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Michelle E. Diaz Prof. Beck ENC 1101 - 189381 November 3, 2014 Narrative Essay Revision Resentment: Self-Inflicted and Self-Cured Overcoming an obstacle doesn't mean that certain events have to stop occurring so that it's classified as overcome. I was once told, "Life is ten percent what happens to you and ninety percent how you respond to it." I believe that to be 100% correct. I was raised in a culture where the man of the family, the father, the husband, holds the utmost authority and responsibility
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influences my understanding of the novella profoundly. The narrative structure gives focused questions about the storyline, causing us to consider and understand the novella in greater detail. This enables us to comprehend the context of the work. It also structures the understanding for us to look for relationships between characters in the novella. The narrative structure should be used during the reading of the novel. Through the use of the narrative structure, we should know the context and the plot
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Design or Accident? Taylor says World War Two happened not through any design on Hitler's part, but through miscalculation and blunder. Assess the validity of Taylor's view. A. J. P. Taylor's book, 'The Origins of the Second World War', challenges the conventional view formulated during the Nuremberg trials in 1946. This view argues that Hitler developed and carried out a preconceived plan of deliberate war and aggression against humanity. Unlike other historians, Taylor believes that Hitler
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TIME Magazine SECTIONS → Search Follow Apps Essay: WHY CARS MUST-AND CAN-BE MADE SAFER Friday, Apr. 01, 1966 Subscriber content preview. Subscribe now or Log-In Share THAT most typical product of American civilization—1 the auto—brings joy, jobs, mobility, freedom. It also brings economic waste and human pain. Death and destruction on the highway are now the subject of muckraking books, rock-'n'-roll ballads, congressional inquiry, and serious self-examination in Detroit. The auto represents
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flying car such an idea can be reality. The flying car it the best solution for families in these hard economic times; it has all the amenities of a regular sedan, but runs on only vegetable oil, getting 10 more miles to the gallon than gas, and therefore is very cost efficient. The ad itself has a red car flying through the snow with a family seated comfortably in the car, all happily waving out the window to the grandparents below, demonstrating the joy one's own family could feel with the car. Traveling
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Muscle cars have always been big in the United States such as the Ford Mustang, Chevrolet Camaro, and Chevrolet Corvette. These cars are some of the most popular cars for the past 25 or more years, but over the past 10 years, Japanese cars are becoming more and more popular. Many people who are into muscle cars despise these imports and people who are into these imports have the same feelings toward muscle cars. On the other hand, these two types of car lovers have a strong dislike for each other
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Just imagine that someone dear to you was in an automobile accident; wouldn't you like to know that there is a safety device to protect him/her from harm? The "Law of Unintended Consequences" states that new technologies will often result in results the opposite of their intention. Airbags, for instance, have gone through much controversy in the past few years for their actual safety, or lack there of, to occupants. After educating you on the truth about airbags, I believe that by the end of this
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A car is a wheeled, self-powered motor vehicle used for transporting passengers. Most definitions of the term specify that cars are designed to run primarily on roads, to have seating for one to eight people, to typically have four wheels, and to be constructed principally for the transport of people rather than goods.[3][4] The year 1886 is regarded as the birth year of the modern car. In that year, German inventor Karl Benz built the Benz Patent-Motorwagen. Cars did not become widely available
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Car This old broke down car sat quietly inside my untidy garage. Apparently this car used to be in the earth's crust. Now, what used to be in the crust of the earth is formed and molded into a boxlike steel with enclosed doors for passengers and freight on a conveyance with four rubber wheels, and a brain like engine operated by man. For it to transport and run, it must be fed with fuel. For it to run smoothly without crash and breakdown, regular maintenance and tune-up are required. Normally,
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TASA 2003 Conference, University of New England, 4–6 December 2003 Ronnie's Story: Narrative and Belonging to Place Richard Woolley University of Western Sydney Abstract This paper emerges from doctoral research, finalised in 2003, centred on key ways in which an experience of certainty is constructed in social life. The struggle to 'make-certain the world' is understood as the effort to maintain the stability and durability of those social relations which construct social experience and
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Media Narrative film Extended response The production element lighting was used in both opening scenes of Snatch and Amelie. The opening scene of Amelie there is warm colour, filter applied, which would have been done in post-production this, communicates the idea that it is afternoon time. It seems to be full light as the first scene is out side with expressive lighting to help communicate the mood of romance and the location of France. During the scenes of Amelie's childhood they have used
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Abukhalaf /Picture p 1 Summer Abukhalaf Mr.Greene Freshman Writing, Block 4 Narrative Essay 1/7/15 The 31st By Summer Abukhalaf "Meet with us in science after school, okay?" Maggie says. "Okay, let me call my mom and tell her about it," I say. I know my mom will never let me walk with my friends to go to someones house. I'm so excited to go trick or treating with my friends. This year is supposed to be absolutely perfect. Eighth grade is very important. It's your last year in middle school
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How Car Insurance Rates are Determined According toUsinsuranceagents.com, "Insurance is the only product that both the seller and buyer hope is never actually used." Everyone knows that by law car insurance is required for everyone who owns a car. It is also common knowledge that things like getting speeding tickets, DUIs, and getting into car accidents will affect your insurance, which are factors that you can pretty much control. However, what some people don't know is car insurance isn't all
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An Accident Waiting To Happen Have you ever listened to how many ambulances go by your house or when you are in the car? I never thought that one of those ambulances would be for me. I never really understood what it felt like to be so badly injured until I got a portion of the awful pain that people go through. I was in a small town called Warsaw, Indiana about four years ago; I realized how much pain and the thought of hopelessness that people go through daily. Every year my family and all
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Cars Essay Cristopher Martinez 5-14-14 B-3 People have different ideas and opinions on how to negotiate; changes can affect people's ideas and opinions on places. This happened in a small town called Radiator Springs. The people of Radiator Springs are very different from the people that associate with the Piston Cup Series. They interact differently and negotiate different. The people of Radiator Springs are more polite than
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Accidents, Illness and Emergencies Policy. This is my policy on accidents, emergency and Illnesses. I am committed to providing a safe environment for the children in my care. I am required to have a valid and up to date first aid certificate so I can administer basic first aid if required, and my first aid box will be frequently checked, clearly labelled and easily accessible and will be stored in the Kitchen. I also hold written permission from the parents, that is kept in the child's records
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My Serenity I walked out of the vets office, tears rolling down my face as the veterinarians just stood with a look of sadness and silence in the air. They acted as if they had never seen a pet owner upset before. I walked up to my car and just stood by it as my mom came out a little later. Her eyes were as read as mine. She came up to me and hugged me. She asked me, "You were so brave. Are you okay?" I replied, "No, but I will be. I will be at the dock." She forced a sad smile and
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Essay #1: The Narrative The waves crashed down at a velocity only measurable by Mother Nature plunged me down into the abyss of the ocean floor. Her volume and mass of water tossed me around like a pin ball bouncing off rubber paddles. I helplessly squirmed around trying to find my sense of direction. Thoughts of accepting a trophy, coated with a glazy gold plastic dip, on a podium at the Olympics ran through my head as I demonstrated different variations of underwater cartwheels: one handed
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that was all I needed and could get a better paying job later on in life. Little did I know that I needed an education to make more money that just what I could working in a sock mill. A year after I quit school my father tragically died in a car accident that is when I was forced to move back in with my mom. I was not looking forward to living with her once again because I knew she was stricter on getting an education that what my father had been. Once I moved back in I then realized seeing all
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health, safety and security in health and social care settings. I will be linking all the legislations to Riverglade House. Legislations and guidelines for England and Wales. Health and Safety at Work Act. It is known that the UK has the lowest accidents at work rates in the world, this is because of the Health and Safety at Work Act, this legislation helped bring improvements in health and safety in the work place. There are many requirements for the health and safety at work; employers are responsible
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Future prospects of Green Cars-Tesla Wei Chen Grand Canyon University: BUS-485 03/15/2015 Future prospects of Green Cars-Tesla Executive Summary (write this last per instructions) Overview There are over 240 million cars and light trucks on the road today, consuming 8 million barrels of oil per day. Each gallon of gasoline we burn produces about 25 pounds of carbon dioxide (According to the report NRDC) – the most common global warming pollution that poisons the atmosphere
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This article is about the 2006 film. For the film series, see Cars (franchise). Cars Theatrical poster Directed by John Lasseter Produced by Darla K. Anderson Screenplay by Dan Fogelman John Lasseter Joe Ranft Kiel Murray Phil Lorin Jorgen Klubien Story by John Lasseter Joe Ranft Jorgen Klubien Starring Owen Wilson Paul Newman Bonnie Hunt Larry the Cable Guy Tony Shalhoub Cheech Marin Michael Wallis George Carlin Paul Dooley Richard Petty Michael Keaton John Ratzenberger
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tell me that it was my uncle John, his lungs aren't doing very well and we need to go out to the hospital this afternoon to see him. I told her I would and ran back downstairs to get dressed. When I came back upstairs my mom was in the car waiting. I jumped in the car and sped to the hospital. Pulling up to the hospital was when John being sick really hit me. The sky was grey and it looked like it was about to rain. As I walked into the brand-new hospital, I could smell the staleness and death in
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Accident, Incident, Illness and Emergency Policy The safety of your child is paramount and I will take every measure I can to protect your child from hurting themselves. My premises have been checked and they meet the EYFS Welfare Requirements for childminding outlined by Ofsted. I also regularly review, update and practice safety routines. As a registered childminder, I am legally required to have a valid first aid certificate. I can administer basic first aid treatment, and my first aid
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Tennessee. The family is traveling through the country side. Based on their language and terms they used to refer to African Americans, it could be set pre-Civil Rights movements, 50s or early 60s. 3. Climax- The climax begins after the car accident and a car with three individuals arrive to help them. The grandmother identifies the leader as the Misfit which seals the family's doom. The Misfit and his gang then takes the members of the grandmother to the woods where they are killed. The climax
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happened to Tom? He was involved in a road accident. What do you think happened to him? How could the accident have been avoided? Write your story here. 28 ROSPA_111810_TeachersResource_V17 REPRO V2 KD 29/6/07 10:05 Page 29 INTRODUCTION WORKSHEET 5 – KS3/4 4. Death and injuries of children on foot and on bicycles are most common in the early years of primary school. 5. Children from deprived backgrounds are more likely to die in road accidents than children from better off backgrounds.
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Anhao Narrative Difference between generation X and generation Y As we know, China was a very strong country which has five thousand years of culture traditions. But since 1661, the ancient civilization became a byword for isolation and stagnation of China. It has maintained two hundred years. And then, China was invaded by other countries. So China became weaker and weaker, and there are a lot of gaps of values between generation X and generation Y, such as their education and their
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Christina L. Brown MRKT 454 Case # 10-2 The Smart Car June 16, 2012 Competitive advantage exists when there is a match between a firm's distinctive competencies and the factors critical for success within its industry (Keegan & Green, 2011). There are two basic ways to achieve competitive advantage. First, a firm can pursue a low-cost strategy that enables it to offer products at lower prices than competitors. Next, an advantage can be gained by a strategy of differentiating products
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WEATHER-RELATED ACCIDENTS THROUGH ACCURATE & FASTER WEATHER INFORMATION DISTRIBUTION AND EASY PRESENTATIO R B S Narayana, AM-II ( MO Mumbai ) Keywords: Aviation, Weather, Cockpit Systems Abstract One of the important goal of providing met services to air navigation is l to reduce the fatal accident rate for aviation . it is important to develop technologies needed to meet this aggressive goal. Because weather has been identified as a causal factor in approximately 30% of all aviation accidents, a project
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"In Frankenstein, the narratives seem to grow organically from one another: it is impossible to extricate the narratives from one another, as they are so closely linked and interwoven." Discuss the novel's shifts in narrative perspective. What is the effect of presenting different character's viewpoints, especially those of Victor and the monster? Mary Shelley's Frankenstein has a very complex narrative structure: "the narratives seem to grow organically from one another". Within the novel
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|60 years
|+4d6 years
(64 – 84 years)
|+6d6 years
(66 – 96 years)
|+8d6 years
(68 – 108 years)
1 This category includes barbarians, oracles, rogues, and sorcerers.
