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Ocmulgee Bead Works and Designs by ocmulgeebeadworks on Etsy
ocmulgeebeadworks
Ocmulgee Bead Works and Designs
Announcement Welcome to the heart of Georgia and Ocmulgee Bead Works and Designs! Sit back and stroll through my Etsy shop of beads and handcrafted jewelry. I hope you will find something you love! For additional unique handcrafted items, please visit my other Etsy shop, Skydawg. Click on the attached link: http://www.etsy.com/shop/SkyDawg?ref=ss_profile
Welcome to the heart of Georgia and Ocmulgee Bead Works and Designs! Sit back and stroll through my Etsy shop of beads and handcrafted jewelry. I hope you will find something you love! For additional unique handcrafted items, please visit my other Etsy shop, Skydawg. Click on the attached link: http://www.etsy.com/shop/SkyDawg?ref=ss_profile
Rebecca Walker on Mar 11, 2014
Extremely well made and pretty.
Blue Kyanite Gemstone Stick Wire Wrapped Earrings
absolutely love these earring and very fast shipping! thank you
Blue Patina Distressed Metal Medallion Earrings
Golden Caramel Patina Copper Filigree Rondelle Bohemian Style Dangle Earrings
Your package will be shipped by USPS the following day after payment is received. If you need an item shipped for faster receipt, contact me so we can discuss shipping arrangements and additional charges.
Please contact me directly if you are not fully satisfied with your purchase. Returns and exchanges are not valid after 14 days of purchase date.
If an item is damaged during transit, please convo or email me so we may discuss the best way to resolve the situation. Customer service is important and I would like to fix it before you leave any negative feedback.
Please remember that jewelry pieces in the photos appear larger than they actually are to show the detail for each piece. Colors may be slightly diffferent than in the photos depending on the lighting and computer monitors.

value: This website is an American e-commerce company focused on handmade or vintage items and craft supplies.


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Sunderland fan Liam Jones banned for making monkey gesture at Romelu Lukaku | Daily Mail Online
RIATH AL-SAMARRAI: Joshua showed maturity and composure to weather the Wembley storm of Povetkin
'Playing at 30 per cent of your potential is not enough': Mourinho accuses his United stars of lacking will to win after Wolves draw
Woods is poised to claim first win in five years and 80th on the PGA Tour after carding superb 65 at Tour Championship
'It would be harsh to say it was because of me': Arnautovic plays down claims Bilic's West Ham sacking was HIS fault
Sunderland fan handed three-year ban after making monkey gesture at Lukaku
By David Kent for MailOnline
Published: 10:06 EDT, 5 August 2013 | Updated: 10:06 EDT, 5 August 2013
A fan who made a monkey gesture when striker Romelu Lukaku scored against Sunderland has been handed a three-year football banning order.
Liam Jones, 22, was given an 18-month conditional discharge after he admitted causing racially aggravated harassment, alarm or distress while watching his team lose to West Brom at the Stadium of Light in November.
Sunderland lost the game 4-2 and Jones, from East Vines, Hendon, was photographed in the stands making a monkey gesture towards the Belgian striker who had just scored.
Guilty: Liam Jones was handed a three-year football banning order after he made a monkey gesture
As the player was snapped leaping in celebration, Jones could be seen out of his seat, in a grey flat cap, shouting at the striker with his hands cupped towards his armpits.
He later told reporters he was doing a 'chicken dance' and pleaded not guilty to the charge when it came before Sunderland magistrates.
A trial had been due to take place next month but at a hearing last week Jones entered a guilty plea.
Court officials have confirmed he was handed a three year football banning order and an 18-month conditional discharge.
Shamed: Jones reacted to Romelu Lukaku scoring against Sunderland in the Premier League
Following a previous court hearing, Jones made as if he was going to spit at photographers waiting outside.
After the case, Chief Superintendent Steve Neill of Northumbria Police, said: 'Racist behaviour of any kind will not be tolerated and Northumbria Police will fully investigate any reports made to us.
'We know people who are responsible for these actions are part of a small minority and would continue to encourage anyone who sees this kind of behaviour to report it to us and help us rid football of any racism.'
'I was doing a chicken dance!' Sunderland fan accused of... Sunderland fan released on bail after being quizzed over... All the latest Sunderland news, features and opinion All the latest West Bromwich Albion news, features and opinion
Sunderland fan Liam Jones banned for making monkey gesture at Romelu Lukaku
Fury says Joshua is robbing Britons of the biggest boxing fight
Wigan want to bring free agent Steven Caulker to the DW...
Anthony Joshua shows maturity and composure as he weathers the Wembley storm of Alexander Povetkin
Tiger Woods poised to claim his first win in five years and 80th on the PGA Tour after carding sublime a 65...
Who will heavyweight champion Anthony Joshua fight next after his decisive win over Alexander Povetkin?
'Playing at 30 per cent of your potential is not enough': Manchester United manager Jose Mourinho accuses his stars of lacking the will to win after home draw with Wolves
From damned to blessed: Watching Marcelo Bielsa's Leeds was better than the Champions League... but enjoy it while you can as it may not last long
Tiger Woods poised to claim his first win in five years and 80th on the PGA Tour after carding sublime a 65 just five days before start of the Ryder Cup
Mohamed Salah leaves young fan in tears as Liverpool star hands out shirt after victory over Southampton
'I prefer to defend as far as possible up the pitch': Chelsea's Cesar Azpilicueta reveals he's perfectly suited to Maurizio Sarri's style and backs Eden Hazard to be the world's best

type: global

value: This website is the website of the Daily Mail, a newspaper in the United Kingdom, and of its sister paper The Mail on Sunday. MailOnline is a division of dmg media, which is owned by Daily Mail and General Trust plc.


