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versão impressa ISSN 2341-4545
GE Port J Gastroenterol vol.22 no.2 Lisboa abr. 2015
Portal Hypertensive Biliopathy: An Infrequent Cause of Biliary Obstruction
Biliopatia Hipertensiva Portal: Uma Causa Infrequente de Icterícia Obstrutiva
Ricardo Cardoso∗, Adriano Casela, Sandra Lopes, Cláudia Agostinho, Paulo Souto, Ernestina Camacho, Nuno Almeida, Sofia Mendes, Dário Gomes, Carlos Sofia
Gastroenterology Department, Centro Hospitalar e Universitário de Coimbra, EPE, Coimbra, Portugal
Planas Oliva Sapatos Essex De De Moda Bombas Fransen Lazer Camurça Imitação Mocassim Glam Senhoras De wH10gqT Corresponding author.
Introduction: Biliary obstruction is usually caused by choledocholithiasis. However, in some circumstances, alternative or concurring unusual ethiologies such as portal hypertensive biliopathy (PHB) must be considered.
Clinical case: We present the case of a 36-year-old female complaining of jaundice and pruritus. Liver function tests were compatible with biliary obstruction and the ultrasound scan of the abdomen showed dilatation of the intrahepatic biliary ducts, a dilated common bile duct (CBD) and biliary calculi. The computed tomography of the abdomen revealed a portal cavernoma encasing the CBD.
Discussion: Portal cavernoma, the hallmark of extrahepatic portal venous obstruction, can cause PHB. When symptomatic, chronic cholestasis is present if a dominant stricture exists whereas biliary pain and acute cholangitis occur when choledocholithiasis prevails. Management must be individualized and usually includes endoscopic therapy to address choledocholithiasis and shunt surgery for definitive treatment.
Keywords: Biliary Tract Diseases; Cholestasis; Hypertension, Portal
Introdução: A causa mais comum de icterícia obstrutiva é a coledocolitíase. No entanto, no contexto clínico adequado, devem ser consideradas etiologias alternativas ou concomitantes, nomeadamente a biliopatia hipertensiva portal (BHP).
Caso clínico: Apresentamos o caso de uma doente do sexo feminino com 36 anos de idade com icterícia e prurido. O estudo bioquímico era compatível com icterícia obstrutiva e o estudo ecográfico do abdómen revelou dilatação das vias biliares intra-hepáticas e do colédoco associados a litíase biliar. A tomografia computorizada abdominal realizada mostrou a existência um cavernoma da veia porta a envolver o colédoco.
Discussão: O cavernoma da porta, no contexto de obstrução portal venosa extra-hepática pode complicar-se com BHP. Quando sintomática manifesta-se por colestase crónica caso exista uma estenose dominante ou dor biliar e/ou colangite aguda quando predomina a litíase. O tratamento definitivo é individualizado, incluindo terapêutica endoscópica visando a litíase associada e uma derivação cirúrgica venosa porto-sistémica.
Palavras-Chave: Colestase; Doenças Biliares; Hipertensão Portal
1. Introduction
Jaundice is the most frequent presentation of liver and biliary disease and the diagnosis of obstructive jaundice can usually be established with simple laboratory tests and ultrasonography.Terra Valle Verde 40 Sapatos Homem Sandálias Terra G57400 1 Choledocholithiasis is by far the most common cause of biliary obstruction but other important conditions to consider are biliary or extrabiliary malignancy, pancreatitis, non-neoplastic biliary strictures and parasites.Sandálias G57400 Terra Valle Verde 40 Sapatos Terra Homem 2 However, as evidenced by our case report, imaging investigations may bring to light an uncommon cause of biliary obstruction such as portal hypertensive biliopathy (PHB) that requires not only the relief of the obstructive jaundice but also the diagnosis of the cause of portal hypertension and its management.3
2. Clinical case
A 36-year-old woman presented to the emergency department due to jaundice that had first become apparent three days earlier. She also reported pruritus for the last week, pale stools and dark discoloration of the urine. While denying any abdominal pain, the patient did complain of nausea and vomiting.
At the time of presentation the patient did not recall any significant past medical history including blood transfusions and was taking no prescription or over-the-counter drugs. She also denied unprotected sexual intercourse.
Sapatos Valle Terra G57400 Sandálias Terra 40 Homem Verde Physical examination was notable for marked jaundice and scratch induced excoriations. The gallbladder was not palpable but a nontender hepatomegaly extending 2 cm below the ribcage was noted. The remaining of the physical examination was unremarkable.
The initial laboratory test results consisted of a normal complete blood count and a normal prothrombin time of 10.2 s (control 12.0 s). Total bilirubin was elevated at 9.9 mg/dL (0.3-1.2 mg/dL) with a conjugated bilirubin of 8.7 mg/dL. Alkaline phosphatase was also raised at 237 IU/L (35-105 IU/L) as was aspartate aminotransferase with a value of 170 IU/L (<32 IU/L).
An ultrasound scan of the abdomen was performed and showed dilatation of the intrahepatic biliary ducts as well as a dilated common bile duct measuring 8.5mm in diameter with at least one biliary calculus in its lumen. Gallstones were also present and mild hepatomegaly and splenomegaly were reported. Due to the concern of portal hypertension raised by the presence of splenomegaly, a computed tomography (CT) of the abdomen was ordered and revealed an extensive portosystemic collateral circulation and a portal cavernoma encasing the common bile duct.
At this time the patients mother reported to the attending physician that her daughter had suffered from neonatal sepsis secondary to omphalitis two weeks after birth (Fig. 1).
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In order to investigate conditions contributing for the cavernomas development, a thrombophilia screen was ordered and its results were negative. Further anatomic definition was attained with the help of a magnetic resonance cholangiography that revealed, in addition to the persistence of calculi in the biliary ducts, an anatomical variant with the biliary drainage of the posterior segments of the right hepatic lobe being done to the left hepatic duct (Fig. 2). An esophagogastroduodenoscopy was performed and was unremarkable, showing no signs of portal hypertension namely esophageal varices.
Verde Homem Terra Terra G57400 Sapatos 40 Sandálias Valle The patient had an excellent outcome after biliary stenting with total remission of symptoms, jaundice and normalization of biochemical markers of cholestasis. The case was presented to a hepatobiliary surgeon and the patient is currently waiting for portosystemic shunt surgery.
3. Discussion
In this clinical report we present the case of a patient with biliary obstruction caused by PHB which in turn resulted from extrahepatic portal venous obstruction (EHPVO).
Portal cavernoma, also designated as portal vein cavernomatous transformation, consists in the formation of varicose collaterals around an occluded segment of the portal vein and is the hallmark feature of EHPVO.4 This compensatory but pathological phenomenon represents an important cause of portal hypertension, especially in developing countries where it accounts for 40% of portal hypertension cases.5 In most instances it presents in children as major upper gastrointestinal bleeding.6 However, in a minority of individuals from which our patient is an example, EHPVO may only manifest itself in adulthood as a cause of chronic liver disease, PHB or an incidental finding.7 The etiology of the portal cavernoma itself is only identified in about half the cases, being omphalitis and intra-abdominal sepsis the leading causes in the pediatric population while in adults a wide array of conditions such as thrombophilia, intra-abdominal infection or malignancy, myeloproliferative disorders and cirrhosis have been implicated.7,8 In this case we believe that the driving force for the portal cavernoma development was the omphalitis episode that occurred in the patients infancy. Concurring conditions such as thrombophilia, abdominal sepsis or malignancy were excluded due to clinical observation, evolution and appropriate laboratory testing and imaging.
PHB, also commonly named pseudosclerosing cholangitis, portal ductopathy or simply portal biliopathy, is used to describe the abnormalities observed in the full extent of the biliary tract including intrahepatic and extrahepatic bile ducts, gallbladder and cystic duct in patients with portal hypertension.3 This condition is mainly a feature of EHPVO where radiological evidence of PHB is present in 81-100% of patients but it can be found in a small proportion of individuals with other causes of portal hypertension.9
The pathogenesis of PHB is based on three mechanisms that may act individually or simultaneously: compression of the pliable common bile duct by the collaterals that form the portal cavernoma and the connective tissue that develops with time and encases this duct; ischemia induced by portal thrombosis and subsequent sclerosis of the vessels that drain the bile ducts resulting in the formation of biliary strictures; inflammation and deposition of connective tissue caused by bacterial cholangitis.9
Choledocholithiasis is a common feature of PHB and can be present in as much as 84% of patients even though this high value may represent a selection bias.10 The increased occurrence of biliary stones in PHB is likely justified by chronic cholestasis and changes in the constituents of bile while reduced portal flow and liver dysfunction may also play a role.11
The proportion of patients with EHPVO that experience symptoms related to PHB ranges between 5% and 38%.12,13 When symptoms do occur, the clinical presentation is usually either one of chronic cholestasis when strictures dominate or of biliary pain or acute cholangitis when choledocholithiasis is the main culprit.3 In this case, while there was no complaint of significant pain or features of acute cholangitis, we believe that the presentation was dominated by acute obstruction of a dominant stricture of the common bile duct by a biliary stone. This view is not only supported by the radiological diagnosis of choledocholithiasis but also by the fast resolution of jaundice and cholestasis following biliary stenting. Individuals who do present with symptoms of PHB tend to do so at an older age when compared with children presenting with upper gastrointestinal bleeding or splenomegaly as features of EHPVO, and at a mean age of 36 years old, the same age as our patient.14
In this case the suspicion of biliary obstruction elicited by appropriate clinical signs and symptoms, biochemical abnormalities and abdominal ultrasonography findings justified obtaining a CT scan than in its turn diagnosed portal cavernoma as the cause of jaundice and associated biliary calculi which further drove testing and therapy.
ERCP has been the traditional method of investigating PHB and was pivotal in the recognition of this condition. Several characteristic findings have been described and include smooth strictures of variable lengths, degrees and number, saccular dilations, indentations, dilated intrahepatic bile ducts, as well as filling defects mainly in the common bile duct that may represent calculi or varices.14,15 While its diagnostic use has been hindered by the availability of noninvasive and equally accurate alternatives, ERCP still has a major role when therapy is anticipated.
With magnetic resonance it is now possible to couple cholangiography and portography thus allowing the evaluation of all components of PHB with a single noninvasive test.4 Since several studies corroborate that magnetic resonance cholangiography has a similar sensitivity to ERCP in this setting, it has become the first line imaging test in this condition.16Dickies Termelétricas Fc9511 Urbanas S3 Sapatos 8 Segurança Preto De Bk vggnIrwq
Endoscopic ultrasonography does not yet have a defined role in PHB and its use is limited to the cases where other imaging tests are unable to give a clear answer, namely in the differential diagnosis of common bile duct stones, calculi or tumors.17
Therapy is currently not recommend for asymptomatic individuals with normal liver function tests. However, patients presenting with symptoms require an integrated management addressing not only biliary obstruction but also portal hypertension. Endoscopic treatment is the therapy of choice when there is choledocholithiasis, acute cholangitis or if shunt surgery is not possible.3,18-21 ERCP is usually effective in stone extraction and treatment of dominant strictures.3,14,18 However, the relief of biliary obstruction with balloon dilation and stenting is only a temporary measure and mandates the construction of a portosystemic venous shunt or regular sessions of endotherapy since stents tend to become clogged over time.14 Increased risk of bleeding is also an issue due to presence of venous collaterals.22flop Y00435pr184 Badeschuhe E Homens Flip Plaja Splish Diesel gasolina Chuveiro Grigio pqwStCXnx
Patients that have a shuntable vein should be offered portosystemic shunt surgery since this procedure effectively addresses portal hypertension and may be the only treatment needed for dominant biliary strictures.23-25Fivela Rosa Camurça Belt Sapatos Não Dificultar Tamanho De Alto Salto Sandálias De Dificilmente Alto Coral Ladies Stilettos Salto Pastel De T8HHwfq Transjugular intrahepatic portosystemic shunt may be a valid alternative, albeit with less supporting evidence, and may be considered in selected cases when surgery is not feasible or is declined.3 In some cases additional biliary bypass surgery or cholecystectomy may be required.
Since our patient exhibited biliary stones in association with PHB she was initially managed endoscopically with great success and is now awaiting shunt surgery without any symptoms. The need for an effective management of portal hypertension in this patients, even when jaundice has resolved, is emphasized by the diagnosis of secondary biliary cirrhosis and liver dysfunction in patients with longstanding and untreated PHB.16,18
In summary, PHB is an uncommon entity that seldom causes symptoms. However, when symptomatic, the management must be tailored individually and should include shunt surgery. Magnetic resonance is the imaging modality of choice and ERCP is very useful when biliary stones, acute cholangitis or contraindications for surgery are present.
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2. Gossard AA, Talwalkar JA. Cholestatic liver disease. Med Clin North Am. 2014;98:73-85. [ ]
40 Valle Terra Verde Sandálias Homem Terra Sapatos G57400 3. Dhiman RK, Behera A, Chawla YK, Dilawari JB, Suri S. Portal hypertensive biliopathy. Gut. 2007;56:1001-8. [ ]
4. Shin SM, Kim S, Lee JW, Kim CW, Lee TH, Lee SH, et al. Biliary abnormalities associated with portal biliopathy: evaluation on MR cholangiography. Am J Roentgenol. 2007;188:W341-7. [ ]
5. Dilawari JB, Chawla YK. Extrahepatic portal venous obstruction. Gut. 1988;29:554-5. [ ]
6. Chawla YK, Dilawari JB, Ramesh GN, Kaur U, Mitra SK, Walia BN. Sclerotherapy in extrahepatic portal venous obstruction. Gut. 1990;31:213-6. [ ]
7. Rangari M, Gupta R, Jain M, Malhotra V, Sarin SK. Hepatic dysfunction in patients with extrahepatic portal vein obstruction. Liver Int. 2003;23:434-9. [ ]
8. Valla DC, Condat B, Lebrec D. Spectrum of portal vein thrombosis in the West. J Gastroenterol Hepatol. 2002;17 Suppl 3:S224-7. [ ]
9. Chattopadhyay S, Nundy S. Portal biliopathy. World J Gastroenterol. 2012;18:6177-82. [ ]
10. Oo YH, Olliff S, Haydon G, Thorburn D. Symptomatic portal biliopathy: a single centre experience from the UK. Eur J Gastroenterol Hepatol. 2009;21:206---13. [ ]
11. Harmanci O, Bayraktar Y. How can portal vein cavernous transformation cause chronic incomplete biliary obstruction? World J Gastroenterol. 2012;18:3375-8. [ ]
G57400 Terra Homem Valle 40 Sapatos Verde Sandálias Terra 12. Dilawari JB, Chawla YK. Pseudosclerosing cholangitis in extrahepatic portal venous obstruction. Gut. 1992;33:272-6. [ ]
13. Khuroo MS, Yattoo GN, Zargar SA, Javid G, Dar MY, Khan BA, et al. Biliary abnormalities associated with extrahepatic portal venous obstruction. Hepatology. 1993;17:807-13. [ ]
14. Sezgin O, Oguz D, Attintas E, Saritas U, Sahin B. Endoscopic management of biliary obstruction caused by cavernous transformation of the portal vein. Gastrointest Endosc. 2003;68:602-8. [ ]
15. Nagi B, Kochhar R, Bhasin D, Singh K. Cholangiopathy in extrahepatic portal venous obstruction. Radiological appearances. Acta Radiol. 2000;41:612-5. [ ]
16. Condat B, Vilgrain V, Asselah T, OToole D, Rufat P, Zappa M, et al. Portal cavernoma-associated cholangiopathy: a clinical and MR cholangiography coupled with MR portography imaging study. Hepatology. 2003;37:1302-8. [ ]
17. Umphress JL, Pecha RE, Urayama S. Biliary stricture caused by portal biliopathy: diagnosis by EUS with Doppler US. Gastrointest Endosc. 2004;60:1021-4. [ ]
18. Chandra R, Kapoor D, Tharakan A, Chaudhary A, Sarin SK. Portal biliopathy. J Gastroenterol Hepatol. 2001;16:1086-92. [ ]
19. Khare R, Sikora SS, Srikanth G, Choudhuri G, Saraswat VA, Kumar A, et al. Extrahepatic portal venous obstruction and obstructive jaundice: approach to management. J Gastroenterol Hepatol. 2005;20:56-61. [ ]
20. Thervet L, Faulques B, Pissas A, Bremondy A, Monges B, Salducci J, et al. Endoscopic management of obstructive jaundice due to portal cavernoma. Endoscopy. 1993;25:423-5. [ ]
21. Lopez RR, Cosenza CA, Lois J, Hoffman AL, Sher LS, Noguchi H, et al. Long-term results of metallic stents for benign biliary strictures. Arch Surg. 2001;136:664-9. [ ]
22. Mutignani M, Shah SK, Bruni A, Perri G. Costamagna endoscopic treatment of extrahepatic bile duct strictures in patients with portal biliopathy carries a high risk of hemobilia: report of 3 cases. Dig Liver Dis. 2002;34:587-91. [ ]
23. Chaudhary A, Dhar P, Sarin SK, Sachdev A, Agarwal AK, Vij JC, et al. Bile duct obstruction due to portal biliopathy in extrahepatic portal hypertension: surgical management. Br J Surg. 1998;85:326-9. [ ]
24. Agarwal AK, Sharma D, Singh S, Agarwal S, Girish SP. Portal biliopathy: a study of 39 surgically treated patients. HPB (Oxford). 2011;13:33-9. [ ]
25. Vibert E, Azoulay D, Aloia T, Pascal G, Veilhan LA, Adam R, et al. Therapeutic strategies in symptomatic portal biliopathy. Ann Surg. 2007;246:97-104. [ ]
Segurança Dickies De S3 Sapatos Fc9508 Gironde Cinza Gy 6 CUnvq4T* Corresponding author
E-mail address: firstname.lastname@example.com (R. Cardoso).
Ethical disclosures
Protection of human and animal subjects. The authors declare that no experiments were performed on humans or animals for this study.
Confidentiality of data. The authors declare that they have followed the protocols of their work center on the publication of patient data.
Right to privacy and informed consent. The authors have obtained the written informed consent of the patients or subjects mentioned in the article. The corresponding author is in possession of this document.
Conflict of interest
The authors declare that there are no conflicts of interest.
Received 8 December 2014; accepted 20 January 2015


