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General Recommendations for Vaccination & Immunoprophylaxis
General Recommendations for Vaccination & Immunoprophylaxis
Recommendations for the use of vaccines and other biologic products (such as immune globulin [IG] products) in the United States are developed by the Advisory Committee on Immunization Practices (ACIP) and are harmonized with ACIP liaison organizations including the American Academy of Pediatrics, the American Academy of Family Physicians, the American College of Physicians, the American College of Obstetricians and Gynecologists, and others. Recommendations voted on by the ACIP are reviewed by the CDC director and, if adopted, become official recommendations of the Department of Health and Human Services/CDC upon publication in CDC's Morbidity and Mortality Weekly Report (MMWR). ACIP recommendations are based on scientific evidence of benefits (disease immunity) and risks (vaccine adverse reactions) and, where few or no data are available, on expert opinion. Recommendations include information on general immunization issues and the use of specific vaccines. Box 2-1 provides more information about ACIP. This section is based primarily on the ACIP General Recommendations on Immunization.
Evaluation of people before travel should include a review and provision of routine vaccines recommended based on age and other individual characteristics. Additionally, some routine vaccines are recommended at earlier ages for international travelers. For example, MMR (measles-mumps-rubella) vaccine is recommended for infants aged 6–11 months who travel abroad to protect them from measles. Recommendations for specific vaccines related to travel will depend on itinerary, duration of travel, and host factors. Vaccinations against diphtheria, tetanus, pertussis, measles, mumps, rubella, varicella, poliomyelitis, hepatitis A, hepatitis B, Haemophilus influenzae type b (Hib), rotavirus, human papillomavirus (HPV), and pneumococcal and meningococcal invasive disease are routinely administered in the United States, usually in childhood or adolescence. Influenza vaccine is routinely recommended for all people aged ≥6 months, each year. A dose of herpes zoster (shingles) vaccine is recommended for adults aged ≥60 years. If a person does not have a history of adequate protection against these diseases, immunizations appropriate to age and previous immunization status should be obtained, whether or not international travel is planned. A visit to a clinician for travel-related immunizations should be seen as an opportunity to bring an incompletely vaccinated person up-to-date on his or her routine vaccinations.
Both the child and adolescent vaccination schedules, and an adult vaccination schedule, are published annually. Clinicians should obtain the most current schedules from the CDC Vaccines and Immunization website (www.cdc.gov/vaccines/schedules). The text and many tables of this publication present recommendations for the use, number of doses, dose intervals, adverse reactions, precautions, and contraindications for vaccines and toxoids that may be indicated for travelers. Recommendations for travelers are not always the same as routine recommendations. For instance, most adults born after 1956 are recommended to receive 1 dose of MMR vaccine; however, international travelers of this age are recommended to receive 2 doses. For specific vaccines and toxoids, additional details on background, adverse reactions, precautions, and contraindications, refer to the respective ACIP recommendations (www.cdc.gov/vaccines/acip/index.html).
Box 2-1. The Advisory Committee on Immunization Practices (ACIP)
In 1964, the Department of Health, Education, and Welfare chartered the Advisory Committee on Immunization Practices (ACIP) to provide guidance to CDC for making immunization policy. Guidance includes scheduling of vaccine doses, specific risk groups for whom vaccination is recommended, and vaccine contraindications and precautions.
ACIP is composed of 15 voting members selected by the Secretary of Health and Human Services. The ACIP chair, a consumer representative, and 13 members are balanced among various sectors, including academic immunology, medicine, and public health. In addition to the 15 voting members, the committee includes 8 ex officio members representing federal agencies and 35 nonvoting representatives of liaison organizations with broad responsibilities for vaccine development, administration of vaccines to various segments of the population, and operation of immunization programs. ACIP is subdivided into 4 permanent workgroups that address child/adolescent immunization schedules, adult immunization schedules, influenza vaccine, and general immunization issues. In addition to the 4 permanent workgroups, additional workgroups focus on particular vaccines. Input into the development of immunization schedules is shared with professional organizations, including the American Academy of Pediatrics, American College of Physicians, American Academy of Family Physicians, American College of Obstetricians and Gynecologists, and American College of Nurse-Midwives.
ACIP workgroups are led by a member of ACIP who works in close collaboration with a CDC workgroup lead staff member. Members of the vaccine pharmaceutical industry may not serve as workgroup members. The workgroup develops consensus on various policy points, then the CDC workgroup lead writes specific content for presentation to the ACIP at large. When it is difficult to achieve consensus, options with plans are developed and presented to the ACIP at large for a vote.
ACIP holds 3 public meetings a year during which the various workgroups present content that has been developed and is ready for discussion or voting. Sometimes ACIP members are involved in academic vaccine research supported by the pharmaceutical industry. These members must state these conflicts and must recuse themselves from votes regarding vaccines manufactured by companies from which they receive support. The result of various discussions and votes is an ACIP document published in CDC's Morbidity and Mortality Weekly Report (www.cdc.gov/mmwr), representing the official policy of the Department of Health and Human Services.
Spacing of Immunobiologics
Simultaneous Administration
With some exceptions (such as PCV13 and PPSV23, as well as PCV13 and MenACWY-D [Menactra]), all commonly used vaccines can safely and effectively be given simultaneously (on the same day) at separate sites without impairing antibody responses or increasing rates of adverse reactions. This knowledge is particularly helpful for international travelers, for whom exposure to several infectious diseases might be imminent. Simultaneous administration of all indicated vaccines is encouraged for people who are the recommended age to receive these vaccines and for whom no contraindications exist. If not administered on the same day, an inactivated vaccine may be given at any time before or after a different inactivated vaccine or a live-virus vaccine.
The immune response to an injected or intranasal live-virus vaccine (such as MMR, varicella, yellow fever, or live attenuated influenza vaccines) might be impaired if administered within 28 days of another live-virus vaccine (within 30 days for yellow fever vaccine). Whenever possible, injected live-virus vaccines administered on different days should be given ≥28 days apart (≥30 days for yellow fever vaccine). If 2 injected or intranasal live-virus vaccines are not administered on the same day but <28 days apart (<30 days for yellow fever vaccine), the second vaccine should be repeated in ≥28 days (≥30 days for yellow fever vaccine).
Measles and other live-virus vaccines may interfere with the response to tuberculin skin testing and the interferon-γ release assay. Tuberculin testing, if otherwise indicated, can be done either on the day that live-virus vaccines are administered or 4–6 weeks later. Tuberculin skin testing is not a prerequisite for administration of any vaccine. Oral typhoid vaccine, a live attenuated bacterial vaccine, has not been associated with suppressing the response to tuberculosis testing.
Missed Doses and Boosters
All vaccines require a primary dose or series to ensure immunity, and some require periodic repeat, or booster, doses to maintain immunity. Occasionally, the demand for a vaccine may exceed its supply, and providers may have difficulty obtaining vaccines. Information on vaccine shortages and recommendations can be found on the CDC Vaccines and Immunization website at www.cdc.gov/vaccines/hcp/clinical-resources/shortages.html.
In some cases, a scheduled dose of vaccine may not be given on time. If this occurs, the dose should be given at the next visit. However, travelers may forget to return to complete a series or for a booster at the specified time. Available data indicate that intervals between doses longer than those routinely recommended do not affect seroconversion rate or titer when the schedule is completed. Consequently, it is not necessary to restart the series or add doses of any vaccine because of an extended interval between doses. There are some exceptions to this rule. Some experts recommend repeating the series of oral typhoid vaccine if the 4-dose series is extended to more than 3 weeks. If an extended interval passes between doses of the preexposure rabies vaccine series, immune status should be assessed by serologic testing 7–14 days after the final dose in the series.
Antibody-Containing Blood Products
Antibody-containing blood products from the United States, such as immune globulin (IG) products, do not interfere with the immune response to yellow fever vaccine and are not believed to interfere with the response to live typhoid, live attenuated influenza, rotavirus, or zoster vaccines. When MMR and varicella vaccines are given shortly before, simultaneously with, or after an antibody-containing blood product, response to the vaccine can be diminished. The duration of inhibition of MMR and varicella vaccines is related to the dose of IG in the product. MMR and varicella vaccines either should be administered ≥2 weeks before receipt of a blood product or should be delayed 3–11 months after receipt of the blood product, depending on the dose and type of blood product (Table 2-4).
|Dose and Route
|Recommended Interval Before Measles or Varicella Vaccination
|Blood transfusion
|Red blood cells (RBCs), washed
|10 mL/kg (negligible IgG/kg) IV
|RBCs, adenine-saline added
|10 mL/kg (10 mg IgG/kg) IV
|6 months
|Packed RBCs (hematocrit 65%) 2
|10 mL/kg (60 mg IgG/kg) IV
|3 months
|Whole blood (hematocrit 35%–50%) 2
|10 mL/kg (80–100 mg IgG/kg) IV
|6 months
|Plasma/platelet products
|10 mL/kg (160 mg IgG/kg) IV
|7 months
|Botulism immune globulin, intravenous
|1.5 mL/kg (75 mg IgG/kg) IV
|6 months
|Cytomegalovirus prophylaxis (CMV IGIV)
|150 mg/kg IV (maximum)
|6 months
|Hepatitis A (IG), duration of international travel
|≤3-month stay
|0.02 mL/kg (3.3 mg IgG/kg) IM
|3 months
|≥3-month stay
|0.06 mL/kg (10 mg IgG/kg) IM
|3 months
|Hepatitis B prophylaxis (HBIG)
|0.06 mL/kg (10 mg IgG/kg) IM
|3 months
|Intravenous immune globulin (IVIG)
|Replacement therapy
|300–400 mg/kg IV
|8 months
|Immune thrombocytopenic purpura (ITP)
|400 mg/kg IV
|8 months
|800 mg/kg IV or 1 g/kg IV
|10 months 3
|Postexposure measles prophylaxis (includes immunocompromised people)
|400 mg/kg IV
|8 months
|Postexposure varicella prophylaxis 4
|400 mg/kg IV
|8 months
|Kawasaki disease
|2 gm/kg IV
|11 months
|Measles prophylaxis (IG)
|Immunocompetent contact
|0.5 mL/kg (80 mg IgG/kg) IM
|6 months
|Monoclonal antibody to respiratory syncytial virus (RSV) F protein (Synagis [MedImmune]) 5
|15 mg/kg IM
|Rabies prophylaxis (HRIG)
|20 IU/kg (22 mg IgG/kg) IM
|4 months
|Tetanus (TIG)
|250 units (10 mg IgG/kg) IM
|3 months
|Varicella zoster immune globulin 4
|125 units/10 kg (60–200 mg IgG/kg) IM (maximum 625 units)
|5 months
|Abbreviations: IG, immune globulin; IM, intramuscular; IV, intravenous.
|1 Adapted from Table 5, CDC. General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2011 Jan 28;60(RR-2):1–61. Updated with information from CDC. Prevention of measles, rubella, congenital rubella syndrome, and mumps, 2013: summary recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2013 Jun 14; 62(RR-04):1–34. This table is not intended for determining the correct indications and dosage for the use of IG preparations. Unvaccinated people may not be fully protected against measles during the entire recommended interval, and additional doses of IG or measles vaccine may be indicated after measles exposure. Concentrations of measles antibody in an IG preparation can vary by manufacturer's lot. For example, more than a 4-fold variation in the amount of measles antibody titers has been demonstrated in different IG preparations. Rates of antibody clearance after receipt of an IG preparation can also vary. Recommended intervals are extrapolated from an estimated half-life of 30 days for passively acquired antibody and an observed interference with the immune response to measles vaccine for 5 months after a dose of 80 mg IgG/kg. Does not include zoster vaccine. Zoster vaccine may be given with antibody-containing products.
|2 Assumes a serum IgG concentration of 16 mg/mL.
|3 Recommendation adapted from Neunert C, Lim W, Crowther M, Cohen A, Solberg L, Crowther MA. The American Society of Hematology 2011 evidence-based practice guideline for immune thrombocytopenia. Blood. 2011;117(16):4190–207
