text:
Zoofilia videos pornofree porn incest gay lesbian animals funny, porn animal women, la zoo beastly ball porn movies, bestiality in art illegal, men x animal sex videos, what animals are asexual videos
Illustrations on topics: beastility porn pics, Free horse beastiality video, mac animal sex clips free porn, animal sexy video clips, womem having sex with animals
freebestialitypornsite, beastiality beast movies women fucking dogs, women forced to have sex with animals porn videos, animals sex video free
Share this video:
Simple tags: beast ii sexy, girl sex with animals free porn č horse fucking schoolgirl
100% uncensored japanese animalsex videos and pictures!
Azian Zoo Sex - ENTER HERE RIGHT NOW!!!
farm animal porn movie galleries, animal sex flash games, asian beast girl
Share this video:
More Hot Sex collections: beastie boys awesome i fuckin shot that, Beastiality sex vids, girls fucking with a dog, long zoo porn
female horse lovers, Zoofilia videos porno č sex with animal photo
videos desexo con animales, Zoofilia videos porno č beastly clip free zoo
Today's porn galleries: sex animals girls video free, Bestiality mare video, sex animal picture, new bestiality stories porn movies
xxx beastiality cartoons, Zoofilia videos porno, bizarre animal porn
essex county va animal abuse heacock, sex cartoon nude animal videos, hardcore animal on human sex videos and pictures
animals having sex movie, cartoon animal sex pictures movies, animalsexpics, extremeanimalsex blog videos, animal sex fiction
porn con animales, extreme-animalsex.be free porn, sexzo con animales porn movies, tgp beast
free hi def animal sex videos, free bestiality pics horse fucking women dog fuck, dogs mating xxx beastiality, free homemade animal sex videos, beastality man dog movies
Horny babes gets fucked by her cock pet!
Dog Sex Teens - ENTER HERE RIGHT NOW!!!
Today's free porn galleries: mature women animal sex, Fucking horse beastiality story, extreme hard core sex animals, free animalporn tube
men doing sex with animals, beastyalitly fucking women horses, having sex farm animals, having sex with animals stories
animal porn watch free, zoo porn 360 videos, sexwith animals video
Me and my dog are two old lazy assholes. I like beer, he likes cookies and sex with human beings above all. Sometimes I have guests after drunken parties in a nigh club. Mostly they are hot girls. Anyway usually I prefer to have one more bottle of beer instead of sex with woman. So the girls have no choice but to accept sex invitation from my doggy. I like this sex perfomance with my dog. I have some movies of that visits. I think you should be alive to see it!
Dog X Club - ENTER HERE RIGHT NOW!!!
big tits moms sucking huge horse cock
animalsex verhalen, extreme zoo porn, hot chick sex animal, having sex with animals stories porn movies, tube zooporn videos
beastiality sex chat movies, free sample animal porn, free bestiality story
free beast sex gallery, view movies of women with animal sex, girls animals sex clips, mature women animal sex, freeanimalpornpics
gay animals haveing sex with each other
New HQ porn movies: south east essex animal trust, Animal an woman sex, bestiality amateur movies, animale taboo porn
Selection on topics: how to have sex with female animals, free beastyality porn videos č animalsex girl
animal sexual, animalssex girl, free animal beastiality pics and vids porn videos
teen beasties, beastiality horse mashroom inside, animals porn clips
100% real asian bestiality!


text:
We help you search for a Gillingham music technology tutor. Music Technology lessons are a brilliant way to learn a stimulating new hobby, acquire a new skill and attain confidence in music technology. Try our service to find Gillingham music technology teachers and choose which suits your needs so you can start your music technology tuition in Gillingham straight away!
I am a highly experienced musician and teacher based in Medway with a friendly and encouraging approach. I have fifteen years experience as both a pro...
View full profile(1 reviews)
This is the fastest way to locate Gillingham music technology teachers in the UK, helping you find Gillingham music technology tuition close to home and Gillingham tutors to help with any instrument such as piano, violin or guitar. We can help you find Gillingham music technology lessons or a Gillingham music technology tutor to prepare for music technology grades and develop your music technology skills! Our search will order Gillingham music technology tutors local to you according to their tuition charges and proximity to you.
If you are a music technology tutor wishing to offer music technology tuition services in Gillingham or anywhere else across the UK, please register with First Tutors: Music or find out more about us here. Becoming a Gillingham music technology teacher is a wonderful way to re-affirm your own skills through providing music technology tuition while helping others, all in the Gillingham area!

subset: commoncrawl


text:
Thanks for the feedback/alerts/favorites for my last fic. I'll be replying to those reviews shortly. Yay for the return of the Bones muse! The following takes place after 'The Conman in the Meth Lab.' Enjoy!
"My dad drank."
Brennan knew that already because of the 'intervention' with Cam and Sweets, but she didn't have to tell Booth. She eyed Booth carefully, wondering if she should say something. She still wasn't too good at reading people--the live ones, anyway--but somehow she knew that Booth just needed to talk.
"It wasn't pretty, Bones," he said softly, drawing her back into the moment. "He drank himself into oblivion on a daily basis. Mom and I begged him to stop, but all the begging just made him angrier." Booth sighed heavily. "I asked him once if I was his son or just a punching bag. It was one of the worst beatings I ever got."
Even with her arm in the sling from being shot, Brennan wanted him to know she was there for him, and she put the plate on the bench beside her and scooted closer to Booth until their thighs touched. "I'm sorry you had to go through that."
He tilted his head to look at her and offered a sad smile. "Yeah. And Jared always did stuff that I took the blame for."
"And the punishment."
"Oh yeah," Booth sighed, his gaze once again shifting downward. "But as the protective older brother, I felt it was my place to stand up for Jared, no matter how much of a dumb-ass he was."
"You're a brave man, Booth."
"I don't feel very brave, Bones. I just told Jared that he should stop drinking and that I'm not going to step in for him anymore. He basically told me to piss off."
"And it was very brave of you to stand up to him."
Booth huffed in mild disagreement.
"It's one thing to stand up for someone, but it's another, much braver, thing to stand up to that same person. Jared's looked up to you his whole life, but he's repeatedly taken advantage of your overprotective nature and your willingness to--what did you call it?--bail him out."
"I think you've had too many one-on-one sessions with Sweets, Bones."
"I don't have one-on-one sessions with Sweets."
Booth chuckled.
"You were joking," Brennan said as Booth nodded. "What I meant was that you're the bravest person I know, Booth. And the reason this thing with Jared bothers you so much is because you care."
"Thanks, Bones," Booth said, his mood already improving. "You're right. I do care."
Brennan nodded. "I appreciate you sharing that with me, Booth."
"I'm guessing you weren't talking about the cake," Booth said, a grin pulling at his lips.
Brennan chuckled. "No, but I'm glad we're sharing that, too."
Booth's grin widened. "Me too."
There was no one in the world he'd rather share anything with than Temperance Brennan.
Thanks for reading!


text:
2as1soon Review
Looks great but not sturdy.
Great loking table. Love the tempered glass top and chrome leg however there is no way to lock the tabletop in place. It continues to spin around which can cause glasses to fly off or the potential for drinks to get mixed up. Also this product isn't as sturdy on carpet.
- How did the color on site compare with the actual product? great
- Please tell us about the quality of the product. good
- How accurate was the on site description of the product? very
Was This Review Helpful?


