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Visualization of coronary atherosclerotic plaques in patients using optical coherence tomography: comparison with intravascular ultrasound
Author + information
- Received April 25, 2001
- Revision received November 5, 2001
- Accepted November 28, 2001
- Published online February 20, 2002.
Author Information
- Ik-Kyung Jang, MD, PhD, FACC*,* (jang.ik{at}mgh.harvard.edu),
- Brett E. Bouma, PhD†,
- Dong-Heon Kang, MD*,§,
- Seung-Jung Park, MD, FACC∥,
- Seong-Wook Park, MD, FACC∥,
- Ki-Bae Seung, MD§,
- Kyu-Bo Choi, MD, FACC§,
- Milen Shishkov, PhD†,
- Kelly Schlendorf, BS†,
- Eugene Pomerantsev, MD, PhD*,
- Stuart L. Houser, MD‡,
- H.Thomas Aretz, MD‡ and
- Guillermo J. Tearney, MD, PhD†,‡
- ↵*Reprint requests and correspondence:
Dr. Ik-Kyung Jang, Cardiology Division, Bulfinch 105, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA.
Objectives The aim of this study was to evaluate the feasibility and the ability of intravascular optical coherence tomography (OCT) to visualize the components of coronary plaques in living patients.
Background Disruption of a vulnerable coronary plaque with subsequent thrombosis is currently recognized as the primary mechanism for acute myocardial infarction. Although such plaques are considered to have a thin fibrous cap overlying a lipid pool, imaging modalities in current clinical practice do not have sufficient resolution to identify thin (<65 μm) fibrous caps. Optical coherence tomography is a new imaging modality capable of obtaining cross-sectional images of coronary vessels at a resolution of approximately 10 μm.
Methods The OCT images and corresponding histology of 42 coronary plaques were compared to establish OCT criteria for different types of plaques. Atherosclerotic lesions with mild to moderate stenosis were identified on angiograms in 10 patients undergoing cardiac catheterization. Optical coherence tomography and intravascular ultrasound (IVUS) images of these sites were obtained in all patients without complication.
Results Comparison between OCT and histology demonstrated that lipid-rich plaques and fibrous plaques have distinct OCT characteristics. A total of 17 IVUS and OCT image pairs obtained from patients were compared. Axial resolution measured 13 ± 3 μm with OCT and 98 ± 19 μm with IVUS. All fibrous plaques, macrocalcifications and echolucent regions identified by IVUS were visualized in corresponding OCT images. Intimal hyperplasia and echolucent regions, which may correspond to lipid pools, were identified more frequently by OCT than by IVUS.
Conclusions Intracoronary OCT appears to be feasible and safe. Optical coherence tomography identified most architectural features detected by IVUS and may provide additional detailed structural information.
Autopsy studies have identified several histologic characteristics of plaques that are prone to rupture and cause acute coronary events. These vulnerable plaques possess: 1) a thin fibrous cap (<65 μm); 2) a large lipid pool; and 3) activated macrophages near the fibrous cap (1–4). Because many of the determinants of plaque vulnerability are structural abnormalities, a high-resolution imaging technique may offer promise as a method of detecting vulnerable plaques. Presently, however, a reliable method of identifying such plaques is not available.
Non-invasive imaging modalities such as magnetic resonance and computerized tomography are currently under intense investigation. Catheter-based diagnostic techniques, however, can provide structural information with higher resolution than non-invasive methods. Intravascular magnetic resonance is being actively investigated for plaque detection and characterization (5). Intravascular ultrasound (IVUS) is widely used in interventional cardiology. A recent publication suggests a correlation between the presence of echolucent zones in coronary plaques on IVUS images and acute coronary events (6). Preliminary angioscopic studies have suggested that the presence of yellow plaques with a glistening surface correlates with acute events (7). More quantitative approaches (8,9), which measure molecular absorption overtones of lipid or the Raman shift of cholesterol, may provide unique signals from vessel walls to identify large lipid pools. Based on the hypothesis that local inflammation within vulnerable plaques may lead to local elevations in temperature, a temperature-sensing catheter has been used to study temperature heterogeneity and temperature differences between atherosclerotic plaque and healthy vessel walls (10,11).
Intravascular optical coherence tomography (OCT) has recently been proposed as a high-resolution imaging method for plaque characterization (12). Optical coherence tomography is an optical analog of ultrasound imaging because it measures the amplitude of backscattered light (optical echoes) returning from a sample as a function of delay. In vitro studies have shown that the resolution of OCT (10 μm to 20 μm) can resolve the thin fibrous caps thought to be responsible for plaque vulnerability. Additionally, the intrinsic optical properties of typical plaque constituents have provided sufficient contrast in these studies for OCT to differentiate between lipid, calcium and fibrous tissue. Recent experiments performed in vivo have demonstrated intravascular OCT imaging of normal rabbit aortas (13)and swine coronary arteries (14). Here we present the first application, to our knowledge, of intracoronary OCT in living patients. The goals of this study were: 1) to demonstrate the feasibility and safety of OCT imaging in patients; and 2) to assess OCT images of human coronary pathology acquired in vivo by comparison with IVUS images obtained from corresponding locations.
The OCT system used in this study has been described previously (15). Optical coherence tomography images were acquired at either 8 (250 angular pixels × 250 radial pixels) or 4 frames per second (500 angular pixels × 250 radial pixels), displayed using a gray-scale lookup table and digitally archived. Optical coherence tomography catheters were constructed using modified 3.2F IVUS catheters. Key modifications included the insertion of a single mode optical fiber through the IVUS core and distal termination of the optical fiber by a miniature gradient index lens and a micro prism.
Before performing OCT in living patients, 42 human cadaveric coronary artery segments were imaged using both 7F and 3.2F OCT catheters in order to determine the OCT characteristics of different plaque types. Histologic sections were obtained every 50 μm and stained with Movat's Pentachrome. Corresponding OCT images and histologic sections were compared.
Patients (n = 10, 8 men/2 women, mean age of 59) undergoing percutaneous coronary intervention were enrolled after written informed consent was obtained. The study protocol was approved by the institutional review board of the individual institutions. After stent deployment for more severely stenotic plaques, adjacent atherosclerotic lesions (n = 17) with mild to moderate stenosis in the same vessel were evaluated using IVUS (3.2F, 30-MHz, Boston Scientific, Natick, Massachusetts) and OCT. Intravascular ultrasound was performed with an automatic pullback device at a rate of 0.5 mm/s, and an OCT catheter was advanced to a previously identified site. The exact locations of the IVUS and OCT catheters were identified using different landmarks, such as side branches and angles of the vessel as well as the tip of the guide catheter and the stent edges.
In order to remove blood from the field of view and allow clear visualization of the vessel wall, OCT images were recorded during intermittent 8 to 10 cc saline flushes through the guide catheter. The total time that was added to the procedure for OCT imaging was approximately 5 to 10 min.
After the procedure, corresponding OCT and IVUS images were selected. For each OCT imaging site, the longitudinal distances along the vessel between the image plane and at least two landmarks were measured using digitally recorded angiograms and commercially available image processing software (IPLab Spectrum 3.1, Signal Analytics, Vienna, Virginia). Single IVUS frames were extracted and digitized for direct comparison with the corresponding OCT images.
The resolutions for each modality were determined by measuring the full-width-half-maximum (FWHM) of the first derivative of a single axial reflectance scan at the surface of the tissue. A total of 10 FWHM measurements were used to compute the mean and standard deviation of the axial resolution for the two modalities. This method provides the true "image resolution" and differs from previously published methods for determining the system axial point-spread function using a phantom.
An experienced observer, blinded to the OCT data set, reviewed the IVUS data using established criteria (16–19)to classify plaque type and identify image features including the presence of a plaque, echolucent regions and intimal hyperplasia. The plaque type was classified as fibrous, calcific or lipid-rich. An OCT observer, blinded to all IVUS information, reviewed all OCT images and evaluated the images with respect to the features described above, as well as the presence of the internal and external elastic laminae. The OCT observer's interpretation of the images was based on the results of in vitro studies (criteria in Table 1).
Representative OCT images and corresponding histology of different coronary plaques from 42 human coronary artery segments are shown in Figure 1. The layered structure of the normal coronary wall was absent in all OCT images of atherosclerotic plaques. Calcifications within plaques were identified by the presence of well-delineated, low backscattering heterogeneous regions (Figs. 1A and 1B). Fibrous plaques consisted of homogeneous high backscattering areas (Figs. 1C and 1D). Lipid pools were less well-delineated than calcifications and demonstrated decreased signal density and more heterogeneous backscattering than fibrous plaques (Figs. 1E and 1F). The strong contrast between lipid-rich cores and fibrous regions in OCT images allowed fibrous caps to be easily identified. The information obtained from the cadaveric coronary artery study allowed the identification of similar morphologic features in living patients.
All patients tolerated the procedure well without complications. The duration of clear OCT imaging after each saline purge was approximately 2 s. The maximum penetration depth of OCT imaging measured 1.25 mm versus 5 mm for IVUS. Optical coherence tomography and IVUS axial resolutions measured 13 ± 3 μm and 98 ± 19 μm, respectively. The superior resolution of OCT can be readily appreciated by comparing corresponding OCT and IVUS images showing regions of intimal hyperplasia (Figs. 2A and 2B).
Table 2summarizes the correlation between OCT and IVUS findings. In 10 patients, 17 distinct vessel locations were evaluated by OCT and IVUS. An OCT image consistent with an eccentric fibrous plaque is presented in Figure 2A, with the IVUS image from the same location in Figure 2B. All plaques identified by OCT were characterized by the loss of the layered structure observed in normal vessels or vessels with intimal hyperplasia (Fig. 2A, inset). A total of 13 imaging locations were identified as fibrous plaques by IVUS. All of these sites were also identified as fibrous plaques by OCT.
Macrocalcifications were identified in four plaques by OCT (Figs. 3A and 3C) and IVUS (Figs. 3B and 3D). The contrast between calcifications and the surrounding vessel wall was often higher in IVUS images (Figs. 3B and 3D). However, the bright IVUS signal from calcifications made assessment of neighboring tissue difficult due to saturation artifact. Moreover, the attenuation of ultrasound by calcifications caused shadowing, which impaired visualization of deeper vessel wall structures and prevented accurate measurement of the depth of calcification. In contrast, OCT images allowed improved evaluation of the extent of calcifications within plaques and visualization of plaque microstructure adjacent to calcifications.
Echolucent regions, possibly representing large lipid pools, were identified in two corresponding OCT and IVUS image pairs (Figs. 4 and 5). ⇓⇓Comparison of the OCT and IVUS images of the signal-rich band overlying the echolucent regions demonstrates the potential for OCT to measure cap thickness with a greater degree of precision than IVUS. Optical coherence tomography also identified two additional plaques with similar characteristics that were not definitely identified by IVUS.
Corresponding OCT and IVUS image pairs form a basis for validating OCT findings and comparison of the two modalities. All fibrous plaques, calcifications and echolucent regions identified by IVUS were seen in OCT images. Moreover, as compared with IVUS, OCT images provided additional morphologic information, which could be used to improve plaque characterization (Table 2). The high resolution of OCT facilitated the identification of intimal hyperplasia, the internal and external elastic laminae, and echolucent regions, architecture that can be difficult to discern by IVUS. In addition, the lack of saturation and shadowing artifacts in OCT images of calcium deposits allowed calcium within the vessel wall to be located and enabled visualization of adjacent tissues. Most importantly, the high resolution of OCT permits the measurement of thin fibrous caps (<65 μm), thought to be present in a majority of vulnerable coronary plaques (4).
Limitations of OCT
Clear visualization of the entire vessel lumen by OCT was possible only by displacing blood with saline. Because the maximum duration of optimal imaging after a single purge was only approximately 2 s, screening long vessel segments with OCT would be difficult. One possible solution to this problem is the proximal occlusion with an occluding balloon or the placement of the flushing catheter inside the guiding catheter with subsequent continuous saline flush, a technique commonly practiced in angioscopy (7). For an accurate measurement of a total lipid pool or for the evaluation of a vessel remodeling process, the limited depth of penetration of OCT could indeed pose a problem. However, the current capabilities of OCT are well suited for the identification and study of vulnerable plaques, where the relevant morphologic features are primarily localized to within 500 μm of the luminal surface (1–4). One way to overcome this limitation of penetration is to combine OCT with other modalities capable of imaging through blood. Other techniques such as angioscopy and thermography have been shown to provide additional information that may be related to plaque vulnerability (7,10,11). Combining these modalities with OCT may render a device with improved sensitivity for detecting vulnerable coronary plaques. Finally, although the relatively slow frame rates (4 to 8 frames per second) can potentially give rise to motion artifacts, these effects were surprisingly minimal in our study.
Future role of OCT
Identification of vulnerable plaques might lead to a therapeutic strategy specifically designed for a given patient, such as balloon angioplasty, stenting, local delivery therapy or radiation brachytherapy to prevent acute coronary syndromes (20,21). In situ OCT imaging could also advance our understanding of the intrinsic morphologic features that determine plaque vulnerability. In addition, OCT could be used to monitor structural changes that occur with plaque regression after genetic or pharmacologic intervention (22,23).
Our study demonstrates the feasibility of intracoronary OCT to visualize coronary plaque microstructure in patients. The OCT images of human coronary atherosclerotic plaques obtained in vivo provide additional, more detailed structural information than IVUS. The unique capability of OCT to resolve micrometer-scale features of coronary plaques in patients suggests that this new technique holds promise for identifying features of coronary plaques at risk for rupture. The findings of this initial experience should be supported by a prospective clinical trial to test the ability of OCT to identify vulnerable plaques. Once the predictive capability of OCT is established, a trial demonstrating effective treatment could potentially contribute to the prevention of acute myocardial infarction and sudden cardiac death.
☆ Supported by Whitaker Foundation, Cambridge, Massachusetts.
- Abbreviations
- full-width-half-maximum
- intravascular ultrasound
- optical coherence tomography
- Received April 25, 2001.
- Revision received November 5, 2001.
- Accepted November 28, 2001.
- American College of Cardiology
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About the Stride for Aggie Pride 5K
The Stride for Aggie Pride 5K is a run/walk dedicated to bettering student life. This philanthropic event promotes a healthy lifestyle, with a specific focus on student holistic health to promote being mentally and physically fit. All proceeds from the event benefit the ASUCD Awards Endowment and We Are Aggie Pride.
The family-friendly event is open to participants of all ages, including community and UC Davis affiliates! Participants will enjoy a scenic route (PDF) through the beautiful UC Davis Arboretum as well as other campus landmarks along the way. To support this important cause, local businesses and campus departments will host booths and hands-on activities throughout the event.