|4 If varicella zoster immune globulin is not available, IVIG can be used. The recommendation for use of IVIG is based on best judgment of experts and is supported by reports comparing varicella IgG titers measured in both IVIG and varicella zoster immune globulin preparations and patients given IVIG and varicella zoster immune globulin. Although licensed IVIG preparations contain antivaricella antibodies, the titer of any specific lot of IVIG is uncertain, because IVIG is not tested routinely for antivaricella antibodies. No clinical data demonstrating effectiveness of IVIG for postexposure prophylaxis of varicella are available. The recommended IVIG dose for postexposure prophylaxis of varicella is 1 dose of 400 mg/kg, intravenously (see http://redbook.solutions.aap.org/chapter.aspx...).
|5 Contains only antibody to respiratory syncytial virus.
IG administration may become necessary for another indication after MMR or varicella vaccines have been given. In such a situation, the IG may interfere with the immune response to the MMR or varicella vaccines. Vaccine virus replication and stimulation of immunity usually occur 2–3 weeks after vaccination. If the interval between administration of one of these vaccines and the subsequent administration of an IG preparation is ≥14 days, the vaccine need not be readministered. If the interval is <14 days, the vaccine should be readministered after the interval shown in Table 2-4, unless serologic testing indicates that antibodies have been produced. Such testing should be performed after the interval shown in Table 2-4, to avoid detecting antibodies from the IG preparation.
If administration of IG becomes necessary, MMR or varicella vaccines can be administered simultaneously with IG, with the recognition that vaccine-induced immunity can be compromised. The vaccine should be administered at a body site different from that chosen for the IG injection. Vaccination should be repeated after the interval noted in Table 2-4, unless serologic testing indicates antibodies have been produced.
When IG is given with the first dose of hepatitis A vaccine, the proportion of recipients who develop a protective level of antibody is not affected, but antibody concentrations are lower. Because the final concentrations of antibody are many times higher than those considered protective, this reduced immunogenicity is not expected to be clinically relevant. However, the effect of reduced antibody concentrations on long-term protection is unknown.
IG preparations interact minimally with other inactivated vaccines and toxoids. Other inactivated vaccines may be given simultaneously, or at any time interval before or after an antibody-containing blood product is used. However, such vaccines should be administered at different sites from the IG.
Vaccination of People with Acute Illnesses
Every opportunity should be taken to provide needed vaccinations. The decision to delay vaccination because of a current or recent acute illness depends on the severity of the symptoms and their cause. Although a moderate or severe acute illness is sufficient reason to postpone vaccination, minor illnesses (such as diarrhea, mild upper respiratory infection with or without low-grade fever, or other low-grade febrile illness) are not contraindications to vaccination.
People with moderate or severe acute illness, with or without fever, should be vaccinated as soon as the condition improves. This precaution is to avoid superimposing adverse effects from the vaccine on underlying illness, or mistakenly attributing a manifestation of underlying illness to the vaccine. Antimicrobial therapy is not a contraindication to vaccination, with several exceptions:
- Antibacterial agents may interfere with the response to oral typhoid vaccine.
- Antiviral agents active against herpesviruses (such as acyclovir) may interfere with the response to varicella-containing vaccines.
- Antiviral agents active against influenza virus (such as zanamivir and oseltamivir) may interfere with the response to live attenuated influenza vaccine.
- Antibiotics may interfere with the response to the new oral cholera vaccine.
A physical examination or temperature measurement is not a prerequisite for vaccinating a person who appears to be in good health. Asking if a person is ill, postponing a vaccination for someone with moderate or severe acute illness, and vaccinating someone who does not have contraindications are appropriate procedures for clinic immunizations.
Altered Immunocompetence
Altered immunocompetence is a general term that is often used interchangeably with the terms immunosuppression, immunodeficiency, and a weakened immune system. It can be caused either by a disease (leukemia, HIV infection) or by drugs or other therapies (cancer chemotherapy, radiation therapy, prolonged high-dose corticosteroids). It can also include conditions such as asplenia and chronic renal disease.
Determination of altered immunocompetence is important because the incidence or severity of some vaccine-preventable diseases is higher in people with altered immunocompetence. Therefore, certain vaccines (such as meningococcal B vaccine, pneumococcal polysaccharide vaccines) are recommended specifically for people with altered immunocompetence. Inactivated vaccines may be safely administered to a person with altered immunocompetence, although response to such vaccines may be suboptimal. These vaccines may need to be repeated after immune function has improved. If immunocompetence does not improve, the usual doses and schedules for inactivated vaccines are recommended. Again, the effectiveness of such vaccinations might be suboptimal.
People with altered immunocompetence may be at increased risk for an adverse reaction after administration of live attenuated vaccines because of reduced ability to mount an effective immune response. Live vaccines should generally be deferred until immune function has improved. If immune function does not improve, live vaccines are contraindicated. This is particularly important when planning to give yellow fever vaccine (see Chapter 3, Yellow Fever). For HIV-infected people with mild or moderate immunosuppression, MMR vaccine is recommended and varicella vaccine can be considered. For an in-depth discussion, see Chapter 8, Immunocompromised Travelers.
Vaccination Scheduling for Last-Minute Travelers
As noted, for people anticipating imminent travel, most vaccine products can be given during the same visit. Unless the vaccines given are booster doses of those typically given during childhood, vaccines may require a month or more to induce a sufficient immune response, depending on the vaccine and the number of doses in the series. Some vaccines require more than 1 dose for best protection. Recommended spacing should be maintained between doses (Table 2-5). Doses given at less than minimum intervals may induce lower antibody response than if given according to the recommended schedule. Intervals between doses longer than those routinely recommended do not decrease the immune response when the schedule is completed. Consequently, it is not necessary to restart the series or add doses of any vaccine because of an extended interval between doses, with the exceptions mentioned previously (oral typhoid vaccine and rabies vaccine). If a traveler needs yellow fever vaccination to meet a country requirement under the International Health Regulations, the yellow fever vaccine is not considered valid until 10 days after administration.
|Vaccine and Dose Number
|Recommended Age for This Dose
|Minimum Age for This Dose
|Minimum Interval to Next Dose 3
|Diphtheria and tetanus toxoids and acellular pertussis vaccine, pediatric (6 weeks through 6 years) (DTaP)-1 4
|2 months
|6 weeks
|4 weeks
|4 months
|10 weeks
|4 weeks
|6 months
|14 weeks
|6 months 5
|15–18 months
|12 months
|6 months 5
|4–6 years
|4 years
|Haemophilus influenzae type b (Hib)-1 6
|2 months
|6 weeks
|4 weeks
|4 months
|10 weeks
|4 weeks
|Hib-3 7
|6 months
|14 weeks
|8 weeks
|12–15 months
|12 months
|Hepatitis A (HepA)-1
|12–23 months
|12 months
|6 months 5
|≥18 months
|18 months
|Hepatitis B (HepB)-1 4
|4 weeks
|1–2 months
|4 weeks
|8 weeks
|HepB-3 8
|6–18 months
|24 weeks
|Herpes zoster 9
|≥60 years
|60 years
|Human papillomavirus (HPV)-1 10
|11–12 years
|9 years
|4 weeks
|2 months after dose 1
|9 years and 4 weeks
|12 weeks
|6 months after dose 1
|9 years and 24 weeks
|Inactivated poliovirus (IPV)-1 4
|2 months
|6 weeks
|4 weeks
|4 months
|10 weeks
|4 weeks
|6–18 months
|14 weeks
|6 months 5
|4–6 years
|4 years
|Influenza, inactivated 13
|≥6 months
|6 months 14
|4 weeks
|Influenza, live attenuated 13
|2–49 years
|2 years
|4 weeks
|Japanese encephalitis, Vero cell (Ixiaro)-1 15
|≥2 months
|≥2 months
|28 days
|28 days after dose 1
|≥2 months and 28 days
|Measles, mumps, and rubella (MMR)-1 16
|12–15 months
|12 months 17
|4 weeks
|4–6 years
|13 months
|Meningococcal conjugate (MenACWY-1) 18
|11–12 years
|2 months (Menveo) or 9 months (Menactra)
|8 weeks 19
|16 years
|4 months (Menveo) or 11 months (Menactra)
|3–5 years if at increased risk of disease 19
|Meningococcal polysaccharide (MPSV4)-1 18
|2 years
|5 years
|7 years
|Pneumococcal conjugate (PCV)-1 6
|2 months
|6 weeks
|4 weeks
|4 months
|10 weeks
|4 weeks
|6 months
|14 weeks
|8 weeks
|12–15 months
|12 months
|Pneumococcal polysaccharide (PPSV)-1
|2 years
|5 years
|7 years
|Rabies-1 (preexposure)
|See footnote 21
|See footnote 21
|7 days
|7 days after dose 1
|7 days after dose 1
|14 days
|21 days after dose 1
|21 days after dose 1
|Rotavirus (RV)-1 22
|2 months
|6 weeks
|4 weeks
|4 months
|10 weeks
|4 weeks
|6 months
|14 weeks
|Tetanus and reduced diphtheria toxoids (Td)
|11–12 years
|7 years
|5 years
|Tetanus toxoid, reduced diphtheria toxoid, and reduced acellular pertussis vaccine (Tdap) 23
|≥11 years
|7 years
|Typhoid, inactivated (ViCPS)
|≥2 years
|≥2 years
|Typhoid, live attenuated (Ty21a)
|≥6 years
|≥6 years
|See footnote 24
|Varicella (Var)-1 16
|12–15 months
|12 months
|12 weeks 25
|Varicella (Var)-2
|4–6 years
|15 months
|Yellow fever
|≥9 months 26
|≥9 months 26
|10 years
|1 Adapted from Table 1, CDC. General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2011 Jan 28;60(RR-2):1–61.
|2 Combination vaccines are available. Use of licensed combination vaccines is generally preferred over separate injections of their equivalent component vaccines (CDC. Combination vaccines for childhood immunization. MMWR Recomm Rep. 1999 May 14;48[RR-5]:1–14.). When administering combination vaccines, the minimum age for administration is the oldest age for any of the individual components (exception: the minimum age for the first dose of MenHibrix is 6 weeks); the minimum interval between doses is equal to the largest interval of any of the individual components.
|3 See www.cdc.gov/vaccines/schedules for recommended revaccination (booster) schedules.
|4 Combination vaccines containing the HepB component are available (DTaP-HepB-IPV, HepA-HepB). DTaP-HepB-IPV should not be administered to infants aged <6 weeks because of the other components ( DTaP, IPV). HepA-HepB is not licensed in the United States for children aged <18 years.
|5 Calendar months.
|6 For Hib and PCV, children receiving the first dose of vaccine at ≥7 months of age require fewer doses to complete the series (see the current childhood and adolescent immunization schedule at www.cdc.gov/vaccines).
|7 If PRP-OMP (Pedvax-Hib, Merck Vaccine Division) was administered at 2 and 4 months of age, a dose at 6 months of age is not indicated. The final dose has a minimum age of 12 months.
|8 HepB-3 should be administered ≥8 weeks after Hep B-2 and ≥16 weeks after Hep B-1; it should not be administered before age 24 weeks.
|9 Herpes zoster (shingles) vaccine is recommended as a single dose for people aged ≥60 years.
|10 Bivalent HPV vaccine is approved for girls/women aged 10–26 years. It is recommended to prevent cervical and other anogenital cancers and precursors for girls/women aged 11–26 years. Quadrivalent HPV and 9vHPV vaccines are approved for boys/men and girls/women aged 9–26 years. They are recommended to prevent cervical and other anogenital cancers, precursors, and genital warts for girls/women aged 11–26 years. They are recommended for boys/men aged 11–21 years and high-risk boys or men (men who have sex with men, HIV-positive men, or immunocompromised men) aged 22–26 years. They may be given to girls aged 9–10 years to prevent the same diseases, and to boys/men aged 9–10 years and 22–26 years to prevent genital warts.
|11 The third dose of HPV should be administered ≥12 weeks after the second and ≥24 weeks after the first. Dose 3 need not be repeated if administered ≥16 weeks after dose 1, as long as a minimum interval of 4 weeks is maintained between dose 1 and dose 2 and as long as a minimum interval of 12 weeks is maintained between dose 2 and dose 3.
|12 For people receiving an all-IPV or all-OPV series, if the third dose is given after the fourth birthday, a fourth dose is not needed. For IPV, the next-to-last and the last dose must be spaced by 6 months.
|13 Two doses of influenza vaccine are recommended for children aged <9 years who are receiving the vaccine for the first time, and for certain incompletely vaccinated children (see reference 2).
|14 The minimum age for inactivated influenza vaccine varies by vaccine manufacturer. See package insert for vaccine-specific minimum ages.
|15 Ixiaro is approved by the Food and Drug Administration for people aged ≥2 months.
|16 Combination MMR-varicella (MMRV) can be used for children aged 12 months through 12 years
|17 If an infant 6–11 months of age is traveling internationally, a dose of MMR is recommended but does not count toward the 2-dose recommended series. The next dose should be administered at 12–15 months of age and a minimum of 4 weeks from the international travel dose.
