text:
Here are some questions you may have along with the answers....
Are first impressions important to selling a home?
I remember reading the following from somewhere:
"In a television commercial, we're told the sale is made or lost in the first 3 or 4 seconds. In a print ad, tests have shown, 75% of the buying decisions are made at the headline alone. In a sales presentation, data have shown us, the sale is made or lost in the first three minutes."
Experience suggests that the power of first impressions plays an emotional role in home buying. As with most purchases, buyers first buy into homes with their emotions and eyes. In those critical first few minutes a buyer's expressions say yes or no to a home purchase.
When buyers walk into the ideal home for them, one can see the joy in their eyes; their faces light up with delight. The look and feel of a home generates a greater emotional response than any other factor.
As they walk through the home what they see tends to confirm their feelings of pleasure. And once they start to picture themselves living in the home, they've taken the first step to buying.
Positive emotions can create amazing mental focus. Other homes seen after pale in comparison. Homes seen prior quickly fade from memory. Only at this point do buyers use their reasoning and diligence to either justify the purchase or eliminate the home.
Conversely, a home can turn people off instantly upon getting past nothing more than the front door, prompting the phrase, "I've seen enough." Most will politely and quickly view a home that stirs negative feelings.
Other dynamics can heat or cool buying emotions.
An objective 3rd party can give the needed balance to make a well thought out, good decision. Ask your trusted REALTOR® for help and advise.
Phone: 905-371-5368 direct or email: firstname.lastname@example.com


text: 4 EZ Steps To Profits - With Master Resell Rights 4 EZ Steps To Profits - With Master Resell Rights PLDZ-213 In Stock $ 6.95 USD Timm Miller Buy and Download > Description If You're Struggling To Make Money Online, Spending More Money Than You're Earning, And You're Tired Of All The Get Rich Quick Schemes Online, Then Your BOAT Has Finally Came In! You'll Get The Information You Need To Earn Money Online In Plain Laymens Terms So You Can Understand The Content And Put It Into ACTION Immediately! The 4 EZ Steps To Profits! This system has been designed to teach real people how to earn real money from the internet in plain terms so you can put it into ACTION immediately. From: Timm Miller Date: Monday, July 13 RE: Generating Online Profits in 4 Easy Steps! Good Morning! Earning money online doesn't have to be a difficult process. In fact, it's quite simple. And all it takes is four easy steps. Whether you're a novice, or someone with experience under their belt, this system WILL enable you to generate an income from the internet! This system is used every single day. Ever heard the saying, "If It Ain't Broke, Don't Fix It"? I have a better saying for you. . . "If You're Broke, This System Will Fix It!" And, no matter what you're selling, or how you're selling it, this system can be conformed to fit. Just following the 4 simple steps outlined in this guide is all it takes. But you must follow each of the steps to see any type of positive results. Reality Check: Absolutely NO system will earn you profits overnight. NO system can guarantee you will earn millions. NO system will do all the work for you. You must be willing to work at this for the system to work for YOU. This 4 EZ Step PROFITS System WILL work. It won't make you a millionaire of course. If you're looking for that type of product, then this isn't the system for you. There are plenty of those types of "scam" products floating about that you can waste your money on. This system is designed to teach you how real people earn real money from the internet in plain terms so you can put the system into ACTION immediately. This 4 step system was developed for people that are new to the world of earning money online, although it is a fantastic system for those seasoned as well. Now, are you ready to take control of your online profiting potential? What Are The 4 Steps? Here it is. . . .Your 4 Step System For Earning Money Online: STEP 1: Creation STEP 2: Income Source STEP 3: Promotion STEP 4: Profit Simple, right? In fact, you may be thinking it's too simple, but don't worry, each step is thoroughly explained so that you can use this system quickly, and easily, to generate as many "ports of profit" as you wish. You have absolutely nothing to lose and everything to gain. Only $6.95 "To Your Greater Success" Timm Miller P.S. If you're struggling to earn money online then you owe it to yourself to posess the 4 EZ Steps To Profits eBook today! Remember if you keep doing the same thing day in and day out you'll continue to get the same results! P.P.S. If you're satisfied with your current online income then go ahead and close this page right now, but if you're not then take ACTION right now! If You're Struggling To Make Money Online, Spending More Money Than You're Earning, And You're Tired Of All The Get Rich Quick Schemes Online, Then Your BOAT Has Finally Came In! You'll Get The Information You Need To Earn Money Online In Plain L Direct Link http://store.payloadz.com/go/?id=558565 http://store.payloadz.com/details/558565-ebooks-business-and-money-4-ez-steps-to-profits-with-master-resell-rights.html Tags make money onlineprofitsselling Business and Money eBooks

subset: commoncrawl


text:
John Young, Will and ProbateAbstracts of Porter County Wills and Probates . . . .
John Young
Will Book A, Pages 267-269
John Young, of Pleasant Township, Porter County, State of Indiana
Dated: 19th day of January, 1866
Inheriting: Joseph Vannetter; my sister, Margaret Young
Executor: George Broombaugh
Witnesses: John W. Wright; Edward W. Riley [X] his mark; Peter Young [X] his mark
Probate: 20th of February, 1866
Originally abstracted by Pearl Stoner Johnston, 1961
Prepared for web by Steven R. Shook, December 2008


text: I am Rohit, working as a Technical Recruiter at Vbeyond Corporation. We provide staffing solutions to our clients nationwide. Please find the below job description and help me with couple of profiles. Title: Technical Architect Location: Washington, DC Primary Skill Description: 10+ years of Information Technology experience is required with a combination of experience in the following technical and domain disciplines: Application development (full development cycle), Enterprise data management, systems integration or middleware solution design, implementation or administration (application server, message broker, service bus) or Business process analysis, engineering and automation. Must Have Skills: .Net Skills: · *Proficient in the Microsoft tech stack C#, .Net, MS SQL Server* · *Proficient with developer driven automation (automated unit testing, integration testing, acceptance testing) (ideally with NUnit and RhinoMocks)* · *Proficient in RESTful API design* · Experience with Cloud deployments Azure/AWS · Experience with API Management tools like APIGEE · Experience in deploying .NET applications using various tools like Cruise Control, Jenkins. · Experience in implementing various design patterns. · Experience in various agile methodologies like Test Driven Development (TDD), unit testing tools and Continuous Integration. · Experience in spring and Hibernate Java framework is desired. *Architecture and SOA Design Skills:* · *Proficient in Scalable Distributed System Design including knowledge of Message Queueing, Event Based Systems and related design patterns (ideally with NServiceBus)* · Demonstrates strong written & oral communication skills. · Has strong technical leadership capabilities and be able to work on large complex RFP deals. · Ability to work as a team (T&T PM, Delivery, Client & Engineering, QA). · Experience in creating HLD (High Level design). · Applies deep understanding of technical innovations and trends to solving customer business problems. · Understands and applies best practices for innovative financial models in outsourcing services that bring · Long term business value to customer solutions. · Expertly leverages Payments and financial Domain concepts in demonstrating business value of proposed solutions to customers. · Assessment and analysis the existing Governance– Conduct study of existing systems, processes and practices · Have Experience in SOA design patterns, Governance and Monitoring · Establish the boundaries, relationship and touch points between SOA and IT Governance. · Align the Enterprise Architecture practices with the IT Governance processes. · Performing thorough gap analysis from existing state to desired state. · Ability to draft and execute a plan to come up with steps and measures to bridge the gap. (Should be able to apply these measures and principles to a ongoing project/program and present the results to the clients). · Ability to define roles, procedures/processes to make decision making and accountabilities transparent. *Domain Experience:* · Should have experience in Payments industry domain · Domestic and International Payments routing. · Check Clearing Settlements Systems, RTGS, Giro, Fedwire, BACHS CHAPS, · SWIFT Standing Instructions, Direct Debits, Bulk Payments · Knowledge of Industry Standards like SWIFT and ISO. -- Thanks & regards, *Rohit Gupta* *VBeyond Corporation* Office : (908) 988-0329 EXT: 222 Mail : roh...@vbeyond.com -- You received this message because you are subscribed to the Google Groups "USITCV" group. To unsubscribe from this group and stop receiving emails from it, send an email to usitcv+unsubscr...@googlegroups.com. To post to this group, send email to email@example.com. Visit this group at https://groups.google.com/group/usitcv. For more options, visit https://groups.google.com/d/optout.


text:
It's pretty hard to find good Mexican food here in Seoul. I'm from California so i needs to get my Mexican fix every once in a while. This was a problem for me when i first started this blog. But i think i found my go-to Mexican joint.
Vatos Urban Tacos is a fusion Mexican restaurant located in Itaewon. They used to run a small hole in the wall establishment, but now they are huge. The story of how Vatos started is really interesting. Three regular guys saw that there wasn't any good Mexican places in Seoul. So they saved up, researched, and went for it. You can check out the about us page for more info. They we're pretty creative with their digital marketing efforts. Visit the kickstarter page and you will see what i mean.
Anyway, if you decide on going to Vatos, here are my recommendations.
1. Start off with some fresh chips and salsa. 2,000 won isn't cheap. The first basket of chips and salsa is free. But you have to fork over 2 bucks afterwards. They should actually give free refills, but whatever, it's pretty good.
2. The kimchi carnitas fries they have are very tasty. Fries. Kimchi. Meat. What's not to like? This will set you back $10,000 won.
3. I recommend getting the Corona-a-rita to wash down the apps. 14,000 won.
4. Chili lime shrimp tacos are real good. Actually all of their tacos are solid. If you like Korean style fusion tacos, you'll most likely enjoy these.
5. Skip the quesadillas. Not good and waste of money.
6. The burritos are pretty good but they are really small. So i'd much rather recommend getting a bunch of tacos.
Sorry for the lag in blog posts. I've been pretty busy lately. But i'm gonna try to keep posting on a regular basis again. I have a lot of restaurants reviewed in my head. And a lot of yummy photos. Just need to stop being so lazy and write and publish these posts. I think i'll start doing posts as i'm in the restaurant. I'll try posting right from my iphone.


