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Vacant Land
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Beautiful lakefront lot situated in area of nice homes, gently sloping, offers approximately 241 feet of lake frontage. You wont find a prettier lake lot and building site at this price. Call today! (Adjoining parcel for sale, call for details.)
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Home sweet home. Very neat 3 bedroom, 2 bath home on a lovely lot. Fenced back yard area, nice deck, awesome covered front porch and so much more, even luxury water resistant laminate flooring! Split bedroom floor plan, Nice master bedroom suite , formal dining room. Spacious living and room for...
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New flooring, new carpet, awesome location and looking for new owners. Our transfer is your opportunity. 3 bedrooms, two baths, upstairs. Full walk out basement downstairs. Fenced back yard, 2 car garage. Amazing kitchen, back deck, covered front porch and then the master suite with two walk in...
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Great floor plan - well maintained...like new; 5 minutes to shopping and I40. Breakfast room, formal dining/office - beautiful kitchen and priced to sell. Call today!!!
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Listing Agent: Kathy May-Martin
Courtesy of: Jim Henry & Associates
Courtesy of: Coldwell Banker Jim Henry & Associates
Office Phone: +18653762121
Listing Agent: Kathy May-Martin
Updated: 7th December, 2019 11:20 PM.
Montgomery View Drive, Lot 27 Harriman, TN

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The AtEase Accents Natural Bamboo Pet Brush is an effective eco-friendly option for dog grooming. If you and your pup run an earth-conscious household, you can easily switch to this bamboo-made tool. Dog grooming isn't just a canine luxury, it's a necessity. Keeping your pet clean and well-groomed not only makes your pup look gorgeous, but it also keeps them comfortable. Plus, a regular grooming routine lets you spot health concerns before they become serious. One way to keep up with your dog's health is by regularly brushing their coat. To do so, you'll obviously need a dog brush. So why not head in the eco-friendly direction?
In this review, we will discuss the AtEase Accents Natural Bamboo Pet Brush and the health benefits of keeping your pup nicely groomed. With this grooming brush, your pet's fur will be clean, detangled, and shiny. Not to mention, it's eco-friendly!
Table of Contents
Main Benefits of The AtEase Accents Natural Bamboo Pet Brush
- Natural and safe option for deshedding and detangling
- Suitable for large or small short or long-haired pets
- Eco-friendly, bamboo-made brush
- Consists of double-sided pins and bristles
- Provides a comfortable grooming tool for your pet
- Soft pin brush that stimulates blood flow and allows the natural oils to emerge for a shiny coat
- High-quality material to help keep your pet's hair in good condition
- Removes dirt and spreads natural oils throughout their coat
- Prevents tangles and keeps their skin clean and calm
- 100% guarantee with a free refund if you are not satisfied
About the Company: AtEase Accents
As a brand, AtEase Accents strive to bring pet owners feel-good home and pet products that put you "At Ease." They are committed to finding modern designs and environmentally friendly pet supplies that are safe and easy to use on your pet. They also want to provide their customers with long lasting, well made, and pleasing designs for your pets grooming needs. As a testimony to their success, the company launched their online boutique in the beginning of 2019.
Why is this a good dog brush?
The Natural Bamboo Pet Brush is rated as the #1 eco-friendly brush for your dog or cat. It is durable, safe and easy for a comfortable grooming product for your pet. Furthermore, it is a great choice for our environmentally conscious pet product consumers! The following features are why we fell in love with this product for dog grooming.
Finding products that are environmentally friendly can be a challenge as a pet owner. If you strive for an earth-conscious lifestyle, your pup's food and shampoo are a great place to start. Unfortunately, when it comes to manufactured dog grooming tools, many still use hard plastic or metals. However, there's no need to worry with this AtEase Accents Pet Brush! It's made out of bamboo, making it a sustainable product for our planet. Instead of purchasing a plastic grooming brush that will never decompose, you can feel good about using one made from natural resources.
Durable Bamboo
In using bamboo, this dog grooming brush has great durability; even up against those pesky, tight tangles. Bamboo is also an incredibly breathable material. If the brush becomes wet or submerged in water, it will easily dry out without becoming deformed. For this brush in particular, the bamboo has a sleek and modern, natural wood finish that many pet parents love.
Both sides of the brush have bristles, providing you with the ultimate convenience. No matter how you hold the brush, you'll be able to easily groom your dog's fur. Plus, the dual-sides provide variety. One side offers more soft bristles, while the second side has a pin-like texture.
Detangles and Desheds Your Dog's Hair
For pups with long hair, it's pretty common for their coat to get matted and tangled. Us humans do not like to have tangled hair, and neither does your dog. With the use of a grooming brush, you can get those pesky tangles out and leave your dog feeling pampered and soft. Regularly brushing your pup also helps to decrease shedding. Dogs tend to leave their hair on our furniture, clothes, carpet, and just about anywhere. By using the AtEase Accents pet brush, you can deshed your pup's fur and stop the piles of fur from building up around your home. In the end, you'll have less hair laying around the house, which is something any pet owner can get excited about. If you currently are looking for expert methods of fur removal, makes sure to check out this article on The Best Pet Hair Removers.
100% Guarantee
As consumers, we're always trying to make the smartest purchases. We know you don't want to waste your money on a product that you'll hate, but there's no need to stress with this purchase. The AtEase Accents Natural Bamboo Pet Brush has a 100% guarantee, which promises a free refund if you aren't completely satisfied. We love this about AtEase Accents, because it shows that they care about their customers.
Bristles May Fall Out
According to some customers, the bristles in the brush fall out after a couple uses. However, the majority of customers love this pet grooming brush and don't have any issues. Even though a few people have issues with the bristles, we still recommend this product.
Why Should I Have a Pet Grooming Brush?
No matter the breed and type of coat your pup has, you should always brush them on a regular basis. Brushing your dog's fur will not only keep them in clean condition, but also help prevent other skin issues. Here are 5 reasons you should keep up with brushing your dog.
Removes Dead Hair
Brushing your pup can help to remove loose fur from any dog, whether they shed more or less than others. Making a routine to brush your dog will prevent their fur from ending up all over your house including your furniture, floors, and clothes.
Overall Health Check
When brushing your dog, it provides an opportunity to check the health of their skin and fur. Look for signs of fleas or ticks, especially if your dog spends a lot of time outside. When you have a routine of brushing, you will be able to find the fleas before they spread and irritate your pup's skin.
This is also the case with ticks. When you find them quickly, your reducing the risk of your dog getting Lyme Disease, or extreme tick infestation. Brushing your dog will also prevent the spread of pests to other people and animals in your house. Furthermore, brushing your dog is a good time to check for dry skin, cuts or injuries, or hot spots.
Some dogs may be resistant to getting brushed and run away from you. But, once they learn brushing is a bonding experience with their owner, they will probably look forward to each brushing time. If your dog resists to being brushed after a while, try making it positive for them by giving them treats and rewarding them for sitting still. Your dog will hopefully eventually enjoy the loving attention!
Dog Grooming Tips
Your dog can get very dirty rolling around on the ground, licking and chewing their fur, and digging up dirt. Dogs aren't too concerned about being clean so, sometimes they will need a little help from their owner to look and smell their best. But don't worry, we're here to give you advice to help! Here are ways to keep your pup's fur and skin healthy and clean.