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Massachusetts Driver's License & Permit FAQ
How Can I Apply for my MA Driver's License? Frequently Asked Questions
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What age can I apply for my permit in Mass.?You must be at least 16 or older in order to apply for a permit in Massachusetts.
What papers do I need to bring when applying for my license in Massachusetts?There is a short list of documents that you must bring with you when you apply for your license. The RMV has a wonderful interactive feature online at http://www.massrmv.com/ that allows you to check the items you have within their system before arriving to see whether they are acceptable.
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Where do I apply for my driver's license in MA?It's simple to apply for your driver's license; just go to any RMV branch to begin!
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Is a physical required to get a permit in MA?No physical is required in order to get a permit, however, if you have a medical condition you must report it to the RMV office. The RMV Medical Affairs Branch will decide on a case by case basis if a restriction should be put on your license based on what you and your physician report. A restriction could be something like "Day Light Driving Only". Another example would be if you needed corrected lenses to pass the vision test, your license would indicate "Corrective Lenses" restrictions.
Is a vision test required when applying for a Massachusetts driver's license?Yes, a vision test is required when applying for a license in Massachusetts. The RMV clerk will test your vision acuity, color vision and peripheral vision. You are required to get a 20/40 on acuity and are encouraged to wear glasses or contacts if that is what you normally wear. Massachusetts will accept an RMV Vision Screening Certificate from your ophthalmologist or optometrist. The Vision Screening Certificate can be downloaded on the RMV website at www.mass.gov/rmv.
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What are some tips for getting the best out of the driver's license picture?Look straight into the camera and keep a calm and relaxed face!
I have already applied for my Mass. license, what do I do next?After you have successfully applied for your Mass. License you will receive your permit. From this point, you should be preparing yourself for the road test. You do this by…
- Successfully completing an RMV approved driver education and training program, which includes 30 hours of classroom instruction; 12 hours of in-car, behind-the-wheel training; and 6 hours of in-car experience observing other student drivers.
- Completing at least 40 hours of supervised behind-the-wheel driving.
I have a question that's not answered above. What do I do?If you need any further assistance, you're welcome to contact us directly at email@example.com.
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"After reading over the information in the driver's manual I wanted to try some practice tests as review material. After a quick search I ended up here, and definitely wasn't disappointed! I took all of the tests over the course of a few days and recently went to take the real exam. I flew through it in only a few minutes since everything was clicking so well (even most of the fines and limits questions) and passed. Would highly recommend this site for reviewing prior to taking the test, it helped me quite a bit!"Gilbert D., Massachusetts
"Excellent preparation for the Mass Motorcycle test. Make sure to you have fines and suspension part covered very well. I scored 23/35. 2 questions wrong were 1. Where to dispose the oil/transmission fluid after oil change 2. Amount (in oz) of alcohol present in 12oz of beer/ 4oz of whiskey. Good luck !!"Pratik M, Massachusetts
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"I passed the real test today!!! Thank you Driving-Tests.org."Alex Silva, Massachusetts


