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This piece was edited by a fellow writer on writing.com. Thank you again SleepySerpent
"It's Monday," Sarah
mumbles as she rolls out of bed. As she walks towards the washroom, a
smile forms on her face. Today is her one year anniversary working at
Hoyt and Associates law firm in Toronto. Originally from Atlanta,
Sarah knew from the age of 12 that she wanted to be a lawyer. Even
through high school, she continued to pick classes that would help
her pursue her dream. After completing both her Bachelor's and
Master's in Social Science, Sarah started pushing her resume before
she officially graduated from the University Atlanta with a 4.0 GPA.
As she kept applying, she came across an application for Hoyt and
Associates for a law clerk. Although her goal is to be a lawyer,
Sarah figured it would be a step closer and applied anyways. She
wasn't sure she would get the job seeing as how she didn't live in
the country. In the end, it didn't matter to her, she would go
wherever she needed to go in order to do what she loved most. Within
12 hours of her applying, she got

subset: commoncrawl


text:
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My Back Yard Acrylic Print
My Back Yard by Farhan Abouassali - 20.000" x 15.000"
Acrylic Print
Hanging Wire
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My Back Yard acrylic print by Farhan Abouassali. Bring your artwork to life with the stylish lines and added depth of an acrylic print. Your image gets printed directly onto the back of a 1/4" thick sheet of clear acrylic. The high gloss of the acrylic sheet complements the rich colors of any image to produce stunning results. Two different mounting options are available, see below.
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Love the colors and compostion, Beautiful.
This is my favorite one of your displayed works. The colors and their variation and wonderful composition are beautiful. I could live with this one for a long time. Thanks for sharing.
The cool colors suggests a nice shady spot. Wonderful technique.
I love the color and the design. It is amazing that you could bring out such beauty with just the ordinary things.
This is my favorite . I admire how you can mix the realism with the abstract and get a wonderful painting. you are really good
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Option #1 (Mounting Posts) - Attach your print to your wall with four aluminum mounting posts. The cylindrical cap of each mounting post can be removed, allowing you to thread a small screw along the center axis of the of post and into the wall. When you're finished, simply reattached each cap, and you're done. The mounting posts act as stand-offs and keep your print separated from the wall by 1". All of the required mounting hardware (i.e. posts, screws, and wall anchors) is included with your print. Click here for mounting details.
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December 14th, 2019
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We've just refurbished our holiday home in Naples and I promise EVERYONE who calls at the home remarks on the beauty of the image, that includes delivery men, friends and family. We did think at first to have the image of the Pier placed on canvas but by putting it on acrylic the colours are so vivid it's an absolute wonderful piece of art.
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November 28th, 2019
About Farhan Abouassali
Farhan displayed an early interest and talent in art and won many awards for his exceptional ability in local, national, and international competitions. In 1988, he graduated with honor from the University of Damascus of fine Art, Interior Design department. He had his own gallery in Frederick, Maryland in which he displayed his own work in addition to other artists. He displayed his work in various galleries like: Oscar Gallery in Washington, DC The 8th wonder gallery in Frederick, MD Gleedsville Art Publishers in Leesburg, VA Art Pannonia gallery in Blacksburg, VA The art gallery at Mish Mish in Blacksburg, VA, Miller off Main St Galleries, in Blacksburg VA. He is very passionate about his art, and he works very diligently to...
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text:
Biomed News
on Hypoplastic left heart syndrome
Issue of 2019‒11‒17
seven papers selected by
Richard James
University of Pennsylvania
Neurodevelopmental outcomes of children with congenital heart disease: A review.
Update on stem cell technologies in congenital heart disease.
Perceived health competence predicts anxiety and depressive symptoms after a three-year follow-up among adolescents and adults with congenital heart disease.
Transplantation of the failing Fontan.
Clinical Significance of Central Venous Pressure During Exercise After Fontan Procedure.
Congenital Heart Disease and the Liver.
Outcomes of Multi-Organ Transplant in Adult Patients With Congenital Heart Disease.