text:
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A Vanilla bean frapp topped with fresh whipped cream drizzled with dark caramel and sprinkled with c..
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text:
Penicuik First is a "not for profit" organisation, which exists solely to make the BID area of Penicuik town centre a more vibrant and lucrative place for the businesses it represents to trade. The Board of Directors is made up of volunteers from local businesses, community groups and local Councillors, who give up their spare time to ensure funds are used appropriately and to the benefit of the town centre BID area.
The Board
Non-business Members
Supporting Roles
Part-Time Project Coordinator
Eddie Linton-Smith
While Penicuik First also enjoys the support of many other community organisations and the local authority, particularly generous support is donated by Midlothian Council's Economic Development team: Caroline Wight and Andrew Ralton. Penicuik First thanks you for your continued support.


text:
What is it? Pink sea fan (Eunicella verrucosa)
Where is it found? Southern and western coasts
Did you know? Pink (they may be white) sea fan colonies can live to be
50 years old.
Photo: PAUL KAY
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Make a lovely addition to your Christmas theme decor collection with the Blooming Holiday Holly Leaves Bush-Silver. This decorative bush features glitter-embellished, silver-hued holly leaves and stem, perfect for the festive setting. It teams well with silver bells, balls, painted pinecones, and berries to make a wonderful center table or dining room accent. Place it under a glass cloche on the mantel and team with coordinating candles to spread festive cheer. You can also use it to accentuate a gift box for a close friend.
Standard Delivery
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Some items sent directly from our suppliers may take longer, and will ship separate from the remainder of your order.
Please note that Singer sewing machines cannot be shipped to Guam, Puerto Rico or the U.S. Virgin Islands or to military bases overseas.
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text:
Files with TKL extension can be found as GPS data files from Holux MapShow305 device.
There is one other file type using
the TKL file extension!
.tkl - Takeoff Live PDF working data
TKL file extension - Holux MapShow305 track file
What is tkl file? How to open tkl files?
File type specification:
The TKL file extension is related to the Holux MapShow305. A *.tkl file contains tracks for Holux GM-305 personal navigator.