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The mission of the Museum of the Cape Fear Historical Complex, a regional section of the Division of State History Museums, is to collect, preserve and interpret the cultural history of sourthern North Carolina and the state for the education and enjoyment of present and future generations. Through exhbiits and educational programming, the complex raises awareness of the past and its influence on the present. The historical complex also provides technical assistance to non-profit historical groups with ints region.
The Museum of the Cape Fear Historical Complex consists of a two story, regional history museum, the 1897 Poe House(a Victorian House museum), and Arsenal Park, ( the site of the 1839 Fayetteville Arsenal burned by Gen. Sherman during the Civil War).
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One issue that has come up in recent threads is the challenge of adjusting to a future in which there may be far less compulsion to work in the formal economy and an increasing separation of income and employment. This is not inevitable, but is one possible response to the widespread mechanization of production that is likely to occur in coming decades. A dramatic rise in productivity can open the way for people largely to be freed from formal employment to pursue their preferred vocations either individually or in voluntary association with like-minded individuals. But since the experiences of many have not necessarily prepared them for this transition, it raises challenges. I thought it might be worth discussing this issue in relation to the main policy options that seem to present themselves; namely, a basic income guarantee or a job guarantee.
The potentially liberating effects of mechanization are summed up nicely in a recent comment by Tom Hickey in a thread at Mike Norman Economics:
With a different mindset, humanity could step forward to a new level of distributed prosperity, including the option of greater distributed leisure. However, I suspect that most people would not opt for greater recreation but more creative endeavor.
Most people can't lie around on the beach for too long before they get antsy. And most people also find that their creative juices flow better when working in cooperation and coordination with others.
Then the difference between work and play would become the difference between process and result. Pure play is only concerned with process, and pure work is only concerned with results. The meeting point is in creative endeavor freely engaged in. Then leisure and work get combined, so that process and result are served simultaneously.
Really the only thing inhibiting this now is a collective mindset that is obsolete.
In relation to this, I suggested in the comments section of my previous post that it will be important to provide scope for people to occupy themselves in socially productive ways to the extent that this is their desire. In response, Neil Wilson hit on an important point:
Yes. But you have to realise that many people find that very hard to do and end up depressed because of it.
Once you lose the external motivation of starvation you have to find some internal motivation to do something else. And our school systems are designed to churn out robotic mass production workers not people who routinely explore their inner motivations and then work out how they can act on that to fulfil their desires while considering the needs of others.
So we have a society full of worker bees with a smaller and smaller hive to maintain.
I think that this transition can be a happier one if accompanied by intelligently designed policies, but could easily cause suffering and go haywire if managed poorly.
A basic income guarantee unaccompanied by the creation of opportunities to participate in organized volunteer activities of various kinds would not provide sufficient support to individuals who might struggle to adjust from formal employment, in which motivation is external, to a life dominated by free time in which it is up to each individual to determine his or her own activities and find their own internal motivation.
There are also dangers associated with a job guarantee if applied, contrary to the intentions of its proponents, in a minimalist or even draconian manner (e.g. workfare, or worse, conscription). A job guarantee that operated as little more than punishment for being a victim of deficient aggregate demand not only would provide little improvement over the current system as a safety net, but would in some ways be a backward step in terms of empowering people to learn self-motivation and self-discovery of what really interests and fulfills them. It is true that even a minimalist job guarantee would keep people in the habit of turning up each day and, for some, help to ward off feelings of emptiness, but this is no preparation for a future in which we could be free from such external motivations if only we can make the transition.
In contrast to these negative scenarios, well designed versions of the same policies could do much to empower people and raise consciousness over time.
A basic income guarantee that was combined with active policies to create outlets for organized volunteer work could accommodate not only people who were already happy to make use of their own time without further assistance (and so felt no need to participate in externally organized activities) but also those who needed additional assistance in keeping themselves occupied or staying socially connected.
A job guarantee introduced along the lines intended by its advocates would entail less freedom for the individual initially, because it would entail a degree of compulsion for anyone without access to an independent income. However, there would be scope over time to broaden the types of activities that are considered socially productive. The broader the accepted activities became, the closer the job guarantee would come to resemble volunteering alongside a basic income scheme, because eventually people would be able to choose activities they would have chosen even in the absence of the job guarantee mechanism.
In either case, an important aspect of policy would be providing outlets for socially productive activity. Perhaps one advantage of the job guarantee over a basic income guarantee, in this respect, is that the broadening of the definition of socially productive activity occurs at the pace societal attitudes are developing. This might be expected to generate less resistance and resentment amongst those in regular employment, although decades of mass unemployment may well have enabled the development of a more tolerant and progressive attitude on this issue.
Assuming that either policy approach was to be implemented in good faith along the lines briefly sketched out above, I do not personally have a strong preference for one approach over the other, although I lean towards the basic income approach. In terms of the transition to a freer society, a basic income scheme in conjunction with organized volunteer activities appeals more to my left-libertarian sensibilities than the job guarantee. I also worry that, in the event that policy implementation was not always in good faith, a job guarantee seems more open to abuse in the way workers are treated and how the program might be exploited politically.
Of course, proponents of the job guarantee point to other benefits, and from a macroeconomic perspective I do find these appealing. In particular, the automatic stabilizing and nominal price anchoring effects of the job guarantee are clearly superior to the current NAIRU approach, and probably also somewhat more effective than a basic income scheme even when combined with organized volunteer activities.
The job-guarantee wage sets the floor on all wages. This makes it an anchor for other wages because the cost of losing jobs in the regular economy depends partly on the difference in wages, and this can be expected to influence wage negotiations. The fixed wage also provides a floor on demand, providing stabilization for the broader economy.
Even here, though, the difference between a job guarantee and basic income scheme should not be overstated. Under the job guarantee, the domestic value of a unit of the currency can be regarded as the amount of job-guarantee labor time it takes to obtain it. Alternatively, we could consider it to be the average amount of socially necessary labor time required. The job-guarantee wage anchors other wages and hence the average socially necessary labor time required to obtain a unit of currency.
Under a basic income scheme, the value of the domestic currency can likewise be considered in terms of average socially necessary labor time. The basic income, rather than the job-guarantee wage, will provide the floor under demand and will also influence wages because it helps define the cost of losing employment. There would be a once-off reduction in the domestic value of the currency because no labor time is worked in exchange for the basic income payment. This will affect the average socially necessary labor time required to obtain a unit of currency. But once this initial adjustment has played itself out, it seems that a basic income scheme could play a similar role as a floor on demand as well as having an indirect effect on wages.
Even so, it might not match the effectiveness of the job guarantee in this aspect if job-guarantee workers were more "job ready" for employment in the regular economy. This would occur if the volunteer activities developed alongside a basic income scheme were of less relevance to employers in the regular economy. The extra "job readiness" of job-guarantee workers means that they would exert more competitive pressure on wages in the regular economy. In that case, the inflation-control mechanism would be somewhat more effective.
Then again, perhaps this could be addressed by ensuring that some volunteer activities were essentially of the same nature as those that would be provided in a job guarantee program. Workers who were keen to regain employment in the regular economy could opt for these volunteer options. The more demand there was for these volunteer activities, the more they could be provided.
Clearly, I am rather ambivalent in my attitude towards these policy alternatives. It should be emphasized, though, that I have not been comparing a job guarantee with a basic income guarantee in isolation, but rather a basic income guarantee in conjunction with the provision of opportunities to volunteer for productive activity. I think this latter combination could enable more freedom of choice while still serving a similar function for those who intend to re-enter employment in the regular economy. That said, I think either policy approach, handled well, could assist in the transition to the kind of society that seems possible in coming decades. This may be true whether the present wage labor relation remains in place or is replaced with something else.