Curr Probl Pediatr Adolesc Health Care. 2019 Nov 07. pii: S1538-5442(19)30126-9. [Epub ahead of print] 100685
Neurodevelopmental outcomes of children with congenital heart disease: A review.
Howell HB
Zaccario M
Kazmi SH
Desai P
Sklamberg FE
Mally P
Congenital heart defects are the most common birth anomaly affecting approximately 1% of births. With improved survival in this population, there is enhanced ability to assess long-term morbidities including neurodevelopment. There is a wide range of congenital heart defects, from those with minimal physiologic consequence that do not require medical or surgical intervention, to complex structural anomalies requiring highly specialized medical management and intricate surgical repair or palliation. The impact of congenital heart disease on neurodevelopment is multifactorial. Susceptibility for adverse neurodevelopment increases with advancing severity of the defect with initial risk factors originating during gestation. Complex structural heart anomalies may pre-dispose the fetus to abnormal circulatory patterns in utero that ultimately impact delivery of oxygen rich blood to the fetal brain. Thus, the brain of a neonate born with complex congenital heart disease may be particularly vulnerable from the outset. That vulnerability is compounded during the newborn period and through childhood, as this population endures a myriad of medical and surgical interventions. For each individual patient, these factors are likely cumulative and synergistic with progression from fetal life through childhood. This review discusses the spectrum of risk factors that may impact neurodevelopment in children with congenital heart disease, describes current recommendations and practices for neurodevelopmental follow-up of children with congenital heart disease and reviews important neurodevelopmental trends in this high risk population.
J Card Surg. 2019 Nov 09.
Update on stem cell technologies in congenital heart disease.
Brown MA
Rajamarthandan S
Francis B
O'Leary-Kelly MK
Sinha P
: Congenital heart disease (CHD) continues to be among the most common birth defects, affecting an estimated 40 000 births annually in the United States. The most common complication of CHD is heart failure. With improved medical management and surgical outcomes, survival for complex congenital heart defects has dramatically improved, but consequentially there are more adults with CHD than children with CHD. Due to longer-term sequelae of CHD, surgical and medical treatment previously thought to be curative is now realized at best to be palliative, and there is a considerable burden of CHD-related heart failure. Stem cell therapy as an adjunct to current surgical and medical strategies is being explored in an effort to ameliorate CHD-related heart failure. This review aims to explore the current literature with regard to stem cell therapy for CHD as well as ongoing trials.
: A MEDLINE (Ovid), MEDLINE (Pubmed), and clinicaltrials.gov search were performed using the medical subject headings congenital heart defects combined with hematopoietic stem cells, stem cell transplantation, mesenchymal stem cells (MSC), cell- or tissue-based therapy, or MSC transplantation. Articles must have been published after 2010.
: Twenty three articles and 9 ongoing trials met all inclusion criteria.
: Areas of interest include myocardiocyte regeneration, tissue graft development to minimize reoperations, and methods of stem cell delivery. While several small trials are showing promise, it is too soon to make definitive statements about the future of stem cell therapies in this field.
Norwood procedure; congenital heart disease; hypoplastic left heart syndrome; pediatric cardiac surgery; stem cell therapy
Eur J Cardiovasc Nurs. 2019 Nov 13. 1474515119885858
Perceived health competence predicts anxiety and depressive symptoms after a three-year follow-up among adolescents and adults with congenital heart disease.
Leslie CE
Schofield K
Vannatta K
Jackson JL
: Congenital heart disease places survivors at increased risk for cardiovascular complications as they age and requires long-term medical management. Perceived health competence, or how capable one feels in managing one's health, is linked to emotional adjustment in various disease populations, but has not been investigated among congenital heart disease survivors.
: The purpose of this study was to examine the relationship of perceived health competence at baseline (T1) as a predictor of anxiety and depressive symptoms three years later (T2).