text:
|Home | About | Journals | Submit | Contact Us | Français
Guidelines for triaging patients for cardiac catheterization recommend a risk assessment and noninvasive testing. We determined patterns of noninvasive testing and the diagnostic yield of catheterization among patients with suspected coronary artery disease in a contemporary national sample.
From January 2004 through April 2008, at 663 hospitals in the American College of Cardiology National Cardiovascular Data Registry, we identified patients without known coronary artery disease who were undergoing elective catheterization. The patients' demographic characteristics, risk factors, and symptoms and the results of noninvasive testing were correlated with the presence of obstructive coronary artery disease, which was defined as stenosis of 50% or more of the diameter of the left main coronary artery or stenosis of 70% or more of the diameter of a major epicardial vessel.
A total of 398,978 patients were included in the study. The median age was 61 years; 52.7% of the patients were men, 26.0% had diabetes, and 69.6% had hypertension. Noninvasive testing was performed in 83.9% of the patients. At catheterization, 149,739 patients (37.6%) had obstructive coronary artery disease. No coronary artery disease (defined as <20% stenosis in all vessels) was reported in 39.2% of the patients. Independent predictors of obstructive coronary artery disease included male sex (odds ratio, 2.70; 95% confidence interval [CI], 2.64 to 2.76), older age (odds ratio per 5-year increment, 1.29; 95% CI, 1.28 to 1.30), presence of insulin-dependent diabetes (odds ratio, 2.14; 95% CI, 2.07 to 2.21), and presence of dyslipidemia (odds ratio, 1.62; 95% CI, 1.57 to 1.67). Patients with a positive result on a noninvasive test were moderately more likely to have obstructive coronary artery disease than those who did not undergo any testing (41.0% vs. 35.0%; P<0.001; adjusted odds ratio, 1.28; 95% CI, 1.19 to 1.37).
In this study, slightly more than one third of patients without known disease who underwent elective cardiac catheterization had obstructive coronary artery disease. Better strategies for risk stratification are needed to inform decisions and to increase the diagnostic yield of cardiac catheterization in routine clinical practice.
For patients in stable condition who are undergoing assessment for obstructive coronary artery disease, guidelines recommend continued observation in the case of patients who are at very low risk, noninvasive stress testing to determine the need for cardiac catheterization in the case of patients at intermediate risk, and direct referral for catheterization in the case of patients at high risk.1–3 The goal of these recommendations is to limit the number of patients without obstructive coronary artery disease who undergo invasive angiography and thereby enhance the diagnostic yield of cardiac catheterization.
The use of both noninvasive and invasive studies has grown substantially4; the Government Accountability Office reported a doubling in the cost of imaging services from 2000 to 2006, with $14.1 billion in Medicare spending for imaging services in 2006 alone (www.gao.gov/products/GAO-08-452). The increased use of noninvasive testing should result in more effective risk stratification of patients, allowing identification of those patients who would be most likely to benefit from cardiac catheterization and ideally reducing the use of this invasive procedure in patients who do not have obstructive disease.
We analyzed data from patients in a contemporary, large, national cardiac-catheterization registry to assess the effectiveness of current practices in enhancing the yield of diagnostic cardiac catheterization as measured by the prevalence of obstructive coronary artery disease. We also examined the associations among clinical risk factors, presenting symptoms, results of noninvasive tests, and results of subsequent catheterization.
The CathPCI Registry of the National Cardiovascular Data Registry (NCDR), which is sponsored by the American College of Cardiology and the Society for Cardiovascular Angiography and Interventions, has been described previously.5,6 Briefly, the NCDR CathPCI Registry is a large, voluntary registry of clinical data and in-hospital outcome data associated with diagnostic cardiac catheterization and percutaneous coronary intervention, collected from more than 800 U.S. sites. Information on characteristics of the patients and hospitals, findings of procedures that are performed, interventions that are undertaken, and the outcomes is collected at participating hospitals on the basis of explicit, prespecified data elements defined by an NCDR committee (www.ncdr.com/webncdr/DefaultCathPCI.aspx). Only institutions whose submissions meet quality criteria for data reporting are included.
All patients in the NCDR for whom there were complete data on diagnostic cardiac catheterization for the period from January 2004 through April 2008 were included (Fig. 1). To identify patients without known heart disease, patients with a history of myocardial infarction, percutaneous coronary intervention, coronary-artery bypass surgery, cardiac transplantation, or valvular surgery were excluded, as were patients with indications for emergency or urgent cardiac catheterization (acute coronary syndromes, acute myocardial infarction, or cardiogenic shock) and patients who were being evaluated for transplantation or who were about to undergo valvular surgery. The institutional review board at Duke University Medical Center granted a waiver of written informed consent and gave authorization for this study.
Information was collected on the patients' demographic characteristics, clinical risk factors, and symptoms and on the results of noninvasive tests. Symptoms were categorized as no symptoms (including no angina), atypical chest pain, or stable angina. Noninvasive diagnostic tests included tests that were performed "to rule out ischemia prior to the procedure" — defined in the case-report form as "ECG, exercise or pharmacologic stress tests, radionucleotide, echo, CT scans or other heart scans" (www.ncdr.com/webncdr/DefaultCathPCI.aspx). The results were categorized as positive, negative, or equivocal. A modified Framingham risk score (www.framinghamheartstudy.org/risk/coronary.html) was calculated on the basis of available clinical data, with a moderate score (i.e., 1 point) imputed for either a history of dyslipidemia or the use of statins and for the presence of hypertension or a history of medication use for the treatment of high blood pressure.
Obstructive coronary artery disease was defined as stenosis of 50% or more of the diameter of the left main coronary artery or stenosis of 70% or more of the diameter of a major epicardial or branch vessel that was more than 2.0 mm in diameter. For a sensitivity analysis, we broadened the definition of obstructive coronary artery disease to include stenosis of 50% or more in any coronary vessel. Patients with no coronary artery disease, which was defined as stenosis of less than 20% in all vessels, were also identified. The degree of stenosis was determined by physicians at each site and is defined in the NCDR CathPCI Registry as the percentage reduction in diameter, as estimated from a comparison with the diameter of the normal reference vessel proximal to the lesion.
We compared the baseline demographic characteristics, risk factors, symptoms, and results of noninvasive tests for patients with obstructive coronary artery disease with those for patients without obstructive coronary artery disease. Continuous variables are presented as medians and interquartile ranges, and categorical variables as percentages. Continuous variables were compared with the use of the Wilcoxon–Mann–Whitney nonparametric test, and categorical variables with the use of the chi-square test. We also assessed temporal trends in the prevalence of obstructive coronary artery disease.
Multivariate logistic-regression analysis was performed to identify factors associated with obstructive coronary artery disease from among candidate baseline clinical variables (Table 1). Generalized estimating equations7 were used to account for within-hospital clustering, since patients at the same hospital may have similar disease profiles. The Wald chi-square test was used to determine significant predictors of obstructive coronary artery disease. To understand the relative value of the factors in predicting obstructive coronary artery disease, we constructed four separate models; we started with a model for predicting risk if no symptoms were present, as assessed with the use of the Framingham risk score alone, and then added into the model other clinical factors, followed by documented symptoms, and finally the results of noninvasive testing. The predictive value of each model is represented by the C-statistic. A nonparametric approach for comparing each C-statistic was used.8 P values of less than 0.05 were considered to indicate statistical significance for all tests. All statistical analyses were performed by the Duke Clinical Research Institute with the use of SAS software, version 9.2 (SAS Institute).
From January 2004 through April 2008, data for 1,989,779 patients undergoing cardiac catheterization at 663 sites were entered into the NCDR (Fig. 1). We excluded 841,374 of these patients (42.3%) because they had a known history of heart disease and 519,080 patients (26.1%) because they underwent emergency or urgent cardiac catheterization. Our final data set for analysis included 397,954 patients without known coronary artery disease who were undergoing elective cardiac catheterization, a cohort that represented 20.0% of all patients undergoing catheterization.
Obstructive coronary artery disease was identified in 37.6% of the patients, of whom 53.0% had evidence of multivessel disease (Fig. 1). Of all patients undergoing diagnostic catheterization, 8.5% had three-vessel disease and 3.9% had left main coronary artery disease. If the definition of obstructive coronary artery disease was broadened to include stenosis of 50% or more in any coronary vessel, the prevalence increased to 41.0%. In contrast, 39.2% of the patients had no coronary artery disease (<20% stenosis in all vessels). There was a small but significant increase from 2004 to 2008 in the prevalence of obstructive coronary artery disease (from 36.8% to 38.8%, P<0.001).
In general, patients with obstructive coronary artery disease, as compared with patients who did not have obstructive coronary artery disease, were older (median age, 66 vs. 58 years), more likely to be men (66.1% vs. 44.6%), and more likely to have diabetes (32.0% vs. 22.4%), hypertension (76.4% vs. 65.5%), or dyslipidemia (71.8% vs. 56.8%) (P<0.001 for all comparisons) (Table 1). Patients with symptoms of stable angina were more likely to have obstructive coronary artery disease than were patients without symptoms (43.9% vs. 31.5%, P<0.001).
Noninvasive testing (resting electrocardiography, echocardiography, computed tomography [CT], or a stress test) was performed in 83.9% of the patients before invasive angiography. A positive test result was recorded in the case of 68.6% of all the patients in the cohort. A noninvasive test was not performed before angiography in 17.1% of low-risk patients, 15.9% of intermediate-risk patients, and 15.0% of high-risk patients (P<0.001).
Patients with a positive result on a noninvasive test had a slightly higher rate of obstructive coronary artery disease than did patients who did not undergo any noninvasive testing before angiography (41.0% vs. 35.0%, P<0.001); the rate of obstructive coronary artery disease among patients with a positive test result was also higher than the rate among those with equivocal test results and those with negative test results (41.3%, vs. 27.1% and 28.3%, respectively). Since the data set included asymptomatic and symptomatic patients, the association between rates of obstructive coronary artery disease and the results of noninvasive tests are presented in Figure 2 according to Framingham risk-score categories (low, intermediate, or high) and symptom categories (no symptoms, atypical symptoms, or angina). The diagnostic yield for obstructive coronary artery disease increased with a higher Framingham risk score, as well as with the presence of angina (P<0.001 for both analyses).