|18Infants aged 2–18 months. Routine vaccination with HibMenCY – TT (MenHibrix) or Menveo (4-dose primary series) is recommended for infants aged 2–18 months who are at increased risk for meningococcal disease. The first dose of either vaccine may be administered as early as age 6 weeks. The fourth dose may be administered as late as age 18 months. Infants and children who received Hib-MenCY-TT and are traveling to areas with high endemic rates of meningococcal disease such as the African "meningitis belt" are not protected against serogroups A and W-135 and should receive a quadrivalent meningococcal vaccination before travel.People aged 9 months through 55 years. People aged 9 months through 55 years at increased risk for meningococcal disease should receive Menveo or Menactra. Infants aged 9–23 months are recommended to receive a 2-dose primary series with a dosing interval of 12 weeks.People aged ≥56 years. Menomune is the only licensed meningococcal vaccine for adults aged ≥56 years and is immunogenic in older adults. For adults who have received a conjugate meningococcal vaccine previously, limited data demonstrate a higher antibody response after a subsequent dose of a conjugate vaccine compared with a subsequent dose of Menomune. For meningococcal vaccine-naïve people aged ≥56 years who anticipate requiring a single dose of meningococcal vaccine (such as travelers and people at risk as a result of a community outbreak), Menomune is preferred. For people now aged ≥56 years who were vaccinated previously with a meningococcal conjugate vaccine and are recommended for revaccination or for whom multiple doses are anticipated (such as people with asplenia and microbiologists), a conjugate vaccine is preferred.
|19 Revaccination with meningococcal vaccine is recommended for people previously vaccinated who remain at high risk for meningococcal disease. MenACWY is preferred for revaccinating people aged 2–55 years (CDC. Prevention and control of meningococcal disease. Recommendations of the Advisory Committee on Immunization Practices [ACIP]. MMWR Recomm Rep. 2013 Mar 22;62[RR-2]:1–28.).
|20 A second dose of PPSV is recommended for people aged ≥65 years who received a first dose at an age <65 years and at a 5-year minimum interval. A second dose is also recommended for people aged <65 years at highest risk for serious pneumococcal infection and those who are likely to have a rapid decline in pneumococcal antibody concentration (CDC. Updated recommendations for prevention of invasive pneumococcal disease among adults using the 23-valent pneumococcal polysaccharide vaccine [PPSV23]. MMWR Recomm Rep. 2010;59[34]:1102–6.).
|21 There is no minimum age for preexposure immunization for rabies (CDC. Human rabies prevention—United States, 2008: recommendations of the Advisory Committee on Immunization Practices. MMWR Recomm Rep. 2008 May 23;57[RR-3]:1–28.).
|22 The first dose of RV must be administered by 14 weeks and 6 days of age. The vaccine series should not be started at ≥15 weeks of age. The final dose in the series should be administered by age 8 months, 0 days. If Rotarix rotavirus vaccine is administered at 2 and 4 months of age, a dose at 6 months of age is not indicated.
|23 Only 1 dose of Tdap is recommended. Subsequent doses should be given as Td. Children aged 7–10 years who are not fully vaccinated against pertussis and for whom no contraindication to pertussis vaccine exists should receive a single dose of Tdap. If additional doses of tetanus and diphtheria toxoid-containing vaccines are needed, then children aged 7–10 years should be vaccinated according to catch-up guidance, with Tdap preferred as the first dose. Tdap vaccine, when indicated, should be administered regardless of the interval since the last dose of Td vaccine. For management of a tetanus-prone wound, the minimum interval after a previous dose of any tetanus-containing vaccine is 5 years. A dose of Tdap is recommended for pregnant women, preferably at 27–36 weeks' gestation, regardless of history of previous Tdap vaccination.
|24 Oral typhoid vaccine is recommended to be administered 1 hour before a meal with a cold or lukewarm drink (temperature not to exceed body temperature—98.6°F [37°C]) on alternate days, for a total of 4 doses.
|25 The minimum interval from Var-1 to Var-2 for people beginning the series at ≥13 years of age is 4 weeks.
|26 Yellow fever vaccine may be administered to children aged <9 months in certain situations (CDC. Yellow fever vaccine: recommendations of the Advisory Committee on Immunization Practices [ACIP]. MMWR Recomm Rep. 2010 Jul 30;59[RR-7]:1–27.).
Administration of a vaccine earlier than the recommended minimum age or at an interval shorter than the recommended minimum is discouraged. Table 2-5 lists the minimum age and minimum interval between doses for vaccines routinely recommended in the United States.
Because some travelers visit their health care providers at the last minute before departure, studies have been performed to determine whether accelerated scheduling is adequate. This concern is primarily the case for hepatitis B vaccine or the combined hepatitis A and B vaccine. An accelerated schedule for combined hepatitis A and B vaccine has been approved by the Food and Drug Administration (FDA). It is unclear what level of protection any given traveler will have if he or she does not complete a full series of multidose vaccination.
Allergy to Vaccine Components
Vaccine components can cause allergic reactions in some recipients. These reactions can be local or systemic and can include anaphylaxis or anaphylactic-like responses. The vaccine components responsible can include the vaccine antigen, animal proteins, antibiotics, preservatives (such as thimerosal), or stabilizers (such as gelatin). The most common animal protein allergen is egg protein in vaccines prepared by using embryonated chicken eggs (influenza and yellow fever vaccines). People with a history of egg allergy who have experienced only hives after exposure to egg should receive influenza vaccine. Any licensed influenza vaccine that is otherwise appropriate for the recipient's age and health status may be used.
People who report having had reactions to egg involving symptoms other than hives, such as angioedema, respiratory distress, lightheadedness, or recurrent emesis, or who required epinephrine or another emergency medical intervention, may similarly receive any licensed influenza vaccine that is otherwise appropriate for the recipient's age and health status. If a person has a severe egg sensitivity or has a positive skin test to yellow fever vaccine but the vaccination is recommended because of their travel destination- specific risk, desensitization can be performed under direct supervision of a physician experienced in the management of anaphylaxis. In such circumstances, both yellow fever and influenza vaccines should be administered in an inpatient or outpatient medical setting. Vaccine administration should be supervised by a health care provider who is able to recognize and manage severe allergic reactions. A previous severe allergic reaction to any vaccine, regardless of the component suspected of being responsible for the reaction, is a contraindication to future receipt of the vaccine.
Some vaccines contain a preservative or trace amounts of antibiotics to which people might be allergic. Providers administering the vaccines should carefully review the prescribing information before deciding if the rare person with such an allergy should receive the vaccine. No recommended vaccine contains penicillin or penicillin derivatives. Some vaccines (MMR vaccine, inactivated polio vaccine [IPV], hepatitis A vaccine, some hepatitis B vaccines, some influenza vaccines, rabies vaccine, varicella vaccine, and smallpox vaccine) contain trace amounts of neomycin or other antibiotics; the amount is less than would normally be used for the skin test to determine hypersensitivity. However, people who have experienced anaphylactic reactions to this antibiotic generally should not receive these vaccines. Most often, neomycin allergy is a contact dermatitis—a manifestation of a delayed-type (cell-mediated) immune response rather than anaphylaxis. A history of delayed-type reactions to neomycin is not a contraindication to receiving these vaccines.
Thimerosal, an organic mercurial compound in use since the 1930s, has been added to certain immunobiologic products as a preservative. Thimerosal is present at preservative concentrations in multidose vials of some brands of vaccine. Receiving thimerosal-containing vaccines has been postulated to lead to induction of allergy. However, there is limited scientific evidence for this assertion. Allergy to thimerosal usually consists of local delayed-type hypersensitivity reactions. Thimerosal elicits positive delayed-type hypersensitivity patch tests in 1%–18% of people tested, but these tests have limited or no clinical relevance. Most people do not experience reactions to thimerosal administered as a component of vaccines, even when patch or intradermal tests for thimerosal indicate hypersensitivity. A localized or delayed-type hypersensitivity reaction to thimerosal is not a contraindication to receipt of a vaccine that contains thimerosal.
Since mid-2001, vaccines routinely recommended for infants have been manufactured without thimerosal as a preservative. Additional information about thimerosal and the thimerosal content of vaccines is available on the FDA website (www.fda.gov/cber/vaccine/thimerosal.htm).
Reporting Adverse Events After Immunization
Modern vaccines are extremely safe and effective. Benefits and risks are associated with the use of all immunobiologics—no vaccine is completely effective or completely safe for all recipients. Adverse events after immunization have been reported with all vaccines, ranging from frequent, minor, local reactions to extremely rare, severe, systemic illness, such as that associated with yellow fever vaccine. Adverse events following specific vaccines and toxoids are discussed in detail in each ACIP statement. In the United States, clinicians are required by law to report selected adverse events occurring after vaccination with any vaccine in the recommended childhood series. In addition, CDC strongly recommends that all vaccine adverse events be reported to the Vaccine Adverse Event Reporting System (VAERS), even if a causal relation to vaccination is not certain. VAERS reporting forms and information are available electronically at www.vaers.hhs.gov, or they may be requested by telephone: 800-822-7967 (toll-free). Clinicians are encouraged to report electronically at https://vaers.hhs.gov/esub/step1.
Injection Route and Injection Site
Injectable vaccines are administered by intramuscular, intradermal, and subcutaneous routes. The method of administration of injectable vaccines depends in part on the presence of an adjuvant in some vaccines. The term adjuvant refers to a vaccine component distinct from the antigen, which enhances the immune response to the antigen. Vaccines containing an adjuvant (DTaP, DT, HPV, Td, Tdap, pneumococcal conjugate, Hib, hepatitis A, hepatitis B) should be injected into a muscle mass, because administration subcutaneously or intradermally can cause local irritation, induration, skin discoloration, inflammation, and granuloma formation. Detailed discussion and recommendations about vaccination of people with bleeding disorders or receiving anticoagulant therapy are available in the ACIP general recommendations on immunization.
Routes of administration are recommended by the manufacturer for each immunobiologic. Deviation from the recommended route of administration may reduce vaccine efficacy or increase local adverse reactions. Detailed recommendations on the route and site for all vaccines have been published in ACIP recommendations; a compiled list of these publications is available on the CDC website at www.cdc.gov/vaccines/hcp/acip-recs (also see Table B-1 in Appendix B).
- CDC. General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2011 Jan 28;60(2):1–64.
- CDC. Updated recommendations for use of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine in adults aged 65 years and older—Advisory Committee on Immunization Practices (ACIP), 2012. MMWR Morb Mortal Wkly Rep. 2012 Jun 29;61(25):468–70. [PMID:22739778]
- Cohn AC, MacNeil JR, Clark TA, Ortega-Sanchez IR, Briere EZ, Meissner HC, et al. Prevention and control of meningococcal disease: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2013 Mar 22;62(2):1–28.
- Grohskopf LA, Sokolow LZ, Olsen SJ, Bresee JS, Broder KR, Karron RA, et al. Prevention and control of seasonal influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices—United States, 2013–2014. MMWR Recomm Rep. 2015 Aug 7;64(30):818–25.
- Kobayashi M, Bennett NM, Gierke R, Almendares O, Moore MR, Whitney CG, et al. Intervals between PCV13 and PPSV23 vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep. 2015 Sep 4;64(64):944–7. [PMID:26334788]
- Kretsinger K, Broder KR, Cortese MM, Joyce MP, Ortega-Sanchez I, Lee GM, et al. Preventing tetanus, diphtheria, and pertussis among adults: use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine recommendations of the Advisory Committee on Immunization Practices (ACIP) and recommendation of ACIP, supported by the Healthcare Infection Control Practices Advisory Committee (HICPAC), for use of Tdap among health-care personnel. MMWR Recomm Rep. 2006 Dec 15;55(RR-17):1–37.
- McLean HQ, Fiebelkorn AP, Temte JL, Wallace GS, CDC. Prevention of measles, rubella, congenital rubella syndrome, and mumps, 2013: summary recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2013 Jun 14;62(RR-04):1–34.
- Nuorti JP, Whitney CG, CDC. Prevention of pneumococcal disease among infants and children—use of 13-valent pneumococcal conjugate vaccine and 23-valent pneumococcal polysaccharide vaccine: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2010 Dec 10;59(RR-11):1–18.
- Shimabukuro TT, Nguyen M, Martin D, DeStefano F. Safety monitoring in the Vaccine Adverse Event Reporting System (VAERS). Vaccine. 2015 Aug 26;33(36):4398–405. [PMID:26209838]
- Staples JE, Gershman M, Fischer M, CDC. Yellow fever vaccine: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2010 Jul 30;59(RR-7):1–27.
Andrew T. Kroger, Raymond A. Strikas