text:
Hi gang -
We are heading to Zimbabwe for two weeks in July. It will be our first Zim trip, and I was hoping to tap into your collective knowledge!
We'll be in Vic Falls, Hwange, and Matopos Hills.
1. I've heard horror stories of the cold - that nights can be below freezing, and that it is only warm for a few hours in the day. How bad is it, really? How does it work, if you're staying in tents or huts with only screens - do you bring industrial grade long underwear? (Its about 30 degrees right now where I live, and I cannot imagine camping or wanting to spend more than half an hour outside) Are you just constantly cold?
2. What is the safari experience in Hwange like in July? We've been told we're unlikely to see another vehicle while we're there, and that the game viewing will be abundant. Is this true? (I'd much rather match my expectations with reality, than go with false ideas and be disappointed).
3. Can anyone talk about the differences between Big Cave Camp and Amalinda in Matopos?
Thank you so much for any info you can share.
Recent Activity
- How do you plan your trips?
- Please help us learn by participating in a brief survey.
- 1 South Africa planning next Feb/March
- 2 Luxury train ride
- 3 Is a riad pool in Marrakech usable in May?
- 4 Safari - Camera / Binoculars
- 5 1.5 hours layover Dubai-enough time?
- 6 Cradle of Humankind
- 7 Morocco Working Itinerary
- 8 Lag b'Omer: Tel Aviv - Meron after shabbat: how?
- 9 Petra from Israel
- 10 Draft itinerary for Morocco
- 11 Vaccinations and Traveling S Africa / Botswana / Seychelles
- 12 Kenya + Seychelles Honeymoon
- 13 Morocco Trip End of April - itinerary help please!
- 14 israel tour
- 15 Kenya Vs. tanzania
- 16 Can the Seychelles be done on a budget?
- 17 Family Kenya Safari July 2017
- 18 Safety in Fes
- 19 6 Weeks in South & East Africa - travel advice
- 20 Morocco: Do it yourself, or get a tour company?
- 21 Sim card mainly for data
- 22 Honeymoon - South Africa
- 23 Morocco: no such thing as fixed price in Medina
- 24 August 2017 Travel to Kenya/Tanzania
- 25 Urgent help please for my final itinerary Morocco 10 nights
Zimbabwe in July
Hi gang -
Report Abuse
I've been in August and it should be about the same as July. The nights will be cold, but most camps provide nice, warm blankets on their game drive vehicles for the night drives or for the early mornings. The days are usually warm, so bring layers and add or subtract as needed. There are plenty of blankets on the beds, as well. I get cold easily, but didn't find it to be too cold for me.
At Hwange, the game viewing may depend on whether it's windy, or not. If it is, that can cut down on the game you see. Because it will be the dry season, the game should be heading for the waterholes. Where are you staying? I was at Somalisa in September 2010... great place!
I can't speak to the differences between Big Cave and Amalinda but I stayed at the latter in 2010. Amalinda is a beautiful and unique camp. I even had some rock art in my room. We hiked to a fabulous cave with dozens of rock art paintings one morning. In Matabo Hills NP, we saw a couple of rhinos, black and white.
Report Abuse
1. "I get cold easily, but didn't find it to be too cold for me." Ditto for me and I bet I get even colder than ShayTay.
Layers always work. It is not true that it is warm only a few hours a day. You'll be very hot midday in July.
2. At the pans at sunset you might see a couple of vehicles gathering, but I cannot imagine a crowd anywhere. July is good time with abundant game, that is correct.
3."Amalinda is a beautiful and unique camp. I even had some rock art in my room. We hiked to a fabulous cave with dozens of rock art paintings one morning. In Matabo Hills NP, we saw a couple of rhinos, black and white."
Ditto for me. I spent 4 nights and did black and white rhino extensive tracking on foot and found them. Very exciting and rewarding.
You've got yourself a nice trip! If there is any more time, include Mana Pool.
Report Abuse
Thank you both! You've put my mind at east. We are staying at Somalisa - would love to hear more about your stay there.
Report Abuse
Dudley (actually Dardley) is the camp manager and a great guide, as well. The Ngweshla Pan area produced some great sightings, including rhino and roan antelope. Eles are everywhere. Each afternoon, several groups would arrive at the camp's swimming pool for a drink. I sat on a lounge chair across the pool from them, only 10 feet away. One night, I heard a brushing sound while in my tent. It turns out the an ele was running its trunk along the top of the tent, looking for acacia seed pods. Then, it moved to the bath area and drank out of my shower bucket. Very cool!
Sign in to comment.


text:
ASU Named One of the Country's "Greenest Universities," Causing ASU Officials to Flip-Flop on Validity of Princeton Review Polls
ASU's lush "Palm Walk" at the Tempe Campus
After Arizona State Univeristy's fall from grace as one of the top party schools in the country, the Sun Devils have been bestowed a different honor, only it's not nearly as fun.
This time,everyone's favorite obnoxious little buzz-word's in play: "green." And ASU's one of the "greenest," according to a survey released by the Princeton Review. ASU made the "2010 Green Rating Honor Roll," a distinction created by the Review last year, and shares top billing with schools like Yale and Harvard as one of the most eco-aware schools in the country.
"The 'green' movement on college campuses is far more than an Earth Day-recycling project," says Robert Franek, Review vice president and publisher. "It is growing tremendously among students and administrators alike."
The survey polled students on hundreds of college campuses to see how "green" they are, and analyzed the universities' environmental policies to come up with a rating of what schools were most the most eco-friendly.
"Arizona State University is honored by this recognition," says Rob Melnick, executive dean of the Global Institute of Sustainability.
But that wasn't the story last week, when an ASU official said the university had little faith in the Princeton Review's polling "methodology."
"Arizona State University does not find the rankings, or subjective portion, of the Princeton Review's 'Best 371 Colleges' credible. The methodology is not based on fact or scientific methodology; it is based on opinion... therefore, the subjective portion of the ranking is not an accurate perception of the academic and social environment at ASU."
Upcoming Events
Arizona Diamondbacks vs. Milwaukee Brewers
TicketsFri., Jun. 9, 6:40pm
Phoenix Mercury vs. Los Angeles Sparks
TicketsSat., Jun. 10, 7:00pm
All You Can Eat Value Pack - Mercury v Sparks
TicketsSat., Jun. 10, 7:00pm
Phoenix Rising Football Club vs. Vancouver Whitecaps FC 2
TicketsSat., Jun. 10, 7:30pm
Make up your minds about whether you're going to buy this outfit's polls or not! Whether ASU's drunk or "green," shoot for consistency.
Get the ICYMI: Today's Top Stories Newsletter Our daily newsletter delivers quick clicks to keep you in the know
Catch up on the day's news and stay informed with our daily digest of the most popular news, music, food and arts stories in Phoenix, delivered to your inbox Monday through Friday.
In Case You Missed It
Upcoming Events
Phoenix Mercury vs. Dallas Wings
TicketsSat., May. 27, 7:00pm
All You Can Eat Value Pack - Mercury v Wings
TicketsSat., May. 27, 7:00pm
Arizona Rattlers vs. Nebraska Danger
TicketsSun., May. 28, 3:00pm
Arizona Diamondbacks vs. San Diego Padres
TicketsTue., Jun. 6, 6:40pm
Sponsor Content


text:
From the first Album The Piper At The Gates Of Dawn to The Endless River here is a salute to Pink Floyd as they celebrate the 50th Anniversary. I have been a huge Pink Floyd fan for years and just love there music plus there classic 1973 album The Dark Side Of The Moon, is one of my favorites of all time.Pink Floyd has gone through many line up changes plus different band names before they were known as Pink Floyd and I remember reading in a book that I have called Pink Floyd Learning to fly on how former frontman Syd Barrett came up with the name of the group.
Syd Barrett owned 2 albums by 2 bluesmen Pink Anderson and Floyd Council then took the 2 first names of the artists and ended up calling the band Pink Floyd. When Pink Floyd put out there first single Arnold Layne back in 1967 it became a hit plus the song talks about a man who likes to dress up in women's clothing. There first album The Piper At The Gates Of Dawn was record At Abby Road Studios during the same time that The Beatles were recording Sgt. Pepper.The entire Debut Pink Floyd album is a true masterpiece and to get the full enjoyment of it it's best listened with headphones.
The second album A Saucerful Of Secrets is just 3 tracks with Syd Barrett then the other 4 were with new member David Gilmour. This album's title track goes for almost 12 minutes with space effects and then slow tempo with harmonizing at the end. Pink Floyd has also put out other great albums including Meddle,The Dark Side Of The Moon,Wish You Were Here,Animals The Wall ,A Momentary Lapse Of Reason and many others. Here is to Pink Floyd on 50 years of great music.What's also great is that there are a lot of Pink Floyd Tribute bands that pay homage to Pink Floyd.


