parsley, breadcrumbs, and so on.
Buttermilk is not on this list. In my house, buttermilk is recipe-specific, something I buy for a chocolate cake or maybe a spinach tart. The last time I was at the store, however, I tossed it in the cart, just for the fun of it.
At home, I turned to cookbooks I don't normally use — again, for the fun of it — and settled on Buttermilk Pie. Don't let the name turn you off. It's really a lemon pie, though without quite as many eggs as standard lemon pies. The recipe calls for 3 tablespoons of lemon juice, plus the zest of a whole lemon. Add that to buttermilk, the eggs, sugar, flour and butter and you've got yourself dessert.
While you could use traditional flaky pie dough for the crust, I prefer a buckwheat crust. The earthiness of the crust plays well with the pleasantly tart filling. Top it with homemade whipped cream for something that even skeptics will love. (Maybe they'll be less skeptical if you call it "lemon pie").
Buttermilk Pie
Adapted from The Fannie Farmer Baking Book
1 cup sugar
3 T flour
3 eggs, beaten
1/2 cup butter, melted and cooled
1 cup buttermilk
3 T lemon juice
zest of 1 lemon
First, make crust. You can either use your own recipe or make the following buckwheat crust: Blend 1/2 cup white flour with 1/2 cup buckwheat flour. Whisk in 1/4 tsp salt. Cut in 1/3 cup butter, then add 2-3 T cold water to form dough. Shape into a disc and set between two large pieces of wax paper. Roll out the crust between the paper, then refrigerate until firm.
Preheat oven to 425. Line pie pan with crust, prick well with fork and bake about 10 minutes. Remove from oven and make filling. Mix sugar and flour, then add eggs, butter, buttermilk, lemon juice and zest. Stir well then pour into pie shell. Bake 10 minutes, then lower the temperature to 350 and bake 20-30 minutes more. Pie is done when a knife inserted 2 inches from the edge comes out clean.


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Cloudbabies Glow Baba Blue
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1 reviewCloudbabies Glow Baba Blue. Cloudbaby feature plush with glowing face. Glow changes gently through the colours of the rainbow. Squeeze their tummy to hear a Cloudbaby lullaby. Baba Blue will sing you to sleep. Requires 3 x LR44 batteries. Age from 2 years. -
Cloudbabies Talking Baba Blue
- Was
- Was £18.00
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- Now £13.00
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2 reviewsTalking Cloudbabies Baba Blue
Sure to be loved by young fans of the hit TV show Cloudbabies – this cuddly Baba features 12 fun phrases.
Squeeze Baba Green's tummy to hear the phrases, or simply hug for a cuddly companion.
Also available are Baba Green (item number 27GTE) Baba Yellow (item number 27GTD) and Baba Pink (item number 27GTC) so you can collect the whole Cloudbabies set.
Your little one will be over the moon with this Talking Cloudbabies Baba!
Useful info:
- Talking Cloudbabies Baba Blue
- Features 12 unique phrases
- Squeeze tummy to hear the Baba talk
- The whole Cloudbabies gang available separately
- Requires 3 x LR44 batteries (included)
- Age: from 2 years


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Results 1 to 5 of 5
Thread: Just Bought!
- Join Date
- Sep 2005
- Posts
- 1
Just Bought!
Newbie here!
Wow, I cannot tell you enough how much we are impressed with our new (used) 2004 Trailblazer, we just bought ours last night. It was so smooth and has so much power! We are still discovering things that we didn't know we had.
We paid $16,000 for it, and purchased the additional warranty to cover it up to 100,000 miles bumper to bumper. It currently has just just over 36,000 miles. I think the previous owners traded it in because it just ran out of it's warrantly.
We are planning to tow a Fleetwood Sequoia Tent Trailer with it. I believe it tows about 5500lbs, so towing a 3500 lb trailer shouldn't be an issue. Anyone have any experience with towing a trailer like this? The trailblazer is kinda dwarfed by the trailer, I'm sure it will look comical when we actually tow.
- Join Date
- Dec 2004
- Location
- Arlington, Texas, United States
- Posts
- 34,773
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Wow, that's a great price! WTG
10 Chevy Traverse LT AWD
02 Chevy Trailblazer LS (110K+ miles - loaded except for 4WD - WRECKED!)
99 Chevy Cavalier LS (105K+ miles - commuter car)
78 Chevy Suburban Silverado (454, 3/4 ton)
62 GMC 3/4 ton Pickup (350 police interceptor)
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09-23-2005, 11:30 AM #3Congrats on the new buy.
Los Angeles, California
2004 Trailblazer (DJM drop kit, K&N air intake, 18' Kaotic Wheels, full system with Sirius and also custom
sub installed for cleaner look, tint all the way around, JBA exhaust...still looking for more to do)
Had until it was stolen:
1990 lowered Chevy Silverado
Also Have:
2002 Chevy Suburban
1992 Chevy S-10
1955 Chevy Bel Air
sad to say: also a 1991 Ford F-250
- Join Date
- Dec 2004
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- Arlington, Texas, United States
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How you like the TB these days?
02-19-2007, 10:27 AM #5Equipped?
How is your trailblazer equiped? LT, LS That is a great price on an '04 with 36000!
Similar Threads
so... I bought a new car...
By ppettit2005 in forum The Coffee Shop ~ Chit ChatReplies: 3Last Post: 10-21-2009, 02:09 PM -
Just bought one
By blueZ71 in forum Member IntroductionsReplies: 6Last Post: 01-03-2009, 04:51 AM -
just bought 08 z71
By erskine in forum Member IntroductionsReplies: 10Last Post: 08-27-2008, 06:52 PM -
I bought me a new toy
By Davandy in forum The Coffee Shop ~ Chit ChatReplies: 21Last Post: 11-21-2007, 01:54 PM -
Just Bought!
By 2004_Black_Trailblazer in forum The Coffee Shop ~ Chit ChatReplies: 3Last Post: 12-12-2006, 01:48 PM


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New Delhi, India
September 18-19, 2013
CSE organised a seminar on water and sanitation in partnership with Centre for Coastal Environmental Conservation, a Khulna based NGO.
The Centre for Science and Environment (CSE) organised a knowledge sharing seminar in partnership with the Bangladesh Institute of Planners (BIP) on September 4th, 2013.
Centre for Science and Environment (CSE) organized a one day regional workshop on 'Energy and Resource Efficiency in Urban Water Management' on September 27, 2013 at the The International Centre Goa. The workshop was supported by the Urban Development Department and Directorate of Municipal Administration (DMA), Government of Goa – as the local partner state.
List of participants | ||
Montreal Protocol meeting ends; nations agree to study HFCs further
No decision taken on setting up contact group to formally discuss the refrigerant gases under the international treaty


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Cheek Augmentation with Radiesse
Comparative of Cheek Augmentation using Radiesse. Left side of face injected with Intraoral Technique (inside the mouth) Right side of face injected from exterior - resultant bruising This photo to demonstrate how advanced injection techniques can alleviate bruising.
10 members found this helpful
By uploading this photo, Nissan Pilest, MD has agreed with RealSelf.com policy that they've secured proper patient consent.