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More than 65 local and mainland companies expected to participate in College of Engineering Spring Career Day
Students encouraged to attend for networking opportunities and to learn more about careers at a wide variety of firms and agenciesUniversity of Hawaiʻi
Student Services Coordinator
HONOLULU — The University of Hawaiʻi at Mānoa College of Engineering will host its annual Spring Career Day on Friday, March 16, 2007 from 1 to 4 p.m. at Holmes Hall on the UH Mānoa campus. The event provides an opportunity for students to learn more about full- and part-time career opportunities and internships at engineering firms, federal agencies and aerospace companies, as well as a chance to network with leading industry professionals.
More than 65 mainland and local companies are expected to be in attendance at this year's career day, including Lockheed Martin, The Boeing Company and Northrop Grumman Corporation. Participating state and national government agencies include the National Security Agency (NSA), Federal Aviation Administration (FAA) Airports District Office & Honolulu Control Facility and the County of Maui Department of Public Works & Environmental Management. Military entities including Naval Facilities Engineering Command in both the Pacific and Marianas (Guam), U.S. Army Corps of Engineers, Honolulu District, and the Human Resources Office, Navy Region Hawaiʻi, will also take part in Spring Career Day.
For more information about Spring Career Day, or for companies interested in participating, please contact Laura Shimabukuro, Student Services Coordinator, UH Mānoa College of Engineering at (808) 956-2287 or firstname.lastname@example.com.

