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Blue Ocean
Blue Ocean Mariculture was founded in 2009 to pursue the sustainable farming of local Hawaiian marine finfish. We are proud to be the only open ocean mariculture farm in the United States. With first-hand experience in commercial capture fisheries, we understand that some farming of the oceans is necessary and inevitable.
Yet we also understand that mariculture has to be done smartly – with respect for local culture, ocean water quality, benthic health and wildlife. Blue Ocean farms each of its fish to the highest standards of quality and taste, in an environmentally conscious and safe manner, and with deep respect for the oceans.
To learn more, please connect with us:
74-429 Kealakehe Parkway
Kailua-Kona, Hawaii 96740
+1 (808) 331 8222

subset: commoncrawl


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Melbourne for Brazilians
02 Nov 2017
When former Brazilian doctor Filipe Paiva came to Docklands 10 months ago, he soon noticed the disengagement between Brazilians and the local community.
"Many of us came here by ourselves and it's very hard for us to connect with strangers, especially when you don't dominate the language," he said.
Mr Paiva said language barriers made it challenging for Brazilian immigrants, workers and students to feel included in Australia.
"To live here in a better way, we need to work and we need to have emotional support. And those things I believe we can get when we are contact with other."
In 2016, Mr Paiva was encouraged by his Brazilian friends to create a short guide for Brazilians to learn more about Melbourne.
From a compact paragraph about Melbourne came a comprehensive information pack for new-coming Brazilians, introducing to them this amazing Australian city.
Mr Paiva partnered with his friend Victório Borges, who designed the graphics of the digital guide, and together they launched a website and social media group called "Melbourne for Brazilians", or "Melbourne para Brasileiros" in Portuguese.
"Last September we launched the guide and we already have hundreds of followers on our social media," Mr Paiva said.
The "Melbourne for Brazilians" guide details how to rent accommodation, where to seek medical help, working rights, where to learn English and many other aspects of life in Melbourne. Mr Paiva said the guide had now become a "survival pack" for Brazilians not yet familiar with the city.
"The chapters talk about almost every issue. It also includes a chapter for LGBT people," he said
"Our aim now is to help the Brazilian community in Melbourne to get along with other nationalities, because most of us who come here don't speak very good English and it's hard for us to engage with Australians."
There is an ever-growing Brazilian community in Melbourne. Mr Paiva said Docklands, with its modern facilities and convenient city lifestyle, attracted many Brazilians to live here.
"I lived at 888 Collins St and in that building alone there were more than 100 Brazilians. I think Brazilians really like all the amenities and being close to the water," he said.
He has also created a WhatsApp messaging group for the hundreds of Brazilians who live in Victoria Harbour and also shares Docklands News among them!
Mr Paiva said their next step was to expand their information guide and create workshops and community group sessions to improve Brazilians' English skills and help them develop cultural awareness to be integrated into the local community.
"Melbourne for Brazilians" can be viewed and downloaded from http://www.melbourneparabrasileiros.com and people can join in conversations about engaging with the Brazilian community on Facebook at fb.com/melbourneparabrasileiros.
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Blocked Drains in Melbourne
Twin Electrics & Plumbing can help. Our Plumbers offer a professional and friendly service for people who have blocked drains in Melbourne's metropolitan areas. We have been successfully helping our Melbourne customers for almost 40 years with reliable electrical and plumbing services.
Identifying a Blocked Drain in Melbourne
There are a number of reasons why you suffer plumbing blockages. Hair, foreign objects or even pipe work damage are some of the most common problems. These can occur in your domestic pipe work, sewer or even storm drains. You may also experience reduced water pressure, strange odours and even basins or baths emptying slowly. These are the signs indicating you need a plumber to clear a blocked drain and so prevent further damage.
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Need to quickly clear a blocked drain in Melbourne? Call Twin Electrics & Plumbing for safe and efficient service. Our team of highly qualified plumbers will expertly assess your problem, explain the cause and quickly clear your blocked drain.
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You'll receive a 2 hour prompt response for emergencies from one of our friendly customer service team and qualified plumbers. On site, you'll receive a full assessment of the issue. And we will determine the most cost-effective solution for you. We're available 24/7 for all of your plumbing needs. That's why we are one of the most sought after plumbers in Melbourne.
Contact Twin Electrics & Plumbing on 03 9808 7555 for a professional, friendly and fast plumbing service in Melbourne.


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Write Stories with Toontastic iPad App
I use Toontastic, a free app on the iPad created by Launchpad Toys to create a place for students to have their writing come alive in the form of cartoons. Toontastic allows students to create a quick 5-minute cartoon complete with music, pre-made or creatable backgrounds, and characters. Students narrate the cartoon, which has been a great way to introduce quotation marks and inflection in oral reading. When students come to quotation marks in their writing, they must change their voice to that of the character speaking and speak as that character.
Toontastic provides a platform that lets students develop the set-up, conflict, challenge, climax, and resolution of a story. The app defines these terms and uses them in the story to help students follow along. Also, each scene is shown in a small box connected by a thread that rises and falls with the action, providing a visual for students. The cartoons are also shown during open house as part of our "movie night." This lets students present their work without having to stand in front of a large group and still receive great feedback.


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There is a service of worship every weekday at Cornerstone. Some are held in the large worship area, others in the chapel. You are welcome to any or all of them.
Monday 12.30pm Catholic Mass
Tuesday 8am Catholic Mass
Tuesday 12.30pm Holy Communion
Wednesday 12.30pm Catholic Mass
Thursday 8am Holy Communion
Friday 12.30pm Prayers for Peace
Regular Weekend Services
Saturday 5.30pm Catholic Vigil Mass
Sunday 9am Early morning service
10.30am Morning service
6pm Evening service


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Shawn Arena, A.A.E.
My name is Shawn Arena and I am the Lead Aerospace Magnet Teacher here at South Mountain High School. For the 2017-18 school year, I will be teaching Aeroscience, Airport Operations, and Aviation Human Factors courses
My professional background includes 30 years of airport operations and management. I am an Accredited Airport Executive (AAE) and have held airport management positions at four commercial passenger airports - John Wayne Airport, Orange County, CA (SNA), Phoenix Sky Harbor Interational Airport (PHX), Des Moines International Airport (DSM) in Iowa, and Redding Municipal Airport (RDD) in CA. I have also held airport manager positions at four smaller, general aviation airports - Phoenix Goodyear (GYR), and Phoenix Deer Valley (DVT) Airports, Chino Airport (CNO) in Southern California, and Benton Airpark (O85), in Northern California.
I am an Assistant Professor at Embry-Riddle Aeronautical University- Worldwide Campus, instructing at the three Phoenix campus locations (Luke AFB), Phoenix-Mesa Gateway Airport (IWA), and Sky Harbor - instructing undergraduate and graduate students in the airport management, aviation human factors, aviation legislation, and safety curriculum.


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Collection Information
Size: 42.2 linear feet
Summary: The records of Milch Gallery document the business transactions of the corporation and the professional and personal relationships of the Milch brothers with the artists they represented, as well as with the larger community of artists and art dealers between 1911 and 1980. Unfortunately, early correspondence is sparse. In a letter responding to a 1951 request for historical information, Milch replied: "Several years ago [1947] we had to give up our gallery at 108 West 57th Street, and move to smaller quarters here. Since we had no room for old records, we had to destroy most of them."