Male sex, white race, older age, lower body-mass index, use of tobacco, and presence of diabetes, dyslipidemia, peripheral vascular disease, cerebrovascular disease, dialysis-dependent renal failure, and hypertension were each independent predictors of obstructive coronary artery disease (Table 2). A positive result on a noninvasive test, as compared with no testing, was independently associated with obstructive coronary artery disease (adjusted odds ratio, 1.28; 95% confidence interval [CI], 1.19 to 1.37), but to a lesser extent than were major clinical risk factors. As expected, typical angina was associated with obstructive disease (odds ratio, 1.91; 95% CI, 1.78 to 2.05). There was no association between hospital characteristics and obstructive disease (data not shown).
The results of four separate models for the prediction of obstructive coronary artery disease with the use of information obtained before invasive angiography was performed are presented in Figure 3. The first model included only a modified Framingham risk score (C-statistic, 0.670; 95% CI, 0.669 to 0.672). In the second model, clinical factors that were not included in the Framingham risk score were added, such as the body-mass index; presence or absence of peripheral arterial disease, cerebrovascular disease, and obstructive lung disease; and need or no need for dialysis. The C-statistic for this model was 0.742 (95% CI, 0.740 to 0.743). A slight increase in the model's predictive ability was noted with the addition in the third model of symptom characteristics for the overall population (C-statistic, 0.761; 95% CI, 0.759 to 0.762), with a similar effect across Framingham risk levels. Finally, although a positive noninvasive test was associated with the presence of obstructive coronary artery disease, the addition of information obtained from noninvasive tests (model 4) had a limited effect on the model's predictive ability over and above the effect achieved from the addition of clinical risk factors and symptoms (C-statistic, 0.764; 95% CI, 0.762 to 0.765).
In this large, representative sample of patients without known coronary artery disease who underwent invasive angiography in the United States during the period from January 2004 through April 2008, cardiac catheterization had a low diagnostic yield. A minority of patients undergoing this invasive test (37.6%) had obstructive coronary artery disease (i.e., ≥50% stenosis of the left main coronary artery or ≥70% stenosis of a major epicardial vessel). The percentage was similar (41.0%) when the definition of obstructive disease was expanded to include stenosis of 50% or more of any coronary vessel. We also found that, although certain demographic and clinical characteristics could be useful in determining the likelihood that obstructive coronary artery disease would be present, the incremental value of a positive result on a noninvasive test (including any of a broad range of tests such as resting electrocardiography, echocardiography, CT, or stress test) was limited.
Although the rate at which coronary arteries are found to be "normal" among patients who have undergone invasive angiography has been discussed as a potential performance measure,9 rates that have been published previously have important limitations. In a 1992 report by the RAND Corporation, between 9 and 36% of patients who underwent invasive angiography were found to have normal coronary arteries, but the findings were limited by varying definitions of normal and by varying radiographic systems.10 Findings from the Coronary Artery Surgery Study (CASS), involving 21,487 angiograms, showed that 18.8% of patients had nonobstructive coronary artery disease, which was defined as stenosis of less than 50% in all vessels.11 Data from the Society for Cardiac Angiography and Interventions (SCAI) Registry, which are somewhat more recent than the CASS findings but are still more than 15 years old, showed that between 20 and 27% of patients had normal coronary arteries and between 30 and 35% of patients had stenosis of less than 50% in all vessels.12,13 Although these data were derived from more than 200,000 patients over the course of several years, they were obtained before the current increase in both noninvasive imaging and the use of cardiac catheterization and reflect a broad spectrum of patients undergoing angiography, including those who were being evaluated for acute myocardial infarction and other emergency or urgent indications.
The low rate of obstructive coronary artery disease in the current NCDR analysis may reflect the stricter inclusion criteria for the patient population under study. Our study excluded patients with a known history of coronary artery disease, those undergoing emergency or urgent angiography in the setting of acute myocardial infarction or clinical instability, and those undergoing elective angiography before transplantation or valvular surgery. When data from the entire NCDR population were analyzed irrespective of prior disease or clinical indication, the rate of obstructive coronary artery disease increased to 60.3% (Fig. 1), which is similar to the rates in previous reports.14
Thus, the definition of the patient population is critical in placing our findings in context. We believe that our inclusion of a narrower population than that used in previous studies is helpful for understanding and eventually improving the clinical decision-making process that leads to the diagnostic use of cardiac catheterization.
To better understand the relationship between current decision-making processes regarding the need for invasive angiography and its diagnostic yield, we explored the usefulness of known major cardiac risk factors, symptoms, and noninvasive testing results for predicting the presence of obstructive coronary artery disease. Not surprisingly, the strongest independent predictive factors were the traditional risk factors, including older age, male sex, use of tobacco, and the presence of diabetes, dyslipidemia, or hypertension. In addition to consideration of clinical risk factors, the probability of obstructive coronary artery disease, as assessed before angiography, is generally estimated by considering the presence or absence of symptoms, on the basis of work by Diamond and Forrester,15 which was validated in independent clinical data sets.16 When data on symptoms were added to our predictive model, they were independently related to the presence of obstructive coronary artery disease and also slightly improved the predictive ability of the model for obstructive coronary artery disease (from a C-statistic of 0.7417 to a C-statistic of 0.7609).
This study also provides insights into patterns of noninvasive testing among patients undergoing diagnostic cardiac catheterization. Data from Lin et al. showed that in a Medicare population undergoing elective percutaneous coronary intervention, only 41% of the patients underwent stress testing.17 In contrast, our study showed that up to 84% of patients undergoing cardiac catheterization had undergone a previous noninvasive diagnostic test. This difference probably reflects the fact that NCDR includes a broad range of tests that are classified as noninvasive, whereas the analysis in the article by Lin et al. included only tests for ischemia. We found that noninvasive testing was paradoxically used more often in patients with a high Framingham risk score than in those with an intermediate or low risk score, a practice that is at odds with current guideline recommendations.3
We also found that a positive noninvasive test was independently related to the presence of obstructive coronary artery disease. Although the association was significant, the effect of a positive noninvasive test on the ability of the model to predict the presence of obstructive coronary artery disease was limited, increasing the C-statistic from 0.7609 to 0.7639. However, we cannot evaluate the performance of noninvasive testing, because we have no information on patients who underwent noninvasive testing but were not referred for catheterization, a situation that was probably more common among patients with negative or equivocal test results. In addition, the specific noninvasive test that was used in the NCDR is unknown and could have been one of a broad range of tests. Although the NCDR case-report form was intended to identify noninvasive tests for ischemia, resting electrocardiography, echocardiography, or CT may have been included. Finally, if testing is used extensively in low-risk patient populations, Bayesian principles dictate that many positive test results will be false positive results rather than true positive results, and this may have severely limited the ability of noninvasive testing to add incremental value for the identification of obstructive coronary artery disease.
Our results suggest that greater focus should be placed on the 30.0% of patients who were noted to have no symptoms, including no angina. Presumably the decision to proceed with invasive catheterization in the case of these patients was driven by clinical assessment of risk, testing for ischemia, or both. Given that the primary benefit of invasive treatment for obstructive coronary artery disease is relief of symptoms, we think that the threshold for invasive angiography may need to be higher in asymptomatic patients, for whom the potential benefits remain uncertain.
Other areas of potential improvement include risk stratification and the quality of noninvasive testing. Neither the Framingham risk score in the case of asymptomatic patients nor the Diamond and Forrester method in the case of symptomatic patients takes into account certain clinical risk factors, such as peripheral vascular disease, that are known to be important in this cohort. Even with the lack of certainty regarding the range of tests included in the NCDR, the incremental information provided by the aggregate of all forms of noninvasive testing was limited. Hence, our data support ongoing efforts to improve overall strategies for patient selection, including, but not limited to, improving the quality of noninvasive testing, in order to determine the optimal decision-making algorithms for the evaluation of suspected obstructive coronary artery disease.
The CathPCI Registry of the NCDR is a large, national registry that represents contemporary clinical practice in the community. Building on these strengths, our analysis provides current information on the way in which the entire diagnostic process ― including assessment of clinical factors, symptoms, and noninvasive testing ― functions in the referral of patients for diagnostic catheterization.
Our study has several limitations. We could not distinguish between patients who underwent resting electrocardiography, echocardiography, or CT and those who underwent stress testing, and we do not have any information regarding the undoubtedly large population of patients who were evaluated but did not undergo cardiac catheterization. In addition, the analysis of angiographic findings is limited by the fact that the assessment of coronary stenosis was made by the interpreting physician. Finally, the performance of the Framingham risk score may be underestimated because we imputed values for lipid levels and blood pressure.
In summary, in a large, national registry, only 38% of patients without known heart disease who underwent elective invasive angiography had obstructive coronary artery disease. Current strategies that are used to inform decisions regarding invasive angiography, including clinical assessment of risk and noninvasive testing, need to be improved substantially to increase the diagnostic yield of cardiac catheterization in routine clinical practice.
Supported by unrestricted funding from the American College of Cardiology's National Cardiovascular Data Registry CathPCI Registry.
Dr. Patel reports serving on the paid advisory board on Fabry's disease for Genzyme; Dr. Peterson, receiving grant support from Bristol-Myers Squibb, Sanofi-Aventis, and Schering-Plough (now Merck); Dr. Brennan, receiving lecture fees from Daiichi-Sankyo; and Dr. Anderson, receiving consulting fees from Premier, lecture fees from Sanofi-Aventis and Bristol-Myers Squibb, and grant support from AstraZeneca.
No other potential conflict of interest relevant to this article was reported.
PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the National Research Council's national science library in cooperation with the National Center for Biotechnology Information at the U.S. National Library of Medicine(NCBI/NLM). It includes content provided to the PubMed Central International archive by participating publishers.