2 This category includes bards, cavaliers, fighters, gunslingers, paladins, rangers, summoners, and witches.
3 This category includes alchemists, clerics, druids, inquisitors, magi, monks, and wizards.
|Base Height
|Height Modifier
|Base Weight
|Weight Modifier
|4 ft. 0 in.
|+2d6 in.
(4 ft. 2 in. – 5 ft.)
|150 lbs.
|+(2d6×7 lbs.)
(164 – 234 lbs.)
|3 ft. 9 in.
|+2d6 in.
(3 ft. 11 in. – 4 ft. 9 in.)
|120 lbs.
|+(2d6×7 lbs.)
(134 – 204 lbs.)
|Racial Traits
|Race Point Cost
|Outsider (native)
|Base Speed
|Ability Score Modifiers
|Standard (+2 Str, +2 Wis, –2 Cha)
|Elemental affinity (earth)
|Spell-Like Ability
|Darkvision 60 ft.
Oreads are humans whose ancestry includes the touch of an elemental being of earth somewhere along the line, often that of a shaitan genie. Stoic and contemplative, oreads are a race not easily moved, yet almost unstoppable when spurred to action. They remain a mystery to most of the world thanks to their reclusive nature, but those who seek them out in their secluded mountain hideaways find oreads to be quiet, dependable, and protective of their friends.
Physical Description: Oreads are strong and solidly built, with skin and hair colored stony shades of black, brown, gray, or white. While all oreads appear vaguely earthy, a few bear more pronounced signs of their elemental heritage—skin that shines like polished onyx, rocky outcroppings protruding from their flesh, glowing gemstones for eyes, or hair like crystalline spikes. They often dress in earthy tones, wearing practical clothing well suited to vigorous physical activity and preferring fresh flowers, simple gemstones, and other natural accents to complex manufactured jewelry.
Society: As a minor offshoot of the human race, oreads have no real established society of their own. Instead, most oreads grow up in human communities learning the customs of their parents. Adult oreads have a well-deserved reputation among other races for being hermits and loners. Few take well to the bustle of city life, preferring instead to spend their days in quiet contemplation atop some remote mountain peak or deep below the earth in a secluded cavern. Oreads with a greater tolerance for life among humans often join the city watch, or find some other way to serve their community in a position of responsibility.
Relations: Oreads feel comfortable in the company of dwarves, with whom they have much in common. They find gnomes too strange and many halflings far too brash, and so avoid these races in general. Oreads gladly associate with half-orcs and half-elves, feeling a sense of kinship with the other part-human races despite inevitable personality conflicts. Among the elemental-touched races, oreads have few friends but no true enemies.
Alignment and Religion: Oreads are, perhaps above all else, set in their ways, and any disruption of their routine is met with quiet disapproval. Oreads are fiercely protective of their friends, but don't seem particularly concerned with the well-being of those outside their small circle of acquaintances. As such, most oreads are lawful neutral. Religious life comes easily to the earth-touched. They appreciate the quiet, contemplative life of the monastic order, and most dedicate themselves to the worship of earth- or nature-related deities.
Adventurers: Oreads are initially hesitant adventurers. They dislike leaving their homes and don't handle the shock of new experiences well. Usually it takes some outside force to rouse oreads into action, often by threatening their homes, lives, or friends. Once the initial threat is dealt with, however, oreads often find they've grown accustomed to the adventuring life, and continue to pursue it through the rest of their days. Oreads make good monks and fighters thanks to their prodigious strength and self-discipline.
Male Names: Andanan, Jeydavu, Mentys, Oret, Sithundan, Urtar.
Female Names: Besthana, Echane, Ghatiyara, Irice, Nysene, Pashe.
Standard Racial Traits
- Ability Score Modifiers: Oreads are strong, solid, stable, and stoic. They gain +2 Strength, +2 Wisdom, and –2 Charisma.
- Type: Oreads are outsiders with the native subtype.
- Size: Oreads are Medium creatures and thus have no bonuses or penalties due to their size.
- Speed (Slow): Oreads have a base speed of 20 feet.
- Languages: Oreads begin play speaking Common and Terran. Oreads with high Intelligence scores can choose from the following: Aquan, Auran, Dwarven, Elven, Gnome, Halfling, Ignan, and Undercommon. See the Linguistics skill page for more information about these languages.
Defense Racial Traits
- Energy Resistance: Oreads have acid resistance 5.
Magical Racial Traits
- Spell-Like Ability (Sp) Oread can use magic stone 1/day (caster level equals the oread's total level; DC 11 + Charisma modifier).
Senses Racial Traits
- Darkvision: Oreads can see perfectly in the dark up to 60 feet.
Other Racial Traits
- Earth Affinity: Oread sorcerers with the elemental (earth) bloodline treat their Charisma score as 2 points higher for all sorcerer spells and class abilities. Oread clerics with the Earth domain use their domain powers and spells at +1 caster level.
Alternate Racial Traits
The following alternate racial traits may be selected in place of one or more of the standard racial traits above. Consult your GM before selecting any of these new options.
- Crystalline Form: Oreads with this trait gain a +2 racial bonus to AC against rays thanks to their reflective crystalline skin. In addition, once per day, they can deflect a single ray attack targeted at them as if they were using the Deflect Arrows feat. This racial trait replaces earth affinity.
- Earth Insight: Oread spellcasters sometimes find that their elemental heritage makes creatures of earth more willing to serve them. Summon monster and summon nature's ally spells that such oreads cast last 2 rounds longer than normal when used to summon creatures with the earth subtype. This racial trait replaces earth affinity.
- Ferrous Growth: Oreads with this racial trait learn how to mimic the magic of their shaitan ancestors. Once per day, such an oread can cause a touched piece of non-magical iron or steel to grow into an object up to 10 pounds in weight, such as a sword, crowbar, or light steel shield. This object remains in this form for 10 minutes or until broken or destroyed, at which point it shrinks back to its original size and shape. This racial trait replaces the spell-like ability racial trait.
- Fertile Soil: Oread sorcerers with the verdant bloodline treat their Charisma score as 2 points higher for all sorcerer spells and class abilities. Oread clerics with the Plant domain use their domain powers and spells at +1 caster level. This racial trait replaces earth affinity.
- Granite Skin: Rocky growths cover the skin of oreads with this racial trait. They gain a +1 racial bonus to natural armor. This racial trait replaces energy resistance.
- Isolated: Many oreads are loners and raise their families in isolated groups, either in deep caverns or high mountains. They gain a +2 racial bonus on Perception checks and Knowledge (dungeoneering) checks, and they can use Knowledge (dungeoneering) untrained. They begin play speaking only Terran, rather than Common and Terran. This racial trait replaces energy resistance and alters the oread's starting languages. Source PZO9280
- Mountain-Born: Oreads are drawn to mountains and other high places, and after many generations they've grown well suited to their environment. Oreads with this racial trait gain a +2 racial bonus on Acrobatics checks made to cross narrow ledges and on saves against altitude fatigue and sickness. This racial trait replaces the spell-like ability racial trait.
- Mostly Human: A few oreads have appearances much closer to those of their human ancestors; in fact, they may not even realize their true race. Such geniekin appear to be human, save perhaps minor features like unusual eye color, and they count as humanoid (human) as well as outsider (native) for all purposes (such as humanoid-affecting spells such as charm person or enlarge person). These geniekin do not automatically gain their associated elemental language (but may select it as a bonus language if their Intelligence is high enough). This ability alters the geniekin's type, subtype, and languages. Source PZO9280
- Oread Gem Magic (1 RP): Oreads' proclivity for long spans of study and concentration makes them natural wizards, witches, and oracles. Oreads with this racial trait can augment their earth-related spells and spell-like abilities through the use of precious and semiprecious gemstones as additional material components (see Table: Oread Gem Magic below). The gems are destroyed in the process, granting the spell the listed effects in addition to its normal effects unless otherwise noted. Only one instance of oread gem magic can be applied to a spell at a time; excess expended gems do not stack. This racial trait replaces the earth affinity racial trait. Source: PPC:BotE
- Stone in the Blood: Oreads with this racial trait mimic the healing abilities of the mephits, gaining fast healing 2 for 1 round anytime they are subject to acid damage (the acid damage does not need to overcome the oread's resistances or immunities to activate this ability). The oread can heal up to 2 hit points per level per day with this ability, after which it ceases to function. This racial trait replaces earth affinity.
- Treacherous Earth: Once per day, an oread with this racial trait can will the earth to rumble and shift, transforming a 10-foot-radius patch of earth, unworked stone, or sand into an area of difficult terrain, centered on an area the oread touches. This lasts for a number of minutes equal to the oread's level, after which the ground returns to normal. This racial trait replaces the spell-like ability racial trait.
Alternate Elemental Heritages
Note Geniekin trace their lineage to beings from the various Elemental Planes. Though their progenitors are typically genies, this ancestry can derive from any number of elemental creatures. Furthermore, even geniekin whose ancestry includes only genies can manifest their elemental heritage in uncommon ways. The following heritages represent geniekin variants who have an affinity for different aspects of the elements, with new ability modifiers, spell-like abilities, and elemental affinities that replace the default racial traits.
Source PPC:P-HH
Gemsoul (Crystal Oread)
Typical Alignment N
Ability Modifiers +2 Str, +2 Cha, –2 Wis
Alternate Spell-Like Ability Gemsouls gain color spray as a spell-like ability.
With scintillating personalities to match their captivating appearances, gemsoul oreads command attention—and prefer it that way. Gemsouls tend to have large egos and are flashy in their relationships. They gravitate towards artistic pursuits, most frequently of a performative nature, though they also have a strong tradition of symmetric poetry. Gemsouls prefer to make their homes in flamboyant societies or places where they can make meaningful personal contributions, as well as in nations that appreciate cultivated beauty. Gemsouls typically have dazzling, faceted skin, along with a cluster of crystalline formations instead of hair and pupil-less eyes of vivid colors. Some favor tattoos in complex, branching geometric shapes, and they can frequently be seen wearing silks or brightly dyed linen to contrast their complexions.
- Crystal Affinity This racial trait functions as and can be replaced as the base oread's earth affinity, except it benefits sorcerers with the deep earth bloodline and spellcasters with the Charm domain.
Ironsoul (Metal Oread)
Typical Alignment LN
Ability Modifiers +2 Con, +2 Wis, –2 Dex
Alternate Spell-Like Ability Ironsouls gain unerring weapon as a spell-like ability.
Stolid and indomitable, ironsoul oreads undertake great works, both physical and conceptual, with unwavering determination. Possessed of patience and a sense of self-refinement through struggle, ironsouls reflect their ancestry in their continuous and determined efforts towards self-improvement. Ironsouls are most at home in areas that reflect that same sense of directed and intentional growth, and they operate best within existing formal structures. Ironsouls wear their elemental heritage on their skin, with most having some amount of metallic sheen. Their skin tone varies, with colors ranging from gold and silver to copper-green and dull, oxide gray.
- Metal Affinity This racial trait functions as and can be replaced as the base oread's earth affinity, except it benefits sorcerers with the shaitan bloodline and spellcasters with the Metal subdomain.
|Spell/Spell-Like Ability
|Binding Earth
|+1 damage; +1 to DC of Strength checks
|Garnet worth 50 gp.
|Binding Earth, Mass
|As binding earth augmentation, affecting all targets of the augmented spell
|Garnets worth 250 gp.
|Calcific Touch
|+1 Dexterity damage
|Aquamarine worth 250 gp.
|Clashing Rocks
|+1 damage per damage die
|Emeralds worth 1,500 gp.
|+2 Reflex save DC in whatever application the spell is used; area increases to 100-foot-radius shapeable spread
|Jet worth 500 gp.
|Elemental Body
|Duration increases to 10 minutes/level.
|Amber worth 250 gp for elemental body I, +100 gp per spell level for greater versions.
|Elemental Swarm
|Earth elementals summoned gain the advanced simple template (this does not stack with the Augment Summoning feat)
|Rubies worth 1,200 gp.
|Magic Stone
|Range increment increases by 10 feet.
|Moonstone worth 25 gp.
|Meld into Stone
|Can bring up to 200 pounds of equipment with you; you can see as normal out of the stone
|Peridots worth 150 gp.
|Mighty Fist of Earth
|Increase unarmed strike damage by one step (to 1d4 in most instances)
|Sard or sardonyx worth 25 gp.
|Raging Rubble
|Rubble deals +1 damage; distraction DC increases by 1
|Tourmaline worth 80 gp.
|Shifting Sand
|Move area of sands up to 15 feet as a move action
|Turquoise worth 125 gp.
|Soften Earth and Stone
|Creatures can move only at a quarter their normal speed (minimum 5 feet) in areas of mud and loose dirt
|Fluorite worth 100 gp.
|Spike Stones
|+1 piercing damage; spikes deal 1 point of bleed damage
|Topaz worth 300 gp.
|Stone Shape
|Shapes that include moving parts have only 5% chance of not working
|Opal worth 250 gp.
|Stone Shield
|If your opponent's attack strikes the stone shield, its full damage roll is also applied to its weapon. Unarmed strikes and natural attacks are not affected
|Jade worth 75 gp.
|The cost of this spell's expensive material component can be reduced or increased to affect the spell's power accordingly. With reduced components, the spell grants DR 10/silver (instead of adamantine); with increased components, the spell absorbs 15 points of damage per caster level before it's discharged
|Diamonds worth 150 gp (reduced); diamonds worth 500 gp (increased).
|Wall of Stone
|Wall is 1 inch thick per 3 caster levels.
|Sapphire worth 400 gp.
Favored Class Options
The following favored class options are available to all characters of this race who have the listed favored class, and unless otherwise stated, the bonus applies each time you select the favored class reward.
- Bard Add +5 feet to the range of one of the bard's bardic performances (max +30 feet to any one performance).
- Cleric Add a +1/2 bonus on Knowledge (planes) checks relating to the Plane of Earth and creatures with the earth subtype.
- Druid Add a +1/2 bonus on Knowledge (nature) checks relating to plants and burrowing animals.
- Fighter Add +1 to the Fighter's CMD when resisting a bull rush or drag attempt.
- Monk Add +1/3 on critical hit confirmation rolls made with unarmed strikes (maximum bonus of +5). This bonus does not stack with Critical Focus.
- Paladin Add +1/4 to the bonus the paladin grants her allies with her aura of courage and aura of resolve special abilities.
- Ranger Add +1/4 to the natural armor bonus of the ranger's animal companion. If the ranger ever replaces his animal companion, the new animal companion gains this bonus.
- Summoner Add a +1/4 natural armor bonus to the AC of the summoner's eidolon.
Racial Archetypes
The following racial archetypes are available to oreads:
Racial Feats
The following feats are available to an oread character who meets the prerequisites.
- Dwarf Blooded
- Echoes of Stone
- Elemental Jaunt
- Murmurs of Earth
- Oread Burrower
- Oread Earth Glider
- Stony Step
Pathfinder Roleplaying Game Advanced Race Guide © 2012, Paizo Publishing, LLC; Authors: Dennis Baker, Jesse Benner, Benjamin Bruck, Jason Bulmahn, Adam Daigle, Jim Groves, Tim Hitchcock, Hal MacLean, Jason Nelson, Stephen Radney-MacFarland, Owen K.C. Stephens, Todd Stewart, and Russ Taylor.