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Candace Liddy is an equine sculptor whose work is well known for its beauty, grace and artistic style as well as for its accuracy and attention to detail.
The rapport Candace has with horses enables her to bring a special insight into her pieces. "I want people who love art to see my work as sculptures that reflect composition, movement, complexity and emotion. But just as important, they are expressions of my love for the medium I choose to use and the animals I portray. Working in bronze gives me the ability to put strength and fragility together without compromising the detail, freedom, or movement of my horses."
Updated 3/29/2020
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Excelsior MN, 55331
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3 Sheeps India Pale Ale (IPA)
Featured in our Craft Beer of the Month Club
- Waterslides
- Wisconsin
- 6.7%
- 60
Waterslides is an ode to a choice Grant Pauly made to throw caution to the wind and pursue a passion. It's for the risk-takers, who look uncertainty in the eye and then go for it. This beer is complex yet accessible, with more body than your typical IPA, and more hops than your typical Wisconsin beer. It's well balanced with nice citrus notes and vibrant hops, yet it is extremely drinkable. Enjoy Waterslides, and remember to always take the chance when chasing your dreams.
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Extensor tendon lacerations of the hand and fingers are quite common constellations of injuries. Most of these acute injuries to the hand present in the emergency department and are frequently treated there. [1] This fact gives a false sense of security, and the complexities of certain extensor tendon injuries are often incorrectly assessed. An extensor tendon laceration should receive the same diligence as a flexor tendon laceration. More often than not, such injuries should be treated in the operative suite. The soft tissue elements of the dorsal hand and digits are thin in comparison to the flexor side; therefore, dorsal hand and finger injuries are frequently associated with extensor tendon damage. Extensor tendon injuries are also commonly associated with deep structure damage, such as bone, joint, and ligamentous support; up to two thirds of all extensor tendon lacerations have concomitant injuries. [2, 3, 4]
Extensor tendon injuries can be grouped into 2 large categories: 1) acute simple laceration and 2) complex extensor tendon laceration with associated features. Although the diagnosis and treatment of simple lacerations are usually straightforward, certain aspects critical to ensure the optimum outcome are discussed further below. A complex laceration includes associated injuries of surrounding structures or dysfunction that arises from the disruption of the tendon or surrounding structures (eg, mallet finger, boutonniere deformity, sagittal band disorder). [5] This article reviews the current understanding of diagnosis and treatment of the complete range of extensor tendon laceration issues.
History Of The Procedure
The history of tendon reconstruction can be traced back to the times of Hippocrates and Galen. Interestingly, Galen (131-201 AD), in his Ars Parva, stated that tendons were composed of both ligaments and nerves. He warned, therefore, that placing sutures in tendons would lead to pain, twitching, and eventual convulsions. This erroneous concept was not refuted until 1682, when Meekren observed that tendons are insensitive and described the successful repair of incompletely severed tendons. Modern tendon repair surgery was promoted by Kirchmayr, who, in 1917, published a method of "locking" suture in tendon repair, variants of which are still in use today. [6]
Anatomical and functional understanding of the extensor system was advanced significantly by Albinus, who first illustrated the basic structure in extensor tendon anatomy in 1734. Further progress of extensor tendon dynamics and balance forces concepts were made by Fowler in 1942. Landsmeer also contributed to the understanding of the extensor system's dynamic interplay with the oblique retinacular ligament in 1949. [2] See Relevant Anatomy for a detailed discussion of anatomy.
Extensor tendon laceration can result from various injuries. The most common mechanisms are sharp object direct laceration, crush injury, avulsions, burns, animal or human bites, and deep abrasions. A study by Naito et al found that 88% of patients with a distal radius fracture with a dorsal roof fragment had an extensor pollicis longus (EPL) tendon injury, with 36% of the study's patients having a laceration. [7]
Extensor lacerations are accompanied by various degrees of skin injury, ranging from minimal (as in puncture wounds) to large avulsions, which can cause significant loss of domain of both elements.
Because of the superficial location of the extensor tendons in the wrist and hand, the laceration often easily directly observed on physical examination with manipulation of the overlying skin. The underlying joint is passively flexed and extended for full visualization of the injury area.
The most common condition wherein the tendon laceration is present outside the area of the skin laceration is the fight bite. In this situation, the metacarpophalangeal joint is flexed and makes contact with an opponent's teeth (see image below). The resultant extensor tendon laceration is located proximal to skin laceration when the hand is in resting position with the MP joints extended, which is the normal position of the hand, especially when being medically examined. In the acute setting, most extensor tendon lacerations exhibit some loss of extensor function, whether it is a decrease in active extension range of motion, decrease in extension strength, or complete loss of extension of affected joints.
In the most straightforward case, the patient presents with one or more digits that stay more flexed than the others when the patient attempts to extend all fingers. This indicates a complete laceration of the extensor tendon on the affected digits. However, if all the extensors in the hand are completely lacerated, then the fingers stay flexed at rest or at attempt to straighten. Also, the position of the fingers does not change regardless of the position of the wrist; this indicates loss of the normal tenodesis effect.
In less straightforward cases, a tendon laceration can be present on examination, but the degree of laceration or surrounding anatomy can hide an extension deficit. Up to 80% of the extensor tendon may be lacerated without loss of function, but the chance of delayed rupture is increased when the laceration includes more than 40% of the tendon. Therefore, the dorsal hand and wrist wound must be explored well when any suspicion of tendon injury exists.
At the wrist, 3 dedicated wrist extensors (ECRL, ECRB, ECU) and the finger extensors aid in wrist extension. Therefore, a single wrist extensor laceration can be missed on an initial function examination; thus, careful direct examination must be performed. Finger extension tendon laceration also can be masked. The index and small fingers have 2 extensor tendons apiece (EDC-II and EIP for the index finger; EDC V and EDM for the small finger), and masking could be present if only one is lacerated. Also, extensor tendon laceration of the dorsal palm occurring proximal to juncturae tendineae may also mask extensor dysfunction. Juncturae tendineae are intertendinous fascia connections that attach diagonally between the tendons of the EDC.
The purpose of the juncturae is to coordinate the extensor motion of the digits. The interconnection of the juncturae allows continue extension of the affected digit if an extensor tendon laceration occurs proximal to the junctura. Understanding this anatomical subtlety avoids missing the diagnosis of an extensor tendon laceration.
Debris is often present in these wounds, and particles need to be completely cleared for adequate healing, for prevention of infection, and to attain an unobstructed view of injured area. For open dirty wounds of the hand and wrist, after the full sensory examination is complete, local blockage of the extensor area should be performed. This allows adequate cleansing of the wounds without pain or muscle dysfunction, since the extensor muscle bellies and innervations lie much more proximal. After a thorough wound debridement, the direct extensor tendon examination and muscle function testing should be performed.
As with most normal structures, significant disruption should be repaired when possible. Most lacerations of the extensor system should be repaired. However, certain lesser degree lacerations can do well without repair. A laceration of the extensor over the proximal phalanx involving 40% of tendon, in which the patient can extend the finger against resistance, do well with or without repair. [8] Small partial extensor lacerations can sometimes demonstrate triggering but do not exhibit the delayed rupture exhibited by lacerations of >40% of the extensor tendon. The general principles and timing of management for extensor tendon injuries are similar to those for flexor tendon injuries. In combined repairs, flexor tendon rehabilitation must take priority.
Associated fractures are common with extensor injuries in the digits. In closed injury over the dorsum of the proximal interphalangeal (PIP) joint, suspect extensor tendon injury. Because of the superficial nature of the extensor tendons and the lack of significant delicate and critical adjacent structures (as opposed to the presence of the neurovascular bundle in a flexor tendon injury) these repairs can be performed immediately in the emergency department, urgent care, or office setting, given the proper lighting and instruments. [1, 9] (For a detailed description of extensor tendon repair in an emergency department or office setting, see Medscape Reference article Extensor Tendon Repair.) If the repair is likely to be complicated by injury to additional structures, an operating room is the best setting for the repair. [9]
When deciding when and where to perform an extensor repair, one of the first questions to address is infection risk due to contamination of the wound. An extensor tendon laceration wound that is not infected or severely contaminated can be repaired immediately. Extensor tendon laceration wounds with significant debris contamination or high risk of future infection (eg, fight bites) must be taken to the operating room for a thorough debridement and washout before repair. The nature of this type of contamination requires optimal lighting, instruments, and surgical support uniquely found in the operating suite. At the completion of the debridement, the clinical decision must be made whether to directly repair the extensor tendon or delay the repair for a course of antibiotics and observation to avoid wound infection.
A study by Al-Qattan indicated that partial extensor tendon lacerations greater than half the width of the tendon can be conservatively treated by immediate nonresistive active mobilization (4 wks), followed by resistive exercises, without the employment of splints or sutures. Specifically, this applied to lacerations in zones II, IV, and VI-VIII of the fingers and II, IV, and V of the thumb. The study included 39 patients, all of whom achieved full range of motion without extension lags by 8- to 9-month follow-up. [10]