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Choose from 134 accommodations and private residences that delight with gas-burning fireplaces, furnished balconies and European-style luxury with mountain touches. Whether you're taking in views of Vail Mountain, the village or the garden, you'll appreciate the Resort's interior, enriched by hickory wood and limestone that harmonize with views of the great outdoors. View our special offers.
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Abstract—Wireless mesh networks (WMNs) provide a reliable and a scalable solution for multicasting. This paper proposes a framework called Multicast Framework for Bandwidth management in WMN (MFBW) which combines the advantages of Shortest Path Tree (SPT) and Minimum Cost Tree (MCT) algorithm for efficient multicasting with optimal use of the bandwidth.
Index Terms—Bandwidth management, multicasting, wireless mesh networks etc.
The authors are with Vellore Institute of Technology (VIT) University, Vellore, Tamil Nadu - 632014, India (e-mail: firstname.lastname@example.com, email@example.com).
Cite: Manaswi Saha and P. Venkata Krishna, "Bandwidth Management Framework for Multicasting in Wireless Mesh Networks," International Journal of Information and Electronics Engineering vol. 2, no. 3, pp. 421-425, 2012.


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This is a very clean Formula 41 PC with Twin Volvo 480 HP 74EDC electronically controlled engines with 919 hours of use. She has a 9 kW Kohler diesel generator with a sound shield and has 763 hours. The accommodations are spacious with a center mounted queen bed in her forward stateroom and private access to the head, with a Vacuflush Toilet and enclosed standup circular shower. The mid cabin berth doubles as a comfortable conversation pit in the cabin during the day and converts to a full-sized berth when needed. The cabin has a full galley with a large refrigerator/ freezer and a two-burner flat cook top. The cockpit is large and open with bench seating at the helm station and a comfortable U-shaped seating area in the cockpit with snap in carpeting and a wet bar area with a cockpit refrigerator and Icemaker. The engine compartment is accessed through a motorized engine hatch and is spotless and well kept. Please check out the Full Specs and call us today to arrange for a showing!!
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White topsides gelcoat finish for the hull, docks & cockpit
Deep "V" hull
Inron Paint for boot-tops
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Radar arch
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Windshield, curved tempered tinted glass w/ Walk-Through feature
(6) Portlights, opening w/ interior curtains
(3) Deck hatches, opening, w/ blinds & screens
(2) Storage lockers built into Transom
Transom seat, folding
Swim ladder, folding, stainless steel in housing in swim platform
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Handrails & stanchions, stainless steel
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Cockpit seating upholstery, "Transportation Grade" Vinyl, contrasting Beige w/ Tan stripes
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2-Cockpit tables, removable
Wet Bar w/ Corian countertop
6'7" headroom in the Main Salon.
Nice, clean & well-maintained interior throughout.
Ultraleather Interior cushions throughout, Light Beige
Interior carpet throughout, Beige Pattern
Dinette Table. "Hi-Lo" type, adjustable
Mid-Cabin / Guest table, removable
Custom storage cabinetry
Corian Counter-tops, Gray Fleck
2-Sinks, polished stainless steel
Corian insert pieces for the sinks
Cook Top Stove, electric (2) burner, flush-mounted
Sharp Carousel microwave oven
Norcold Refrigeration / Freezer, upright over & under unit, dual voltage 12 VDC / 115 VAC, replaced 2007
Exhaust fan
Accessed via the Master Stateroom or from the passageway from the Main Salon
Sealand VacuFlush Marine head, fresh water, electric
Holding Tank w/ "Y" valve for overboard or deck discharge
Separate stall shower
Custom KVH SeaView / TracVision mounted on the Radar Arch on a SeaView mount.
The original "box" style TV's for the Master Stateroom and the Guest / Mid-Cabin were replaced with flat screen units
VHF, Raymarine
Raymarine C80 Display w/ Radar & GPS functions
B&G Depth-Sounder, Speed / Log
Raymarine autopilot
(4) Sansui Flat Screen TV's
Satellite Radio
Sony AM / FM / Stereo w/ CD Player
12VDC Ship's Service and a 115 VAC Shore Power System
(6) Batteries, 12 VDC
Shore Power w/ (2) 30 amp Hubbell connectors
2- 50' 30 amp cords
Battery Charger, Charles Marine 5000 Series, 80 amp
Kohler Genset w/ sound box, 9 kW
Cockpit lights-2, LED's, mounted in Radar Arch
Nav Lights
Underwater lights
Lighting, Interior
Overhead lights, recessed
Reading lights, bulkhead-mounted, brass finished
Courtesy lights throughout
Marineair Reverse-Cycle Heat & Air Conditioning, 2- zone, total 23,000 BTU's
Twin Volvo Penta KAMD EDC diesel engines with 850 hours
Insulated engine room w/ exhaust blower
Large Cockpit deck hatch, step-plates & ladder for access
FireBoy 1301 Halon Fire Extinguishing System, automatic
Oil Changing System, Marine Products
Glendinning Engine Synchronizers, automatic
Airsep Intake filters
Aquamet 19 2" propeller shafts, stainless steel
Bronze struts
Nibral Propellers
Bennett Trim tabs w/ position indicators
U-Line Cockpit Refrigerator / Icemaker unit 2006
Central vacuum
Holding tank system w/ pump
Dockside water
Cockpit shower
Hot water heater-2013
Anchor windlass, Lewmar electric w/ manual backup in bow anchor well
Anchor, Bruce stainless steel w/ 200' chain rode
Cockpit cover (Tan)
Helm Station cover (Black)
Windshield cover (Tan)
Cockpit enclosure w/ stainless steel frame (Black)
Exterior Cockpit carpet, snap-in, beige-2015
Achilles Inflatable tender, 10' LOA, w/ 9.9 HP outboard motor
Hurley Dinghy / Tender Lift on Transom
Search light, bow-mounted ACR, remote-controlled from Helm Station
Foredeck Sunpads-2009
Dock lines & fenders
USCG Gear
Cleaning gear
This listing is presented to you courtesy of a member of the International Yacht Brokers Association and may be centrally listed with another broker. It is offered as a convenience by this broker/dealer to its clients and is not intended to convey direct representation of a particular vessel.
The Company offers the details of this vessel in good faith but cannot guarantee or warrant the accuracy of this information nor warrant the condition of the vessel. A buyer should instruct his agents, or his surveyors, to investigate such details as the buyer desires validated. This vessel is offered subject to prior sale, price change, or withdrawal without notice.