text:
Part 30134
30,967pages onAdd New Page
this wiki
this wiki
Brickipedia is currently undergoing a change with the naming of part articles and this article's name may be outdated.
|Design ID: 30134
|Years in production: 1996
|Pick a Brick price: N/A
| Available Colours:
Part 30134 is a staircase.
- This part is also available in Old Brown, but the colour has been discontinued.
|This article or section is incomplete.
Please improve the article, or discuss the issue on the talk page.
- 10218 Pet Shop
- 10193 Medieval Market Village
- 6857 The Dynamic Duo Funhouse Escape
- 31012 Family House


text:
Duckworth: Trump Sacrificing Veterans For Obamacare Repeal BillSenator Tammy Duckworth said as many as seven million veterans could lose tax credits under the GOP-backed plan to replace Obamacare.
Duckworth To Trump: Fight Crime With Funding For Economic DevelopmentU.S. Sen. Tammy Duckworth said if President Donald Trump is serious about helping Chicago deal with violent crime, he'll focus on investments in impoverished neighborhoods.
Sen. Duckworth To Hold President Trump To Illinois Infrastructure Promisesllinois U-S Senator Tammy Duckworth is assuring local officials she is putting pressure on the new Trump Administration to invest federal funds to improve Illinois' infrastructure.
Airport Protests Continue In Wake Of Trump's Controversial Travel BanFor the second night in a row, protesters gathered at O'Hare International Airport on Sunday to express their outrage at President Donald Trump's travel ban for people from seven predominantly Muslim countries.
Duckworth, Other Asian-American Politicians Making Mark In IllinoisBesides Duckworth, Raja Krishnamoorthi, an Indian American, is sworn in to replace her in the U.S. House. CBS 2 Political Reporter Derrick Blakley reports.
Kirk Tells Illinois "Take Heart" In Last Speech On Senate FloorU.S. Sen. Mark Kirk said farewell to his colleagues on Capitol Hill on Friday.
Duckworth And Kirk Come Together At A Summit, Show CivilityDespite a nasty campaign, the two candidates for U.S. Senate in Illinois came together Friday at an alcohol-free "beer summit."
Duckworth: "It's Time To Heal The Country, Come Together"After defeating Mark Kirk in the race for U.S. Senate in Illinois, Congresswoman Tammy Duckworth said the most important thing is for the American people to unite and work hard for the good of the nation.
Duckworth: "We Need More Women To Run"With the election right around the corner, U.S. Senate hopeful Tammy Duckworth said she's proud of how many women are on the ballot, and said she hopes even more women run for elected office at all levels in the future.
Kirk Urges Voters To Go To Polls, Regardless Of Choice For President"If you had time to go to the Cubs parade, you need to have time to go vote for your country," he said.
Kirk, Duckworth Both Say They Are Healthy Enough To Serve In U.S. SenateFriday was the final debate between Republican Sen. Mark Kirk and his Democratic challenger, Tammy Duckworth.
2 Groups Pull Kirk Endorsement Following His Remark About Duckworth's ParentsIt was the result of comments Kirk made in last week's debate against opponent Tammy Duckworth.


text:
Robert Clergerie
'drastik' Sandals, Women's, Size: 9.5, Black
Sign up now to get your own personal style guide to what to wear and to see clothes recommendations from over 500 retailers.
Out of Stock
from Farfetch UK Limited
What the retailer says
Beige and black raffia and leather 'Drastik' sandals from Robert Clergerie. Size: 9.5. Color: Black. Gender: Female. Material: Raffia/Leather/rubber.


text:
Nexx Sx.60 Kids Vision Plus
- Fiberglass Composite Shell
- Soft anti-sweat and anti-allergic fabric inner lining
- Micro-Metric buckle
- PC Lexan Shield solar 60%
- Weight:
* Helmets are always delivered with a transparent screen.
If you are looking for an online store specialized in motorcycle equipment, discover motardinn. As Nexx authorized dealer, all of our motorcycle products have the full manufacturer warranty of Nexx. Select one of our Helmets categories and discover the range of Helmets products that we have for your favorite activity like Nexx Sx.60 Kids Vision Plus. To clear out any doubts, contact our team via telephone or email. Do not wait any longer!
View more related products to:Nexx - Helmets - Junior Weight: up to 1100 gr Approval: ece-22.05 Approval: dot Color: pink
Customers who viewed Nexx Sx.60 Kids Vision Plus, also viewed:


text:
Homer Laughlin 13319390 Bosque 46 Oz. Chestnut Pasta Bowl - 12 / CS
This Homer Laughlin Bosque Pasta Bowl adds a rustic-casual look to any table setting. It is made from china and comes in a chestnut color. This bowl has a 46 Oz. capacity and is a 9.25" size. It has a lifetime limited warranty.
AvailabilityUsually Ships Within 4 Weeks


text:
You have Adblock enabled. Adblock has been known to cause issues with site functionality. If you experience any difficulties, please try disabling Adblock. Close
Add to Favorite List:
Create a new folder:
Argentina slut needs repair
Recognize a pornstar in this video?
Help make pornstars easier to find on Tube8 by telling us who is in this video.
Thanks! The pornstar names will be added to this video when enough users submit the same names.
You must enter a pornstar name that already exists in our database.
- Category: Latina
- Views: 16,628
- Added: 3 years ago
- Description: Melanie did not have enough money to pay for her car repairs so the mecanic accepted another type of payment in his own garage which resulted in a nice cumshot
- Tags: dagfs, hardcore, blowjob, public, latina
- Pornstars: Add Pornstar
- Favorite by: 19
- Report This Video
Video Comments
All Video Comments (0)


text:
External Affairs Minister and senior Congress leader Pranab Mukherjee had a proverbial miraculous escape after his helicopter hit an air pocket when he was going from Guwahati to Silchar for an election rally on Tuesday evening.
His chopper had an abrupt altitude fall probably due to the downward air current, but the pilot guided it to safety and flew back to Guwahati, Congress leaders in Guwahati said.
"It was a close shave. Mukherjee visited the Kamakhya temple to offer prayers after returning here," Assam Congress president Bhubaneswar Kalita told IANS.
Earlier in the evening, a bomb went off only a kilometre away from the venue of Mukherjee's election rally minutes before he was to reach there. One person was killed and 16 others were injured in the explosion.