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The Red Area Sven Edition by Necromancer (view all 16 maps by this user)
Map Download
Map Rating
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Map Description
This map has a discussion topic which can be visited here
This map is a modified version of my single player map "The Red Area" that has been altered for use with Sven Coop. Your objective is to get to the aircraft on the surface while fighting through alien and military rule. Good Luck!
The images used do not reflect Sven Coop play. These are the images from the single player version, simply because the architecture is the same; just new enemies.
*Important: Sven Coop v4.6 is required.
Warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'America/Los_Angeles' for 'PST/-8.0/no DST' instead in /home/snark3/public_html/template.php on line 272
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text:
Order Standard by 2 p.m. ET 12/19 for 12/24 delivery. Standard $25+ orders ship free
This scent is so lovely it's perfect for a romantic day with your loved one. It's floral, powdery notes are combined so well that makes you feel so feminine. Very nice scent.
This is the perfect scent for winter. It is a great mix of delicate and robust - with both powdery and musky undertones. After spraying it in the morning, I can smell hints of it on my clothes/skin all day. It isn't overpowering, yet definitely makes an impression.
Nice scent. Husband likes it too. I would recommend this for the winter by the fireplace with your significant other. May strike up some romance!
This is a soft, light, powdery fragrance. I like to use it as an everyday perfume, it's delicate enough for that.
This perfume smells like baby powder...and that is about all it reminds me of. Maybe it's just not for me, but i would not get this for any of my friends to wear either.
Great, light and feminine scent. Wore it out to a bar and got a lot of compliments, which was impressive since it was so crowded.
It smells too much like baby powder.....not in a good way. I did not care for it and neither did my boyfriend. I threw it away because my roommate didn't want it either.
I love this fragrance. I don't think the fragrance is too strong - it lasts throughout the day, but it's subtle. A few times during the day I'd purposefully smell my wrist because the smell would be so..."ahhh" is the only way I can explain it. I'm buying more.
I read with interest the negative reviews on this product, because I had the very same first impression "baby powder, sickly sweet, old lady perfume, why are they sending me this?" But don't be fooled! Give this one a second chance the next day, or, take note of how it smells the next hour. This scent is beautiful. It comes on strong with those old-lady notes only in the first few minutes. Then it turns to all the positive notes all the glowing reviews have detailed. It's very slightly musky in a really sexy way, and at the same time it's ultra-feminine in an assertive, "I know what I'm about" kind of way. For your reference my absolute favorite perfume is Dolce & Gabbana's original red perfume, and I hate rosewater and other super-floral smells. I love this perfume and will purchase it for home and for my gym locker.
I LOVE this scent!! It made me FEEL beautiful! So smooth airy, yet kind of sexy too. Saving my pennies til I can purchase a full size bottle!


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From OESF
What languages can I use to program my Zaurus?
You can program Qtopia applications using C++, and then cross-compile them for the Zaurus. ...
Last updated: 2002.Apr.06
Plain text console programs, and programs written to use the Framebuffer, or using SDL, for example, can be written in C, and then cross-compiled for the Zaurus.
Last updated: 2002.Apr.06
- Java
Since the Zaurus comes, by default, with a Java Virtual Machine (Insignia's "Jeode"), you can run Java programs on it. (No cross-compiling is needed, of course!)
Applies to: ROM(s) Official Sharp ROMs
Last updated: 2002.Apr.06
- Pascal
The FPC (FreePascal) compiler supports many platforms, including ARM. Sample pascal code for the Zaurus can be found on FPC Qt binding
Last updated: 2005.Dec.30
What languages can I use ON my Zaurus?
- Shell scripting (eg, BASH)
By default, the Zaurus comes with the BASH shell, so you can write BASH shell scripts on the Zaurus.
Last updated: 2002.Apr.06
- C and C++
If you have 20MB of space available on a CF or SD card, you can install ZGCC, a build of the GNU C and C++ compilers which run on the Zaurus! (People have even had luck compiling Qtopia applications using it!)
Last updated: 2005.Jun.22
- Java
IBM's Jikes editor, which is available on micronova.
Last updated: 2005.Jun.22
- Perl
You can also get Perl from the Debian project, here. Be sure to get the "*_arm.deb" packages (e.g., "perl-base_5.6.1-7_arm.deb" and "perl_5.6.1-7-arm.deb").
Then open the http://www.oesf.org/faq/images/icon_terminal.png and use the command " (command garbled. Can someone fix?) to unpack it. It will end up in a "DEBIAN" directory. Use the Unix "dpkg-deb†-xX†..._arm.deb
" to move the files (...) and create symlinks, if needed.
Source: Yu-Phing Ong
Last updated: 2002.Apr.08
- Python
http://www.riverbankcomputing.co.uk/pyqt/ provides selever IPKs of Python sized for the Zaurus. They also furnish the PyQt Python binding for Qtopia, which allows you to program Qt applications using Python!
Source: Gilles Fedak
Last updated: 2002.Apr.06
What editors can I use to program the Zaurus?
The VI editor comes with the Zaurus. You can just open a http://www.oesf.org/faq/images/icon_terminal.png and type "vi filename
Last updated: 2002.Apr.01
- tkcEditor
theKompany.com has a commercial editor for the Zaurus which does color syntax highlighting for a number of languages (PHP, SQL, HTML, C/C++, XML, Python, Perl, DTML (Zope) and ColdFusion), has word-completion, vertical and horizontal selection, and other programmer-friendly features. It's available here.
Last updated: 2002.Apr.10
The EIDE editor, written in Java, is an editor for developing Java programs which can be used on the Zaurus. It is available here
Source: Jim Murff
Last updated: 2002.Apr.13
- XiTE (no longer available by author)
XiTE is a port of the Scintilla source code editor.
Source: Giles Fedak
Last updated: 2005.Jun.22
- TinyKate
TinyKate is a port of Kate is available in the Opie feeds.
Source: tumnus
Last updated: 2003.Oct.09
- MicroEMACS
Emacs for embedded/PDA devices http://uemacs.tripod.com/
Source: mike54
Last updated: 2006.Dec.03
How do I make my Qtopia application 'Fast-Load'-able?
- Don't call qApp->quit()
In your C++ source, make sure that you simply close the window for your application, rather than quitting it completely with "qApp->quit();
". You should also call "showMainWidget()" on the QPEApplication instance, rather than on the QApplication-inherited "setMainWidget()
Source: Kent Sandvik
Last updated: 2002.Apr.10
- Add CanFastload=1 to the application's .desktop file
The "Fast-Load" feature is enabled or disabled on a per-application basis. Add the following line to your application's ".desktop
" file to enable it:
Source: Kent Sandvik
Last updated: 2002.Apr.10
How can I add Help pages for my application?
- Place English HTML files in /opt/Qtopia/help/html
Place your HTML help files in the directory
Name the file the same as the executable, with ".html" at the end. (e.g., "coolprog
"'s help file would be "/opt/Qtopia/help/html/coolprog.html
Source: Kent Sandvik, Ben Hui
Last updated: 2003.Jun.09
- Place non-English versions in /opt/Qtopia/help/lang/html
", where lange is the code for the language (e.g., "de
" for German).
Source: Kent SandvikLast updated: 2002.Apr.10
Where can I learn more about programming the Zaurus?
- How to create packages ('.ipk') for the Zaurus
IPKG Howto explains the package format.
Source: Benjamin Meyer
Last updated: 2005.Jun.22
- How to set up your development environment (under Linux)
Compiler Setup explains how to set up the cross-compiler and development environment to compile Zaurus applications using a Linux desktop.
Source: Benjamin Meyer
Last updated: 2003.Jun.09
- How to compile Qtopia programs on the Zaurus
If you have ZGCC installed (see above), QtOnTheZ.txt explains how you can compile Qtopia apps, too!
Source: Jim Murff
Last updated: 2002.Apr.20
- Other Resources
Developing software for a Sharp Zaurus SL-5500 Linux PDA
iPKG the Itsy Package Management System
see also Developing
Is there any commercial IDE for the Zaurus?
- Metrowerks just released CodeWarrior for the Zaurus for Windows. There is also ZaurusBuilder for Borland JBuilder for packaging and testing Java applications for the Zaurus.
Source: tumnus Last Updated: 2003.Oct.09
Are there any books I can read for information on how to program with Qtopia?
- Yes, there are several
Books On Qt 2 Programming
Programming With Qt (2002 version) - Matthias Kalle Dalheimer; Paperback
QT 2 Programming for Linux and Windows 2000 (With CD-ROM) Patrick Ward; Paperback
Gui Programming With Python : Using the Qt Toolkit Boudewijn Rempt
KDE/QT Programming Bible Arthur Griffith
Sams Teach Yourself QT Programming in 24 Hours Daniel Solin, Benjamin Briandet
Trolltech "How to Learn Qt Page"
Source: gerrynjr Last Updated: 2003.Oct.25
Can I try development on the Zaurus without actually changing my workstation's setup?
- zDemoLinux
Yes, there is a bootable CDROM that comes with a complete zaurus development system. It can be found at: http://www.pellicosystems.com/devolinux/zdevolinux/index.html
Source: gerrynjr Last updated: 2003.Oct.31
- zDamn Small Linux
A similar solution is this modified Damn Small Linux: http://kopsisengineering.com/kopsis/SharpZaurusSdkDsl
But you can also use FreePascal, its easy cross-compile capabilities void the need for a Live CD. Sample Code here. The Qt-binding BTW was generated with zDemoLinux.