text:
Envision a secluded beach where soft breezes caress silky white sand and topaz waves gently stroke the shore. Or picture a cozy mountain cabin laden with thick, luxurious rugs and aglow with the light of a warm fire. A romantic atmosphere can awaken the stirrings of passion and elevate lovemaking from the ordinary to the extraordinary.
Whether it's the honeymoon suite of a five-star hotel, or your own living room, create an environment devoted to romance, or a "sanctuary" — a space set aside that allows you and your mate or lover to explore a new dimension of sexual connection.
"A sanctuary protects you from the hubbub of the ordinary world," says sex therapist Margo Anand, author of "The Art of Sexual Ecstasy."
"It possesses distinct qualities that set it apart: silence, beauty, elegance, sensual delight. It engenders feelings of confidence and harmony and sets the stage for moments of special grace." Creating a sacred space for sex with a partner is an important means of ensuring a healthy, happy and enduring sexual relationship.


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November 14, 2018, 6:00 PM - 8:00 PM @ Golden Corral
Meet us at Golden Corral for all you can eat food and great socialization! We will meet at 6pm at the Golden Corral on Garden Road. Each participant must have a parent/caregiver attend. Dinner cost is the responsibility of the participant and/or parent/caregiver. This event is for those with special needs. Please register online or at the BRPD main office no later than November 14 by 12pm.


text:
It has been a strange week so far. When the weather was bright and sunny, I was in no mood to cook and click. But when I cooked to click, the weather turned gloomy and dull, which means not much cooking or clicking was done this week 🙁 But I made sure I had a dish ready for 'Cooking from Cookbook Challenge'. I actually made it last week along with the mixed dal sambar.
Today's dish is from a Telugu cooking show. The combination of pepper and coconut sounded interesting and so I tried it right away. It is definitely a different and delicious combination.
Print Recipe
|Prep Time
|34 serving
|20 minutes
|Cook Time
|30 minutes
Capsicum Coconut Masala Curry (Peppers in Spicy Coconut Gravy)
- 2 Peppers - mediumm, chopped into big pieces (I used a combination of green & red peppers)
- 3 tbsps Coconut - ground into a smooth paste
- 2 Chilies Green - slit
- ½ tsp Chili powder Red - (adjust as per taste)
- ½ tsp Coriander Ground
- 1 tsp Ginger-garlic paste
- 1 tsp Mustard seeds
- 1 tsp Cumin seeds
- ½ tsp Turmeric
- to taste Salt
- Heat 1tbsp oil in a pan, add the cumin and mustard seeds and once the seeds start to splutter, add the green chilies and ginger+garlic paste. Cook for 1 minute.
- Add the coconut paste, turmeric and red chili powder. Mix well and cook for 2~3 minutes, stirring continuously.
- Add the pepper pieces, salt and some water; cover and cook till the pieces are tender.
- Add the ground coriander, mix well and cook for another 2 minutes. Serve with rice or roti.
Linking this to Valli's 'Cooking from Cookbook Challenge: September -- Week 2'.


text:
A small guest apartment located on the edge of the Säde Park in the centre of Valga. Also possible to rent a 12-seat bus with driver, as well as a caravan.
Exact price to be clarified by service provider.
This website uses cookies. By continuing to use this website you are giving consent to cookies being used.


text:
Stone Industry Education
Strengthen Your Skills
Build Your Business
Increase Profit in Your Shop
Connect and network with other stone companies
Running a successful fabrication company
Emphasis on countertop fabrication
Management tips
Financial benchmarking
Equipment needs
$99 for Installers & Fabricators | $249 for Suppliers & Stone Distributors
Earn a $25 bookstore credit — Each attendee will receive a $25 credit for items from the Natural Stone Institute bookstore. Credit will be awarded onsite at the seminar.
Earn two free registrations — non-Natural Stone Institute member companies who join prior to the seminar can send two employees free of charge (a $198 value). For more information about membership, go online to The Natural Stone Institute or call 440.250.9222 (ask for Jeff Handley).
Please be aware there are unscrupulous companies that may attempt to sell you attendee lists from a BNP Event. These companies are not endorsed by BNP and are not legitimate. If you have concerns about the viability of a solicitation for a BNP Event please call Executive Events, 844-644-7449.
"The Choice of fabricators was helpful as each specialized in a different customer phase"
Danny Salinas, Texas Tile Service
"Loved hearing advice from the "panel". GK is a wonderful moderator"
Jordan Taylor, Schlitzberger Stone Designs
"The overall structure and delivery of the course was well planned and directly related to what the group wanted to know."
Houston Attendee


text:
DAY 197: A (slightly latest) HALF YEAR REVIEW – part 3, oh god is this it finally?…YES!
Apr 11th
Bloody awful.
If you get hit by a bus then please don't reincarnate as a dog. Or as a pig. Or donkey. Better to come back as a paving stone. At least that way when you're walked all over you'll be hardened to it.
99% of the suffering that I see in animals is caused by US.
Whether it is a deer caught in a barbed wire fence or a dog hit by a car or a bird covered in oil or a bear made to dance in the streets of India everywhere there is a silent chorus of animals' despair orchestrated by us humans.
It saddens the hell out of me, as Holden Caulfiend might have said.
And it all comes down to this: somewhere along the line we mentally and spiritually separated ourselves from the animals that are our own heritage. We share their biology, we share their needs but all too rarely do we share their pain. And surely the ability to suffer, perhaps more than anything else is what unites all living beings.
The image of the man 'evolving' from the monkey is well known. He walks to the right (the way that most us read) as if leaving behind his lowly past. It's presents a metaphor of success. But to me it's a picture of us walking away from our own natures and creating a painful, terrible divide of forgetting.
Yes and no.
I have a renewed respect for those who care little about animal welfare. I understand why they might want to smother themselves in bacon.
It's hard to confront what goes on out there. The death, the suffering. I wouldn't read my own blog – as Groucho Marx never said.
To try and help animals that are suffering makes you suffer too. (If you feel nothing when you see a cow being hit with a hammer you're a c*&t.) And to help animals, in a DEEP SENSE (and not just by giving money, as vital as that is) is a smelly, stressful, financially devastating affair that might possibly leave no time for relationships other than the one that involves sticking your hand up a cow's backside.
So – this begs the questions – why help?
Well, it seems, there are two types of pain.
The pain of following your heart and the pain of NOT following your heart.
The former (following your heart) is the sort of pain associated with going to the dentist: its not pleasant but in the long run probably good for you. The second is the pain of NOT going to the dentist- you get to stay at home and eat mince with ever worsening tooth ache.
Following your heart – whether that is helping animals or baking the world's biggest muffin – can be a very painful journey that might just be the best thing you ever did. Go back that massive muffin.
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text:
Welcome to Teko Mechanical, Inc.
Founded in 1997, Teko Mechanical inc. has become a cornerstone in Southeastern Wisconsin's HVACR industry. Teko offers quality with custom commercial, industrial, and residential equipment installation as well as preventative maintenance. In addition, Teko provides 24-hour emergency technical services satisfying the highest of expectations to its referral-driven customer base. Contact Teko Mechanical inc. to start your design/build/bid to spec project today!
Teko's recent fleet addition
Teko is "Finding new roads" with the purchase of a Chevy 3500 12' stake-bed truck! This new Chevy eliminates waiting on wholesaler delivery services allowing Teko's technicians to directly transport materials and oversized equipment to your job site.