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Between April 21 and May 27, the Miyazaki Art Center in Japan's Miyazaki prefecture is running an Evangelion exhibit, showcasing the Eva-01 Prius, figures, dioramas, sketches, replica uniforms and more.
AnimeShinbun is a community of awesome people posting and discussing the latest anime news. It's part of NewsBoiler, a network of social news sites covering today's pop culture.


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[ Career Strategies Events ]
Tina Lee Hadari '04MM to discuss chamber music as public service
Tina Lee Hadari, a graduate of the School of Music and the founder of Music Haven, will be the featured guest speaker at the next Community Engagement Think Tank on Saturday, February 6. Music Haven is a nonprofit organization that anchors a string quartet to the urban neighborhoods of New Haven. Its resident ensemble, the Haven String Quartet, teaches tuition-free after-school string lessons to 48 youth in high-poverty neighborhoods and performs in both traditional and non-traditional venues throughout Connecticut.
This year, the Yale School of Music examines the role of community engagement in the life of professional musicians. To encourage School of Music students to explore the role of community engagement in their careers, and to identify and promote good practices in this field, the School has inaugurated a series of Saturday Seminars. Each session combines a presentation by a visiting expert with a discussion among students on topical issues affecting the field of classical music.
As the event description notes: Venezuela's El Sistema is all the rage these days. The time is ripe in the U.S. for people to start thinking seriously about the ideas of how music education intersects with social transformation. As community-focused musicians, we cannot help but be thrilled, inspired, and grateful for all the recent attention given to music and its power to change an entire country's social system.
But as conservatory-trained musicians for whom performance is such an integral part of our lives, how do we fit into this paradigm? Is there a place for us as accomplished performers? If we are to become a resource for our communities in this way, will we be expected to set down our instruments and teach the rudiments of how to play "Twinkle" day in and day out? As Robert Capanna mentions in his Think Tank, "will we be expected to roll around with three year olds all day long?" Does that leave us any time for us to hone our craft and fulfill our need to perform and communicate from the stage? Is there a way for us to address the needs of our communities, while integrating our love for performance with the need to educate the next generation?
Tina Lee Hadari, the founder and Executive Director of Music Haven, will explore these topics by introducing the history and philosophy behind Music Haven, discussing the ideas surrounding music and social transformation, and considering the ways in which performing musicians can serve as community resources. She will also discuss the needs and challenges of starting a brand-new project or organization from the ground up.
For more information about the event, go HERE.
about Tina Lee Hadari
Music Haven
Violinist Tina Lee Hadari performed to critical acclaim as a soloist and chamber musician in halls worldwide. A prizewinner at the Fischoff, Plowman, and Chesapeake Chamber Music Competitions, Tina has cultivated a deep passion for chamber music. In 2006, convinced that chamber music and professional musicians could be integrated more fully into a community, she founded Music Haven, a nonprofit organization that anchors a string quartet to the urban neighborhoods of New Haven. The Haven String Quartet, resident ensemble of Music Haven, rehearses daily in community space, teaches tuition-free after-school string lessons to 48 youth in high-poverty neighborhoods, and performs in traditional and non-traditional venues throughout the state.
Tina began studying violin in the public schools in Indiana at the age of nine, four years after immigrating there from Seoul, Korea. Completing her undergraduate studies under a joint double-degree program with the New England Conservatory and Tufts University, she received a B.M. in Violin Performance and a B.S. in Biology. She earned her Masters degree at the Yale School of Music in 2004 and completed her doctoral degree in 2008 at the University of Colorado, while working with the Takacs Quartet as part of the graduate quartet-in-residence. She has served on the faculties of Opus 118 in New York, Boulder Suzuki Strings, and the Apple Hill Chamber Music Center. Currently she is the executive director and resident violinist of Music Haven and also coaches chamber music at the Neighborhood Music School.