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Title: EPISTAXIS PEARLS
Date: September
22, 1997
Series Editor:
F. B. Quinn, Jr., M.D.
|Return to Grand Rounds Index|
This is a list of "pearls" submitted in response to my request for help in building a CME talk on the subject of epistaxis. List members from all over the world sent words of wisdom in response to this request. Sincerest thanks to all contributors. The lecture went well. The audience clapped, cheered, rose to its feet, carried me around the room singing, and threw me into the hotel swimming pool. (Well, not exactly, but it was fun, and how about some suggestions for another pearl-diving project?)
Date: Mon, 12 May 1997
From: Michael Rontal, M.D
Subject: Re: epistaxis_pearls
Everyone talks high tech.
Here is low tech. We did a survey of "home" nosebleed treatments in
the St. Louis ER's in the '60's. Hands down the winner was salt pork. Found
in many a low income home back then it really works. I guess we shouldn't use
it now- too much salt and too much cholesterol.
Michael Rontal, M.D. Farmington Hills, MI
From: Paul C.Windle-Taylor;
Derriford Hospital Plymouth Devon UK.
On this side of the Pond, we suffer too from epistaxis, and I am greatly enjoying and learning much to my benefit from the Great Epistaxis Pearl Debate. OK, guys.....What do you do with the salt pork? Happy packing!
From: Barry Maber, M.D.
Subject: RE: Epistaxis pearls
Date: Tue, 13 May 1997 20:21:38 -0500
I too have caused horror when asking a patient to forcefully blow the clots out of the nostrils, but this is much more efficient than poking around with a suction. Interestingly, I have been impressed that this often of itself seems to stop the trickle of bleeding and not all that infrequently the bleeding site cannot be identified. I still have not found a satisfactory explanation as to why clot removal in this as well as other circumstances of bleeding is often therapeutic, beyond aiding visualization. Depending upon clinical and social circumstance I may admit for observation - some of these don't bleed again. When I was less experienced I used to pack all suspected posterior bleeds even if they were not actively bleeding and a site not determined. This is what we were taught and it seemed to provide some reassurance.
However, over time I became
convinced of the futility of this as well as its lack of much 'logic'. Now,
if their clinical or social circumstance causes me to be concerned I admit for
observation without any packing but strict bed rest, sedation if necessary,
and head elevated. I continue this for 48 hours without bleeding and ambulate
after 48 hours and then home after another 24 - 48 hours if no bleeding.
I am impressed how many stop under this type of rest regime. I also use endoscopic
assessment for some bleeds and have tired various measures to keep the field
clear including contralateral suctioning. This is certainly more tedious but
can avoid the discomfort and morbidity of packing, particularly in the elderly
or compromised patient.
I also like using Gel-Foam
with topical thrombin for managing bleeds where there is a bleeding disorder
or dyscrasia. Gel-Foam is also useful for children. Easy to insert and doesn't
have to be removed. Overall, I have been impressed about how little we really
know about the pathogenesis of the "spontaneous posterior bleed" and
it seems that most of our pearls are based upon anecdotal experience rather
than solid evidence.
Regards to all
Barry Maber
Date: 12 May 97 16:50:13
From: Robert Slack
Subject: Re: Epistaxis Pearls
I only have 15 years experience in ENT and the last 6 have been as aUK consultant with a lot of 'junior cover', but I think I still have a pearl worth dropping re epistaxis. For those patients whose noses are full of clot, I abandon the suction apparatus, give the patient a 6 ft long piece of 2 ft wide 'Kleenex' tissue, stand 10 ft clear to avoid the blood shower, and to the horror of all relatives and nurses who know better, tell them to blow their nose as hard as they can, thus dislodging the built up clots which are simply getting in the way. This results in an excellent view of what is often a small lesion which can be easily controlled with cocaine ( still easily available here in the UK!) soaked cotton wool and then cauterised.
Rob Slack, Bath UK.
Epistaxis pearls from Dr. Murray Grossan:
Many patients I see after an ENT visit for cauterization are bleeding again because of failure to add an antibiotic. If they are bleeding, there is infection present. I always prescribe an ointment either neosporin or bactroban - both have pointed tips for easy insertion. I don't always cauterize, allowing for the antibiotic to control the bleeding. For hemorrhagic telangiectasia, I have had excellent results with IV premarin, 20 mg. The trick is, when adding diluent, don't shake it, the molecule is very delicate, just swish it. The most important thing in dealing with ER nosebleeds is to dress for the occasion. You aren't going to do good if your are busy ducking the blood flow to save your new suit. Dress in scrubs and you can relax more. ER bleeding always has elevated b.p and anxiety and IV for this is often indicated. Make sure the blood pressure is being controlled. After the nosebleed, on the 1 week visit, continue on antibiotic ointment and saline spray untill membranes are back to normal about 2 weeks. It seems redundant to mention this but I do anesthetise the nose before cauterization.
After an ER bleeder, never
be shy about orders re Bed Rest, no telephone, only soft room temperature diet,
etc if you don't wan't to return at 2 AM. In older patients with lots of dark
spots on skin from bleeding, I like to add Rutin and Vitamin C to help the physiology.
And thank you Dr Quinn for your many contributions.
Murray Grossan, M.D.
Date: Tue, 13 May 1997
08:04:44 +0800
From: Dr. H.S. Sharma
Subject: Re: OTOHNS digest 640
Dear Dr,
At times gelatin sponge placement in the area of bleeding especially when its
origin is not localised and in cases of blood dyscrasias is useful method to
control the bleeding. I will be thankful to you if you send me all these information
about personal experience of epistaxis. This will help me to pass these informations
to fellow collegues. Thank you.
Dr. H.S.Sharma, Lecturer,
Department of ENT, Hospital USM
Kubang Kerian, MALAYSIA
Date: Mon, 12 May 1997
From: Tom Stark, M.D.
Subject: Re: Epistaxis Pearls
I remember reading this
pearl at least 15 years ago, and I can't recall the source to give him fair
credit. I'm sure it came from an old wise sage. It is great for keeping your
at home patient out of the ER with a relatively minor bleed.
1) Have the patient spray his/her nose liberally wtih Afrin; 4-5 squirts on
both sides.
2) Wait 3-4 minutes then have him blow his nose as hard as possible to get out
all the clots.
3) Then in about one minute spray liberally with Afrin again.
Occasionally steps 2 and 3 have to be repeated.
I have found this a reliable way of controlling the 3 a.m. epistaxis...at least
it holds them until they come into the office the next day.
Good luck,
Tom Stark, M.D. The Woodlands, TX
Date: Tue, 13 May 1997
From: Robert Stewart, M.D.
Subject: Re: epistaxis_pearls
In the past few years I
have change my treatment for epistaxis. It seems to me that to be truely effective
in controlling the problem (and getting a good night's sleep), you have to find
the bleeding site.
In my office I will use the microscope for chronic anterior bleeds. I have been amazed at how many small vascular lesions I have found and cauterized (usually electrocautery) successfully. If I can't find a source after a complete endoscopic exam, then I'll try moisturizing measures and have them return if further bleeding occurs.
When called to the ER, I have them start an IV, get the endoscopic sinus surgery equipment, and various cautery devices (usually an insulated suction cautery). I give the patients IV sedation and pain meds (both IV and topical)as needed, clean the clots out, and perform a complete endoscopic examination.
With this technique I am
usually able to treat most posterior bleeds without packing or hospitalization.
This is great for the patients but I find it has doubled my time when compared
to packing the patient and admitting them. If I'm not able to control the posterior
bleed endoscopically, I usually have had to perform an IMA ligation despite
posterior packing.
Overall I feel the key point is to positively identify the bleeding vessel.
Even if you don't cauterize the vessel it will allow you to place your packs
with greater confidence.
Robert Stewart, MD, San Luis Obispo, CA
Date: Tue, 13 May 1997
05:55:31 -0600
From: Tim Frost, M.D.
Subject: Re: epistaxis_pearls
OK, here are a couple that may be obvious, but:
1. If you are going to
try endoscopic cautery of a posterior bleed, and this seems to work well if
you can see what you are doing, the main problem is that the blood fills up
the nose so fast you can't see anything with the scope. So to keep the nose
clear and see what you are doing place a large (16-18 fr) red rubber catheter
in the nasopharynx via the opposite nostril on suction. I usually cut off enough
of the tip to just leave the extra side holes in the tip.
2. I always have patients
use bacitractin ointment(or vaseline, but it smells more) copiously (like 10-12
times per day, if needed to keep the nostril COVERED with it at all times) after
and sometimes instead of cautery. I can't tell you how many times patients have
been using saline spray and it just doesn't work, or they have been using ointment
"Twice a Day" which is not enough. I tell them, "if the nose
isn't continously and completely greasy, you're not using it often enough".
3. A 50/50 mix of Afrin and Pontocaine seems to be as effective as Cocaine(and there have been several studies confirming this) and is much cheaper and safer.
Keep up the great work,
Dr. Quinn and thanks for starting this useful discussion topic. I will look
forward to the finished transcript.
Tim Frost, M.D.
Alamogordo Ear, Nose and Throat - Facial Plastic Surgery
1401 10th St., Suite C, Alamogordo, NM
(505)437-4533, Fax:(505)437-5009
from: Michael Rontal, M.D.
subject: Re: epistaxis_pearls
A 25 pearls for epistaxis control, in no particular order, just as they came to mind:
1. Learned from Frank Ritter at U of Michigan- layer in iodoform and bacitracin gauze, starting at the floor of the nose. One layer at a time until can't go higher.
2. Many post bleeds are really from the inferior meatus. Decongest the nose and pack the inferior meatus, layer by layer with the iodoform and bacitracin gauze.
3. Never seen a primary anterior ethmoid bleed from the middle meatus, always from the roof of the nose where the vessel crosses
4. Never seen a posterior ethmoid bleed and only one true posterior septal bleed to cause bilateral bleeding. If it continues to bleed, it is from the same side and not controlled.
5. Balloons can cause anterior or posterior stenosis, beware
6. Remember the pull out strings for a gauze posterior pack. Make everyone aware why there is suture material hanging from the mouth with this type of pack. Make anyone who cuts the strings apologize to the patient for the pull out procedure.
7. Never pull a pack at night or Friday night unless you are on call and have no other plans for of your own
8. The elderly don't do well with posterior packs. Oxygen desat, restlessness and disorientation. A whole different set of problems for these patients
9. Antibiotics on packs and orals too. Bactroban works well but doesn't make the removal any easier like the petrolatum antibiotics do.
10.For some reason, antihistamines help prevent rebleeds. Thank you Jack Anon
11. Cautery does not work if there are no platlets or other clotting factors- leukemia, aplastic anemia, cirrosis, ITP,
12. Think conservative with Osler Weber Rendu. One lesion at a time. And also, OWR bleeds from everywhere. These unfortunate folks die from GI bleeding and complications of transfusion, rarely from epistaxis alone.
13. On the dying note- patients do die from epistaxis. They are a mess from the bleeding up front but they die from the bleeding posterior. Check them often in the hospital. A good pack anterior and the nurses never check the pharynx because they look so clean and comfortable. I saw a young man die this way.
14. The radiologic coils do work but there is a risk here too. Ischemic pain, rebleed and avascular necrosis of the maxilla have all been seen here.
15. Too much cautery, especially from both sides, leads to perforation. Even with silver nitrate.
16. Septoplasty never stopped a bleed for me but it did allow easier packing.
17. Chronic ethmoid disease can be a sourse of bleeding. Endoscopic ethmoid surgery (FESS) has worked when the sourse is seen from the middle meatus.
18. I like the endonasal endoscopic electrocautery (EEE, I like that acronym). Neat to see the vessel squirting and then turn off.
19. For IMA ligation- strip the mucosa of the max sinus and then electrocoagulate the bare bone in the inferior posterior maxillary sinus. This causes an avascular area on the posterior side of the maxilla and makes finding the IMA just that much easier. Have confidence that the IMA ligation worked and do not repack.
20. We used to inject glycerin into the pterygopalatine fissure through the greater palatine foramen until someone reported wide spread vascular spasm and blindness. But lidocaine and epi does help gain some control for a while
21.The anterior ethmoid foramen and artery is found in the fronto-ethmoid suture, 25 mm back from the easily identified anterior lip of the lacrimal fossa when performing an AEA ligation.
22. The posterior ethmoid artery is 11 mm back from the AE foramen, is absent in 25% of cases and is only 7 mm from the anterior lip of the optic canal
23. You know those pesky bleeds from the crust lifting where you cauterized? Place a bacitracin coated cotton in the vestibule to prevent breathing and drying of the septum. Wear it for several days. The moist mucosa will finally heal over.
24. That blow the clots out plan really works
25. A neat way to pack a nose is to place two fingers of a glove coated with antibiotic ointment and still attached to each other, one into each nostril. Pack into the cavity of the fingers with iodoform. When you unpack, pull out the packing and then the latex glove. It won't tear the mucosa this way. Learned from my brother when he was at Minn.
Michael Rontal, M.D.
I find that it is usually
easier for me, and more comfortable for the patient, if I hydrate a merocel
pack before inserting it rather than trying to insert it dry. Grasp the pack
with a bayonet forceps and it goes in fine.
Especially in patients with bleeding problems, I cover the bleeding area of