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Poppy Build Guide by eye-opener
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Poppy Build
Top Lane
Starting Items:
Example Final Build:
Situational Offensive Items:
Situational Defensive Items:
Recommended Upgrades:
Core Items:
Ability Sequence
Not Updated For Current Season
The masteries shown here are not yet updated for the current season, the guide author needs to set up the new masteries. As such, they will be different than the masteries you see in-game.
Hello LOL-Community!
First of all the Description of Poppy:
I tested A LOT around and to summarize my experiences and cognitions:
There is no better way to play Poppy in a classic game:
AD mixed with some Magic Penetration!
Pros & Cons / Poppy powns
+ Poppy is one of the best late game champs out there!
+ Poppy kills the enemy ADC in one second and after that everyone else!!!!!!
+ Diplomatic Immunity is one of the best ultimates in the game!
+ Players often underestimate Poppy. Gonna pown them to show them some true power!
+ Poppy runs alone into 5, then kills 1 or 2 and after that runs away with full health xD
+ It is fun to play Poppy
- Weak Early Game
- No Farm = Dead Poppy
- Poppy is very weak against heavy cc team compositions => especially slows :(
- Players often underestimate Poppy and say that she is useless etc...
- Needs a lot practice
- Riot wants to rework her ;( JUST leave her alone! You already destroyed my lovely Evelynn with the rework. She was fine, though people considered her weak.
VS AD top:
VS AP top:
|Greater Mark of Hybrid Penetration
|8.1 Armor Penetration + 5.5 Magic Penetration: I really recommend you these, because we deal much Magic Damage with our Q & E and we have Bonus AD with our W. Also the fact that we play AD Poppy supports this choice.
|Greater Mark of Armor Penetration
|~12 Armor Penetration: Missing Magic Penetration hurts a bit...
|8.5 Attack damage: Maybe if you really have problems with last hitting, then this could help you.
|15% Attack Speed: If you need to push etc. a good choice.
Do NOT use at all:
|7.8 Magic Penetration: Missing Armor Penetration hurts much more.
|8.4% Crit Chance: 8.4% is like having to hit 11 times until you land possibly a critical hit. It is almost like you have no marks at all.
|13 Armor: Sometimes more Armor (additionally to our W Ability and to the fact that poppy has the highest base armor of all champs at level 18) is great, but unfortunately it won't help you much against champions like Darius or Cho'Gath.
|175 Health at level 18: This helps us to be more tanky late game! Generally the best choice for Poppy, but especially when we face AP Champs Top (or Darius-.-).
|~ 18 Health Regeneration at level 18: I like these a lot additionally to Philosopher's Stone... The problem is that these runes are very special and that you should use them only if you can rely on your team... (Note: It is worth it in combination with 2.7 health regen/5 sec. Quints and starting with a Rejuvenation Bead. Very nice against Champions, which counter Poppy.)
|24.3 Magic Resistance at level 18: After the season 3 patch this is the strongest choice you can make: Magic Resistance!
|~12 Magic Resistance: When in need vs an AP Champ/Team early game.
|5x SPA
|6.7 Magic Resistance + 10.8 Magic Resistance at level 18: (In Normal Queue) There is always the possibility that you face an Ap Champ Solo Top and for that reason this combination is just great.
|4.5% Movement Speed: We need that mobility to survive early game!
|78 Health: This helps also surviving early game, but I prefer Bonus Movement Speed which will help us through the whole game!
|6.75 Attack Damage: This helps with last hitting and trading early game.
I hope you understand my choices ;)
General Mastery Page:
14 Offense:
1x Summoner's Wrath : Improved Ignite and Ghost!
3x Sorcery: I like that CDR.
4x Blast : More Damage and needed for Arcane Knowledge .
1x Arcane Knowledge : Perfect for increased damage on Devastating Blow and Heroic Charge.
4x Deadliness : More Damage and needed for Weapon Expertise .
1x Weapon Expertise : Great and fitting for my runes and items.
Note: You can decide whether you take 3 points in Fury instead of Sorcery. It depends on your playstyle.
16 Defense:
4x Durability : Having more Health is always nice.
1x Veteran's Scars : More Health!
3x Hardiness : Nice vs AD Champs.
1x Resistance : Nice vs AP Champs. Note: If you know that your enemy is 100% AP take here 3 points and only 1 in Hardiness . You could also take equal points in both if you prefer.
2x Unyielding : This helps against much Harass.
1x Block : This helps against much Attack-Harass. A good choice against any top champ.
1x Relentless : Great new mastery which helps against a weakness of Poppy!
3x Tenacious : 15% CCR for 3 mastery points is so... IMBA!!!
Note: Tough Skin doesnt work against Yorick anymore. His ghouls are minions, not monsters.
0 Utility
Recommended Item Build:
|Item Sequence
Mercury's Treads
Trinity Force
Blade of the Ruined King
Statikk Shiv
Randuin's Omen
Banshee's Veil
Starting Items:
Boots of Speed and 3x Health Potion, then Sheen and 1 or 2 Gp10 Items.( Philosopher's Stone, Avarice Blade)
If you do well, dont buy any gold item! It is very important that you use your advantages, always. If you are forced out of your lane before you have enough money for Sheen, you should think about buying Philosopher's Stone.
Main Items:
|Perfect when they have much CC. Generally a good choice. Oherwise take Ninja Tabi. Viable alternatives are Ionian Boots of Lucidity and Berserker's Greaves.
|A must have on AD Poppy.
|Whenever you need Lifesteal and much AD. A really OP item on Poppy. You will be able to almost one hit the enemy AD carry!
|Why is Statikk Shiv a good item for poppy?
Before the Season3 patch I always used PD on Poppy, but now that new item is better because of following:
1. It helps you to burst the enemy carry because the passive can critically strike!
2. We take some magic penetration (runes & masteries) so that you deal additional damage at all.
3. You will deal more damage with this than with a PD because it fits Poppy's playstyle more.
4. It helps in mid-late game to clear your lane very fast!
5. You run 1% faster than with a PD. xD
You should buy a PD in combination with IE because this would deal more damage than with a Statikk Shiv. The problem is, it takes more money/time to build Phantom Dancer & Infinity Edge than Statikk Shiv & Blade of the Ruined King.
So i am quite happy that there are finally cheaper options for Poppy in this season which are almost as good as the old ones.
|I love this item. Makes running away from you or stopping you almost impossible!
|Very nice utility and some extra Health which will let us fight longer and deal more damage. The best about this is that we will be able to engage for the whole team less riskier!
After you finished Trinity Force and after you have Vampiric Scepter it is very important to think about your situation and about your teams situation and then to decide whether you buy more offensive items. Sometimes it can be fatal to continue with offensive items at this point and that is the reason I am warning you. Only if the situation looks "ok" then go more offensive.
Update (1st March 2013): Before the 3.03 patch I always finished Statikk Shiv before Blade of the Ruined King. But now in case your enemy is stacking health you can rush Blade of the Ruined King without losing essential damage and even gaining excellent survivability. That new Blade of the Ruined King is so freaking OP that it is gonna be nerfed for sure in the next time. Otherwise Poppy will get nerfed.
Update 2: Of course Blade of the Ruined King got nerfed with a hotfix. But it is still viable and more rewarding finishing it before Statikk Shiv tho.
Do not forget to use my Anti AP rune page vs AP Champs.
As well, it depends on the build of the opponents: The more sustain they have/build the worse it gets for Poppy. Means when they buy strong Life Steal/ Spell Vamp/ Magic Resistance Items Poppy will have problems beating them in the laning phase.
That means the best item vs Poppy is Spirit Visage. :(
In that case Poppy should concentrate on farming and get a Vampiric Scepter after Sheen. Or you could get a Catalyst the Protector after Sheen for more mana and health to be able to harass more frequent. Depending what playstyle you prefer.
Other Options:
Different options for the offensive items:
|For Imba Dmg, I would buy this when I already have 2 defensive Items/ when I am very fed.
|If you want to be super fast and you want them to go crazy, take this!
|Seems to work well on Poppy (still need more testing to be 100% sure).
|Whenever you need speelvamp, lifesteal, ap and ad. It is a very good item on poppy, which will help you in a balanced match.
No Need for two Offensive Items? Get a third defensive one!
Then you should decide between one of these items:
|A dead Poppy that will stand up after death is a deadly Poppy!
|Your life is hell? Then the problem is likely the huge amount of CC which the enemy team has. You know what to do now. In case you did not know, you can upgrade this item later to Mercurial Scimitar.
Summoner Spells
Recommended Spells:
|I take Ghost because I love the huge +35% MovementSpeed Bonus which lasts 10 seconds.
First of all that means when someone exhausts me for 2.5 seconds, I will still have a +5% MovementSpeed Bonus while exhaust is active and there are still 7.5 seconds of that huge bonus. That means also that lots of Skill Slows won't slow me down essentially (Much Hard CC still remains a problem but the masteries and boots should help here). The funny thing is I didn't consider Paragon of Demacia in these calculations (which adds up to 25% MovementSpeed Bonus). Then there is something else I want to clear up: If you are sure you are going to kill your target but you took only Flash, there is a much bigger possibility that your target escapes. So you can imagine why I prefer Ghost over Flash.
|I take Ignite because it deals much additional damage when combinated with Poppy's ultimate Diplomatic Immunity.
You will deal
204(+20%) from 170 true damage at level 6,
351(+30%) from 270 true damage at level 11 and
518(+40%) from 370 true damage at level 16. The maximum damage with that combination is 574(+40%) from 410 true damage at level 18.
Recommended but not optimal:
|If they have 3-5 AD champions then I always consider taking exhaust because it is a very strong spell against such teams. Especially when they dont have much Health Regen/ Heals.
|If you absolutely hate Ghost and dont see much advantage over Flash on Poppy, then this spell is your choice.
Conditionally recommended:
|Cleanse helps against one of Poppy's weaknesses. That means you will want this against heavy CC team compositions.
|You want to power farm? You are new with Poppy? You want to split push? You have a plan/strategy? Then take Teleport.
Skills & Skill Order
|1. Tons of Damage. 2. This is a reason why Poppy is much stronger in the third season. The "X% of the targets max health" Skills are very strong because people stack health like crazy and the jungle camps also have more health than before.
|The active is very good for escaping or chasing. You should avoid using the active too often in the laning phase because of the high mana costs. The passive is generally good vs Harrass or for Harrass!
I added some information to the Explanations of the Skills from: http://leagueoflegends.wikia.com/wiki/Poppy/Ability_Details
Skill Order:
Devastating Blow
Level 1: Devastating Blow because we are able to trade well with this at level 1.
Level 2: Paragon of Demacia because we will need some defense now.
Level 3: Heroic Charge/ Devastating Blow but Heroic Charge most of the time because we will be able to stun our opponent and this coordinated with our jungler is more worth than extra damage on Devastating Blow that early.
Then max Devastating Blow first for tons of damage. (means Devastating Blow has 5 points at level 9)
After level 7 one point in Paragon of Demacia.
After that we max Paragon of Demacia for more consistent defense and offense. (means Paragon of Demacia has 5 points at level 13)
Of course we take points in Diplomatic Immunity at level 6, 11 and 16.
Jungle - Build
The newest jungle changes in the new patch (www.leagueoflegends.com/news/preseason-balance-update-2-patch-notes) made Poppy even a viable Jungler! Now you can play her in every role/position.
Summonder Spells:
|Why Ghost? Because for good and still better ganks than with Flash.
|Why Smite? Because we are Jungling.
Just changing the marks by 9x Greater Mark of Attack Speed = 15% Attack Speed. We need this to maximize the use of the new Jungle item, which we are going to use.
Item Core:
Skill Order:
Still maxing Devastating Blow first, but starting with Paragon of Demacia at level 1 and taking a second point at level 3.
Mastery Page:
If you are 99% sure that you wont buy more AP than Trinity Force has, then you should change your points in the offense tree. That means you can put 1 point in Fury instead of Spellsword . Or you take 1 point out of Fury as well and put 2 points in Butcher which helps your early jungle camp clearing. In the defense tree you could think more late game oriented and taking the 4 Durability and 1 Veteran's Scars instead of 3 Perseverance and 2 Hardiness points.
That would look like this:
Clear Order:
1. Wolves, 2. Blue, 3. Wraiths, 4. Wolves, 5. Red, ...
Or with some help:
1. Wolves 2. Smiteless Blue, 3. Red, ...
My Success with Jungle Poppy:
In the case your opponent is a ranged champion or Yorick you should use the bushes to avoid huge attack harassment or the ghouls. If his answer are wards, then your answer should be vision wards. If your opponent dares to face check the bush, then you Q in his face.
You do not want to lane against these Champs:
|After level 6 it is over for you.
|Very difficult to beat. It is almost impossible without help from your jungle. I recommend starting with a Rejuvenation Bead, 4x Health Potion, 2x Mana Potion and a sight ward and hope for the best.
|You could beat him Early Game. But if you can't make it, you lost your lane totally.
|Ranged -> often a dead Poppy. Even if you do well, she will win because she counters you! Ganks should help you then. I recommend starting with a Rejuvenation Bead, 5x Health Potion, 1x Mana Potion and a sight ward and hope for the best.
|Same as Kayle here...
|AP np for you, but AD is a *****. It is still possible to beat her but its no fun. I recommend starting with a Rejuvenation Bead, 4/5x Health Potion, 2/1x Mana Potion and a sight ward and hope for the best.
|Just very difficult to beat.
|The new Udyr is OP. His Tiger Stance makes your passive useless. Best is to start with a Cloth Armor and 5x Health Potion.
Against hard matchups you could also think about playing total passively by farming under tower and starting with 2x Rejuvenation Bead and 3x Health Potion. But I do not recommend this when you feel saver with Poppy...
These Champs are easy to beat(in the normal case):
|After your first back get a vision ward, place it and she is dead. She cannot win against Poppy because she is the typical burst champ.
|He scales as well as you do into late game. BUT his early game is so weak that you are able to outfarm, zone and kill him. Just be sure not to be ganked while doing so. If you cant do it he will be a problem for you and your whole team later.
|He is easy food and you outdamage him.
|Its very funny when he tries to trade with you: He will jump on you with his Q E combo and jump back to a minion. While he does so, the only thing you need to do is to use your Q on him to outdamage him.
|He has worse mana problems than you, he cannot kill you, he wants to build health and armor and you are able to farm easily. gg
|Most of the time you will win in a straight 1on1 because your passive is OP.
|He is so weak! You outdamage him at all.
|You just need to know how Shen works and then you are going to pown him. When I see them picking Shen I counter Shen with Poppy.
|His damage is lower and he is very squishy, means for you an easy lane.
|He is all about bursting someone to finish him off. He will have problems against Poppy!
Do not forget to use my Anti AP rune page vs AP Champs.
As well, it depends on the build of the opponents: The more sustain they have/build the worse it gets for Poppy. Means when they buy strong Life Steal/ Spell Vamp/ Magic Resistance Items Poppy will have problems beating them in the laning phase.
That means the best item vs Poppy is Spirit Visage. :(
In that case Poppy should concentrate on farming and get a Vampiric Scepter after Sheen. Or you could get a Catalyst the Protector after Sheen for more mana and health to be able to harass more frequent. It is up to your playstyle.
Early Game
Starting Items:
Boots of Speed and 3x Health Potion, then Sheen and 1 or 2 Gp10 Items.( Philosopher's Stone, Avarice Blade)
If you do well, dont buy any gold item! It is very important that you use your advantages, always. If you are forced out of your lane before you have enough money for Sheen, you should think about buying Philosopher's Stone.
Laning Phase:
Farm under Tower most of the time.
Buy wards, ward, dont abuse your jungler too often, means dont make him babysit you.
If you are a good Poppy player you will be able to play aggressively, not abusing your jungler and to push. You need to play like this sometimes. E.g. Your enemy went back, you should push the current minion wave as fast as possible (while being aware of the map) to the enemy tower and after that you port back and shop yourself. Always coordinate with your mates, use pings, write "mia's". If you decide to push, then do that with wards.
Dont let the enemy roam. Means follow him if he wants to gank.
You can gank yourself. Especially when you cant beat your opponent, you should roam.
Dont ever cry for you jungler when you lose your lane totally. That would be the end for him as well.
Never let the enemy harrass you for free, payback always. The best way to do this is your Devastating Blow.
In the case your opponent is a ranged champion or Yorick you should use the bushes to avoid huge attack harassment or the ghouls. If his answer are wards, then your answer should be vision wards. If your opponent dares to face check the bush, then you Q in his face.
The most important rule is Survive the early game and dont die. Just dont die.
Mid Game
Pay attention to what happens at other lanes and continue farming. When needed go help your team.
Tell them to split push, to ward and not to engage.
Be ready to help your team at dragon.
Put your wards further away from your lane because the jungler will be very fast at this point so that he can catch you easily when you warded wrong. Coordinate your ward spots with your mid player.
In this Phase you are going to finish your Trinity Force. After that it is very important to think about your situation and about your teams situation and then to decide whether you buy more offensive items. Sometimes it can be fatal to continue with offensive items at this point. You need to predict the events in the mid-late game. That is why I am warning you. Only if the situation looks "ok" then go more offensive.
Late Game
The more time you have spent with LoL the more experience you will have and you will have a better idea how to guide your team to victory.
If a lane is getting pushed by their minions, you will need to push that lane back as fast as possible over the mid of that lane to avoid losing too much gold and to avoid your tower being damaged. If you are pushing a lane back, so that your minions continue pushing in your favor you have to pay attention to the enemies actions. While doing that map awareness is very important. That means wards, wards and wards. You have to know what the enemy team is doing. If you still have free slots, don't spend them for pots anymore. That is odd long ago. The only thing you are going to buy are wards. If you have a full build or if you prepare for a formative teamfight you should buy elixirs and/or oracles.
Your team has to stay together to achieve objectives, like destroying their inhibitors or slaying Baron Nashor or defending the base. The Baron buff will help you win teamfights and pushing to their Nexus. If you destroy the Nexus, you will win. But before you get to that point you will have to fight for the Baron. Make sure the Baron is warded. If your team is stronger but the enemy team is hiding at their tower, you should bait them by starting to fight the baron. If they react, there will be situations where your team can disengage quickly to catch someone out of position. Means an easy kill for your team and probably an unchallenged Baron buff after that.
In your role as Poppy either you stand back out of sight and wait for a possibility to assassinate someone or you go to the front and engage for your team.
Being near your team is very important.
Farm and ignore team fights xD
Ok, Jokes aside:
Now just pown them in teamfights. Take the baron and end it. At this point you are probably the strongest champ in game and they will fear you.
No Joke.
Teamfights & Tips
Just pown them! You are able to engage for your whole team with your ultimate. Concentrate on taking out the ADC first. Dont fight when some of your teammembers are out of position, means when they are seperated or too far away from you. Dont let the enemy choose the terrain for the fight, when you see someone out of position you can assassinate him quickly. You will be still alive and your team will join you to push or join you for an ace.
Abuse bugs like using your E on Shen in the right moment when he is using his ultimate.
Or bug out of Anivia's wall, Jarvan's ultimate etc.
They flash? They port back? No Problem :)
Just have FUN playing Poppy, the best champion in LoL!
Final Comments
That's it!
I hope you like my guide and I hope that you are as successful as I am.
If you have some time, then see this funny (older)video: They failed quite a lot^^