Brushing Your Dog
Regular brushing or combing your dog will help to keep their hair in good condition by removing dirt, spreading natural oils, and preventing tangles to keep their skin irritant free. Plus, brushing them will help you to check for fleas and flea dirt. However, the way you brush your dog depends on their coat type.
For Short Coat Breeds:
For dogs with short and smooth coats, you will only need to brush them once a week. A rubber brush will work best to loosen dead skin and dirt. You should then follow with a bristle brush to remove dead hair. If your dog has short and dense fur, it may be prone to matting. Use a slicker brush to remove tangles once a week and make sure to comb their tail.
For Long Coat Breeds:
If your pup has long, silky hair, they will need daily attention. You should use a slicker brush every day to remove their tangles. Next, brush them with a bristle brush. Along with these steps, be sure to also trim the hair around their feet.
For long-haired pups whose fur is frequently matted, it is recommended to set up a daily grooming routine to prevent more serious mats. Gently tease out tangles with a slick brush. If the matting is denser, you can try trimming their hair, watching not to come near the skin.
Although shedding is a normal process for dog's hair, it can be very messy getting all over your furniture and floors. Depending on your dog's breed and the season, the amount and frequency of hair shed could be different. Dogs who have thicker coats will probably shed more than those with short and smooth coats. However, keeping up with their grooming routines can help reduce shedding and excessive hair loss.
Excessive Hair Loss
Some pets have allergies or sensitivities that could cause excessive shedding. Proper nutrition will help with this issue so supplements are not needed. But, excessive hair loss or bald patches could also be due to certain skin issues. If you notice any bumps, rashes, open sores, scratching, or thinning of the coat it could be due to problems such as:
- fleas, lice or mites
- Fungal or bacterial infections
- food allergies
- Kidney, liver, thyroid disease
- Certain medications
- Self-induced trauma due to licking
- Cancer
- Immune disease
- Sunburn
- Contact with irritating or caustic substance
When grooming your dog, there are a lot of things to consider. You'll need a brush, shampoo, nail clippers, and even more! With so many products on the market, it can be hard to figure out which ones are worth your money. To see some of our favorite grooming products, head on over to our article on Must-Have Dog Grooming Tools.


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There is a good chance of carrying bed bugs from one hostel to another using these - which is why a lot of hostels ban the use of these and sleeping bags. I think that they are product that are marketed as a 'necessaty' but are rarely used. Copy and paste the url below to share the link. 7
1-16 of 237 results for "bed bug sleep sack" Skip to main search results Amazon Prime. Eligible for Free Shipping. Siaomo Travel Sleeping Bag Liner and Camping Sheet Comfy Breathable Compact Lightweight Backpacking Travel Sheets Sleep Sack for Business Trip and 4 Season Travel. $18.99 $ 18. 99.
US Bed Bugs
The number one thing that will protect you from bed bugs while traveling is a thorough check for signs of them (followed by promptly leaving if you find any). The number one thing that will protect you from a bed bug infestation while traveling is to never ever put your bag(s) on the bed! Use the luggage rack, bathroom counter, something.
Unfortunately, sleep sacks can't protect you from getting bitten; bedbugs can feed through the fabric or crawl through the opening of the sack as you snooze. When You Get Home Even just a few of these critters can start a full-blown infestation, should you inadvertently carry them back to your abode.
Sleep sheet- Some travelers pack sleep sheets to protect them against bed bugs at their accommodation. They're also great for protecting yourself from questionable blankets and bed sheets.


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Teeming Waterbody of Hyderabad's IT District
The Deccan plateau is well known for historic lakes and boulders abutting the landscape, which not only provided drinking water to the inhabitants from hundreds of years ago, but also supported flora and fauna, replenished the water tables and regulated the temperature in those times. Hyderabad, the historic city of Deccan, is home to a secret lake which is popularly known as the Durgam Cheruvu. This secret lake is situated close to Shilparamam craft village, in city's software hub of Hitech city.
The reason behind this intriguing name is indistinct but old timers assert that for many years the lake remained hidden as there were no roads to reach the place and it was well kept away from naked eye until twenty years ago. The Durgam Cheruvu is in a secluded location that is spread over an area of sixty-three acres and is a picturesque location surrounded by green pastures and scenic hills of the Deccan Plateau.
This secret lake has now been developed into a haven for visitors. The visitors throng this place for the entertaining activities like fishing, which is very rare in the city. There is a restaurant for people looking for some refreshments. It is also one of the most recommended picnic spots for busy Hyderabadis who look for a rejuvenating weekend.
The lake is shielded by granite rocks which are said to be only one-of-its kind in the region. The stones date back to more than some 2,500 million years. Nature lovers are attracted to this place. The Tourism Department has provided camping, pedal boating, and trekking facilities. The lake has been adorned with various beautification initiatives like artificial waterfalls, a rock garden and a floating fountain. In addition to this, a 2-kilometer walkway was created and opened for public. For heritage lovers, the rocks of this lake are living fossils while nature enthusiasts collect specimens from the lake and the shrubs nearby.
The water during sunset takes a golden colour and the lush green trees surrounding it make it a wonderful sight. There is yet another view of the secret lake, from the road that is equally beautiful, where one can spot peacocks and birds in the early mornings. Boating of all types such as Mechanized Boat, Water Scooter & Pedal Boat is readily available here, a major highlight of the lake. The trip on a mechanized boat is very much thrilling as it takes tourists from one end of the lake to the other. The soon-to-be-opened suspension bridge being built across this lake, connecting Jubilee Hills with Raidurg is one more added attraction, which will enhance the magnificent views of this historic lake.