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BBC Sport - Cameroon defender Aurelien Chedjou signs new Lille deal
Home Football Formula 1 Cricket Rugby U Rugby L Tennis Golf Athletics More Sport American Football Archery Badminton Baseball Basketball Bowls Boxing Canoeing Commonwealth Games Cycling Darts Disability Sport Diving Equestrian Fencing Gaelic Games Gymnastics Handball Hockey Horse Racing Ice Hockey Judo Modern Pentathlon MotoGP Netball Olympics Rowing Sailing Shooting Snooker Sports Personality Squash Swimming Table Tennis Taekwondo Triathlon Volleyball Weightlifting Winter Sports Wrestling Around the UK England Northern Ireland Scotland Wales African Football Results Fixtures Tables Live Scores All Teams Leagues & Competitions UK & Ireland Premier League Championship League One League Two Conference FA Cup League Cup Scottish Football Scottish Premier League Scottish First Division Scottish Second Division Scottish Third Division Scottish Cup Scottish League Cup Scottish Challenge Cup Welsh Football Irish Football Women's Football Europe Champions League Europa League International World Cup 2014 Euro 2012 World Cup 2010 African Football 13 August 2012
Cameroon defender Aurelien Chedjou signs new Lille deal
Cameroon international defender Aurelien Chedjou has agreed a contract extension with Lille that keeps him at the French Ligue 1 club until 2016.
The 27-year-old, who joined Lille from Rouen in January 2007, has extended his deal by one year.
Lille said in statement: "His athletic power, remarkable technique, his sense of position, anticipation and recovery have made him a leading player."
Chedjou was also described as "one of the driving forces of Lille".
The centre-back, who has played 120 games for Lille, scored in his side's 2-1 victory over St Etienne on Saturday as the new season got underway in France.

value: This website is the BBC's online service. It is a large network of websites including such high-profile sites as BBC News and Sport, the on-demand video and radio services co-branded BBC iPlayer, the children's sites CBBC and CBeebies, and learning services such as Bitesize.


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The other room also had a small cuisine, well... - Review of daMonte Apartments - TripAdvisor
The other room also had a small cuisine, well... - Review of daMonte Apartments
“excellent place but with an important minus”
Topliski Put 29 - 31, Budva, Budva Municipality 85310, Montenegro |
Ranked #5 of 294 Specialty Lodging in Budva
excellent place but with an important minus
i spent here 7 nights, almost half of my vacantionn in the balkans. i can say it was a happy choice. the owner, mr dragan, was a very good host, always available with a lot of good advice, thank you again via tripadvisor.
we had an appartmen t= 2 separate rooms, one smaller with a good double bed, tv that wasn't really working but i didn't want to use it anyway, a good AC and a refrigerator. the other room also had a small cuisine, well equipped and a big balcony. each room with it's bathe.
other good things, the wi-fi had a very good signal and we had our parking lot for the hole stay there. the price was also good, maybe smaller than other villas with same conditions. what i didn't like was that the villa is situated on a blatant street especially during the night. other bad thing, although the rooms looked good, with nice furniture, they weren't very clean, and i refer to the floor. i think there was no vacuum cleaning..ever. under the bad there was a "nice" layer of dust.
what can i say...you can walk wearing your step ins or wash your feet before going to bed.
all in all i recommend mr dragan and his apartments
Ask deired about daMonte Apartments
damontebudva, Owner at daMonte Apartments, responded to this reviewResponded July 22, 2014
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Апартаменты DaMonte.
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Additional Information about daMonte Apartments
Address: Topliski Put 29 - 31, Budva, Budva Municipality 85310, Montenegro
TripAdvisor is proud to partner with Booking.com so you can book your daMonte Apartments reservations with confidence. We help millions of travelers each month to find the perfect hotel for both vacation and business trips, always with the best discounts and special offers.

value: This website is an American online travel company that operates a website and mobile app with user-generated content and a comparison shopping website.


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Visiting Nurse Association in Poplar Bluff, MO with Reviews - YP.com
Poplar Bluff, MO Visiting Nurse Association
3999 State Hwy PPPoplar Bluff, MO 63901
3. Heart To Heart in-Home Care Inc.
114 N Main StPiedmont, MO 63957
From Business: We provide In-Home Care for the elderly and Disabled, with the Trust Reliability and Responsiveness that you look for in a Home Care provider. We provide services…
5. Bootheel Area Indep. Living Services
10. Nature's Pure Advantage
2445 N Westwood BlvdPoplar Bluff, MO 63901
(573) 785-0776
11. SEMO Prescription Care
(573) 778-9151
12. Covenant Care Services
109 S Main StPoplar Bluff, MO 63901
(573) 776-1282
13. Marler Home Care
14. Alliance In Home Care Services
(573) 785-3000
15. Tri County Group Xv Inc
2180 N Westwood BlvdPoplar Bluff, MO 63901
(573) 996-5269
16. Vna Of Southeast Missouri - CLOSED
923 W Pine StPoplar Bluff, MO 63901
17. River Valley In Home ServicesMOVED
18. CMV in Home Assistance
321 Oak StPoplar Bluff, MO 63901
(573) 333-3268
20. Butler County Health Department
1619 N Main StPoplar Bluff, MO 63901
21. The Other Side Home Health Care Inc
22. Casa Care Owned by Quality Care
2955 Kanell BlvdPoplar Bluff, MO 63901
25. True Care Home Health Equipment
26. White & Associates CDS, LLC
27. Southern Care and Comfort In Home Agency
120 N Broadway StPoplar Bluff, MO 63901
(573) 686-2273
28. 2gethertech Inc
29. Ilcsemo
30. Independent Living Center of Semo
Your Local In-Home Care Agency

value: This website is a United States-based web site operated by YP Holdings that provides listings for local businesses. In 2013 it was re-branded as YP.com or simply "YP".