the septum with a sheet of Surgicel before putting in the pack. Surgicel has
hemostatic properties, and I like to think that it protects the mucosa when
you slide the pack out.
My best epistaxis pearl
is now (fortunately) obsolete. Back in the pre-merocel era, I found that 1 inch
by 36 inch vaseline gauze went in and came out twice as fast and half as uncomfortably
as 1/2 inch by 72 inch. When patients complain about the merocel packs, I point
out to them that twenty years ago I would have put a couple of yards of vaseline
gauze up each nostril.
Speaking of epistaxis, is there a consensus on how long a posterior pack should
remain in place?
Roy S. Goodman, M.D.
Date: Wed, 14 May 1997
From: Yves Jankovski, M.D.
Subject: Epsitaxis Pearls
Robert Stewart, MD wrote :
"It seems to me that to be truely effective in controlling the problem (and getting a good night's sleep), you have to find the bleeding site."
I agree completely. Note
we talk about ENT's epistaxis, the 10% GP cannot manage, the 1% of all. In my
experience, anytimes you do not find the spring w/ carefull endoscopic exam
(you know, the one that's bleeding once you have turn you back), it is a high
risk epistaxis. I had 3 cases that had been all over only with maxillary embolisation,
even 1 case having not seen the leak with the Xrays. The main problem is management
of a bleeding or of a not bleeding nose. For a good night sleep and a carefull
exam next morning, Epistaxis balloon is a good device, I've used a lot of them
without problems. Local surface anesthesia for electrocautery is impracticable
w/ bleeding. 1cc sub-mucosal lidocaine/adrenalin is necessary (and sometimes
stop the flood).
I agree w/ use of bipolar if possible.
I agree w/ use of microscope.
I agree w/ use of suction in opposite nostril to clean the field.
Glad to see we share the same experience and are not so different. Great idea Dr Quinn.
Yves Jankovski, M.D.
Bergerac, France.
Date: Fri, 16 May 1997
From: Jim Hutchinson, M.D.
Subject: Re: Epistaxis Pearls
This has been a most interesting discussion and I have no Rx pearls that have not been submitted, but do have a few thoughts about the subject.
1. Salt pork, said to be the best Rx, is not a routine pharmacy item and 2 am dietary service is spotty at best.
2. Trichloracetic acid used vigorously may result in septal perforation and the same may be said of cauterization, especially should there be bilateral bleeding requiring its use.
3. Bleeding sites can be unusual and easily overlooked. I recall one from the middle third of a middle turbinate, arterial bleeding at the mucocutaneous junction of the septum and a "Kesselbacks" bleed that turned out to be ant. septal art. that put the patient in shock.
JRB(Jim)Hutchinson, MD
2197 Kodiak Dr., Atlanta, GA 30345-4172
Date: Mon, 12 May 1997
11:07:16 -0700
From: Don Setliff
Subject: Epistaxis
I have enjoyed your grand
round topics on this service and offer the following regarding epistaxis:
What I have learned, mostly after residency through patient contact, is that
posterior packs are seldom necessary. I feel sure that this is partly due to
patient selection, since there are more patients with blood dyscrasias in university
centers. I have packed one nose in the past 10 years, that in a pregnant woman
who failed to respond to any conservative measures.
Oxymetazoline spray stops more than 90% of nosebleeds, including posterior bleeds, if it is used properly. All clots must be evacuated, the side of the bleeding then vigorously sprayed several times. I have not seen (at least not recognized) any complication or dosage limit, even in hypertensive or elderly patients. If the bleeding continues, the procedure is repeated in 3-4 minutes, and again 3-4 minutes later if necessary.
While it is ridiculously simple and remarkably effective and safe, it is almost never done by emergency room doctors and/or general practitioners. I think most members of our specialty are onto this method, but have seen some colleagues go to packs sooner than I would, especially in elderly folks with vascular disease.
The other obvious things that GP's overlook is to eliminate the predisposing factors, which include intake of aspirin, NSAID's, decongestants, and tranquilizers. Of course the patient should be questioned about their home and work environment, as to the level of heat and humidity. Older people often like a warm environment and need to be told to turn down their thermostats or room heaters. They can wear sweaters or other additional clothing to stay warm.
These measures, along with education as to where to apply pressure when bleeding occurs, anterior lubrication with KY jelley, and keeping the head elevated when possible, all help to get the patient through this problem without nasal packing.
I hope these "pearls" will be helpful. I feel sure you have probably heard them all before. Thanks again for your service to the ENT community.
From: Dr Harris D. Levin
Subject: Nasal Septal Perforation
On those patients in whom surgical repair of NSP is not possible or has failed, I have taken 0.03 inches thickness sialastic sheeting and sandwiched the perforation with the sheeting about 5-8 mm past the perforation edges and sewn them in with continous multiple horizontal mattress sutures with 4-0 proline (not nylon- it's not long lasting under these circumstances). It's much easier to keep clean long term than a rough edged perforation and stops bleeding permanently on the spot. I also use it on those epistaxis patients where nothing has halted the bleeding longterm who recurrently bleed off the anterior nasal septum (there are a few of those patients around).
Harris D. Levin MD, Davis CA
Date: Mon, 12 May 1997
From: F.B.Quinn
Subject: epistaxis_pearls
I've been treating nosebleeds as an otolaryngolgist for forty two years, which would give me reason to claim to be "experienced" that is, unless, you realize that it may just represent one year's experience repeated forty-two times. Remember, these are just my own opinions-
1. When you can't find an Epistat, a 30 cc (or 5 cc) Foley and a package of 1" vaseline gauze, all secured with a padded umbilical clamp, will do and these items are to be found in almost any hospital. Be sure to fill the balloon with water(saline?) rather than air, since air leaks out faster thru the pores in the rubber. Sure, the petroleum jelly will rot the rubber, but by then the nosebleed will probably have stopped.
2. The ubiquitous silver nitrate sticks are widely used (by my residents) to cauterize the bleeding point. This is because
a. the AGNO3 sticks are in every treatment cabinet
b. silver nitrate is relatively non-toxic
c. my residents don't know any better, and won't listen to me (!)
The preferred chemical cautery is a saturated solution (that's right, 100%) of trichloroacetic acid; lighly moisten a tightly wrapped tiny bit of cotton mounted on a steel or brass cotton carrier with TCA and apply it directly to the bleeding point and hold it there. The TCA has an immediate and vigorous vasoconstrictive effect, and penetrates much deeper and more quickly than the silver nitrate dissolved in blood. 'S matter of fact, IMHO silver nitrate is only good for making white streaks down the back of the throat, and black stains on the upper lip. Time was when a favorite medical fraternity party trick was to wait 'till someone passed out and then take a silver nitrate stick, dip it in his drink, then print an obscene word on his forehead. He'd wear a scrub cap to class for the next three weeks.
Francis B. Quinn, Jr.,
University of Texas Medical Branch, Galveston, TX
"War talk by men who have been to the war is likely to be interesting, while moon talk by a poet who has never been to the moon is likely to be dull." -- Mark Twain
Date: Tue, 13 May 1997
From: Shigeru Ishikawa, M.D.
Subject: Re:epistaxis_pearls
Exception on the case of
hemorragic tendency, I always use the bipolar cauterization.I had the experiences
in my residency that the pin-point bipol- ar cauterization for the bleeding
point often made worth re-bleeding. From then, I use the bipolar cauterizing
forceps with the tips open (3-4mm) after removing the blood clots and doing
anesthesia. I don't cauterize the bleeding vessel itself but the bleeding area
(containing feeding vessels surrounding the bleeding point) with low power.
Although the cauterized area is wider than the pin-point cauterization and the
mucosal recovery is prolonged, the hemostat effect will be successful.
Shigeru Ishikawa MD. PhD.
Dep. Otolaryngology, Kanazawa Municipal Hospital, Kanazawa, Japan
Patulous Eustachian Tube Home Page [http://jun.ient.or.jp/~ishikawa/]
Nasal Endoscope HP [http://www.ient.or.jp/nes/]
Vital Image of Parasinuses [http://www.ient.or.jp/para3D/]
Date: Fri, 16 May 1997
From: Viveka Westergren, M.D.
Subject: Re: epistaxis_pearls
Still being junior ENT specialist and take care nose bleeds coming in day and night time I refer the way we usually handle 'the ordinary'.
1. Identify the the damaged vessel. If not possible due to bleeding do 2. anyway.
2. Put a piece of cotton moistured with xylometazolin (constrict the vessels) and xylocain in contact to site of bleeding. Let the patient rest head high 10 minutes.
3. Burn chemical with chrome acid pearl - do not stop to early.
4. Put new cotton this time with paraffine in the nose. Instruct the patient to remove by himself after 24 h.
Viveka Westergren, MD
Dept ENT Head & Neck Surgery Karolinska Hospita, S- 171 76 Stockholm, SWEDEN
Date: Thu, 15 May 1997
From: Sheri L. Rolf, M.D.
Subject: Re: Epistaxis
These epistaxis pearls
are great. Truly, epistaxis is a problem of which no one is fond.
In addition to having the patient blow out the clots, I've found hydrogen peroxide
to be an extremely useful adjunct in clearing out the nose, and actually even
stopping some of the smaller bleeding sites. In my experience, by the time a
patient has been worked over by a couple a ER visits, there are usually multiple
mucosal bleeding points, in addition to the actual original bleeder. If the
mucosa is diffusely bleeding, I'll have the patient blow the nose initially.
then use H2O2 in a bulb syringe and irrigate out the bleeding side. You've got
to be ready with suction, because the bubbles are impressive.
Frequently, you need to do this a couple of times, but this will usually stop
the lesser sites from bleeding as well as dislodge clots which may be masking
the bleeder. From here on, it's topical anesthesia with 4% cocaine, if available,
analgesia/sedation (I prefer demerol, because, if it doesn't make the patient
vomit, it seems to create some peripheral mucosal vasoconstriction) followed
with xylocaine/epi infiltration, and cauterization, if possible. Otherwise,
merocel and prayer.
I would be interested in what types of units/equipment that folks use in their offices for epistaxis cauterization. The standard suction cauteries are frequently too large, while the old reusable suction cauteries have inadequate suction and plug up frequently.
Sheri L. Rolf, M.D.
Billings, MT
Date: Wed, 14 May 1997
From: Stephen A. Smith, M.D.
Subject: epistaxis pearls
I am able to control most "posterior" epistaxis with long (almost square cross section, not "flat") Merocel strips about 3-3.5" long. I sometimes place 2 or three in the nose (bleeding first controlled with topical vasoconstrictor spray and 1.5-2.0 cc of lidocaine/epinephrine into the pterygomaxillary space via the greater palatine foramen if needed). The nose is anesthetised with topical anethetic and the injection, if used, helps.
The "trick" is to place the strips strategically before expanding and to get them all the way to the nasopharyngeal wall. The inferiormost is place first and the superiormost, last. The superior is expanded first, any medial one, second, and the one assumed to be against the bleeding site, last. Before placement, each is heavily coated with Bacitracin ointment both for lubrication and to "waterproof" the material so it doesn't expand when in contact with the nasal mucus or blood. When all intended strips are in place, expansion is triggered by the injection of cortisporin otic suspension through a 25 guage needle into the anterior aspect of each strip.
The combination of the Bacitracin on the outside and the Cortisporin on the inside allows for lubrication, placement, and reduced foul odor at removal 4-5 days later (outpatient). Oral antibiotics are used with all packing. I find this better than encasement of Merocel in rubber "fingers," which I did years ago and it is tolerated quite well.
Date: Wed, 14 May 1997
From: Philip Scott, M.D.
Subject: Re: Epistaxis pearls
Ever tried to cauterize a vessel and it keeps on hosing from the middle of a black blob caused by the silver nitrate? I use cotton on orange stick to apply local pressure for a few minutes as the bleeding point is invariably too far inside the nose for nasal pinch to help. I keep it in place for about a minute or until my arm and hand get sore, which ever happens first. Amazing the way the 'simple' things cause so much response!
Philip SCOTT, M.D.
Date: Wed, 14 May 1997
From: Dr. Andrew W. Moyce
Subject: Epistaxis Tip.
Pretty simple, but for a capillary bleeder in the anterior septum; After topical anesthesia, I place a piece of DRY cotton over the bleeder. Then I use the back of the Silver Nitrate stick to push the cotton back into the nostril until the bleeder is visible. The dry cotton aborbs the blood as you identify the exact site and then protects the surrounding nasal mucosa from the silver nitrate. I find that the silver nitrate stick works okay if you hold it there long enough ... at least a minute.
Since Cocaine has become
so hard to use in the office, we buy 5% Lidocaine ointment from the dental supply
companies and find that it is a fast acting and effective topical anesthetic
for nasal procedures such as this.
I'm sure that everyone knows by now that for posterior bleeds the Xomed Post
Pak balloon designed by Richard Goode is a life saver . . . I keep one in the
glove compartment of my car in case the ER is out of them.
Andy Moyce in Oakland, CA
Date: Wed, 14 May 1997
From: Dick Stasney, M,D.
Vis a vis epistaxis, I
read an article in the Archives written in the early 70's from the Brookland
V.A. Hospital discussing the use of Amicar (aminocaproic acid) sprayed into
the nose for epistaxis in people with bleeding diatheses.
I have tried it on several occasions over the years and it does seem to be effective
in these most difficult patients (hemophilia, decreased platelets, etc.). You
get an Afrin bottle, pour out the Afrin and fill it with a vial of Amicar. Then
the patient blows out all the clots and sprays the Amicar qid prn. Theoretically,
it stabilizes the clot.