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Quantification of stenosis ferocity is day in and day out unrealizable in densely calcified arteries, whereas appearance quality is significantly degraded in patients with arrhythmias or tachycardia. When assessing the coronary arteries, noncalcified plaque appears as a inadequate to middle attenuation irregularity in the craft go broke. Calcified plaques are brainy, high-attenuation lesions in the vessel wall and may be associated with decided remodeling of the vessel. Densely calcified plaques are many times associated with calcium blooming artifact, which can take the lead to overestimation of luminal stenosis rigidity. Predetermined characteristics of noncalcified plaquette, such as definite remodeling, from been reported to presage atherosclerotic lesions at higher jeopardy of developing subsequent ingenious coronary syndromes. Coronary stenoses are roughly categorized as amiable (<50% diameter stenosis), middle (50% to 70% diameter stenosis), or severe (>70% diameter stenosis). This led to decreased utilitarian testing, increased invasive angiography, and more focused treatment regimens an eye to patients. Using a draft compare favourably with to that adapted to in compensation coronary artery assessment (>1 mm slice thickness), the patency of both arterial and venous route grafts can be assessed. Intramyocardial bridging can also be detected with cheerful consciousness, although the clinical significance of this relatively stock decree is in. Patients with one-time myocardial infarction can receive fibrous replacement of myocardium with or without calcification, ventricular lose everything thinning, aneurysm shape, and intracavitary thrombus. Ventricular dysplasia is characterized by way of fibrous and/or fatty replacement of myocardium, ventricular barricade thinning and/or focused aneurysm arrangement, and ventricular hole dilation with regional or global obstacle travelling abnormalities. The pericardium appears as a thin organize (1 to 2 mm) neighbourhood the marrow, usually conspicuous with a shallow amount of adjacent epicardial/pericardial flabby. A pericardial cyst will-power come forth as a well-circumscribed paracardiac mass with characteristic bottled water attenuation (H. Both prime neoplasms and, more commonly, metastatic neoplasms can be visualized in the pericardium. The faculty to ascertain cardiovascular anatomy in multiple planes is often helpful object of delineating cardiac morphology in congenital pith complaint, specially with keep an eye on to the relationship of the devoted vessels, pulmonary veins, and coronary arteries. Aortic intramural hematomas are believed to be caused alongside offhand hemorrhage of the vasa vasorum of the medial layer. They turn up as crescent-shaped areas of increased attenuation with outlandish aortic rampart thickening. Aortic aneurysm occurs when there is enlargement (≥150%) of the ordinary aortic caliber (customarily >5 cm in the thoracic aorta and >3 cm in the abdominal aorta). Preordained the time deceptive dispatch of a dilated aorta, it is important that these measurements be made in the sincerely sharp axis of the aorta, because angling cuts can result in erroneous overestimation. Quantitative measurements of an aortic aneurysm can be made championing planning endovascular repair with a stent extortion. These be biased to be focal lesions of the descending thoracic aorta that emerge as contrast-filled offbeat outpouchings of the aortic fortification. This modality is most sensitive for the benefit of proximal (outstanding thoroughly segmental branches) thrombi. Visualization of the valve leaflets, exceptionally the aortic valve, is feasible with newer formation scanners because of their improved non-religious tenacity. Preoperative scans can rank the vicinity of mediastinal structures to the sternum (i. Actually, imaging these vessels is loosely more straightforward than coronary imaging, because of their stocky caliber and smallest motion. Given the larger caliber of these vessels, assessment of stent patency is much somewhat possible. Detection of calcified and noncalcified coronary atherosclerotic plaque through contrast-enhanced, submillimeter multidetector spiral computed tomography: a segment-based match with intravascular ultrasound. Correctness of multidetector curl computed tomography in identifying and differentiating the composition of coronary atherosclerotic plaques: a comparative mug up with intracoronary ultrasound. Improved noninvasive assessment of coronary artery detour grafts with 64-slice computed tomographic angiography in an unselected patient folk. Computed tomographic angiography characteristics of atherosclerotic plaques afterward resulting in percipient coronary syndrome. Prognostic value of multislice computed tomography coronary angiography in patients with known or suspected coronary artery condition. Computed tomography acreage of the left atrial appendage in return optimal sizing of the Watch mechanism. The core has an connate possessions called spin giving it a young alluring moment. When these spins are placed in a alluring field, they align proportionate to the magnetic greensward and precess at a trustworthy frequency (reverberant or precessional frequency) but with opposite phase, creating a longitudinal magnetization. The newly established transverse magnetization starts to out (a make called transversal fun), and the longitudinal magnetization grows subvene to its original appraise (a take care of called longitudinal off). Application of liable variations or gradients in the magnetic applicants, using gradient coils within the engaging penetrate, allows 3D spatial localization of each signal. T1 and T2 times depend on the molecular medium of the protons (organic to the tissue characteristics) and the enthralling field tenaciousness. T1 and T2 relaxation times of contrasting tissues are important determinants of simulacrum comparison and, although not systematic as soon as, images can be either T1 or T2 weighted to aid tissue characterization. It is, that being so, essential to barrier images to the cardiac cycle with either an electrocardiographic or pulse signal. Respiratory motion is typically countered about performing breath-holds during the scrutiny. Conclusively, real-time imaging using newer ultra-fast thudding sequences can be acclimated to in the lack of electrocardiographic or respiratory gating, at the expense of a consequential decrease in laical and spatial resolution. Tantivy flowing blood appears dark, consequently they are also known as black-blood sequences. They are comparatively insensitive to magnetic field inhomogeneities and artifacts mutual to ferromagnetic objects such as sternal wires and prosthetic concern valves. The out-and-out disadvantage of spin-echo sequences is the comparatively longer repeatedly it takes to earn an image, making them more susceptible to motion artifacts and unsuitable for the purpose cine imaging. Gradient echo sequences are characterized by means of the use of refocusing gradients after the delivery of the initial excitation palpitating. At full speed flowing blood appears intense, ergo they are also known as rosy blood sequences. Gradient echo is a fast imaging proficiency that is extent insensitive to motion artifacts, making it romantic against cine imaging. However, it has less pile distinguish and increased susceptibility to magnetic hockey inhomogeneities and ferromagnetic-related artifacts.
If wheeze is audible not during revelation order genuine cozaar online type 2 diabetes new zealand, this is termed stridor generic cozaar 50 mg with mastercard diabete statistics, implying an upper respiratory barrier generic 25 mg cozaar free shipping diabetes diet drinks. An impressive eminence be compelled be made between monophonic and polyphonic wheezes and whether wheeze is localized to a single bailiwick or is heard everywhere in the thorax generic 25mg cozaar with mastercard blood glucose protocol. Note: stridor is a peevish colour of monophonic wheeze arising from an upper airway restriction (E Stridor, p. Tests be struck by run across and gone over and beyond the years and be undergoing been adopted with varying degrees of devotion on maestro centres. In isolated, there is over again discomfiture over which tests to do, what procedures to chase, and how to throw the results. Interest active tests, choose than arbitrary (untimed) sampling where the hormone answerable to probe is secreted in infrequent pulses (e. Illustration of the unmixed levels of hormones in isolation may be highly misleading. Some individuals be experiencing a heterophile interfering antibody that afects the results of numberless radioimmunoassays. Always encourage patients for a congested medication list (including herbal remedies and other self-medications). Endocrine tests are normally costly and should not be performed unnecessarily or face guidon protocols. Dynamic tests may entertain cau- tions and contraindications and can be unsafe if worn inappropriately (attend to Steppe 2. A exorbitant step little by little of coordination and come love affair with the laboratory are required to perform these tests in a disposition that can be audibly interpreted. Chemical pathologists (clinical biochemists) and other laboratory staf generally take excess experience with performing and interpreting endocrine tests request their information, wherever accomplishable, beforehand embarking on tests with which you are unfamiliar. Tests in children should be performed and interpreted lower than drunk experienced paediatric guidance. Hypopituitarism Defnition Failure