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Getting Ready for Fall
Autumn is invariably a prelude of falling winter temperatures but along with the colder weather the symphony of vibrant red, orange and... Read More
Tips on how to keep your home cool this summer!
1. Reduce the cooling load by employing cost-effective conservation measures. Provide effective shade for east and west windows. When possible, delay heat-generating... Read More
A well kept secrect: Healthy Home Tax Renovation Credit for Seniors
Article Source: Ontario Ministry of Finance The Healthy Homes Renovation Tax Credit is a new permanent, refundable Personal Income Tax credit to... Read More
Improve Home Energy Efficiency and Home Health in Preparation for Winter
As fall approaches, this is the time to prepare your home for harsh winter weather. Here are some tips to improve the energy efficiency of your home before winter is upon us.
Take Care of Your Home's Health, Like Your Own
If your home could talk, the walls would beg for the attention it deserves. The walls would ask for a good inspection (with an infra red scan), make sure vents are working properly, clean the chimney, and install latesy technology in solar blinds to reduce heating and cooling costs.
Comparing The First Window Blinds to Coverings Today
Have you ever given any thought to the history of what you put on your windows? The quest for light and comfort... Read More
10 Ways to Save Energy in the Laundry Room
Twitter is a great place to find eco tips and articles. Browsing this morning, there was a great article by apartmenttherapy.com titled... Read More
Green Renovation Ideas for Homeowners
Kaz Flinn, Vice President, Corporate Social Responsibility at Scotiabank shared his insight with Home BUILDER Canada on how to continue encouraging Canadians... Read More


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- WiFi
- Car park
- Family
- Sports
Choose your room
In the Hotel Les Nations you'll experience the convenience and comfort of a family-run, traditional hotel right in the heart of the capital. Situated in a peaceful side street in the Tiergarten area of Berlin, and only three kilometers from the main railway station, our hotel is the ideal base for your stay in Berlin. Our hotel has three stars from the DEHOGA (German Hotel & Catering Association) classification system, and is notable for its central and easily accessible location. As well as the very good access to the main railway station and Tegel Airport, you also have ready access to natural surroundings. The idyllic paths along the Spree, just around the corner, are ideal for joggers and cyclists. The Tiergarten park, the famous Kurfürstendamm avenue, the Victory Column and the Brandenburg Gate can all be easily reached by bus, rail and bicycle.


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United States, Validation Specialist EN_HC_13473-MZ
The nature of the position will be that of a primary resource for the development, execution, review and approval of equipment and software validations, including: computerized laboratory systems, system life cycle documentation (covering validation plans, design specifications, requirement specifications, etc.), change controls and decommissioning reports in accordance with 21 CFR Pt. 11 and GAMP5.
Skills and Requirements:
To Apply:
Please click on the Apply button. Please include a short note outlining why you are interested in the role and why you think you are suitable.
In case you have difficulty in applying or if you have any questions, please call Hannah Cihlar at (+1) 267 983 0133
or upload your resume on our website - www.proclinical.com.
A full job description is available on request.
ProClinical is a specialist employment agency and recruitment business, providing job opportunities within major pharmaceutical, biopharmaceutical, biotechnology and medical device companies.
Please visit our website at www.proclinical.com


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Soon I will do a post about the ah-maz-ing Christmas we had…which brings my "I will soon post" total to 3…but, I promise to do it!
2010…I'm not sad to see it go. It has brought with it surgeries, countless medicines, too many doctors to remember, thousands of dollars spent on doctors, tests, and medicine, and yet we are no closer to knowing anything than we were.
This year has taught me the true meaning of patience, that doctors don't always know what they are talking about, the importance of a family care doctor that you trust beyond anything, that relying on one doctor is not always the best option, and that if you feel uncomfortable about something, ask questions until you do.
This year will always be remembered as a year of pain and suffering. Yes, it has had some high points; I got to marry my best friend and start our life together. I got to travel to an amazing country and experience sailing for the first time. I have been able to share sweet laughter, sacred tears, and unforgettable moments with him. Many of my friends have welcomed new husbands, sweet babies, and wonderful pets into their families. My hope, for the New Year, is that the number of those good times and the number of bad times will be flipped, and 2011 will be known as the year of redemptive joy.
Happy New Year!


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Multiple Dates
BNI Fast Forward Business Breakfast - come and promote your business!
Are you looking to GROW your business with word of mouth marketing? Come to our business breakfast event to network and promote yourself. This will be a great opportunity to broadcast your services and products to our attendees. Relax, have fun, and make some connections just like any other social event!
There will be 30 plus professionals attending the event, so don't forget to reserve your seat as soon as possible!
Full breakfast included. Free parking in Vancouver Downtown until 9am. Remember to bring lots business cards with you!
Contact Person:
Sandy Gum @ 778-863-3361
Financial Strategist | Insurance Advisor


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Please use this identifier to cite or link to this item:
|Countercurrent chromatography of proteins using aqueous two-phase systems
|Bourton, Emma Catherine
|Fisher, D
Sutherland, I
|Issue Date:
|Brunel University School of Engineering and Design PhD Theses
|The biotechnology industry requires high - capacity protein manufacturing processes that retain protein functionality. Large - scale countercurrent J- type centrifuges have been developed by the Brunel Institute for Bioengineering that successfully purify small organic molecules using aqueous - organic phase systems. Aqueous two - phase systems (ATPS) have been used historically to purify bio-molecules whilst retaining their biological function. This thesis focuses on extending CCC to the separation of proteins, using a model ATPS of PEG-1000 and potassium dihydrogen phosphate to separate a mixture of lysozyme and myoglobin. Initial studies were on the behaviour of this phase system in aJ- type CCC centrifuge fitted with a multilayer column; the variable parameters examined were centrifuge rotational speed, mobile phase flow rate and direction, and type of mobile phase. A set of optimum conditions were identified that gave good retention and stability of the phases in the column. These conditions were applied to separate a mixture of the proteins lysozyme and myoglobin in the same centrifuge. However, the proteins did not elute as predicted from their equilibrium distribution ratios. It appears that the wave - like mixing and settling behaviour of the phases in the centrifuge was insufficient for the proteins to achieve equilibrium partitioning. A centrifugal partition chromatography (CPC) centrifuge was introduced to the study. This provided full protein separation, credited to the cascade phase mixing created by this design of centrifuge. The experimental parameters were used in an experiment on a pilot - scale CPC instrument. The CPC study was extended to the isolation of a target protein (phosphomannose isomerase) from a fermentation supernatant. CPC gave partial purification of the protein with retention of enzyme activity. This thesis demonstrates the importance of phase mixing in CCC, which has led to a new column design by BIB with the potential of industrial - scale protein purifications.
|This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University.
|Appears in Collections:
|Brunel Institute for Bioengineering (BIB)
Brunel University Theses
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|Adobe PDF
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My intercultural journey
The desire to build bridges of understanding between peoples has been an important part of who I am since I left the USA to settle in France in 1994. The intercultural journey is similar to an interpersonal journey: it is about fully understanding one's self, as a basis for understanding another person.
The other person's difference is a mirror that increases self-awareness…if we are willing to look. This is the foundation for intercultural communication.
The French and Americans are a case in point. So close yet so far away. Both are so convinced of being the center of the world. After years of immersion, I have finally managed to take a sociologist's view on this, with an enormous debt to Alexis de Tocqueville.
ParisSharing, the company I founded, is also an expression of my desire to build bridges between peoples. What better way to better understand another culture when travelling than to stay in a home?
I am also available for speeches and training seminars on intercultural understanding, either in French or in English, based on my experience as a American in Paris.