: Congenital heart disease survivors (n=125; MT1age=27; 58.6% female; severity of cardiac lesion: 25% simple, 44% moderate, 31% complex) were recruited from a pediatric and an adult hospital as part of a larger study. Participants completed the Perceived Health Competence Scale and the Youth or Adult Self-Report at T1 for anxiety and affective/depressive symptoms. At T2, participants completed the Hospital Anxiety and Depression Scale. New York Heart Association functional class, a measure of functional impairment, was abstracted from medical charts at T2.
: Lower T1 perceived health competence was significantly associated with greater emotional distress at T1 (depression r=-0.47; anxiety: r=-0.45), as well as greater T2 functional impairment (r=-0.41). T1 perceived health competence also predicted T2 anxiety and depressive symptoms, which remained significant when including T1 anxiety and depressive symptoms and T2 functional impairment.
: Congenital heart disease survivors who feel more competent in managing their health may be less likely to experience future anxiety and depressive symptoms. Perceived health competence may be a worthwhile target for psychosocial intervention to promote emotional wellbeing among congenital heart disease survivors and ensure the best outcomes.
Congenital heart disease; New York Heart Association; anxiety; depression; perceived health competence
Transl Pediatr. 2019 Oct;8(4): 290-301
Transplantation of the failing Fontan.
McCormick AD
Schumacher KR
Half a century has passed since the original Fontan palliation. In the interim, surgical and medical advancements have allowed more single ventricle patients to reach Fontan and long-term survival for Fontan patients to improve significantly. However, the risk for Fontan failure and need for heart transplantation remains. In this article we discuss mechanisms of Fontan failure, risk factors and special considerations for Fontan patients in both medical and surgical management around heart transplantation and provide an updated review of survival for Fontan patients after heart transplantation.
Heart defects; congenital; heart transplantation; risk factors
Pediatr Cardiol. 2019 Nov 11.
Clinical Significance of Central Venous Pressure During Exercise After Fontan Procedure.
Asagai S
Inai K
Shimada E
Harada G
Sugiyama H
Various late complications are associated with the Fontan procedure. In patients who undergo the Fontan procedure, the central venous pressure (CVP) tends to be higher than normal. However, the relationship between CVP (at rest and during exercise) and late complications associated with the Fontan procedure is unknown. Thirty-four patients who underwent the Fontan procedure were enrolled in this study. The median age was 19.3 years, and the median time after the Fontan procedure was 12.7 years. With exercise, the CVP increased from a median of 11 to 19 mmHg, and the cardiac index increased from a median of 2.1 to 4.4 l/min/m2. In 38% of the patients, CVP measured at the resting condition and during exercise differed. Laboratory results indicated no significant difference between the patients in the high-CVP group and low-CVP group at rest. In contrast, during exercise, brain natriuretic peptide (67 ± 38 vs. 147 ± 122 pg/ml, p < 0.05), gamma-glutamyl transpeptidase (63 ± 33 vs. 114 ± 30 IU/l, p < 0.05), type IV collagen 7S (6.7 ± 1.3 vs. 8.1 ± 1.3 ng/ml, p < 0.05), and creatinine (0.72 ± 3.14 vs. 0.83 ± 3.16 mg/dl, p < 0.05) levels were significantly higher in the high-CVP group than in the low-CVP group. Elevated CVP during exercise may be associated with long-term complications after the Fontan procedure; hence, CVP should be measured during exercise in patients who underwent the Fontan procedure to accurately predict the risk of developing such complications.
Central venous pressure; Exercise; Fontan procedure; Long-term complication
Clin Liver Dis (Hoboken). 2019 Oct;14(4): 138-141
Congenital Heart Disease and the Liver.
Hilscher MB
Kamath PS
J Am Heart Assoc. 2019 Nov 19. 8(22): e014088
Outcomes of Multi-Organ Transplant in Adult Patients With Congenital Heart Disease.