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Allergy Clinic Serving Granite Bay
See full bio
"With my unique background at two of our nation's top hospitals, I have treated patients travelling from all over the world."
If you live in Granite Bay, you are only 7 miles from one of the Premier Allergy Doctors on the West Coast!
Dr. Chiraag Patel, MD, completed his fellowship in Allergy, Asthma and Immunology at the University of Pennsylvania School of Medicine, one of only eight Ivy League institutions.
His adult training was done at The Hospital of the University of Pennsylvania, a top 10 hospital, and his pediatric training was done at The Children's Hospital of Philadelphia, the No. 1 ranked children's hospital in the U.S.
At Pulmonary Medicine Associates, our treatments and services include:
- Testing to determine your specific allergies (skin, food, drug)
- Rush immunotherapy (2-3 day desensitization vs. traditional 6 months)
- Immunotherapy (allergy shots or under-the-tongue drops)
- Venom desensitization/immunotherapy
- Trigger avoidance/elimination counseling
- Immunomodulatory therapy for asthma
- Drug desensitization
- Immune deficiency treatment
- Reintroduction of "allergic" foods
- Specific treatment of all forms of eczema (allergic and non-allergic)
Appointments may be made with Dr. Patel by calling our Centralized Scheduling Office at (916) 679-3590.
Current Allergy Shot Hours
Monday/Tuesday/Thursday - 8am - 4pm - (Closed from 11:30am - 1pm for lunch)
Wednesday/Friday - 8am - 4:30pm
OPEN through the lunch hour Wednesday and Friday
Monday - 7:30am - 4pm
Tuesday/Thursday - 9am - 5pm
Wednesday/Friday - 9am - 4pm (Closed from 12pm - 1pm for lunch)
OPEN through the lunch hour Monday, Tuesday, Thursday


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A new Firefly HID kit will greatly improve the look of your vehicle. Besides just giving your car a great new look, custom Firefly xenon headlights also enhance the look of your vehicle. You will be thrilled when you see how easy it is to install premium HID headlights. Another great thing about aftermarket xenon bulbs is that they are very inexpensive.
- 10x Longer Bulb Life Compared to Halogen Bulbs
- 3x Brighter than Halogen Bulbs
- Dramatically Improved Peripheral Road Coverage
- Custom HID Colors Available
- 2 HID Bulbs
- 2 Ballasts / Brackets
- Installation Manual
- All Necessary Hardware
Our HID kits come with all the necessary components to complete your installation. This state of the art technology provides up to 10x longer bulb life and 3x brighter light than standard issue halogen bulbs. The improved lighting will make you a more confident driver behind the wheel by giving your more coverage of the road at night, exposing things that could be potentially hazardous. Making the upgrade to one of our high quality HID kits is not only a safety measure, it gives the owner some styling options as well by letting you choose the exact color of HID bulb you're looking for. We carry colors ranging from bright white to cool blue to violet purple.
The HID bulbs included in our kits are high quality units that have been proved to withstand rigorous use, changing weather conditions while still providing incredible road coverage. We use a non-interference MCD digital ballast that has been tested on various complex electrical systems to ensure you're getting a complete setup that is not only fully functional, but 100% reliable every time you get behind the wheel. We pride ourselves on supplying you with the brightest, easiest to install and most reliable HID kits on the market. Each kit is factory sealed and packaged carefully to ensure each piece arrives in perfect condition. Buy with confidence from us, the HID experts.
- Disconnect battery
- Remove stock headlight assembly
- Remove Halogen bulb
- Mount HID ballast near headlight assembly
- Plug factory headlight harness into ballast
- Plug HID bulb in to ballast
- Insert HID bulb in to headlight assembly
- Install headlight assembly in to car
- Repeat on other side
- Reconnect battery
- Turn on headlights and enjoy!


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LaxTrack: Potomac Boys Club (Brenton Duvall & Patrick McKelvy) – Lights! [Ellie, Waka, Wale]GoodMusicAllDay /
Brenton Duvall is at it again (this time with the help of high school friend Patrick McKelvy) bringing us the best re-worked (not mashed up) tracks. This latest symphony of dopeness remixes Ellie Goulding's "Lights" and features Waka & Wale's verses from "No Hands". A lot of people have been remixing Ellie Goulding lately… but no one has been able to do it quite like this.