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We love to use fireworks to celebrate special occasions but they don't understand that animals have better senses than us and they get scared all the time.
In South Africa, the Barberton SPCA posted of a dead dog that got stuck on a fence. He was scared by some fireworks and started running.
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Part 1: Maddie and Karl interview Chapin Cavender, an incoming PhD student
Part 2: Maddie tells a story about a time when her best laid plan exploded in front of her entire department.
Part 3: Karl tells a story about the first time he felt like he belonged in Graduate School
Part 4: Maddie interviews Dr. Paul Dunman about a time when he nearly left Graduate School during his time there.
Part 5: Chapin has a question for Maddie and Karl
The Bench Warmers Ep. 1: What Have We Gotten Into? (Downloadable mp3. Right click link and choose "Save Link As…")
Find this episode in iTunes at the following link! Subscribe and rate us!
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The Bench Warmers is Produced and Edited by Madeline Sofia and Karl Smith.
The Bench Warmers Theme is by Under the Eaves. Check out their music at reverbnation.com/undertheeaves
Hit and Run is by Under the Eaves.
Omaha is by Thunder and Rain. Check out their music at http://thunderandrainmusic.com/
Our logo is by Alexis Carek.


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Best Knee Brace for Running 2017 – Top 10 User Guide
Whether you're an athlete who runs several marathons per year or simply someone who likes to jog around the neighborhood a few times per week, almost every runner reaches a time in his or her life where a little extra support is needed to go on. Very often this is due to an injury like a sprain or runner's knee. Whatever the reason may be, one thing's for sure: you're going to want to get the best knee brace for running so you can stay in the game without risking your ability to run.
What Kind of Knee Braces Are Best For Runners?
With so many knee braces geared toward runners on the market, deciding which one to buy can be a tough decision. Do you want a compression style sleeve brace or a stiffer adjustable strap brace? Will you be wearing your knee brace daily on long runs? Or, just while you recover from an injury? What are the most crucial things to consider when choosing the best knee brace for running that is best for you? We've compiled a list of the top 10 best knee braces for running, Reviews of the top 3, and a list of the most important considerations to keep in mind when picking the knee brace that's right for you:
- Open or Closed Patella Design. If you have suffered a knee injury and need some extra help keeping your kneecap in place during runs, you will probably want to opt for a closed patella brace. This is one that covers the kneecap and exerts pressure onto it to keep it in place. However, if you intend to use a knee brace over the long term you'll want to look in to open patella designs that allow for kneecap movement. These can give you added support while running without causing the kneecap area to become uncomfortable while worn for long durations.
- Adjustability. Some people want the customizable fit and support of an adjustable knee brace. Look for the best knee brace for running that gives size options and that are secured by one, two, or more straps. These adjustable knee braces are also ideal for runners who are undergoing bodily changes, such as people who are new to running or who also bodybuilding and may gain muscle mass over time.
- Durability. No one wants a knee brace for running that's only good for one usage and then loses its ability to be supportive. Look for a durable, time tested brace that maintains its capacity to compress and or support with multiple wears.
- Price. Don't waste money on fad knee braces promising faster results for an inflated price tag. Sometimes, the best knee brace for running is a simple and affordable one that will provide the support you need at a price that any runner can afford.
Best Knee Brace for Running Top 10 Comparison Guide
Reviews of the Top Rated Knee Braces for Running
1. OsFit Knee Compression Sleeve
This compression style knee brace is a great choice for daily runners who want knee support with every run. It is durable, flexible, and it maintains its compression over time and with multiple uses. It is available in three sizes, so there is one to fit virtually any runner's body type. This includes male, female, younger and older. Two silicone bands that are affixed to the thigh portion of this knee brace ensures that it will stay in place even during vigorous sprints without riding up or otherwise slipping out of place.
The brace itself is constructed from a blend of latex, spandex, and nylon, allowing for enough bend to move your knee but providing enough firm compression to ensure that injured or arthritic knees are protected during workouts. Use it during runs, during team sports games, or in the weight room. This brace is versatile enough to keep your knee stable during any form of exercise, and its price is sure to leave you with a smile.
2. EXLIMITS Knee Brace
This all-purpose knee brace takes the runner up spot for the best knee brace for running because of its adjustability and durability. The two securing straps and open patella design make it comfortable for injured or aching people to run for longer distances. With this knee brace, the kneecap can get some movement without having to sacrifice firm support to get it.
The neoprene material that the knee brace is constructed of is pocked with tiny holes at regular intervals, allowing the brace to breathe so you don't wind up with a sweat rash at the end of a twelve-mile run. Included with the knee brace purchase is an ebook with injury recuperation and knee strengthening exercises, as well as an exercise band that can be used for at home physical therapy. The only major drawback to this brace is its price. Although it is not the most expensive brace on the market, it isn't the cheapest, either. However, because of the value you get for your dollar, it still takes the number two spot on our top 10 list.
3. Yosoo Patella Knee Strap
Runners who prefer a minimalist approach to knee brace support will appreciate the open design of this model. The open patella, two strap support design allows the wearer to get support right where they need it, without a bunch of extra fabric getting in the way or causing skin irritation.
The ventilated neoprene that the knee brace is made of allows for optimal comfort without having to sacrifice firm support. And, it is one size fits most knees, so you can use it on your right or left knee. You could even buy two to get firm support of both at once.
For people who want versatile support that's tough enough to withstand daily use, this best knee brace for running is the way to go.