text: One of six lakes located in Hidden Valley Fishing Club, Burfordville, MO. The lakes are manmade using a system of dams creating tiers as the valley descends. Cedar Lake is the lowest of the six lakes. It is approx. 10 acres and the second largest of the six. The lake is stocked annually with Channel Catfish, Blue Gill, and Bass.


text:
Happy Hour Specials at Bentley's Grill September 7 & 8th.
Bentley's Grill wants to make your work week easier with Happy Hour events coming up this week: Tuesday Tinis and Ladies Night on Wednesdays.
Come see what the buzz is all about! Delicious cocktail specials served with special appetizers prepared by Chef Derek Ridgway and his staff. We think you deserve to indulge after a busy day!
You can also reap rewards by joining our Facebook Page and checking in on FourSquare. Drop by and meet the friendliest staff in downtown Salem and see why our Happy Hour is the best in the Mid Valley! Specials are only offered the Bentley's Grill Lounge.
Monday, September 6: Happy Labor Day! Bentley's Grill Will Be Closed…Enjoy a Day Off!
Tuesday September 7: Tuesday Tinis 4pm-Close
Enjoy Martinis in our lounge each Tuesday after 4pm. Bonus for Foursquare Users: the "Mayor" of Bentley's Grill will receive a complimentary Martini just for being "Mayor". Not using FourSquare? Sign up! It is easy and fun. This offer is only available on Tuesdays after 4pm; must be 21 with valid ID, must show proof you are the current Foursquare mayor.
September 7 Tuesday Tini Specials
* Oranje Lemon Drop: Ketel Oranje Vodka, DeKuyper Triple Sec, muddled lemons and a splash of sweet and sour. Served on a stem.
Paradise Martini: Smirnoff Pomegranate Vodka, pomegranate and pineapple juices.
Dirty Tanqueray Martini: Tanqueray Gin, a splash of dry vermouth and olive juice.
Koolade Martini: Smirnoff Watermelon and Green Apple Vodka, sweet and sour mix, and a splash of cranberry juice.
* Favorite of previous week that carries over into the next.
Wednesday September 8 is Ladies Night 4pm-close
Four cocktail specials, 2 wine selections, 1 beer special and delicious appetizers!
Bonus for Bentley's Grill Facebook Fans! Each week, we will post a special "Ladies Night Facebook Phrase" on our Facebook Page. The first 25 customers who repeat the "Ladies Night Facebook Phrase" during Ladies Night (4pm-close each Wednesday) will receive a complimentary promotional gift! Check the page each week and invite your friends to take advantage of this fun offer!
September 8 Ladies Night Specials
* L.A. Cosmo: Absolut Los Angeles Vodka, DeKuyper Triple Sec, muddled limes and cranberry juice.
Citrus Sunset Martini: Absolut Citron Vodka, Malibu Rum, cranberry and pineapple juices.
Daydream: 10 Cane Rum, Peach schnapps, and orange juice. On the rocks.
Juniper Breeze: Tanqueray Gin, cranberry juice and a splash of sierra mist. On the rocks.
In addition, we will be featuring 2 Wine selections along with one beer selection . Check our Facebook page or Twitter for updates!


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"Connection is a powerful force that creates a positive bond between people based on both rational & emotional factors." Well the more diverse people I meet, the more the I believe in this viewpoint. There are dozens of strategies out there on Internet illustrating the same but I am positive that I am not married to any one in particular!
Recently, I ordered an amazing Laptop for a friend (She never stops smiling :)) & my whole shopping experience was by far memorable in many ways. We were all pretty excited for we were getting a terrific deal (plus $500 Discount) on this Artist Edition HP Notebook & placed a quick order online last Friday. When I checked my statement online 2 days later, I was shocked at having learnt that the discount wasn't applied as promised & the order was cancelled as well. Upon enquiring, I learnt that a glitch in ordering system caused the issue. Anyways, this piece of information was enough to make me "unhappy". I needed explanations-Irritated, I picked up the phone & called up HP's Customer Care....as anticipated - I heard a cheerful voice of 20 something guy with the customary "Thank-You for calling HP Shopping. How may I help you today Chinmay?" My first reaction was to unload my stress/anger but probably the fact that Brian (the agent) called me by name - I decided to be a little patient. I took a deep breath & explained to him at length about what happened & how bad I felt..I said I needed a explanation! To my utter surprise - Brian never argued with me (believe me majority of the cust service reps do argue with irate customers) rather he apologized on behalf of HP & said that a written email apology is on its way. He then proceeded with a fresh order with same list price & express shipping. That said, the thing he mentioned next impressed me the most "Sir, we appreciate you chose us & candid feedback like these do influence changes in the way we sell products at HP. I am sure that you will continue to be our special customer in the days to come." - WaaaaooooW, one thing is for sure-this 20 something guy indeed made me feel way too special :) Anyways I just felt to add few points to what Seth (my true marketing rebbe) says about "Feedback:
- If you feel impressed or delighted - express it right away.
- Feedback is more than "GooD" or "BaD". Being a little descriptive while giving feedback makes a huge difference for the intended audience.
- Anticipate areas of friction before giving Negative Feedback.
- Frame -ive feedback like "Its ok! But can you let me know what took you guys so long?" What differentiates a "special" customer from an avg one is the way he frames up -ive feedback. (There's always ample room for improvement here :))
Well then, wish you all "Happy Earth Day" & thanks much Brian - you made my day indeed..!


text:
Censored by the left wing geeks
In my last post I re-printed some rather amusing comments i got from users of the Rail UK forum. Most of them were disparaging about me and this blog but in the spirit of freedom of speech and fair play I printed them. For some reason that seemed to make them more angry and we had a lively debated during which I teased them with irony but they didnt get it. Here is a selection of the rest of the comments I got. I had over 600 views of my thread on that sight and over 50 replies before the "LOCKED" the thread e.g. censored it. I think its a commnet on the people on the rail scene their politics and small mindedness. Did we expect anything different?
quote "Classic.... lack of grammer, atrocious spelling, not even proud enough to UK the uk..... oh and he called us all train spotters!"
quote "At the risk of argueing with an idiot (something where both parties always lose):
It is racist. You've decided they were forign based purely on how they dress. Also, many many "moderate" Muslims dress like that, and abhor the ideas of jihadis. So yeah, just plain racist.
As to the woman who was banned from wearing a corss- she was banned from wearing jewllery. There's actually good safety grounds to ban frontline staff from wearing necklaces. Further more, whilst the arabic dress is to a certain extent mandated by their holy book, there's nothing in the bible with regards wearing crosses"
quote "All I can see from your blog is you try talk to people on the tube and they don't talk back. What do you expect? The majority of British people WON'T want a conversation with some (potentially harmful) stranger on public transport. They'd rather read a book, listen to music, sit and think or have a conversation with somebody they know. Small-talk is boring and a waste of time, so why bother?"
i then replied;
i am glad to see you have been paying attention and reading the blog.
dont you think i am being just a little bit tongue in cheek sometimes. In anycase i am smartly dressed devastatingly good looking , charming and absolutely not dangerous. You can always spot me at earls court going out of my way to help passengers with luggage if they are struggling while the staff skulk
then i got this back -- hahahaha
quote "The fact you have to post this on a public forums shows that you're either desperate for attention and recognition of doing something (like someone who gives to charity and has to shout about it so everyone knows what they've done), or you're lying and just want people to think you do good.
Also, calling yourself "devestatingly (sic) good looking", especially on a public forum, implies that you're almost certainly uncomfortable about the way you look."
Such fun while it lasted. It seems those that work above ground are more bitter and twisted than those that work underground. Anyway its nice to make so many new friends and I didnt bother to quote them by their geeky nicknames but the know who they are.