Relevant Anatomy
As with all disorders of the hand, diagnosis and correct therapy application hinges on a thorough understanding of the relevant anatomy. [11, 12] The upper extremity contains 12 extensor tendons. These tendons comprise an extensor system that dorsally maneuvers the wrist, thumb, and all fingers. Extensor tendons also participate in the radial and ulnar deviation of the wrist and contribute to the supination and pronation of the wrist and thumb. The primary origin site is the lateral epicondyle of the humerus and proximal forearm.
As the extensor tendons travel from proximal to distal, they form an arrangement that can be described as a deep group and a superficial group. The superficial group consists of extensor carpi radialis longus (ECRL) and extensor carpi radialis brevis (ECRB), the extensor digitorum communis (EDC), the extensor digiti minimi (EDM [otherwise known as extensor digiti quinti (EDC)]), and the extensor carpi ulnaris (ECU). The deep group comprises the abductor pollicis longus (APL), the extensor pollicis longus (EPL), the extensor pollicis brevis (EPB), and the extensor indicis proprius (EIP). Also coursing along with the tendons in the deep compartment is the deep branch of the radial nerve, which is otherwise referred to as the posterior interosseous nerve (PIN). It provides innervation to all the aforementioned extensor tendons. See the table below for a complete extensor tendon list.
Table. Extensor Tendons of the Hand (Open Table in a new window)
Full Name
Ext. Compartment
Abductor pollicis longus
Base on thumb metacarpal
Abduction of thumb
Proximal radius and ulna, interosseous ligament
Extensor pollicis brevis
Base of thumb proximal phalanx
Extension of thumb proximal phalanx
Proximal radius and interosseous ligament
Extensor carpi radialis longus/brevis
Base of metacarpal II
Base of metacarpal III
Extends and abducts hand
Lateral epicondyle
Extensor pollicis longus
Distal phalanx of thumb
Extends thumb IP joint
Proximal ulna
(4 tendons: II - V)
Extensor digitorum communis
Proximal and mid. phalanges of digits II-V
Extends digits II - V
Lateral epicondyle
Extensor indicis proprius
Extensor hood of digit II
Extends digit II
Proximal ulna and interosseous membrane
Extensor digitorum minimi (quinti)
Proximal phalanx, digit V
Extends digit V
Lateral epicondyle
Extensor carpi ulnaris
Base of metacarpal V
Extends and abducts hand
Lateral epicondyle and proximal ulna
As the extensor tendons cross the wrist, they course under the extensor retinaculum. The extensor retinaculum prevents the tendons from dorsal displacement caused by natural tendency to develop a straight line from tendon origin to insertion, known as bowstringing, and is divided into the tendons in 6 extensor compartments by vertical septae. See the image below.
The first extensor compartment contains the EPB and the APL. The second compartment contains the radial wrist extensors, the ECRL and ECRB. The third compartment is occupied by the EPL. The EPL is notable for the diagonal course that it takes after it deviates around the dorsal radius bony protrusion called the Lister tubercle. The EIP and the 4 EDC tendons make up the fourth compartment. The fifth compartment holds the EDM tendon, and the sixth compartment holds the ECU.
The tendons travel distally past the extensor retinaculum to their insertion sites. The ERCL inserts on the dorsal base of the index metacarpal. The ECRB inserts on the dorsal base of the long finger metacarpal, as it is the most central extensor tendon. This fact is important to note when tendons are selected for tendon transfer. The ERCB should not be used for a transfer donor tendon, if possible, because the resultant wrist extension will deviate to the radial or ulnar side because of the laterality of the remaining tendons.
All the extensor tendons to the hand are extrinsic, that is, no tendons that extend the digits originate in the hand. As the digital extensors travel over the hand, dorsum extensor juncturae tendineae are formed to cause interconnections between tendons. These interconnections are important to understand when evaluating extensor injuries. Juncturae tendineae can cause a misdiagnosis of an extensor tendon laceration because they can aid continual extension of a digit whose tendon was cut proximal to the juncturae. See the image below.
Several unique aspects of the extensor tendon system are important to note. Unlike the flexor tendons, extensor tendons do not have flexor sheaths except for at the wrist, as tendons pass below the extensor retinaculum. The EDM tendon is usually split into 2 separate slips as it crosses over the wrist and travels to the metacarpophalangeal (MP) joint. The fifth dorsal compartment, in which the EDM travels, is located just dorsal to the distal radioulnar joint. [13] The EDC tendon to the small finger is estimated to be absent in 54% of the population. [14]
Extensor apparatus of the fingers
The extensor apparatus of the fingers is called an apparatus or system because of the complex interplay between the multiple extensor tendons, the intrinsic muscle system, and the many interconnecting ligaments between the tendons and the volar plates. The extensor apparatus of the digits begins just proximal to the MP joints. See the image below.
As the extensor tendons travel over the MP, a dorsal sling of transverse fibers is present. The sling attaches to the extensor tendon dorsally and passes palmarward on each side of the MP joint to attach to the volar plate and the transverse metacarpal ligament. This dorsal sling is called the sagittal band. These transverse fibers are layered in a crisscross pattern that changes its arrangement as the finger flexes and extends. [13]
MP joint extension is accomplished by the contraction of the finger extensor tendons and its attachment to the proximal phalanx via sagittal band fibers. The sagittal band acts both as a static tether to prevent radial or ulnar displacement of the extensor tendon and as a dynamic tether that allows proximal and distal gliding of the extensors tendons during flexion and extension. Complete laceration of the sagittal bands on either side can cause instability in the extensor tendon position as it travels across the MP joint. Laceration to the radial side of the sagittal band causes far more instability than injury ulnar side. [15] Complete laceration of one side of the sagittal band causes a subluxation of the extensor tendon to the opposite side of the laceration when the MP joint is flexed. When the MP joint is extended and tension is removed from the EDC, the tendon snaps back into the central position.
The extensor apparatus becomes a complex interplay of intrinsic muscle contribution as it travels from the MP joint distally. Three intrinsic sets of muscles (volar interossei, dorsal interossei, and lumbricals) contribute dynamic function to the extensor system through the lateral slips. See the image below.
The tendons of the interossei muscles split in two; the superficial slip inserts on the proximal phalanx (causing MP flexion), and the deep tendon becomes part of the lateral slip. Interossei muscles contribute to the lateral slip on both sides of the finger while the lumbrical tendons only join the lateral slip on the radial side.
In discussion the extensor mechanism, some confusion often arises in the terminology of lateral slips and lateral bands. The lateral slip is the tendon by which the intrinsic muscle contributes (as just previously discussed) to the extensor mechanism. The lateral band is the extrinsic contribution (EDC tendon) to the extensor mechanism. The lateral slip and lateral band join together distal to the central slip insertion to make up a conjoined lateral band. The lateral slip gives tendon attachments to the central slip and terminal tendon to help extend the proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints. Likewise, the EDC tendon provides the major portion of the central slip. It splits into 2 tendinous branches on either side of the central slip, which join with the lateral slip to make the conjoined lateral band. Finally, both sides merge to form the terminal tendon, which inserts on the dorsal aspect of the distal phalanx and extends the DIP.
Between, around, and over this extensor system array are ligaments and fascial constructs (also called the reticular system), which aid the function and interplay of the extensor tendons. See the image below.
The principal components of the retinacular system are the transverse and oblique ligaments (eg, Landsmeer ligament). The transverse fibers originate from the flexor sheath and proximal phalanx on the volar aspect, pass through a window in the Cleland ligament, and insert into the lateral bands and triangular ligament dorsal to the axis of proximal interphalangeal joint rotation. The deeper and more tendinous oblique retinacular ligament arises from the volar proximal interphalangeal joint capsule and proximal two thirds of the middle phalanx and inserts distally into the conjoined tendon (conjoined lateral band).
Distal to the proximal interphalangeal joint, the lateral bands first are separated by a triangular ligament and then fuse to form a conjoined tendon, which inserts into the base of the distal phalanx. The extensor hood is free to slide proximally with MP extension and distally with MP flexion. With the hood in the distal position, the interossei contribute to MP flexion through their vertical fibers, with little effect on the interphalangeal joints. With the hood in the proximal position and the MP joints fixed in extension, the interossei, through the oblique fibers of the lateral bands, are able to extend the interphalangeal joints.
Conversely, the lumbrical muscles are effective IP extensors irrespective of the degree of MP flexion. Similar to the interossei, they provide flexion of the MP joint via their vertical fibers. The lateral bands normally lie dorsal to the axis of motion of the extended PIP joint and shift volarward with PIP flexion. The triangular ligament prevents the lateral bands from shifting volar to the axis of motion to become flexors of the PIP joint. The primary function of the EDC is MP function, but with full MP extension or MP extension blocked, the EDC can extend the IP joints. The EPL traverses the third dorsal compartment of the wrist. It adducts and supinates the first ray and extends the MP and IP joints.
The extensor pollicis brevis and abductor pollicis longus are important stabilizers of the first metacarpal base. The extensor pollicis brevis extends the carpometacarpal and MP joints, inserting into the base of the proximal phalanx. It occasionally inserts into the distal phalanx, as well. The anatomy of the thumb MP joint resembles the PIP joint anatomy of the digits. The adductor and abductor pollicis longus tendons contribute to a dorsal expansion, which has transverse fibers acting like the retinacular system to stabilize the tendons of extensor pollicis brevis and extensor pollicis longus. The intrinsics are able to extend (but not hyperextend) the IP joint through fibrous interconnections in the dorsal expansion.