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Regional jobs, futures driving exam stress
Young people in regional Australia are incredibly stressed about exams. More than half of them are showing worrying levels of stress at exam time.
It's different than the stress city students are going through. Regional students are putting even more pressure on themselves than their city counterparts.
At the core of it is worry about their futures. They don't know what jobs they can get in their town.
They're concerned about having to move hundreds, or even thousands of kilometres away from their friends, family, and the community they love.
They're even trying to seek help more than city students.
One in four regional students who seek help for exam stress also turn to their GP or a mental health professional – twice as likely as metropolitan students – and they rely more on support from their teachers.
The issue is bigger than stress: mental health issues are more common outside of cities, too.
Compared to those in major cities, young people living in regional and remote areas show greater psychological distress.
Mood disorders like depression and anxiety are twice as prevalent in remote areas as they are in cities.
Young people are doing it really tough in Australian towns.
But there's a crisis of access to mental health services in regional Australia.
We've spoken with young people and services all throughout Australia, and getting an appointment is only part of the issue: there are other massive barriers to seeking help.
Young people are worried about what others will think and say if they're seen walking into the chaplain's office.
And they don't have the time to drive up to five hours (each way) to a psychiatrist appointment.
There are services in these towns that are doing a great job of engaging young people, but the demand for these services far outstrips the supply.
We don't want to see so many young people doing it tough, let alone finding it so hard to get help.
We're working on new ways to help one million more Australians, including those in regional Australia.
Whether you're a student or a parent dealing with exam stress, ReachOut.com is here to help – it's available for free anytime and pretty much anywhere, so it's perfect for people living in the regions.
Regional parents have a big part to play in helping alleviate exam stress, so we've created a dedicated toolkit on ReachOut.com to support them and their teenagers.
If your teenager is having problems sleeping, is increasingly irritated or having trouble concentrating, finding it hard to connect with others, or feeling depressed, panicky or anxious, then they could be overly stressed and it might be time to do something.
Importantly, reflect on your own expectations: are you on the same page as your child? Teens can feel stressed and worthless when they've tried but failed to meet expectations.
Encouraging your child to be honest about how they feel, and accepting and acknowledging their effort can be really helpful to you both.
We can help teenagers plan life after exams as well, so if you're still feeling unsure about what the future holds after the final school bell rings, we're only a click away, anytime.


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Southeastern men's tennis will be looking for back-to-back wins when it welcomes Arkansas-Fort Smith to the Southeastern Tennis Complex for a 1 p.m. match on Feb. 22.
Southeastern enters the meeting ranked No. 47 in the nation, but are looking to continue to recover from a tough stretch that snapped a three-game winning streak and dropped SE to .500 on the year.
That recovery began with a 9-0 win over Austin College on Feb. 19 and SE will look to continue that trend on Friday.
In its last outing, the Storm swept the Roos led by dominating performances at all six singles spots and all three doubles.
SE dominated the Roos from top to bottom, beginning in doubles where Luka Radulovic and Martin Bedcarratz opened with an 8-1 win at No. 1, that was followed by an 8-3 win at No. 2 by Tiago Ferrieria and Filip Pavlovic as well as an 8-0 win by Laercio Lobo and Billy Haugen at No. 3.
Southeastern pulled away in singles play, posting straight set wins in all six positions, dropping just one game in the entire singles matchup.
Raduloviuc posted a win at No. 1, followed by Pavlovic at No. 2.
Bedcarratz was the only player to even drop a game, winning 6-1, 6-0 at No. 3, while Lobo, Ferrieria and Haugen rounded out the six with 6-0, 6-0 wins.
UAFS enters the weekend meeting at 2-4 on the season and have dropped back-to-back matchups, the last coming against No. 19 Cameron.


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f I don't believe in a loving God, one that won't expel my 5yo neighbor from church because he's in a wheelchair, or my son, because he's an Aspie, then I cannot believe in God. I don't believe any power who is said to have created life would so willingly cast those aside who are not perfect.
Only he shall not go in unto the vail, nor come nigh unto the altar, because he hath a blemish; that he profane not my sanctuaries
They weren't expelled from the entire area, just prevented from going up to the altar, just like blemished animals couldn't be sacrificed on the altar. Similarly, the "unclean" had to stay outside the camp, but the priests still went out to take care of them, it's not like they were just kicked out and left to die because they weren't perfect.
But in any case, this was Old Testmant law, not New Testament, and most of it doesn't apply now that Jesus has arrived. Blood sacrifices, for instance, were an "image" of the coming sacrifice of Jesus, which is why everything involved had to be perfect.
t's not positive as in happy-rosy positive, but positive as in a positive direction. There's no retribution, no eye for an eye, everything is considered a teaching moment to help the child grow to adulthood. The entire outlook of discipline is changed to "what can we learn from this?" or "how can we stop the problem?" and looks toward treating the cause, not the symptoms, or if the child is too young, then using age appropriate methods that work with their limitations. It's hard to explain, but there's many books on it, including Christian ones like Grace Based Parenting. I wrote a short list that sums it up, too, that seems to explain more if anyone wants to read.
There's a big difference between random pain and/or suffering being applied whenever someone does something you don't like, and x penalty being assigned in advance for y offense, then enforced. The former has little or no positive effect, the latter is effective for training.


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The 5th Fighter Command in World War II Vol.2: The End in New Guinea, the Philippines, to V-J Day
William Wolf
Genre : HistoireQuestion : 27/12/2012 Éditeur : Éditeur : Schiffer Publishing, Ltd. Format : Couverture rigide Pages : 456 Dimensions : ISBN-10 : 9780764342516 ASIN : 0764342517
In Volume 2, of a planned three-volume set, the author continues his definitive history of the 5th Fighter Command combining grand world strategy and Pacific strategy with subsequent land and air campaigns. This book describes the 5FC as it continues on the offensive after the reduction of Rabaul in November 1943 and then decimates Japanese air power over western New Guinea, and on its approach to the Philippines. The final destruction of Japanese air and ground forces during the Philippines Campaigns until V-J Day concludes this ultimate chronicle of the Fifth Fighter Command making this history a must for every World War II aviation enthusiast. Volume three will cover: 5FC vs. Japan: Aces, Units, Aircraft, and Tactics.
Rechercher par:
- The 5th Fighter Command in World War II Vol 3
- The 5th Fighter Command in World War II volume 2: The End in New Guinea and the Philippines to V-J Day


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For the past week or so, none of my blog posts have been indexing in Google.
Welcome to our blog. Here you will find videos, tutorials and general things related to computers and technology.
© 2011 DKNJ Networks | Computer Repair BLOG - Computer Repair & Small Business SEO Company in New Jersey
Full RSS - Comments RSS


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VANCOUVER -- The Missing Women Inquiry was a missed opportunity for reconciliation because it didn't thoroughly communicate with poor and marginalized women in the Downtown Eastside, says one of the authors of a report released Monday.
Darcie Bennett, campaigns director for the Pivot Legal Society, said that in the earliest stages, when the terms of reference were being established for the inquiry into how police handled missing-women cases in the Downtown Eastside, the provincial government should have gone into the communities to establish a dialogue.
"We feel that this whole process has been a missed opportunity for reconciliation for getting some stories and voices that have been excluded from the discussion into the public record and rebuilding relationships and trust," Bennett said. "We feel that the opportunity has been lost."
Called Blueprint for An Inquiry: Learning from the Failures of the Missing Women Commission of Inquiry, the report contains 23 recommendations meant to improve all future public inquiries, but especially those involving aboriginal women, sex workers and other marginalized people.
"We wanted to show that it's not only possible to do better," Bennett said in a phone interview. "It was well within the capacity of this commission and this government to do a better job."
The report comes two weeks before the Missing Women Inquiry commission's report is scheduled to be released Nov. 30.
Wally Oppal, a former provincial attorney general, was appointed head of the commission to examine how police investigated cases of women reported missing from the DTES between Jan. 23, 1997 and Feb. 5, 2002.
In 2007, Robert (Willie) Pickton was convicted of the second-degree murder of six of those missing women. He was sentenced to life in prison.
The commission was mired in controversy even before hearings began in October 2011. More than a dozen organizations representing aboriginal and women's groups decided not to appear before the commission because of the provincial government's refusal to pay for their legal representation. Pivot was one of the groups that pulled out of participating in the commission.
Blueprint for an Inquiry was written by Pivot, the BC Civil Liberties Association and the West Coast Women's Legal Education and Action Fund.
It notes there was a great disparity in legal resources available to the different interests represented at the hearings.
There were at least 25 lawyers working for police and government and nine for the commission. Two commission-funded lawyers represented the families. Another two, called independent counsel, were hired by the commission to represent sex workers, women's groups and DTES organizations.
Bennett said the lack of transparency and accountability in the way money was spent for legal representation was "really disappointing.
"When you have 25 lawyers on the other side, it's really challenging to tell a woman or service provider that they should go and submit to cross-examination," she said.
The groups' report said the Missing Women Inquiry excluded the voices of individuals and communities it should have worked hardest to include — those who were most affected by the Pickton murders.
"In the most disappointing fashion, the province and the commission repeated the very mistakes that allowed Pickton to operate with impunity for so many years – the voices of marginalized women and their supporters were ignored," the Blueprint for an Inquiry said.
"Future public inquiries, particularly those that work with marginalized communities, must learn from the errors of the Missing Women Inquiry, and work to implement better practices to ensure they can succeed in their search for truth and reconciliation."
Recommendations include:
• The consultation process should include education for commission staff to help them understand culturally appropriate and effective ways to gather evidence and conduct itself.
• Compensation for commissioners of inquiries should be commensurate with judges' salaries and commission counsel salaries shouldn't exceed that of Crown counsel.
• Anyone whose conduct is being investigated should have "an extremely limited role in influencing the development of the terms of reference."
• When a public inquiry investigates the police in any way, "current or former members of the police should not be hired to organize or coordinate the inquiry, or be retained to prepare supposedly 'independent' reviews of the evidence to be heard at the inquiry."
The full report is available at http://www.pivotlegal.org/