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Pacific Crest Youth Arts Organization
Pacific Crest Youth Arts Organization is a non-profit youth group dedicated to providing artistic performance opportunities for young people through the Pacific Crest Drum and Bugle Corps, a Drum Corps International World Class competitor.
The 2014 RunPC 5K/1K takes place Sunday, August 24, 2014 at Frank G Bonelli Park in the City of San Dimas. All proceeds from the run will benefit members of Pacific Crest. The 5K Run will feature a paved trail along the Picnic Valley and the shoreline of the Puddingstone Reservoir. Runners in the 5K will complete one lap and timing results will be available by RaceWire. Join us in supporting the Pacific Crest Youth Arts Organization.
New in 2014, you can support Pacific Crest without running. RunPC is now offering a VIRTUAL RACE. Register for the Virtual Race and we will mail your medal and t-shirt after the race.
Donation amounts from $1-199 dollars. If you'd like to make a donation of $200 or more, consider becoming a sponsor!
Elevation Chart
Sunday, August 24, 2014
6:00 am – Packet Pick Up/Registration opens
7:30 am – 5K Race Starts
8:30 am – 1K Kids Fun Run Starts
Frank G Bonelli Park
120 Via Verde
San Dimas, CA 91773
5K Run Fee:
$35 per person (June 30-August 21)
$40 per person (Race Day)
Registration includes:
1K Kids Run Fee:
$20 per child age (12 and under)
Registration includes:
Virtual Race Fee:
$20 per person
Registration includes:
Group Discounts for Groups of 10 or more.
Please email email@example.com for details.
Participants are welcome to run with jogging strollers but will be required to start at the back of the group.
Questions? Send email to firstname.lastname@example.com
No Refunds
On August 25, 2013, Pacific Crest hosted its second RunPC 5K/1K. Proceeds from the event provided scholarships for three 2014 Pacific Crest members. Each scholarship recipient was selected for their longevity with the Corps and their steadfast dedication to our organization. [Read more…]
On November 11, 2012, Pacific Crest hosted RunPC 5K/1K. Proceeds from the event provided scholarships for three 2013 Pacific Crest members. Each scholarship recipient was selected for their longevity with the Corps and their steadfast dedication to our organization. [Read more…]
On Saturday, June 15th, from 11 AM to 11 PM, the Pacific Crest Alumni Association holds its first fundraiser of 2013 at T.G.I. Friday's in the City of Industry. Located in Puente Hills Mall at 17427 Colima Rd, and just 1.6 miles from Glen A. Wilson High School, T.G.I. Friday's will donate 20% of all FOOD purchases to the Pacific Crest Youth Arts Organization. Print the flyer and present it to your server at the restaurant when you order. Please remember to bring your flyer, no flyer no fundraising.
Lunch, Dinner and Breakfast (leftovers)! Thank you T.G.I. Friday's! [Read more…]
On Saturday, January 26th, from 11 AM to 6 PM, the Pacific Crest Alumni Association holds its first fundraiser of 2013 at Buffalo Wild Wings in the City of Brea.
Pacific Crest is funded, in-part, by the Los Angeles Board of Supervisors through the Los Angeles County Arts Commission. Thank You!
Pacific Crest is one of North America's most-respected performing arts organizations, serving more than 3,000 youth each year. We are Southern California's only Drum Corps International (DCI) World Class Drum and Bugle Corps and represent SoCal at the DCI World Championships annually.
|Copyright © 2001-2019 PCYAO All rights reserved
This site optimized for 1024x768 and tested for compatibility with the
current releases of Internet Explorer, Firefox, Chrome, and Safari browsers
Privacy Policy


text:
Item: Cup w/Sun and Moon Face
Designer/Maker: Erik Gronborg – The Danish artist came to the states in 1959 and to UC Berkeley in 1960. There, he was instrumental in developing the artist-foundry movement begun at Peter Voulkos and Donald Haskin's 'Garbanzo Works,' described by Joe Pugliese in 1963 as " the most cooperative, most confused, most productive, and most slap stick do it yourself foundry operation ever on record."
Gronborg's style was utterly unique, he worked in both wood and cast metals and received the prestigious City of Paris Award at the 1963 Paris Bienale. As part of the landmark Onze Sculpteurs Americains, comprised of artists involved with the Berkeley art department, who received a special group prize, Gronborg was singled out for the Paris Bienale's highest honor and had a solo show at the Musee d'Art Moderne in Paris.
This early stage in Gronborg's career is well documented in Artforum Magazine and the Creative Casting exhibit at the Museum of Contemporary Crafts in NYC (Gronborg and Harold Paris shown working in the Berkeley foundry throughout the catalog), but it was only the beginning. He went on to national recognition as a ceramist often associated with the funk movement, and was included in major exhibitions like Objects:USA in 1969. After settling in San Diego in the mid 1970s, he began to make studio furniture that also won national acclaim and was featured in Dona Meilach's important survey, Woodworking: the New Wave. Always an innovative and singular artist, Gronborg was central to some of the most significant American art and craft developments of the mid 20th century.
Description: This early porcelain cup has impressed images and a rich blue interior contrasted by a bit of gold luster glaze at the mouth. It was made while Erik Gronborg lived in Portland, Oregon, and was teaching at Reed College.
Dimensions: 2-5/8″ x 3-3/4″ high
Condition: Excellent
Price: SOLD
Email for more information regarding this item: firstname.lastname@example.com


text:
- Browse Tutors
- Browse Institutes
- Browse Courses
- Browse Jobs
I have found enough tutoring positions through MyPrivateTutor and am already fully booked. I am very much satisfied with the leads and promptness of their customer support team and professional behavior. I'd recommend to all
Your website for me was the answer of what i really wanted to do. Very helpful to me as a tutor, and to my students. Thank you. I have found a job and the site has amazing features and is very reliable. Keep up the good work.


text:
5 months after baby
I am sorry, but it just bothers me that Hollywood is putting such pressure on women to have a baby and then look like Heidi Klum did when she walked the runway at the VS fashion show, just 6 weeks after having her baby! Don't get me wrong, I am vain. And when I had my baby I definitely was not going to let anything stand in the way of losing the 35 lbs that I had packed on. But it TAKES TIME! It doesn't happen overnight. And really, it is the one time in your life that you can embrace those curves and for most new moms their priority is their little one and spending time with them. Not necessarily hitting the gym.
sorry, just had to vent. That's all for now...
any thoughts on the subject?
*photos courtesy of msnbc.com,


text:
Subsections in this topic:
The Search For the Cause
Triggers and Lifestyle Factors
Studies of Various Treatments
Further Reading
i) Rosacea and Stomach Ulcers
Some people with stomach ulcers are prone to develop rosacea. The cause of a
high percentage of stomach ulcers is infection with a specific bacterium and it
has been suggested that this may be the cause of Rosacea.
The following article references a specific study (from June 1999). The actual study does not support the theory that this bacterium causes Rosacea.
between rosacea and stomach ulcers"
[From the Determatology Channel website]
The study which was referenced in that article can be found in the archives of Dermatology on the
AMA website at:
"Effect of Treatment of Helicobacter pylori Infection on
Joel T. M. Bamford, MD; Robert L. Tilden, DrPH, MPH; Janet L.
Blankush, RN; David E. Gangeness, PharmD
Sponsor's Site
i) Testing Whether Coffee & Tea are
Flushing Triggers
Here is a study which tested the theory that tea and coffee induce flushing. The connection between the two was not proven.
thermal-induced flushing in erythematotelangiectatic rosacea."
Wilkin JK, 1981.
i) "Isotretinoin treatment of rosacea"
by Turjanmaa K, Reunala T, 1987
Brief summary of the results of treatment using Isotretinoin
ii) "Double-blind comparison of azelaic acid 20% cream and its vehicle in treatment of papulo-pustular rosacea."
by Bjerke R, Fyrand O, Graupe K, 1999
Summary of a study which showed that Azelaic Acid, a treatment sometimes used for acne, has been shown to be
effective in treating
papules & pustules.
from AOL Search
Additional Links to Rosacea related research.
| Overview
| Symptoms
| Treatment
| Lifestyle
| Links
| Research
| Glossary
| Contact Us
©Copyright 2005.
All rights reserved.


text:
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text:
Hi folks, well as crazy as things have been, I feel like I'm getting back on track again. The clean-up from the storm has been completed and we had fun doing it. Here's some of the evidence and Charis playing with the dogs in the snow.
I've also managed to get back to my writing. I can't give you a lot from what's coming up right now, but here's something you can find. This excerpt is from Return From Exile. This is how the main evil doer describes the heroine:
"Far away in
, a tall sallow man sat very still in his chair as his younger brother delivered Morag's message. "Go slowly man, carefully now, repeat her message word for word if you have the wit for it." Scotland
Bristling, Annie's father repeated Morag's message. "She has the dossier and the woman? She will call your house in three days?"
"At "
"You're absolutely certain of the name she gave you?"
"I am not mistaken, Clarence, she said her name was Morag MacDonald." He was startled to see his all-powerful older brother blanch again at the sound of that name.
"She's alive," breathed Clarence Balfour. "Dear lord preserve us all, the Shaolin Angel is alive, and she has the damned dossier. I might as well put a gun to my head and pull the trigger. I could rob her of the pleasure of killing me at least."
"Why do you fear this woman so?" asked Martin.
"You have no idea at all whom or what this is, do you, you imbecile? Morag MacDonald is the Angel of Death. She is the flaming sword of god, and the devil's dagger from the darkness. She's as elusive as a thought, as hard to catch as your breath in a vacuum, as impossible to stop as a juggernaut, as lethal as a bullet to the heart, and completely impervious to attack. There are sheep and there are wolves, but Morag MacDonald is the ravening bear that feeds on them both equally. She is as hard to see as a flash of light, and as elusive as a shadow. They say she was especially trained from birth as an assassin by the Shaolin monks themselves. Christ, I'm already dead."
Okay, now on to the ROW80 check-in.
1. Write 10,000 words per week. (I'm just over 4000 since Sunday's check-in.)
2. Read 10,000 words per week. (Reading Burning Lamp by Amanda Quick. I have to be well past the target already.)
3. Edit ten pages of a completed MS. (I have five pages of a romance edited so far)
4. Feature a new author every Friday (I was off line last Friday, but I'm right on track this week with a feature on Sheryl Hoyt)
5. Read and comment on 10 blogs per week. (I'm at about four right now. I'll get there, don't worry.)
Folks, if you are an author and want to be featured on this blog, just drop me a line here: firstname.lastname@example.com
All right, that's it for me today. How are you all doing? Are you enjoying the excerpts? Want more? Talk to me people. J