subset: commoncrawl


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Scorecard / As it happenedClarke booed after farcical finishClarke takes leaf out of England's book
Michael Clarke has explained his angry reaction to being pushed away by umpire Aleem Dar at the climax of the fifth Ashes Test, saying he had asked the Pakistani official not to touch him.
The Australian captain remonstrated with umpires as light faded on Sunday evening at the Oval with England 5-206 and requiring 21 runs from the four remaining overs to clinch a 4-0 series win.
Dar was seen to push Clarke away from him and fellow umpire Kumar Dharmasena, who were checking the reading on the light meter that would lead them seconds later to abandon the day's play with the Test ending in a draw and England taking the series 3-0.
Clarke was loudly booed by the capacity crowd during the presentation ceremony afterwards despite having made the bold declaration at tea that set up the chance of a result either way rather than a dull draw. A total of 17 wickets fell on an eventful day.
Clarke later explained his altercation with Dar.
"I can't remember what I said. I remember Aleem touching me and I asked him politely to not touch me because if I touched him I'd be suspended for three matches," Clarke said. "That's all I can remember, coincidentally.
"From my point of view I have no issue. I just know a player is not allowed to touch an umpire but for me personally I have no issue with it at all."
Clarke had been furious during the third Test at Old Trafford when umpires called off the fourth day's play for bad light when he was batting. The light meter reading at the Oval on Sunday was 5.7 while at Manchester it was 8.1 – the lower the figure, the darker the conditions.
Despite the anti-climax the umpires followed the regulations on light to the letter of cricket's laws when they stopped play at 7.36pm. They were left with no option but to abandon the match when the light meter reading dropped to a level matching or below the figure that led to play being called off on day two last Thursday at 7.26pm. This was despite the floodlights being on.
"Once they took the reading, I knew it was going to be darker than what it was in Manchester," Clarke said. "No comparison. I'm not going to get into the numbers. I think I did up there (on the presentation stage). I will probably get in trouble for it so I won't go into the number.
"For us, we just have to go by the umpires' call. If they think it is safe to keep playing then we keep playing."
Clarke had voiced his frustration with umpires in the overs preceding that as England closed on what would have been an extraordinary victory. Fast bowler Peter Siddle complained that he had lost sight of the ball while fielding in the deep shortly before the light meter was brought on by fourth official Richard Kettleborough.
"I just asked the question 'why we haven't got the meter out here' and it took a few overs to get it out," Clarke said.
"When you can see your own shadows, just going on what's happened in the past throughout this series, you know it's getting to around that time when umpires have consistently taken us off the field."
Booed by many in a full house of about 25,000 at the Oval on hand to see Alastair Cook's side presented with the Ashes trophy and the replica urn but denied the bonus of another unlikely England win Clarke said: "It doesn't surprise me."
"Look, that's the way I'd like to see cricket played and I'd certainly like to lead the Australian team playing in that type of manner. We had nothing to lose, obviously 3-0 down."
However, chairman of the English and Wales Cricket Board, Giles Clarke, said after the match that the laws regarding bad light must change.
"It is totally unsatisfactory the way the game ended – the rules are unacceptable and I expect [ICC general manager] Dave Richardson to change it at the next ICC chief executives meeting," said Giles Clarke.
Cook said he had no issue with the umpires' decision, although could understand the reaction of the crowd, having watched a scintillating 62 from 55 balls from Kevin Pietersen careered the hosts towards a thrilling win.
"Of course you understand the frustration, but you can also understand the other side," Cook said. "You understand the rules and regs, unfortunately the officials sometimes have to take the emotion out of the game and do their job and be consistently fair to both sides.
"It's disappointing to be sitting here when we felt we could have taken those runs off the last four overs but I understand the umps' decision and why it happened.
"If it was the third day no one would be moaning about it. If the boot was on the other foot we'd probably be asking the same questions. It was a shame for the amazing crowd we've had here. But we weren't allowed to play to the finish. There are certain guidelines and that's the way cricket has gone."
Clarke had rolled the dice by batting for only 23 overs in Australia's second innings before declaring for a second time in the match.
"To me, even if you weren't 3-0 down you got to do everything you can to try and win the Test match. There's obviously the risk of losing and that was there today as well but I think it was what we had to try and do," he said.
"The result is there, England have won 3-0. I think today we didn't have anything to lose so it was about trying to set a game. England certainly deserve credit for the way they came out in the second innings and tried to win the game."
This story Administrator ready to work first appeared on 苏州美甲学校.


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U.S. Equal Employment
Opportunity Commission
Restaurant Subjected Female Employees to Egregious Sexual Harassment Including Grabbing and Groping, Federal Agency Charged
BALTIMORE -GMRI, Inc., doing business as Red Lobster, subjected a class of female employees to pervasive sexual harassment at its Salisbury, Md., location in violation of federal law, the U.S. Equal Employment Opportunity Commission (EEOC) charged in a lawsuit announced today.
The EEOC alleged that the restaurant's then culinary manager subjected Valerie Serman, Racheal Cox and a class of similarly situated female employees to longstanding sexual harassment including pressing his groin against them, and grabbing and groping them. The EEOC further alleged that the manager made sexually offensive comments, such as frequent remarks about the bodies of female employees and about his genitals, according to the lawsuit.
According to the EEOC, Red Lobster, failed to take prompt action to stop the sexual harassment even though the offensive conduct and comments were blatant and pervasive. Serman also complained to her general manager about the harassment, but he not only failed to act, but also had a history of making vulgar and sexually charged remarks about female employees himself, the lawsuit claimed.
Subjecting employees to a sexually hostile work environment violates Title VII of the Civil Rights Act of 1964. The EEOC filed suit (EEOC v. GMRI, Inc., d/b/a Red Lobster, Civil Action No. 1:13-cv-02860-MJG) in U.S. District Court for the District of Maryland, Northern Division, after first attempting to reach a pre-litigation settlement through its conciliation process. The EEOC seeks injunctive relief prohibiting the Red Lobster from engaging in sexual harassment, as well as compensatory and punitive damages for Serman, Cox and the class of female employees, and other affirmative relief.
"When companies tolerate sexual harassment, everyone loses," said EEOC Regional Attorney Debra M. Lawrence. "This lawsuit illustrates yet again that when employers abdicate their responsibility to maintain a workplace free from sexual harassment, then the EEOC will take action to protect employees from unrelenting harassment committed and condoned by management officials."
"No employee should have to endure severe or pervasive sexual harassment in order to earn a living," added Spencer H. Lewis, Jr., director of EEOC's Philadelphia District Office whose jurisdiction includes Maryland.
GMRI, Inc., d/b/a Red Lobster, is a subsidiary of Darden Restaurants, Inc. According to its website, www.darden.com, Darden Restaurants, Inc. is the world's largest full-service restaurant company. Through its subsidiaries, it owns and operates more than 2,100 restaurants and employs more than 200,000 people.
The Philadelphia District Office of the EEOC oversees Pennsylvania, Maryland, Delaware, West Virginia and parts of New Jersey and Ohio.
The EEOC enforces federal laws prohibiting employment discrimination. Further information about the Commission is available at its website, www.eeoc.gov.


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Want the top vendors to contact YOU? Fill out our Contact Request Form
A Capella singers are a wonderfully unique way to entertain the crowds! These highly skilled performers are sure to thrill and delight! Search here for A Cappella Singers in South West EN.
Copyrights PartyPOP, all rights reserved


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fluorescence color paper bag
|oem logo
|Min order
|Supply ability
|T/T,L/C,Western Union,paypal.
|Shanghai Or Ningbo
|Shanghai ,China
|Plastic bag,carton
We provide a full production service of paper bag,you can customize your own paper bag with following instruction:
1.Size of the bag
the size of the paper bag will according to the measure of the products that need to be packed or carried. Tell us the wide ,height, gusset as the picture shows.
2.Material available
1. ivory paper or coated paper, suit for colorful cmyk or pantone color offset printing. Need matt or glossy film lamination after printing, then can add the hot stamping,UV, emboss effect.
2. special art paper, original colored and grained surface art paper is not suit for Colorful CMYK printing and lamination, but could printing one color to paper color to show out the logo, also can use the silk-screen print,hot stamping,spot uv to add the logo. Art paper has various color and grain effect. You can ask us color brochure for reference.
3. brown kraft paper, due to the original brown color, not suit for colorful CMYK printing and lamination, but could printing one or two color on the brown surface. Also can use silkscreen printing, hot stamping to add the logo
4. white or brown kraft paper, could be flexo printed with environmental ink, made to to be an 100% paper recycle environmental paper bag without lamination, the handle is twisted paper handle pasted to the bag.
5. aluminum foil laminated paper, original shiny metal color and also has a higher price, usually use for luxury packing.could be cmyk or pantone printed. Need matt or glossy film lamination after print, then available for hot stamping,spot uv,emboss etc.
6. holographic foil laminated paper, have a shinny rainbow color moving effect. can be cmyk or pantone color printed and available for hot stamping,silk-screen print, UV etc.
3.surface treatment
1. flexo printing, as much as to 10 color print in one process.
2. 4-5 color offset printing high speed and best quality
3. UV printing available for plastic or aluminium laminated paper printing
4. silkscreen print available for full area UV, Spot UV, Sand-cast UV, Glitter Powder UV, Refraction UV.
5. lamination, matt or glossy film lamination
6. hot stamping golden, silver, laser holographic,matt golden, matt sliver, red, blue, green, white etc.
7. oil polish oil varnish,oil polish with pressure
8. emboss machine available for part deep emboss or full area grain emboss
4.handle type
pp rope, cotton tape, ribbon , paper twisted handle, woven tape etc
What information should provided for an accurate quotation
1. size of the bag, indicate wide, height, gusset
2. material type, include thickness or gsm
3. printing process, better provide your printing artwork for reference
4. surface process like film lamination,hot stamping,emboss, spot UV etc.
5. quantity you want to order
6. price term, FOB, CFR,CIF DDU and delivery destination port
7. delivery time and delivery way required. Indicate sea,air or express delivery
8. packing requirement.
What is your sample policy:
1. if you need our stock sample for quality reference, sample is for free, but express freight will be afford by customer side. You can provide a collect account or pay the freight to sent the sample.
2. if you need a customized sample before mass production, we will quote a price of the sample order. Normally cost US$50-100, Part will the sample price will be refound if the order is placed. Sample will take 3-7 days.
What is your advantage:
1. own full printing production line cover design,sampling,printing, surface treatment.etc.
2. ten years' experience in printing industry.
3. a professional export sales service team with ten year's experience.
4. strict quality control system carried by experienced technician.
A complete paper bag design and production service supplier
Cangnan Meike Paper Products co.,ltd. Was established in 2000 year, located at Jintian industry zone,Longgang City. It's a printing company with leading technology, advanced equipement and effective management. After fifteen years' development, it has become one of the leading printing company in the field of paper package printing,bakery packaging,food packaging, and other printing products.
We imported the advanced printing machine from Japan and Germany, which build total 5 automatic production lines: 5 color manroland offset printing machine,9 sets of Japan "Taiyo" roller printing machine, 4 sets of "Taiyo" multilayer bind machine, , Japan CTC digital barcode jet system, German self-checking barcode positioning system, German special barcode jet machine,we also had build the America visual monitoring system and other QC device.These production systems can guarantee the quality and make least defection.
Our company has been keeping update with the modern management way. we have pass the certificate of ISO 9001 quality control system, ISO 14001 environment management system, OHSAS18001 Occupational Health and Safety Assessment Series.
Base on scientific management and advanced equipment, and more than ten years' experience of export products to foreign customers. We believe we can provide the stable quality products and professional service. We are open to build a wide cooperation relationship with customer from the world.


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Director EmeritusMike and Ophelia Lazaridis Niels Bohr Chair in Theoretical Physics
Delaney Family John Archibald Wheeler Chair in Theoretical PhysicsRadio astronomy
String phenomenology
Fundamental physics
People have been interested in cosmological questions since ancient times. What is the universe made of? How and why did it begin? Will it ever end? Over the past century – and especially over the past few decades – new ideas in theoretical physics have combined with new types of telescopes and astronomical observations, allowing us to make dramatic progress in finding answers while uncovering new questions. From the mysterious "dark matter" and "dark energy" that appear to dominate the cosmos, to the nature of the big bang singularity, and the "initial conditions" of the universe, cosmologists at Perimeter are involved in a range of theoretical and observational projects to advance our understanding of the universe. Cosmology is intimately related to other branches of research at Perimeter, including particle physics, quantum fields and strings, and strong gravity.