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Rosemount 8800D Series Vortex Flowmeter
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Indigenous ANZACs: The ANZAC Centenary Lectures
The commemoration of war expresses a celebration of service and a remembrance of the fallen. Yet it can also privilege certain forms of service over others. This forum will discuss the silences and absences in the commemoration of War, drawing on a major new exhibition by artist Brook Andrew at the Ian Potter Museum of Art.
Professor Marcia Langton, Dr Vincent Alessi and Brook Andrew join Maxine McKew to examine the omission of Indigenous service from official forms of commemoration, and relate them to Indigenous issues today.
It draws on a major new exhibition, Brook Andrew Sanctuary: Tombs of the outcasts at the Ian Potter Museum of Art, and is part of the University of Melbourne ANZAC Centenary Lectures.


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AAFP's Center for Health Information Technology Focuses Beyond EHR Adoption
Wednesday, July 16, 2014
Megan Moriarty
Public Relations Strategist
American Academy of Family Physicians
(800) 274-2237 Ext. 6052
LEAWOOD, Kan. — The American Academy of Family Physicians' Center for Health Information Technology is refocusing its efforts on supporting optimization of electronic health record technology use.
Now that health IT adoption has reached a critical mass, the Center will shift its primary focus toward how to use technology to achieve efficiency and efficacy through workflow, clinical processes and data.
"The initial establishment of the Center signaled the importance of the need to move from paper-based to computerized information systems in the family physicians office," said Douglas E. Henley, M.D., AAFP executive vice president. "We've seen real progress with adoption of EHR technology — in 2014, 80 percent of our members are using an EHR. Now it's time to focus more heavily on optimal use of that technology."
As part of this refocusing, the Center for Health Information Technology will undergo a name change and will now be called the Alliance for eHealth Innovation.
"This new name will reflect our mission to move beyond the EHR and towards the automation of care delivery," said Steven Waldren, M.D., director of the AAFP's Center for Health Information Technology, who will continue in his director role with the Alliance. "This new direction focuses more broadly on eHealth."
Based at the AAFP's headquarters in Leawood, Kan., the Alliance will represent a cooperative effort to align with innovative AAFP member physicians and industry leaders to improve workflows and address gaps in needed functionality for members. The organization will focus on four areas:
- Discovery — Identifying best practices among members who have found high job satisfaction and high care quality.
- Deployment — Sharing those best practices throughout AAFP membership and the primary care community.
- Development — Working with industry partners to fill gaps in current information technology products and developing new innovative offerings.
- Data — Provide analytics to demonstrate and improve the quality and cost-effectiveness of Family Medicine.
# # #
Founded in 1947, the American Academy of Family Physicians represents 134,600 physicians and medical students nationwide, and it is the only medical society devoted solely to primary care.
Family physicians conduct approximately one in five of the total medical office visits in the United States per year – more than any other specialty. Family physicians provide comprehensive, evidence-based, and cost-effective care dedicated to improving the health of patients, families and communities. Family medicine's cornerstone is an ongoing and personal patient-physician relationship where the family physician serves as the hub of each patient's integrated care team. More Americans depend on family physicians than on any other medical specialty.
To learn more about the AAFP and family medicine, visit www.aafp.org/media. Follow us on Twitter,(twitter.com) and like us on Facebook. For information about health care, health conditions and wellness, visit the AAFP's award-winning consumer website, www.familydoctor.org(familydoctor.org).
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KBzine: the original kitchen and bathroom industry e-news - since 2002
30th March 2020
We strongly recommend viewing KBzine full size in your web browser. Click our masthead above to visit our website version.
Bespoke screens designed by SWA members are gracing the best bathrooms
Exploiting the strength and slim proportions only steel can offer, bespoke internal glazed partitions, screens and shower enclosures are increasingly being designed and manufactured by Steel Window Association members for high-end commercial and residential projects.
Visually, steel has an innate solidity without being overpowering, a look no other material can really replicate due to the slenderness and robustness of the steel sections. Unlike the potentially chunky proportions required with timber or aluminium, a steel T-bar or glazing bar (a mere 25mm wide) is enough to ensure maximum strength while providing the greatest possible area for glass.
Traditional W20 steel window sections are frequently used to form screens. These may be configured to create three quarter height and full height panels with 90 degree returns or curves and to take large or small glass panes.
Screens can include windows or doors up to a height of 2.4m with fixed glazing above where extra height is required. Most screens are single glazed but when needed for acoustic reasons, for example when creating corporate boardrooms, double glazing with acoustic glass may be employed. A fixed screen with no doors or other opening sections can be designed to achieve a 30 minute fire rating. When used in wet rooms and as shower screens, weather seals can be employed to ensure a fully waterproof enclosure.
To provide for the highest durability and to achieve the aesthetics required, screens may be hot-dip galvanized and factory finished with a high quality polyester powder coat applied in any RAL colour. Alternatively, an industrial raw steel finish can be provided that shows up the details of the manufacturing process, including the welded joints. This is achieved either through a clear powder coating or with the application of a high quality factory applied lacquer.
For further information on the Steel Window Association:
W: www.steel-window-association.co.uk
6th February 2015


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Elizabeth Mumper, MD, FAAP
Why an integrative approach is needed to treat autism
As a pediatrician, Dr. Liz Mumper has seen the prevalence of autism in children increase at an exponential rate, yet her enthusiasm for her work has only increased as she's witnessed the effectiveness of integrating naturopathic medicine.
The Interview
I'm Liz Mumper. I am a pediatrician. I am the founder of the Rimland Center, which is a center for integrative medicine. It takes care of children with autism and other neurodevelopmental disabilities. I think there's a growing movement in medical doctors recognizing that we need the principles of functional and integrative medicine if we're ever going to stem the tide of chronic disease that is now crippling our society. The naturopathic community has always been very interested in root causes of disease and has been interested in looking at the various pathways that the body utilizes in order to heal and uses their training in nutritional biochemistry to help make those pathways work the way that nature intended. When you work on all those underpinnings, you'll find that autistic-type behaviors diminish and that learning trajectories increase, and they end up being healthier and happier overall. We do have a number of kids that got treatment early that were predicted to have moderate to severe autism, and with aggressive treatment and parents who were very dedicated, had some that have gone to kindergarten and the teachers and the schools never knew that they ever had autism.
I'm excited about the possibility that in the future we will move toward not only integrating health care for our patients but integrating the relationships among the various disciplines of medicine and naturopathic medicine and work together for the good of the patient.
Watch our latest videos
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Tabatha Parker, ND
Be a part of the change
Holly Lucille, ND
Be present with your patients
Jared Skowron, ND
Being a parent in today's society
Wendy Warner, MD, ABIHM
Breaking down walls in the medical community
Jaclyn Chasse, ND
Breaking insurance barriers to Integrative care
Alyssa Wostrel
Building patient advocacy groups
Alyssa Wostrel
Challenges of providing access to care
Joseph Pizzorno, ND
Challenging myths of old age and disease
Hal S. Blatman, MD, DAAPM, ABIHM
Changing how we approach treating pain
Paul Epstein, ND
Cultivating the wisdom of your profession
Lise Alschuler, ND, FABNO
Easing my father's suffering
Holly Lucille, ND
Empty your cup
Lise Alschuler, ND, FABNO
Every naturopath is part ambassador


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Angolan Troops Slaughtered an Entire Village
WIB front September 9, 2016 War Is Boring 0
A corrupt government kills Adventists as low oil prices exacerbate an economic crisis
by PETER DOERRIE
Angola's police and military attacked and almost completely eradicated a village inhabited by around 50 members of a Christian religious sect in August, according to Deutsche Welle.
If confirmed, it would mark the second large-scale attack on the sect after a similar massacre in April 2015, in which more than 100 people died.
The killings appeared to have occurred days after an altercation between between security forces and members of the Light of the World sect, in which five people, including two police officers, died. During that clash, police confronted violent members of the sect and recovered pistols and assault rifles from the scene.
Light of the World is a reclusive Adventist group that believes in the looming end of the world. There are up to 50,000 members in Angola.
The group's leader, Jose Kalupeteka, was sentenced to 28 years in prison earlier this year after Angolan president José Eduardo dos Santos declared the sect a "threat to peace and national security."
The two massacres received relatively little attention in the international press, a symptom of Angola's tightly controlled media and political space.
But there's a deeper set of incentives encouraging Angola to crack down. The government is trying to suppress all real or perceived challenges to its authority during an economic crisis. At the same time, the regime is attempting to navigate a transfer of power from one generation of elites to the next.
It's hard to overstate the problem. Angola is experiencing a massive crisis as a result of consistently low oil prices — combined with the country's vast offshore reserves contributing to 90 percent of its GDP.
This reliance was a boon when oil traded above $120 a barrel. Today's current prices of around $45 is nowhere near enough to prop up the government's massive military spending and patronage slush funds.
Inflation topped 30 percent in June 2016, while revenue from oil dropped by more than 50 percent compared to the prior year despite increased production.
Foreign currency is in short supply, hospitals have trouble stocking their pharmacies and keeping the lights on, and the government can barely manage to pay its outstanding debt.
Normally in such cases, governments turn to the International Monetary Fund, which has the mandate and money to help countries avoid a total collapse.
But dos Santos not only stopped negotiations on a potential $4.5 billion loan facility in July, he fired the minister responsible for the deal. The IMF's conditions, which would have required increased transparency and accountability in the oil sector, were unacceptable to dos Santos.
It's Impossible to Keep Track of U.S. Special Ops in Africa
It's easy to see why. Dos Santos treats the country's oil industry as his private bank account.
His daughter, Isabel, is Africa's richest woman, although the Angolan government has not explained where she got the capital to build her considerable media and financial investments.
Isabel's career has come full circle during the past several years. After allegedly redirecting funds from the state-owned oil company SONANGOL into Portuguese and Angolan media and banking businesses, her father appointed her CEO of SONANGOL. This vital sector is now under family control at a time when access to state resources is more essential than ever.
The president's son, José Filomeno de Sousa, heads Angola's sovereign wealth fund.
This arrangement did not sit well with the IMF, but with elections coming up in 2017, dos Santos is unwilling to risk being cut off from the government's coffers.
Dos Santos, his family and the inner circle of the ruling People's Movement for the Liberation of Angola (MPLA) — which has ruled Angola for the past 40 years and throughout a brutal civil war — are now in complete control of the country's security services, political institutions, oil sector and main non-oil businesses.
In the regime's latest move to solidify control, it plans to set up a communications regulatory body to "enforce compliance with professional journalistic ethics and standards," as well as "applicable laws," and can sanction anyone who undermines "social, cultural, ethical and patriotic values."
So far, the regime can afford to ignore the IMF's modest demands for reform, as China — Angola's main customer for its oil exports — is keeping the government afloat with economic support.
It is an open secret in Angola's political circles that dos Santos is grooming his daughter to succeed him, as MPLA power brokers opposed his son for the position. While dos Santos is expected to run again in 2017, he is 74 years old — not exactly the youngest head of state around.
Planning his succession would be a sensible move.
While Isabel has the economic resources and political clout, it's unclear what relationship she has — if any — to the country's powerful security services.
Throughout Angola's civil war and after, Santos' control of the country depended on the loyalty of the armed forces, made possible by access to income from oil exports. The MPLA also received foreign support from Cuba and the Soviet Union, among many other countries.
Dos Santos has decades of experience balancing his reliance on the security forces, using them to crush challengers like the Light of the World sect and Jonas Savimbi's UNITA rebels, knowing full well the danger that a powerful military presents to any ruler.
Isabel has no military background. She currently controls the purse strings of the country, which will give her a great measure of influence over Angola's future.
But when her father inevitably steps down, it's unclear if she or anyone else can manage a system which obediently snuffs out whole villages … or if the system will turn on itself instead.