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The article is from The Salt Lake Tribune and it's appropriately titled Generation gap sparks cloth vs. disposable diaper debate!
The article goes on to share what some elderly really think about disposable diapering...
"Lazy and entitled. That's how some older Utahns see young people who are poor and spending money on disposable diapers. "
Women much like our grandmothers and our mothers grandmothers, wonder why would low-income families struggle to buy disposables when they could just use cloth? Furthermore, why don't today's young people just make their own cloth diapers? Didn't their grandmother's teach them anything?
These spunky old gals are absolutely right. Today's young mothers may have themselves been raised in single parent household or two-parent household where both parents worked. They were not all raised up with homecooked meals three times a day, and sewing...Sewing is kind of a thing of the past. Why sew when you can just buy what you need? That's most likely the mentality of a lot of families.
The debate correlates perfectly to the diapering dilemma at hand. Decades after disposables were introduced, they have simply become "the" way to go, as if there are no other options. Using cloth diapers, let alone making your own...that's just about as far fetched to some as the notion of hunting and gathering for your own food. Cloth diapers just aren't on a lot of peoples "radar" (according to this article) when they find out they're expecting a baby or having trouble affording disposables.
The article goes on to explain reasons why cloth just isn't a feasible option for low-income families who may not have access to washing facilities or even a bathtub.
Ultimately this article concludes that cloth diapers are making a comeback and are beginning to make more and more sense, both for economical and environmental reasons. I just thought that personally, it was neat to read how these elderly ladies planned to take action in their community and see that low-income families got the knowledge and resources they needed to diaper their babies, without having to rely solely on disposables.
You can read the article in it's entirety here.


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Texas Rep. Kay Granger is asking Secretary of State Hillary Clinton to temporarily halt the flow of funds Congress has allocated to aid the Egyptian government during its transition into a democracy.
The Fort Worth Republican's call follows "recent actions taken by the Egyptians" against American-backed non-profit organizations that are assisting the citizens of the Middle Eastern country build their new form of government.
"Not one more dollar should flow to the government of Egypt until the secretary of state can assure the American people that this issue is resolved," said Granger, who is the chairwoman of the State and Foreign Operations Appropriations Subcommittee.
A year ago, the regime of Egyptian President Hosni Mubarak was overthrown following a campaign of civil resistance that included marches, labor strikes and demonstrations. But protests have continued despite Mubarak's resignation.
When the funds to support the Egyptian government were budgeted, Granger said, members of Congress included provisions that conditioned the monetary assistance upon the Middle Eastern's country commitment to form a democracy.
A military-led interim government has overseen Egypt since Mubarak's ouster.
The Egyptian state media announced on Monday the military regime intends to try four such non-profit groups that received some American government funding and are based in Washington, according to The New York Times.
"The charges include operating without licenses, 'conducting research to send to the United States' and supporting Egyptian candidates and parties 'serve foreign interests,'" the Times reported.
Among those arrested is the son of U.S. Transportation Secretary Ray LaHood, a former Republican congressman who currently is serving in the Obama administration.


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Massage therapy involves manipulating the patient's body with pressure (structured, unstructured, stationary and/or moving), tension, motion, or vibration done manually or with mechanical aids.
Target tissues may include muscles, tendons, ligaments, skin, joints, or other connective tissue, as well as lymphatic vessels, and/or organs of the gastrointestinal system.
Dating back thousands of years, there are over eighty different massage applications. In all of them, therapists press, rub and otherwise manipulate the muscles and other soft tissues of the body, often varying pressure and movement.
They most often use their hands and fingers, but may use their elbows, forearm, and feet. The intent is to relax the soft tissues, increase blood and oxygen to the massaged areas, and decrease pain.
People use massage therapy as a complementary medicine for a variety of health related purposes, from treating specific diseases and conditions to general wellness.
At this time, scientist do not fully understand what changes occur in the body during massage, whether they influence health, and if so, how. But some aspects are better understood than others. For example:
Regardless, there does appear to be very few risks involved from massaging if used properly by a trained professional and it does feel just plain good.
A few popular examples of massage therapy are:
To learn massage, most therapists attend a school or training program, with a much smaller number training instead with an experienced practitioner. The course of study typically covers subjects such as anatomy and physiology (structure and function of the body); kinesiology (motion and body mechanics); therapeutic evaluation; massage techniques; first aid; and hands-on practice of techniques.
Relief from pain due to musculoskeletal injuries and other causes is cited as a major benefit of massage therapy.
Others have also reported that from a single dose, massage can also relieve tension headaches, back pain, state anxiety, and enhance performance and alertness.
Through a multiple dose treatment, massage might help sub-acute, chronic, non-specific low back pain, along with anxiety and depression. And massage involving stretching has been used to treat spastic diplegia resulting from Cerebral palsy, and has been used in an effort to improve symptoms, disease progression, and general quality of life (However this treatment is not scientifically supported).
Therapists work in a variety of settings, including private offices, hospitals, clinical settings, nursing homes, studios, and homes where a calm and soothing environment is established with dim lighting, soft music, and fragrances.
Treatments usually last for 30 to 60 minutes with therapists often advising a series of appointments.
During treatment, you will lie on a special padded table or sit on a stool or chair. You might be fully clothed (for example, for a "chair massage") or partially or fully undressed (in which case you will be covered by a sheet or towel; only the parts of your body that the therapist is currently massaging are exposed).
Oil or powder is often used to help reduce friction on the skin and the therapist may use other aids, such as ice, heat, fragrances, or machines.
In 1997 there was an estimated 114 million visits to massage practitioners in the U.S. with massage therapy being the most used type of complementary and alternative medicine in hospitals in the United States. Remember: always tell your health care providers about any complementary medicine therapy you are considering or using, including massage to insure safe and coordinated care.
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Return from Massage Therapy to Complementary Medicine


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Jeff Mills releases The Jungle Planet
Detroit techno frontman and veteran Jeff Mills has announced details of his next album due for release this September. The Jungle Planet will be out on Axis Records, Mills' own imprint, and it is part of the Sleepers Wakes, which is one of the American producer's most ambitious and forward thinking projects; Sleepers Wakes is about the sound of tomorrow.
The album will hold 13 tracks and it will also benefit from a special presentation. It will be released on standard double 12-inch vinyl version, with surreal cover art from French artist Julien Pacaud and and as a "black USB cube."
01. Descending - Micro Terra
02. The World Of Worlds
03. Black Box Colony
04. Translucent Plants
05. Rainbow Clusters
06. Four Hour Days
07. When Night Fell
08. Approaching Magnesium Towers
09. Human Dream Collectors
10. Mutations
11. Truth To The Chosen One
12. Dream Mechanics
13. A Truth Revealed


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Two aquatic biologists have discovered a distinctive species of crayfish in Tennessee and Alabama that is at least twice the size of its competitors.
The new crayfish belongs to the genus Barbicambarus, which have unusual 'bearded' antennae; the antennae are covered with a luxurious fringe of tiny, hair-like bristles, called setae, which enhance their sensory function.
"If you were an aquatic biologist and you had seen this thing, because of the size and the setae on the antennae, you would have recognized it as something really, really different and you would have saved it," said University of Illinois aquatic biologist Chris Taylor, the curator of crustaceans at the Illinois Natural History Survey and a co-discoverer of the new species with Eastern Kentucky University biological sciences professor Guenter Schuster.
Schuster quickly realized that the new crayfish differed in significant ways from B. cornutus.
"And the DNA said just what the morphology said: This thing is pretty different," Taylor said.
The giant crayfish of Shoal Creek was a new species. They named it Barbicambarus simmonsi, in honor of the TVA scientist who had collected the first specimen.
The fact that a distinct species was overlooked for so long indicates that studies of species diversity in the U.S. are not getting adequate resources, Schuster said.
"We spend millions of dollars every year on federal grants to send biologists to the Amazon, to Southeast Asia - all over the world looking for and studying the biodiversity of those regions," Schuster said.
"But the irony is that there's very little money that is actually spent in our own country to do the same thing. And there are still lots of areas right here in the U.S. that need to be explored."
The new species is described in a paper in the Proceedings of the Biological Society of Washington. (ANI)


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Recently I switched over to Linux Mint Debian Edition (LMDE). Here is my review on LMDE. There are some minor glitches I found while working on this system.
I encounter Enter password to unlock your login keyring prompt dialog box once I logged in. In Ubuntu this dialog I have encountered after changing the user password. But in Mint it happened right from installation. Here is a simple technique to fix this.
Linux Mint uses Centralized password management tool called Seahorse. This tool is a front end GUI to GNOME's keyring management system. In simple this tool stores all passwords with a master password which is normally same as login password. This tool can manage your PGP keys, SSH Keys and pass phrases we use in different applications in Mint.
You can find the Seahorse tool in Mint menu -> All Applications -> Preferences -> Passwords and Encryption Keys.
In Passwords tab, select Passwords: Login and select Change Password in context menu. This will ask for old and new password. If you have not changed your user password, just enter the current password for both old and new. If you have changed the password just enter old and new passwords.
This is how I fixed. I hope you too can 🙂


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SARGODHA - FARHAT ABBAS - Armed motorcyclists gunned down three activists of Ahl-e-Sunnat-wal-Jamaat and injured five persons, including ASWJ Punjab Naib Amir Maulana Abdul Hameed Khalid, in the precincts of the city police.
According to details, Maulana Abdul Hameed Khalid was coming from Bhakkar after appearing in an anti-terrorism court on Saturday morning. When their vehicle reached near Noori Gate, all of a sudden armed motorcyclists sprayed a volley of bullets on them. As a result, Zulfiquar, Tippu and Sanaullah were killed on the spot while Maulana Abdul Hameed Khalid and his four companions injured and shifted to District Headquarters Hospital Sargodha where condition of the two injured was reported to be critical. On receiving information, police reached the spot while the attackers managed to escape. Infuriated activists of Ahl-e-Sunnat-wal-Jamaat came on the roads and staged a protest against the incident. They burnt tyres and shouted slogans. The protesters blocked traffic on various roads of the city while a shutter-down strike was observed in bazaars and markets.