Wong K
Tecson K
Cedars A
Background The prevalence of adult congenital heart disease (ACHD) is increasing in the United States because of improved survival into adulthood. The unique physiology of ACHD commonly leads to multiorgan dysfunction, prompting interest in outcomes after multiorgan (heart+X) transplantation. Methods and Results We queried the SRTR (Scientific Registry of Transplant Recipients) database to examine 5-year outcomes in ACHD patients (aged ≥18 years) who underwent dual organ (heart+kidney/liver/lung) transplantation between 2000 and 2016. Cox proportional hazards models were constructed to look at survival of dual organ transplant recipients versus heart-only recipients in the ACHD population and heart+lung recipients versus heart-only recipients in the ACHD populations and versus non-ACHD recipients of heart+lung transplant. We then constructed a multivariable model to investigate independent risk factors for 5-year mortality after multiorgan transplant. Overall, 5-year mortality was greater for multiorgan (heart+kidney/liver/lung) transplant compared with heart-only transplant. On further analysis, only heart+lung transplant was associated with increased mortality. Outcomes after heart+lung transplant were no different between the ACHD and non-ACHD population. Risk factors for increased risk of 5-year mortality in ACHD patients after multiorgan transplant included heart+lung transplant, previous cardiac surgery, and severe functional limitation. Conclusions The mortality risk associated with multiorgan heart transplant in ACHD patients is attributable primarily to heart+lung transplants. Multiorgan transplant in ACHD does not convey increased risk compared with the non-ACHD population. Need for multiorgan transplant should not be an impediment to listing ACHD patients needing a heart transplant.
adult congenital heart disease; heart failure; mortality; multiorgan transplant; transplantation


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When a Godwave spilled forth from the creation of the Fourth World, the Earth was seeded with great power. It first manifested in the form of old gods, then of metahumans. Some of the oldest of these gods were hidden from the universe until the time of ancient Greece by the sorceress, Hecate. Hecate reasoned that the Olympian Gods (as they would eventually be called) were greatly weakened after usurping power from their father Cronus and the Titans of Myth. She feared that other powerful gods in the universe (notably Darkseid of Apokolips) would seize Earth for himself. Because of Hecate's enchantment, Darkseid wrongly believed that he and the other New Gods pre-dated the Olympians.[1][2]
^ Garcia, Joe. "The Best & Worst of DC Comics' New 52, One Year Later". Front Towards Gamer. Archived from the original on September 10, 2012. Retrieved September 5, 2012. Despite being one part of the Justice League's "Holy Trinity", Wonder Woman never seems to get the recognition that she deserves. While she might not be invincible, her strength is second only to Superman and she's arguably a better fighter. Her solo outings, however, were rarely very interesting. The New 52 put an end to that injustice, with Brian Azzarello and Cliff Chiang spearheading one of the best books DC is putting out. Azzarello currently has Wonder Woman tearing through the ranks of Greek mythology, and Chiang's art manages to be intense despite his use of softer lines. If you're not reading Wonder Woman, go rectify that.
With Artemis' help, Wonder Woman tracked Zola down to a subway station, where they found a lock of fox fur. Realizing that Zola was with Dionysus, they went to Providence, where Dionysus was currently located. They found Dionysus captured by Cassandra's minion, the Minotaur. When Cassandra's forces were about to depart to Olympus, Wonder Woman ambushed them and hung onto their plane. When the jet arrived to Olympus, the mountain was hit by a massive explosion.[41]
Diana, princess of the Amazons, trained to be an unconquerable warrior. Raised on a sheltered island paradise, when a pilot crashes on their shores and tells of a massive conflict raging in the outside world, Diana leaves her home, convinced she can stop the threat. Fighting alongside man in a war to end all wars, Diana will discover her full powers and her true destiny. Written by ahmetkozan
Born to Hippolyta, Queen of the Amazons, Diana lived a serene and joyful life until the intervention of Steve Trevor upon the island of Themyscira.[2] A tournament was held among the Amazons to determine the representative that would return to Man's World along with Trevor. Diana defeated the other Amazons but was tasked with the final challenge, deflecting a bullet fired from a gun by her mother. After winning the contest Diana was awarded a suit of armor and the Lasso of Truth and left for the United States,[3] though upon her arrival she was arrested and detained in a cell. Falling into despair, Diana was visited by the Gods of Olympus in their animal forms: a peacock, deer, owl, mouse, eagle, dove and tortoise, who granted her the gifts of strength, speed, endurance, empathy and flight.[4]
Granted by Artemis (Goddess of the Hunt). Eyesight, hearing, taste, touch and smell are all on super-human level. She has exceptional hearing and night vision, and has even shown the ability to track her enemies by scent in some instances (especially in natural environments). Wonder Woman has the (Hunters Eyes) which allows her to always hit her mark and see far distances.