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Maintenance Contractors Insurance
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- Property damage coverage
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- General liability
Contact a representative at North Bay Insurance Brokers today to go over insurance options for your business.
North Bay Insurance Brokers focuses on delivering quality insurance products with a personalized, hands-on experience that sets us apart in today's market.Learn More »
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Create a Dulux account today!
If you are please create an account on the specifier site here.
Please enter your details below to register an account with Dulux.
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A Luxe foundation
Focusing on materials and form there is a permanence to structures and a simplicity in finishes.
Pared back beauty comes from a rawness found in architectural angles and the use of industria such as concrete,steel and galvanised finishes. These elements combine with subtle, more tonal colour palattes that can create the illusion of depth and accentuate interior details.
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Colours displayed should be used as a guide for your colour selection. To ensure best accuracy, test your colour choice at home by ordering Dulux Sample Pots and A4 Colour Swatches.
The construct trend takes its inspiration from the raw beauty found in architectural angles and industrial materials. It features luxurious greys, concrete effects, inky blues and a hint of warmth with copper.
Want to learn more about trends?
A Tactile Remedy
A Graphic View
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Painting guides that will help you with tips and techniques for your next project.
Avoid surprises and get an idea of how much paint you'll need.
We can quickly help you find the painter to suit your needs.
Book online to have a qualified interior designer visit your home.


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SANTA CRUZ — Seawater desalination critics urged the Santa Cruz City Council on Tuesday not to finalize a draft environmental analysis of a proposed plant, saying it would demonstrate leaders aren"t serious about restarting a public dialogue about water supply.
After 75 minutes of public testimony — most of which opposed the joint desal project with Soquel Creek Water District — council members reviewed City Manager Martín Bernal"s recommendation to re-engage the public in understanding supply threats, alternatives and conservation.
Bernal urged approval to answer more than 400 comments submitted about the environmental impact report for desal, which he stressed won"t require the council to certify the analysis or approve the overall project.
"We don"t want to prematurely and imprudently take any options of the table," Bernal said. "We have a partner, Soquel Creek, who has paid for at least half of the EIR. If we want to thoroughly look at all the options it"s important that we continue the EIR process."
The council voted unanimously to support an outline by Councilman Don Lane to move forward with a multi-faceted plan to let the public lead an exploration process of alternatives. However, Lane said he did not support spending more now for the EIR, asking staff to return with a range of options for responding to public comments and questions about the plant.
In a letter to colleagues, Lane wrote, "By not proceeding with any new funding commitments for the EIR at this time, we indicate that we are truly in a reset that puts consideration of alternatives on equal footing with consideration of desalination," he wrote.
Councilman Micah Posner lost a bid to stop all work on desal now.
"The community feels injured and to put us back to the correct position for healing , we need to stop spending a dime on this EIR today," Posner said.
Finalizing the report could take up to 18 months. The city and district have spent a total of $15 million on desal so far, $1.7 million of which paid for the EIR. The city"s interim water director said addressing questions specific to alternatives could cost about $300,000 between the two agencies, though the cost of fully completing the report is unknown.
Tuesday"s meeting was the first since Bernal and Mayor Hilary Bryant called in August for a "reset" in the pursuit of desalination amid growing public opposition. The city is also negotiating with fisheries regulators on habitat protection, working on a master conservation plan and awaiting a county report about water sharing between regional agencies — all of which will have a significant impact on discussions about water supply.
Bernal said there has been no new water supply since 1975 and the city faces threats from drought and reduced diversions from the North Coast for fish. Economic development goals and anticipated growth also will be impacted by a limited water supply, he said.
Bernal recommended a community committee explore alternatives and their impacts on energy use, neighborhoods and marine life, while taking a close look at demand and conservation. Several community leaders echoed his call to finish the environmental report as a matter of good public process.
"Despite the pressure you will receive tonight to abandon the work, it makes no sense to have nothing to show for the work we have done all these years," Rick Meyer, Soquel Creek Water District board member, said.
Brent Haddad, an associate dean in the Baskin School of Engineering at UC Santa Cruz and a consultant on the desal project, said, "A lot of us commented on it, and a lot of us want to hear what the responses will be."
But former Mayor Bruce Van Allen of Santa Cruz Desal Alternatives called for ending all spending on desal.
"We should be giving this the same importance as we gave earthquake recovery," Van Allen said. "Perhaps this should be water vision Santa Cruz not water desal Plan B." Former county Supervisor Gary Patton, representative of the Community Water Coalition, said the city for too many years had blindly followed the lead of Water Department leaders dedicated to desal.
"Put yourself in charge," Patton told the council.
Mary Odegaard, a board member of the Santa Cruz County Sierra Club"s executive committee, said, "Now with the "reset," there is no need to spend any more money on a draft EIR. The money should be used now to pursue alternatives."
Santa Cruzan Fred Geiger said 73 percent of voters in November 2012 supported Measure P — which requires a popular vote before the city constructs a plant — and those people want to vote.
"You"re hiding before your next election," he said. "This is the biggest financial screwup in the history of Santa Cruz."
Follow Sentinel reporter J.M. Brown at Twitter.com/jmbrownreports


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Overseas country manager
Euro Pool System
My work involves lots of international travel. I must have visited over 20 countries since I joined the company six years ago. And they're mostly places outside Europe: South America, Africa, Asia. Which means I get to meet people from really different cultures all the time, and that's always interesting.
Every week is different, and since I don't like routine, I usually find myself eagerly anticipating the week ahead on Mondays. It helps that the company is growing so rapidly, because it means I'm never short of new opportunities.
The way we collaborate stretches right across borders. So it doesn't really matter if my colleagues are in Germany, Poland or the Netherlands — we're open with one another, and give each other the benefit of what we know. I like that; you can relax when you know that no one's hoarding their knowledge, and that they'll give you whatever you need if you ask.
Despite the different cultures and backgrounds, the working methods aren't much different from one place to the next. This might be because the company's culture and philosophy have slowly filtered through to the rest of the organisation. Considering the size of the network, I think that's remarkable.
That doesn't mean you don't notice that people don't have a different way of thinking as you move between cultures. Of course they do. Spanish history, culture and climate are all very different from the history, culture and climate of the Netherlands or Germany, and these things influence the way you think. This does occasionally cause misunderstandings. But the more you interact, the greater your cultural awareness, and the more smoothly things run.
It's a milestone, 25 years. So much has happened since my first day here. I think a lot more changed all the time back then. There've been slightly fewer changes as we've grown. I'm not sure if one has to do with the other, or if more dynamism is better; it's just different, that's all. But 25 years of existence is definitely worth celebrating. That said, it's also just a step along the way. If you imagine what more we could possibly do, we're just getting started.