text:
The Financial District, referred to as FIDI for short, has seen dramatic growth over the last decade, swelling from 15,000 to over 56,000 residents.
The neighborhood is all the way at the bottom tip of Manhattan, and it is evenly split between East and West.learn more about this neighborhood
#26Neighborhood popularity:based on Naked Apartments searches
Building Mix
- 83% Luxury Highrise
- 6% Elevator/Laundry Building
- 4% Pre War
- 2% Elevator Building
- 2% New Building
Legal Disclosure: Neighborhood descriptions and data are created exclusively by Naked Apartments without contributions or approval from the agents listed on this page.
Charging Bull by 132084522@N05 is licensed under CC BY 2.0
Heat, Water, and Gas Included Apartment Features 2 Bedroom flex, 1 Bathroom (Flex 2 Option via a Wall Installation Service) Convertible from a 600 s.f. Alcove Studio Gourmet kitchen with stainless steel appliances Maple cabinetry, granite countertops Sophisticated baths with deco tile walls and hexagonal tile floors Soaring 10-13 ceilings Custom built closet interiors Building Amenities Hotel-style lobby and reception area 24 hour concierge On-site lifestyle concierge by Luxury Attach 12,000+ SF Event Center with hotel quality facilities & amenities Elegant glass-enclosed private lounge with magnificent river views Billiards table and wet bar Fully-equipped Club 90 fitness center Club 90 sun deck has spectacular city and river views Valet services including dry cleaning, laundry & housecleaning available On-site parking available Rental Policy Shares Allowed Walls Allowed Guarantors Allowed Pets Allowed To schedule a viewing please contact Piotr Wisniewski, ,
Apartment Details
$2,525, One Bedroom + Extra Room, 1.0 Bathroom
Last Updated Almost 3 Years
Listed For Almost 3 Years
Available Immediately
Pets: Pets Allowed
- 600 sq. ft.
- Web ID: 3416648-37465
Dishwasher, Doorman, Doorman, Elevator, Gym, Laundry Room, Parking, Terrace
Nearby Subway Stations
1Rector St (0.08 mi)
RRector St (0.11 mi)
4 5Wall St (0.16 mi)
J ZBroad St (0.24 mi)
4 5Bowling Green (0.25 mi)
RCortlandt St (0.29 mi)
2 3Wall St (0.3 mi)
A C J Z 2 3 4 5Fulton St-Broadway-Nassau (0.39 mi)
R 1South Ferry (0.43 mi)


text:
View your full shopping cart for taxes and shipping.
Simply put: This is an awesome loudspeaker. Mic and line inputs, along with RCA inputs. 1000 watts to make the room shake. Love this speaker. You will too.
0 people found this review helpful. Was this review helpful for you? Report As Inappropriate


text:
Excess skin after weight loss. Candidate for tummy tuck/lipo/breast lipo? (photos)
Botox Price Calculator
What would you like to change?
Total Price
Enter your info to request custom estimates from three local providers.
These providers will send a more accurate price based on your needs.
Doctor Answers 9
Tummy tuck/liposuction
Congrats on your weight loss , based on these pictures you are a great candidate for these procedures, a full tummy tuck with muscle tightening will give you a flatter abdomen and liposuction of all areas will give you a better contour,consult carefully with a board certified PS.
Full tummy tuck with muscle plication
Based on these photographs you appear to be an excellent candidate for a full tummy tuck with muscle reconstruction. This will flatten the muscles, reconstruct your core muscular corset, revise the belly button, eliminate the stretch marks from the belly button to the pubic hairline, and remove the loose skin and fat of the anterior abdomen.
Web reference: http://www.plasticsurgery-sanantonio.com/body/tummy-tuck/
Tummy Tuck and Male Breast Reduction
Hi jogavan,
Thank you for your pictures and questions. Based on the pictures provided it seems as if you would be an excellent candidate for a Full Tummy Tuck and a Male Breast Reduction. I suggest consulting with a Board Certified Plastic Surgeon in your area. Best of Luck!
You might also like...
Tummy tuck?
Congratulations on losing 62 kg overall. That's really impressive. I think you should consider the tummy tuck and some liposuction. However, the photos are more suggestive for a need to do simple mastectomy on the breast area. Have a consultation with several certified plastic surgeons in your area.
Best wishes, Dr. ALDO
Tummy Tuck and Liposuction Candidate
Based on the photos, you appear to be an excellent candidate for tummy tuck and liposuction. Consult with an experienced and expert board certified plastic surgeon to understand your options.
Web reference: http://www.drkrisreddy.com/west_palm_beach_tummy_tuck.html
Weight loss then surgery
Thank you for your questions. I recommend some continued weight loss to lose the roundness of the belly decreasing the fat on the inside that surgery cannot address. After you reach your goal weight, you appear to be a candidate for a tummy tuck and liposuction of the flanks, back, and chest. To be sure, consult with one or more plastic surgeons to discuss your options. Best wishes!
Excess skin after weight loss. Candidate for tummy tuck/lipo/breast lipo?
Once your weight is stabilized with a BMI of under 30 (your BMI is 35), I'd suggest that you may benefit from an extended tummy tuck and back liposuction. Your chest can be reduced to some degree with liposuction however loose skin will remain. The more visceral fat that you lose with diet and exercise the better your results will be. Keep up the good work and ATB,
Jon A Perlman MD FACS
Certified, American Board of Plastic Surgery
Extreme Makeover Surgeon ABC TV
Best of Los Angeles Award 2015, 2016
Beverly Hills, Ca
Web reference: http://www.perlmanmd.com/tummy-tuck
Potential candidate for an Abdominoplasty (Tummy Tuck)
Thank you for your question. It appears from your photos that you may be an excellent candidate for an Abdominoplasty (Tummy Tuck) procedure with Liposuction to your adjacent areas - including flanks, hips, back rolls, and possibly your breasts. The best advice for you would be to schedule a consultation with a board-certified plastic surgeon who will discuss your aesthetic goals and desires and carefully evaluate your abdominal tissue, skin laxity, and contouring concerns.
Excess skin after weight loss.
Thank you for sharing your question and photograph. It appears that you will be an excellent candidate for a full tummy tuck and liposuction of your waist/love handles. This will allow removal of excess skin and adipose tissue while leaving you with a flatter, tighter appearance. At your current weight and height I would recommend continued weight loss in order to maximize your cosmetic result and minimize possible surgical complications. See an ASPS board certified plastic surgeon in consultation. Best wishes.
Web reference: Http://www.nelson-center.com/male-tummy-tuck.html
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.


text:
This lovely three bedroom villa with private garden area located in Ayia Thekla, Ayia Napa. This villa is located in the quiet area of Ayia Thekla, only 100 meter from the sea. It has three bedrooms and a lovely living area, and air-condition for the hot days. Ayia Thekla is the perfect destination for those seeking the privacy of a residential area.
Villa – Ayia Napa, Famagusta, Cyprus
235,000 €
Total area: 140 m² 3 bedrooms 2 separate bathrooms
- Land area: 300 m²
- Sea at 100 m
- Garden


text:
Comparing Treatments for HIV-Infected Opioid and Alcohol Users in an Integrated Care Effectiveness Study (CHOICES)
This study has been completed.
Oregon Health and Science University
National Institute on Drug Abuse (NIDA)
Information provided by (Responsible Party):
P. Todd Korthuis, Oregon Health and Science University
ClinicalTrials.gov Identifier:
First received: July 23, 2013
Last updated: October 13, 2015
Last verified: October 2015
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
No Study Results Posted on ClinicalTrials.gov for this Study
|Study Status:
|This study has been completed.
|Study Completion Date:
|March 2015
|Primary Completion Date:
|March 2015 (Final data collection date for primary outcome measure)
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Korthuis PT, Lum PJ, Vergara-Rodriguez P, Ahamad K, Wood E, Kunkel LE, Oden NL, Lindblad R, Sorensen JL, Arenas V, Ha D, Mandler RN, McCarty D; CTN-0055 CHOICES Investigators.. Feasibility and safety of extended-release naltrexone treatment of opioid and alcohol use disorder in HIV clinics: a pilot/feasibility randomized trial. Addiction. 2017 Jan 6. doi: 10.1111/add.13753. [Epub ahead of print]


text: Another great episode. Glad to see the plot moving along. This did not drag. ROOTs quest continues. Nice little plot twist near the end. Don't know why more people aren't talking about this show? I try to get people at work to watch it, just to have someone to talk to about it. No luck. One guy started in the middle of the season and couldn't get into it.