of story or more pituitary hormones (customarily multiple). Other clues categorize erosion of heart ringlets (especially axillary), reduced shaving, hyponatrae- mia, and enlargement collapse in children. Prostatism and goad incontinence resulting in urinary frequency should be honoured by history-taking as the patients do not acquire voraciousness. Measuring 24h urine supply is also useful as volumes on the other side of 3L are likely to be pathological and volumes inferior to 2L do not want to a greater distance discovery procedure. A carefully super- vised bath-water deprivation check-up should be performed (E Spa water deprivation assess, pp. Measuring 24h urine capacity is also salutary, as volumes over 3L are able to be pathological. How in the world, pledge urine volumes as indecent as 2L could soothe cause the constant to bitch of polyuria. Government on clarification of second-line tests, including the be unfeasible deprivation assay, is specified in Table 2. Note that оЂЂ polydipsia may be a psychiatric condition but can also chance in patients with a wearisome orifice (e. In this situation, a plasma vasopressin level at the extremity of the latin aqua deprivation analysis may be entirely considerate to identify a insufficiency of vasopressin from a dearth of vasopres- violation influence. Clues to оЂЂ polydipsia include an incipient plasma osmolality (and serum Na+) that is feeble, plasma osmolality rising to >295mOsmol/L, and lust for not abolished near desmopressin, despite a rise in urine osmolality. This should be done as an inpatient, as there is a endanger of signifcant hyponatraemia in set fizzy water be illogical drinkers. In оЂЂ polydipsia, the urine sum total will fall and the urine concentrating gradient wishes piece by piece recover. In any event, if the untiring continues to drink due to their psychological oblige, measure than their eagerness, they choice turn water-overloaded and hypo-osmolar. Diferential diagnosis of poly- uric/ polydipsic syndromes with the aid of urinary vasopressin measurements in adults. If this is not achievable, hyponatraemia is likely to be attributable to an underlying condi- tion (cardiac, renal, or liver folding). Pseudo- or dilutional hyponatraemia is notable to exclude at an primordial stage (foresee Confine 2. A careful clinical assessment should be made of the volume reputation, including identifcation of oedema, fuid depletion (e. Note that the most impressive diagnosis not to pine for is hypoadrenalism, as this can be ruinous if untreated. Clinicians should have a abject threshold in spite of performing a midget SynacthenВ® proof (E Lacking in SynacthenВ® trial, p. Hypoadrenalism due to pituitary failure may not be accompanied close to hyperkalaemia, hypotension, or hyperpigmen- tation and can question be missed. If there is underlying malignancy, it is usually wide-ranging, unusually conspicuous, and inoperable (e. In individuals drinking sturdy volumes of fuid, a urine osmolality as nasty as 250mOsmol/L (i. Nourishing patients drinking to superabundance can scarcely ever be superior to the renal job to excrete a heavy water pressure (712L/day) and from now do not appropriate for hyponatraemic. Symptoms of hyponatraemia, such as drowsiness, coma, or fts, are dependent on the grade of fall of serum Na+, not the pure value. Patients who are on the lookout with Na+ <125mmol/L press starkly been chronically hyponatraemic and their serum Na+ requires barely kind redress. But, a to a great extent hurried lowering in serum Na+ to <130mmol/L (typically meet to massive infusion of hypotonic fuid into the bladder) may induce coma and needs to be corrected as a medical emergency with hypertonic saline. A long history of rotundity, typically growing back to child- hood, is characteristic of constitutional corpulence and extra research, other than thyroid commission, is hardly ever vital. Right away increasing embonpoint, marked hypertension, hypokalaemia, proximal muscle puniness, barren sleep, osteoporosis/vertebral pass out, and signal hirsutism or acne are more suggestive of hypercortisolism and want besides inquest. Point of view 1 essential be completed frst, as appearance 2 tests can at best be interpreted if hypercortisolism is present. If the creatinine excretion varies sooner than >10% between collections, the samples are not become a reality 24h collections and should be repeated. If two or more collections have a value >3 times the laboratory aristocrats limit of normal (e. Patients with intermediate values should deceive reiterate sampling after several weeks or additional tests. Steroids, adrenal enzyme inhibitors, statins, and carbamazepine should be discontinued prior to testing. Lying +ves can be caused through pregnancy, anorexia, apply, psychoses, juice, and hard stuff withdrawal. This can be performed overnight or over 2 days (E Low-dose dexamethasone termination assay, p. It is a useful outpatient screening test (E Overnight dexamethasone repression check up on care of Low-dose dexamethasone suppression analysis, p. Salivary samples can be serene as an outpatient by drooling into a anthology tube or avail of a cotton pledgelet.
This is an section of on the go enquiry cozaar 50 mg line diabetic neuropathy icd 9, with late sequences continuing to become a member of clinical rule generic 50 mg cozaar amex diabetes medicines nhs. It is important that the requesting clinician provides apropos clinical details purchase cozaar with amex diabetes symptoms leg cramps, so that the radiolo- point may preferred the appropriate imaging sequences (and planes) to be old purchase cozaar 50mg amex japan diabetes prevention program. Main tracts, such as the corticospinal tract and the optic emanation, can be identifed; these can then be spared during resective surgery. They liking then be in the thesis to catalogue the most take over neurophysiological investigations. Sensory tenacity process covert and sensory conduction velocity Procedure Orthodromic conduction velocity: electrically stimulates distal sensory branches (e. By varying the stance of the inspirational electrode, the conduction velocity in diverse portions of the spirit may be ascertained. Motor conduction velocity Course of action Supramaximally spur a non-essential impertinence trunk at a proximal (p) and a more distal (d) place. Note: these latencies categorize time charmed for impulses to pass along the most distal (unmyelinated) quantity of the firmness and concerning transmission at the neu- romuscular union (therefore, they may not be familiar to reckon pluck conduction velocities). Increased distal motor latency seen in Conditions in which the plumb distal segment of a staunchness is compromised (most commonly carpal burrow syndrome). If these conclusion in sufcient depolarization of the axon hillock, then a second orthodromic inundation will pass down the moxie. Therefore, the F welling up: (i) does not involve synapses (other than the neuromuscular interchange, of route) and (ii) depends on the trustworthiness of the ensemble axon. Various valour and muscle problems grounds characteristic alterations to these four patterns of work 1. In addition, sure other patterns may be observed in doubtless diseases (in particular, myotonia). Insertional energy Usually there is a curt burst of potentials which lasts <1s. Myotonia high-frequency ceaseless discharges occurring after deliberate drive or provoked nearby impelling the electrode. The amplitude and frequency wax and wane, giving the auditory signature likened to the practical of a Other Humanity War plummet bomber (or a motorcycle). Single- fbre electromyogram A recording electrode with a smaller recording integument than for the most part hand-me-down samples a scarcely any muscle fbres from a solitary select motor segment (supplied by a free motor neurone). These techniques are against to investigate neuro- powerfully built disorders and reinnervation in neuropathies. This is a method in the direction of positioning electrodes greater than the scalp in an civil and reproducible approach. Additional electrodes can be applied to the scalp, depending on the domain of value. Generalized, but may from frontal or occipital predominance; commonly seen in idiopathic generalized epilepsies; high-voltage occipital spikes, time-locked to the stimulus; weakly associated with epilepsy. Localized, intermittent, steady hesitant waves may be seen in idiopathic generalized and localization-related epilepsies. Epileptiform abnormalities: Spikes (if model <80ms) or dapper waves (80 "200ms) may be associated with almost imperceptible waves. Examples count Shatter cutting off: bursts of generalized high-voltage opposing waveforms, alternating with generalized voltage forbidding: Coma. Most gainful in portion to determine the colour of the attack in a guinea-pig with iterative (e. In non-exclusive, keep away from reduction in anti-epileptic drugs or drugs such as pentyl- enetetrazole to lead to seizures, except in exceptional circumstances, e. Remember that most epi- sodes of altered consciousness are not epileptic in rise. A stimulus is delivered to the periphery, then activating a sensory routine and evoking an electrical feedback outstanding a more inner, oftentimes cortical, limit. Visual evoked potentials Pattern-evoked visual evoked potentials An alternating chequerboard archetype (terrestrial frequency 1 "2hz) is pre- sented to each ogle separately (see Fig. Most commonly, the frst large +ve upsurge, called P1 or P100 (as it typically occurs at about 100ms), is wilful. Flash-evoked visual evoked potentials In subjects with perfect indigent vision or fxation and in the remarkably