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Scottish football: Who will win what in season 2014-15? - BBC Sport
http://www.bbc.co.uk/sport/football/28640467
Aberdeen ended their trophy drought with victory over Inverness in the League Cup last season
Premiership: Celtic. Despite their reinstatement to the Champions League, Ronny Deila's side have been lamentable in Europe. They will still win the league, but on the current evidence it will be a fairly joyless grind unless the new manager improves quickly and recruits properly. The downsizing gives Aberdeen hope, but not enough to mount a sustained bid for the title.
Championship: Rangers. They are still lacking creativity in midfield and solidity at the back but the key thing is that they've added experience and goals in Kris Boyd and Kenny Miller. That ought to be enough to get them over the line as champions ahead of Hearts and Hibs, presuming there isn't another financial implosion at Ibrox, which can never be discounted.
League One: Dunfermline. The East End Park men finished second to Rangers last season but were 12 points clear of the rest of the pack. That makes them odds-on favourites to take the title, especially with dependable goalscorer Michael Moffat joining in the summer. Hard to see past them.
League Two: Clyde. So much managerial change in this division since this time last year and so much unpredictability. East Fife are favourites but Clyde, under Barry Ferguson, could be the one. He could be a major factor on the pitch as much off it.
League Cup: Aberdeen.
Scottish Cup: Aberdeen.
Premiership: Celtic. It is impossible to look beyond the defending champions, because they have a stronger squad, greater resources and the best players in the league.
Championship: Rangers. Nothing can be taken for granted in the second tier, since Hearts and Hibs could recover their poise quickly enough, but the Ibrox side still have the greater resources and the most prolific finisher in Kris Boyd.
League One: Dunfermline. Lost in the play-offs last season, and might still be emotionally bruised, but the nous of Jim Jefferies ought to be enough to make sure no mistakes are made in this campaign.
League Two: Clyde. Barry Ferguson is still a novice in managerial terms, but Clyde reached the play-offs last season and some shrewd additions to the squad should ensure an effective title challenge.
League Cup: Dundee United.
Scottish Premiership: Celtic. The champions will be too strong for the other sides in the top flight. They haven't showed up well in Europe so far and need to bring in some new faces to ensure they have adequate resources to defend their title.
Championship: Rangers. The signings of Kris Boyd and Kenny Miller should ensure Ally McCoist's men have the firepower to continue their progress up the divisions. This could be their toughest challenge yet, with Hearts and Hibernian expected to be their main rivals.
Ronny Deila has endured a tough start as Celtic boss but the champions are still favourites for the title
League One: Dunfermline. If it hadn't been for Rangers, the Fife side would have won the title comfortably last season. I expect Morton under the stewardship of Jim Duffy also to be in the promotion mix.
League Two: Clyde. The Bully Wee have pinned their hopes on the appointment of Barry Ferguson as their manager. If he plays regularly he could also have a major influence on the pitch. Albion Rovers under Darren Young and Sandy Clark could be the surprise package in the promotion race.
League Cup: Rangers.
Celtic - it's a no-brainer for me, even though they were disappointing in the Champions League qualifier against Legia Warsaw
Premiership: Celtic. It's a no-brainer for me, even though they were disappointing in the Champions League qualifier against Legia Warsaw. They're back in that competition now and even though they are not as strong as in previous seasons, they have the squad to win the title. Aberdeen have improved and if they can finish the season less than 20 points behind Celtic that will be a good achievement.
Championship: Rangers. I still feel there's something missing from the Ibrox side but the signings of Kris Boyd and Kenny Miller should ensure they have enough to edge it. It won't be easy for them, though, and I can see Hearts pushing them all the way to the wire as the Tynecastle side have added good experience to their crop of promising youngsters.
League One: Dunfermline. The Pars beat Championship side Raith Rovers in the Challenge Cup, so they've already put down a marker for the season ahead. Jim Jefferies has the experience to guide them to the title and I feel this is their year to return to the Championship, with Morton hot on their heels and my tip for the play-offs.
League Two: Clyde. The Broadwood side were unlucky to lose 2-1 to Championship outfit Cowdenbeath in the League Cup, so they are already showing signs of promise under Barry Ferguson. If the player-boss can add a few new faces to his squad they should be in with a great shout of landing the title. Albion Rovers, under Darren Young, will also be a force this term and I fancy them to land a play-off spot.
Scottish Cup: Celtic.
Australian Open quarter-final: Williams a game away from last four
Read more on Australian Open quarter-final: Williams a game away from last four
Read more on New characters introduced to familiar Premiership story
Read more on Fallen giants joust as they seek to reach the top tier
Read more on Scottish Premiership: Supporters preview the new season
Read more on Scottish Premiership ins and outs - summer 2014
Read more on Scottish Championship ins and outs - summer 2014