^ Greenberger p. 175: "Journalist and feminist Gloria Steinem...was tapped in 1970 to write the introduction to Wonder Woman, a hardcover collection of older stories. Steinem later went on to edit Ms. Magazine, with the first issue published in 1972, featuring the Amazon Princess on its cover. In both publications, the heroine's powerless condition during the 1970s was pilloried. A feminist backlash began to grow, demanding that Wonder Woman regain the powers and costume that put her on a par with the Man of Steel."


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Updated home in Milwood close to restaurants and shopping at The Domain and Arboretum. Minutes to the Apple Campus as well as PayPal, Google, Oracle, and National Instruments. Bountiful trees and covered porch and deck outside. Wood floors downstairs, soaring ceiling in living room and amazing light all times of the day. Newer Air and Heating system, Hot water heater and windows for reduced energy use. Stainless appliances and gas cooking. Easy access to Parmer, 183, 620 and Mopac. Lawn care included.
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Property Listed by: Realty Austin
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Based on information from the Austin Board of REALTORS® (alternatively, from ACTRIS) from December 6th, 2019 at 11:01am CST. Neither the Board nor ACTRIS guarantees or is in any way responsible for its accuracy. The Austin Board of REALTORS®, ACTRIS and their affiliates provide the MLS and all content therein "AS IS" and without any warranty, express or implied. Data maintained by the Board or ACTRIS may not reflect all real estate activity in the market.
All information provided is deemed reliable but is not guaranteed and should be independently verified.


text:
'My only brother would visit occasionally and never offered to even take her home from a hospital stay or to a follow-up appointment.'
Here are some tax benefits that may help you maximize your tax return as a caregiver for a parent.
Children's Place Inc. stock plummeted 17.6% in Wednesday premarket trading after the retailer reported a third-quarter sales miss and cut its guidance. Net income totaled $43.0 million, or $2.77 per share, down from $49.9 million, or $3.03 per share, last year. Adjusted EPS of $3.03 was ahead of the $3.02 FactSet consensus. Sales of $524.8 million were up from $522.5 million but missed the $534.0 million FactSet consensus. Same-store sales were up 0.8%, well below the 3.5% growth FactSet forecast. The retailer faced a number of headwinds, including warm weather into late October, according to a statement from Chief Executive Jane Elfers. Weak quarter-to-date mall traffic has prompted a guidance cut in the fourth quarter. The company now expects sales in the range of $504 million to $509 million, a mid-single digit same-store sales decline and adjusted EPS in the range of $1.48 to $1.68. The FactSet consensus is for sales of $555.1 million, same-store sales growth of 4.3% and EPS of $2.06. Children's Place is guiding for full fiscal year sales in the range of $1.862 billion to $1.867 billion, a 3% same-store sales decline, and adjusted EPS in the range of $5.00 to $5.20. The EPS guidance includes an adverse tariff impact of 13 cents per share. FactSet is guiding for sales of $1.92 billion, same-store sales growth of 0.3% and EPS of $5.62. The company says it's on track to relaunch Gymboree in early 2020 with an e-commerce site and shop-in-shop locations at 200 Children's Place stores in the U.S. and Canada. Children's Place stock has fallen 29.2% over the past year while the S&P 500 index is up 18.8% for the period.