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NICOLA Sturgeon has told her opponents she will seek "progressive" alliances to prop up her left-of-centre minority government as she was officially reappointed as Scotland's First Minister.
The SNP leader will today unveil her new Cabinet line-up with a reshuffle expected.
Deputy First Minister John Swinney is being linked with the education brief as Ms Sturgeon again described education as her key priority, which would see Angela Constance lose her post.
Mr Swinney's role from the last parliament as finance secretary is having some responsibilities moved to a new economic secretary role and there is also speculation he could take on one of these roles.
External affairs minister Humza Yousaf and Derek MacKay, the transport minister, have also linked with promotion to Cabinet posts.
Ms Sturgeon will be appointed by the Queen and take the oath of office at the Court of Session today, before heading back to Bute House to finalise the make-up of her new team of senior ministers.
She was formally re-elected by MSPs yesterday with the support of all 63 Nationalists, fending off competition from Willie Rennie of the Liberal Democrats who stood against her, but won the support of just five Lib Dems. MSPs from Labour, the Conservatives and Greens all abstained.
• READ MORE: Nicola Sturgeon pledges not to govern by force of numbers
Ms Sturgeon said the elevation of the Conservatives to Scotland's second-biggest party in Holyrood makes "the choice of the kind of country that we want to be sharper than it has been before".
Ms Sturgeon stressed the SNP stands for universal free prescriptions, free education and Scottish independence, policies the Conservatives opposed in their manifesto.
She said: "I will do everything I possibly can to ensure that this moment in our history marks the beginning of a new age of national self-confidence."
The SNP leader made it clear that education will be "firmly at the heart of everything my government aspires to do".
Ruth Davidson, whose Tory party now has 31 MSPs, congratulated Ms Sturgeon and said her party was determined to fulfil its election promise of being the "strong opposition the parliament and this country so desperately requires".
Ms Davidson said: "We will use the job of opposition to provide real alternatives for the Scottish Government to consider. The debate over those alternatives needs to start immediately."
Like whisky? Take part and win with The Great Scotsman Whisky Survey


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DEME concludes Atlantis accord
DEME Concessions, part of DEME Group, has completed the share purchase in Atlantis Resources' Scottish project development vehicle Tidal Power Scotland (TPSL).
Under the terms of the agreement announced in April, DEME has paid £2 million to a wholly owned subsidiary of Atlantis for a 2% stake in TPSL.
The Belgian offshore construction company, DEME, will receive certain rights in respect of further equity funding at financial close of the Sound of Islay project and Phase 1C of the MeyGen project, Atlantis informed.
Furthermore, the DEME Group is now taking an active role in the MeyGen Phase 1A installation through DEME's subsidiary, Geosea, a specialist in complex offshore marine engineering projects.
Geosea will use the jack-up vessel MV Neptune to install all heavy turbine foundation structures and some of the turbines for MeyGen Phase 1A, starting from September when the Neptune is expected to arrive at Nigg Energy Park to start equipment mobilisation, according to Atlantis.
GeoSea will work alongside James Fisher Marine Services (JFMS), a specialist in dynamic positioning vessel operations in high tidal flow conditions.
Tim Cornelius, CEO of Atlantis, said: "Both GeoSea and JFMS are best in class with specific skill sets that, when combined, will ensure that Phase 1A is installed successfully and safely. We are on track to deliver first power to the grid from MeyGen Phase 1A later this year, which will be a landmark event for the global marine power industry."


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Become a member - its free!
Receive a free Meditation Guide, discounted class passes & our latest news
Mindful movement is based on the fusing of modern physiotherapy and the ancient breathing techniques and physical postures from traditional yoga. It draws strongly on the teachings of physiotherapists and yoga teachers Simon Borg Olivier and Bianca Machliss. Mindful movement is non denominational and non dogmatic. Everyone is welcome.
Photo credit: the amazing Nawaf Ali, Mazaj Yoga
This one-hour class commences by reconnecting body and mind through breath work and an integrated spinal and abdominal warm-up. Posture sequencing (vinyasa) in conjunction with salutes (surya/chandra namaskar) are used to warm up the body and to prepare the body for deeper inversion and backbending.
Students are presented with variations to each physical form so they can tailor their practice to their body's needs. All classes finish with releasing postures, with student's enjoying a final blissfully restorative final relaxation "shavasana".
The physical focus ensures that students build up their understanding of how to move safely with deep muscular-sceletal awareness through a complete range of physical forms, whilst the deeper mindful focus ensures that students work with absolute concentration but minimal tension through their practice, enhancing the relaxing aspect of the class.
Perfect for beginners, and those coming back after a break !
As a special offer to yogawallah members who have already completed the Foundation Course (Level 1) with me, drop-ins to the course will be possible. The normal yogawallah class fee will apply. Those who have not completed the course must enroll for the full course. Please feel free to contact me if you have any questions.
The course is highly recommended for those new to the mindful movement practice and also those who would like to deepen their understanding of the practice, and will give you the confidence to start your own home practice.
Take it to the next level !
Deepen your practice with 6 challenging themes, emphasising core strength, arm balancing, detoxing, breathwork, upper & lower body strength & flexibility. Perfect for regular practitioners, those attending the Monday open class, and also those who have completed the Level 1 Foundation Course. This course is not recommended for those new to mindful movement work. The Level 1 course is not a prerequisite for this course. Drop-ins are not currently possible for this course.
Variations will be given to cater for varying levels of strength, flexibility and experience.