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The Electric Company's latest theatrical endeavor, Initiation Trilogy, is not only based on three books of poetry but involves a three-part "experiential and physical journey," where audience members meet at a secret location and are led to different venues where the performances take place.
In addition to getting a little exercise, director Anita Rochon suspects the play, which runs Oct. 15 to 28 as part of the 25th annual Vancouver Writers Fest, will make some viewers want to delve into the original verse.
"It's just exciting how much material and power a small package can contain," she said. "I always think of poems as these little packages that are busting at the seams full of life."
She says the three segments explore moments where people have to make a choice that will alter their identity and bring "intense change."
"You know when you're agonizing over a decision or you're immediately confronted with a decision that you have to make and it feels like you're jumping off a cliff. and the kind of rush that comes with making a choice," Rochon said. "For better or for worse, these characters are making really large choices and, for me, the piece explodes that moment, that moment of making a big choice."
The stories hail from books by Vancouver writers Jennica Harper (What it Feels Like for a Girl), Elizabeth Bachinsky (God of Missed Connections), and Marita Dachsel (Glossolalia), who adapted the poetry for the show that was created by playwright Kevin Kerr, Naomi Sider and Rochon.
The play's cast includes Wendy Morrow Donaldson, Emma Lindsay, Jennifer Paterson, Haig Sutherland and Colleen Wheeler.
What it Feels Like for a Girl features a woman in her 30s who's looking back on an intense friendship that happened when she was 13. God of Missed Connections focuses on a woman who's examining her Ukrainian heritage while confronting illness. Glossolalia highlights the man behind Mormonism, Joseph Smith, with audiences hearing from some of his many wives.
Attendees meet at one location on Granville Island, divide into three smaller, more intimate groups and travel to different performances where they'll be immersed in explorations of feminism, sexuality and identity.
Audience members will journey through one of the performances in pairs, be required to operate some of the show's mechanics and move through different locations during singular segments.
With the trip between the meeting place and three performance spaces taking place amid venues of the writers' festival on Granville Island, Initiation Trilogy is meant to conjure the ambiance of a mini festival.
But this year's 25th anniversary of the Writers Fest is anything but miniscule.
The lineup includes Margaret Atwood, Alistair MacLeod, Jane Urquhart, Vincent Lam, M.G. Vassanji and Rawi Hage, Pulitzer Prize-winner Junot Diaz, Canadian actor Gordon Pinsent and favourites from closer to home such as Ivan E. Coyote, Anne Fleming and Patrick Lane.
MacLeod has written a short story specifically and exclusively for the festival, British novelist Martin Amis presents his new novel, Lionel Asbo: State of England, two days before the festival's start at the Granville Island Stage and CBC Radio host Jian Ghomeshi will talk about his memoir, 1982, Nov. 19.
For more information, see writersfest. bc.ca.
firstname.lastname@example.com Twitter: @Cheryl_Rossi
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text:
Goedkope Accommodatie Azië Thailand Phuket Campings Seaside Cottages
Check in time is between 1pm and 9pm only. We do not accept any arrivals after 9pm when reception is closed.This site is not suitable for babies or children under 5 years old. All eligible children are charged at the standard rate and maximum of 2 people per room.
... meer
Privékamers Van US$8 Foto's Beschrijving Kaart
Check in time is between 1pm and 9pm only. We do not accept any arrivals after 9pm when reception is closed.This site is not suitable for babies or children under 5 years old. All eligible children are charged at the standard rate and maximum of 2 people per room.Forget the ugly concrete hotels, tour groups, tacky theme parks, freak shows and animals in cages, this is the place to experience the true nature of Phuket.Stay at the quietest, most isolated beach approximately 13 kilometers north of the airport at Mai Khao in traditional Thai bamboo or wooden beach huts. We also have 2 Unique round, brick built cottages with en-suite bathroom only about 20 meters from the beach. Camping space by the beach and Sirinat national park is also available at 200 Baht per person with full use of our facilities. Fully licensed restaurant open daily on one of the last remaining quiet beaches in Phuket. Large range of Thai and English food.No nightclubs, girlie bars, annoying touts, shopping malls, western supermarkets, beach vendors or plastic sunbeds & umbrellas here, just Phuket the way it used to be before the greedy developers arrived to destroy much of this most beautiful island.Easy access to 'James Bond Island' and Phang Nga bay.We are 40km north of Phuket town and just 20 minutes drive north from the airport. Phuket town and other attractions can be reached via taxi or local bus from the main road approx 4km from the resort. Taxi service and tour booking can be arranged during your stay. Please ensure that you select the correct room type as we may not be able to change for you after booking is completed.The descriptions above refer to the following room types. Deluxe Double Bed Private Ensuite:Round brick cottage with thatched roof. Double or twin beds. (Fan and tea/coffee making facilities)*2000 THB/night**Standard Double Bed Private Shared Bathroom:Wooden beach hut with thick double mattress on the floor. Internal dimensions: 8 feet square (Approx 2.4 meters includes electric fan and lighting)*700 THB/night**Basic Double Bed Private Shared Bathroom:Traditional Thai Bamboo beach hut with double mattress on the floor. Internal dimensions: 7 feet square (approx. 2 meters includes mosquito net, electric socket and lighting. No fan provided)*600 THB/night**Basic 1 Bed Private TentCamping space only, no tent provided, you must bring your own and at your own responsibility. We will not be responsible for any damage to equipment or belongings in the event of bad weather200 THB/PersonIncludes full use of all facilities.**You will be charged the above prices in Thai Baht regardless of the exchange rate on arrival minus the 10% deposit. Cash only.IMPORTANT!Reception opens at 8am and closes at 9pmWe no longer accept arrivals outside these opening hours and your reservation may be canceled.If you are arranging your own transport, it is essential that you print the directions in Thai language from our website to show your driver who may not understand English or be able to read a map. We will not answer the phone during busy periods or outside opening hours to give directions.
129/1 Moo 3 Mai Khao
Klik hier om de kaart te vergroten
Ben je hier geweest? Schrijf een recensie
* De Klanttevredenheid score is gebaseerd op een combinatie van ratings afkomstig van Travellerspoint en externe websites. De score 89% voor deze accommodatie is gebaseerd op beoordelingen door 39 gasten.
Aan het laden ...