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Robert E. Howard : a collector's descriptive bibliography of American and British hardcover, paperback, magazine, special and amateur editions, with a biography (图书, 2007) [WorldCat.org]
题名： Robert E. Howard : a collector's descriptive bibliography of American and British hardcover, paperback, magazine, special and amateur editions, with a biography
著者： Leon Nielsen
添加标签 目的是为 "Robert E. Howard : a collector's descriptive bibliography of American and British hardcover, paperback, magazine, special and amateur editions, with a biography".

value: This website is a union catalog that itemizes the collections of 15,637 libraries in 107 countries that participate in the OCLC global cooperative. It is operated by OCLC, Inc.


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Patent US8031273 - Display device, viewing angle control device, and electronic device - Google PatentsSearch Images Maps Play YouTube News Gmail Drive More »Sign in<nobr>Advanced Patent Search</nobr>PatentsA first transparent electrode film, which is a component of a SW-LCD for viewing angle control, is used as a touch panel. When a contacting object contacts the surface of the first transparent electrode film, a position detector detects currents flowing from plural parts of the first transparent electrode...http://www.google.com/patents/US8031273?utm_source=gb-gplus-sharePatent US8031273 - Display device, viewing angle control device, and electronic deviceAdvanced Patent SearchPublication numberUS8031273 B2Publication typeGrantApplication numberUS 11/575,244Publication dateOct 4, 2011Filing dateSep 12, 2005Priority dateSep 17, 2004Also published asUS20080055221, WO2006030745A1Publication number11575244, 575244, US 8031273 B2, US 8031273B2, US-B2-8031273, US8031273 B2, US8031273B2InventorsKoji Yabuta, Hiroshi Fukushima, Tomoo Takatani, Akira ImaiOriginal AssigneeSharp Kabushiki KaishaExport CitationBiBTeX, EndNote, RefManPatent Citations (76), Non-Patent Citations (13), Referenced by (8), Classifications (14), Legal Events (1) External Links: USPTO, USPTO Assignment, EspacenetDisplay device, viewing angle control device, and electronic deviceUS 8031273 B2Abstract A first transparent electrode film, which is a component of a SW-LCD for viewing angle control, is used as a touch panel. When a contacting object contacts the surface of the first transparent electrode film, a position detector detects currents flowing from plural parts of the first transparent electrode film so as to detect the contacting position of the contacting object, with reference to the detection result. With this, it is possible to provide a built-in touch sensor display device which is thin, lightweight, and low-cost, a viewing angle control device, and an electronic device.
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"Display Control Device, Display Apparatus, Method of Controlling Display Device, Display Control Program, and Storage Medium Storing the Program"; U.S. Appl. No. 11/574,371, filed Feb. 27, 2007.2Akira Imai et al.; "Viewing-Angle Control Device, Display Apparatus, Method for Controlling Viewing-Angle Control Device, Viewing-Angle Control Program, and Storage Medium Storing the Program"; U.S. Appl. No. 11/574,375, filed Feb. 27, 2007.3Hiroshi Fukushima et al.; "Display Device, Viewing Angle Control Device, and Electronic Apparatus"; U.S. Appl. No. 11/575,112, filed Mar. 12, 2007.4Koji Yabuta et al.; "Display Device and Electronic Apparatus", U.S. Appl. No. 11/576,555, filed Apr. 3, 2007.5Official Communication for PCT Application No. PCT/JP2005/015661; mailed on Oct. 25, 2005.6Official Communication for PCT Application No. PCT/JP2005/015680; mailed on Oct. 25, 2005.7Official Communication for PCT Application No. PCT/JP2005/016003; mailed on Oct. 11, 2005.8Official Communication for PCT Application No. PCT/JP2005/016590; mailed on Oct. 18, 2005.9Official Communication for PCT Application No. PCT/JP2005/016773; mailed on Oct. 25, 2005.10Official Communication issued in corresponding U.S. Appl. No. 11/574,371, mailed on Jan. 12, 2010.11Official Communication issued in corresponding U.S. Appl. No. 11/574,375, mailed on Jan. 12, 2010.12Official Communication issued in corresponding U.S. Appl. No. 11/574,609, mailed on Dec. 8, 2009.13Tomoo Takatani et al.; "Display Device, Viewing Angle Control Device, and Electronic Apparatus"; U.S. Appl. No. 11/574,609, filed Mar. 2, 2007.Referenced byCiting PatentFiling datePublication dateApplicantTitleUS8102644 *Aug 24, 2007Jan 24, 2012Kyocera CorporationElectronic deviceUS8558799 *Dec 18, 2006Oct 15, 2013Koninklijke Philips N.V.Method and device for user interactionUS8674966 *Mar 20, 2012Mar 18, 2014Neonode Inc.ASIC controller for light-based touch screenUS8687135 *Nov 9, 2010Apr 1, 2014Lg Display Co., Ltd.Stereoscopic liquid crystal display device having touch panel and method for manufacturing the sameUS8743157Jul 14, 2011Jun 3, 2014Motorola Mobility LlcAudio/visual electronic device having an integrated visual angular limitation deviceUS20080303802 *Dec 18, 2006Dec 11, 2008Koninklijke Philips Electronics, N.V.Method and Device for User InteractionUS20110109622 *Nov 9, 2010May 12, 2011Jung-Eun SonStereoscopic liquid crystal display device having touch panel and method for manufacturing the sameUS20120188205 *Mar 20, 2012Jul 26, 2012Neonode, Inc.Asic controller for light-based touch screen* Cited by examinerClassifications U.S. Classification349/12, 349/1, 349/129, 345/173International ClassificationG02F1/1337, G02F1/1335Cooperative ClassificationG09G3/3611, G09G2320/028, G02F1/13338, G06F3/0412, G09G2320/068European ClassificationG06F3/041D, G09G3/36C, G02F1/1333ULegal EventsDateCodeEventDescriptionMar 14, 2007ASAssignmentOwner name: SHARP KABUSHIKI KAISHA, JAPANFree format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:YABUTA, KOJI;FUKUSHIMA, HIROSHI;TAKATANI, TOMOO;AND OTHERS;REEL/FRAME:019008/0863;SIGNING DATES FROM 20070302 TO 20070305Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:YABUTA, KOJI;FUKUSHIMA, HIROSHI;TAKATANI, TOMOO;AND OTHERS;SIGNING DATES FROM 20070302 TO 20070305;REEL/FRAME:019008/0863RotateOriginal ImageGoogle Home - Sitemap - USPTO Bulk Downloads - Privacy Policy - Terms of Service - About Google Patents - Send FeedbackData provided by IFI CLAIMS Patent Services©2012 Google