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I have struggled with frizzy, unmanageable hair all my life. I got my hair permanently straightened three summers ago and I have never regretted it! In this video, I talk about my experiences and answer some popular questions about the topic.
If you have any questions, leave them in the comments below! I might do a follow up Q&A video.


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Caribbean Islands Map
Martinique Maps
Terms of Use / Privacy Policy / About Us / Advertising / Contact Us
© 1996-2013 French Caribbean International. All rights reserved.
Unauthorized reproduction of images, text, audio, video or other content is prohibited.
French Caribbean® is a registered trademark (marque déposée).
Since 1994, French Caribbean International has been the premier guide to the French West Indies. In addition to providing helpful travel information, we are an exceptional resource for accommodations including St. Barthélemy (St. Barts, St. Barth, St. Barths) villa rentals and hotels, St. Martin / St. Maarten villa rentals and hotels, Martinique villa rentals and hotels, Guadeloupe villa rentals and hotels, Les Saintes villa rentals and hotels, and Marie-Galante villa rentals and hotels.


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This event has passed.
Sunday Worship
March 8 @ 10:00 am - 11:15 am
|Recurring Event (See all)
An event every week that begins at 10:00 am on Sunday, repeating until April 26, 2020
Join us every Sunday Morning for Worship!
Every Sunday:
- Nursery (birth to age 2): We have a wondering nursery for the little ones. Drop off in room 103.
- Children (age 3 to grade 6): Kids start off in the service with their families and then go to their own "Discovery Zone Adventures".
- Sunday Morning Live: It's Sunday school just for grades 6, 7 & 8! Check the Youth page to learn more. The last Sunday of every month the students join with the congregation for Worship and Communion.
- All kids age 3 to grade 3 must check-in at the Children's Check-in Desk prior to service.
- Grade 6 kids have a choice to attend either Discovery Zone Adventures or Sunday Morning Live; whatever group they are more comfortable with.
For our Current Sermon Series and for past sermons listen online.
Check out our Sunday Mornings page to learn more about what to expect


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Legal notes.
Copyright 2018 Daimler AG. All rights reserved. The text, images, graphics, sound files, animation files, video files and their arrangement are subject to copyright and other intellectual property protection. These objects may not be copied for commercial use or distribution, nor may these objects be modified or reposted to other sites. Some Daimler AG websites also contain material which is subject to the copyright of its providers.
Products and prices
Changes may have been made to certain products and services subsequent to individual pages being posted onto the internet. The manufacturer reserves the right to effect structural or design modifications, colour changes and changes to the scope of delivery or services during the delivery period, insofar as such changes or modifications are reasonable for the buyer in due consideration of the interests of Daimler AG. Photographs may include accessories, options or other elements that are not part of the standard scope of delivery or services. Any colour deviations result from the technical processes used. Individual pages may also contain variants and services that are not available in certain countries. Information on statutory, legal and fiscal provisions and their consequences shall apply only to the Federal Republic of Germany. The prices applicable on the delivery date apply subject to provisions to the contrary in the terms of sale and delivery. All prices specified are recommended retail prices for our contractual partners. Please contact a smart center or a contractual partner for the current prices.
Unless otherwise indicated, all marks displayed on Daimler AG internet sites are subject to the trademark rights of Daimler AG, this applies especially to its model names, and its corporate logos and emblems.
Licence rights
Daimler AG would like to offer an innovative and informative internet site. We hope that you will be as enthusiastic as we are about this creative effort. However, please appreciate that Daimler AG must protect its intellectual property, including its patents, trademarks and copyrights. Accordingly, you are hereby advised that neither this internet site, nor any material contained therein shall in any way grant or be taken to grant any person a licence to Daimler AG's intellectual property.
Forward-looking statements
Many of our websites contain forward-looking statements which are based on the management convictions of Daimler AG. The reason for employing words such as "expect", "estimate", "anticipate", "intend" and "plan" on this website is to identify forward-looking statements. Statements of this nature reflect the viewpoint of Daimler AG concerning future events at the time at which they were made and are subject to risks and uncertainties. Many influences can cause the actual results to vary considerably from the assessments given here. Such influences include changes to the general economic and business situation, changes to currency exchange rates and interest rates, the introduction of competing products, insufficient acceptance of new products and services and changes in corporate strategy. Daimler AG disclaims all intentions or obligations to update these future-oriented statements.
The information and descriptions on these pages do not represent any kind of assurance or guarantee either expressed or implied. In particular they do not represent any implied assurance or guarantee concerning the condition, the merchantability, fitness for a particular purpose or non-infringement of laws and patents. Our internet pages also feature links to other sites on the internet. We would like to emphasise that we have no influence on the design and content of these linked websites. Consequently, we cannot accept any responsibility for the up-to-dateness, correctness, completeness or quality of the information provided on these websites. In view of this, we hereby disassociate ourselves from the entire content of these websites. This declaration shall apply for all links to external websites from our websites and for the content of same.
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The Directive on End-Of-Life-Vehicles applies in accordance with the respective national statutory provisions. For several years now Daimler AG has fulfilled legal requirements for design compatible with the requirements of recycling and reuse. A network of companies exists which will take back your old car and dismantle and recycle it in an environmentally friendly way. Ways of dismantling and recycling cars and parts are being continuously developed and improved, and this means that Daimler AG will also comply with future increases to the statutory recycling rates in time.
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There's no one with whom we'd rather discuss the joys of animal sweaters and cookie-scented perfume than Zooey Deschanel. Of course, we expect such whimsy from the New Girl actress and Hello Giggles co-founder, but the enthusiasm with which she broke down her beauty routine, not to mention the fun she's having working with legendary hairstylist Danilo at Pantene, was a pleasant surprise.
When it comes to makeup, Deschanel puts it simply: "I've been doing this for a long time." The actress got her start in local regional theater as a kid, meaning she encountered cosmetics years before the average teen. "When I was eight or nine, I had to get a Ben Nye Theatrical Makeup Kit ($18)," she says. "I learned how to shade and highlight and contour, but there wasn't any practical makeup--we never used eyeliner!"
When it comes to caring for her face, Deschanel's fuss-free. Her two-step routine starts with Laventine's Cleansing Oil ($25) and ends with Tarte's Pure Maracuja Oil ($46). "I cleanse with cleansing oil and then I put oil on my face," she says. "It sounds crazy, but my skin likes it." Facials? Masks? Serums? "I did go to a facialist a couple of times and my skin was like, 'What are you doing to me?!' It doesn't want to be scrubbed, only moisturized--like a baby!"
Even when she's not on stage--or on TV at this point--Deschanel loves makeup. Her latest must-have? BB Cream. "I love Dior's ($56), we use it a lot on the show, and Dr. Jart's ($34). There are a lot of great Korean ones," she says. "Sometimes there are typos on the packaging--like one said BleeBee Cream instead of Blemish--and I wonder if I should be using something on my face when it's not translated correctly, but then it works so well!"
"I know what I don't like and that's eyeliner all the way around my eyes," Deschanel says. She does, however, like liquid eyeliner, specifically from Hourglass ($32). "Makeup's about experimenting and looking in the mirror and asking, 'How close or wide-set are my eyes? Where is my nose? What makes my face look the most pretty?'"
It's obvious Deschanel's own preferences, most of which have been shaped by her makeup artist Jorjee Douglas, influence her New Girl character, Jess. "We use a lot of different lipsticks," Deschanel says, referring to her days both on and off set. Among their favorites? Clinique's Almost Lipstick ($15) in Black Honey, Nars' Lipstick ($24) in Funny Face, and Tarte's Pure Performance 12-Hour Lipstick ($26) in Bold. "Any of which we usually pair with Chanel lip liners ($29)," she adds.
Deschanel might not be into layering products on her face, but she has embraced them in her hair, thanks largely to her relationship with Pantene Pro-V. "If you told me two years ago that I'd be sitting here with six or seven different products in my hair, I'd probably freak out," she admits. But with Danilo guiding the way, she's enjoying the learning curve. "I use Beautiful Lengths Shampoo ($5) and Conditioner ($5)." She's also a fan of the brand's new Overnight Miracle Repair Serum ($6). "Given how often my hair is done, I should do things like this more often, but I hate making the time; anything that works overnight is so easy."
"My nails are so strong and grow so fast, I just can't stop biting them," Deschanel says, explaining the real reason she started experimenting with nail art. "So this became a way to think of hilarious things that should be painted on a larger scale but had to be tiny to fit on my nails." When she's not squeezing miniature filmstrips on her nails, they're usually painted with one of Julep's ($14) colorful shades.
Turns out regular showers and hair products keep Deschanel smelling sweet enough--most of the time. Though she doesn't usually wear perfume, her mom gifted her a few new custom fragrances for Christmas, like these from Demeter ($20), that smell of just-baked cookies and another with notes of fresh-cut grass. "I do think this new take on fragrance, smelling like the environment instead of a bunch of flowers, is very cool." So if you're looking to catch the actress' attention, try ditching your Le Labo Santal 33 ($220) for Demeter's Birthday Cake ($20).


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WBEZ's Curious City series is an ongoing news experiment at WBEZ, online at wbez.org and on the radio dial around Chicago at 91.5 FM. Its mission is to include the public in editorial decision-making, make journalism more transparent and strengthen multimedia coverage about Chicago, the surrounding region and its people (past or present).
Airs on Thursdays on All Things Considered on WBEZ
Find Curious City via RSS | Apple Podcasts | Facebook | Twitter | Vimeo


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We started off with steaks on the grill; the husband took care of those. On top of the steaks were sauteed mushrooms and onions in a light gravy....YUM! For the veggies, we went with steamed carrots-a favorite in our house. Then some pasta with browned butter and herbs.
What are some of your perfect meals?
Now, it's time to link up some of those great dishes you make from scratch!
Here are the rules:
1. You can link up as many posts as you'd like.
2. My only content rule is it has to be made from scratch.
3. If you want to put my button somewhere, that'd be cool. You can grab the code for the Made From Scratch Tuesday button on the top right of my sidebar.