text:
Hey guys!
My coworker Chris was a big part of making the movie "Chicago Overcoat," a drama about an old mobster in Chicago. It's really really good, and he's trying to get it noticed online and in stores. If you're interested, it'd be awesome if you could add it to your Netflix queues or rent it at Redbox. Help support independent films!
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http://movies.netflix.com/WiMovie/Chicago_Overcoat/70170750?trkid=2361637 just click save, and when it comes out on DVD, Netflix will be able to send it to you!
Thank you!


text:
Cooper causes some chaos
A major storm swept through the Red River Valley on Sunday as Blizzard Cooper dropped heavy snow and blew in high winds that closed interstates, cancelled events and left some travelers far from home.By: Herald Staff Report, Grand Forks Herald
A major storm swept through the Red River Valley on Sunday as Blizzard Cooper dropped heavy snow and blew in high winds that closed interstates, cancelled events and left some travelers far from home.
The Herald is naming the storm after media personality Anderson Cooper, who befriended local columnist Marilyn Hagerty after she went viral in 2012.
The Grand Forks area remains in a winter storm warning until this morning, while the southern Red River Valley remains in a blizzard warning.
Snowfall from Cooper varied throughout the region — between 2 to 6 inches was forecast for Grand Forks, while Fargo, Jamestown and southeastern North Dakota had the most snowfall, with about a foot reported in Fargo and 14 inches at Colfax, N.D., the National Weather Service said Sunday. Snow totals increased as the storm moved east; some parts of the Minnesota lakes area were expected to get as much as 16 inches.
But snow wasn't Cooper's only problem; high winds caused widespread white-out conditions and forced officials to close Interstate 29 from the North Dakota border to Grand Forks and close Interstate 94 from Jamestown east to Alexandria, Minn.
Snow and wind gusts approaching 35 mph stranded the UND hockey team and many fans returning from the games in Omaha on Friday and Saturday. The UND hockey team took shelter in Sisseton, S.D., and a bus full of fans stayed at the Summit, S.D., community center, where area residents made them welcome and even cooked for them.
Grand Forks and East Grand Forks school officials delayed today's start time by two hours, as did many other communities in the area, including Crookston and Fosston in Minnesota and Emerado and Larimore in North Dakota. Most high schools and colleges, including North Dakota State, in the Fargo-Moorhead area, will be closed today.
More than 500 weather-related announcements were listed on the Herald's website as of Sunday evening.
A no-travel advisory remains in effect for the southeast region of the state, including the cities of Fargo, Lisbon, Valley City and Wahpeton and surrounding areas. A travel alert remains in effect for Jamestown and areas west of Valley City and surrounding areas. The Minnesota Department of Transportation issued a no-travel advisory for much of northwest Minnesota for Sunday night into today.
The Grand Forks area had about four inches of snow by Sunday afternoon and the storm was expected to sweep through Minnesota and into northern Wisconsin by today and Tuesday. A colder air mass was expected to move southward behind the departing system, the weather service said, resulting in lower temperatures today with afternoon highs peaking in the mid to upper teens. Northwest winds should diminish after sunset tonight.
The weather is not expected to see any great improvement in the upcoming days.
"It looks kind of up and down," National Weather Service meteorologist Dave Kellenbenz said Sunday.
Tuesday will be dry and warmer with some peeks of sun and afternoon highs in the 20s. Another clipper system will drop south from Canada on Wednesday bringing a chance for light snow and wind.
Cold temperatures should move into the region behind the system with below normal temperatures and dry weather through the weekend.
Tags: news, updates, weather, winter, travel, closing, cancelled, school