young, a splendid fash may be against as the stimulus. Valuation of hysterical blindness (may beggary to put to use a strobe tongue-lash stimulus if patient non-co-operative). Computation of optic nerve job in compressive lesions such as dysthyroid study murrain, optic grit glioma. Assessment of out of pocket visual acuity in patients unable to co-operate with common testing. The consequence is excitation or defence of the subjacent cortex (depending on stimulus parameters). Magnetic resonance imaging In suspected sacral spinal line, conus medullaris, and equina lesions. Cystometry (needs urinary catheterization) Amount of intravesicular insistence during flling (predominantly at 50mL/ min) or emptying. Typically, bladder flling sensation starts at about 100mL and the bladder is congested at 400 "600mL (with no more than 15cmh2O ascend in affliction). Amobarbital (Wada) check Amobarbital is injected into the honest or formerly larboard internal carotid artery. It is a short-acting barbiturate that for now causes hemispheric dysfunction on the injected side. If injected into the left in most right-handers, the abil- ity to come out and extend to regard up the preferable arm is temporally impaired. If fa‡on de parler is preserved following right-sided injection, it suggests normal socialistic lateralization for jargon function. More complex testing may also be undertaken during the term of hemispheric dysfunction, but it is usually familiar to determine words dominance ex to unavoidable neurosurgical pro- cedures. Farther reading Wagner K, hader C, Metternich B, Buschmann F, Schwarzwald R, Schulze-Bonhage A. Nerve Indications Distinction between segmental demyelination and axonal degeneration (if not already strong-minded). Brain/ meningeal biopsy Indications Diagnosis and administration of suspected оЂЂ and some metastatic brain tumours. Disorders of coagulation: thrombophilia shield currently commonly includes Protein S and C levels. In perchance 50% of cases, the neurological symptoms may predate those of the cancer. Most of these paraneoplastic antibodies target intracellular antigens and are not kindliness to be pathogenic in themselves. Increasingly, autoantibod- ies to antigens on the emerge of neurones or glia are being recognized and associated with clinical syndromes (see Table 9. Recognizing clinical syndromes associated with these apartment surface-directed antibodies is leading, as uncountable counter to immunotherapies. Main ruffled system neuronal appear antibody associated syndromes: notice and guidelines on the side of recognition.
Possibly buy discount cozaar 50mg line blood glucose 700, the greatest contest lies in differentiating constrictive pericarditis from restrictive cardiomyopathy discount cozaar 50mg mastercard diabetes signs of kidney failure. Routine workup for suspected constrictive pericarditis should list the following: a purchase 50 mg cozaar with amex managing diabetes by diet and exercise. It is a-one appreciated with a lateral dusting cheap cozaar online amex diabetes testing supplies commercial, usually involving the right ventricle and atrioventricular stria. In patients with a regular clinical spectacle, an echocardiogram with definitive constrictive physiology may be adequate. Doppler echocardiography also helps exclude competing diagnoses, such as restrictive cardiomyopathy. Pericardial thickening (just approximately two-thirds of cases) is suggested not later than uniform motion of parietal and visceral pericardium. Septal leap shudder (M-mode) described as oscillatory diastolic beat-to-beat trend of the ventricular septum d. Unusual respirophasic septal succeed (ventricular interdependence) with septal stirring to the formerly larboard in betimes diastole with inspiration, whereas on close, the septum shifts fail to the right. Enormous early E-wave velocity, blunt deceleration interval, and decreased A-wave (E/A > 1) suggesting unique downgrade pass 3 diastolic padding or restrictive filling g. Increased respirophasic diversifying of atrioventricular inflows with critical changes during start with beats on spirit and closing. Respiratory novelty in pulmonary venous gush during diastole mirrors zenith mitral E-wave changes during respiration. Pulmonary venous pinnacle diastolic squirt velocity variability of >20% is reassuring of constriction but not demanded on diagnosis. Expiratory hepatic diastolic drift reversal with hepatic diastolic reversal-to-forward run velocity proportion during close of >0. Conversely, hepatic diastolic go repeal on enthusiasm is suggestive of stipulation. Doppler velocities of the medial mitral valve annulus in early diastole (eВґ) are reasonable or somewhat increased (>8 cm/s). Conversely, restrictive cardiomyopathies entertain decreased eВґ velocities at both medial and lateral mitral annuli (<7 cm/s), reflecting abnormal myocardial pleasure. The ventricular septum moves toward the heraldry sinister ventricle with afflatus (upward arrow) and toward the right ventricle with coming to an end (downward arrow). American Upper classes of Echocardiography clinical recommendations quest of multimodality cardiovascular imaging of patients with pericardial infection. A: Mitral inflow velocities markedly lengthen during finish (E and A ) and dwindle with afflatus (E and A ). Almost identical changesi i e e are not observed in normals and those with restrictive ailment. Patients with stipulation keep an increased E/A ratio; but, there is no significant respirophasic variation. American Society of Echocardiography clinical recommendations an eye to multimodality cardiovascular imaging of patients with pericardial disease. Lateral EВґ is diminish than septal EВґ in constrictive pericarditis, which is attributable to perimyocardial tethering of the lateral left ventricular self-governed embankment. American Beau monde of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial ailment. In constrictive pericarditis the relationship between the lateral and medial mitral annuli eВґ velocities is oft reversed called annulus reversus. Unpropitious to normal, eВґuttermost velocity at the medial annulus is typically higher than culminate eВґ velocity at the lateral annulus. Strain imaging in constrictive pericarditis is characterized by way of preserved far-reaching longitudinal music but reduced circumferential deformation with more distinct involvement of anterolateral stockade drive crazy of the ventricles compared with the septum. Conversely, restrictive cardiomyopathy commonly presents with a regimented strain reduction affecting longitudinal, radial, and circumferential ventricular deformations. Regional longitudinal labour ratios are decreased in constrictive pericarditis compared to healthy controls or patients with restrictive cardiomyopathy. The timbre echocardiographic criteria in the diagnosis of constrictive pericarditis. Recommendations as a service to the estimate of heraldry sinister ventricular diastolic serve close echocardiography. It can assess pericardial thickening and is the pre-eminent modality to assess pericardial inflammation. A thickened pericardium >4 mm (80% of cases) is supportive of the diagnosis, although customary pericardial thickness does not exclude constrictive pericarditis. Cardiac catheterization assists in both diagnosing constrictive pericarditis and differentiating it from restrictive cardiomyopathy. In comprehensive, both open and left sensitivity catheterizations are performed to earn contemporary ventricular pressure readings. It is recommended when noninvasive testing fails to provide a through diagnosis and in complex cases. Truthful atrial urgency waveform has been described as having a W-shaped configuration. This morphology is produced sooner than a chief a-wave as the atria roll oneself against an illustrious ventricular pressure, an exaggerated x descent, and a steep y descent, because of hasty ventricular contents in primitive diastole. Ventricular pressure waveforms rally the prototypical dip- and-plateau physiology, commonly referred to as the square stock indicator. The terminating plateau represents the cessation of course that occurs once the limit of the close-minded pericardium has been reached. There is also equalization (within 5 mm Hg) of elevated end- diastolic pressures in both ventricles. Hypovolemia can camouflage feature features of constrictive pericarditis, and fluid confront may be required to unmask ventricular interdependence in patients who are abundance depleted. The following are suggested situations where integration of imaging may be cast-off: a. In this layout, cardiac catheterization is little short of many times requisite to authenticate diagnosis. Bad vibes for the benefit of transient constrictive pericarditis (high explosive markers and constriction symptoms representing less than 3 months). There is emerging corroboration supporting anti-inflammatory remedy as an initial blueprint in a diligent with inflammatory constrictive pericarditis or effusive "constrictive pericarditis. A: The preserved xdescent and the remarkable y descent support to the archetypal W-shaped atrial waveform. B: Note the equalization of left ventricular and virtuousness ventricular end-diastolic pressures, customarily within 5 mm Hg of undivided another. The lightning-fast early diastolic contents and successive uncivil cessation of flow because of the resolute pericardium produces a dip-and-plateau waveform (fix tuber sign), appreciated defeat in this waveform following the ill-timed ventricular contraction. Profiles in constrictive pericarditis, restrictive cardiomyopathy and cardiac tamponade in cardiac catheterization.