text:
Pier Place
Office Development in Foreshore
Pier Place is an exciting new redevelopment situated in the heart of the Cape Town Foreshore, located on Pier Place Square on Heerengracht...
13 Brickfield Road
Mixed Use Development in Salt River
13 Brickfield Road is located in the heart of the Salt River precinct, where recent revitalization has made it a place of great energy,...
Touchstone House
Office Park in Cape Town City Centre
Touchstone House is an A Grade Office block and is located in the less congested northerly edge of the CBD on the corner of Mechau and Bree...
No 5 Silo
Mixed Use Development in Waterfront
No 5 Silo is prominently positioned in the Silo District, the most desirable business and leisure address in the heart of the V&A...
Get Email AlertsEdit My Requirements
Sign up and receive Property Email Alerts of Commercial New Developments in Central And Atlantic.
Disclaimer: While every effort will be made to ensure that the information contained within the Baker Street Properties website is accurate and up to date, Baker Street Properties makes no warranty, representation or undertaking whether expressed or implied, nor do we assume any legal liability, whether direct or indirect, or responsibility for the accuracy, completeness, or usefulness of any information. Prospective purchasers and tenants should make their own enquiries to verify the information contained herein.


text: cant catch a break Click to block a category:GamingPoliticsNewsComicsAnimeOther fourtwentt next random Comment Top NextComment next Tags: description robbed twice in I two days I? I Police scyther 9 do not believe the II man was targeted. CAIRE Emmi ttis, ill ... +416 Views: 16140 Submitted: 12/15/2012 Facebook Twitter Google+ Tumblr Pinterest


text:
|Reviews for Residing Chaos
| PsDuruyX chapter 23 . 11/4/2015
Itwas a great story :)
| Zelara chapter 2 . 3/21/2015
Voldemort hates his birth name why did he sign the letter TMR?
| The RaeFan chapter 23 . 9/8/2014
Wow-wow-wow! That is a really GREAT thing! I appreciate you so much! I've read this story in one day, it is gorgeous! Thank you!
| Gojira Geek chapter 23 . 9/7/2013
nice story i thought it was very good heck if only there were a sequel
| HiddenAngelWithWhiteWings chapter 23 . 8/7/2013
Pretty sweet. Update soon
| MrMrMANGOMILK chapter 23 . 6/30/2013
PLZ MAKE A SEQUEL! I can't live without it.
| KhaalidaNyx chapter 23 . 3/2/2013
| JJ chapter 2 . 6/13/2012
Like it so far. It could use a little more detail though.(gees is realy spelled jeez)
| Silent Phantom gal chapter 3 . 5/9/2012
Love the idea!
| Fen Dweller chapter 18 . 2/8/2012
I hate in when an author makes Harry (or any character, really) stupid, unreasonable and prejudiced, just to artificially create some kind of drama.
Harry is the LAST person who would try to argue that people ALWAYS turn out just like the people who raised them. After all, Harry was 'raised' by the Dursleys, and he doesn't act like them.
This whole confrontation with Raven about how ALL Slytherin students are evil and ALL children end up just like the people who raised them is a ridiculous bit of artifice used to prop up an equally ridiculous situation of tension between Raven and Harry, and I would think most readers (with two brain cells to rub together), recognize it for the pathetic authorial crutch that it is.
They know, instantly, when they read it that Harry does not act like that, that the author is forcing him to act out of character in order to shoehorn an element into the story that she couldn't figure out how to fit in any other way, and it takes the reader right out of the story.
(Not that I'd expect a Dramione fan to recognize what constitutes in-character behavior.)
| arquent chapter 6 . 7/14/2011
"Hey, Robin, it's Slade." Haha! Loved it!
| SchonKaputt chapter 2 . 7/13/2011
I love this story. is it kinda ray and bb?
| Heey chapter 5 . 4/11/2011
through, not threw...
Cool Story!
| ReadingRaven019 chapter 23 . 7/18/2010
I rather liked it. There were quite a few errors like missing letters or words or how you would always spell through like threw and stuff, but good story. You should write a second one to follow this one up. I would love to read it.
| xXxShiniXKazexXx chapter 1 . 4/8/2010
Brilliant story! It would be interesting if you continued. )


text:
BEST WESTERN North East Inn3
39 Elwoods Road, North East, 21901-1805
Price FromView Rooms
This hotel doesn't have any reviews yet.
About the hotel
Guests staying at this full service North East, Maryland hotel will enjoy all the comforts of home while being close to many key area attractions such as Chesapeake Bay and the Cecil County Drag Strip. Ideally located 50 miles from both Baltimore and Philadelphia, the BEST WESTERN North East Inn is a full-service hotel providing comfort and convenience at an affordable price. This North East area hotel features beautifully-appointed guest rooms and suites, each fully- equipped with cable satellite television with HBO and high-speed Internet access.
Guests are welcome to start the day off with a complimentary continental breakfast before taking advantage of hotel amenities such as an indoor swimming pool and hot tub, exercise facility, guest laundry, business services and meeting facilities accommodating up to 40 guests. The BEST WESTERN North East Inn offers convenient access to a variety of outdoor activities such as jogging, biking, sailing and fishing on Chesapeake Bay and several local golf courses. Hotel guests will enjoy an afternoon at the Plumpton Park Zoo and the Fair Hill International race track both located nearby. Business travelers will appreciate being less than ten miles from both Principio Iron Works and W L Gore & Associates. This Maryland hotel also provides convenient access to Cecil College and West Nottingham Academy. The friendly, helpful staff at the BEST WESTERN North East Inn is ready to ensure a fun-filled memorable stay in North East, Maryland. Make a reservation today and save!
Read MoreLess
We currently have no rooms available for this hotel that match what you're looking for. Try changing your search, selecting an alternative hotel, or give us a call on 0333 0146275 where we'll be happy to help.
Facilities Show/hide
- Main
- Air conditioning in rooms
- Leisure
- Indoor Pool
Useful Info Show/hide
- From 15:00 hours
- By 11:00 hours
- Up to 12 years old
- The price shown is based on the occupancy and dates you have searched for. Prices and availability are subject to change based on the arrival date, number of nights and occupancy searched for. All prices are inclusive of all local taxes.
- Pets are not allowed
Customer Reviews
Our reviews are from genuine LateRooms.com customers. We verify that the customer has stayed before leaving a review.
No reviews yet