IHOP announced Wednesday that it will launch a fast-casual chain, Flip'd by IHOP, in spring 2020. The launch will start in Atlanta in April, with other major metro areas including Chicago and New York City under consideration. The new chain aims to serve a fast,convenient breakfast in urban locations, though the Ultimate Steakburger and Buttermilk Crispy Chicken will also be on the menu in Atlanta. Other menu items include egg sandwiches and Pancake Bowls with assorted toppings like berries, sauces and bacon, which are designed to be eaten on the go. Food can be ordered online in advance, at a counter or at digital kiosks. Catering will also be available. IHOP is part of the Dine Brands Global Inc. portfolio that also includes Applebee's. Dine Brands shares have rallied 22% in 2019 while the S&P 500 index is up 25% for the period.
American Eagle Outfitters Inc. shares sank 8.4% in Wednesday premarket trading after the retailer gave weak fourth-quarter guidance. For the third quarter, American Eagle reported net income of $80.8 million, or 48 cents per share, compared with $85.5 million, or 48 cents per share last year, and matched the FactSet consensus. Revenue was $1.07 billion, up from $1.00 billion last year and ahead of the $1.06 billion FactSet outlook. Same-store sales growth of 5% beat the 3.4% growth FactSet forecast. Weak demand in certain categories have driven higher markdowns, according to a statement from Chief Executive Jay Schottenstein. Those markdowns have persisted into the fourth quarter. American Eagle expects fourth-quarter EPS in the range of 34 cents to 36 cents and flat same-store sales. FactSet is guiding for EPS of 46 cents and same-store sales growth of 4.1%. American Eagle stock is down 21.8% for the year to date while the S&P 500 index is up 25%.
Ahead of its investor day, Home Depot set its targets for fiscal 2020, saying it expects sales growth between 3.5% and 4%, comparable sales growth between 3.5% and 4%, an operating margin of 14% and a return on invested capital of 45%. It also reiterated its fiscal 2019 guidance of EPS growth of 3.1% on sales growth of 1.8% and comparable-sales growth of 3.5%. Analysts polled by FactSet expected fiscal 2020 same-store sales growth of 4.3% and total sales growth of 4.4%. Home Depot said it will discuss its investments in creating an interconnected shopping experience.
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It can seem impossible to get ahead in the present, let alone to save for the future
Being content in retirement is about more than having enough money. A retirement coach can help.
If Boris Johnson doesn't get a majority, the mother of all parliaments gets more dysfunctional
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text:
Multi Channel Case Study
The Challenge
The Solution
The Results
Viral competition added 35,539 email subscribers to database.
Offered An Awesome Prize
Local Digital sourced a weekend at an amazing couples retreat in the Blue Mountains as a competition prize. This tied in perfectly with the Valentines Day push.
Social Media Promotion
Local Digital built a range of paid ad campaigns on Facebook & Instagram, and managed them throughout the 2 week period leading to Valentines Day. The competition also encourage virility by offering extra entries to people who shared the competition with friends.
Email Marketing
In the days leading in to Valentines Day email messages were sent to the list, with discount coupon codes for all purchases. This generated $xx,xxx in extra revenue – enough to cover the cost of the entire campaign.
High quality visibility in Google organic search results.
Content Optimisation
In the month's leading up to Valentines Day we methodically analysed all key pages and tweaked the page copy to include target & related terms.
Internal Linking Optimisation
We ensured all high-value pages on the client domain included optimised internal links to the relevant Valentines Day pages. This helped Google identify their importance.
Quality Link Acquisition
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XTR decking warranty, installation and maintenance. XTR Decking Warranty, Installation & Maintenance Below is XTR decking warranties, installation and maintenance guidelines along with other important decking information for all XTR decking products
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FIBERON RESIDENTIAL LIMITED WARRANTY - Amazon S3.Fiberon Residential Limited Warranty FIB-0291-LIT Rev F 0218 Page 1 of 4 FIBERON RESIDENTIAL LIMITED WARRANTY .. Decking: Fiberon Paramount PVC Decking 25-year Limited Warranty The term of this Limited Warranty (Warranty Period) for the ..
Boardwalk - Lumberock Premium Decking - Mineral Plastic Composite Lumber.Lumberock Premium Decking is manufactured to withstand harsh, wet environments making it the ideal choice for your waterfront boardwalk decking project. The closed molecular formula of our mineral plastic composite lumber stops water absorption from within ..
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