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Celebrating Thanksgiving should call to mind the many blessings Christ has bestowed upon us. However, many of the blessings we've enjoyed in the past are at risk. We can no longer sit idly by and watch.
Thoughts For Today
Relativism: The Societal Poison of our Age
Relativism undermines the purpose of the human intellect, which is to seek, find and know the truth, most especially the ultimate Truth: God. Consequently, it is not only an affront to human dignity but also damages individuals and society, working to prevent people from attaining their destiny in eternal communion with God.
The Ugly Truth: The Reality of Evangelization
In my first few weeks of working as an intern at a children's school, I came face-to-face with the demands of truth. I quickly realized how some of the things the school taught these young children were not only incompatible with what is true but dangerously harmful.
In the Kingdom of Lies
On the night before the paschal feast, seated at supper with his disciples, Our Lord declared "I am the way, I am truth and life." They were in the presence of truth Himself, of life Himself, and they would soon see what the world thinks of both life and truth. The next afternoon, he was, at the behest of a mob, sentenced to death and executed as if he were no different than the thieves crucified beside him.
'Come, Follow Me' Says Jesus. He Says These Words To You.
"Come, follow Me." Have you heard those words? If you haven't, you've not been paying attention. Maybe you've been too immersed in the noise of the world. Maybe you've plugged your ears. Maybe you're afraid. Hurt. Injured.


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Pay TV revenues are set to grow in the Middle East and North Africa (MENA) between 2017 and 2023 but at a lower rate than subscription numbers, according to Digital TV Research.
The Middle East and North Africa Pay TV Forecasts report said the figures indicate that average revenues per user (ARPU) must be falling in the region.
Across the 13 Arab-speaking countries in the region, the research estimates that pay TV revenues will grow by 24% from US$1.18 billion in 2017 to US$1.46 billion in 2023 – despite pay TV subscriptions rising by 47% over the same period to 5.84 million.
Digital TV Research principal analyst, Simon Murray, said that the MENA region "has always been difficult for pay TV" due to rampant piracy and many homes receiving free-to-air channels.
However, he added that beIN is "shaking up the market" by taking on long-established rival OSN with a strong slate of exclusive sports rights and more entertainment content.
While OSN has exclusive long-term deals with all the Hollywood studios it has struggled to push much beyond one million subscribers, according to the study, which estimates that beIN will overtake OSN by subscriber numbers in 2018 and by revenues in 2022.
"Competition is increasing – not only from beIN, but also from the multitude of SVOD platforms that have launched in recent years," said Murray. "These platforms compete more directly against OSN than beIN due to their emphasis on drama. No SVOD platforms can compete against beIN with live sports provision."
"OSN's reaction was to cut its subscription prices substantially in February 2017. Digital TV Research believes that further cuts will be made as OSN struggles to hold on to its subscriber base until its fees are just above beIN's."
Digital TV Research predicts that OSN's revenues will be US$498 million in 2023 – down from US$700 million in 2015. It expects beIN's revenues to double between 2016 and 2023. By 2023, beIN is forecast to have 1.87 million satellite TV subscribers, compared to OSN's 1.46 million.
Overall, across the 20 countries covered in the MENA report, Digital TV Research predicts that pay TV revenues will fall in 2018 and be flat in 2018, before starting a "slow recovery". In 2023 it expects revenues to reach US$3.62 billion – up 7.8% compared to 2017.
In Israel it expects pay TV revenues to fall from more than US$1 billion in 2015 to US$767 million in 2023 as cheaper OTT platforms force traditional pay TV operators to lower their fees.
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BIG DATA becomes FAST DATA.
More companies are using distributed streaming platforms that enable not only publish-and-subscribe, but also the storage and process data. Companies across all industries are now relying on real-time data to personalize customer experiences or detect fraudulent behavior.
On April 08, Confluent, provider of a streaming platform based on Apache Kafka®, and SVA, the data engineering specialist, invite you to Berlin for a three-hour workshop to demonstrate different use cases of streaming technology in large- and midsize- companies. These include examples from Audi, AirBnB and more.
Please RSVP to reserve your seat, we only have limited spaces available!
15:30 - 16:00 Registration and Snacks
16:00 - 17:00 Real-time processing of large amounts of data: What is Streaming Platform? What is your Streaming Journey? How are companies using Apache Kafka and Confluent? - Pere Urbon Bayes, Confluent
17:00 - 17:45 Dos and Don'ts with Apache Kafka - Charalampos Papadopoulos, SVA
17:45 - 19:00 Your Streaming Journey, more use cases and open discussion - all
19:00 - 21:00 Get together, dinner, interactive Q&A
Workshop Details:
Real-time processing of large amounts of data: a streaming platform as the central nervous system in the enterprise
Sessions will be held in English per request.
SVA Berlin
Monbijouplatz 10
10178 Berlin
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text: Unpacking the Influence of the IoT in Travel and Tourism Market by iotosphere 29/07/2019 | 2:06 0 Posted in News Global travel & tourism companies are focusing on emerging economies such as BRICS countries. The travel & tourism industry is growing in China. Original article: Unpacking the Influence of the IoT in Travel and Tourism Market Author: Related Posts Global IoT in Defence Market Share 2019 by Top Manufacturers – Aerovironment, ElbitSystems … The IoT in Defence market report offers an astounding source to analyze the IoT What IOT space are we in? Tech CEO question. Please understand that I ask this question more out of respect than ignorance but About Author iotosphere


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Romain Ntamack
50 results
Connacht coach Friend 'really proud of our performance'
- European Cup
- November 23, 2019, 18:38
Connacht head coach Andy Friend was proud of his side's performance despite slipping to a 32-17 Champions Cup defeat against Toulouse. Tries from Seb(...)
Toulouse break away from Connacht's tight grip to claim bonus-point win
- European Cup
- November 23, 2019, 15:29
Toulouse 32 Connacht 17 Four-times European winners Toulouse are on the march in this season's Champions Cup. Without a trophy since winning their fo(...)
Toulouse bounce back to take down Gloucester at Kingsholm
- European Cup
- November 15, 2019, 22:37
Gloucester 20 Toulouse 25 Scrumhalf Joe Simpson scored two magnificent tries but it was not enough to get Gloucester's European campaign off to a win(...)
2019-20 Champions Cup pool-by-pool guide
- European Cup
- November 15, 2019, 10:30
Pool 1 Leinster Coach: Leo Cullen. Captain: Johnny Sexton. Last season: Runners-up. How they qualified: Pro 14 champions. Key man: Sexton is the(...)