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Those favourite motivational and inspirational quotes and words of wisdom, those beautiful phrases and memoir cliches. They can be hand engraved beautifully on this dibond plate specially designed for wall corners and then double filled with colour of your choice.
Room corner (Dibond) hand engravings
Engraving and gilding process
This product is made from Dibond.
Design this product image or your photos here!
Available Options: help?
Announcement!We are on holiday.Please do not place an order. Thank you.


text: A mugger who stole jewelry from a teenager on a tram has dropped himself right in it, after he clocked himself in the on-board security cameras. The victim, a 16-year-old boy, was travelling with two friends on a tram in Bromley, a South London suburb, when he was approached by another kid who, after admiring the necklace and bracelet, snatched them. Rather than fleeing immediately, the dumbass tea-leaf sauntered up to the CCTV camera on board the tram, and struck a pose with the stolen items. The mugger, who claimed he was carrying a knife when the victim asked for his gear back, was described by a British Transport policeman, as "not the brightest spark. He was there for a long time and either didn't care or wasn't aware he was being filmed." [Daily Mail]


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Audio-Technica has far, far too many models of in-ear earphones to count. I mean, literally — I tried counting them and gave up due to exhaustion and severe dehydration (I stopped at about 20, which makes me a wimp and means I should probably drink more water).
So why are they adding six more models (which the company is calling their "SonicFuel" series) to the mix? And why do they bear an uncanny resemblance to Monster's iSport earphones, right down to the swiveling ports and massive flange? Whatever the answers to these questions might be, the new sets, at $50-$100, are in just about the right price-range for holiday gifts; and if the fit really is identical to what we experienced with the iSPorts, they're probably really comfy.


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Holiday Membership
We are very excited to announce a new form of membership available to all anglers who may want to fish our waters.
What is it?
Holiday memberships run for 7 or 14 days and offer full access to our stunning portfolio of fisheries with the full access and ticket rights of full, annual members. It's a way those who are in the area on holiday, visiting friends/family, on business or who only get the chance to fish for a few days each year can enjoy some of the best fishing available. Anyone can buy this form of membership no matter where you live or whatever your fishing experience.
Full Membership Benefits?
Absolutely. The only thing you don't get is voting rights. You can buy daily guest tickets for friends, trout tickets at member's rates and, if paying the adult rate, can even take along an Under 18 to fish with you free of charge (as long as you share a swim).
The Avon and Stour rank amongst the finest rivers in the country and are renowned for their vast chub, barbel, roach and pike. Each year many anglers travel from far and wide to fish them and are restricted to the few heavily fished, pressurised day ticket stretches available. For a daily rate equivalent to far less than these venues you can lose yourself in miles of lightly fished waters that frequently produce stunning specimens. We also have stillwaters offering carp over 46lb and tench into double figures along with a thriving game section that produces rainbow trout to 7lb 8oz, brownies to 8lb and winter grayling over 3lb.
How will it work?
The memberships run over consecutive days for the required length of time. They can be pre-booked so you know that you are ready to go as soon as you arrive in the area or get a week of free time. Simply call the office with your credit/debit card to hand and state the dates you would like (a 28 day notice period is in place during which you will be unable to change dates or cancel bookings). There is no minimum time period between purchase and commencement. A £20 deposit will also be taken for which a book and key will be sent to you – or you can choose to collect if from our office. You are then good to go and enjoy whichever of our venues takes your pick. Once your membership period expires, send your book and key back or drop it at our office and your deposit will be refunded.
If you really enjoy yourself and subsequently upgrade to full, annual membership within four weeks of the expiry date of your holiday membership, the cost of the holiday membership will be deducted from your subscription.
What's the catch?
There isn't one…unless it's in your landing net!
We are really trying to keep this as simple as possible. It's membership, just short term! Any questions can be directed to our office via phone (01202 480009) or email firstname.lastname@example.com. Browse our website for venue details and latest news or find us on Facebook where many members send their latest catches.
Office hours:
Monday 12:00 – 16:00
Tuesday 8:00 – 12:00
Wednesday 8:00 – 12:00
Thursday 12:00 – 16:00
Friday – Sunday: Closed


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No Ben at the Oscars
Have received emails from many of you re: Ben Affleck's absence at the Oscars but there really is nothing smutty to report. And even if there was, do you really think Taupe would let that go? Since marrying Ben and birthing Violet, ingratiating herself to the Mommy Majority, Jennifer Garner's career is hotter than ever. You really think she'd kill that illusion and jeopardise her newfound status??? This girl is as cunning at Katherine Heigl and Jennifer Aniston. Don"t let the dimples fool you.
As for why Ben did not show up to support Casey and Juno – my sources say the rationale is actually kinda sweet.
First, he did not want to upstage his brother. It was Casey's night as the nominee and it's not ego to acknowledge that when it comes to media interest, Ben and Jen would upstage Casey and Summer every time.
Next, it's been 10 years since Ben and Matt won for Good Will Hunting. Matt wasn't there. Am told that Ben felt it just wouldn't be right going back this year without his BFF. Awwww…
Instead, he chose to honour his BFF with Jimmy Kimmel. I've seen the video (thanks for all your messages), I love the video, just as much as I love the original – Sarah Silverman's I'm F&cking Matt Damon.
This time it's Jimmy's revenge: he's f&cking Ben Affleck with the help of a super star-studded cast in an homage to We Are The World. Hilarious. Especially Josh Groban who I normally cannot bear. But as soon as he started taking the piss out of his own piano opera boy image, it was all good. Harrison Ford was a nice touch too. Why have babies when you can dick around with Jimmy and Ben?
If on the off chance you still haven't seen it, click here for the Kimmel clip Kimmel clip. It's actually worth at least 2 views.


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Every spring and fall, the National Aquarium Conservation Team (ACT!) recruits volunteers to restore habitat for wildlife, remove debris, and maintain trails at Fort McHenry National Monument and Historic Shrine in Baltimore.
Recently, ACT! hosted a group of Patterson High School students and their mentors as a part of Legg Mason's Workplace Mentoring Program. At the Fort McHenry wetland, they participated in a variety of environmental education activities and a debris cleanup over the course of the day.
The students' excitement couldn't be damped by the light rain as they seined for fish along the Middle Branch of the Patapsco River and caught a wide variety of critters including a blue crab, marsh crabs, Atlantic silversides, a northern pipefish, comb jellies, and grass shrimp.
On their nature walk in the 7-acre wetland, they encountered all sorts of wildlife that call the wetland home: an osprey, a snapping turtle, a box turtle, a pileated woodpecker, a common loon, and many more birds!
The students and their mentors also helped the National Aquarium team weed and plant a butterfly garden with native perennials like goldenrod, milkweed, mountain mint, and joe pye weed.
Since the National Aquarium took over stewardship of this marsh in 1999, volunteers have helped collect nearly 600,000 pieces of debris! Click here to learn more about the National Aquarium Fort McHenry conservation initiative.


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Patagonia Men's Capilene® Air Crew
With its innovative, seamless, 3-D knit structure, our Capilene® Air Crew offers amazing warmth and comfort range. An airy blend of 51% merino wool and 49% recycled polyester wicks moisture, resists odor and dries in a flash.
- Made of fine merino wool from New Zealand blended with Capilene® recycled polyester for enhanced warmth balanced with exceptional wicking, durability and dry times
- We create the soft 18.5-micron-gauge-yarns used in Capilene Air with an innovative airblasting technology that dramatically increases the yarn's loft while reducing weight
- The fabric combination is soft against the skin and stretches to keep up with your motion
- Built with seamless 3-D construction to eliminate chafe points throughout the entire garment and nearly eliminate all wasted material
- Soft, stretchy elastic knit in the cuffs and hem increases recovery and comfort over extended use
- 184 g (6.5 oz)
5.6-oz (190-g) 51% merino wool/49% recycled polyester seamless box-stitch knit comprised of 18.5-micron-gauge lofted wool
Merino Wool Blend
Exceptionally soft, naturally breathable and warm even when wet, merino wool regulates your body temperature, has a great warmth-to-weight ratio, naturally controls odor and stretches as you move.
Our merino wool is sourced from the grasslands of Patagonia. We slow wash it for softness and shrink-resistance without the use of chlorine.
For our Merino Wool Baselayers we blend merino wool with all-recycled polyester for increased durability, improved wicking and faster dry times. The resulting garment provides higher performance in the field, is less fussy to care for and remains exceptionally soft against the skin, naturally odor resistant and machine washable. Our merino baselayer fabrics are bluesign® approved.
Recycled Polyester
In 1993, we adopted fleece into our product line made from post consumer recycled (PCR) plastic soda bottles. We were the first outdoor clothing manufacturer to do so. PCR® clothing was a positive step towards a more sustainable system – one that uses fewer resources, discards less and better protects people's health.
Today, we're able to utilize more sources for recycled polyester and offer it on more garments such as Capilene® baselayers, shell jackets, board shorts, and fleece. We now recycle used soda bottles, unusable manufacturing waste, and worn out garments (including our own) into polyester fibers to produce many of our clothes.
Using recycled polyester lessens our dependence on petroleum as a raw material source, curbs discards and reduces toxic emissions from incinerators.
Do you own this product? Let us know what you think. Read Privacy Notice


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Madonna is the second studio album by the American art rock band ...And You Will Know Us by the Trail of Dead. It was released on October 19, 1999 by Merge Records. It expands upon the sound developed in the debut, with gigantic guitar-powered anthems. The first track is simply a sound collage that draws samples from radio noise to speak out the band's name.
† Sometimes named "Sigh Your Relief" on international releases


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The PHP-GTK Community website has pointed out a small application, a cross-platform microblogging client called Nitwit.
Features include cross-platform functionality (Linux/Windows/Mac OSX), the ability to work on many protocols (like Jabber/Twitter/Jaiku) and it includes multilanguage support.
You can find out more about this simple little application on the Nitwit site as well as down load the latest version. There's also a discussion area that's been set up to allow developers and users to throw in their comments.