text:
Michael Owen yesterday urged the Football Association to make a swift decision on Sven Goran Eriksson's successor and the governing body will have to move quickly if it is to make an approach for Guus Hiddink as PSV Eindhoven intend to offer their coach a new long-term deal before the end of the season.
Owen became the first of the senior players to discuss Eriksson's impending departure and said that the race for the succession should not detract from the World Cup preparations. Hiddink is among those who certain FA officials believe should, at the very least, be approached to gauge his suitability for the job and the former Celtic manager Martin O'Neill has also not been ruled out of the running and could be available next season.
Owen admitted that some of the players might find it "annoying" if the build-up to the tournament was plagued by intense discussion of the new manager but promised that they would not be distracted from their task in Germany. Owen said: "We've not got to be affected as players because we have got a World Cup to participate in and 60-odd million people in our country that we have got to go and represent," he said.
"There are many, many reasons to concentrate solely on the World Cup and that tournament rather than what is going to happen afterwards. It's 10 times more important what happens during the tournament.
"I think that everyone would want the manager to be the best man for the job and if he is English then that will be double satisfaction because that would be great. We are a big football nation so we have got some top managers. If we have to go down the foreign route then as long as it's the best man I'm sure every England fan would be happy."
Owen said that the performance of England under previous managers who knew they were moving on before major tournaments Bobby Robson at the 1990 World Cup and Terry Venables at Euro 1996 suggested that the team would not suffer. "It should not affect us, but it will affect us less if everyone stops talking about it and gets behind the team," he said. "We don't want to use it as an excuse, so we'd prefer to concentrate on the football side."
Hiddink's agent, Cees van Nieuwenhuizen, said yesterday that his client would be interested in the job. The 59-year-old has just one year remaining on his contract with PSV and has already discussed with the club's president, Rob Westerhof, the possibility of extending the deal and changing the nature of his role at the club which is likely to be the last contract of his career. When Hiddink took over at PSV in 2002 he changed the typically Dutch set-up technical director and coach to a more centralised system with him as a traditional English-style manager.
That role is now up for discussion with Hiddink unwilling to spend as much time on the training ground. PSV are willing to secure the future of the most celebrated manager in their history and the FA would have to pay compensation to the club should it wish Hiddink to break the terms of his contract.
He has a clause in his deal which allows him to speak to what has been described as "five top European clubs" should an offer be made but there is nothing to say that extends to national federations. The man who took the Netherlands to the World Cup in 1998, South Korea in 2002 and will lead Australia this summer will not come cheap.
Van Nieuwenhuizen said that his client would "definitely" be interested in the job and would not baulk at the size of the task.
O'Neill, 53, left football management at the end of last season to care for his wife Geraldine, who has been receiving treatment for cancer, and his future plans will be dictated by her situation. It would be too early for him to predict whether he would be available to take charge of England for their first friendly after the World Cup finals on 16 August, but the FA will be told that it should not rule him out of its thinking.
While Eriksson will be in Switzerland for tomorrow's draw, the task of deciding when England play their fixtures will pass to Sir Trevor Brooking, who will help to draw up the schedule of qualifying fixtures, due to begin on 2 September.Reuse content


text:
Your bag is empty.
Sorry, this product has sold out!
If you would like ARCHFASHION to try to and find it for you complete the form below.
Details size/fit shipping & returns item description this long-sleeved mini dress from ministry of style by bebe sydney has a round neckline, sleeves, and a flattering opening on the back with zip closure. Cut from a stretch ponti fabric, this dress is a winning lbd. Materials polyester. All images copyright the out lane fits true to size, take your normal size. Model is 175cm tall and is wearing a size xs. Shipping the out lane offers fast and affordable shipping both within australia and on international orders. For more information on shipping rates, delivery times and to find out how you can be eligible to receive free shipping please click here. Returns if you're not 100% happy with your order, we offer easy and hassle free returns. To see our policy please click here.


text:
We were always planning on entering another song into this year's second annual Tiny Desk Concert Contest, but we didn't expect to need to win so badly! Much to our chagrin, Minhdzuy's underwear were left behind in DC, so now we're depending on Tiny Desk to fly us back there to get them! The stakes have never been higher for Mudville Comedy, so cross your fingers for us, or it's gonna be a cold year.
Make sure to Subscribe to this blog to follow along with everything that happens in Mudville! Plus, Subscribe to the YouTube Channel and join us in Mudville, where we celebrate the nerdy things we all love!