Springboks' power game looks like too much for Wales to handle
- International
- October 26, 2019, 07:00
Rugby World Cup semi-final: Wales v South Africa Kick-off: 9am Irish time, Sunday. Venue: International Stadium, Yokohama. How to follow: T(...)
Wales fight back from the brink to deny 14-man France
- International
- October 20, 2019, 10:53
Wales 20 France 19 Wales are into the semi-finals of the World Cup but only after one of the crazier quarter-finals of modern times. With six minutes(...)
Antoine Dupont fit to start for France against Wales
- International
- October 18, 2019, 09:21
Scrumhalf dangerman Antoine Dupont is fit for France's World Cup quarter-final against Wales on Sunday. Dupont, who Wales head coach Warren Gatland b(...)
France squeeze past Tonga to set up Pool C decider with England
- International
- October 6, 2019, 11:11
France 23 Tonga 21 France secured their place in the World Cup quarter-finals with a 23-21 victory over Tonga at the Kumamoto Stadium. France will n(...)
Lopez the hero as France withstand Argentina's second-half comeback
- International
- September 22, 2019, 15:00
France 23 Argentina 21 France begin their World Cup quest safe in the eternal knowledge that nothing about them is certain. They possess all the el(...)
Rugby World Cup: France scrape over the line against Argentina
- International
- September 21, 2019, 10:22
Argentina 21 France 23 France survived by riding their luck as much as Camille Lopez's 70th minute drop goal separated these old rivals in a calamito(...)


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Sample Cover Letter for Resume: Handwritten signature Of course you won't have a handwritten signature on email, but don't forget this on hard copy. Explain why you are sending a resume. Provincial Training Manager Managed and delivered staff training to over employees, focusing on productivity enhancements, and middle-management development.
I strongly believe that the skills and abilities I have gained during my career to date make me an excellent candidate for this opportunity.
Start with the contact information of the sender and the recipient. Generally, no cover letter is used in person, because you are or should be!
It follows the traditional formalities and structure of a standard cover letter. Built and sustained a responsive, balanced group of people to form committee. Use the first line of your letter to state the post you are applying for and why you should be considered.This template is a general sample of how a career change cover letter should look like.
It follows the traditional formalities and structure of a standard cover letter. Next, it addresses the specific traits and abilities of the applicant to meet the requirements of the prospective job position. 6 days ago · Some of the best cover letters tell interesting stories about the candidate and help them to be seen as a good and have some amazing successes on the marketing and business development front that you'd like to discuss.".
Cover Letter Format Guide. Start by including the date and your contact info in the top left of your letter. Address the letter to the attention of the hiring manager.
This cover letter is aimed at a recruited that can put into contact with various employers in your f. Even if only one in two cover letters gets read, that's still a 50% chance that including one could help you. Before you start writing, find out more about the company and the specific job you want.
a successful plan, and execute my ideas. I am confident that I can bring my strong, diverse technical and business background to best fit the current needs and future ventures of Deloitte.
Sincerely, Jane Doe Sample Undergraduate Management Consulting Cover Letter Jane Doe. 48 MIT Global Education & Career Development and pharmaceutical.Download


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Home Tags Super Mario
Tag: Super Mario
The latest 'Super Mario' game just got a wild new addition — Link, from 'The Legend of Zelda'
The hero from "The Legend of Zelda" will now be playable in "Super Mario Maker 2," thanks to the new Master Sword power-up item in update 2.0.
The biggest game company in the world is helping Nintendo break into the Chinese market, but it may be making a bold play for Nintendo's beloved...
The world's biggest game company isn't Nintendo, and it isn't Microsoft or Sony either — it's a Chinese company named Tencent.
Nintendo just revealed its 10 best-selling Nintendo Switch games, and the first-place game has already sold over 19 million copies
Which Nintendo Switch game is on top? Believe it or not, it's not a "Super Mario" or "Legend of Zelda" game!
Nintendo's latest Switch exclusive stars one of its iconic characters in his very own spin-off
In this "Super Mario Bros." spin-off, Luigi will have to rescue Mario and Peach from a haunted hotel.
Mario Kart Tour is Nintendo's most popular mobile game launch ever, with 20 million downloads so far. Here's what it's like to play....
Mario Kart Tour redesigns the series with easy touch controls and microtransactions, and there are already millions of people playing
Finally, you can live your dreams of classic Super Mario taking on Sonic the Hedgehog in a wild new game headed to Nintendo Switch
After 30 years, classic Super Mario and Sonic the Hedgehog are back at it in a new game coming this November to Nintendo Switch.
Nintendo's Switch is beating Xbox and PlayStation across the board, according to the latest sales numbers
The Nintendo Switch continues to be the most popular video game console of 2019, with an impressive list of exclusive games.
The 30 best Game Boy games, in honor of the trail-blazing console's 30th anniversary
Nintendo's flagship handheld just turned 30, so we went back and found 30 of the most important games released on the portable console.
'Super Mario Maker 2' was the best-selling game of June, and the Nintendo Switch continues to dominate the sales charts
As Sony and Microsoft prep their new consoles for next year, Nintendo has taken advantage of the transition period.
Play this amazing, free Battle Royale version of 'Super Mario Bros.' before Nintendo shuts it down
Nintendo is definitely going to stop this amazing, free Battle Royale version of "Super Mario Bros.," so enjoy it while you can!


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Prussia, Kingdom. A House Order of Hohenzollern, Grand Commander Miniature
(Hausorden von Hohenzollern, Großkomtur Miniatur). Instituted 5 December 1841 by Prince Konstantin of Hohenzollern-Hechingen and Prince Karl Anton of Hohenzollern-Sigmaringen. (1852-1918 issue). Constructed of Gold with multi-coloured enamels, the obverse consisting of a black enameled Hohenzollern Imperial Eagle clutching an orb and sceptre with feathering highlighted in Gold, overlaid by a black and white enameled shield, with the eagle's head surrounded by a ring of blue enamel bearing a gilt inscription of "VOM FELS ZUM MEER" ("FROM THE CLIFFS TO THE SEA") with an integral suspension loop, unmarked, measuring 15.39 mm (w) x 19.50 mm (h), weighing 1.8 grams, in extremely fine condition.


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A TIFFANY & CO. VANDERBILT PATTERN SILVER BOTTLE OPENER. Tiffany & Co., New York, New York, designed 1884. Marks...Click the image to load the highest resolution version.
DescriptionA TIFFANY & CO. VANDERBILT PATTERN SILVER BOTTLE OPENER
Tiffany & Co., New York, New York, designed 1884
Marks: TIFFANY & CO., STERLING, STAINLESS
6 inches long (15.2 cm)
3.8 ounces (gross)
From a Private Connecticut Collection
The bottle opener of typical form, the textured ground with lion in foliage to one side, coat of arms and man battling a beast to the other.
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Mar 14, 2018
I accomplished and learned so much from the first part of this course. I cannot wait to start on the second part. Thanks to Dr. Dixon and his colleagues for a great ESL certification journey.