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Respiratory failure is a syndrome in which the respiratory system fails in one or both of its gas exchange functions: oxygenation and carbon dioxide elimination. In practice, respiratory failure is defined as a PaO2 value of less than 60 mm Hg while breathing air or a PaCO2 of more than 50 mm Hg. Furthermore, respiratory failure may be acute or chronic. While acute respiratory failure is characterized by life-threatening derangements in arterial blood gases and acid-base status, the manifestations of chronic respiratory failure are less dramatic and may not be as readily apparent. Alveolar hypoventilation can cause both hypoxemia and hypercapnia. In trauma, we see this acutely when pts splint from painful rib fxs - tire out, need intubation. Maximum inspiratory pressure. VCO2 is rate of CO2 production. Nl is 90 to 130 L/min/m2, which is 80% of VO2. VCO2 is rate of CO2 production. Nl is 90 to 130 L/min/m2, which is 80% of VO2. VCO2 is rate of CO2 production. Nl is 90 to 130 L/min/m2, which is 80% of VO2. This is the most common form of respiratory failure, and it can be associated with virtually all acute diseases of the lung, which generally involve fluid filling or collapse of alveolar units. Some examples of type I respiratory failure are cardiogenic or noncardiogenic pulmonary edema, pneumonia, and pulmonary hemorrhage. This is the most common form of respiratory failure, and it can be associated with virtually all acute diseases of the lung, which generally involve fluid filling or collapse of alveolar units. Some examples of type I respiratory failure are cardiogenic or noncardiogenic pulmonary edema, pneumonia, and pulmonary hemorrhage. DO2 oxygen delivery; VO2 oxygen uptake. Imbalance can aggravate hypoxemia caused by abnl gas exchange in lungs. * pulmonary oedema * normal vascular pedicle * no cardiomegaly or upper lobe blood diversion * when pulmonary vessels can be distinguished they are often constricted * septal lines usually absent because capillary leak occurs directly into alveolar spaces (cf cardiogenic pulmonary oedema) * progressive lung destruction and transition from alveolar to interstitial opacities Chronic phase * fibrosis * focal emphysema * pulmonary oedema * normal vascular pedicle * no cardiomegaly or upper lobe blood diversion * when pulmonary vessels can be distinguished they are often constricted * septal lines usually absent because capillary leak occurs directly into alveolar spaces (cf cardiogenic pulmonary oedema) * progressive lung destruction and transition from alveolar to interstitial opacities Chronic phase * fibrosis * focal emphysema Activation of inflammatory mediators and cellular components resulting in damage to capillary endothelial and alveolar epithelial cells Increased permeability of alveolar capillary membrane Influx of protein rich edema fluid and inflammatory cells into air spaces Dysfunction of surfactant Activation of inflammatory mediators and cellular components resulting in damage to capillary endothelial and alveolar epithelial cells Increased permeability of alveolar capillary membrane Influx of protein rich edema fluid and inflammatory cells into air spaces Dysfunction of surfactant Activation of inflammatory mediators and cellular components resulting in damage to capillary endothelial and alveolar epithelial cells Increased permeability of alveolar capillary membrane Influx of protein rich edema fluid and inflammatory cells into air spaces Dysfunction of surfactant Activation of inflammatory mediators and cellular components resulting in damage to capillary endothelial and alveolar epithelial cells Increased permeability of alveolar capillary membrane Influx of protein rich edema fluid and inflammatory cells into air spaces Dysfunction of surfactant Activation of inflammatory mediators and cellular components resulting in damage to capillary endothelial and alveolar epithelial cells Increased permeability of alveolar capillary membrane Influx of protein rich edema fluid and inflammatory cells into air spaces Dysfunction of surfactant Activation of inflammatory mediators and cellular components resulting in damage to capillary endothelial and alveolar epithelial cells Increased permeability of alveolar capillary membrane Influx of protein rich edema fluid and inflammatory cells into air spaces Dysfunction of surfactant Direct Lung Injury : a) PNA and aspiration of gastric contents or other causes of chemical pneumonitis b) pulmonary contusion, penetrating lung injury c) fat emboli d) near drowning e) inhalation injury f) reperfusion pulm edema after lung transplant Indirect lung injury a) sepsis b) severe trauma w/ shock hypoperfusion c) drug over dose d) cardiopulmonary bypass e) acute pancreatitis f) transfusion of multp blood products Indirect lung injury a) sepsis b) severe trauma w/ shock hypoperfusion c) drug over dose d) cardiopulmonary bypass e) acute pancreatitis f) transfusion of multp blood products patients with ALI/ARDS at 10 centers, 861 patients Patients randomized to tidal volumes of 12 mL /kg or 6 ml/kg(volume control, assist control, plat Press = 30 cm H2O) 22% reduction in mortality in patients receiving smaller tidal volume Number-needed to treat: 12 patients Transcript
Acute Respiratory Failure Cindy Kin Trauma Conference 6 August 2007 Stanford Surgery 2.
Acute Respiratory Failure Failure in one or both gas exchange functions: oxygenation and carbon dioxide elimination In practice: PaO2<60mmHg or PaCO2>46mmHg Derangements in ABGs and acid-base status 3.
Acute Respiratory Failure Hypercapnic v Hypoxemic respiratory failure ARDS and ALI 4.
Hypercapnic Respiratory Failure (PAO2 - PaO2) Alveolar Hypoventilation V/Q abnormality  PI max increased normal Nl VCO2 PaCO2 >46mmHg Not compensation for metabolic alkalosis Central Hypoventilation Neuromuscular Problem  VCO2 V/Q Abnormality Hypermetabolism Overfeeding 5.