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Gloss Black Framed Get Ready For The Next Adventure Thunderbirds Are Go Framed Poster 61cm x 91.5cm (24" x 36")
Product Description
Join the Tracy Brothers and the International Rescue cohort in their mission to defeat the evil of the dastardly mastermind, Hood! This poster, displaying the iconic array of Thunderbird vehicles, as well as the evil Mecha creating villain 'The Mechanic', takes all of the key elements of the rebooted 2015 animated series and combines them into one compilation creation. Thunderbirds are go! Complete with a 61cm x 91.5cm gloss black plastic frame, fronted with transparent Perspex and ready to hang in your home.
- Size: 61cm x 91.5cm (24" x 36")
- Stock ID: 259096
- View all Posters…
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Welcome back to the 12 Days of BBQ and Picnic Ideas! For as long as she can remember, this Mandarin Orange Salad with Pineapple and Cool Whip has been a staple for Kristin of It's Free at Last's family get-togethers. Whether for Easter, Thanksgiving, Christmas, or a fun backyard barbeque – this creamy delight has been a highlight of the meal and is loved by her whole family.
I love mandarin oranges and I love pineapple, so I am ALL over this salad recipe! This simple dessert combines 2 of my favourite fruits for a refreshing end to the meal. It is light and fruity, without being overly sweet. It's the perfect dessert because you can make it ahead of time and simply let it be chilling in the fridge. It even makes enough for a crowd. With only 5 ingredients, you just don't get any easier than this!
Kristin at It's Free at Last, has the recipe for Mandarin Orange Salad right HERE.
Be sure to check out all the other great BBQ and Picnic Ideas on the Linky below!


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Sugarbloom Bakery
Contains eggs, milk, and wheat.
Sesame pretzel croissant
Regular price $ 4.00
$ 0.00
Twisted whole wheat croissant topped with toasted white sesame seeds and Maldon sea salt. Exclusive to Blue Bottle Coffee.
Ingredients Flour, butter, milk, whole wheat flour, water, sugar, eggs, white sesame seeds, tahini, sea salt, salt, yeast, malt, lye
Contains eggs, milk, and wheat.
Baked in Glassell Park in a facility that processes tree nuts.
Two days notice is required for all orders.


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Talib Kweli is joined by Slum Village's eLZhi, and Little Brother's Phonte, making up a bit of an early 00's backpack rap supergroup for a new cut called "No Competition".
The glossy, vocal-sampling beat comes courtesy of Khrysis. The track will appear on the upcoming Jamla Is The Squad compilation, hosted by Statik Selektah, and due out January 28th.
So who had the tightest 16?
Quotable lyrics:
"If your taste is exquisite, then maybe you'll make a visit/ To a place you can get it supported and make a difference/ That's of course only if the recorder remain consistent/ And you make a straight line to the store, the shortest distance"


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Salvina's Traditional English Sweet Shop
Visit Salvina's Traditional English Sweet Shop for all your Christmas Sweet needs!
Waveney Surf Life Saving Club would like to send a big thank you to Salvina's Traditional English Sweet Shop for the donation of a Beautiful Sweet Hamper for our Christmas Party Raffle!
Salvina's have over 350 jars of joy from rubarb and custard , chewing nuts , pear drops , lemon Bon Bon . They have cut fudge , caramels , coffee creams by the 100grm ,
The kids have a great choice of a millions pick your own stand , just grab a tube and start filling , same with the americian pucker powder 3 sizes of tube to fill , or just the one favorite,
Now for the perfect gift we will do a basket filled with the things you like and gift warp in cello add a bow and there's the perfect gift , for birthdays , Easter , Christmas ,
It's party time , then let us do your children's party bags a great choice and save you the time !!! Last but not least the brides and grooms , we have great wedding favour's and can fill jars of your choice of sweets for your perfect day ,
Please pop in and visit at 94 high street, Lowestoft.
or visit online at:
Facebook: Salvina's Traditional English Sweet Shop
Instagram: https://www.instagram.com/salvinas.lowestoft/
See you all at the Christmas Party on the 23rd December at the RopeWorks


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- This event has passed.
Arizona Young Artists' Competition
March 9, 2019 @ 7:00 pm$ 5.00 – $ 10.00
Watch talented youth compete in the disciplines of Acting, Dance, Musical Theatre Voice and Classical Voice in the 20th annual Arizona Young Artists' Competition. Aspiring young performers between the ages of 15-20 compete for a chance to take home top honors. The winner in each area will receive $1,500 scholarship to help further their education in the arts. The audience will have a chance to vote for their favorite performers in the People's Choice category. Arizona Broadway Theatre (ABT) is partnering with the Herberger Theater to sponsor an additional $1,500 scholarship to be awarded to one participant. The winner will be chosen by a panel of ABT judges and will be offered an opportunity to perform with the ABT professional cast in a Main Stage production.


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GAMeBoi LA Memorial Day Weekend (18+) AfterHours
Friday, May 24, 2013 at 9:00 PM - Saturday, May 25, 2013 at 4:00 AM (PDT)
Event Details
GAMeBoi LA Memorial Day Weekend (18+) AfterHours
This event sells out every year. Presale ticket purchase STRONGLY suggested!
Event Highlights:
* AfterHours till 4am!
* Extended EDM Hr from 1am to 4am!
* GAMeBoi LA Resident VJ LaRock & DJ Jason (main floor)
* GAMeBoi LA Resident DJ Ernie Pearl (back room)
* Guest EDM DJs Robbie Robero & Italics
GAMeBoi LA is an 18+ event. Please bring a valid government ID.
Do I have to bring my printed ticket to the event?
Printed Ticket is one option. However, we encourage you to go paperless! Download the eventbrite app!
What is the refund policy?
All sales are final. ^_^;
Where can I contact the organizer with any questions?
Message us on our facebook fan page, here.
When & Where
8911 Santa Monica Blvd
West Hollywood,
Friday, May 24, 2013 at 9:00 PM - Saturday, May 25, 2013 at 4:00 AM (PDT)
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GAMEBOI is the longest running and most recognized 18+ gay Asian dance party drawing thousands of attendees in Los Angeles and San Francisco.
GAMeBoi nights attract a social, influential, and aspirational audience weekly in Los Angeles and monthly in San Francisco with its diverse array of music (top 40, hip-hop, EDM, and Asian pop) high-definition video projection, fully staffed and stocked bars, the newest and hottest go-go boys, and exclusive performances.


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Monday's low of 84 at Palm Beach International Airport broke a record Monday for the fourth day in a row, and once again just missed tying the all-time warm minimum temperature of 85 set in July 2011.
The high was 92 and the resulting average overall temperature of 88 was 5 degrees above normal for the date. Since July 1, temperatures have been running 3-7 degrees above normal every day, and the overall average temperature for the month through Monday was a sweltering 86.9 degrees.
The average high has been 93 and the average low has been 81.
Monday's high in Palm Beach was 93 and the low was also 84.
Both PBIA and the island received 0.02 of an inch of rain.
Melbourne's low of 83 tied the city's all-time record for warmest minimum temperature, set on Sept. 6, 2007. It was the warmest low ever recorded in July and broke the daily record of 82 set in 2010.
On the West Coast, Tampa tied a record high with 95, matching a mark set in 2010 and 1946.
In the first half of July, the number of daily record warm minimum temperatures across the U.S. out-paced record high temperatures by more than 3 to 1. There were 588 record highs through July 16 compared to 1,844 record warm lows coast to coast. That ratio is likely to change with the pending Midwest heat wave this week.
From July 10-16, 169 new high temperature records were posted compared with 320 record warm minimum temperatures around the nation, according to NOAA's National Centers for Environmental Information.
MIDWEST HEAT WAVE UPDATE: Excessive heat watches and advisories are in effect for a large portion of the Plains, the Mississippi Valley, the Midwest and the South, through the weekend, the National Weather Service said.
Forecast heat index values for Friday include 115 degrees in Kankakee, Ill., and 109 degrees in Chicago.
The actual high in Chicago is expected to be 99 degrees on Friday, according to Tom Skilling at the WGN Chicago Weather Center. A cold front on Sunday is forecast to drive highs down to more seasonable levels — 82 on Sunday and 78 on Monday.
TROPICS TALK: There's lots of dry air in the Central Atlantic, but the Caribbean is packing plenty of moisture. The National Hurricane Center predicts no tropical storm formation through Sunday. The latest GFS forecast model shows a system off the coast of Africa trying to develop at the end of the 10-day forecast period, but dissipates it in the Central Atlantic. (Credit: NOAA)


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Word = 4711 ko ; pdf 9730 ko
normal ?
It depends. Are you using the latest version of doPDF? I ask because in version 6 we introduced a text compression algorithm that reduces the size, so this would be a solution only if you use version 5.
If your word document contains images then the pdf will be larger because doPDF doesn't compress the image - one thing to test would be to change the dpi Resolution in doPDF's Printing Preferences to 72 instead of 300 which is the default one.
P.S. Please do not post in the Announcements forum from now on.