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Arthrex provides an extraordinary culture with exceptional benefits, which makes us a very attractive place to work. In fact, Arthrex was named to the prestigious list of Fortune's 100 Best Companies to Work For® in the country in 2015 and 2016 as well as Florida's Top 100 Best Companies to Work For in 2012, 2013, 2014 and 2016. Our corporate headquarters is located in beautiful Southwest Florida, and we also offer employment opportunities with our multiple subsidiaries throughout the country and world. No matter where you work within Arthrex, you will find a secure working environment that fosters ingenuity, teamwork and a commitment to quality, as well as the opportunity to reach your personal and professional goals.
Arthrex is growing and expanding at an unprecedented rate. In 2011, we were awarded a place on the "Inc. 5000" list of America's Fastest Growing Private Companies. We continue to broaden our product portfolio, which leads to increased investments in facility and equipment expansion, and the creation of new employment and career advancement opportunities for our employees.
In order to apply electronically for one of our open positions, you will need to have the following information readily available:
- Current email address (if you do not have one, you can set up a free email account at Yahoo.com, Google.com or Hotmail.com). Please note we can only have one email address per person in the system. You cannot share email addresses as the system will not allow it.
- Employment history (dates of employment, business addresses and phone numbers, compensation, etc.).
- 2-3 references (name, title, business relationship to you, and telephone number).
- Resume (if applicable).
Please note: Arthrex will only consider applications that are submitted online. Applications that are sent to us via the Contact Us form will not be considered for placement.
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Entertainment / Technology
Game On! With our soft dart machine
About Us
M-Darts, conceived by MBI Corporation Sdn. Bhd. and was officially launched in June 2013. It is responsible for distributing and servicing Electronic Soft Darts Machines and its related products throughout Malaysia and the rest of South East Asia. As a new culture, the interest in soft darts sport entertainment is gradually growing across the world. M-Darts is now staying ahead of the curve by bringing this culture to a higher level. Successfully securing an exclusive distributorship of Radikal Darts from Spain in November 2014, we are providing the world'. most advance electronic soft darts machine through events, collaborations and surprises to enhance the soft darts experience and also a new dynamic revenue stream for your business.
Our showroom, sales and support center is strategically located at Pandan Indah, Ampang. Our team of dedicated and well-trained staff is ever ready to assist you with any products related inquiries or any other information. Our distribution centers are well-equipped with professional employees to ensure that the best product will be delivered to you at your ease.
Our Focus
We aim to be the leader of the darts culture by providing an improved sportainment culture of healthy, fun, flexible and professional electronic soft darts service and spreading it to every corner of Malaysia and South East Asia with our unique products. We are offering franchising opportunities at an affordable price to generate a win-win continuous semi-passive income. This is your best opportunity to own the world's most advance electronic soft darts machine and its related products.


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How much product do I use?!
We get it, when products feel and smell as lovely as our DP Skin Care line, its tempting to slather mass amounts of it over the skin!!
Though, we are here to help guide you to use the appropriate amount for your skin and concern. Overuse of products and ingredients are very common, leading to overstimulation in the skin and running out of your products very, very quickly. Keep in mind, our products are very pure, plant based ingredients as well as professional grade. This means, you don't need to use too much product, due to a very high concentration of active, potent vitamins and botanicals.
We have put together a simple users guide for all of our products!:
–Cleanser/Exfoliating/Benzoyl Peroxide Cleanser: Dime size amount. Wet hands, and work into a foamy lather.
–Hydrating Toner: 3-4 sprays onto a cotton round and sweep over skin OR spritz directly on face and sweep off with a cotton round.
–Salicylic Toner: 1-2 pumps on a cotton round, sweep over skin.
–Moisturizer/Hydrator: Dime size amount.
–SPF 30 Gel: Size of a quarter.
–Vitamin K Eye Cream: A pea size between two pinkies, apply in a complete circle, on the app lid and under eyes.
–Serums: 5-7 drops in the palm of you hand, sweep hand together and spread evenly over skin.
–Skin Oil: 3-5 drops, pat over moisturizer.
–Bamboo Enzyme Scrub: Dime Size amount. Combine in with your cleanse, or use alone after cleansing for concentrated exfoliation,
–Recovery gel mask: Apply a generous amount, the size of a walnut to full face and massage in.
–Mineral Clay Mask: Layer an opaque amount -size of an almond- over skin, on top of recovery gel or on it's own. The layer should be thick enough that you will not be able to see your skin peeking through.
–Lavender Milk Mask: Scoop a tablespoon amount into a bowl, add half amount of water. Blend and apply with a mask brush.


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North Ari Atoll: Rasdhoo
5 Nights
8 Dives
For Certified Divers
Price per Person:
US$ 947.00 nett
Tailor-make your Itinerary according to your Budget!
Our holiday packages include everything you need for the perfect holiday in the Maldives starting from the moment of arrival.
Offers include required transfers to and from the Islands, various Diving/ Non-Diving activities and accommodation at our partner hotels/guest houses that are certain to make your stay in the Maldives a memorable one.
Ari Atoll: Rasdhoo Island
Accommodation Options:
- Shallow Lagoon Guesthouse
- Holiday Garden Guesthouse
Package Includes:
- 5 Nights Accommodation on Twin-Sharing basis
- Breakfast
- Airport/Speedboat Transfers
- 8 Dives
- Equipment – Tanks & Weights Only
- Picnic Island Visit
Not Included (Add-on):
- Equipment Rental for 4 Dives (BCD/Regulator/Computer/Mask/Fins)
- Extra Dives
US$ 50.00 per Dive
- Evening Fishing Trip
US$ 50.00 per Person
Sounds great but not what you were looking for?
Contact us to combine multiple activities in a personalized package – WhatsApp/Viber/WeChat +9607785165


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School nursing, a specialized practice of nursing, protects and promotes student health, facilitates optimal development, and advances academic success. School nurses, grounded in ethical and evidence-based practice, are the leaders who bridge health care and education, provide care coordination, advocate for quality student-centered care, and collaborate to design systems that allow individuals and communities to develop their full potential.
Medication Policy
1. Transportation and Storage of Medication: ALL medication, both prescription and nonprescription, must be transported to and from the school nurse's office by a parent or guardian. Students are not permitted to have any medication or drug in their possession.
2. Original Container: ALL medication, prescription or non-prescription, must be in its original container. A prescription medication will already have the pharmacy label with the name of the student, name of medication, and the time when medication is to be administered. Please write your child's name on a non-prescription container.
3. School Permission to give Medication: Medication must have a written doctor's statement or current prescription (label on container) indicating that the medication is to be taken during school hours. Physician orders may be faxed to the school. The school will also need a signature from parents or guardians giving their permission for the school to give the medication. It shall be the student's responsibility to come to the nurse's office to receive the medication at the designated time. If it becomes necessary to give a student medication that is not kept at school, a parent or legal guardian may come to the school and administer the medication.
4. Benadryl and Analgesics: In case of a bee or wasp sting, Benadryl will be given according to weight guidelines if a parent consent is on file. Also, the school nurse will administer analgesics (generic Tylenol or Advil) if a parent consent is on file. At the elementary level (K thru 5), parents will be notified when analgesics are given.
5. If the medication is to be terminated, the parent should notify the school by phone or provide a written and dated withdrawal of consent.
6. Student possession and self-administration of emergency medication is permitted for students with acute or chronic medical conditions. An annual written authorization must be received from both the parent and physician stating the nature of the disease and that the student has been instructed in how to self-administer the medication.
7. Medication Disposal: At the close of the school year, ALL medication should be taken by the student's parent or designated adult (not the student). Medications left in the nurses' office will be destroyed.
Immunization Information
Indiana law states that students in all grades are required to meet the minimum immunization requirements. The immunization record must include the student's name, date of birth, and the vaccine given and date (month/day/year) of each immunization. Below lists the Indiana school requirements of vaccines with number of doses students must have before attending class.
Proof of immunizations must be submitted to your child's school nurse
by the first day of school.
Please click below to find the most updated requirements for school immunizations by the Indiana State Department of Health.


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