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Prognostic significance of the location of wall motion abnormalities during exercise echocardiography
Author + information
- Received January 23, 2002
- Revision received May 16, 2002
- Accepted June 24, 2002
- Published online November 6, 2002.
Author Information
- Abdou Elhendy, MD, PhD*,
- Douglas W Mahoney, MSc†,
- Bijoy K Khandheria, MD, FACC*,
- Timothy E Paterick, MD*,
- Kelli N Burger, BSc† and
- Patricia A Pellikka, MD, FACC*,* (pellikka.patricia{at}mayo.edu)
- ↵*Reprint requests and correspondence:
Dr. Patricia A. Pellikka, Mayo Clinic, 200 First Street Southwest, Rochester, Minnesota 55905, USA.
Objectives Our aim was to determine whether location of wall motion abnormalities (WMAs) during exercise echocardiography provides independent prognostic value.
Background The effect of the location of WMAs during stress echocardiography on prognostic outcome is unknown.
Methods We studied 4,347 patients (mean age, 61 ± 12 years; 2,230 men) with known or suspected coronary artery disease by symptom-limited exercise echocardiography. An abnormal result was defined as resting or exercise-induced WMA. End points were cardiac death and nonfatal myocardial infarction (MI).
Results There were 133 cardiac events (54 cardiac deaths and 79 nonfatal MIs) during follow-up (median, three years). In a multiple-stepwise multivariate analysis model, clinical and exercise electrocardiography predictors of cardiac events were age, gender, hypertension, typical chest pain, previous MI, smoking, and resting ejection fraction. The percentage of ischemic segments at peak exercise provided additional information to the model (p = 0.0001). The presence of abnormalities in the left anterior descending (LAD) coronary artery distribution had an additional independent effect for the prediction of cardiac events (p = 0.001). Among patients with exercise echocardiographic abnormalities in a single vascular region, those with abnormalities in the left anterior descending coronary artery distribution had a higher event rate than patients with abnormalities elsewhere (3.2% vs. 2.1% at three years and 10.8% vs. 2.1% at five years; p = 0.009).
Conclusions Exercise WMAs in the distribution of the LAD coronary artery are associated with an increased risk of cardiac death and nonfatal MI. This risk is independent of the resting ejection fraction and the extent of WMAs during exercise.
Exercise echocardiography is a valuable clinical tool for the diagnosis of coronary artery disease (CAD) and for the prediction of cardiac events (1–7). Although the cardiac event rate is greater in patients with abnormal results from stress echocardiography than in patients with normal results, revascularizing all patients who have an abnormal test may not be appropriate because cardiac events occur in only a minority of these patients. Therefore, the role of stress echocardiography should not be restricted to categorizing patients into groups with normal and abnormal results. Identification of a high-risk stress echocardiogram is an important additional step in selecting patients for more aggressive intervention in order to reduce the risk of cardiac events.
The extent of exercise wall motion abnormalities (WMAs) is a strong predictor of cardiac death and nonfatal myocardial infarction (MI) (4,5). However, the prognostic value of the location of WMAs is not known. The presence of left anterior descending (LAD) CAD by angiographic diagnosis is among the variables considered in the risk stratification of patients with CAD and the selection of intervention rather than medical treatment, particularly in the presence of a proximal lesion or reduced ejection fraction (8,9). However, little information exists regarding whether functional abnormalities in the distribution of a particular coronary artery may be associated with an increased risk of cardiac events and whether such association is dependent on the extent of functional abnormalities. The aim of this study was to determine whether the location of exercise WMAs affects the risk stratification of patients with known or suspected CAD, in addition to clinical variables and the extent of WMAs with exercise.
We retrospectively studied 6,444 patients who underwent clinically indicated exercise echocardiography at Mayo Clinic (Rochester, Minnesota) from January 1990 through December 1995. Patients were excluded if they had poor imaging quality (322 patients with nondiagnostic studies because of three or more segments inadequately visualized at rest or with stress), refused participation in research (168 patients), or were lost to follow-up (216 patients). Also, 1,319 patients were excluded because of left bundle branch block or previous coronary revascularization because of the possible impact of these conditions on septal wall motion. The final population comprised 4,347 patients. The Mayo Foundation Institutional Review Board approved the study.
Exercise echocardiography protocol
Patients had symptom-limited treadmill exercise testing according to the Bruce protocol (90%), Naughton protocol (5%), or modified Bruce protocol (5%). Standard blood pressure and 12-channel electrocardiographic (ECG) monitoring were performed. Resting two-dimensional echocardiographic images were obtained from the parasternal and apical windows before and immediately after exercise. Studies were recorded on videotape. The standard views were digitized and stored in quad-screen format (10).
Exercise echocardiographic interpretation
Both digitized and videotape-recorded images were used for interpretation of the studies (11). Ejection fraction at rest was measured using a previously validated modification of the method of Quinones et al. (12)or by visual estimation (13). Regional wall motion was assessed semiquantitatively by an experienced echocardiographer, blinded to clinical information. Wall motion at rest and with exercise was scored 1 through 5 according to a 16-segment model (14). Wall motion score index was determined at rest and at exercise as the sum of the segmental scores divided by the number of visualized segments. The difference between the exercise and resting regional wall motion score indexes was reported as Δ wall motion score index. The development of new or worsening wall motion in one or more segments was considered indicative of myocardial ischemia. A WMA present at rest and unchanged with exercise was classified as fixed.
Exercise echocardiography results were defined as abnormal if ischemia or fixed WMAs were present (15). Myocardial segments were assigned to a particular coronary artery as follows: the anterior, anteroseptal, apical septal, apical anterior, apical lateral, and midinferoseptal segments were assigned to the LAD coronary artery; the lateral and posterior segments were assigned to the left circumflex artery (LCX); and the apical inferior, midinferior, basal inferior, and basal inferoseptal segments were assigned to the right coronary artery (RCA). The exercise electrocardiogram was considered positive for ischemia if there was horizontal or downsloping ST-segment depression of at least 1 mm at 80 ms after the J point, nondiagnostic if the baseline ST segment was abnormal, and negative for ischemia in the absence of these criteria. Workload was measured by metabolic equivalents (METs).
Follow-up data were obtained from mailed questionnaires and scripted telephone interviews. Events were verified by contacting the patients' primary physicians and reviewing medical records and death certificates. The end points were "hard cardiac events," defined as nonfatal MI or cardiac death. Sudden unexpected death occurring without another explanation was included as cardiac death. Coronary revascularization procedures during the follow-up period were also noted. Patients who underwent revascularization (i.e., angioplasty or coronary artery bypass surgery) before other events were censored at the time of revascularization.
Statistical analysis
Continuous variables were reported as mean ± SD, and comparisons between groups were based on the Wilcoxon rank-sum test. Categorical variables were summarized as percentages, and group comparisons were based on the chi-square test. Survival free of the end point of interest was estimated by the Kaplan-Meier method. Univariate associations of clinical and exercise echocardiographic variables with the end points were assessed in the Cox proportional hazards model. Variables were selected in a stepwise forward selection manner with entry and retention set at a significance level of 0.05. The results of these analyses were summarized as risk ratios with corresponding 95% confidence intervals. The incremental value of exercise echocardiographic information over clinical and exercise ECG data was assessed in five modeling steps. All univariately significant variables were considered for the model. The first step consisted of fitting a multivariate model of only clinical data. Exercise ECG and hemodynamic variables were added in a stepwise forward selection manner to the clinical model. Rest echocardiographic variables were then added to this model, followed by the standard exercise echocardiographic variables, presence of ischemia, percentage of ischemic segments, Δ wall motion score, and exercise wall motion score index. These models did not take into consideration the location of WMAs. In the final step, the location of the WMA was added. The significance of adding additional variables to previous modeling steps was based on the change in model-based likelihood statistics with degrees of freedom equal to the number of additional variables.
The mean age of the patients in the study group was 61 ± 12 years. There were 2,230 (51%) men and 2,117 (49%) women. Of these patients, 423 (10%) had previous MI, 1,903 (44%) had hypertension, 2,291 (53%) had hypercholesterolemia, and 2,139 (49%) were smokers. Reasons for terminating the exercise stress test were fatigue in 2,677 patients (62%), dyspnea in 1,184 patients (27%), angina in 190 patients (4%), arrhythmias in 38 patients (1%), ST-segment changes in 100 patients (2%), and leg distress in 416 patients (10%).
Echocardiographic data
Resting WMAs were detected in 1,160 patients (27%). Ischemia was detected in 1,138 patients (26%). Of these patients, 592 (52%) also had resting WMAs. The exercise echocardiogram was considered abnormal (rest- or exercise-induced WMAs or both) in 1,706 patients (39%). Exercise WMAs occurred in a single-vessel distribution in 702 patients (16%) and in a multivessel distribution in 1,004 patients (23%). Abnormalities in LAD coronary artery distribution were detected in 1,234 patients (29%), in the left circumflex territory in 650 (15%), and in the RCA distribution in 1,265 (29%). Of those with abnormalities in a single-vessel distribution, abnormalities were located in the territory of the LAD in 355 patients and in the RCA or the LCX in 347 patients.
Coronary revascularization
During follow-up, 276 (6%) patients underwent revascularization (coronary artery bypass grafting in 166 patients and coronary angioplasty in 110 patients) before any cardiac event and were censored. Revascularization was performed early (<3 months) in 121 patients and late (≥3 months) in 155 patients. Patients who underwent revascularization had a greater prevalence of ischemia by echocardiography ([183/276] 66% vs. [955/4071] 23%, p < 0.001), a greater percentage of ischemic segments (24% ± 15% vs. 6% ± 14%, p < 0.001), a greater prevalence of exercise-induced angina ([79/276] 29% vs. [298/4071] 7%, p < 0.001), and a greater frequency of positive electrocardiograms ([139/276] 50% vs. [659/4071] 16%, p < 0.001). Patients who underwent revascularization had a higher prevalence of abnormalities in the LAD distribution ([184/276] 67% vs. [1059/4071] 26%, p < 0.001). In the 702 patients with abnormalities in a single-vessel distribution, 50 patients underwent revascularization. The revascularization rates were not statistically different among patients with abnormalities in the LAD (8%), RCA (6%), or LCX (10%) territories.
Cardiac events
During follow-up (median, three years; maximum, eight years), 133 hard cardiac events occurred: cardiac death in 54 patients and nonfatal MI in 79 patients. These events occurred at a median of two years (range, 1 day to 7.5 years) after exercise echocardiography. Twenty-one of these events (7 cardiac deaths and 14 nonfatal MIs) occurred in patients with abnormalities in a single-vessel distribution. Event-free survival of the 4,347 patients was 99% at one year, 97% at three years, and 95% at five years. Clinical features of patients with and without hard cardiac events are shown in Table 1.
Relation between exercise echocardiographic abnormalities and cardiac events
Exercise test and echocardiographic data for patients with and without hard cardiac events are shown in Table 2. Clinical, exercise test, and echocardiographic variables associated with an increased risk of hard cardiac events in the univariate analysis are shown in Table 3. Event-free survival in patients with normal exercise echocardiographic results compared with those with single- or multivessel distribution of disease is shown in Figure 1. Event rates according to the extent and location of exercise echocardiographic abnormalities are shown in Table 4. In patients with multivessel distribution of abnormalities, the event rate was higher when the LAD territory was involved. In patients with abnormalities in a single-vessel distribution, the event rate of cardiac death and nonfatal MI was significantly greater in patients with abnormalities in the LAD distribution than in patients with WMAs in other locations (Fig. 2).
Predictors of cardiac events in the incremental multivariate analysis models
The results of the five-step incremental model, including the independent predictors at each step, are shown in Table 5. The variable considered in the model of the location of abnormalities was the arterial distribution of the abnormalities. The addition of abnormalities in the LAD distribution provided incremental data over other echocardiographic parameters, including resting ejection fraction, percentage of abnormal segments, and percentage of ischemic segments with exercise (p = 0.0001).
When only patients with abnormalities in a single-vessel distribution were considered, the only multivariate predictor of hard cardiac events was a history of previous MI. The location of exercise WMAs was added in the next step. Abnormalities in the LAD coronary artery distribution provided incremental value to the clinical, ECG, and echocardiographic model (global chi-square = 27 vs. chi-square = 38, p = 0.0009).
Effect of ejection fraction
No significant interaction effect existed between LAD abnormalities and resting ejection fraction (p = 0.12), indicating an increased risk for cardiac events across all levels of baseline function of the left ventricle. Also, no difference existed in the association of LAD abnormalities and the type of cardiovascular event (cardiac death vs. MI, p = 0.77).
We tested the hypothesis that the location of WMAs with exercise echocardiography can be predictive of cardiac death and nonfatal MI, independent of the extent and severity of abnormalities. Exercise echocardiography was performed in 4,347 patients with known or suspected CAD who had follow-up for a median of three years. During follow-up, 133 cardiac deaths and nonfatal MIs occurred. Exercise echocardiographic abnormalities in the LAD coronary artery distribution were predictive of cardiac death and nonfatal MI, independent of the resting ejection fraction and extent of ischemia with exercise.
The independent association between WMAs in the LAD coronary artery distribution and cardiac events in this study is not surprising, as angiographic studies have shown that patients with proximal LAD stenosis have a worse prognosis (16). It might be suspected that this is a result of the larger myocardial territory supplied by the LAD; however, in our study, abnormalities in the LAD territory were incremental to the extent of ischemia in predicting risk. This indicates that, for the same number of segments with exercise WMAs, a patient would have a worse prognosis if these segments were in the LAD territory than if they were remote from the LAD territory.
The clinical implication of these findings is that abnormalities in the LAD distribution should be considered an additional marker of a high-risk exercise echocardiogram, providing incremental value to well-known markers, such as resting ejection fraction, multivessel distribution of abnormalities, and percentage of abnormal and ischemic segments. The association between abnormalities in the LAD distribution and increased risk of cardiac events was not influenced by the type of event or the severity of resting left ventricular dysfunction.
It is possible that the diagnostic usefulness of exercise echocardiography differs in the anterior and posterior circulations; possibly, more false-positive and false-negative results occur in the posterior circulation (17–19). It is the practice of our laboratory to consider worsening of WMAs in a single segment, including the basal inferior wall, as indicative of ischemia. There is controversy in published studies about the differences in the diagnostic performance of stress echocardiography in different vascular territories (20).
Patients with abnormalities suggestive of single-vessel CAD
Among patients who had abnormalities in a single vascular region during exercise echocardiography, those with WMAs in LAD territory had a higher event rate than patients with WMAs in other locations. Although the initial event rate in patients with the LAD pattern of abnormalities was relatively low (1% at two years), there was a progressive increase in the event rate after the second year (3.2% at three years and 10.8% at five years), whereas patients with abnormalities in the RCA or the LCX continued to have a low event rate at five years of follow-up (2.1%). Exercise WMAs in the LAD coronary artery distribution provided incremental value to clinical and exercise stress test data after adjustment for age, gender, risk factors, symptoms, hemodynamic parameters, and resting ejection fraction. These data indicate that patients with the LAD pattern of abnormalities have an unfavorable late outcome and, therefore, if they were not referred for revascularization, they should be observed carefully. The low event rate in patients with a single-vessel pattern of abnormalities in the RCA or LCX distribution at early follow-up and at intermediate-term follow-up should be considered in the evaluation of patients with such abnormalities. This consideration would be useful in avoiding the risk and cost of invasive diagnostic and interventional procedures in a low-risk population.
Comparison with previous studies
Previous studies of the effect of the location of CAD on outcome have focused mainly on the anatomical abnormalities as delineated by coronary angiography (16,21–23). Evaluation of the prognostic significance of functional abnormalities is essential because the noninvasive evaluation of CAD often provides data for the selection of patients in whom invasive studies may be required. An additional advantage of the current study is that it tested a wider range of patients; angiographic studies include a narrower spectrum of patients who are referred for angiography.
Mancini et al. (21)studied 283 patients with quantitative coronary angiography who had follow-up for a mean of 8.3 years. Myocardial infarction was predicted by the percentage diameter stenosis of the left main and LAD arteries but not the ejection fraction. Califf et al. (22)reported that, in 462 patients with marked CAD, the coronary artery jeopardy score and the percentage diameter stenosis, particularly of the LAD coronary artery, were associated with adverse outcome. Klein et al. (16)performed a follow-up study of 866 medically treated patients with significant CAD. The presence and severity of significant stenoses in the proximal LAD were stronger predictors of prognosis than stenoses elsewhere in the major coronary arteries. In contrast, Cortigiani et al. (24)found that, in patients with single-vessel CAD who had medical follow-up, the involved artery was not predictive of cardiac events.
The guidelines for myocardial revascularization in patients with CAD specify angiographic abnormalities involving the LAD as indications for revascularization in a certain subset of patients, particularly in the presence of a proximal lesion, reduced ejection fraction, or a large ischemic area (8,9). Our study showed that functional abnormalities in the LAD coronary artery distribution are associated with increased risk of cardiac events independent of the severity of resting left ventricular dysfunction and the extent of ischemia with exercise. Despite some evidence from previous studies about the prognostic value of LAD angiographic abnormalities, extrapolation to abnormalities on stress echocardiography has not been validated. With the use of noninvasive imaging for selecting management strategies for patients with known or suspected CAD, proper interpretation of the significance and the outcome associated with various patterns of WMAs is essential to restrict referral for invasive procedures to the high-risk population.
Study limitations
The assignment of myocardial segments to a particular coronary artery is imperfect due to anatomical variation among patients and the presence of abnormalities at overlap segments. Myocardial revascularization after exercise echocardiography may have improved the outcome in some high-risk patients and led to underestimation of the prognostic significance of echocardiographic abnormalities. However, patients with abnormalities in the LAD coronary artery distribution were more frequently referred for revascularization; nevertheless, the risk of these abnormalities was shown despite the possible underestimation of the magnitude of risk associated with such abnormalities by censoring these patients.
Summary and conclusions
Exercise WMAs in the distribution of the LAD coronary artery are associated with an increased risk of cardiac death and nonfatal MI. This risk is independent of the resting ejection fraction and the extent of exercise-induced myocardial ischemia. Therefore, for patients with abnormal exercise echocardiographic results, WMAs in the LAD coronary artery distribution should be considered high-risk factors in addition to the standard measures of the severity of resting and exercise-induced WMAs. In patients with single-vessel distribution of WMAs, those with WMAs in the LAD territory have a higher event rate compared with that of patients with WMAs in other regions.
- Abbreviations
- coronary artery disease
- left anterior descending
- left circumflex artery
- METs
- metabolic equivalents
- myocardial infarction
- right coronary artery
- wall motion abnormality
- Received January 23, 2002.
- Revision received May 16, 2002.
- Accepted June 24, 2002.
- American College of Cardiology Foundation
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- Arruda-Olson A.M.,
- Juracan E.M.,
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- et al.
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- Armstrong W.F.,
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Hidden Valley Farm
Hidden Valley began in 1972, when my father started raising registered Simmental cattle. I now raise the cattle, with my main focus being quality meat. Cattle are grass fed, grain finished, and handled in the most humane ways possible. No pesticides have been used on the pastures and hay fields, since my father bought the land, in 1972. I do not use any antibiotics, steroids, growth hormones, or feed containing meat by-products. Our focus is on feeding young intact bulls which produce meat that is tender due to their fast growth and young age, and leaner than that of steers. My beef is Federally Inspected and I will gladly refund your money if you are not completely satisfied with your purchase.