The Case of Patient RV 71M s/p L AKA revision. PMH: CAD s/p CABG, COPD on home O2 and CPAP, DM, CVA, atrial fibrillation PACU: L pleural effusion, hypotension, altered mental status. Sent to ICU for monitoring. POD#1:  RR overnight, intermittently hypoxic. BiPAP 40%: 7.34/65/63/35/+10 Preintubation: 7.28/91/81/43 6.
Hypercapnic Respiratory Failure (PAO2 - PaO2) Alveolar Hypoventilation V/Q abnormality  PI max increased normal Nl VCO2 PaCO2 >46mmHg Not compensation for metabolic alkalosis Central Hypoventilation Neuromuscular Problem  VCO2 V/Q Abnormality Hypermetabolism Overfeeding 7.
Hypercapnic Respiratory Failure Alveolar Hypoventilation Brainstem respiratory depression Drugs (opiates) Obesity-hypoventilation syndrome  PI max Central Hypoventilation Neuromuscular Disorder nl  PI max Critical illness polyneuropathy Critical illness myopathy Hypophosphatemia Magnesium depletion Myasthenia gravis Guillain-Barre syndrome 8.
Hypercapnic Respiratory Failure (PAO2 - PaO2) Alveolar Hypoventilation V/Q abnormality  PI max increased normal Nl VCO2 PaCO2 >46mmHg Not compensation for metabolic alkalosis Central Hypoventilation Neuromuscular Disorder  VCO2 V/Q Abnormality Hypermetabolism Overfeeding 9.
Hypercapnic Respiratory Failure V/Q abnormality Increased Aa gradient Nl VCO2  VCO2 V/Q Abnormality Hypermetabolism Overfeeding 10.
Hypercapnic Respiratory Failure V/Q abnormality Increased Aa gradient Nl VCO2  VCO2 V/Q Abnormality Hypermetabolism Overfeeding Increased dead space ventilation advanced emphysema  PaCO2 when Vd/Vt >0.5 Late feature of shunt-type edema, infiltrates 11.
Hypercapnic Respiratory Failure V/Q abnormality Increased Aa gradient Nl VCO2  VCO2 V/Q Abnormality Hypermetabolism Overfeeding VCO2 only an issue in pts with ltd ability to eliminate CO2 Overfeeding with carbohydrates generates more CO2 12.
Hypoxemic Respiratory Failure Is PaCO2 increased? Hypoventilation  (PAO2 - PaO2)? Hypoventilation alone  Respiratory drive Neuromuscular dz Hypovent plus another mechanism Shunt  Inspired PO2 High altitude  FIO2  (PAO2 - PaO2) No No Yes Yes Is low PO2 correctable with O2? V/Q mismatch No Yes 13.
The Case of Patient ES 77F s/p MVC. Injuries include multiple L rib fxs, L hemopneumothorax s/p chest tube placement, L iliac wing fx. PMH: atrial arrhythmia, on coumadin. INR>2 HD#1 RR 30s and shallow. Pain a/w breathing deeply. Placed on BiPAP overnight PID#1 BiPAP 80%: 7.45/48/66/32/+10 14.
Hypoxemic Respiratory Failure Is PaCO2 increased? Hypoventilation  (PAO2 - PaO2)? Hypoventilation alone  Respiratory drive Neuromuscular dz Hypovent plus another mechanism Shunt  Inspired PO2 High altitude  FIO2  (PAO2 - PaO2) No No Yes Yes Is low PO2 correctable with O2? V/Q mismatch No Yes 15.
Hypoxemic Respiratory Failure V/Q mismatch V/Q mismatch DO2/VO2 Imbalance PvO2>40mmHg PvO2<40mmHg  DO2: anemia, low CO  VO2: hypermetabolism 16.
Hypoxemic Respiratory Failure V/Q mismatch SHUNT V/Q = 0 DEAD SPACE V/Q = ∞ Atelectasis Intraalveolar filling Pneumonia Pulmonary edema Pulmonary embolus Pulmonary vascular dz Airway dz (COPD, asthma) Intracardiac shunt Vascular shunt in lungs ARDS Interstitial lung dz Pulmonary contusion 17.
Hypoxemic Respiratory Failure V/Q mismatch SHUNT V/Q = 0 DEAD SPACE V/Q = ∞ Atelectasis Intraalveolar filling Pneumonia Pulmonary edema Pulmonary embolus Pulmonary vascular dz Airway dz (COPD, asthma) Intracardiac shunt Vascular shunt in lungs ARDS Interstitial lung dz Pulmonary contusion 18.
Hypoxemic Respiratory Failure Acute Respiratory Distress Syndrome Severe ALI B/L radiographic infiltrates PaO2/FiO2 <200mmHg (ALI 201-300mmHg) No e/o  L Atrial P; PCWP<18 19.
Hypoxemic Respiratory Failure Acute Respiratory Distress Syndrome Develops ~4-48h Persists days-wks Diagnosis: Distinguish from cardiogenic edema History and risk factors 20.
Inflammatory Alveolar Injury 22.
Inflammatory Alveolar Injury Pro-inflmm cytokines (TNF, IL1,6,8) 23.
Inflammatory Alveolar Injury Pro-inflmm cytokines (TNF, IL1,6,8) Neutrophils - ROIs and proteases damage capillary endothelium and alveolar epithelium 24.
Inflammatory Alveolar Injury Fluid in interstitium and alveoli Pro-inflmm cytokines (TNF, IL1,6,8) Neutrophils - ROIs and proteases damage capillary endothelium and alveolar epithelium 25.
Inflammatory Alveolar Injury Fluid in interstitium and alveoli Impaired gas exchange  Compliance  PAP Pro-inflmm cytokines (TNF, IL1,6,8) Neutrophils - ROIs and proteases damage capillary endothelium and alveolar epithelium 26.
Hypoxemic Respiratory Failure Acute Respiratory Distress Syndrome Exudative phase Fibrotic phase Proliferative phase Diffuse alveolar damage 27.
Hypoxemic Respiratory Failure Acute Respiratory Distress Syndrome Direct Lung Injury Infectious pneumonia Aspiration, chemical pneumonitis Pulmonary contusion, penetrating lung injury Fat emboli Near-drowning Inhalation injury Reperfusion pulmonary edema s/p lung transplant 28.
Hypoxemic Respiratory Failure Acute Respiratory Distress Syndrome Indirect Lung Injury Sepsis Severe trauma with shock/hypoperfusion Burns Massive blood transfusion Drug overdose: ASA, cocaine, opioi ds, phenothiazines, TCAs. Cardiopulmonary bypass Acute pancreatitis 29.
Hypoxemic Respiratory Failure Acute Respiratory Distress Syndrome Complications Barotrauma Nosocomial pneumonia Sedation and paralysis  persistent MS depression and neuromuscular weakness 30.
Hypoxemic Respiratory Failure Acute Respiratory Distress Syndrome 861 patients, 10 centers Randomized Tidal Vol 12mL/kg PDW, PlatP<50cmH2O Tidal Vol 6mL/kg PDW, PlatP<30cmH2O NNT 12 31% mortality v 39.8% 65.7% breathing without assistance by day 28 v 55% Significantly more ventilator-free days Significantly more days without failure of nonpulmonary organs/systems Recommended
Rattan Professional College of Nursing 3,422 views
SDRA - Non-cardiogenic pulmonary edema - UpToDate 2013
Microcytic hypochromic anemia Ahmed Abdelhakeem