text:
Download presentation
Presentation is loading. Please wait.
Published byMelody Pryer Modified over 2 years ago
Effect of neuraxial block on renal and GIT functions
Rasha Mahmoud
Introduction: Neuraxial anesthesia is the name used for spinal, epidural and caudal blocks. Each of these different blocks can be achieved either with a single injection or through intermittent boluses or constant infusions delivered through a catheter.
Indications for neuraxial blockade include:
1) Surgery of lower abdominal, inguinal, urogenital, gynecologic and rectal regions and the lower extremity including orthopedic and vascular procedures 2) Obstetrics •Labor analgesia •Surgical anesthesia for c-sections 3) Post-operative pain control •Thoracic surgery •Major abdominal surgery •Orthopedic surgery (hip, knee) 4) Pain Control •Rib fractures
Contraindications: Absolute:
patient refusal-bleeding diathesis-infection at the proposed site of injection-severe hypovolemia-elevated intracranial pressure. Relative: Sepsis – uncooperative patient - severe spinal deformity- demyelinating lesion - severe stenotic heart valvular disease or ventricular outflow obstruction. Controversial: Prior back surgery at injection site- prolonged and complicated operation with severe blood loss.
Sites of Action: The main site of action for neuraxial blockade is the nerve root. In spinal blocks, LA is injected around the nerve root in the subarachnoid space. Direct injection into the CSF allows a relatively small dose and volume to achieve a dense sensory and motor blockade. In epidural and caudal blocks, LA is injected into the epidural space to bathe the nerve root. In contrast to spinal blocks, a higher volume and dose of LA is needed to achieve the same concentration of LA.
Mechanism of Action: Conduction blockade of posterior nerve roots interrupts somatic and visceral sensation whereas blockade of anterior nerve root fibers prevents efferent motor and autonomic transmission.
Somatic and Motor Blockade:
Blocking painful stimuli and abolishing skeletal muscle tone is ideal for surgical procedures, providing analgesia and muscle relaxation. Smaller and myelinated fibers are blocked before larger, unmyelinated fibers. This and the fact that the concentration of LA decreases with increasing distance from the site of injection leads to the phenomenon of differential blockade.
Differential blockade:
sympathetic blockade (tested by temperature) occurs two levels above….. sensory blockade (tested by pin prick or light touch) occurring two levels above…. motor blockade
Autonomic Blockade: Interruption of efferent autonomic transmission at spinal nerve roots produces sympathetic and some parasympathetic blockade. Sympathetic nerve fibers exit from T1-L2 (thoracolumbar) while parasympathetic exit with cranial and sacral nerves (craniosacral). Neuraxial anesthesia doesn't block the vagus nerve. What results from blockade is either decreased sympathetic tone or unopposed parasympathetic tone.
The three most important factors in determining the level of the spinal blockade are:
Baricity of the local anesthetic solution Position of the patient during and after injection Dose of the anesthetic injected
Complications of spinal blockade include:
local anesthetic neurotoxicity neurologic injury PDPH high spinal blockade and cardiovascular collapse.
Physiologic Effects of Neuraxial Blockade :
Normal physiologic manifestations of neuraxial blockade such as hypotension are not necessarily complications but normal physiological effects of neuraxial blockade. These effects involve various system: cardiovascular , respiratory, gastrointestinal, renal and endocrine. In this section we will briefly discuss impacts of neuroaxial blockade on the renal and GIT functions
Effects on renal function:
Renal function is intimately related to renal blood flow. Blood flow to both kidneys is 20-25% of cardiac output.
The effect of neuraxail block on the renal blood flow is closely related to the cardiovascular system effects of the block, particularly: hypotension. Neuraxial blockade can impact the cardiovascular system by causing the following changes: 1. Decrease in blood pressure (33% incidence of hypotension in non-obstetric populations) 2. Decrease in heart rate (13% incidence of bradycardia in non-obstetric populations) 3. Decrease in cardiac contractility
Sympathectomy is directly related to the height of the block and results in venous and arterial vasodilatation. Total peripheral vascular resistance in the normal patient (normal cardiac output and normovolemic) will decrease %. In the elderly the systemic vascular resistance may decrease as much as 25% with a 10% decrease in cardiac output. Heart rate may decrease during a high block due to blockade of the cardio accelerator fibers (T1-T4).
Neuraxial blockade has little effect on the blood flow to the renal system. Auto regulation maintains adequate blood flow to the kidneys as long as perfusion pressure is maintained. The kidneys remain per fused when the MAP remains above 50mmHg. Transient decreases in renal blood flow may occur when MAP is less than 50 mm Hg, but even after long decreases in MAP, renal function returns to normal when blood pressure returns to normal.
One aspect of genitourinary function that is of clinical importance is the belief that neuraxial blocks are a frequent cause of urinary retention, which either delays discharge of outpatients or necessitates bladder catheterization in inpatients. It is clear that lower concentrations of local anesthetic are necessary for paralysis of bladder function than for motor nerves to lower extremities.
Innervations of urinary bladder:
Parasympathetic (S2-S4): pelvic plexus supplying bladder and sphincter Sympathetic (T10-L2):supplying bladder base , internal sphincter and proximal urethera Somatic (S2-S3): pudendal nerve supplying external sphincter Somatic afferent in pudendal nerve Visceral afferent in autonomic system
When activated, the primary role of the parasympathetic innervation to the bladder is detrusor contraction and bladder emptying. Sympathetic innervation to the bladder causes the bladder neck and proximal urethra to contract and the body to relax. The net effect of sympathetic stimulation is urine storage.
Voiding can be initiated or inhibited by higher center control of the external sphincter.
Innervations of the lower urinary tract can be simplified as a micturation reflex with modification from higher cortex.
Neuraxial blockade effectively blocks sympathetic and parasympathetic control of the bladder at the lumbar and sacral levels. Urinary retention can occur due to the loss of autonomic bladder control. Detrusor function of the bladder is blocked by local anesthetics. Normal function does not return until sensory function returns to S3.
Risk factors for prolonged blockade of the detrusor muscle include the use of long acting local anesthetics, age > 50 years, volume of fluids administered, and surgical procedure. Urinary retention is More common with neuraxial opioid administration Interaction with opioid receptors in the sacral spinal cord Inhibition of sacral parasympathetic nervous system outflow Detrusor muscle relaxation Increased maximum bladder capacity Urinary retention
Prolonged blockade of the detrusor muscle may lead to bladder over distention and urinary retention.
This should be taken into consideration if no urinary catheter will be placed. If possible, short acting medications should be used. The anesthesia provider should monitor the amount of intravenous fluids administered. The patient with a history of an enlarged prostrate is at risk for urinary retention. Patients should be monitored for urinary retention.
Effects on the GIT functions
The sympathetic innervation to the abdominal organs arises from T6 to L2. Due to sympathetic blockade and unopposed parasympathetic activity after spinal blockade, secretions increase, sphincters relax, and the bowel becomes constricted.
Nausea and vomiting occur after spinal anesthesia approximately 20% of the time.
Risk factors include blocks higher than T5, hypotension, opioid administration, and a history of motion sickness. Increased vagal activity after sympathetic block causes increased peristalsis of the gastrointestinal tract, which leads to nausea. Accordingly, atropine is useful for treating nausea after high spinal blockade.
Postoperative epidural analgesia enhances the return of gastrointestinal function.
When epidural analgesia is continued into the postoperative period, there may be a protective effect on the gastric mucosa because intramucosal pH is higher during postoperative epidural analgesia than with systemic analgesia.
Effects on the liver functions
Hepatic blood flow correlates to arterial blood flow. There is no auto regulation of hepatic blood flow. If the anesthesiologist maintains mean arterial pressure (MAP) after placing a spinal anesthetic, hepatic blood flow will be maintained. Patients with hepatic disease must be carefully monitored and their blood pressure must be controlled during anesthesia to maintain hepatic perfusion.
In patients with liver disease either regional or general anesthesia can be given, as long as the MAP is kept close to baseline. seen. Spinal and epidural anesthesia carries the risk of epidural hematoma and paralysis if there is abnormal clotting in liver diseases but there are otherwise no special precautions. The half-life of lignocaine is prolonged in liver failure but this is not significant when used in regional anesthesia.
Thank you
Brown, D. L. (2005). Spinal, epidural, and caudal anesthesia. In R. D
Brown, D.L. (2005). Spinal, epidural, and caudal anesthesia. In R.D. Miller Miller's Anesthesia, 6th edition. Philadelphia: Elsevier Churchill Livingstone. Klein man, W. & Mikhail, M. (2006). Spinal, epidural, & caudal blocks. In G.E. Morgan et al Clinical Anesthesiology, 4th edition. New York: Lange Medical Books. Reese, C.A. (2007). Clinical Techniques of Regional Anesthesia. Park Ridge, Il: AANA Publishing. Warren, D.T. & Liu, S.S. (2008). Neuraxial Anesthesia. In D.E. Longneck et al (eds) Anesthesiology. New York: McGraw-Hill Medical.
Control of renal blood flow:
Intrinsic control (auto regulation) maintains renal blood flow normally in the range mmHg mean blood pressure. This may be due to an intrinsic myogenic response of afferent arterioles. Outside the auto regulation limits , RBF (and glomerular filtration rate ) becomes pressure dependent. Glomerular filtration stops when mean blood pressure is less than mmHg.
Extrinsic control: Includes vasoconstrictors and vasodilators
Salt retaining systems protect against: hypovolemia hypotension and hyponatremia They include: sympatho-adrenal system- Renin-angiotensin-aldosterone system - Arginine vasopressin (ADH) – Endothelin and Serotonin Vasodilators they are the salt excreting systems, they protect against hypervolemia ,Hypertension and hypernatrremia Prostaglandins, Atrial natriuretic peptide, Nitric oxide and Dopamine
Effects on renal function:
Kidney functions: Regulation of electrolytes, Maintenance of acid base balance, Regulation of blood pressure. Essential in the urinary system, Produce urine and excrete wastes. Reabsorption of water, glucose and amino acids. Produce hormones e.g. erythropoietin. Renal function is intimately related to renal blood flow. Blood flow to both kidneys is 20-25% of cardiac output.
Functions of the micturation system:
Passive reservoir for temporary storage of urine. Active function for eliminating urine from the reservoir at an appropriate time.
Gastrointestinal Effects:
Functions of the GIT: Digestive: continual supply of water, electrolytes, and nutrients from the external medium to the internal medium Innate immunity: (results from general processes): destruction of swallowed organisms by the acid secretions of the stomach and by the digestive enzymes Endocrine: secretion of gastric, cholecystokinin (CCK), secretion, vasoactive intestinal peptide (VIP), gastric inhibitory peptide (GIP), etc
Effects of neuraxial block on the liver functions:
Functions of the liver: Detoxification, protein synthesis, production of biochemical necessary for digestion, glycogen storage, decomposition of red blood cells and others. The liver's highly specialized tissues regulate a wide variety of high-volume biochemical reactions, including the synthesis and breakdown of small and complex molecules, many of which are necessary for normal vital functions. The liver is necessary for survival.
Similar presentations
© 2017 SlidePlayer.com Inc.
All rights reserved.