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A former Royal aide has sensationally told of how he drove a murderous Prince of Wales around London every full moon in search of victims upon which the heir to the throne could sate his insane bloodlust. "We'd cruise around seedy backstreets in an official Daimler, the Prince in the backseat. He'd entice rent boys into the car by hanging his naked arse out of the window, a fifty pound note clenched between his buttocks. Once in the car, he'd ritually slaughter them with an ebony handled letter-opener, stabbing them in the anus and disembowelling them," claims Arliss Nobbs, who worked as a butler for both the Prince and Princess of Wales for over ten years. "Sometimes the Prince would dress in his wife's clothes and a blonde wig. On these occasions he'd get me to drop him off in King's Cross, where he'd pose as a high class tart in order to pick up an unsuspecting punter, who he'd lure back to the car to be slaughtered." The ex-butler was also complicit in covering up the crimes – hiding the bodies in the car's boot until he could dismember and dispose of them. "It was no mean feat keeping London's greatest murder spree since Jack the Ripper (who was also a member of the Royal Family) out of the papers," he reveals. Whilst some of the dismembered body parts were dumped into the Thames, others were fed to various Royal pet dogs. "It probably explains why the Princess Royal's dog has suddenly acquired a taste for human flesh and has started attacking members of the public."
According to Nobbs the Prince would take a trophy from each victim – their penis. "Apparently it was symbolic of the way he felt he'd been figuratively emasculated by the powerful women who dominated his life – his mother, his grandmother, his sister and his wife." explains the former butler. "Prince Charles may seem genial and good-natured in public, but beneath that mild mannered exterior beats the heart of a raging psychopath!" In contrast to his public persona, in private the Prince would frequently fly into fits of uncontrollable rage over trivial incidents. "He once chased a valet all around Highgrove with a shotgun – firing both barrels at him – after the hapless servant had left a floater in the Royal toilet bowl," Nobbs confides. "Perhaps the most shocking incident came after he was thrown from his horse when it fell during a hunt. An enraged Prince Charles dowsed the unfortunate beast – which had broken a leg itself – in petrol and torched it with his lighter!"
Nobbs was also privy to extremely bizarre behaviour on the part of the Prince of Wales' ex-wife, Diana. "She regularly sent me down to the local corner shop to buy explicit porn magazines for her eldest son," he says. "It was all part of her way of acquainting him with the facts of life. Unfortunately, he was a very slow learner and it took him over two hundred soft-core magazines just to master the basics of masturbation. At one point I feared that I was going to have to physically pull his knob myself in order to get the message across! As it was I had to toss him off the first couple of times in order to stop him making a mess on the carpet!" Indeed, Nobbs purchased so many jazz mags from the local cornershop that its owner tried to put a sign up outside claiming that he was a 'pornographer by Royal appointment', but was warned off by the police.
After her divorce Princess Diana's profligate spending frequently left her short of money, and she was forced to use extraordinary measures to raise funds. "She'd frequently hang around street corners in Soho, wearing a low-cut leopard skin top and a tight black miniskirt, touting for business. For a tenner she'd give them a quick knee-trembler in a local alley, for fifty quid she'd take the punters to a cheap hotel room," Nobbs reveals. "I was appalled at the danger she was exposing herself to, and naturally insisted that I pimp for her, taking any likely prospects back to Kensington Palace to meet her." Nobbs eventually persuaded her to stop demeaning herself in this way and make porn videos instead: "It was far safer and Kensington Palace was an excellent location. The staff would double up as performers – one of the footmen was incredibly well endowed, a two foot man really – and I'd direct. The videos proved very popular – we sold them over the internet for a very healthy profit!"
The one time faithful retainer's amazing allegations about the Royal family follow the recent dismissal of theft charges originally brought against him by his former employers. Alleged to have stolen several personal items belonging to the late Princess Diana (including several compromising photographs and letters) he has always protested his innocence, claiming that he was 'fitted up' because he knew too much about the Royals. "I believe that it is vital that the British public know the kind of people it subsidises through its taxes," Nobbs says in defence of his decision to accept £500,000 from a tabloid newspaper to make public his allegations, the most startling of which is that the Queen's personal fortune is derived from her and Prince Philip's criminal activities, including drug trafficking and robbery. "All those foreign trips are the perfect cover for bringing drugs into the country – she never gets stopped at customs! And her Ladies in Waiting are perfectly placed to distribute the stuff to upper class addicts," he asserts, also claiming that the Queen and Prince Philip were responsible for robbing a Windsor branch of Barclays Bank in which over £600,000 was stolen. "They thought that wearing Queen Elizabeth II and Prince Philip novelty masks during the raid was a real laugh, but using a set of antique Purdey shotguns and making their getaway in a horse-drawn carriage was a dead give away!"
Nobbs alleges that when he confronted Here Majesty with his knowledge of her criminal activities during a private meeting at Buckingham Palace, she beat him up with a baseball bat and set her corgis on to him. He only escaped by jumping through a window. Shortly afterwards he was charged with theft. For its part, Buckingham Palace has refuted all of Nobbs' allegations, describing them as "cobblers" and denying they have ever heard of him, let alone employed him. They also strenuously deny claims that his trial collapsed after the Queen had the Judge's dog shot and his wife and children kidnapped, following Nobbs' threat to screen a pornographic video of Princess Diana as evidence, or that she has been heard to say "I'll have that double-crossing little bastard's balls for earrings when I catch up with him!"