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Welcome to Carreras Auto Body — The North Bay Expert in Auto Body Repair
Are you looking for an auto body repair shop that
will return your vehicle to its original condition at a fair price?
You aren't the only one.
Many auto body repair customers find that
their collision isn't the worst part of their accident. They leave the
repair shop feeling cheated and victimized. Even worst, their cars
are devalued because of sub-standard repairs. Para Español
If you choose the wrong auto body shop for your collision repairs and they do a shoddy repair job, you can be stuck with those repairs for the life of your vehicle. Bad repairs can be irreversible. When they can be reversed, people end up paying for the repairs out of their own pocket.
Does getting your vehicle repaired the right way, mean paying more?
Of course it doesn't.
While there are many unprofessional auto body shops, Carreras Auto Body is different. We bring your car back to its original condition. We stand by all of
our repairs with a lifetime guarantee.
Located in Healdsburg, we have been in the business for over thirty years and have built a reputation for exceptional quality and great friendly service.
A customer named Heather said, "They had the best price. It was one hundred and eighty dollars for a new windshield. Other places charged three hundred dollars."
You can contact us for more information
If you want to find out more about Carreras Auto Body Repair


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Game#29: Jays at Indians pregame
Toronto (10-14-4) at Cleveland (16-12-1)
at Chain of Lakes Park in Winter Haven, Fla.
Today's lineups:
Wayne Lydon, LF
Jason Smith, 2B
Jason Phillips, C
Chip Cannon, 1B
Rob Cosby, DH
Ryan Roberts, 3B
John McDonald, SS
Aaron Matthews, RF
Jeff Duncan, CF
PITCHING: RHP Victor Zambrano
Jason Michaels, CF
Josh Barfield, 2B
Travis Hafner, DH
Ryan Garko, 1B
Jhonny Peralta, SS
Mike Rouse, 3B
Mike Rose, C
John Drennen, LF
Jason Cooper, RF
PITCHING: RHP Jake Westbrook
Thanks go to Mr. John Lott of the National Post for letting be borrow his computer to put this post up. I have no internet connection here in lovely Winter Haven.
Stay tuned for more…
1 Comment
I listened to the Cleveland feed of today's game, and their guys spent the entire game dissing the Jays for leaving their A team at home. I think the Indians had 2 opening day guys in their lineup. Turns out we didn't really need to bring the big boys anyway, but it really makes you appreciate Howarth and Ashby.


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Become a Believer in Autotheism
Thursday, August 23, 2012 1 Comment
For fans of Between the Buried and Me, Opeth and Necrophagist
If you're a fan of The Faceless, you're probably wondering why I've listed Opeth and Between the Buried and Me as similar artists. "The Faceless is technical death metal, not progressive," you're probably saying, while starting arguments in the comments section of a Youtube video. True, their previous releases were tech metal through and through. However, Autotheism, which was released on August 14th, is about as progressive as it gets. Yes, it's a strange transition. But it still freaking rocks. Read more of this post


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Enfield Town V Haringey Borough, LIVE STREAM { England Isthmian League, Premier Division Football|26 Dec.2019|{{
TVSports Live Streaming Begint in 00:14 Stream available. Create an account to stream CONTINUE LIVE We provide services The whole match in the world All trademarks and registered trademarks are the property of their respective owners. Copyright ® sports.melecit. 2018 – 2022 – All rights reserved Stream the on your fire straight from the web. …. Read More


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Marco Tozzi is the specialist of trendy yet affordable creations, it makes everything for you to find a shoe that fits your feet. With Marco Tozzi, you have a wide choice of loafers, high heels, sandals or pumps in nubuck, washed out velvet, jean or high quality leather to matcvh your style with how you feel. Perfect finishes, fashion details, natural or bright colors you have an infinite number of possibilities. As part of the Wortmann group since 1980 it's one if the top shoemaker and shoe sellet in Europe : its shoes are sold in 70 countries.
Create an alert to receive brand updates by e-mail!


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Steve Bearman necesitaba un nuevo diseño de logotipo y lanzó un concurso de diseño en 99designs.
Un ganador ha sido elegido entre 249 diseños de 65 diseñadores freelance.
Interchange: a training in Radical Counseling
I run a year long counseling training in San Francisco called Interchange: a training in Radical Counseling. The training is a non-academic route for people to develop counseling skills in an experiential, community-oriented educational setting.
The training takes place over 10 intensive weekends, and students spend a lot of time taking turns counseling each other.
There are two main groups: people who are considering careers in counseling and coaching, or who are new to the field, and young, hip, urban types who are conscious and into working on themselves.
We also attract people in professions like teaching, bodywork, or health care who want to improve their counseling skills so they can be even more effective in their current careers.
I am in need of a logo for my website. I am revamping the whole site, so the site's other visual elements can be changed to match the logo. (I may be interested in working with you on other elements of site design if I really like the logo.) I will probably also use it in print ads, but the focus is for the web. The logo could consist solely of well-used font elements, though a good image or symbol would be even better.
My preference is for simple and clean designs. If there is an image or symbol, it shouldn't be random, but should have some clear relevance to the name or the content of the training. I imagine something with two faces or people talking to each other could work, but I lack the artistic imagination to visualize *how* it could work.
Attached is the inadequate logo I have been using for some time. The separation of "inter" from "change" and the title/subtitle format may be worth keeping.
Ideally, I will be able to take the logo and convert it so instead of "inter" and "change", the words will be "steve" and "bearman", my name. Then I can have my personal site and my training's site share the same look and feel.
I will need an illustrator file of the logo to work with.
Descubre cómo funciona un concurso de diseño u obtén más información sobre nuestros servicios de diseño de logo.


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With its history and character, elegant sitting room warmed by a roaring log fire and cosy, wood-panelled bar, Ockenden Manor is a wonderful place to escape to and it's less than an hour from London.
Twenty-eight distinctive bedrooms and suites are all individually styled and each is named after a member of one of the two families that has owned the building since 1520Browse Bedrooms
Our beautiful dining room with its sweeping views across the gardens is the perfect setting for award-winning head chef Stephen Crane's menu that cleverly mixes innovation with tradition, echoing the atmosphere of the hotel.Dine with us
Our slick and sophisticated spa is utterly modern on the outside and airy and natural on the inside fed by our own natural springExplore the spa
Enjoy a delicious two-course lunch in the Restaurant at Ockenden Manor
The perfect solution for a completely indulgent Sunday..
A fabulously soothing and re-juvenating spa afternoon with a delicious lunch
"I would just like to say a huge thank you to Adam and all the amazing staff at Ockenden Manor, we had such a wonderful mid week stay, where nothing at all was too much trouble. The spa, treatments, dinner and room were all beyond exceptional. We have left smiling from ear to ear, we cannot wait to come back...."


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NHL Playoffs: Kings thrive on challenge with Ducks in their sights
Notebook: L.A. keeps playing on notion that Anaheim is the favourite
Los Angeles Kings centre Mike Richards (No. 10, trying to get around a sprawling Bryan Allen of the Anaheim Ducks during the second period of Game 6 on Wednesday) says he doesn't think 'we're going to catch anybody by surprise and be an underdog.'
Photograph by: Associated Press, .
ANAHEIM, Calif. — A team that has been defined by its refusal to go quietly, if it goes at all, Darryl Sutter's Los Angeles Kings have changed personnel since their 2012 Stanley Cup but their resolve has only sharpened.
"I think you get to know them through the playoffs. You get to know guys who thrive in situations or want the challenge," said Sutter, at the Kings' Thursday practice in preparation for Friday's Game 7 in Anaheim.
"It's a tough hill to climb. Every game becomes tougher as the playoffs go along. It sorts out your leadership group. It sorts out where your young players are at. "
UNDERDOG, OVERDOG: Sutter continued to play on the theme that the Ducks are the favourites, at home in Game 7.
"I think both rivals, especially the one team that had 116 points, would probably prefer not to play a Game 7, but the other team was prepared to play a Game 7 because we knew they were a tough team to beat and if we could get it to seven that meant we've done good things."
"I don't know if we're going to catch anybody by surprise and be an underdog," said L.A. centre Mike Richards. "Obviously, stat-wise this year, they're the better team, 16 points ahead of us, eight wins. But I don't know if Anaheim is looking at it like that. They have as much pressure in this game as we do.''
BIG FINNISH? With Game 7 looming, the Ducks were adamant that no one is thinking about the possibility that it will be 43-year-old legend Teemu Selanne's last game.
"We know that is could be everybody's last game for the season," said defenceman Ben Lovejoy. "Teemu is incredibly important to this organization. The Samuelis own the team but Teemu has been the team. Forever.
"But tomorrow night, this is bigger than Teemu. This is for our season. We need to be ready to go for everybody. For all 20 guys. For the hundreds of people that work for this team. This is obviously an incredibly important game."
IT GETZ HARDER: After a rough Game 6, Ducks coach Bruce Boudreau said he expects his captain Ryan Getzlaf to bring everything he's got for Game 7.
"Ryan has got a lot of pride. I'm not worried about Ryan Getzlaf. He's our leader and the guy we look to. He will play the best game he possibly can."
What makes him a good leader?
"First of all, on the ice he does what it takes to win. He'll fight you, he'll play whichever way you want. Off the ice … he's learned from some great people, just growing up in the NHL for the last eight years.
"It's gone from (Chris) Pronger's team, to (Scott) Niedermayer's team, to the Selanne/Koivu team, and he's learned from all of them. Now it's his team. He's our leader."
LOUIE, LOUIE: Trevor Lewis's game-winning goal Wednesday was a bad miss by Anaheim goalie John Gibson, but the 27-year-old has been a force for the Kings as a third-line winger, much more than in previous playoff years. The goal was his fourth of the post-season.
"I have a lot of trust in Trevor. It doesn't matter if he's scoring or not," Sutter said. "We can move him all over the lineup. He's played left the last two games. He played centre the game before that. He played right wing every game before that. It's not just about scoring. Are we happy he's scoring? Absolutely. He's comfortable with his role and what he brings and we're usually quite happy with that."
NO BIGGIE: Boudreau said he loved John Gibson's reaction when asked about Lewis's goal beating him through the five-hole.
"He said, `It happens.' A goalie has to have that kind of, `Ok, it went in, forget about it, let's get on,'" Boudreau said. "He's going to be a really good goalie in the future. We put a lot of pressure on him sometimes, it's only his fourth playoff game in his career (Friday) and he's 20 years old. He's good, but he's not Jonathan Quick right now.''
THE LAST WORDS: Kings winger Justin Williams, on the pressures of a Game 7:
"I say every playoff series and every playoff game has its own subtitles. It's its own entity. I've been behind in a Game 7. I've been ahead in a Game 7. I've been behind going into the third period of a Game 7. I hope to get the first goal in Game 7 tomorrow, but if not, no big deal, we'll write a different story.
"It's just the chemistry and the makeup of the team that makes you believe. There's nothing else around. You don't shrivel when push comes to shove. You want to get your peacock feathers out and you want to prove you can do it and you want to have the puck on your stick while you do it."
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