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Room equipment was enough or even more... - Review of Jade Hotel - TripAdvisor
“The staff was genuinely happy to see us upon...”
“The rooms are great and very cheap”
“We stayed one night here at Jade and had a lovely...”
“The hotel is new, nice clean rooms and is in...”
“Friendliest staff i have ever encountered...”
“The hotel is fairly new and the rooms were in a...”
“The location was ok - you can easily walk to the...”
“The room was great, especially for the price I...”
“- very clean rooms, quite hot water, comfortable...”
“The rooms are great, bif comfy beds, flat screens...”
Room equipment was enough or even more... - Review of Jade Hotel
It was very cold and rainning when I reached the hotel.
Staffs provided me with a welcome drink and snacks.
One of the staffs also went dinner with me at a local restaurant which had great meals.
Breakfast came with basic continental dishes (bread and egg) and Hue-styled noodle.
All staffs were very friendly and helpful - they let me print out some ticket, too.
Room equipment was enough or even more considering the price of USD 15, although hot shower was a little weak.
All the customers looked very happy to stay at this hotel and so did I.
If I visit Hue, I will definitely come back to this hotel.
Ask Osamu S about Jade Hotel
Thank Osamu S
Very good impression of the Jade hotel
I can only recommend the Jade hotel. It's really clean and the staff is so nice and helpful. It's a great place to stay because it has a good location too and you get breakfast !
Ask Stephanie H about Jade Hotel
Nice stay in bad weather!
The weather was quite bad so we were very happy to have such a nice place with great staff. Great for this cheap price.
We had the room torwardas the street and in vietnam there are a lot of busy motorbikes on the street, the walls could be thicker ;-)
Ask Swissgermanopinion about Jade Hotel
The lovely hotel and the best service.
We feel very happy and relax all 2 nights with Jade Hotel like we are at home. ^____^
1. The staffs are friendly, kind and sincere with the warmly service.
- They picked up us at the train station for free and gave us breakfast when we arrive.
(You can tell them if you would like to eat a local noodle for your breakfast...)
- When we were in Hue ,It was rain. They have many umbrellas and rain coats for you to borrow.
- It's very kind of them to give us and all guests with a bottle of sparkling wine to celebrate in the New Year Day.
- They taught us many Vietnam words. And the last day in Hue, they sincerely call taxi to pick up us to the train station.
2. The hotel decoration and the superior room that we stayed are new, clean and lovely.
The bathroom is rather small for a big person ,but it's not mind for us.
3. The location is quite ok.
- We can go to the Citadel, Dong Ba market and Trang Tien Bridge by walk.
- It is also near from Pham Ngu Lao street and Tran Quang Khai street that has some local foods to try and see.
It’s a happy time and a good memorial in Jade Hotel. :)
Ask panpa about Jade Hotel
Thank panpa
This hotel was by far the best hotel we found in Vietnam.
The staff is incredibly nice, the breakfast is really good, and the room is just what we were expected, even more.
Moreover, they offer us a Champagne bottle for the new year :-)
Ask Fred M about Jade Hotel
Always-Twirling
Simply the best place for inexpensive stay in Hue
Awesome value for the money. Great service. Friendly people. If on a budget or just want to save money, look no further. you will not regret it.
Ask Always-Twirling about Jade Hotel
Thank Always-Twirling
Very welcoming, excellent service, best value in 3 weeks of travel
We can't praise this hotel highly enough.
The staff are all young and enthusiastic, and speak good English. We arrived in the rain and they rushed out with big smiles and umbrellas to welcome us and carry our bags.
The rooms are spacious and well-furnished (although the beds were a little hard as usual in Vietnam).
For breakfast (included in the room price), we were given a huge breakfast of fruit juice, coffee, fresh fruit, Hue noodle soup, eggs and toast.
The staff are very thoughtful and couldn't do enough for us. We were there on New Year's Eve so they provided all rooms with a bottle of sparkling wine (no charge). When we asked what some dried fruit snacks were they they rushed out and bought us 4 packets and refused any payment. There was also always fruit and snacks at reception, and umbrellas.
Ask Shepfamile about Jade Hotel
TripAdvisor is proud to partner with Booking.com, Expedia, Agoda, Hotels.com, Hotwire, Cancelon, Travelocity and Orbitz so you can book your Jade Hotel reservations with confidence. We help millions of travelers each month to find the perfect hotel for both vacation and business trips, always with the best discounts and special offers.