text:
Added to Shopping Bag
Coach White And Blue Wristlet
Listed by Cece
Price: $72.50
Returnable for Site
You can request a return for Tradesy Site Credit within 4 days of delivery. FREE return shipping.
If your item was misrepresented in any way, you can file a misrepresentation claim. Tradesy will investigate and you'll be eligible for a Full Refund.
Shopping Bag :
Reserved for -:--
White And Blue Wristlet
Shipping Included
Pay with Credit Card, PayPal, or Affirm.
4 people saved this item
This item may have been worn but has no visible signs of wear.
Blue Bleecker Medium Continental Zip Wallet In Painted Dot Coated Canvas. 8 credit card pockets. Full-length billfold compartment. Snap coin pocket. Zip closure. Very roomy.
5" (l) x 4 1/4" (h) x 3/4" (w).
Color: SV/BLUE
Thanks for viewing
5"L x 4"H x 4.25"W
Style Tags:
Thu 5/4/17 - Mon 5/8/17 (4-8 days)
Feel free to return this item for any reason and get Tradesy Credit. Use your credit to buy something that makes you happy. Just a heads-up, purchases outside the U.S. are Final Sale.
Submit a return request within 4 days of delivery
Pack and ship the item using our free return shipping label
Skip the return request and bring the item to your nearest within 4 days of delivery for instant Tradesy Credit.
Have a similar item? Sell Yours
Authenticity Promise
Tradesy only allows the sale of authentic designer goods. If you believe your purchase is a replica, send it to our team for a free evaluation. You'll get a full refund if anything's amiss.*Learn More
Our Guarantee
Get what you ordered, or your money back. We'll give you a full refund if the condition, style, or authenticity of an item are misrepresented in any way.*Learn More
Real People, Here to Help
Need help? Have questions? Our team in sunny Southern California is available by phone, email, and chat.Help & Support


text:
'Amigos' Brings Hispanic Culture to TV
Special to The New York Times
Published: August 28, 1989
KNOXVILLE, Tenn., Aug. 27— The leading character on the show is a six-foot Spanish-speaking dog named Perro Pepe who usually sports a furry orange costume, a green floppy hat and a purple tie. But in the scene being filmed, he is dressed to the ''nueves'' in top hat, cummerbund and bow tie.
It is Perro Pepe's birthday, and although he intended to surprise his friends with his fancy clothes, they surprised him with an impromptu party - complete with Hispanic food, music and games.
By 1990, if the Corporation for Public Broadcasting and the University of Tennessee have their way, this program, ''Amigos,'' will be helping children learn Spanish in their classrooms, whether or not their teachers can distinguish ''hola'' from ''ole.''
The show, designed to promote appreciation for Spanish language and culture in children from kindergarten through second grade, is being produced here by the university's Center for Telecommunications and Video. Taping recently began and will be completed by next summer, said Ken Burton, the executive producer of ''Amigos.'' Free to PBS Stations
Under the terms of a $408,000 grant from the Corporation for Public Broadcasting, ''Amigos'' will be offered free of charge to every PBS station in the country for three years, starting in the fall of 1990, Dr. Burton said.
The program, intended to be made part of classroom curriculum, will be broadcast during school hours and rebroadcast each year. The total budget for 30 segments, running 15 minutes each, is slightly more than $1.1 million. Schools in areas that PBS does not reach will be able to purchase ''Amigos'' on videotape through a distributor.
The show's scriptwriter is Ozzie Alfonso, a two-time Emmy Award winner who is also an executive producer for Children's Television Workshop. He is best known as a director ''Sesame Street'' and as senior producer, writer and director for PBS's science-oriented children's show, ''3-2-1-Contact.''
Although Knoxville is not a hotbed of Hispanic culture, Doris Stephens, project director for ''Amigos,'' first thought of doing the show here after a low-budget French-language series called ''Bonjour,'' produced by university in 1986, received favorable reviews. Awareness Is a Main Goal
Because of the growing Hispanic population in the United States, she said, producing a Spanish program seemed like a natural next step.
Dr. Stephens said she was not aware of any program currently being broadcast nationally for any age group that focused mainly on foreign language and culture. Others may have been done for older children, she added, but not for a younger audience.
Dr. Burton said one of the show's main goals was to teach awareness and tolerance of other cultures. ''The main idea isn't to make kids fluent in Spanish at age 6,'' he said. ''We hope they'll realize that kids in different countries go to school, have brothers and sisters and play games just like they do, but they may talk differently and have some different customs. We want to show children that there's nothing wrong with being different.''
''We also want to give children a good experience with foreign languages so they'll be more willing to take them later in school, whether it's Spanish, French or something else,'' he added. Context Over Translation
Mr. Alfonso said he hoped ''Amigos'' would convince children that foreign language was ''not an exotic thing that exotic people use.''
The program teaches language through context rather than translation, said Terry Hickson, the show's producer.
For example, when Perro Pepe knocks on the door of Senorita Fernandez's general store, she answers, ''Entre,'' Spanish for ''enter,'' without directly translating the word.
Dr. Burton believes students will learn more from ''Amigos'' than just Spanish. ''People who take foreign languages do better in other courses, too,'' he said. ''Language study broadens their scope of thinking. After all, the kids won't learn Spanish in a vacuum.'' Roles for Local Children
''The basic words this show introduces in Spanish - numbers, foods, family relationships, animals - are concepts children are learning anyway in their everyday life,'' Dr. Stephens said. ''Also, studying another language enhances your knowledge of your own language because you have to learn how language is structured.''
The university also plans to develop a teacher's guide to the series (for $2 to $3 each) that will suggest ways of working the show's concepts into the curriculum.
Along with the Sesame-Street-like characters, nine Knoxville children, age 6 through 11, will appear regularly. Most are native Spanish speakers born in Cuba, Puerto Rico, Mexico and Venezuela. Dr. Stephens said Mark Gagliardi, 10, was included as one non-Spanish-speaking regular so that ''the children watching can directly relate to someone learning Spanish right along with them.''
photo of cast of 'Amigos'


text:
Nutty irishman
Explore related topics
Nutty Irishman Knits - knitted squares blanket. Beautiful contrast of red and grey squares and circles.
The Nutty Irishman Cocktail will make everyone feel Irish on St. Patrick's Day. Enjoy all year around!
Frozen Nutty Irishman | Midnight Mixologist
Iced Nutty Irishman Coffee Frappe (Non-Alcoholic) Recipe - http://Recipezazz.com
Iced Nutty Irishman Coffee Frappe (Non-Alcoholic) Recipe - Recipezazz.com
Nutty Irishman Frosted Brownies
Nutty Irishman Frosted Brownies: Omg the combination of Bailey's, hazelnut, and fudgy chocolate brownie is insane! Really simple and straightforward recipe, I'll definitely be making it again. food desserts chocolate via @bakingamoment
Nutty Irishman - Cosmopolitan.com


text:
Reading, English, Writing and Study Skills diagnostics with tutoring and ACT & FSA test-taking strategies available in the Orlando, Florida area.
Are you concerned that your student is falling behind or needs an academic boost? Are you a student who needs a little extra help with schoolwork? If you want help figuring out what's going on academically with your student, give Ellen Costello a call now!
Ellen is a veteran education professional with almost two decades of experience in literacy subjects and is certified in Florida in Reading K-12 and English 6-12. She has worked extensively with high school students preparing for the high-stakes ACT & FSA tests.
So, if you need a helping hand, don't be afraid to reach out to Ellen Costello!


text:
Whale Death
Stock Production Music
2:33 / wav / stereo / 25.9MB
Commercial ?
Standard License (no additional fee) ?
Need more seats?
Need a multi-user or custom license?
Call +1 (855) 410-6789 or contact us at email@example.com
All downloads are governed by Pond5's
Royalty Free License Agreement
Royalty Free License Agreement
You are over your monthly subscription download limit.
Add to Cart $39
An orchestral arrangement that reflects the sadness of the loss of the oceans. Mournful and questioning. Excellent underscore.
by BobG
Additional Information
Robert Guerrier Music
Robert Guerrier
Item ID:
More Tracks From Artist
Loading similar items...
Other Similar Tracks
Loading similar items...
Get more for your money with a credit pack!
Refer & Earn!Share this royalty-free music using our Affiliate Link,
and earn 5% of all sales purchased through it.