text:
Italian based line, Diesel, was started in 1978 by Renzo Rosso. Known for their modern denim washes and fits, along with their urban styles outerwear, Diesel has found a place in so many closets around the world.
- Wash - 0803m
- 32" Inseam
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- 17" in the knee narrows to 16" at the leg opening
- Whiskering along front pockets
- Fading throughout pant
- Intentional markings throughout
- Styled with Sebago x Linking Park Jungle Boot in Black.
- Modeled in size 32x32. See fit guide for model's dimensions.
- Revolve Style No. DIES-MJ299
- Manufacturer Style No. 00C03G 0803M


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Choosing the Best Vacuum Cleaners Through Evaluating Reviews Online
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How to Get a GNC Gold Card
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Product code: GFT-MIN-1PINK2WHITEMUSLINS-G
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Availability: In stock
From designers Minene, Snugg Nightwear brings you these lovely soft muslins. Great value pack of three with embroidered 'I Love Mummy' on two of them and 'I love Daddy' on the third. 100% cotton, 70 x 70cm. Machine washable. They arrive wrapped in a soft white gauze bag with silk tie ups.
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If your item does not fit, is not quite what you expected or is unsuitable for any other reason, we will happily take it back and refund your money but may have to charge additional postage. Any items returned to us must be in re-saleable condition. If an item is faulty we will of course replace it or refund your money if a replacement is unavailable. Please note that items that are damaged as a result of wear and tear are not considered faulty. All faulty items must be returned to Snugg Nightwear in the same condition as when it left our depot, in it's original and undamaged packaging.
We cannot take responsibility for returned items lost without proof of delivery and the item is your responsibility until it reaches us.