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This is an archived article that was published on sltrib.com in 2013, and information in the article may be outdated. It is provided only for personal research purposes and may not be reprinted.
Work gloves, nails and shingles line the shoulder-height shelves of Roofers Supply.
But the shop has a cozier feel than the 25-foot shelves lining the gaping warehouses of its regional and national competitors. Customers and co-workers alike answer to nicknames. People greet each other with hugs instead of handshakes. And part of the shop is dominated by a Christmas tree surrounded by cans of food, ready to be delivered to the Utah Food Bank.
"This is a heart-driven company," said Stephanie Pappas, chief financial officer and director of administration.
That motivation is evident in interactions throughout the store, and it's expressed each year in the $120,000 of charitable donations the family-owned, local company makes to community members and local charities.
Each holiday season, Roofers Supply orders about 1,100 hoodies for its annual Roofers Supply Gift In Coats and Cans Drive. Anyone who brings cans of food, a coat or $10 in cash receives a hoodie. So far this winter, the company has given out 1,000 of them. In years past, the company has collected as much as 26,000 pounds of food. Last year, the company collected $13,000 in cash donations and 2,500 pounds of food.
The Utah Food Bank has the ability to get $8 worth of food for every dollar donated, so Roofers Supply began focusing on cash donations to increase the impact of the Gift In.
"Everyone wins. Donors get a hoodie, the food bank gets donations and we get to feel good about giving back to our community," Pappas said.
One hundred percent of all the year's proceeds go to charities, such as the Rape Recovery Center, Best Friends Animal Society, the Juvenile Diabetes Research Fund and the Utah Food Bank.
Ginette Bott, Utah Food Bank chief development offer, says Roofers Supply's donations have meant nearly 94,000 meals for the one in six Utahns who don't know where their next meal will come from.
"Their commitment to our mission starts at the top of the organization with owners and management, and aside from their passion, their success is driven in large part to by engaging everyone they do business with in creative ways," Bott said. "Seeing a locally owned company do so much good for people in their own community is truly inspiring, and Utah Food Bank staff and volunteers, along with the people we serve, are eternally grateful."
Roofers Supply will celebrate its 20th year of doing business in April, and the four siblings who run it always have prioritized donating back to the community.
"When you can be of service to people it's humbling," said Pappas, her eyes welling with emotion. "We have a responsibility to our market and to our community, and with that comes a lot of humility."
The siblings started the company because their father had once owned a roofing supply store, and Dino Pappas had continued working for that business. When the land leases expired, four of the Pappas siblings Dino, Stephanie, John and George came together and purchased the land in Ogden at 120 W. 21st Street and in Salt Lake City, 3359 S. 500 West.
"We had six people, a couple of trucks, and we hit the ground running," Stephanie Pappas said of the business's 1994 start.
The company rode the wave of construction, opening up locations in Lindon, Cedar City and St. George. The doors are open to homeowners and do-it-yourselfers, but the main client base is roofing contractors, Stephanie Pappas said.
At one point, the company employed 120 people, but they were hit like everyone else when the economy soured. They now have 80 employees.
"We work a lot smarter now," said Holly Henrie, director of human resources and safety.
But even when times got tough for the business, the Pappas family made sure they still contributed to the community.
"It was something we were committed to, even though it was harder for us to do," Stephanie Pappas said. "We realized that when things get rough for a company, they're even harder for individuals. So we dug our heels in and said, 'We're going to do this.' "
In addition to the holiday drive, the company hosts a summer food drive and a golf tournament with proceeds going to charity, provides a scholarship and provides free meals once a month during June, July, August and September and before Thanksgiving for employees, customers and the public. Each summer "Taco Tuesday" costs about $5,000 to put on and the Turkey Bite is about $10,000.
The owners also take care of their own, offering free flu shots for employees and their families.
The company's statement emphasizes four core values that everyone must have: honesty, integrity, trust and mutual respect.
"Every employee and owner lives it," Henrie said. "It's not just lip service."
That has paid off for the company, which now has the largest market share in the state for roofing supplies, and it's the only roofing supply company of its size in Utah. The company and the people who run it have been recognized by local and national entities for their business savvy, but the Pappas family has never forgotten where they come from.
"We are based here, we're tied here, we have our roots here," Stephanie Pappas said. "We're always looking for ways to give back to the community."
Twitter: @sheena5427


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Despite its morbid title, "Jim Henson's Dead" is a tribute to the late Jim Henson by Stephen Lynch. The song appears on Lynch's first album, A Little Bit Special, and makes reference to the Muppet characters on The Muppet Show and Sesame Street.
External links
- Stephen Lynch on Wikipedia


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'Party Down South' producers pull out of Pensacola
Community outcry, Southern pride and the loss of key business deals drove producers to seek friendlier waters.
PENSACOLA, Fla. -- The producers of Party Down South are facing the hard reality of searching for a new home for their raunchy reality TV show on CMT.
Faced with outright shunning by locals, they've packed up and are hunting for more welcoming filming locales far from Pensacola — and they've taken more than a million dollars worth of contracts with them, said sources in contact with Burbank, Calif.-based 495 Productions.
It seems Southern pride trumps economic gain.
RELATED: There'll be no 'Party Down South'
Appetite 4 Life director Celeste Southard said producers told her they were scouting Fort Myers after folks here were offended by the image the series, which follows the outrageous, alcohol-fueled antics of eight so-called Southern young adults, would cast on the Pensacola-area.
On their way out of town the production company, which also produced Jersey Shore, canceled a $150,000 catering contract with her nonprofit to feed the cast and crew for 56 days. The organization had planned to use the cash to feed terminally ill people.
While looking around the region for another place to shoot, Southard said a producer told her officials in some of the cities told them point blank: "We saw the news and we don't want you."
They hit the road after a social media campaign made it clear that the filming of the second installment of the CMT series was not welcome here, she said.
Clearly a big blow for the producers came when hotelier Julian MacQueen, late last week, scrubbed a deal to provide the production company nearly $1 million in hotel rooms at his three Gulf front properties on Pensacola Beach — Hampton Inn, Hilton and Holiday Inn Resort.
"It was really an image thing," MacQueen said Monday about his decision. "We spent millions and millions of dollars investing in an image for Pensacola Beach that gets away from the whole Redneck Riviera crap. I hate that image. That's not who we are."
"All you have to do is watch a trailer of the reality show and realize it will undo everything we've been trying to put together," he said.
As a Southerner born and raised in Birmingham, Ala., MacQueen said his decision was also personal.
"It sure puts a stereotype out there, and it's the lowest form of entertainment," he said.
An email to the production company's public relations firm went unanswered by deadline Monday.
MacQueen and Southard say that while the financial losses sting, they have no regrets.
"We weren't expecting the business, but it would have been a huge injection of money to put with our new kitchen and IMPACT 100 grant," Southard said about a grant that allowed the agency to greatly expand its pantry and kitchen that feeds terminally ill residents with donations from the community and revenue from the catering arm.
"We're here because of the community and would not be here at all without the support we get from the community," she said. "We want what the community wants."
Yes, it's painful, MacQueen said.
"But it was the thing to do," he said. "You never make up that business. What you can do to make yourself feel better is look at the business it possibly could have displaced."