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UnitedHealthcare and VolunteerMatch Release 'Do Good. Live Well' Study
Have you had a chance to check out the UnitedHealthcare/VolunteerMatch Do Good. Live Well. Survey? The new report, one of the most comprehensive of its kind, analyzed findings from a survey of more than 4,500 Americans over the age of 18 in order to identify the health impacts of volunteering. Everyone who works with volunteers should know what's inside.
The survey found that 68% of those who volunteered in the past year report that volunteering has made them feel physically healthier. The survey also explored the emotional benefits of volunteering and attitudes toward workplace volunteering.
The survey demonstrates the value in producing in-depth, quality material that illuminates the positive social impact that volunteering has on a broader community. Since its release, the survey has been read and reviewed by a broad audience of media and industry experts. The business press, in particular, has used the findings as a jumping off point for reporting on volunteering perceptions, how firms are encouraging engagement and what is being communicated to employees who volunteer. Major news sources reporting on the survey include Reuters, CBS Money Watch, Forbes.com and Business Wire.
Nonprofits and businesses are also incorporating the survey into their communications. For example, the American Red Cross Retiree Association and state CASA organizations quoted stats about the connection between positive health and volunteering in their monthly newsletters. UnitedHealth Group itself used the research to educate employees and promote volunteering in conjunction with UnitedHealth Group-sponsored service events.
UHG has also gone a bit further — utilizing the survey via newsletters and industry publications to educate customers, consultants and stakeholders. The report is now a strong foundation for the company's "Big 5" volunteer events (in partnership with the Entertainment Industry Foundation), as well as its grant programs like Youth Service America's National Service Briefing. Not only has the survey uncovered important correlations between health and volunteering for the entire sector, it demonstrates how one company's commitment to volunteerism and measurable impact can sustain a healthy employee volunteer program.
To learn more about the survey results, methodology or to download a copy, go to www.DoGoodLiveWell.org.


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Snowboard Team's Street Montage
First Weekend at Granite Peak
Mikey Cinfio's Part from our first skate video "THERE IT IS!"
The Teaser from our second snowboard video "Come Around!"
Highlights from Shred Fest in Stevens Point WI.
The trailer to our very first skateboard video! "There it is!"
Park edits from the 2011/2012 season at Granite Peak!
Our First Snowboard Video "Here we go again!"


text: Senior project manager. Xavi is an expert developer with extensive knowledge on programming languages, software architecture and pattern. With a background in computer engineering, he co-founded Suitsee, a company providing 3D web pages using WebGL technology. He joined Blue Room Innovation as a technical coordinator of several European projects in digital preservation.


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The City of Alma, Nebraska Agendas
The City of Alma posts the "Notice of a Regular Meeting" at the City Office, Trustworthy Hardware, Hogeland's Market, and the US Post Office two days before the Council meeting.
As the City's year runs from October 1st through September 30th, that is how the agendas are filed.
Please contact the CIty Office if you would like to see agendas (first item in the Council packets), minutes, or Council packets not listed here. Many of the old records are not electronic and we will try to digitize them as time permits.


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10 Reasons for CIOs to Go All-In On Apple
If you've been working in the IT business for a long time, you know the attitudes most folks have towards Apple. They typically acknowledge that the company's products are well-built and compelling to consumers, they fall short in many ways for enterprise users. Over the years, Apple has been viewed as little more than the enterprise also-ran against companies like Microsoft, HP, Dell, Lenovo, and others. Maybe it's time for a change. Nowadays, Apple products are nicer than ever. And employees, hoping to get their hands on the latest and greatest devices out there, are increasingly asking their CIOs if they can start using Apple products, including Macs, iPads, and iPhones in the office. Chances are, your answer has consistently been "no." But further inspection of the marketplace and the troubles some companies are having with enterprise-focused solutions reveals that having an all-in policy on Apple products might be a smart move. Yes, you heard that right: It's time for CIOs to consider bringing as many Apple products into the office as possible. Read on to find out why:
This article was originally published on 09-22-2011
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text: Share on Facebook Share on Twitter Share on Google+ Share on Reddit Share on Pinterest Share on Linkedin Share on Tumblr GAMORA #2 by Nicole Perlman, Marco Checchetto, and Andres Mossa Plot Characterization Art Summary GAMORA #2 does an excellent job of building up its secondary characters by focusing less on Gamora herself and those that are affecting her mission. Planet Ubliex proves to be an excellent battling ground as our green heroine attempts to find justice for her race once and for all. 80 % Fantastic Cast User Rating 0 Be the first one ! GAMORA #2 hits the ground running as the first five pages deal with Gamora escaping the assault of attacking Badoon in the atmosphere of planet Ubliex. In issue #1, we saw a lot rapport between Gamora, Thanos, and Nebula. In this particular issue, we see less of Gamora and more of two other new characters: Klaxon, a mercenary-type of character hired by the Badoon, and a new unnamed woman with green hair who might be more familiar than we think. Ubliex is about to be destroyed by a black hole, so the world is in shambles. Writer Nicole Perlman does an excellent job of continuing her story of Gamora's origin, and despite the apparent countdown to doom for Ubliex, she doesn't rush the plot and instead creates thoughtful supporting characters who can act on their own without the lead role present. In the previous issue, Gamora rushed towards Ubliex in search of the last descendent of the Badoon Royal Empire. Now on her way towards the planet, she is attacked by Badoon soldiers who cause her to make a risky move and rush into the singularity pull, an atmospheric phenomenon occurring due to the growing black hole around Ubliex. Her ship crashes, and she is assisted by the green haired woman, a character who stole and delivered a package of comet dust to Klaxon. What's interesting is that this mysterious woman asks Gamora if she is a Zen-Whoberi, Gamora near-extinct race. But before they can go into further detail, an earthquake occurs. READ: Need to catch up? Here's our review of GAMORA #1! After the quake, the two are then approached by a group on Ubliex known as the Oculus Cult, an organization that appears set on sacrificing people in order to stop the incoming black hole. They swarm Gamora and her green haired ally, and the two work well together to temporarily escape the mayhem. However, the two are eventually separated and the issue soon ends after that. Overall, GAMORA #2 is a fine second issue. I admire how much Nicole Perlman takes her time with setting up her plot for the overall story arc. She doesn't appear to be in a rush to get Gamora on and off of Ubliex, and her character development of Klaxon and the green haired woman is much appreciated. Too often I will read a comic like this where characters are simple grunts with simpler minds. Here, that's not the case. We have a character like Klaxon who has many ulterior motives involving Gamora and the Badoon, whose end goal (besides getting off the planet) isn't entirely known. We then have this green haired woman who proves to be such a strong and wickedly cool female protagonist in a short amount of time. I'm very much hoping, depending on who turns out to be, that she sticks around after this story arc. Seeing her fight alongside Gamora reminded me of Angela, a fierce warrior who fought alongside the GUARDIANS OF THE GALAXY five years ago. Marco Checcetto's drawings are stellar. I find his action sequences to be easy to follow while also very entertaining to look at. There is one instance where Gamora is fighting off a swarm belonging to the Oculus Cult right below her ship's thrusters. Gamora suggests to her green haired ally that the thrusters be switched on so their enemies are burned off: Gamora is confident she'll survive the singeing. The scene that then takes place is exciting and smooth, like watching a well developed action sequence in a movie. Andres Mossa's coloring gives the atmosphere of Ubliex a very dark and deep tone. You really get the feeling that a sort of apocalypse (e.g. a black hole) is approaching. Overall, all of the destruction and chaos occurring around the planet is presented in a fantastic manner by these two artists. READ: Gamora isn't the only Guardian of the Galaxy member with her own solo series. Here's our review of ROCKET RACCOON #1! GAMORA #2 isn't as interesting as the first issue in regards to plot, but it continues to build Gamora's past up and that's important in an origin story like this. I'm disappointed both Thanos and Nebula fail to make an appearance in this issue, but the fact Gamora mentions both of them at different times is a sign that their presence in the universe is important. I'm very curious to see where this story arc goes, what with Gamora's mission to find the final heir to the Badoon Royal Empire being temporarily halted by an approaching black hole and all. But, if some of these characters being introduced are going to be sticking around in the series (or eventually the Marvel Universe as a whole), I'm very excited for what's to come.


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For high-net-worth families, such risks are exacerbated by the fact that their wealth is a target. In some cases, affluent people also are public figures whose children can be easily tracked on Twitter, Instagram, Snapchat, Facebook and other online platforms. Even if your children are highly responsible, they may find themselves with others who are not.
Cyberbullying can be as seemingly naive as 10-year-old Jimmy group-texting his pals that 10-year-old Maya is "ugly and stupid." But if Jimmy continues to make such hurtful comments, and Maya physically harms herself because of them, his parents may be liable for defamation, not to mention Maya's emotional distress, sleeplessness, anxiety and worse.
Many parents have no idea their child is texting, emailing or sending photographs deemed to be defamatory and libelous. They may be similarly shocked to learn their homeowners insurance may not cover the legal losses related to these activities. "Few homeowners policies address and absorb personal injury losses from libel and slander," said Lucarelli. "If parents aren't vigilant, they can lose all their assets."
Many insurers do not provide coverage protecting families from the financial costs related to cyberbullying, such as the settlement or verdict amount or the legal costs of defending the lawsuit. I definitely agree with the author. The amount of cyber risk the affluent and high-net worth individuals and families face is only going to grow. Back in June 2015, I wrote, Do You Need A Family Social Media Plan...
Not Everyone's Social Media Risk is the SameFor those in prominent positions or in professions considered high earning, it is exponentially more important to take steps to mitigate as much of the risk as possible. In today's litigious society, paying to defend you or your family from a mere accusation could easily exhaust the limits of even a high-end homeowner's policy. It is important to take a concrete look at how much risk you are willing to accept. An in-depth look at your assets, liabilities, and earnings potential provide a basis for calculating your risk potential.
How to Lower Your Family's Social Media RiskIn addition to mitigating your family's social media risk, it is important to consider a cost-benefit analysis of proper insurance coverage. One of the most cost-effective ways to ensure you and your family are protected is through purchasing excess liability coverage. This type of coverage is most often referred to as a "personal umbrella."
Before you decide to purchase any insurance policy, it is important to understand what you are buying. For a "personal umbrella," it is important to understand that this type of coverage is secondary. This means it requires you having primary insurance such as a homeowners or renters policy. The reason it is called a "personal umbrella" is that it sits over your primary insurance policies.
Since it is supplemental, it works when the limits of the primary policy have been exhausted. For this reason, it is important to understand the relation between the limits on your primary insurance and excess liability coverage. The coverage on personal excess policies does not start until the underlying limit has been reached. In this instance, it is extremely important to match your primary policy limit to your umbrella limit, so no gap in coverage exists.
The coverage offered under personal excess liability policies varies. One important item to consider is whether or not the money for defense is included within the coverage limit or is separate.