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Today I am going to present a simple idea of jewelry holder that you can do to adorn your home. This will help you organize your jewelry in a very easy and beautiful way.
Materials you need:
- 1 kg plaster of Paris
- a pair of resistant rubber gloves
- timber of 20 x 30 cm
- a glass
- pencil.
Use glass and pencil to mark a circle on the board of wood , and then cut the circle of using an electric drill and cutter . Finish the edge of the hole with sandpaper and put a glove in the hole fixing with staples (use stapling device). Now prepare a mixture of water and gypsum. Measure how much water you need the help of the other glove. Put water in a bowl and sprinkle plaster on it . The mixture was stirred yet . Let's set it for additional minute or two. Mixture with a spoon or spatula, stir briefly slow side to side movements. The composition should be neither thin nor fat. Pour the mixture into the glove and let it harden for 48 hours. Finally, you can break the glove to remove it more easily. Color or paste pattern on it if you like, fab, right?


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Reporting alcohol advertising
The AGM bases its findings on the Recommendation on advertising for alcoholic and low-alcohol beverages and the Swedish Alcohol Act. Alcohol advertising must be moderate and balanced. Before reporting an advertisement, ask yourself the following questions:
- Is the choice of place (media) moderate?
- Is the content moderate?
- Is the design moderate?
- How does the marketing come across?
- Do the text and images provide factual information?
Alcohol advertising must not :
Be intrusive or solicit
- Is the location or design of the advertisement intrusive and does it solicit?
Encourage consumption
- Is alcohol shown in unsuitable places, for example, in workplaces, when driving or during pregnancy?
Target or portray children or youth
- Do the images portray people under the age of 25?
- Does the advertisement location or context mainly attract young people?
How do I make a complaint?
You can report an advertisement by email or by filling in the AGM form.
Your complaint must state:
- The regulations you consider the advertisement to contravene
- The company behind the advertisement
- Where you saw the advertisement
- A copy, link or photo of the advertisement
- Your contact details* (name, address, email and telephone number).
*Your contact details are required for our investigation and in order for us to inform you of our findings. They will not be used in any processes or public statements.


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For most of us, tea technology has not advanced much since 1904, when Tom Sullivan came up with the tea bag. A dubious accomplishment to be sure - and apparently an accidental one on his part - but that's not really the point of this particular piece.
In addition to offering a great line of gourmet tea, Adagio Teas are also taking steps to bring tea technology into the 21st century. Take their gourmet tea bag, for example. Kind of a compromise between a "regular" tea bag and loose tea, it permits the leaves to expand more than in the standard issue tea bag, thereby allowing the use of a bigger leaf than you normally find in bagged tea.
Other innovations include the ingenuiTEA, a teapot that simplifies the process of brewing gourmet tea. Then there's the utiliTEA, an electric kettle with a variable temperature control to facilitate brewing at different temperatures. Last, but not least, is the triniTEA, a tea maker that not only boils the water, infuses the leaves and filters the tea into a carafe, but also keeps it warm. And no, it doesn't do windows.


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The Bridport Press is pleased to announce the publication of a new book.
Profits from the sale of this book will go to St Wilfrid's Hospice at Home Service, Chichester, East Sussex.
Don't Take On So Mother is a telling and poignant story revealed in a series of emails between Helen Billett and Jan Eade whose 40-year-old son, Jamie, a sound engineer living in Thailand, died in 2009.
Their correspondence shows how Jamie and his family coped, as they were faced with living with cancer. Jamie was at home with Jan during the last months of his spirited life.
These emails with poems interspersed capture the love and support given to Jan by friends family and Helen, who often felt inadequate to provide comfort during those dark months.
The title is taken from Jamie's own words frequently uttered to his mother during those difficult months.
The book is available from FeedaRead.com
About the authors:
Jan Eade is an ex-nurse who lives in West Sussex by the sea. She is the mother of Jamie and Jessica. Jan sketches in her spare time and writes poetry as a means of expression. She is also a doll's house enthusiast.
Helen Billett is a close friend of Jan and an ex-nurse. She is the wife of Mike and mother of Sonia and Jenny. Her main hobbies are sewing and art history. Helen was born in Australia but has lived in England since her marriage in the 1960s. She lives on the coast in Dorset.


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Preventive Dentistry
Preventive dentistry is the area of dentistry concerned with preventing dental problems before they become costly or painful or both. A large part of preventive dentistry is patient education. This includes learning the proper at-home dental care, nutrition, etc. Another aspect of preventive dentistry is oral hygiene through regular dental cleanings, fluoride treatments & more.
Sedation Dentistry
You can have a healthy & beautiful smile with amazingly comfortable sedation dentistry. We care for patients with these concerns:
- I'm afraid of needles & shots.
- I've had bad experiences before.
- I have not been to the dentist in a long time.
- I always gag when having dental work done.
- I just can't seem to get numb.
- All my teeth are too far gone.
Filtered Water Lines
We understand your concern about water quality & the importance of keeping you & your family healthy. For this reason, we utilize filtered water lines during our dental procedures. By filtering the water used in dental procedures, we are able to get rid of any substances that may compromise the health of our patients. The safety, health & dental care of patients are our top priorities. This is just another way to show how much we care!
Family Dentistry
Adults & children have different needs when it comes to dental care. Adults want the best technology, the most informed doctors & the highest quality care while kids want to be comfortable & respected. Here, we understand these differences, & we address them all. That's why our dentist has extensive experience working with both adults & children. We can make your dental experience more enjoyable for everyone.
Healthy Gums Lead to a Healthy Body
Continued research has linked gum disease to diabetes, heart disease & low birth weight in babies. In an effort to rid your teeth of the plaque & tartar that causes gum disease (gingivitis) & tooth decay, your dental care hygienist may suggest a regimen of care that requires more frequent visits.
Our Offers
We Love Insurance!
We will ensure you pay as little out-of-pocket as possible for all services!
At Dental Care at Memorial Southwest, we have convenient hours that won't make you miss work or school.
In fact, we can see you this week & you'll be in & out within an hour.
Contact Us
One Convenient Location for All of Your Dental Needs
We are located in the Memorial Hermann Hospital Complex,
Medical Plaza 2 (next to the parking garage), at Highway 59 & Beechnut.
Walk-ins & emergency visits are always welcome!
Our Address
7737 Southwest Freeway, Suite 960
Houston, TX 77074
Our Hours
Monday: 9:30am–7pm
Tuesday: 7am–5pm
Wednesday: 8:30am–3pm
Thursday: 8:30am–5pm
Friday: 8:30am–1pm
Saturday: 8:00am–1pm
Address: 7737 Southwest Freeway, Suite 960 • Houston, TX 77074 Phone: 713-774-9774
Request an Appointment
Convenient Hours Before & After Work or School
At Dental Care at Memorial Southwest, we provide you with the preventive & restorative care you need without having to take time off from work or school. It's just another way we show our patients how much we care.
New patient? Save time, complete these forms & bring in to your first appointment!
We always strive to find an appointment at the time that works best for you. Please fill out the form below to let us know when you would like to come in & one of our staff members will contact you as soon as possible to finalize your appointment.


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The information provided in this website and the accompanying blog is generic in nature and is for general informational purposes only. While Hanley & Fleishman, LLP makes every attempt to provide accurate, up-to-date information, the law constantly is changing and Hanley & Fleishman, LLP makes no representations that any of the information is accurate. This website is not intended to create or promote an attorney-client relationship, and the information on this website should not be relied upon as legal advice.
This website is not intended to be advertising, and Hanley & Fleishman, LLP does not seek to represent anyone in a state where these sites may fail to comply with all the laws and ethical rules of that state. If you elect to communicate with Hanley & Fleishman, LLP through this website, do not transmit any information about any matter that may involve you until Hanley & Fleishman, LLP has agreed to represent you, and you have received confirmation of that fact in the form of a written engagement agreement.
Hanley & Fleishman, LLP | 8930 Morro Road, Atascadero, California 93422 | 866.262.4529


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Knitting Projects
In our improver class, students will be helped along to complete a more challenging project. With different levels of complexity to choose from, there's something for everyone.
The course:
This is a tuition led, 4-week course where students can pick one of four projects to complete:
- Teddy Bear with matching bag
- Aran-style cable stitch cushion
- Two block Baby Set
- Vintage jumper
Students must be able to knit and read basic patterns.
Costs & Inclusions:
This cost of the course is €40 for the four weeks and it includes:
- All tuition
- All patterns & instructions needed
- Refreshments
- 10% discount on stock
Please check with staff what materials you might need for your project.
Students on the course get a 10% discount on fabrics/supplies bought in The Craft Cabin on the day. They also need to supply their own materials and needles.
Our 4 week course begins on the following dates and times – morning or evening classes available:
- Wednesday 21st September – 11.45am – 12.45pm
- Wednesday 21st September – 8.15pm – 9.15pm
Booking & More Info:
Please pop into the shop, call us on 00 353 49 9527424 or email us at email@example.com
A 50% deposit is needed to secure your booking and full payment must be paid in advance.For more information call us on 00353 49 9527424 or email us at email@example.com


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New data from the Association of Residential Letting Agents has shown that, during October, the number of agents witnessing rent increases was the lowest since December last year – but it won't last long.
According to ARLA, the number of agents witnessing rent hikes for tenants was at the lowest level since December 2015, with just one in five (18%) agents reporting increase in October. This is down six per cent from September when 24% of agents saw rent increases, and fourteen per cent from March when a record 32% of agents saw price rises.
However, given last week's Autumn Statement news that letting agent fees will be banned, this is unlikely to last, with rents projected to rise significantly.
Supply of rental housing
In October, the number of rental properties managed per branch was 180, a significant decrease from September when there were a record 193 properties managed per branch. This is also the lowest level seen since June, when agents managed 176 properties on average.
Demand for rental properties
Demand from prospective tenants fell in October, with 34 prospective tenants registered per letting agent branch, compared to 40 in September, which was the highest number this year.
David Cox, Managing Director, Association of Residential Letting Agents (ARLA), said: "Just when rents were starting to stabilise, the Chancellor has thrown the biggest curve ball, meaning that rents will unpreventably rise when the tax changes and letting fees ban come into effect. In terms of supply and demand, this month's findings reflect seasonal expectations and show the market is slowing in the final quarter. With fewer properties available to rent and a drop in the number of prospective tenants registering interest, tenants tend to stay in their current properties until the New Year arrives."