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Journal Entries
Increases user efficiency by auto-populating based on previously entered information. Schedule future entries. Allow Journal Entries to be uploaded from an external source.
Tags / Dimensions
Ability to tag all transaction in the general ledger with customizable dimensions, classes, categories, etc. These dimensions should be available on any transaction in any module in the system and available to be reported upon.
(Based on 115 reviews)
Audit Trail
Automated, chronological tracking of activities that have affected a specific operation, procedure, event or record
Invoice Customization
The layout of the invoice template is fully customizable and you can add or remove fields.
AR Automation
Automation helps the user be more efficient by populating default customer data, setting up systematic payments from clients and automatically matching customer receipts to outstanding transactions.
(Based on 94 reviews)
Collections Automation
The system automates the dunning process to help drive collections
AP Automation
Steam lines data entry by auto populating recurring or predefined vendor values
Payment Processing
Ability to manage, track and report on numerous payment types. Customize and automate complex purchase to pay work flow.
Purchase Orders
Software supports purchase orders and provides purchasing personnel, management and accounts payable with visibility needed to streamline the procure to pay process
Inventory Tracking / Ordering
Real time inventory tracking. Maintains accurate "On Hand" infomation by matching reserved inventory requested on purchase and sales orders.
(Based on 76 reviews)
Inventory Pricing and Costing
Ability to establish multiple price levels. Update pricing on a per item or global inventory basis. Choice between multiple costing methods such as Average, LIFO, FIFO and Specific Unit.
Inventory Reporting
Customizable reporting allows insight into usage of inventory and services.
Multi-Entity / Consolidation
Multi-ledger and multi-tenant architecture. Automated consolidations, inter-entity transactions and eliminations
(Based on 92 reviews)
Recognition Rules
Automate recognition of revenue and expenses by defining recognition templates.
Transactions are imported from source systems and automated matching reconciles majority of transactions. Includes user flexible, user defined matching and grouping rules to help reduce the time needed to produce accurate reconciliations.
(Based on 104 reviews)
Payroll module or integration to an external payroll provider which automates the recording of payroll
(Based on 65 reviews)
Time and Expense
Automated time and expense capture, tracking, approval, reimbursement and reporting
Financial Statements
General reporting offered covers all of the standard financial statements and meets the basic needs of the business
Custom Reporting
Reports created by the user to cater to specific requirements. If you can build it in Excel, you can build it in the custom report writer
Budgeting / Forecasting
Create and revise an unlimited number of budget, plan and forecast scenarios.
An easy to read, often single page, real-time user interface, showing a graphical presentation of the current status and historical trends of an organization's Key Performance Indicators (KPIs) to enable instantaneous and informed decisions to be made at a glance
Allows administrators to customize to accomodate their unique process. Includes ability to create custom objetcs, fields, rules, calculations, and views.
Workflow Capability
Automates a process that requires a series of steps that typically require intervention by several different users. Administrators can write rules to determine who and when a user needs to complete a step. Also includes notification of users when they need to take action.
(Based on 102 reviews)
User, Role, and Access Management
Grant access to select data, features, objects, etc. based on the users, user role, groups, etc.
Enables users to view and transact business with the same content in multiple languages and currencies.
(Based on 82 reviews)
Performance and Reliability
Software is consistently available (uptime) and allows users to complete tasks quickly because they are not waiting for the software to respond to an action they took.
(Based on 119 reviews)
Output Document Generation
Allows administrators to create templates that enable users to quickly generate dynamic documents in various formats based on the data stored in the application.
Data Import and Export Tools
Ability to input, modify and extract data from the application in bulk through a structured file.
Integration APIs
Application Programming Interface - Specification for how the application communicates with other software. API's typically enable integration of data, logic, objects, etc with other software applications.
Breadth of Partner Applications
To what extent are there partner applications readily available for integrating into this product? Partner applications typically provide complementary, best of breed functionality not offered natively in this product.
(Based on 79 reviews)


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Kirillyos wrote:So this whole "Guideline-Book" Sub-Forum is really more for arguing about whether or not we should argue about the "rules" in the first place?
Nope. It's for discussing how you follow those guidelines. Some people like to stay very tight to the rules, while others follow it much more loosely.


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Results 1 to 7 of 7
Thread: Adium Question
03-27-2005, 01:52 PM #1Jefe3223GuestAdium Question
Bah; I've failed. I try to pride myself on knowing so very much about my own computer, but I have an adium problem/question: I have some new buddies on my...um...buddy list, and it has put them in the wrong catagory. So i've tried to move it to the folder I want and I get this message (see attached). I don't have THAT many buddies, I could go through and delete ones that i never talk to anymore, but I'd prefer another way. ichat (on the other hand) keeps them fine. Any thoughts?
ps (the blurred part is a guys screen name, and I feel I should protect him. haha)
- Member Since
- Jan 04, 2005
- Location
- Modesto, Ca.
- Posts
- 29,840
- Your Mac's Specs
- iMac late 2012 21.5 i5 10:14. iMac 2010 27"QuadI7 OS10.13, MBPLate2011, iPad Pro10.5", iPhone7
Are the buddies you are trying to add on AIM? If you have too many old buddies and even blocked buddies on your AIM list, AIM will give you that message. The only way I have found is to get the real AIM program and zap the unwanted buddies off the list. Then you can add new ones. I forget what the limit is for buddies but maybe 150. I don't know if Adium will zap the buddies off the AIM server or not. Never tried it, but I know that will Trillian on the PC, I had to use the real AIM program or it would not clear the list.
If you are using AIM that is probably the problem.
03-27-2005, 03:12 PM #3Jefe3223Guest
The people I've added are on aim. I should probably go through and purge out the ones I don't need. I have no where near 100 buddies. The people work fine, though, they just can't move to the folder I want.
Thanks, though.
03-28-2005, 02:17 PM #4Jefe3223Guest
Well, I just tossed out the whole adium thing and started over. Now everything is in it's place and everything is where it should be... Hassle? yes. Worth it, to be organized? yes.
- Member Since
- Dec 28, 2004
- Location
- Albany, CA
- Posts
- 643
- Your Mac's Specs
- ibook G4 12 inch running mac os 10.4 with: 60 gb HD+256 mb ram+Radeon 9200
I get that allllllll the time I've gotten sooo tired of it I use aim 4.7 to add buddies but adium to chat. From what I no they still havn't fixed this.
03-31-2005, 03:24 AM #6xthisisRomancexGuest
lol i should stay organized.. my messenger has my family in my buddiess my buddies in my coworks and what ever i have around 300 buddies... i to like 20 of them and those i dont have on my budddylist except for under the recent buddies section
03-31-2005, 05:14 PM #7Jefe3223Guest
Well, I just uber deleted adium (every file and every file that even lookeed like it might have to do with adium, 'cause i was that angry ahaha)but i installed it again and everything is dandy.
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text: By Tim Kawakami San Jose Mercury News (MCT) STANFORD, Calif. _ If you're Stanford, you can't really stop the rampaging Oregon Ducks, you can only hope to . . . Destroy them. That's what the Cardinal did in a thunderous 26-20 victory on Thursday night before a roaring Stanford Stadium crowd and with a defensive performance for the ages. Who else can toy with and topple Oregon quarterback Marcus Mariota the way Stanford's defense did? Nobody. Who else can grind the Ducks' defense into putty with run after run after run _ and rack up not one but two epic 96-yard scoring drives _ the way Stanford's offense did? Nobody can. Nobody has. Except the steady, heady, stomping Cardinal. Again. "We knew it would be a test of wills," linebacker Shayne Skov said after his 10-tackle whirlwind performance. "It was two different approaches, two different tempos, "One team was going to dictate how the game would go." And who else can beat theoretically unbeatable Oregon and then come to the post-game news conference in what Skov called "nerd glasses"? Only Stanford. Home of brainiacs, football behemoths and Oregon-killers. Now the Cardinal is right back in the hunt for a BCS berth, and an outside contender for the national championship game, despite its loss in Utah earlier this season. Stanford. Home of Nobel laureates, recurring BCS bids. And nerd glasses (which were probably a reference to their former teammate Jonathan Martin's situation in Miami, and accusations that he and other Cardinal products are "soft"). "It's November and we talked as a team that it's time to play our best football," Stanford coach David Shaw said after it was over. "No one has seen our best football, and that's including us. And tonight was about three-and-three-quarters quarters of it." Shaw's complaint, of course, was about the late blocked field goal that was returned for Oregon's second touchdown, and the ensuing onsides kick that the Ducks recovered and turned into another TD, to suddenly make it a one-score game. But Stanford's original lead (26-0 at its largest) was big enough that the Cardinal sealed the game by recovering the next onsides kick and winding down the clock. That was a messy way to end this classic effort, but it still was something that nobody else in the nation can do. And now Stanford has defeated Oregon in back-to-back seasons, including last year's 17-14 overtime victory in Eugene. In fact, Oregon is 20-0 against anybody not named Stanford since the start of last season, with every one of those victories coming by at least 11 points and usually a lot, lot, lot more. And Oregon is 0-2 against Stanford in that same period. Also, in those 20 non-Stanford games over the last two seasons, Oregon's lowest scoring total is 35. Oregon's combined point total against Stanford in these two seasons: 34. How could Shaw compare this game to last season's victory in Eugene? "I would say this was a more complete performance," Shaw said. "I thought last year we played great _ Zach Ertz had a phenomenal game, Stepfan Taylor, some individual performances. "But gosh, we missed so many opportunities that last game . . . Tonight I thought we took advantage of our opportunities." This one was clinical, it was resoundingly physical and it was complete. From the defensive swarming of Mariota and the other Oregon stars to Tyler Gaffney's 157 yards on a school-record 45 carries and Kevin Hogan's confident QB play, Stanford was in total control of this game from the first few minutes. That's when Oregon failed on an early fourth-and-goal try, which gave the ball over to Stanford, who then went 96 yards in 12 plays in almost 6 minutes of action, and finished with a Gaffney score for a 7-0 lead. By the way, when Stanford beat Oregon last year in Eugene, the Cardinal also stopped the Ducks early on fourth down inside the 10, and also went 90-plus yards from there for the game's first score. This year, Stanford kept building its wall around Oregon, kept shoving Mariota around, knocking the ball from his hands, and going on long drives. To end the first half, Stanford recovered a De'Anthony Thomas fumble at the Cardinal 2-yard line and then went 96 yards again. That drive went 20 plays, drained the final 8:26 of the second quarter, and concluded with a short field goal, for a 17-0 halftime lead. Just those two 96-yard drives totaled 192 yards, 32 plays and 13:25 in elapsed time. Those two drives, all those open-field tackles and everything put together . . . that's why Stanford owns Oregon right now, why the Cardinal stands alone, and why Stanford should absolutely be proud of all of that. ___ (c)2013 San Jose Mercury News (San Jose, Calif.) Visit the San Jose Mercury News (San Jose, Calif.) at www.mercurynews.com Distributed by MCT Information Services _____ PHOTOS (from MCT Photo Service, 202-383-6099): STANFORD