text:
Free speech won a round last week when U.S. District Judge Michael Reagan turned down Collinsville's ridiculous request to take down a YouTube video critical of the city.
The video was made by Terrance Huff, a filmmaker who is suing the city after he was stopped on Interstate 55-70 and his car searched for drugs. He was not arrested or ticketed.
Collinsville wanted to keep the public from seeing parts of the video deposition by officer Michael Reichert. But the deposition is part of a public court proceeding and should be accessible to the public, whether at the courthouse or on YouTube.
City officials wasted tax dollars to keep people from seeing that deposition, but by going to court and making a big deal of the video they have pretty much ensured that a lot more people will now take look.


text:
The hotel staff were very friendly and helpful. One of the best hotel I've ever been.Free wifi in the room, very close the parking place with remote controlled gate. Breakfast was plentyful, original Italian cappuccino waited my wife on our table in the morning. Heated pool is on the top floor with fantastic view to the see. Free bike hire... More
- Also Known As:
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- An inspired concept was introduced to the Piazza Marina when the Hotel & Residence Il Teatro opened its doors in the spring of 2005. Meticulously designed to anticipate every expectation of a hotel, Il Teatro Residence also carefully surrounds guests with the comforts and space of home. Perfectly located (50 mt from the beach, 36 km from the airport and less than one km from the City Center) it is especially popular with families and water enthusiasts. Modern extras include a contemporary kitchenette, excellent soundproofing, and a daily maid service. ... more less
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Calculate alcohol intake with mobile site CALCohol
The Iowa Alcoholic Beverages Division has launched CALCohol, a mobile site that calculates standard drink sizes and the number of alcohol servings per container. The goal of CALCohol is to educate consumers, retailers and servers how much alcohol is in any given beverage.
USDA guidelines state that 0.6 ounces of pure ethyl alcohol constitutes one standard drink. The old adage "a drink, is a drink, is a drink" refers to the equal alcoholic content of a 12 ounce beer, a five ounce glass of wine and a 1.5 ounce serving of liquor. However, this is only accurate at the conventional alcoholic content of five percent alcohol by volume (ABV) beer, 12 percent ABV wine and 80-proof liquor. This comparison standard no longer applies in today's marketplace because many new alcoholic beverage products blur the lines between the categories of beer, wine and liquor. The correct serving size for an alcoholic beverage must be determined by alcoholic content, not just category.
"As the marketplace trends to flavored and sweeter products, it becomes more difficult for the consumer to be aware of how much alcohol they are consuming. CALCohol is a tool that will quickly identify the number of standard servings and may show, on some occasions, one drink is more than enough," said Iowa Alcoholic Beverages Commission Chairperson Jim Clayton.
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THE Mandurah Murray Vietnam Veterans Group (MMVVG) is conducting a commemorative ceremony in recognition of Vietnam Veterans Day this Saturday.
The parade and service is to be held at the Mandurah War Memorial.
From 10am, the group will congregate at the Skate Park on the western side of the Mandurah Foreshore near the Old Mandurah Bridge.
The march will leave from Hall Park before making their way to the War Memorial with the service held from 11-11.45am.
The day commemorates all servicemen and women who served in the Vietnam conflict, in particular, the Battle of Long Tan which occurred on August 18, 1966.
Younger veterans and servicemen and women of more recent conflicts and members of public are welcome to attend.
For more information call Mick O'Halloran on 9534 3091 or email email@example.com


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Posts tagged 'birthday'
Ice Cream Party
Because I'm over the age of 10 people look at me funny when, every year, I suggest a theme party for my birthday. Get over it, it will continue happening. I'll keep looking for borderline acceptable theme parties that can be adapted for the adult world while still appeasing my Neverland ways.
Saddly, I'll never be able to get away with an Ice Cream party, but I'll definitely find an excuse to make this adorable cake in the future.
Isn't it just too cute?
Find out more about this simple ice cream party here.


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Wedding Champagne Bottle Labels - Printable Wedding Themed Chevron Labels - Colors and Text Customizable
These Wedding Themed Printable Champagne Bottle Labels are the perfect addition to your next celebration. Each purchase includes a printable digital PDF file. Colors are fully customizable for no additional charge (see attached color chart).
Please contact me before ordering so that a custom listing can be created just for you if:
-you would like to order this design in a color scheme that is not listed on the color chart;
-you need the order rushed ahead of the 24-72 hour turnaround time; rush fees apply.
When ordering, please make sure you provide all of the information requested below. Orders that are missing information cannot be processed. Please note the following in the Notes to Seller at checkout:
1. Type of Party
2. Name of Honoree
3. Party Date
4. Color choice: Please choose 2 or 3 colors from the attached color chart
Printable Digital Files require no shipping fees since they are sent digitally. Upon making your purchase, a proof will be sent to your Etsy account within 24-72 hours of your purchase being completed. If you need your order sooner than the estimated turnaround time, please contact me to discuss purchasing a rush order. Once approved, a high resolution file will be sent to the email address associated with your account. Please note that once your proof has been approved and the final file has been delivered, additional changes may not be made to the design.
Printable Champagne Bottle Labels measure 4 inches by 4.25 inches. Perfect for champagne and wine bottles. You will receive a high resolution file formatted as a:
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Please note that the color of your finished product may vary slightly from the sample photo shown due to computer monitor and printer settings. Additionally, since each item is custom created, designs may vary slightly.
By placing an order with Heather Renee Celebrations, you agree that you have read the shop policies and understand that you are bound by the terms within.


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Supported Payment Methods on Dudool.com
1.Credit Cards:
(1)Introduction of Alipay
We use the credit cards integrated with Alipay.com Co. Ltd (AliPay) ,which is a member of the Alibaba Group, and China's leading online payment service by both number of users and total transaction volume. It enables individuals and businesses to securely, easily and quickly send and receive payments online. AliPay has become the most popular and extensively used online payment tool for all areas of e-commerce in China, and is fast becoming one of the industry standards worldwide. We accept visa card, master card as well as JCB as the online payment,which are secure, easy and quick to handle.
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.Enter the credit card information.
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(1) Official Western Union Information
First Name: Da Qin
Last Name: Mao
(2) How to use Western Union
. Use Cash, Credit, or Debit Cards to transfer money through online payment, or at a nearest western union agent. You may track the agent at your place by http://www.westernunion.com/info/agentLocator.asp?country=global.
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Name: Mao Daqin
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.Make online transfer or go bank to process bank transfer.
.Make sure your credit card/debit card has opened online payment function if you choose online transfer.
.Log in your online bank account and process online transfer to our account, or go bank to transfer to our account.
.Go bank and process the transfer if you can't process online transfer to our receiver's account.
.Contact Us by an email or contact us online to tell us your order information and exactly amount of money you sent.
(1) Introduction of MoneyGram
MoneyGram is a global leader in worldwide money transfer services, working closely with specially chosen agents in 293,000 locations across 197 countries and territories, which is well-known by its convenience, efficiency and simpleness.
(2) How to Use MoneyGram
.Use Cash, Credit, or Debit Cards to transfer money through online payment, or at a nearest location.
.Visit your MoneyGram agent, taking some personal identification with you if you go to the agent location.It will be better for you to know how to handle the online payment, for you do not have to go outside. But you may feel free to choose the one you prefer.
.Complete a simple 'send' form and hand this to the MoneyGram agent along with the money you want to send and the transfer fee. You may also include a free 10-word message on the form.
.Given a reference number.
.Contact Us and give us the reference number.
More information at www.moneygram.com.
(3) Official MoneyGram Information
Frist name:Da Qin
Last name:Mao


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This group, BABYMETAL, aims to attract an audience of their own age, mainly girls. It doesn't so far.
I particularly like the part where everyone chorusses "DEATH". Young girls can really learn from that. You know...:
"Japan suffers from a high suicide rate.[170][171] In 2009, the number of suicides exceeded 30,000 for the twelfth straight year.[172] Suicide is the leading cause of death for people under 30.[173]" - wikipedia