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Europe missiles plans not shelved: Russia | world | Hindustan Times
Europe missiles plans not shelved: Russia
Russia's top general said on Monday that plans to deploy missiles in an enclave near Poland have not been shelved following a decision by the United States to overhaul its blueprint for a missile shield in Europe.
Updated: Sep 21, 2009 17:49 IST
Russia's top general said on Monday that plans to deploy missiles in an enclave near Poland have not been shelved following a decision by the United States to overhaul its blueprint for a missile shield in Europe. When asked about reports that Russia had decided not to deploy Iskander missiles in Kaliningrad, the chief of Russia's general staff, Nikolai Makarov, said: "There has been no such decision. It should be a political decision. It should be made by the president." "They (the Americans) have not given up the anti-missile shield; they have replaced it with a sea-based component," Makarov told reporters on a plane from Moscow to Zurich. more from world

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Home Improvement Home Safety All Home Security KJB Security Products DD802 WIRELESS DETECTOR & CAMERA FINDER 0.0 stars 0.0 stars Write a review Write a review ratings Q&A By: KJB Reduced Price $207.80 $207.80 List price $270.27 Save $62.47 $16.39 shipping Loading options... Quantity: 1 2 3 4 5 6 7 8 9 10 11 12 Add to Cart
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recommended that you rely on product packaging or manufacturer information. Choose the SleuthGear Defender Simples for DIY oriented applications and individual usage. About this item Important Made in USA Origin Disclaimer: For certain items sold by Walmart on Walmart.com, the displayed country of origin
recommended that you rely on product packaging or manufacturer information. Choose the SleuthGear Defender Simples for DIY oriented applications and individual usage. Choose the SleuthGear Defender Simples for DIY oriented applications and individual usage- It utilizes advanced technology to detect both wireless and wired hidden cameras- It is the simple solution for the parent who wonders if their teenage daughter is being spied on at a nanny job, or a boss who wants to know if his employees are being covertly monitored at a job site- Ability to detect wireless as well as wired hidden cameras- Easy to set up and operate- Radio Frequency Response 10MHz ~ 8GHz- Battery 9Volt- Includes:- Detection device unit- Antenna- Lens finder attachment- 9V Battery- Quick start guide and instructions- SKU: KJB727 Specifications Color: Multicolor manufacturer_part_number: DD802 Brand: KJB Show Explore related products KJB All Home Security KJB Collection KJB KJB Collection Alarm Clocks for Kids Hidden Security Auto Fire Extinguishers Customer Reviews Write a review Be the first to review this item. Share your rating and review so that other customers can decide if this is the right item for them.
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