text:
Export animal feed to Thailand: certificate 8078
Use these forms and guidance document to export animal feedingstuffs with ingredients of animal origin, excluding processed animal protein (PAP) from poultry or any other terrestrial animals, to Thailand.
Section A: Forms
Download, fill out and email:
Section B: Guidance
The following documents have guidance, extra export conditions and information:
What you need to do
You need to fill out this certificate, the export application form (EXA) and all other documents in Section A to export. The guidance notes in Section B have information for exporters and official veterinarians.
Email all documents in Section A to email@example.com. Send one email for each application.
Before you apply, make sure you have the most up to date version of the certificate as certificates are sometimes updated. The most up to date version will be on this page.
If you do not use the latest version, your application will not be accepted.


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The purpose of this policy is to establish the University's requirements for single sign-on attribute release, in order to provide ease of use, federation, and awareness relative to the use of personal identity data for authentication, and to maximize the security of identity data while minimizing its misuse or theft.
Brown collects and stores a great deal of information, including data about its students, faculty, and staff, as well as many other individuals and organizations connected to the university. Brown has established the protections necessary to maintain the privacy of all connected to the university, and to maintain compliance with all regulatory mandates on storing and using private information. Information on the University Privacy Policy can be found here < TBD >. This Attribute Release Policy is targeted only for single sign-on, and falls under the general provisions of the Brown Privacy Policy.
It is important for the Brown community to know that the University shares identifying information, or "attributes", with others. The ability to share such information allows for seamless and secure access to the web pages of partner service providers (SP) without further authentication of the user.
Brown has announced itself as a Federated Authentication Identity Provider (IdP), and the transfer, release, and use of attribute information is central to the operation of Federated Authentication. However, attribute values may represent 'personal data' and are subject to protection, regulatory oversight, and mandatory compliance measures.
The University is dedicated to ensuring the privacy and proper handling of the identity data of its students, employees, and individuals associated with the University. The goal of this Attribute Release Policy (ARP) is to ensure that the necessary procedures and awareness exist for the use and release of identity data, while also enabling secure federation and authentication between Brown and its partners.
Brown University follows established best practices governing the release of personally identifiable information to service providers – be they internal Brown service providers, or external resources at another institution. Brown has identified several categories of service providers, and the attributes that may be released to service providers falling into each category. The release of additional available attributes may be requested by contacting the Shibboleth Administrator.
This policy applies to all users, computing resources, and applications owned or managed by Brown University. Individuals covered by the policy include (but are not limited to) Brown faculty and visiting faculty, staff, students, applicants, alumni, guests or agents of the administration, and external individuals and organizations accessing network services via Brown's computing facilities.
Computing resources include all university owned, licensed, or managed hardware and software, and use of the university network via a physical or wireless connection, regardless of the ownership of the computer or device connected to the network.
These policies apply to technology administered in individual departments, the resources administered by central administrative departments (such as the University Libraries and Computing and Information Services), personally owned computers and devices connected by wire or wireless to the campus network, and to off-campus computers that connect remotely to the University's network services.
Attribute – An attribute is a piece of information describing some aspect of a person's identity. Examples of attributes include, but are not limited to email address, University affiliation, name, library bar code, etc. Attributes may be asserted by an IdP to an SP and different attributes may be sent to different SPs.
Brown verified site/unverified site – Sites verified by the UIAMSC will have access to a wider array of attributes and/or not require user consent for the release of those attributes. Sites which have not been verified will require user consent for basic attribute release and committee permission for additional attributes.
Federation – A group of organizations that share a level of trust and work with each other to inter-operate, frequently defining a common set of shared attributes. Brown is a member of the US higher education federation, InCommon, and has created its own campus federation. There are many education, government, and potentially business federations throughout the world.
Identity Provider (IdP) – Every constituent of a federation must provide this service for the purpose of verifying the identity of users who belong to an institution on behalf of other federation members requesting identity verification. This is the "home institution" login component of Federated Authentication. The IDP also provides the important role of providing information (attributes) about users when prompted by service requests.
InCommon – InCommon is the U.S. higher education federation. Brown, as well as many peer schools and service providers that cater to the higher education sector, are members of InCommon and share a common infrastructure and language for defining interoperability and attributes.
Service Provider (SP) – A service provided by a federation constituent that a user might want to access, with access mediated by Shibboleth. May services are provided by commercial partners. However, increasingly collaboration sites supporting joint work and hosted by other campuses also manage access using Federated Authentication.
Shibboleth – Shibboleth provides for privacy protection through Attribute Release Policies (ARPs). Release of user attributes from an Identity Provider (IdP) to a Service provider (SP) is determined by the IdP's ARPs. ARPs contain a set of rules specifying which attributes to release. Shibboleth is an open source implementation of the OASIS SAML standard and the project has implementations of both the Service Provider and Identity Provider Software.
Shibboleth Administrator – The person or group responsible for managing the technical aspects of Shibboleth Infrastructure, in particular for configuring and implementing attribute release policies on the Identity Provider (IdP).
Effective Date: May, 2011 Last Reviewed: June, 2014 Next Scheduled Review: June, 2016
Providence, Rhode Island 02912, USA Phone: 401-863-1000 / © 2015 Brown University
Copyright 2016 Alice Smeets Website created by davidetremolada.com
See the traditional tarot cards come to life in this creative, provocative, modern deck. Inspired by the creativity and strength of the citizens of the ghetto, the Ghetto Tarot will guide you in changing your perception, turning negativity in your life into positivity while discovering the power of your own thoughts.
The Ghetto Tarot is a photographic interpretation of the well-known traditional Rider-Waite-Smith deck. Set in the Haitian ghetto, these fresh scenes were inspired by those originally created in 1909 by the artist Pamela Colman-Smith. The scenes were replicated by Alice Smeets with the assistance of a group of Haitian artists called Atis Rezistans using only material they were able to find or create locally.
While Tarot originated many years ago when the circumstances within the world seemed very different, they still resonate today with timeless symbols that can be applied to our busy modern world. And not just our modern, Western world, but also to any other continent, country or culture, including the Haitian Ghetto. So here comes a contemporary, provocative and vivid tarot deck!
The photo project aims to reach beyond cultural boundaries of prejudice and ignorance to achieve a much-needed transformation of the collective conscious perception of the ghetto whilst discovering the power of our own thoughts. Therefore the Haitian slum is presented in another light and the pictures highlight the creativity and strength of its citizens.
The photographer is certain ; Only we ourselves are able to assign value or judgment to a tangible or intangible thing, which creates a positive or negative emotion. We lend a word meaning according to the way in which we were raised, our personal experiences and depending on who taught us to speak. Every one of our sentiments is a choice based on our thinking. We can look at destruction and see either despair or the start of something new. With this awareness comes the power to change the meaning of every word, action and emotion. It's all about perception.
This means we are not slaves of our pasts, we are not imprisoned by our current societal pressures, but we are free if we choose to be. We can give ourselves the freedom to create our own reality!
And if you want to find out how to change your perception… ask the cards!
In Haiti, 'ghetto' means a life in the slums. It means living without financial security. Yet 'ghetto' also means community, family, solidarity, strength and rich creativity. The Haitians are claiming the word 'ghetto' for their own. The word reached the island from overseas where it was associated with racism, poverty and exclusion. They liberate themselves of this unfavourable interpretation and are turning it into something beautiful. Their act of appropriating a cheerless word by altering its meaning is an act of inspiration.
Watch how they perceive their home!
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Within the consumer products and manufacturing industry, 42 percent of respondents said they're planning to invest $5 million or more in 2017, compared to 27 percent in the media and telecoms industry, and 23 percent in financial services. Put together, 30 percent of consumer manufacturing and media/telco industry respondents said their companies have already deployed blockchain into production.
Yet the industry the Deloitte report identifies with the most aggressive deployment plans is healthcare and life sciences: 35 percent of respondents in that industry say their companies plan to deploy blockchain in production within the next calendar year. When you look at some of the blockchain healthcare initiatives already out there, that stat starts to make a lot of sense.
One exciting project Forde pointed to is
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, an MIT initiative creating a blockchain to serve as a digital family history of medical records.Think about sitting down in a doctor's office and being asked your family medical history for a certain illness. You might, off the top of your head, have no idea of the answer. But with MedRec blockchain, families and medical providers can create a shared medical history that can be passed from generation to generation.
"With medical records, we're all asked that question: Is there any family history of this? The answer is usually 'I don't know,'" said Forde. "What's interesting here, as a result of the Affordable Care Act (ACA), we now have this mandate for electronic health records, and the government subsidizes doctors to get those records. But that data is still siloed. There needs to be a technology or protocol allowing all that data to be shared, regardless of provider. MedRec helps facilitate that. It's not just about the interoperability of your data; it's also about the protection of your data from fraud."
Forde said the project is also evolving as a way for hospitals and medical practices to interface with consumer tech. Think about all the real-time health data collected by wearables and fitness trackers and even apps like Apple Health. MedRec is exploring the possibility of using blockchain to give doctors and hospitals access to that data, if you consent.
"You've got Fitbit, Apple Watch, all this consumer tech collecting data on your blood pressure, heart rate, etc," said Forde. "Then you go to the hospital or your doctor and they have their own system. You see the allergist and they've got their own system, and none of it is connected. If there's no interoperability between any of these systems, how are you going to get the best possible care?"
The federal government recognizes blockchain's potential for health care, and the Department of Health and Human Services (HHS) is already doing something about it. The
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gathered more than 70 submissions of academic papers on blockchain usage in health IT and health-related research, announcing 15 winners this past September spanning organizations including Deloitte, IBM, MIT (MedRec was one of the winners), and The Mayo Clinic. The winners, who presented to the HHS for possible development and implementation, proposed blockchain solutions for everything from health insurance claims and payments to data interoperability and Medicaid applications. The Chamber of Digital Commerce, which participated in the challenge, sees blockchain's potential to transform healthcare and beyond.