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The widowmaker.zip file you have requested: Skins / Player / Female / Widowmaker - 389.13kb is not available. Perhaps try browsing all files for the game Soldier of Fortune II and upload any files you want to share or are missing. This is the only information we could locate:
Fragger has done it again! He made a nice female skin named Widowmaker... Oldskool SOF1 players will probably recognize her from SOF1!Good job! :rock:
We recommend you return to the download list and browse the links from there. If the problem persists, contact us with the details.


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Tyr and Thor
A/N: Disclaimer's in the first chapter.
Tyr of Asgard had seen much in his nearly five millennia of life. He had, as little more than a stripling lad, fought side-by-side with a then-Prince Odin Borson in the last great battle before Thanos the Mad Titan had been forever exiled from the shores of six of the nine realms. At one point in that battle, they'd ended up back-to-back fighting for their lives. From that time forward, Odin had trusted him as he had trusted few others. Enough so that when Bor had died and Odin assumed the throne, he had named Tyr his general.
But Tyr, thanks to that long association, was more aware of Odin's faults than most. He was also pragmatic enough to admit they existed, and do what he could to mitigate them. Unfortunately, even as Odin's general, that hadn't amounted to much.
He was not blind, nor stupid. He had known that Frigga had not been with child before the appearance of Loki. He had also known that the orphans of the battles against the Jotuns had all been found homes. Primarily because he'd been the one to ensure the children of the men who had died under his command would be well taken care of.
That had left very few sources for the mystery child. Unfortunately, Tyr had not been the only one to put the pieces together. More than one of the soldiers from that last campaign had figured it out as well. Unlike those soldiers, Tyr had done his utmost to not hold his true parentage against the child. Loki was an innocent and did not deserve to be treated ill for things he'd had no part in nor memory of. Sadly, more than one of those other soldiers had been quite ready to hold Loki's parentage against him. Especially in the face of Odin's apparent permissiveness of ill-treatment aimed Loki's direction.
Tyr honestly had no clue as to the full truth of the events that had occurred before Loki's apparent death. That something had gone wrong somewhere had been pretty clear, but Tyr hadn't known most of the details. He only knew that Thor had been banished, Odin had succumbed to the Odinsleep, Loki had assumed the throne, and then all hell had broken loose. Nor had he been present when the Midgardians arrived with Thor and Loki and Odin passed sentence, though he had heard rumors about what had been revealed. He did not, however, trust rumors as a general rule. As such, he was willing to withhold judgment until he found out what had happened from Thor and Loki's own mouths.
Clearly, Odin had been at least partially at fault for the mess, and had done something - or been about to do something - that would make matters worse. It was the only explanation for both why Frigga had slapped Odin down, and her comment about crimes against Asgard and the Princes.
He'd had a busy time of it since Frigga had given him his orders. He'd headed straight for the Vault first, intent on dealing with the weapons there. He and Frigga were of one mind on this particular. While a few of the weapons there were usable, mostly they merely presented a threat to the Realms and needed to be destroyed. Unfortunately, this was not so easy a thing to accomplish. A few of the weapons would survive even being tossed into the heart of a star thanks to enchantments placed upon them. Of course, doing such a thing would make them far harder to access than if they were sitting in a building. The number of beings in the Realms capable of withstanding such an environment, or extracting an object from such an environment from far enough away to remain unaffected, were vanishingly small. Unfortunately, Thanos was one of those that could pull it off.
In the end, Tyr had opted to send the weapons he could not destroy into the heart of a star anyway. It was the best solution they had. With the number of stars available to them, the odds of anyone finding the right star were very small. It was going to have to be enough. As further insurance, Tyr did not put all of the weapons in a single star, lest any one being find the cache and manage to rescue the lot in one fell swoop.
That accomplished, he had visited the armory to make sure the smiths there had all they required to repair and forge armor and weapons. They'd been in need of more leather for padding, so he'd sent a large hunting party out to obtain skins. The feast that would result from such a hunt would do much to restore spirits that had flagged in the face of the queen's dire news.
With things in Asgard as settled as they could be, Tyr decided to journey to Midgard. After some small thought, he decided not to arrive in full armor lest he alarm the warriors that Thor and Loki had taken up residence with. He opted for a scale mail shirt and leather vest very similar in most regards to Thor's, though his lacked the metal circles, and the cape. Nor did he bring his sword, settling for just a dagger since he was loath to be completely unarmed.
Suitably attired, he returned to the Bifrost control room and bid Heimdall set him down on the roof of the building in which Thor and Loki now dwelled.
Thor had arisen at his usual early hour. As had become his wont over the last few days, he joined Captain Rogers, also an early riser, for a friendly bout of wrestling before their compatriots all woke to break their fast. He'd encountered the Captain one morning in the training facility by chance, and the Captain had convinced Thor to engage in a bout. It had succeeded so well they'd agreed to continue.
Thor had found the Captain to be an exemplary warrior, capable of dealing with and nearly equaling Thor's strength and fighting abilities aside from the use of Mjolnir. For all his youth relative to Thor's, the Captain also had far more temperance and wisdom than Thor knew himself to possess. There were few in any Realm that Thor would follow without qualm, but the Captain was swiftly becoming one such. Enough so that Thor had a tendency to refer to Steve by his rank as a mark of respect.
It was probably somewhat petty of Thor, but he was relieved that he was not the only one to be rather obviously lost and confused when it came to Midgard in general and its culture in particular. Oh, Loki was very nearly as much at sea as Thor was, but he was far better at hiding it, and far faster to adapt than Thor would ever be. The Captain was far more apt to allow himself to look or sound confused, and adapted more slowly than Loki did.
The last stragglers - namely Tony and Bruce - had just sat down to table when Tony's mechanical marvel spoke.
"Sir, I am detecting energy readings consistent with the activation of the Bifrost emanating from the sky directly above the building."
Beside him, Loki froze for a second before resuming his normal mien. Thor shifted to the side enough to bump shoulders with him and give him a quick supportive look.
"Any way of knowing if they're friendly?" Tony wanted to know.
Thor answered him. "They must be friendly. Only Heimdall controls the Bifrost. None may use it without his leave, and I sincerely doubt he's been killed in the mere days since our visit."
"Not exactly what I meant, Fabio." Tony said, then indicated Loki. "I'm more worried about Odin going back on his word."
"He would not. It may well be mother. She did indicate a desire to visit Midgard." Thor pointed out.
"Right. I guess there's only one way to find out. Let's go." Tony said.
Thor was rather amused when everyone made their way to the roof, each as curious as the rest as to whom their visitor might be. He was less amused when he realized that Loki was coming remarkably close to attempting to hide behind Thor, using him as a shield. Clearly his brother was far more worried about Asgardian visitors than Thor had initially suspected he would be. It was remarkably disconcerting to have Loki acting so. While he had ever been in favor of subtlety and striking from the shadows, this was something else entirely.
When the dazzling brilliance of the Bifrost receded enough to permit him to observe who had traveled to Midgard, Thor was both mightily pleased and deeply concerned to see it was Tyr standing there. Another moment's observation cleared away the concern. Tyr was not garbed for battle, nor was he carrying weapons or chains that might indicate that Odin had indeed rescinded his decree regarding Loki. This then was either a trip regarding Thanos' impending arrival, or Tyr visiting Midgard to quench his curiosity. Much relieved, Thor greeted Tyr with his usual friendly abandon. As further indication that Tyr was not here on dire business, Tyr was as quick to greet Thor, the two men meeting in a fierce hug followed by gripping each others' forearms.
"Well met, my princes." Tyr said to Thor with a grin. He glanced around Thor's bulk and nodded respectfully to the far less physically demonstrative Loki before he broke from Thor's grasp and offered a forearm clasp to Loki, who accepted it with a faint air of surprise. "Both of you. I bring news from Asgard, and from her majesty the Queen."
Thor was pleased that Tyr greeted Loki so. He knew that many of the people of Asgard would put all blame on Loki and treat him ill. Tyr had never been one such, but it had been possible that circumstances would change Tyr's usual approach to Loki.
Tyr then turned his attention to the gathered Avengers. "And these must be Midgard's defenders. Rumors have been running wild in Asgard since your arrival. I was sorry to have missed it."
Thor laughed. He could just bet that the rumor mill had been working overtime in relation to the Avengers' visit. Mortals on Asgard was rare enough. That two of them had dared to defy Odin, and one had felled a guard would have had tongues wagging overtime. He clasped Tyr's shoulder, and began to make the introductions.
"My friends, this is Tyr, general of Asgard's army. Tyr, this is ... " And then he named everyone.
Once the introductions were complete, Tony stepped forward. "You said you had news?" He asked. "Is that just for Thor and Loki, or all of us? 'cause if you need privacy, we can scoot, but if it's for everyone, we'll be more comfortable inside."
"The news I bear is for all." Tyr said.
Tony led the way inside. Thor smiled to see Tyr gazing about, curious as to their lodgings. Tyr was visibly disconcerted by the elevator, a thing which did not exist on Asgard, primarily because they did not build edifices as tall as Midgardians did. While there were several floors to the palace, for instance, there were nowhere near the hundred-plus floors in this particular building, so finding a means to get from the bottom-most floor to the top-most without exhausting oneself had never been a concern.
Once they were settled on the couches on the floor used for entertainments, Tyr began his tale.
"I will begin by saying that all is currently well in Asgard, and your mother the Queen in fine health. I say this because much of what I have to impart is at least somewhat alarming." Tyr told them.
"I do not know the full tale myself - the Queen did not see fit to enlighten me. But three days past, the Queen was seen riding at speed for Heimdall's control room. She returned at a far more temperate speed, and then bade that all within a feasible distance of the palace, as well as all residents of the palace, gather in the throne room two hours later."
"When that cumpulsory audience took place, the Queen arrived in battle dress which I know for fact she had not possessed previously. She held Gungnir in her grasp and Odin was nowhere to be seen." Tyr told them.
Thor exchanged an alarmed glance with Loki. The two of them realized the significance of someone other than Odin bearing Gungnir. Thor's first thought was that Odin had finally resumed the interrupted Odinsleep he'd begun a year previously, but that didn't explain his mother wearing armor. Tyr was right - Frigga never had before, at least not in Thor's memory.
"She then proclaimed that, for 'crimes against Asgard and her heirs' Odin had been summarily exiled, and that she was assuming the throne."
Thor's eyes about popped out of his head at this proclamation. He had long known that Frigga was greatly displeased with the treatment Loki endured, and blamed Odin for it. She had also seen him carry out various political and battle plans, both for good and ill. But she had endured it all this long without seizing control. What in the name of the Norns could Odin have done to drive Frigga to take control? He took some small comfort from the fact that Loki seemed as confused as he was.
"She then revealed that that fell monster was on the move once more." Tyr said, his face twisting in distaste.
"Wait. You mean that Odin had not ... " Loki started.
"If Odin possessed that knowledge at any point before the Queen's audience, he did nothing." Tyr confirmed.
Well, that explained the 'crimes against Asgard' part of his mother's comment, Thor reflected. That Odin had not taken action against Thanos' renewed rise was more than reason enough to depose him.
"She then bade the court ambassadors to disperse to the Realms and warn their Kings about Thanos, and took herself, the Warriors Three and Lady Sif off to Svartalfheim and Jotunheim. She bade me to ready our troops and to empty the Vault and destroy those weapons which could not be safely used, and see to the dispersal amongst our troops of those that could. She also bade me to coordinate with the two of you, as you were assisting Midgard and her warriors with their preparations, as this is the first time they have encountered the Mad Titan, and would thus be the best source of knowledge as to Midgard's defenses."
Tyr sighed and then continued. "I have done as the queen commanded thus far, with the exception of one weapon. She expressed especial interest in the Casket of Ancient Winters, and bade that it not be destroyed or given over to anyone who might be able to control it. She expressed the possibility of returning it to Jotunheim if she could establish enough fellowship with their new King. Unfortunately, the Casket was not to be found in the Vault. I had wondered if either of you had seen it, or if one of the invaders that broke in on Thor's aborted coronation day might have managed to make off with it after all."
For one of the few times in his life, Thor decided to tell a blatant lie. He knew from Odin, who'd seen Heimdall get frozen in his sleep, that Loki had taken the Casket during his madness after the revelation of his parentage. It was far better than Thor be blamed for it, and given the situation at the time, it was even believable that he had done something. He had not been best pleased with the situation immediately after his aborted coronation. He was rather known for making rash decisions when his blood was up like that, so Tyr was unlikely to question it.
"I removed it, after the invasion." He claimed. "And bid Loki hide it against another incursion, since the Jotuns could obviously get into the Vault. I feared the appearance of a larger force that the Destroyer could not defeat before one did make off with either the Casket or another of the weapons there."
Tyr considered that for a moment before nodding. "Rash, perhaps, but perhaps also wise, given they did indeed manage to get in there." He said, then turned his attention to Loki. "If you would either tell me where it is hidden, or be willing to fetch it, my prince, I would be grateful."
Loki nodded. "You will have it in your hands ere you return to Asgard." He told Tyr.