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The popularity of this event exploded this year with 23 teams taking part. For the first time, the event was a qualifier for the level three school games in the summer. Two parallel events were held with a developmental competition including lots of coaching and the chance to learn the game and a purely competitive event for schools that have played some hockey before.
The event was supported by Blackburn Northern Hockey club and proved to be a highly competitive affair with St Nicholas, Mount Pleasant and St Marys Langho A and B qualifying for the semi finals.
All teams played brilliantly but in the end it was Mount Pleasant and St Marys Langho A qualified for the final. These teams will each represent their respective district in the next round but St Marys Langho proved to be the stronger team on the day and won the overall competition.


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Start Your Journey to Thriving Plantiful Health Here!
Interested in beginning your plant-based journey? We hope you are as excited as we are! Eating a plant-based diet is actually very simple, and you do not need to go 'cold-turkey' off of meats and animal protein-based foods immediately. The easiest way is to actually do a transition – to start by trying a new plant-based recipe or two, and to try using a new plant food or ingredient that you have not tried before. You might be pleasantly surprised at the result!
Using this approach also allows you to make gradual but lasting changes to your diet. In my experience, our family has found that small successes empowered us to make further changes. You may likely find that this approach helps your family transition more successfully to such an eating pattern too, especially if you are a busy household and don't have much time right away to try or create many new recipes and products.
So how should you start? Here is one method to a successful transition to a plant-based diet. It involves five basic steps:
Step 1: Halve the Meat & Double the Veggies
Step 2: Switch to Whole-Grain Options
Step 3: Choose Smart Snacks
Step 4: Increase Beans & Other Legumes
Step 5: Try New Plant-Based Foods & Recipes!
Click on each of these links above to learn more!


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Oil pipelines also importing murder, smuggling?
From pipeline spills to enabling more destructive oil extraction, there are plenty of reasons to be wary of proposed oil pipeline construction. Now here are a few more to add to the list:
Murder, smuggling and organized crime.
At least, that's according to an article over at Business Week which talks to several landowners about the unexpected consequences of oil pipelines including the Vickers family, who found a badly decomposing body along a pipeline that crosses their ranch:
The Vickers ranch is crossed by a steel pipe as thick as a man's calf. It delivers crude oil from a cluster of south Texas oilfields known as the Vicksburg Fault Zone to refineries in the subtropical waterfront city of Corpus Christi. Like thousands of miles of similar pipelines sprawling across the U.S. Southwest, it has been seized upon by traffickers and smugglers as a good way to evade police and the Border Patrol agents who watch the state highways. These corridors are unmonitored because they stretch across thousands of acres of private property, and law enforcement authorities don't have the resources to patrol them.
Of course this has little to do with what's inside the pipeline (unless we want to get into how the macro-economic issues of climate change and globalization feed political instability and organized crime), and everything to do with the physical nature of such pipelines—namely they are long, often unguarded, they traverse geo-political boundaries, and they are cleared of scrub on all sides to make sure emergency services can get access. In other words, they're basically an alternative transportation system for people who'd rather not be spotted by the authorities.
Still, it's one more reason for landowners to think twice before allowing an oil pipeline in their backyard.


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Christmas is just around the corner and you might already be thinking about ways to decorate your home. Putting up a Christmas tree is probably one of your favorite family traditions but you should consider making a few changes this year.
Why not get some new unique Christmas ornaments for your tree? If you have been using the same ornaments for a while or simply feel that your tree doesn't have enough ornaments, buying some new original ornaments is a great way to get ready for the holidays and to make your home more festive.
Unique Christmas ornaments also make great gifts. If you know a young couple who is celebrating their first Christmas in the home they just bought, getting them some unique and thoughtful ornaments is a great way to help them celebrate the holidays. Ornaments are also fun gifts for your close friends and relatives that you will see before Christmas.
You should consider getting some ornaments that reflect who you are as a family. You could for instance get some ornaments that represent your favorite activity, the place where you usually go on your family vacation or anything else that evokes some memories that you share with your significant other and your children.
Personalized ornaments are another option you should consider. You can for instance get ornaments with the names of your family members engraved or with a saying that is meaningful to you. You can also order custom-made ornaments that look like a family member or like the family pet.
If you love DIY projects, there are a ton of ways to make your own ornaments. You can make a cute ornament with the handprint of your baby or simply paint or engrave a message on an ornament to make a meaningful gift for a friend or a relative.
Shopping for Christmas ornaments is a fun experience. You might already know what kind of ornaments you would like to find or only have a general idea of the things and themes that represent who you are. Take some time to browse to find the perfect ornaments or experiment with different ideas and materials if you would like to make your own unique ornaments and decorations before the holidays.
Whether you would like to get some new ornaments for your family tree or need to find the perfect gift for someone who matters to you, you should visit Ten Thousand Villages. This online store has an amazing selection of adorable ornaments and other Christmas decorations. This is the perfect way to bring some holiday cheer to your home or to shop for a housewarming gift.
You can find some classic Christmas ornaments, some cute animals, some more abstract designs and should easily find the perfect ornaments for your Christmas tree or the right gift for a close friend or relative. You should start shopping for decorations now so you have plenty of time to enjoy them before the holidays or so you can give a meaningful gift to someone you care about.


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In April of this year I visited South Africa. While in some ways Africa is on everybody's mind right now, I have this feeling that we are all also a little tired of it. Especially when it comes to AIDS in Africa. Been there, done that, is the basic idea.
To be honest, I think I feel a little that way.
Well, nothing changes that like a little firsthand experience. American churches send over short term teams to try to do some good. I don't know that Africa benefits a whole lot, but maybe we do, which maybe makes it worth some of the hassle and expense. In any case, I went there for work and ended up being changed a little in the process, trying to figure out what to do with what I saw, trying not to get mad at God, trying to find the grace in the middle of the struggle. I wrote a little about it here and then this week made a video about it.
This is for Valrey and Jonas and Motlope and for all the others out there without a voice.


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The Wimbledon Menopause Clinic based at the Parkside Hospital is a purely private service.
The Fibroid Centre is based at St George's Hosptial
The Miscarriage Clinic is based at St George's Hospital
Antenatal clinics are held at the Parkside Hospital in Wimbledon, and St Anthony's Hospital in Cheam.
All antenatal blood tests and ultrasound scans are performed at St George's Hospital in the Fetal Medicine Unit.
Deliveries are conducted by Mr Manyonda on the Labour Ward at St George's Hospital.
Although prospective parents may self-refer, it is preferable that they be referred by their General Practitioner.
For appointments, more information on procedures or costs use the contact details on the right.
Private Practice
PA - Valerie O'Keefe
Parkside Hospital
53 Parkside
London SW19 5NX
Tel/Fax - 020 8947 9877
NHS Practice
Secretary - Annette Marlow
St George's Hospital
Blackshaw Road
London SW17 0QT
Tel - 020 8725 3663
Fax - 020 8725 0078
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The Staten Island Ferry in New York provides 20 million people a year (60,000 passengers a day not including weekend days) with ferry service between St. George on Staten Island and Whitehall Street in lower Manhattan. The ferry is the only non-vehicular mode of transportation between Staten Island and Manhattan.
Aside from its main purpose of transporting the islanders back and forth the 5 mile, 25 minute ride also provides a majestic view of New York Harbour and a no-hassle, even romantic, boat ride, for free. One guide book calls it "One of the world`s greatest (and shortest) water voyages." From the deck of the ferry you will have a perfect view of The Statue of Liberty and Ellis Island. You`ll see the skyscrapers and bridges of Lower Manhattan receding as you pull away and coming into focus again as you return. A typical weekday schedule involves the use of five boats to transport approximately 60,000 passengers daily (109 daily trips).
To find out the best time to visit USA and to speak to someone that knows the area please call Sally our USA luxury multi centre holiday specialist: 01923 289 100