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POOL is a unique, international design magazine from India. Published by Indi Design, it creates a curated platform for creative inspiration from India.
POOL's editorial team is an eclectic mix of young designers, writers and design enthusiasts from various parts of the world.
© 2016 INDI POOL | Powered by INDI Design


text:
Bbowyer needed a new web page design and created a contest on 99designs.
A winner was selected from 40 designs submitted by 5 freelance designers.
we provide work management software (via Saas)to bookkeepers
1)home page: should be very clean, and encourage visitors to read the text. I want vistors to stay on the site. get them to click through to a contact us sign up form.
2)Feature landing page: should provide an overall scope for the app, and a window to various feature areas (email mgmt, records mgmt, work mgmt, time mgmt, task mgmt). The navigation on and from this page needs to be very easy. Note that we could have 7-10 "Features" with feature sub pages.
3)Feature Sub page: layout for main area of feature, but also abilty to show "sub features" on the same page. This will be a rather long, rolling page, **navigation around the feature pages is critical**
<new> these pages could be the same. I just uploaded a nav concept which I like. You may have other suggestions.
4) Pricing/contact page. Make the text readable. very clean. Large encouragement to fill in the contact form.
See attachment for text volume on each page.
Note that mockup is just general feel. I am very interested in navigation around the features pages (main and sub). I have not included the contact form in the screenshots, but it is critical for the pricing page.
<new> I have just uploaded a navigation option which I like for feature pages. feel free to use that concept.
Looking for tech forward bookkeepers. They will likely have some form of online presence/social media involvement. They will be familiar with various online bookkeeping software.
NOTE; We are NOT financial software. We are work management software. We don't do financial records, we manage the documents/emails/tasks of a bookkeeper, while they work on the customers bookkeeping software.


text:
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Choosing a psychologist is an important decision.
Dr. Kathleen McHugh brings years of professional experience helping adults, seniors, teens and children as young as 7 with a wide range of psychological issues.
With her extensive training and expertise, Dr. McHugh can help you pinpoint problems and behaviors that may be holding you back. You'll find personal care, empathy and a supportive environment, and you'll be treated with professionalism and discretion.
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The office is conveniently located in Winter Park, and serves all of Greater Orlando and Central Florida. We will be happy to contact your insurance provider to find out what benefits are available to you and assist you in filing claims. Clients may also pay by cash, check or credit card.
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text: Hi.. I am struggling with ISPconfig latest and moving to nginx. I have even tried to completely re-install my server, before installing ispconfig http://www.howtoforge.com/perfect-server-ubuntu-11.10-with-nginx-ispconfig-3-p7 It looks like ISPconfig does not start, I can not find it in my processes list. I tried to do an update on it, and it spits out a couple of error messages: Code: Configuring Apps vhost PHP Warning: symlink(): No such file or directory in /tmp/ispconfig3_install/install/lib/installer_base.lib.php on line 1515 Configuring Database Configuring Bastille Firewall Updating ISPConfig PHP Notice: Undefined property: installer::$ispconfig_interface_installed in /tmp/ispconfig3_install/install/update.php on line 333 Reconfigure Crontab? (yes,no) [yes]: When doing a fresh-install, some symlink error appeared (I have tried 3-4 times now, almost giving up and going back to apache2). Any suggestions? any logs I can check? Try to load ispconfig manually? Thanks for any help! -Tom EDIT: After more research on this, I have figured more out. I think it has something to do with nginx. Now I receive a 403 Forbidden message when domain.com:8080 If I go to domain.com (phpinfo in index.php), the phpinfo display with FPM/FastCGI as server API. I have tried to look at the ispconfig.vhost file, but as I am totally new to nginx, I am not sure where to start. it is the default vhost file installed with installer. Any suggestions?


text:
Daily Rewind: Steven Adler, Alice Cooper, Eric Clapton + More
Today Steven Adler takes himself off Guns N' Roses holiday card list, then tries to get back in their good graces, someone cleans out Alice Cooper, and a rare Beatles record goes for big bucks.
Also, Stevie Nicks makes another TV appearance, Eric Clapton celebrates a birthday, and Wilson Phillips pays homage to the Beach Boys.
Today's Stories from Ultimate Classic Rock:
The Beatles 'Hey Jude' Vinyl Rarity Sells Big At Auction
Wilson Phillips Covers the Beach Boys Classic 'Good Vibrations'
Alice Cooper Gets Robbed
Steven Tyler Drops the Hammer on 'American Idol' Jokester
Steven Adler Labels Current Guns N' Roses Lineup 'Hacks'
Stevie Nicks Guest Stars on 'Up All Night'
Eric Clapton – Then and Now
Steven Adler Apologies for Calling Guns N' Roses 'Hacks'
Iron Maiden, Deep Purple Stars Headed for Buddy Rich Tribute
Ultimate Classic Rock Also Recommends:
Red Hot Chili Peppers Offering Free Live EP to Celebrate U.S. Tour
DJ Ashba Talks the Future of Guns N' Roses, Jamming With Sixx: A.M. + More
Fan Makes Greatest Catch in Baseball History
Google's Best April Fool's Day Pranks


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We've covered the Lazareth Wazuma before, in its E85 drinking BMW V12 semi-bio-friendly form. Of course when you've already built a 500hp supercharged slede that makes mothers lock up their daughters, there isn't much stopping you from pushing the limits even further, as is the case with Lazareth's latest iteration of the Wazuma platform. Now powered by a Ferrari V8 motor, the Lazareth Wazuma V8F boasts other fun items like its BMW M3 gearbox, with push-to-shift controls embedded into the four-wheeler's handlebars.
Despite its four wheels, the Lazareth Wazuma V8F is more like a trike than a quad, and has been made so the rear-wheels are close together like road-going trike, and make one virtual über-wheel-of-death that has a contact patch larger than the hole Richard Nixon left in the American psyche after he stepped down from office. Catering to the "I'm not a crook" crowd, Lazareth has posted this monster of a machine on JamesList, the Craigslist of the 1%, and is asking for a mere €200,000 in exchange for ownership of the French-made machine.


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Enjoy the refreshing taste of Doublemint gum - the unique, minty flavor you can't get anywhere else. Doublemint was launched in the U.S. in 1914 and has since become one of the world's best-selling chewing gums, enjoyed by generations of consumers worldwide. Today, the classic Doublemint flavor lasts longer than ever. Doublemint is one of the largest selling gum brands in the world, available in over 140 countries.© 2010 Wm. Wrigley Jr. Company. All Rights Reserved. Wrigley's, Doublemint, Double Your Pleasure, Double Your Fun and all affiliated designs are trademarks of the Wm. Wrigley Jr. Company.
GumSingle packs• 5-stick pack• 15-stick Slim Pack™Multi-packs• 4 pack (4 packages of 5 sticks each)• Slim Pack 3 Pack (3 packages of 15 sticks each)
The wrapper design for Doublemint has undergone a few changes over the years, but the essential elements have remained fairly constant. For instance, the unique green package has featured the word Doublemint in a distinctive double-headed arrow design, along with the well-known double sprig of mint.