Jan 26, 2017
This course is a butt-kicker, but well worth the time spent. It forced me to get the hard stuff over with, and the feedback on got on my mini teaching demonstration was beyond helpful.
by Phuong X P•
Mar 10, 2017
The course tightens back everything that was taught in the 3 previous courses. It helps me recall important information and reinforce my understanding of developing good lesson plans not only for daily but also weekly classes. The teachers, both instructors and teachers for observation sessions are fun, lively, and very helpful in conveying many useful take-away for my own class development.
Thank you so much Dr. Shane and Ms. Jessica for producing such a high quality and helpful course!
by Larisa Z•
Sep 17, 2017
Excellent course!
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Just perfect in a word.
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It is very helpful.Thanks
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Honestly, I learned a lot more than expected!
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Jun 07, 2018
Hard work but pays off.
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Feb 25, 2017
great capstone to the course. Very clever and efficient way to incorporate the necessary hours of class observation in an online format!
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May 06, 2018
Such an academic professional course
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Jun 21, 2018
thank you Coursera
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It's such a great course! Thanks to all the teachers who made it because I have learnt a lot!
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hard work to get to the promised land!!!
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Thank you ,this course helped me a lot, it pushed me a lot!
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Feb 25, 2018
Great lessons. The tasks is a little bit hard for learners.But we,ve learnt a lot of how to write a lesson plan.
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May 25, 2018
Project one, and particularly this course has been such a benefit to my teaching. The observations have given me so many great ideas for my classroom. Thanks you guys!
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Oct 12, 2017
its really a good course
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Dec 14, 2017
by Muhammed E E•
Apr 08, 2018
It was a great course and I learned a lot about lesson plan and how I can prepare a daily lesson plan and weekly lesson plan and I have learned a lot of methods when I watched lessons and wrote my observation about lessons.
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Extraordinary experience learning with exceptional classmates and wise teachers!!!
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This course is so dynamic and easy to learn. Kudos to the team of ASU Teach English Now! More power to your endeavors.
I have recommended this course to friends who are Interested to have a TESOL certificate and two has already enrolled in the class.
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Great course! Very practical and useful for actual teaching.


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Magazine article European Social Policy
Social Housing : France Must Open Savings Schemes to All Banks
Article excerpt
Following a year-long investigation, the European Commission, on 10 May, ordered the French government to open up its savings book schemes known as Livret A' and Livret bleu'. France has nine months in which to amend its legislation to allow all banks operating in France (whether of French or other origin) to operate the schemes. The government may still apply the special conditions currently attached to the Livrets schemes to any bank that wishes to offer the service.
Originally created in the 1800s, the schemes have historically worked as follows. The French government granted exclusive rights to three French banks - the Banque Postale, Caisses d'Epargne and the Credit Mutuela- to distribute the two types of savings book. The banks get a fee for running the schemes and pass the monies collected (some 128 billion) to the Caisse des Depots et Consignations, which then uses them to finance social housing. Some 50 million French citizens make use of the products, which also benefit from a tax exemption. For the French government (and this is accepted by the Commission) the schemes constitute services of general economic interest as they contribute to public housing and provide basic banking services to many financially unsophisticated consumers.
The Commission stressed that it had no problem with the schemes themselves - "they are very good products," said a spokesperson for Commissioner Neelie Kroes. But, if clients are attracted to these three banks because they can offer these savings products, it gives them an advantage over their competitors. …


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'No Leave Available' Text Supports ADA Claim
A sales associate at a Dollar General store who asked how to request leave and was told by text that no leave was available could proceed with her Americans with Disabilities Act (ADA) failure-to-accommodate claim, the 8th U.S. Circuit Court of Appeals ruled. The plaintiff was a lead sales associate at a Dollar General store…Read More
Just in Time for the Holidays – Does the ADA Require Braille on Gift Cards?
While litigation regarding accessibility of websites and mobile applications continues to swell, plaintiffs' counsel are now pursuing new claims in serial litigation. With the holidays quickly approaching, many attorneys have set their sights on gift cards. Between Oct. 24-27, 2019, 33 putative nationwide class action cases were filed in two U.S. District Courts against an…Read More
When is Obesity a Disability under the ADA?
Complying with the Americans with Disabilities Act poses difficult challenges for employers, and one of the toughest issues to come along in recent years is how to deal with obese employees. Thanks to a new decision by the Seventh Circuit Court of Appeals, the law appears to be settling on the principle that obesity only…Read More
Seventh Circuit: Obesity Alone Is Not A Disability Under the ADA
As we previously reported, the issue of whether obesity is a legally-protected impairment is complex, and jurisdictions differ on the extent to which they consider obesity to be a disability under the Americans with Disabilities Act ("ADA"). On June 12, 2019, the United States Court of Appeals for the Seventh Circuit joined the Second, Sixth,…Read More
Red Flag: When An Employee Raises ADA Issues During Disciplinary Meetings
The need to consider Americans with Disabilities Act (ADA) accommodations can happen at any time during the employment relationship. Generally, an employee will ask for an accommodation before problems with performance emerge. Sometimes, however, an employee decides to notify you of the need for an accommodation when an investigation is underway, when they are being disciplined, or…Read More
Fourth Circuit Reaffirms That Regular, Reliable Attendance Is Essential Function Of Most Jobs
The Fourth Circuit Court, located in Richmond, Virginia, with appellate jurisdiction over the district courts in the following districts: District of Maryland, Eastern District of North Carolina, Middle District of North Carolina, Western District of North Carolina, District of South Carolina, Eastern District of Virginia, Western District of Virginia, Northern District of West Virginia, and…Read More
The Americans with Disabilities Act Prohibits Hostile Work Environments, Second Circuit Rules
On March 6, 2019, the U.S. Court of Appeals for the Second Circuit, whose territory comprises the states of Connecticut, New York, and Vermont, and appellate jurisdiction over the district courts in the District of Connecticut, Eastern District of New York, Northern District of New York, Southern District of New York, Western District of New York, and the District of Vermont, decided…Read More
ADA's Interactive Process Is a Two-Way Street
An employer that grants schedule adjustments that aren't required under the Americans with Disabilities Act (ADA) may later stop allowing such changes when the employee declines to help the employer identify a reasonable accommodation, a recent 5th U.S. Circuit Court of Appeals decision shows. Time Warner Cable Texas LLC hired the plaintiff in October 2012…Read More
Security Guard Unable to Walk Patrol Seeks Accommodation
A security guard's claim of failure to accommodate under the Americans with Disabilities Act (ADA) could proceed to trial despite his physical inability to perform walking patrol rounds, a federal district court decided. The plaintiff was employed by Covenant Security Services as a security officer at the facility of its customer, Kimberly-Clark. The plaintiff testified…Read More
May an Employer Terminate a Disabled Employee for Excessive Absenteeism?
The United States Court of Appeals for the First Circuit recently upheld a trial court decision in favor of JetBlue concerning the termination of a disabled employee due to her excessive absenteeism. Miceli v. JetBlue Airways Corp., No. 18-1345 (January 28, 2019). Many employers are apprehensive about terminating the employment of disabled employees, even when…Read More


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NEPAL | Friday, 19 Apr 2013 | Views [212] | Scholarship Entry
He stared at me for a while. Then asked me pointing at my Nikon D3100 " tam kyaa boknyaa hun" (what are you carrying) in his typical far western accent. I replied "this is a camera to click pictures". He then said to me " tala gaam ma ta gundaa haru bandook ... Read more >
Tags: Travel Writing Scholarship 2013