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Download from App Store Download Source at Github I have recently submitted the PwnageChecker App I create a few months ago to App Store and early this week it was approved. Pwnagechecker is an iOS app built using Swift. It allows users to easily check whether an account has been compromised in a known data … Continue reading PwnageChecker
Author: Vince Chan
Bootswatch Theme Preview Google Chrome Extension
Bootswatch offers many beautiful free themes for bootstrap. Recently I created a Google Chrome Extension that makes it easy to preview any existing bootstrap sites in one of these Bootswatch themes. Install Extension From Chrome Web Store Download Source From GitHub How To Use Install the extension from Chrome Web Store. Once the extension is … Continue reading Bootswatch Theme Preview Google Chrome Extension
REINSTALLMODE vs ReinstallModeText
REINSTALLMODE This is a MSI Property. On MSDN: The REINSTALLMODE property is a string that contains letters specifying the type of reinstall to perform. Options are case-insensitive and order-independent. This property should normally always be used in conjunction with the REINSTALL property. However, this property can also be used during installation, not just reinstall. By … Continue reading REINSTALLMODE vs ReinstallModeText
Troubleshooting IIS Process Crash
Recently I was asked to help on troubleshooting occasional crashes of the IIS w3wp.exe process on a production site. Other than having the same windows application events generated at the time of the crash, the crashes do not have any obvious pattern and do not appear to be related to the traffic level. After performing … Continue reading Troubleshooting IIS Process Crash
Running ASPNET 5 and .NET Core on Linux
I have been hearing quite a bit about the new ASPNET 5 (vNext) and .NET Core for a while now. However, the frequent breaking changes between beta versions was too much for me to want to try it out. With ASPNET 5 and .NET Core in release candidate and a 1.0 release in sight, I thought it's … Continue reading Running ASPNET 5 and .NET Core on Linux
Display Activity Indicator with Overlay
It's a common task to provide visual cue to the user when a task is in progress. Apple UIKit has the UIActivityIndicatorView UI component for this purpose. The component appears as a "gear" that is either spinning or stopped . In this post, we will extend it: Show a transparent overlay over the whole screen or part … Continue reading Display Activity Indicator with Overlay
Hidden Attribute causes UnauthorizedAccessException in File.Copy
If you are getting "System.UnauthorizedAccessException: Access to the path 'destFileName' is denied" when you call File.Copy to copy and overwrite a file, the two more obvious possible causes are documented on MSDN: Exception Condition UnauthorizedAccessException The caller does not have the required permission. -or- destFileName is read-only. I ran into a third possible cause last week. If the … Continue reading Hidden Attribute causes UnauthorizedAccessException in File.Copy


text: Hello, I am looking to replace my diaper bag with a more sophisticated bag that doesn't look like a diaper bag. Something soft with somewhat of a slouchy quality maybe something in a whiskey or natural color probably darker so it won't pick up color transfer from being crossbody and rubbing against my clothing. (not black I have too many black bags) something that could look vintage but with pockets and hardware and some stitching detail. I would prefer a zip top with front pockets but could do a shorter flap. I really LOVE the MJ messenger bags but they seem small and only come in white ? Also, I need the strap to be about 50 inches long so it can be worn crossbody.Or it doesn't have to be crossbody, I love the Coach Mandy courier too but the strap is too short. Does anybody have any suggestions with or without pictures ? Thanks so much for your help !


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I get a lot of questions about the tattoo on my wrist.
I got it after going through a stressful time with my past job. I was ultimately trying to control all aspects of my life, and well… it wasn't working.
The tattoo comes from scripture – Psalm 46:10.
Be still and know that I am God.
And that's exactly what I needed to do.
I almost got it in regular script, but decided it would be cool in Hebrew. So I did some research on the language and came up with this.
I wanted it in a place where I could see it when I needed to. To be reminded to allow God to be God.
So here it is, the branded promise to myself that I am going to allow God to do His job – right there on my wrist.
CLICK HERE to read about "Being Still!"


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While pursuing for money making opportunities online, one of our concerns is virus and unwanted software. This is the reason why we required antivirus software and be careful with the software we installed. Unfortunately there is just too much free software online and sometimes we just unable to determine which software are harmful or not. Check out the blog post title "More Protection from Unwanted Software" from Google Inside Search. Currently Google has extended their service in Chrome, Search and ads to keep users safe from nefarious downloads. In other words, warnings will be display when users visited a site that encourages downloads of unwanted software. Google will also try to identified deceptive sites and remove it from their search results. Google ads too will disable sites that lead to unwanted software.
Again whenever Google try something new, it is best to check it out and confirm it personally. Sometimes the end result might not what we expected. Especially if your site is promoting or selling software, the above changes might affect your site. Thus it is best to monitor closely the traffic to your site. And if you are using Google AdWords, be sure to check if they disable your ads or not.